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城市供水消毒与低收入国家的死亡率下降

Urban Water Disinfection and Mortality Decline in Lower-Income Countries
American Economic Journal: Economic Policy · 2021 · Sonia R. Bhalotra、Alberto Díaz-Cayeros、Grant Miller、Alfonso Miranda、Atheendar S Venkataramani

中文摘要

历史上,城市水质的改善曾使当今的富裕国家出现大幅的死亡率下降。然而,在低收入国家,饮水消毒并未始终产生较大的收益。我们通过分析墨西哥一项大规模城市供水消毒计划来研究这一问题,该计划在18个月内将城市地区的氯化消毒覆盖率从58%提高到90%以上。我们估计,该计划使儿童腹泻病死亡率降低了45%至67%。然而,卫生基础设施不足以及水管老化(劣化)可能大幅削弱了这些收益。

Abstract

Historically, improvements in municipal water quality led to substantial mortality decline in today’s wealthy countries. However, water disinfection has not consistently produced large benefits in lower-income countries. We study this issue by analyzing a large-scale municipal water disinfection program in Mexico that increased water chlorination coverage in urban areas from 58 percent to over 90 percent within 18 months. We estimate that the program reduced childhood diarrheal disease mortality rates by 45 to 67 percent. However, inadequate sanitation infrastructure and age (degradation) of water pipes may have attenuated these benefits substantially.
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