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Beyond boiling: The effect of in utero exposure to treated tap water on childhood health

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  • Li, Li
  • Xiao, Yun

Abstract

We study the effect of in utero exposure to treated tap water on childhood health in rural China, where boiling water to inactivate disease-causing microorganisms before drinking is common. We exploit the gradual rollout of a rural drinking water program that supplies treated tap water to households. Besides microorganisms, the treatment removes chemical pollutants. We find that exposure to treated tap water in utero increases height at ages 1–11 by 0.3 standard deviations. We also document improvements in other health outcomes at different stages of childhood, as well as a reduction in the incidence of non-waterborne digestive diseases. Improving health by age one and inducing more health investments from parents are two possible channels. Results highlight the importance of removing chemical pollutants from drinking water to protect fetuses from environmental insults.

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  • Li, Li & Xiao, Yun, 2023. "Beyond boiling: The effect of in utero exposure to treated tap water on childhood health," Journal of Environmental Economics and Management, Elsevier, vol. 119(C).
    • Handle: RePEc:eee:jeeman:v:119:y:2023:i:c:s0095069623000323
    DOI: 10.1016/j.jeem.2023.102814
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    as
    1. Megan Beckett & Julie Da Vanzo & Narayan Sastry & Constantijn Panis & Christine Peterson, 2001. "The Quality of Retrospective Data: An Examination of Long-Term Recall in a Developing Country," Journal of Human Resources, University of Wisconsin Press, vol. 36(3), pages 593-625.
    2. Anderson, Michael L, 2008. "Multiple Inference and Gender Differences in the Effects of Early Intervention: A Reevaluation of the Abecedarian, Perry Preschool, and Early Training Projects," Department of Agricultural & Resource Economics, UC Berkeley, Working Paper Series qt15n8j26f, Department of Agricultural & Resource Economics, UC Berkeley.
    3. Janet Currie & Joshua Graff Zivin & Katherine Meckel & Matthew Neidell & Wolfram Schlenker, 2013. "Something in the water: contaminated drinking water and infant health," Canadian Journal of Economics, Canadian Economics Association, vol. 46(3), pages 791-810, August.
    4. repec:pri:rpdevs:case_paxson_cog_function_additional.pdf is not listed on IDEAS
    5. Douglas Almond & Bhashkar Mazumder, 2013. "Fetal Origins and Parental Responses," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 37-56, May.
    6. Rocha, Rudi & Soares, Rodrigo R., 2015. "Water scarcity and birth outcomes in the Brazilian semiarid," Journal of Development Economics, Elsevier, vol. 112(C), pages 72-91.
    7. Anjali Adukia & Sam Asher & Paul Novosad, 2020. "Educational Investment Responses to Economic Opportunity: Evidence from Indian Road Construction," American Economic Journal: Applied Economics, American Economic Association, vol. 12(1), pages 348-376, January.
    8. Gamper-Rabindran, Shanti & Khan, Shakeeb & Timmins, Christopher, 2010. "The impact of piped water provision on infant mortality in Brazil: A quantile panel data approach," Journal of Development Economics, Elsevier, vol. 92(2), pages 188-200, July.
    9. Clément de Chaisemartin & Xavier D'Haultfœuille, 2020. "Two-Way Fixed Effects Estimators with Heterogeneous Treatment Effects," American Economic Review, American Economic Association, vol. 110(9), pages 2964-2996, September.
    10. Krzysztof Karbownik & Anthony Wray, 2019. "Long-Run Consequences of Exposure to Natural Disasters," Journal of Labor Economics, University of Chicago Press, vol. 37(3), pages 949-1007.
    11. James Heckman & Flavio Cunha, 2007. "The Technology of Skill Formation," American Economic Review, American Economic Association, vol. 97(2), pages 31-47, May.
    12. Jalan, Jyotsna & Ravallion, Martin, 2003. "Does piped water reduce diarrhea for children in rural India?," Journal of Econometrics, Elsevier, vol. 112(1), pages 153-173, January.
    13. Mangyo, Eiji, 2008. "The effect of water accessibility on child health in China," Journal of Health Economics, Elsevier, vol. 27(5), pages 1343-1356, September.
    14. Janet Currie & Tom Vogl, 2013. "Early-Life Health and Adult Circumstance in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 1-36, May.
    15. Rossi, Pauline & Villar, Paola, 2020. "Private health investments under competing risks: Evidence from malaria control in Senegal," Journal of Health Economics, Elsevier, vol. 73(C).
    16. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    17. Kosec, Katrina, 2014. "The child health implications of privatizing africa's urban water supply," Journal of Health Economics, Elsevier, vol. 35(C), pages 1-19.
    18. Thomas, Duncan & Lavy, Victor & Strauss, John, 1996. "Public policy and anthropometric outcomes in the Cote d'Ivoire," Journal of Public Economics, Elsevier, vol. 61(2), pages 155-192, August.
    19. Janet Currie, 2011. "Inequality at Birth: Some Causes and Consequences," American Economic Review, American Economic Association, vol. 101(3), pages 1-22, May.
    20. Douglas Almond & Lena Edlund & Mårten Palme, 2009. "Chernobyl's Subclinical Legacy: Prenatal Exposure to Radioactive Fallout and School Outcomes in Sweden," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(4), pages 1729-1772.
    21. Douglas Almond & Bhashkar Mazumder & Reyn Ewijk, 2015. "In Utero Ramadan Exposure and Children's Academic Performance," Economic Journal, Royal Economic Society, vol. 125(589), pages 1501-1533, December.
    22. Avraham Ebenstein, 2012. "The Consequences of Industrialization: Evidence from Water Pollution and Digestive Cancers in China," The Review of Economics and Statistics, MIT Press, vol. 94(1), pages 186-201, February.
    23. Anne Case & Christina Paxson, 2008. "Height, Health, and Cognitive Function at Older Ages," American Economic Review, American Economic Association, vol. 98(2), pages 463-467, May.
    24. Jian Xie, 2009. "Addressing China's Water Scarcity : Recommendations for Selected Water Resource Management Issues," World Bank Publications - Books, The World Bank Group, number 2585, December.
    25. Flavio Cunha & James J. Heckman & Susanne M. Schennach, 2010. "Estimating the Technology of Cognitive and Noncognitive Skill Formation," Econometrica, Econometric Society, vol. 78(3), pages 883-931, May.
    26. Janet Currie & Joshua Graff Zivin & Jamie Mullins & Matthew Neidell, 2014. "What Do We Know About Short- and Long-Term Effects of Early-Life Exposure to Pollution?," Annual Review of Resource Economics, Annual Reviews, vol. 6(1), pages 217-247, October.
    27. Marcella Alsan & Claudia Goldin, 2019. "Watersheds in Child Mortality: The Role of Effective Water and Sewerage Infrastructure, 1880–1920," Journal of Political Economy, University of Chicago Press, vol. 127(2), pages 586-638.
    28. Brainerd, Elizabeth & Menon, Nidhiya, 2014. "Seasonal effects of water quality: The hidden costs of the Green Revolution to infant and child health in India," Journal of Development Economics, Elsevier, vol. 107(C), pages 49-64.
    29. Florencia Devoto & Esther Duflo & Pascaline Dupas & William Parienté & Vincent Pons, 2012. "Happiness on Tap: Piped Water Adoption in Urban Morocco," American Economic Journal: Economic Policy, American Economic Association, vol. 4(4), pages 68-99, November.
    30. Heckman, James J., 2007. "The Economics, Technology and Neuroscience of Human Capability Formation," IZA Discussion Papers 2875, Institute of Labor Economics (IZA).
    31. Achyuta Adhvaryu & James Fenske & Anant Nyshadham, 2019. "Early Life Circumstance and Adult Mental Health," Journal of Political Economy, University of Chicago Press, vol. 127(4), pages 1516-1549.
    32. Maria Rosales-Rueda & Margaret Triyana, 2019. "The Persistent Effects of Early-Life Exposure to Air Pollution: Evidence from the Indonesian Forest Fires," Journal of Human Resources, University of Wisconsin Press, vol. 54(4), pages 1037-1080.
    33. Orgill-Meyer, Jennifer & Pattanayak, Subhrendu K., 2020. "Improved sanitation increases long-term cognitive test scores," World Development, Elsevier, vol. 132(C).
    34. Nicola Persico & Andrew Postlewaite & Dan Silverman, 2004. "The Effect of Adolescent Experience on Labor Market Outcomes: The Case of Height," Journal of Political Economy, University of Chicago Press, vol. 112(5), pages 1019-1053, October.
    35. Achyuta Adhvaryu & Anant Nyshadham, 2016. "Endowments at Birth and Parents' Investments in Children," Economic Journal, Royal Economic Society, vol. 126(593), pages 781-820, June.
    36. Zhang, Jing, 2012. "The impact of water quality on health: Evidence from the drinking water infrastructure program in rural China," Journal of Health Economics, Elsevier, vol. 31(1), pages 122-134.
    37. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(1), pages 249-275.
    38. Sandra E. Black & Aline Bütikofer & Paul J. Devereux & Kjell G. Salvanes, 2019. "This Is Only a Test? Long-Run and Intergenerational Impacts of Prenatal Exposure to Radioactive Fallout," The Review of Economics and Statistics, MIT Press, vol. 101(3), pages 531-546, July.
    39. Anderson, Michael L., 2008. "Multiple Inference and Gender Differences in the Effects of Early Intervention: A Reevaluation of the Abecedarian, Perry Preschool, and Early Training Projects," Journal of the American Statistical Association, American Statistical Association, vol. 103(484), pages 1481-1495.
    40. Zhang, Jing & Xu, Lixin Colin, 2016. "The long-run effects of treated water on education: The rural drinking water program in China," Journal of Development Economics, Elsevier, vol. 122(C), pages 1-15.
    41. Hill, Elaine L. & Ma, Lala, 2022. "Drinking water, fracking, and infant health," Journal of Health Economics, Elsevier, vol. 82(C).
    42. Sonia R. Bhalotra & Alberto Diaz-Cayeros & Grant Miller & Alfonso Miranda & Atheendar S. Venkataramani, 2021. "Urban Water Disinfection and Mortality Decline in Lower-Income Countries," American Economic Journal: Economic Policy, American Economic Association, vol. 13(4), pages 490-520, November.
    43. Anne Case & Christina Paxson, 2008. "Stature and Status: Height, Ability, and Labor Market Outcomes," Journal of Political Economy, University of Chicago Press, vol. 116(3), pages 499-532, June.
    44. Sebastian Galiani & Paul Gertler & Ernesto Schargrodsky, 2005. "Water for Life: The Impact of the Privatization of Water Services on Child Mortality," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 83-120, February.
    45. Hilary Hoynes & Diane Whitmore Schanzenbach & Douglas Almond, 2016. "Long-Run Impacts of Childhood Access to the Safety Net," American Economic Review, American Economic Association, vol. 106(4), pages 903-934, April.
    46. repec:pri:rpdevs:case_paxson_cog_function_additional is not listed on IDEAS
    47. Matthew Gentzkow & Jesse M. Shapiro, 2008. "Preschool Television Viewing and Adolescent Test Scores: Historical Evidence from the Coleman Study," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 123(1), pages 279-323.
    48. repec:pri:rpdevs:case_paxson_height_health_and_cognitive_function.pdf is not listed on IDEAS
    49. David Cutler & Grant Miller, 2005. "The role of public health improvements in health advances: The twentieth-century United States," Demography, Springer;Population Association of America (PAA), vol. 42(1), pages 1-22, February.
    50. Douglas Almond & Bhashkar Mazumder, 2005. "The 1918 Influenza Pandemic and Subsequent Health Outcomes: An Analysis of SIPP Data," American Economic Review, American Economic Association, vol. 95(2), pages 258-262, May.
    51. repec:pri:cheawb:case_paxson_height_health_and_cognitive_function is not listed on IDEAS
    52. repec:pri:rpdevs:case_paxson_height_health_and_cognitive_function is not listed on IDEAS
    53. Robyn C. Meeks, 2017. "Water Works: The Economic Impact of Water Infrastructure," Journal of Human Resources, University of Wisconsin Press, vol. 52(4), pages 1119-1153.
    54. Yvonne Jie Chen & Li Li & Yun Xiao, 2022. "Early-Life Exposure to Tap Water and the Development of Cognitive Skills," Journal of Human Resources, University of Wisconsin Press, vol. 57(6), pages 2113-2149.
    55. Guojun He & Jeffrey M. Perloff, 2016. "Surface Water Quality and Infant Mortality in China," Economic Development and Cultural Change, University of Chicago Press, vol. 65(1), pages 119-139.
    56. Nicola Persico & Andrew Postlewaite & Dan Silverman, 2001. "The Effect of Adolescent Experience on Labor Market Outcomes: The Case of Height, Third Version," PIER Working Paper Archive 04-013, Penn Institute for Economic Research, Department of Economics, University of Pennsylvania, revised 15 Mar 2004.
    57. Orazio Attanasio & Costas Meghir & Emily Nix, 2020. "Human Capital Development and Parental Investment in India," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 87(6), pages 2511-2541.
    58. Petter Lundborg & Paul Nystedt & Dan-Olof Rooth, 2014. "Height and Earnings: The Role of Cognitive and Noncognitive Skills," Journal of Human Resources, University of Wisconsin Press, vol. 49(1), pages 141-166.
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    More about this item

    Keywords

    Water quality; Tap water; In utero conditions; Childhood health; Child height; Parental investment;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • Q53 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling
    • H54 - Public Economics - - National Government Expenditures and Related Policies - - - Infrastructures

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