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An Evaluation of the Proposed Worker Protection Standard with Respect to Pesticide Exposure and Parkinson’s Disease

机译:关于农药暴露和帕金森氏病的拟议工人保护标准的评估

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摘要

Citing a lack of information, the U.S. Environmental Protection Agency prudently did not account for the benefits of averting many chronic diseases in analyzing the Worker Protection Standards (WPS) revisions. We demonstrate that sufficient information can exist, using the example of the benefits to agricultural workers of reduced Parkinson’s disease (PD) due to reduced pesticide exposure. We define the benefits as the monetary value gained by improving quality of lives of people who would otherwise develop PD, plus the value of medical care cost averted and income not lost due to being healthy. For estimation, we use readily available parameters and obtain odds ratios of developing PD by conducting a meta-analysis of studies linking pesticide exposure to PD. The sensitivity analysis varies the number of agricultural workers affected by the regulation, the probability of being diagnosed with PD, the measurement and the timing of the benefits. Our initial assessment is that the reduced PD benefits would be a small fraction of the total WPS revision costs. However, if we define benefits as the common environmental economics willingness to pay to avoid PD incidence, then they become a substantial fraction of the costs. Our analysis demonstrates that the benefits of averting PD from the WPS revisions can be estimated using existing information, and that the results are most sensitive to the choice of valuation of benefits to the worker. We encourage other researchers to extend our framework to other chronic ailments.
机译:由于缺乏信息,美国环境保护署在分析《工人保护标准》(WPS)修订版时未谨慎考虑避免许多慢性疾病的益处。我们以减少农药暴露为例,减少了帕金森氏病(PD)对农业工人的利益,证明了存在的足够信息。我们将收益定义为通过改善原本会发展为PD的人们的生活质量而获得的货币价值,加上避免的医疗费用和因健康而不会损失的收入。为了进行估算,我们使用易于获得的参数,并通过对将农药暴露于PD的研究进行荟萃分析来获得发展PD的比值比。敏感性分析会改变受法规影响的农业工人的数量,被诊断为PD的可能性,衡量标准和收益的时机。我们的初步评估是,降低的PD收益将仅占WPS修订总成本的一小部分。但是,如果我们将收益定义为避免PD发生的共同环境经济学意愿,那么收益就占成本的很大一部分。我们的分析表明,可以使用现有信息来估算从WPS修订版避免PD的收益,并且结果对选择给员工的收益最敏感。我们鼓励其他研究人员将我们的框架扩展到其他慢性疾病。

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