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Project Citation: 

Guidetti, Bruna , Pereda, Paula, and Severnini, Edson. Data and Code for:  “Placebo Tests” for the Impacts of Air Pollution on Health: The Challenge of Limited Healthcare. Nashville, TN: American Economic Association [publisher], 2021. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2021-04-28. https://doi.org/10.3886/E136321V1

Project Description

Summary:  View help for Summary "Placebo tests" are normally used to support evidence of the pollution impacts on health outcomes. In this study, we argue that one should be cautious to proceed with falsification tests. We examine how a large metropolitan area in Brazil copes with increased healthcare demand due to high air pollution (PM10) under hospital capacity constraints. Using wind as an instrument, we find that the pollution exposure increases pediatric hospitalization for respiratory diseases, while the number of planned procedures decreases in public hospitals. On average, for every four additional pollution-related admissions, one elective care procedure is displaced. Urgent procedures are not displaced.

Scope of Project

Subject Terms:  View help for Subject Terms air pollution; health
JEL Classification:  View help for JEL Classification
      I15 Health and Economic Development
      O13 Economic Development: Agriculture; Natural Resources; Energy; Environment; Other Primary Products
      Q53 Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling
      Q56 Environment and Development; Environment and Trade; Sustainability; Environmental Accounts and Accounting; Environmental Equity; Population Growth
Geographic Coverage:  View help for Geographic Coverage Sao Paulo Metropolitan Area, Brazil
Time Period(s):  View help for Time Period(s) 2015 – 2017
Universe:  View help for Universe Districts in the Sao Paulo Metropolitan Area
Data Type(s):  View help for Data Type(s) aggregate data; geographic information system (GIS) data

Methodology

Sampling:  View help for Sampling Districts in the Sao Paulo Metropolitan Area close to the monitors that measure air pollution
Data Source:  View help for Data Source Hospital Information System of the Brazilian Unified National Health System, 2015-2018
Environmental Agency of Sao Paulo State (CETESB), 2015-2018
Brazilian Geocoded Census, 2010
Brazilian National Registry of Health Establishments, 2014

Unit(s) of Observation:  View help for Unit(s) of Observation districts-day

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