IDEAS home Printed from https://ideas.repec.org/p/fri/fribow/fribow00543.html
   My bibliography  Save this paper

Antibiotic pollution and infant mortality in India: a research note

Author

Listed:
  • Dumas, Christelle

    (University of Fribourg, Switzerland)

  • JÃ tiva, Ximena

    (UNICEF Innocenti)

  • Baumgartner, Stefanie

    (University of Fribourg, Switzerland)

Abstract

The number of deaths from antibiotic resistance is steadily rising and has become a global public health issue. Children in low- and middle-income countries are disproportionately affected, as last-line antibiotics are usually unavailable to them. Pollution of riverways due to pharmaceutical products is one driver of resistance. We assess whether this channel con-tributes significantly to infant mortality in India. We show that living downstream of a producer increases the risk of infant mortality by 16% and that antibiotic production explains 17,000 infant deaths in India per year. This suggests that better monitoring, new regulations, improved production processes, and strategic considerations on the location of antibiotic producers are needed to ensure that production does not induce negative externalities on the local population.

Suggested Citation

  • Dumas, Christelle & JÃ tiva, Ximena & Baumgartner, Stefanie, 2025. "Antibiotic pollution and infant mortality in India: a research note," FSES Working Papers 543, Faculty of Economics and Social Sciences, University of Freiburg/Fribourg Switzerland.
    • Handle: RePEc:fri:fribow:fribow00543
    as

    Download full text from publisher

    File URL: https://folia.unifr.ch/documents/332403/files/WP_SES_543.pdf?download
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Guanghua Chi & Han Fang & Sourav Chatterjee & Joshua E. Blumenstock, 2022. "Microestimates of wealth for all low- and middle-income countries," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 119(3), pages 2113658119-, January.
    2. Garg, Teevrat & Hamilton, Stuart E. & Hochard, Jacob P. & Kresch, Evan Plous & Talbot, John, 2018. "(Not so) gently down the stream: River pollution and health in Indonesia," Journal of Environmental Economics and Management, Elsevier, vol. 92(C), pages 35-53.
    3. Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May.
    4. Brainerd, Elizabeth & Menon, Nidhiya, 2014. "Seasonal effects of water quality: The hidden costs of the Green Revolution to infant and child health in India," Journal of Development Economics, Elsevier, vol. 107(C), pages 49-64.
    5. Balakrishnan, Uttara & Tsaneva, Magda, 2021. "Air pollution and academic performance: Evidence from India," World Development, Elsevier, vol. 146(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Zaveri,Esha Dilip & Russ,Jason Daniel & Desbureaux,Sebastien Gael & Damania,Richard & Rodella,Aude-Sophie & Ribeiro Paiva De Souza,Giovanna, 2020. "The Nitrogen Legacy : The Long-Term Effects of Water Pollution on Human Capital," Policy Research Working Paper Series 9143, The World Bank.
    2. Damini Singh & Indrani Gupta & Sagnik Dey, 2022. "Effect of Air Pollution on Cognitive Performance in India," IEG Working Papers 452, Institute of Economic Growth.
    3. Do, Quy-Toan & Joshi, Shareen & Stolper, Samuel, 2018. "Can environmental policy reduce infant mortality? Evidence from the Ganga Pollution Cases," Journal of Development Economics, Elsevier, vol. 133(C), pages 306-325.
    4. Das, Jishnu & Hammer, Jeffrey & Sánchez-Paramo, Carolina, 2012. "The impact of recall periods on reported morbidity and health seeking behavior," Journal of Development Economics, Elsevier, vol. 98(1), pages 76-88.
    5. Neena Shah More & Ujwala Bapat & Sushmita Das & Glyn Alcock & Sarita Patil & Maya Porel & Leena Vaidya & Armida Fernandez & Wasundhara Joshi & David Osrin, 2012. "Community Mobilization in Mumbai Slums to Improve Perinatal Care and Outcomes: A Cluster Randomized Controlled Trial," Working Papers id:5098, eSocialSciences.
    6. Sriroop Chaudhuri & Mimi Roy & Louis M. McDonald & Yves Emendack, 2023. "Land Degradation–Desertification in Relation to Farming Practices in India: An Overview of Current Practices and Agro-Policy Perspectives," Sustainability, MDPI, vol. 15(8), pages 1-27, April.
    7. Aggarwal, Khushboo & Barua, Rashmi & Vidal-Fernandez, Marian, 2024. "Still Waters Run Deep: Groundwater Contamination and Education Outcomes in India," Economics of Education Review, Elsevier, vol. 100(C).
    8. Mélanie Gittard & Irène Hu, 2024. "MiningLeaks Water Pollution and Child Mortality in Africa," PSE Working Papers halshs-04685390, HAL.
    9. Bharadwaj, Prashant & Fenske, James & Kala, Namrata & Mirza, Rinchan Ali, 2020. "The Green revolution and infant mortality in India," Journal of Health Economics, Elsevier, vol. 71(C).
    10. Esther Atukunda & Anne Fitzpatrick, 2015. "An Evaluation of Factors Affecting Drug Quality: Evidence from the Antimalarial Market in Uganda," Working Papers 2015_03, University of Massachusetts Boston, Economics Department.
    11. Richard ILes, 2017. "Government Doctor Absenteeism And Its Effects On Consumer Demand In Rural North India," Working Papers 2018-9, School of Economic Sciences, Washington State University.
    12. Powell-Jackson, Timothy & Mazumdar, Sumit & Mills, Anne, 2015. "Financial incentives in health: New evidence from India's Janani Suraksha Yojana," Journal of Health Economics, Elsevier, vol. 43(C), pages 154-169.
    13. Agarwal, Neha & Aiyar, Anaka & Bhattacharjee, Arpita & Cummins, Joseph & Gunadi, Christian & Singhania, Deepak & Taylor, Matthew & Wigton-Jones, Evan, 2017. "Month of birth and child height in 40 countries," Economics Letters, Elsevier, vol. 157(C), pages 10-13.
    14. Lewis, Maureen & Pettersson, Gunilla, 2009. "Governance in health care delivery : raising performance," Policy Research Working Paper Series 5074, The World Bank.
    15. Alfredo Paloyo & Arndt Reichert, 2017. "Biting Back at Malaria: Assessing Health-service Providers' Compliance with Treatment Guidelines," Review of Development Economics, Wiley Blackwell, vol. 21(3), pages 591-626, August.
    16. Christian Posso & Jorge Tamayo & Arlen Guarin & Estefania Saravia, 2024. "Luck of the Draw: The Causal Effect of Physicians on Birth Outcomes," Borradores de Economia 1269, Banco de la Republica de Colombia.
    17. Anna D Gage & Margaret E Kruk & Tsinuel Girma & Ephrem T Lemango, 2018. "The know-do gap in sick child care in Ethiopia," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-10, December.
    18. Lu, Fangwen, 2014. "Insurance coverage and agency problems in doctor prescriptions: Evidence from a field experiment in China," Journal of Development Economics, Elsevier, vol. 106(C), pages 156-167.
    19. Wang, Haoluan, 2021. "Flood Your Neighbors: Spillover Effects of Levee Building," 95th Annual Conference, March 29-30, 2021, Warwick, UK (Hybrid) 311091, Agricultural Economics Society - AES.
    20. Malin Niemi & Nicklas Nordfors & Anna Tompsett, 2025. "Trade and pollution: Evidence from India," Papers 2502.09289, arXiv.org, revised Jul 2025.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;

    JEL classification:

    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • Q53 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:fri:fribow:fribow00543. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Mustapha Obbad (email available below). General contact details of provider: https://edirc.repec.org/data/wsffrch.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.