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Economic valuation of health benefits from using geologic data to communicate radon risk potential.
Environmental Health ( IF 6 ) Pub Date : 2020-03-20 , DOI: 10.1186/s12940-020-00589-8
Scott J Chiavacci 1 , Carl D Shapiro 1 , Emily J Pindilli 1 , Clyde F Casey 1 , Mary Kay Rayens 2 , Amanda T Wiggins 2 , William M Andrews 3 , Ellen J Hahn 2
Affiliation  

Radon exposure is the second leading cause of lung cancer worldwide and represents a major health concern within and outside the United States. Mitigating exposure to radon is especially critical in places with high rates of tobacco smoking (e.g., Kentucky, USA), as radon-induced lung cancer is markedly greater among people exposed to tobacco smoke. Despite homes being a common source of radon exposure, convincing homeowners to test and mitigate for radon remains a challenge. A new communication strategy to increase radon testing among Kentucky homeowners utilizes fine-scale geologic map data to create detailed radon risk potential maps. We assessed the health benefits of this strategy via avoided lung cancer and associated premature mortality and quantified the economic value of these benefits to indicate the potential utility of using geologic map data in radon communication strategies. We estimated the change in radon testing among all 120 counties in Kentucky following a new communication strategy reliant on geologic maps. We approximated the resultant potential change in radon mitigation rates and subsequent expected lung cancer cases and mortality avoided among smokers and non-smokers exposed to 4 pCi/L of radon in the home. We then applied the value of a statistical life to derive the economic value of the expected avoided mortality. The new communication strategy is estimated to help 75 Kentucky residents in 1 year avoid exposure to harmful radon levels via increased testing and mitigation rates. This equated to the potential avoidance of approximately one premature death due to lung cancer, with a net present value of $3.4 to $8.5 million (2016 USD). Our analysis illustrates the potential economic value of health benefits associated with geologic map data used as part of a communication strategy conveying radon risk to the public. Geologic map data are freely available in varying resolutions throughout the United States, suggesting Kentucky’s radon communication strategy using geologic maps can be employed in other states to educate the public about radon. As this is only a single application, in a single state, the economic and health benefits of geologic map data in educating the public about radon are likely to exceed our estimates.

中文翻译:

通过使用地质数据传达don风险潜力,可以对健康进行经济评估。

exposure暴露是全球第二大肺癌起因,代表了美国国内外的主要健康问题。在吸烟率高的地方(例如,美国肯塔基州),减轻ra暴露尤其重要,因为ra烟诱发的肺癌在暴露于烟草烟雾的人群中明显更大。尽管房屋是ra暴露的常见来源,但说服房主测试和缓解ra仍然是一个挑战。一种新的交流策略,可以提高肯塔基州房主对ra的测试水平,它利用精细的地质图数据来创建详细的ra潜在风险图。我们通过避免肺癌和相关的过早死亡评估了该策略对健康的益处,并量化了这些益处的经济价值,以表明在geo通讯策略中使用地质图数据的潜在效用。根据新的基于地质图的交流策略,我们估算了肯塔基州所有120个县之间ra测试的变化。我们估算了在家中暴露于4 pCi / L don的吸烟者和非吸烟者减少的don降低率以及随后的预期肺癌病例和避免的死亡率的潜在变化。然后,我们使用统计寿命的值来得出预期避免的死亡率的经济价值。据估计,新的沟通策略将通过增加测试和缓解率,在1年内帮助75名肯塔基州居民避免暴露于有害ra水平。这相当于可以避免因肺癌导致的过早死亡,其净现值在3.4到850万美元(2016年美元)之间。我们的分析说明了与地质地图数据相关的健康益处的潜在经济价值,该地质地图数据被用作向公众传达ra风险的传播策略。地质地图数据可在美国各地以不同分辨率免费获得,这表明肯塔基州使用地质地图进行的s交流策略可在其他州采用,以教育公众了解about。由于这只是单个应用程序,处于单个状态,
更新日期:2020-04-22
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