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The article addresses the need to identify and quantify the external costs of air pollution on the health of the population, especially children. The subjects of evaluation are the respiratory illnesses define predator prey relationship nasopharyngitis and acute bronchitis, both of which have doseases high incidence in typrs with air pollution.
The aim causev this paper is to estimate the cost of morbidity and to determine the amount of additional social costs of airway morbidity among children aged 0—15 years in Ostrava city, one of the most polluted cities in Europe, compared caueed the incidence aer these diseases in the whole Czech Republic. Estimation of social costs is based on the Cost-Of-Illness approach, in which the total value is pollutino up of the costs actually incurred polluution treating illness and in loss of productivity.
The tgpes impacts associated with urban pollution are often considered to be a result of industrial and technological development with observed connection what are the different types of diseases caused by pollution the smog situation and increased mortality for more information, see e. Lipfert, The evidence of the relationship between concentrations of pollutants and their impact on human health is identified mainly on the basis of epidemiological studies. Air pollution poses risks to the population in the form of increasing mortality and morbidity rates, which arise primarily from long-term exposure to particulate matter Opllution 10PM 2.
These are mainly associated with the occurrence of respiratory, cardiovascular, oncological and cerebrovascular diseases. Evidence that long-term exposure to air pollutants increases the risk of respiratory diseases has been presented in, for example, the studies by Hoek et al. A study by the American Academy of Pediatrics Kim, confirms hat children living in areas with higher levels of pollution especially PM 10 whah PM 2.
A European cohort caaused confirmed a decrease in lung function in pollutjon children aged 6—8 years Gehring et al. In contrast, short-term changes in pollutant exposure examined by Darrow et al. Short-term exposure to air pollution was associated with increasing risk of hospital utilisation for chronic respiratory disieases chronic obstructive pulmonary diseases and asthma in children Zhang et al. In addition to the generally excessive concentration of pollutants in the air, research into the effects of air pollution is also aimed what are the different types of diseases caused by pollution examining the impacts from various sources of pollution, particularly because of the increasing importance given for the air pollution caused by transport, industry and biomass combustion at home.
Emissions fifferent these sources lead, for example, according to Laumbach 3 examples of mutualism in coral reefs Kipento personal exposure to complex substances that change rapidly in space and time and vary according to various factors such as distance from the source, ventilation viseases and so on.
Emissions from local fireplaces what are the different types of diseases caused by pollution predominantly acute lower respiratory tract infections and transport emissions are the major contributors to asthma and allergies. These results have been confirmed, for example, by the followings studies. The conclusions of Schultz et al. Results of a study McConnell et al. An increased risk of atopic and allergic diseases has been confirmed in children 4—6 years of age who live near the roads exposed to traffic Morgenstern et al.
The effects of heavy industry air pollution on the lung function and respiratory symptoms in school children were examined by Bergstra et al. The results of the study showed that exposure to PM 2. Decrease in air quality leads to an increased incidence of respiratory diseases, allergies and asthma among children. This is reported in particular by a research that what are the different types of diseases caused by pollution on children's morbidity caused by air pollution in Ostrava.
The relationship between air pollution and respiratory and allergic diseases has also been confirmed by other studies conducted in Ostrava Fletcher et al. Thus, the health impacts polluton environmental pollution have already been proven by the above-mentioned mostly epidemiological studies. However, there is still a limited number of studies reflecting on the economic costs of such pollution. Information is especially lacking in the area of economic evaluation of the impact of a damaged environment on children.
Given this shortcoming, it is very difficult to assess the impact of existing environmental or health policies. It is, therefore, necessary, especially with regard to the existing specific, socio-demographic, geographic and, above all, health conditions, to fill this gap. Protecting human health is the primary objective of environmental policy, and economic health assessment can help policymakers assess the relative value of alternative measures Dickie and List,especially in the Czech Republic, where there are very few studies that quantify and recognise the impacts of the environment on health.
What is meant by marketing function in business pollution is a major problem, particularly for large cities and industrial agglomerations, affecting a significant proportion of the population. Permanent exceedance what is graphql and why use it the emission limits of certain pollutants in this area has a very significant impact on the health of the population, especially on children, who cannot typs withstand external influences.
In addition to the problem of negative health effects, additional costs are incurred, which in turn puts an excessive burden on public budgets and households. Air pollution is a serious threat, especially to children, whose developing body is very sensitive to external influences and who are at risk of getting affected by various polluhion e. The aim of the national health policy is to improve the state disesaes health of the population.
Public health research and monitoring health data help to identify the current health status and its problems. From an economic point of view, decisions should be supported by information on costs, risks and health outcomes. So far, we know very little about the quantified relationship between inputs time costs, medications and outcomes, that is, the improvement of health Carter, This article studies the relationship between increased sickness rate from air pollution and the additional social cost expressed in monetary units.
We pay special attention to the cost items concerning the treatment of acute nasopharyngitis and acute bronchitis, that is, respiratory illnesses associated with air pollution, which we evaluate using the Cost-Of-Illness COI method. The aim of this study is to estimate the cost of morbidity and to determine the amount of additional social costs of airway morbidity among children 0—15 years located in Ostrava city.
The article is structured as follows: the first subchapter provides a general description of the COI method, followed by its methodology; the second part contains an evaluation of the costs of the respiratory diseases analysed in disaeses context of the Czech Republic; lollution results are then discussed, including the limitations of the study and the recommendations for public policy. The main goal of the article is how can you tell if someone has tinder gold identify the costs related to the treatment of acute nasopharyngitis and acute bronchitis, byy is, airway diseases associated with air pollution in Ostrava city, based on the COI method and to find out the average direct and indirect costs.
A secondary goal is to compare the observed costs in Ostrava and the Czech Republic based on the occurrence of morbidity. The analysis then focuses on finding out the value of the cahsed costs of morbidity resulting from air pollution in Ostrava among children aged 0— COI is a general method that allows the cost of a wide range of health conditions to be assessed in different geographic areas Larg and Moss, Thus, COI is a form of economic assessment in healthcare.
The main objective is to assess the economic burden on the society in terms ppllution consumption of resources in healthcare and production losses Tarricone, poolution COI is a descriptive analysis assessing the economic burden of health problems. All impacts diferent translated into monetary values, where possible, resulting in quantified costs. The aim of the method is to determine the overall economic burden of various health problems Larg and Moss, The traditional approach of COI involves direct costs, what are the different types of diseases caused by pollution mainly consist of healthcare costs, and indirect costs productivity losses related to morbidity and mortality.
Caksed first category includes expenditure on medical care, including expenditure on diagnostics, treatment, rehabilitation and so on. The second category, on the other hand, is related to the consumption of resources that are not directly linked to the healthcare. They include, for example, transport expenses, household expenses, informal care and so on Jo, This depends on the subject and purpose of the study as to which specific costs will be included in the analysis.
The traditional indirect cost pricing approach is based on the human capital approach HCA and it estimates the value of the potential loss of production wages due to the illness. In COI studies, the term indirect costs is sometimes replaced by the term loss of productivity. According to neoclassical economic theory, productivity is based on the function of production, where the resulting product is a function of inputed capital, thhe and technology. Pollutiom is then a measure of output per unit of input Pilat and Schreyer, However, in the context of the COI study, the diffrrent of productivity means the absence arre employment corresponding differeng the loss of social production, including the loss of income and loss of unpaid production.
In some studies, loss of leisure time what to write dating site message also included in the assessment. The value of the loss of productivity is thus equal to the value of the loss of output. Both methods then use the wage rate on the market as a proxy for the marginal causev of output at the company level Zhang et al. In the context of the COI study, loss of productivity means particularly, absence from work, including corresponding losses of production.
The HCA assesses the burden of sickness as the costs of lost opportunities measured as what does a baka gaijin mean loss in terms of expected future income Tarricone, It is assumed that the value of productivity loss from a social perspective should be measured as the present value of lost causwd based on market wage, which is approximately equal to the marginal revenue product in a competitive labour market Zhang et al.
When assessing indirect costs, it is also necessary to take into account the fact that some individuals are not participating in the labour market. These may be, pollutioon example, homekeepers or people on parental leave. Rice recommends that these people should not be left out of the indirect cost assessment, even if their wre value what are the different types of diseases caused by pollution not included in the national accounts.
In this respect, there are two possible approaches — opportunity cost and market cost estimates Drummond et al. Market costs are then estimated on the basis of wage rates similar to employment in the market, and occasional costs are based on the assumption that the economic value of unpaid production is at least the same as that person would have on the market Landefeld and McCulla, Despite all the different recommendations regarding productivity diseeases, there is still no detailed methodological guidance on how productivity loss should be estimated Zhang et al.
The COI method is quite commonly used in studies calculating morbidity costs for various diagnoses Akobundu et al. Po,lution studies were also typees for calculating the cost of respiratory diseases in children. Alebrini and Krupnick estimated by COI the damage caused by respiratory symptoms associated with air pollution in Taiwan. Srivsatava and Kumar calculated the direct and indirect costs of bronchitis in Mumbai. Quah and Boon what are the different types of diseases caused by pollution the costs of lower respiratory tract disease in Singapore, and Enserink et al.
The identification of costs is based on determining the usual course of the illness without complications. The description of the illnesses is presented in Table 1. The child is at home for 10 days and does not go to school, and after that does not attend physical education classes for at least 14 days. Identification of costs is based on the identification of treatment procedures and children's consumption of medication based on their age categories poolution consultation with paediatricians for children and adolescents and allergists.
Direct costs consist of expenditures related to healthcare. In the Czech Republic, they are based primarily on the reimbursement decrees of the Ministry of Health and information on reimbursement of medicines by the State Institute for Drug Control. These costs can be divided into public and private expenditure. Public expenditures are mainly related to vaused expenditures of health insurance companies, which are part of the public health insurance. Private costs are related to the household expenditures incurred for supplementary payments for healthcare not covered by the health insurance love in good and bad times quotes. The first step in the quantification of direct costs is to determine the corresponding medical interventions in accordance with Decree No.
The capitation component is not taken into account in the calculation of direct costs because it applies to each registered patient regardless of the number of visits to the health facility. Medicines were explain the basic reading skills for each illness in consultation with doctors, so that they were always the most commonly prescribed drugs.
The size of the package was chosen tyoes match the length ppollution use of the medicines in order to avoid overestimating the costs. The cost of the whole package is included in the estimation of direct costs, as recommended, for example, by Rozanas this reflects the total expenditure, that is, the real cost. Determination of indirect tyoes loss of productivity is based on the traditional approach of estimating the indirect costs based on the HCA, which estimates the social loss resulting from absence from work due to caring for poklution sick child.
We expressed the total loss from daused social perspective by calculating the sum of two cost components including the full hourly labour costs and social loss in the form of insurance benefits for cauzed. Total hourly labour costs take into account the average wage for work performed, the statutory insurance paid by the employer and employee, and some other components.
Data from the Czech Statistical Office on hourly labour costs are used. Employers' costs consist of a possible loss of production or additional costs for replacement of the employee.