tailieunhanh - Phase II: Estimating Health and Economic Damages (ILLNESS COSTS OF AIR POLLUTION)

Indoor air pollution poses many challenges to the health pro- fessional. This booklet offers an overview of those challenges, focusing on acute conditions, with patterns that point to par- ticular agents and suggestions for appropriate remedial action. The individual presenting with environmentally associated symptoms is apt to have been exposed to airborne substances originating not outdoors, but indoors. Studies from the United States and Europe show that persons in industrial- ized nations spend more than 90 percent of their time indoors1. For infants, the elderly, persons with chronic diseases, and most urban residents of any age, the proportion is probably higher. In addition, the concentrations of many pollutants indoors exceed those outdoors | FINAL REPORT Phase II Estimating Health and Economic Damages Illness Costs of Air Pollution Submitted to Ontario Medical Association By DSS Management Consultants Inc. July 26 2000 DSS Management Consultants Inc Designers of Decision Support Systems Dr. Ted Boadway Executive Director Health Policy Department Ontario Medical Association 525 University Avenue Suite 300 Toronto ON M5G 2K7 July 26 2000 Dear Dr. Boadway Re Phase II Estimating Health and Economic Damages Illness Costs of Air Pollution Our File No. Following is our final report for the above project. This report contains complete technical documentation for ICAP and the derivation of all of the data used in that model. As well the results of applying ICAP to analyze the Ontario Anti-Smog Action Plan are included. Yours truly Edward Hanna . M. Perley Project Team 1886 Bowler Drive Pickering ON L1V 3E4 Telephone 905 839-8814 Fax 839-0058 11 Executive Summary For several decades the Ontario Medical Association has played a leadership role promoting improvements in air quality to prevent illness and premature death. This report builds on these initiatives and develops a quantitative foundation for estimating the health and economic damages caused by air pollution. Accompanying this report is a computer model ICAP - Illness Costs of Air Pollution which is based on the data presented in this report. ICAP provides forecasts of health and economic damages for expected or desired future air quality conditions in Ontario. The main body of this report outlines the technical foundations for ICAP. Information requirements and uncertainties are reviewed. The results of an analysis of the Ontario Anti-Smog Action Plan are discussed. Eleven technical appendices deal in detail with various aspects of ICAP and the forecasting of health and economic damages due to air pollution. The impacts of two pollutants . ozone and particulate matter on human health are analyzed. Human health impacts are grouped into five

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