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Public Health Investments and the Infant Mortality Gap: Evidence from Federal Sanitation Interventions on U.S. Indian Reservations

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    Abstract

    To what extent do differential levels of investment in public health inputs explain observed differences in health outcomes across socioeconomic and racial groups? This study investigates the impact of 3,700 projects that were part of a widespread Federal initiative to improve sanitation infrastructure on U.S. Indian reservations starting in 1960. Sanitation investment substantially reduced the cost of clean water for households, leading to sharp reductions in both waterborne gastrointestinal disease and infectious respiratory disease among Native American infants. The sanitation program was quite cost-effective, in part because improvements in the overall disease environment also reduced infectious respiratory disease among nearby white infants. Despite the health externalities, Federal sanitation interventions explain almost forty percent of the convergence in Native American and white infant mortality rates in reservation counties since 1970.

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    File URL: http://web.williams.edu/Economics/wp/watson0805san.pdf
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    Bibliographic Info

    Paper provided by Department of Economics, Williams College in its series Department of Economics Working Papers with number 2005-02.

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    Length: 46 pages
    Date of creation: Aug 2005
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    Publication status: Published in Journal of Public Economics, September 2006, v. 90, iss. 8-9, pp. 1537-60.
    Handle: RePEc:wil:wileco:2005-02

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    1. William J. Collins & Melissa A. Thomasson, 2002. "Exploring the Racial Gap in Infant Mortality Rates, 1920-1970," NBER Working Papers 8836, National Bureau of Economic Research, Inc.
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    Cited by:
    1. Watson, Tara, 2006. "Public health investments and the infant mortality gap: Evidence from federal sanitation interventions on U.S. Indian reservations," Journal of Public Economics, Elsevier, vol. 90(8-9), pages 1537-1560, September.

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