HANDBOOK FOR NON-CANCER HEALTH EFFECTS VALUATION

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UNITED STATES ENVIRONMENTAL PROTECTION AGENCY

2002

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TABLE OF CONTENTS

EXECUTIVE SUMMARY ES-1

INTRODUCTION CHAPTER 1

THEORETICAL BASIS OF HEALTH EFFECTS VALUATION CHAPTER 2

Economic Valuation and Policy Analysis 2-2

Theory of Economic Valuation 2-5

Valuation of Human Health 2-9

Summary and Guide to Further Reading 2-13

PRIMARY METHODS OF MORBIDITY VALUATION CHAPTER 3

Overview of Available Methods 3-1

Health Effects Measurement and Valuation 3-5

Cost-of-Illness 3-8

Contingent Valuation 3-13

Averting Behavior Method 3-18

Other Methods of Health Valuation 3-21

VALUING NON-CANCER HEALTH EFFECTS

USING BENEFITS TRANSFER CHAPTER 4

Deciding Whether to Conduct a Benefits Transfer 4-3

Policy Effects on Health and Well-Being 4-5

Identify Existing, Relevant Studies 4-8

Assess the Suitability of Existing Studies for Transfer 4-8

Use Information in the Study to Estimate Benefits 4-10

ISSUES IN APPLYING THE VALUATION LITERATURE CHAPTER 5

Establishing an Economic Value for Pain and Suffering 5-1

Improving the Match of the Health Effect Description to an Existing Value 5-12

Characterization of Non-Cancer Health Effects 5-17

COLLECTING INFORMATION TO SUPPORT NON-CANCER HEALTH EFFECTS ANALYSES

CHAPTER 6

Understanding the Underlying Health Effect Literature 6-2

Identifying Existing Economic Valuation Literature 6-4

Non-EPA Analyses of Non-Cancer Health Effects 6-6

REFERENCES R-1

APPENDIX A Annotated Bibliography

APPENDIX B Literature Review for Economic Valuation of Pain and Suffering

APPENDIX C Case Studies of Non-Cancer Health Valuation

INDEX I-1