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经济活动与病毒性疾病的传播:来自高频数据的证据 *

Economic Activity and the Spread of Viral Diseases: Evidence from High Frequency Data *
Quarterly Journal of Economics · 2016 · Jérôme Adda

中文摘要

病毒是对人类健康的主要威胁,且——鉴于其通过社会互动传播——构成一种代价高昂的外部性。本文探讨了三个主要问题: 经济活动对感染传播的意外后果是什么; 限制人际接触的措施效率如何; 我们如何配置稀缺资源以限制感染的传播?为回答这些问题,我们使用了来自法国的新颖高频数据,涵盖四分之一世纪内多种病毒性疾病跨空间、分年龄组的发病情况。我们利用准实验变异来评估减少人际接触政策(如学校停课或公共交通网络关闭)的重要性。尽管这些政策显著降低了疾病流行率,但我们发现它们并不具有成本效益。我们发现,交通网络的扩张在增加病毒传播方面具有显著的卫生成本,且传播率对经济状况具有顺周期敏感性,并随区域间贸易而上升。

Abstract

Abstract Viruses are a major threat to human health, and—given that they spread through social interactions—represent a costly externality. This article addresses three main questions: (i) what are the unintended consequences of economic activity on the spread of infections; (ii) how efficient are measures that limit interpersonal contacts; (iii) how do we allocate our scarce resources to limit the spread of infections? To answer these questions, we use novel high frequency data from France on the incidence of a number of viral diseases across space, for different age groups, over a quarter of a century. We use quasi-experimental variation to evaluate the importance of policies reducing interpersonal contacts such as school closures or the closure of public transportation networks. While these policies significantly reduce disease prevalence, we find that they are not cost-effective. We find that expansions of transportation networks have significant health costs in increasing the spread of viruses, and that propagation rates are pro-cyclically sensitive to economic conditions and increase with inter-regional trade.
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