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The Cost-Effectiveness of Lowering Permissible Noise Levels Around U.S. Airports

Author

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  • Boshen Jiao

    (Global Research Analytics for Population Health, Columbia University Mailman School of Public Health, New York, NY 10032, USA)

  • Zafar Zafari

    (Global Research Analytics for Population Health, Columbia University Mailman School of Public Health, New York, NY 10032, USA)

  • Brian Will

    (Queens Quiet Skies, Bayside, NY 11360, USA)

  • Kai Ruggeri

    (Global Research Analytics for Population Health, Columbia University Mailman School of Public Health, New York, NY 10032, USA)

  • Shukai Li

    (Global Research Analytics for Population Health, Columbia University Mailman School of Public Health, New York, NY 10032, USA)

  • Peter Muennig

    (Global Research Analytics for Population Health, Columbia University Mailman School of Public Health, New York, NY 10032, USA)

Abstract

Aircraft noise increases the risk of cardiovascular diseases and mental illness. The allowable limit for sound in the vicinity of an airport is 65 decibels (dB) averaged over a 24-h ‘day and night’ period (DNL) in the United States. We evaluate the trade-off between the cost and the health benefits of changing the regulatory DNL level from 65 dB to 55 dB using a Markov model. The study used LaGuardia Airport (LGA) as a case study. In compliance with 55 dB allowable limit of aircraft noise, sound insulation would be required for residential homes within the 55 dB to 65 dB DNL. A Markov model was built to assess the cost-effectiveness of installing sound insulation. One-way sensitivity analyses and Monte Carlo simulation were conducted to test uncertainty of the model. The incremental cost-effectiveness ratio of installing sound insulation for residents exposed to airplane noise from LGA was $11,163/QALY gained (95% credible interval: cost-saving and life-saving to $93,054/QALY gained). Changing the regulatory standard for noise exposure around airports from 65 dB to 55 dB comes at a very good value.

Suggested Citation

  • Boshen Jiao & Zafar Zafari & Brian Will & Kai Ruggeri & Shukai Li & Peter Muennig, 2017. "The Cost-Effectiveness of Lowering Permissible Noise Levels Around U.S. Airports," IJERPH, MDPI, vol. 14(12), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:12:p:1497-:d:121329
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    References listed on IDEAS

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    1. Stefan Boes & Stephan Nüesch & Steven Stillman, 2013. "Aircraft Noise, Health, And Residential Sorting: Evidence From Two Quasi‐Experiments," Health Economics, John Wiley & Sons, Ltd., vol. 22(9), pages 1037-1051, September.
    2. Jeffrey P. Cohen & Cletus C. Coughlin, 2009. "Changing Noise Levels and Housing Prices Near the Atlanta Airport," Growth and Change, Wiley Blackwell, vol. 40(2), pages 287-313, June.
    3. Girvin, Raquel, 2009. "Aircraft noise-abatement and mitigation strategies," Journal of Air Transport Management, Elsevier, vol. 15(1), pages 14-22.
    4. Mike Paulden & James F. O’Mahony & Christopher McCabe, 2017. "Discounting the Recommendations of the Second Panel on Cost-Effectiveness in Health and Medicine," PharmacoEconomics, Springer, vol. 35(1), pages 5-13, January.
    5. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884.
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