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Population health effects and health-related costs of extreme temperatures: Comprehensive evidence from Germany

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  • Karlsson, Martin
  • Ziebarth, Nicolas R.

Abstract

This study assesses the short and medium-term impact of extreme temperatures on population health and health-related costs in Germany. For 1999 to 2008, we link the universe of 170 million hospital admissions and all 8 million deaths with weather and pollution data at the day-county level. Extreme heat significantly and immediately increases hospitalizations and deaths. This finding holds irrespective of whether we employ econometric models that are standard in economics or models that are standard in epidemiology; we compare and discuss both approaches. We find evidence for partial “harvesting.” At the end of a 30-day window, the immediate health effects are, on average, one quarter lower, but this reduction is primarily evident for cardiovascular and neoplastic diseases. Moreover, aggregating at the yearly level reduces the effect size by more than 90 percent. The health-related economic costs accumulate up to €5 million per 10 million population per hot day with maximum temperatures above 30 °C (86 °F).

Suggested Citation

  • 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.
  • Handle: RePEc:eee:jeeman:v:91:y:2018:i:c:p:93-117
    DOI: 10.1016/j.jeem.2018.06.004
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    Cited by:

    1. Matthew J. Neidell & Shinsuke Uchida & Marcella Veronesi, 2019. "Be Cautious with the Precautionary Principle: Evidence from Fukushima Daiichi Nuclear Accident," NBER Working Papers 26395, National Bureau of Economic Research, Inc.
    2. Michael Kvasnicka & Thomas Siedler & Nicolas R. Ziebarth, 2018. "The health effects of smoking bans: Evidence from German hospitalization data," Health Economics, John Wiley & Sons, Ltd., vol. 27(11), pages 1738-1753, November.
    3. Mullins, Jamie & White, Corey, 2019. "Does Access to Health Care Mitigate Environmental Damages?," IZA Discussion Papers 12717, Institute of Labor Economics (IZA).
    4. Nico Pestel & Florian Wozny, 2019. "Low Emission Zones for Better Health: Evidence from German Hospitals," CINCH Working Paper Series 1908, Universitaet Duisburg-Essen, Competent in Competition and Health.
    5. Pestel, Nico & Wozny, Florian, 2019. "Low Emission Zones for Better Health: Evidence from German Hospitals," IZA Discussion Papers 12545, Institute of Labor Economics (IZA).
    6. Chen, Xi & Tan, Chih Ming & Zhang, Xiaobo & Zhang, Xin, 2020. "The Effects of Prenatal Exposure to Temperature Extremes on Birth Outcomes," IZA Discussion Papers 12917, Institute of Labor Economics (IZA).
    7. Isabel Hovdahl, 2020. "Deadly Variation: The Effect of Temperature Variability on Mortality," Working Papers No 01/2020, Centre for Applied Macro- and Petroleum economics (CAMP), BI Norwegian Business School.

    More about this item

    Keywords

    Population health effects; Extreme temperatures; Hot day; Cold day; Weather; Pollution; Hospital admissions; Mortality; Climate change;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • Q54 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Climate; Natural Disasters and their Management; Global Warming
    • Q58 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Environmental Economics: Government Policy

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