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The Long-Run Economic Costs of aids: A Model with an Application to South Africa

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Author Info
Clive Bell
Shantayanan Devarajan
Hans Gersbach

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Abstract

Primarily a disease of young adults, aids imposes economic costs that could be devastatingly high in the long run by undermining the transmission of human capital--the main driver of long-run economic growth--across generations. aids makes it harder for victims' children to obtain an education and deprives them of the love, nurturing, and life skills that parents provide. These children will in turn find it difficult to educate their children, and so on. An overlapping generations model is used to show that an otherwise growing economy could decline to a low-level subsistence equilibrium if hit with an aids-type increase in premature adult mortality. Calibrating the model for South Africa, where the hiv prevalence rate is over 20 percent, simulations reveal that the economy could shrink to half its current size in about four generations in the absence of intervention. Programs to combat the disease and to support needy families could avert such a collapse, but they imply a fiscal burden of about 4 percent of gdp. Copyright 2006, Oxford University Press.

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Publisher Info
Article provided by Oxford University Press in its journal The World Bank Economic Review.

Volume (Year): 20 (2006)
Issue (Month): 1 ()
Pages: 55-89
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Handle: RePEc:oup:wbecrv:v:20:y:2006:i:1:p:55-89

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  1. Beegle, Kathleen & De Weerdt, Joachim & Dercon, Stefan, 2006. "Adult mortality and consumption growth in the age of HIV/AIDS," Policy Research Working Paper Series 4082, The World Bank. [Downloadable!]
    Other versions:
  2. Clive Bell & Hans Gersbach, 2006. "The Macroeconomics of Targeting: The Case of an Enduring Epidemic," IZA Discussion Papers 2393, Institute for the Study of Labor (IZA). [Downloadable!]
    Other versions:
  3. Clive Bell & Hans Gersbach, 2006. "Growth and Enduring Epidemic Diseases," CESifo Working Paper Series CESifo Working Paper No. , CESifo Group Munich. [Downloadable!]
    Other versions:
  4. Ferreira, Pedro Cavalcanti Gomes & Santos, Marcelo Rodrigues dos & Pessoa, Samuel de Abreu, 2009. "The Impact of AIDS on Income and Human Capital," Economics Working Papers (Ensaios Economicos da EPGE) 690, Graduate School of Economics, Getulio Vargas Foundation (Brazil). [Downloadable!]
  5. Bell, Clive & Bruhns, Ramona & Gersbach, Hans, 2006. "Economic growth, education, and AIDS in Kenya : a long-run analysis," Policy Research Working Paper Series 4025, The World Bank. [Downloadable!]
  6. Agenor, Pierre-Richard & Moreno-Dodson, Blanca, 2006. "Public infrastructure and growth : new channels and policy implications," Policy Research Working Paper Series 4064, The World Bank. [Downloadable!]
  7. Ramona Schrepler, 2003. "Child Labor and Fertility," HEW 0310001, EconWPA, revised 26 Feb 2004. [Downloadable!]
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