Migration and The Equilibrium Prevalence of Infectious Diseases
This paper models how migration both influences and responds to differences in disease prevalence between cities, regions and countries, and show how the possibility of migration away from high-prevalence areas affects long-run steady state disease prevalence. We develop a dynamic framework where both migration and prevention behaviour respond to the prevalence of disease, to the costs of migration and of treatment, and to current and anticipated health regulations. The model treats disease prevalence as an endogenous consequence of other features of the areas concerned, notably their economic endowments. It explores how pressure for migration in response to differing equilibrium levels of disease prevalence causes countervailing differences in city characteristics, notably in land rents. Competition for scarce housing in low-prevalence areas can create pressures for segregation, with disease concentrated in high-prevalence "sinks". We show that multiple steady states may exist and explore their comparative static properties. In particular we find that migration can have positive health benefits, in that reductions in barriers to migration can reduce steady-state disease incidence in low-prevalence areas while having no impact on prevalence in high-prevalence areas. This may have important consequences for policy; in some circumstances, public health measures may need to avoid discouraging migration away from high-disease areas.
|Date of creation:||Jan 2008|
|Date of revision:|
|Contact details of provider:|| Postal: Centre for Economic Policy Research, 77 Bastwick Street, London EC1V 3PZ.|
Phone: 44 - 20 - 7183 8801
Fax: 44 - 20 - 7183 8820
|Order Information:|| Email: |
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.:
- Geoffard, P.Y. & Philipson, T., 1995.
"Rational Epidemics and their Public Control,"
DELTA Working Papers
95-15, DELTA (Ecole normale supérieure).
- Roland Bénabou, 1996. "Equity and Efficiency in Human Capital Investment: The Local Connection," Review of Economic Studies, Oxford University Press, vol. 63(2), pages 237-264.
- Mark Gersovitz & Jeffrey S. Hammer, 2003. "Infectious Diseases, Public Policy, and the Marriage of Economics and Epidemiology," World Bank Research Observer, World Bank Group, vol. 18(2), pages 129-157.
- Daron Acemoglu & Simon Johnson & James A. Robinson, 2000.
"The Colonial Origins of Comparative Development: An Empirical Investigation,"
NBER Working Papers
7771, National Bureau of Economic Research, Inc.
- Daron Acemoglu & Simon Johnson & James A. Robinson, 2001. "The Colonial Origins of Comparative Development: An Empirical Investigation," American Economic Review, American Economic Association, vol. 91(5), pages 1369-1401, December.
- Gersovitz, Mark & Hammer, Jeffrey S., 2001.
"The economic control of infectious diseases,"
Policy Research Working Paper Series
2607, The World Bank.
- Raquel Fernandez & Richard Rogerson, 1996. "Income Distribution, Communities, and the Quality of Public Education," The Quarterly Journal of Economics, Oxford University Press, vol. 111(1), pages 135-164.
- Ellickson, Bryan, 1971. "Jurisdictional Fragmentation and Residential Choice," American Economic Review, American Economic Association, vol. 61(2), pages 334-39, May.
When requesting a correction, please mention this item's handle: RePEc:cpr:ceprdp:6651. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ()
If references are entirely missing, you can add them using this form.