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Lead Water Pipes and Infant Mortality in Turn-of-the-Century Massachusetts

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Werner Troesken
Abstract

This paper considers a largely unknown public-health practice in the United States: the use of lead pipes to distribute household tap water. Municipalities first installed lead pipes during the late nineteenth century. In 1897, about half of all American municipalities used lead water pipes. Using data from 1900 Massachusetts, this paper compares infant death rates and stillbirth rates in cities that used lead water pipes to rates in cities that used non-lead pipes. In the average town in 1900, the use of lead pipes increased infant mortality and stillbirth rates by 25 to 50 percent. However, the effects of lead water lines varied across cities, and depended on the age of the pipe and the corrosiveness of the associated water supplies. Age of pipe influenced lead content because, over time, oxidation formed a protective coating on the interior of pipes. As for corrosiveness, acidic water removed more lead from the interior of pipes than did non-acidic water. Consequently, infant death rates and stillbirth rates in Massachusetts towns employing old lead lines, and non-acidic water supplies, were no higher than in towns employing non-lead pipes. But in cities using new pipes and distributing acidic water, lead pipes increased infant mortality rates and stillbirth rates three- to fourfold.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 9549.

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Date of creation: Mar 2003
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Handle: RePEc:nbr:nberwo:9549

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I1 - Health, Education, and Welfare - - Health
J1 - Labor and Demographic Economics - - Demographic Economics

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Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Robert W. Fogel, 1984. "Nutrition and the Decline in Mortality Since 1700: Some Preliminary Findings," NBER Working Papers 1402, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  2. Peltzman, Sam, 1971. "Pricing in Public and Private Enterprises: Electric Utilities in the United States," Journal of Law & Economics, University of Chicago Press, vol. 14(1), pages 109-47, April.
  3. Dora L. Costa, 1998. "Understanding the Twentieth Century Decline in Chronic Conditions Among Older Men," NBER Working Papers 6859, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  4. Jacobson, Louis S & LaLonde, Robert J & Sullivan, Daniel G, 1993. "Earnings Losses of Displaced Workers," American Economic Review, American Economic Association, vol. 83(4), pages 685-709, September. [Downloadable!] (restricted)
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  1. Sukkoo Kim & Robert A. Margo, 2003. "Historical Perspectives on U.S. Economic Geography," NBER Working Papers 9594, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  2. Dora L. Costa & Joanna Lahey, 2003. "Becoming Oldest-Old: Evidence From Historical U.S. Data," Working Papers, Center for Retirement Research at Boston College 2003-10, Center for Retirement Research. [Downloadable!]
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  3. Robert W. Fogel, 2003. "Changes in the Process of Aging During the Twentieth Century: Findings and Procedures of the Early Indicators Project," NBER Working Papers 9941, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  4. Karen Clay & Werner Troesken & Michael Haines, 2006. "Lead Pipes and Child Mortality," NBER Working Papers 12603, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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