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Reevaluating the benefits of folic acid fortification in the United States: Economic analysis, regulation, and public health

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  • Grosse, S.D.
  • Waitzman, N.J.
  • Romano, P.S.
  • Mulinare, J.

Abstract

Before a 1996 US regulation requiring fortification of enriched cereal-grain products with folic acid, 3 economic evaluations projected net economic benefits or cost savings of folic acid fortification resulting from the prevention of pregnancies affected by a neural tube defect. Because the observed decline in neural tube defect rates is greater than was forecast before fortification, the economic gains are correspondingly larger. Applying both cost-benefit and cost-effectiveness analytic techniques, we estimated that folic acid fortification is associated with annual economic benefit of $312 million to $425 million. The cost savings (net reduction in direct costs) were estimated to be in the range of $88 million to $145 million per year.

Suggested Citation

  • Grosse, S.D. & Waitzman, N.J. & Romano, P.S. & Mulinare, J., 2005. "Reevaluating the benefits of folic acid fortification in the United States: Economic analysis, regulation, and public health," American Journal of Public Health, American Public Health Association, vol. 95(11), pages 1917-1922.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.058859_7
    DOI: 10.2105/AJPH.2004.058859
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    Cited by:

    1. Parkinson, Bonny & Goodall, Stephen, 2011. "Considering consumer choice in the economic evaluation of mandatory health programmes: A review," Health Policy, Elsevier, vol. 101(3), pages 236-244, August.
    2. Llanos, Adolfo & Hertrampf, Eva & Cortes, Fanny & Pardo, Andrea & Grosse, Scott D. & Uauy, Ricardo, 2007. "Cost-effectiveness of a folic acid fortification program in Chile," Health Policy, Elsevier, vol. 83(2-3), pages 295-303, October.
    3. Elena Fumagalli;, 2012. "Average and quantile treatment effects of the American Folic Acid Fortification: an evaluation in a quasi-experimental framework," Health, Econometrics and Data Group (HEDG) Working Papers 12/08, HEDG, c/o Department of Economics, University of York.

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