IDEAS home Printed from https://ideas.repec.org/p/duh/wpaper/1904.html
   My bibliography  Save this paper

Low Emission Zones for Better Health: Evidence from German Hospitals

Author

Listed:
  • Nico Pestel

    (Institute of Labor Economics (IZA), Germany)

  • Florian Wozny

    (Institute of Labor Economics (IZA), Germany)

Abstract

This paper studies health effects from restricting the access of high-emission vehicles to innercities by implementing Low Emission Zones. For identification, we exploit variation in the timing and the spatial distribution of the introduction of new Low Emission Zones across cities in Germany. We use detailed hospitalization data combined with geo-coded information on the coverage of Low Emission Zones. We find that Low Emission Zones significantly reduce levels of air pollution in urban areas and that these improvements in air quality translate into population health benefits. The number of diagnoses related to air pollution is significantly reduced for hospitals located within or in close proximity to a Low Emission Zone after it becomes effective. The results are mainly driven by reductions in chronic cardiovascular and respiratory diseases.

Suggested Citation

  • Nico Pestel & Florian Wozny, 2019. "Low Emission Zones for Better Health: Evidence from German Hospitals," CINCH Working Paper Series 1904, Universitaet Duisburg-Essen, Competent in Competition and Health.
    • Handle: RePEc:duh:wpaper:1904
    as

    Download full text from publisher

    File URL: https://cinch.uni-due.de/fileadmin/content/research/workingpaper/cinch-WP-2019-04.pdf
    File Function: First version, 2019
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Emilia Simeonova & Janet Currie & Peter Nilsson & Reed Walker, 2021. "Congestion Pricing, Air Pollution, and Children’s Health," Journal of Human Resources, University of Wisconsin Press, vol. 56(4), pages 971-996.
    2. Olivier Deschênes & Michael Greenstone & Joseph S. Shapiro, 2017. "Defensive Investments and the Demand for Air Quality: Evidence from the NOx Budget Program," American Economic Review, American Economic Association, vol. 107(10), pages 2958-2989, October.
    3. Malina, Christiane & Scheffler, Frauke, 2015. "The impact of Low Emission Zones on particulate matter concentration and public health," Transportation Research Part A: Policy and Practice, Elsevier, vol. 77(C), pages 372-385.
    4. Gehrsitz, Markus, 2017. "The effect of low emission zones on air pollution and infant health," Journal of Environmental Economics and Management, Elsevier, vol. 83(C), pages 121-144.
    5. Ankit Kumar & Michael Schoenstein, 2013. "Managing Hospital Volumes: Germany and Experiences from OECD Countries," OECD Health Working Papers 64, OECD Publishing.
    6. Hendrik Wolff, 2014. "Keep Your Clunker in the Suburb: Low‐emission Zones and Adoption of Green Vehicles," Economic Journal, Royal Economic Society, vol. 124(578), pages 481-512, August.
    7. Joshua Graff Zivin & Matthew Neidell, 2013. "Environment, Health, and Human Capital," Journal of Economic Literature, American Economic Association, vol. 51(3), pages 689-730, September.
    8. Karlsson, Martin & Ziebarth, Nicolas R., 2018. "Population health effects and health-related costs of extreme temperatures: Comprehensive evidence from Germany," Journal of Environmental Economics and Management, Elsevier, vol. 91(C), pages 93-117.
    9. Wolff, Hendrik, 2014. "Keep Your Clunker in the Suburb: Low Emission Zones and Adoption of Green Vehicles," IZA Discussion Papers 8180, Institute of Labor Economics (IZA).
    10. Wolfram Schlenker & W. Reed Walker, 2016. "Airports, Air Pollution, and Contemporaneous Health," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 83(2), pages 768-809.
    11. Janke, Katharina, 2014. "Air pollution, avoidance behaviour and children's respiratory health: Evidence from England," Journal of Health Economics, Elsevier, vol. 38(C), pages 23-42.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Margaryan, Shushanik, 2021. "Low emission zones and population health," Journal of Health Economics, Elsevier, vol. 76(C).
    2. Laura Hospido & Carlos Sanz & Ernesto Villanueva, 2023. "Air pollution: a review of its economic effects and policies to mitigate them," Occasional Papers 2301, Banco de España.
    3. Isphording, Ingo E. & Pestel, Nico, 2021. "Pandemic meets pollution: Poor air quality increases deaths by COVID-19," Journal of Environmental Economics and Management, Elsevier, vol. 108(C).
    4. Isaksen, Elisabeth T. & Johansen, Bjørn G., 2021. "Congestion pricing, air pollution, and individual-level behavioral responses," Memorandum 1/2021, Oslo University, Department of Economics.
    5. Isaksen, Elisabeth & Johansen, Bjørn G., 2021. "Congestion pricing, air pollution, and individual-level behavioural responses," LSE Research Online Documents on Economics 111493, London School of Economics and Political Science, LSE Library.
    6. Helm, Ines & Koch, Nicolas & Rohlf, Alexander, 2023. "The effects of cash for clunkers on local air quality," Journal of Urban Economics, Elsevier, vol. 138(C).
    7. Luis Sarmiento & Nicole Wägner & Aleksandar Zaklan, 2021. "Effectiveness, Spillovers, and Well-Being Effects of Driving Restriction Policies," Discussion Papers of DIW Berlin 1947, DIW Berlin, German Institute for Economic Research.
    8. Kronenberg, Christoph, 2020. "New(spaper) Evidence of a Reduction in Suicide Mentions during the 19th‐century US Gold Rush," CINCH Working Paper Series (since 2020) 73382, Duisburg-Essen University Library, DuEPublico.
    9. Wozny, Florian, 2020. "Hospital Resources: Persistent Reallocation under Price Changes," IZA Discussion Papers 13256, Institute of Labor Economics (IZA).
    10. Klauber, Hannah & Holub, Felix & Koch, Nicolas & Pestel, Nico & Ritter, Nolan & Rohlf, Alexander, 2021. "Killing Prescriptions Softly: Low Emission Zones and Child Health from Birth to School," IZA Discussion Papers 14376, Institute of Labor Economics (IZA).
    11. Fischer, Martin & Karlsson, Martin & Prodromidis, Nikolaos, 2021. "Long‐term Effects of Hospital Deliveries," CINCH Working Paper Series (since 2020) 74712, Duisburg-Essen University Library, DuEPublico.
    12. Rohlf, Alexander & Holub, Felix & Koch, Nicolas & Ritter, Nolan, 2020. "The effect of clean air on pharmaceutical expenditures," Economics Letters, Elsevier, vol. 192(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Pestel, Nico & Wozny, Florian, 2021. "Health effects of Low Emission Zones: Evidence from German hospitals," Journal of Environmental Economics and Management, Elsevier, vol. 109(C).
    2. Klauber, Hannah & Holub, Felix & Koch, Nicolas & Pestel, Nico & Ritter, Nolan & Rohlf, Alexander, 2021. "Killing Prescriptions Softly: Low Emission Zones and Child Health from Birth to School," IZA Discussion Papers 14376, Institute of Labor Economics (IZA).
    3. Margaryan, Shushanik, 2021. "Low emission zones and population health," Journal of Health Economics, Elsevier, vol. 76(C).
    4. Beshir, H.A.; & Fichera, E.;, 2022. "“And Breathe Normally†: The Low Emission Zone impacts on health and well-being in England," Health, Econometrics and Data Group (HEDG) Working Papers 22/09, HEDG, c/o Department of Economics, University of York.
    5. Shihe Fu & V. Brian Viard, 2022. "A mayors perspective on tackling air pollution," Chapters, in: Charles K.Y. Leung (ed.), Handbook of Real Estate and Macroeconomics, chapter 16, pages 413-437, Edward Elgar Publishing.
    6. Rohlf, Alexander & Holub, Felix & Koch, Nicolas & Ritter, Nolan, 2020. "The effect of clean air on pharmaceutical expenditures," Economics Letters, Elsevier, vol. 192(C).
    7. Sarmiento, Luis & Wägner, Nicole & Zaklan, Aleksandar, 2021. "Effectiveness, Spillovers, and Well-Being Effects of Driving Restriction Policies," RFF Working Paper Series 21-13, Resources for the Future.
    8. Austin, Wes & Carattini, Stefano & Gomez-Mahecha, John & Pesko, Michael F., 2023. "The effects of contemporaneous air pollution on COVID-19 morbidity and mortality," Journal of Environmental Economics and Management, Elsevier, vol. 119(C).
    9. Isaksen, Elisabeth & Johansen, Bjørn G., 2021. "Congestion pricing, air pollution, and individual-level behavioural responses," LSE Research Online Documents on Economics 111493, London School of Economics and Political Science, LSE Library.
    10. Helm, Ines & Koch, Nicolas & Rohlf, Alexander, 2023. "The effects of cash for clunkers on local air quality," Journal of Urban Economics, Elsevier, vol. 138(C).
    11. Eren Aydin & Kathleen Kürschner Rauck, 2023. "Low-emission zones, modes of transport and house prices: evidence from Berlin’s commuter belt," Transportation, Springer, vol. 50(5), pages 1847-1895, October.
    12. Fageda, Xavier & Flores-Fillol, Ricardo & Theilen, Bernd, 2022. "Price versus quantity measures to deal with pollution and congestion in urban areas: A political economy approach," Journal of Environmental Economics and Management, Elsevier, vol. 115(C).
    13. Gruhl, Henri & Volkhausen, Nicolas & Pestel, Nico & aus dem Moore, Nils, 2022. "Air pollution and the housing market: Evidence from Germany's Low Emission Zones," Ruhr Economic Papers 977, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    14. Chen, Shiyi & Jiang, Lingduo & Liu, Wanlin & Song, Hong, 2022. "Fireworks regulation, air pollution, and public health: Evidence from China," Regional Science and Urban Economics, Elsevier, vol. 92(C).
    15. Isaksen, Elisabeth T. & Johansen, Bjørn G., 2021. "Congestion pricing, air pollution, and individual-level behavioral responses," Memorandum 1/2021, Oslo University, Department of Economics.
    16. Kong, Dongmin & Liang, Junwei & Liu, Chenhao, 2022. "Invisible enemy: The health impact of ozone," China Economic Review, Elsevier, vol. 72(C).
    17. Hongfeng Zhang & Lu Huang & Yan Zhu & Hongyun Si & Xu He, 2021. "Does Low-Carbon City Construction Improve Total Factor Productivity? Evidence from a Quasi-Natural Experiment in China," IJERPH, MDPI, vol. 18(22), pages 1-21, November.
    18. Jill Furzer & Boriana Miloucheva, 2020. "The Long Arm of the Clean Air Act: Pollution Abatement and COVID-19 Racial Disparities," Working Papers tecipa-668, University of Toronto, Department of Economics.
    19. Wang, Chang’an & Liu, Xiaoqian & Li, Han & Yang, Cunyi, 2023. "Analyzing the impact of low-carbon city pilot policy on enterprises' labor demand: Evidence from China," Energy Economics, Elsevier, vol. 124(C).
    20. Shr, Yau-Huo & Hsu, Wen & Hwang, Bing-Fang & Jung, Chau-Ren, 2023. "Air quality and risky behaviors on roads," Journal of Environmental Economics and Management, Elsevier, vol. 118(C).

    More about this item

    Keywords

    Low Emission Zone; air pollution; health; Germany;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • Q52 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Pollution Control Adoption and Costs; Distributional Effects; Employment Effects
    • Q53 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:duh:wpaper:1904. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Benjamin Karas (email available below). General contact details of provider: https://edirc.repec.org/data/cinchde.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.