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The Impact of Dengue Fever in Early Life on Human Capital Formation

早期登革热对人力资本形成的影响

基本信息

批准号：
ES/N017706/1
负责人：
Martin Foureaux Koppensteiner
金额：
$ 17.85万
依托单位：
University of Leicester
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2017
资助国家：
英国
起止时间：
2017 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=ES%2FN017706%2F1
关键词：
Impact Dengue Fever Early Life

项目摘要

I will investigate the impact dengue fever has on human capital formation considering exposure at different stages of early life and childhood and will provide causal estimates on the additional the societal costs of the disease so far neglected in the literature.BackgroundDengue fever is a mosquito-borne viral disease causing a flu-like illness occurring mostly in tropical and sub-tropical countries. With no vaccine or treatment available, the medical focus is on rehydration and on managing the symptoms including high temperature, severe headaches and bone, muscle and joint pain with the vast majority of patients recovering fully after 10-14 days. Dengue fever has expanded considerably over the past 50 years fuelled by increased urbanization and individual travel and today affects an estimated 390 million people in 128 countries. The World Health Organizations has called dengue fever the fastest spreading mosquito-borne disease worldwide with 'epidemic potential' putting the health of about half of the world's population at risk.ContributionDespite the relatively low mortality from the disease, dengue fever is associated with considerable socio-economic costs and there is a large body of literature providing estimates of the costs of the disease. The proposed research will help to overcome these shortcomings in existing cost estimates of the disease by explicitly providing estimates on the effects dengue fever may have from exposure in early life and childhood on a range of measures of human capital development. The research also contributes to the literature on disease burden by applying cutting-edge impact evaluation techniques mostly borrowed from labour economics to overcome methodological shortcomings that plague the literature on the cost of diseases. The proposed research will also make a contribution by combining large sets of microdata on individual dengue infections with individual educational outcomes for Brazil, a major country affected by dengue and by making this data available to the research community.Research questionsThe proposed research will address three related research questions. In the first project I will estimate the effect of dengue exposure of an unborn child during time in-utero on long-term outcomes, in particular a wide range of educational outcomes and health outcomes of children. The second part of the analysis will involve investigating the contemporaneous effect of dengue on human capital by focusing on infections of school-aged children and the effect on short-term and longer-term schooling outcomes. The third project will investigate the effects on schooling outcomes of children of the infection and subsequent absenteeism of their teachers by linking individual dengue infections to the universe of Brazilian teachers. In addition I will investigate whether parental dengue infections impact the schooling outcomes of their children by linking the data of dengue infections with parental information.Societal impactAccurate and more comprehensive estimates of the economic cost of dengue fever are crucial for a wide range of related policies in Brazil and in the other countries affected by dengue. The results from the proposed research will be important for more accurate cost-benefit analyses, which are an important evidence-base for decisions on dengue vector control programmes. In addition, six candidates for a dengue vaccine are at various stages of development; and Brazil, among other countries, will need to consider the introduction of a vaccine in the near future and then to target the subpopulations most in need when designing its immunization programme.

我将调查登革热对人力资本形成的影响，考虑到生命早期和儿童时期不同阶段的暴露，并将对文献中迄今为止忽视的疾病的额外社会成本提供因果估计。登革热是一种蚊子传播的病毒性疾病，引起一种类似流感的疾病，主要发生在热带和亚热带国家。由于没有疫苗或治疗方法，医疗重点是补液和控制症状，包括高温、严重头痛、骨骼、肌肉和关节疼痛，绝大多数患者在10-14天后完全康复。在过去50年中，由于城市化和个人旅行的加剧，登革热已大幅扩大，目前影响到128个国家的3.9亿人。世界卫生组织（World Health organization）称登革热是全球传播速度最快的蚊媒疾病，具有“流行潜力”，危及全球约一半人口的健康。尽管该病的死亡率相对较低，但登革热与相当大的社会经济成本有关，并且有大量文献提供了该疾病成本的估计。拟议的研究将有助于克服现有疾病成本估算中的这些缺陷，明确估算生命早期和儿童时期接触登革热可能对一系列人力资本发展措施产生的影响。该研究还通过应用主要借鉴于劳动经济学的尖端影响评估技术来克服困扰疾病成本文献的方法缺陷，为疾病负担文献做出贡献。拟议的研究还将通过将关于个体登革热感染的大量微观数据与受登革热影响的主要国家巴西的个体教育成果结合起来，并将这些数据提供给研究界，从而作出贡献。研究问题提出的研究将解决三个相关的研究问题。在第一个项目中，我将估计未出生的婴儿在子宫内接触登革热对长期结果的影响，特别是对儿童广泛的教育结果和健康结果的影响。分析的第二部分将涉及调查登革热对人力资本的同期影响，重点关注学龄儿童的感染以及对短期和长期就学结果的影响。第三个项目将通过将个体登革热感染与巴西教师群体联系起来，调查感染对儿童学业成绩的影响以及随后教师的缺勤情况。此外，我将通过将登革热感染数据与父母信息联系起来，调查父母登革热感染是否影响其子女的学业成绩。对登革热的经济成本进行准确和更全面的估计，对于巴西和其他受登革热影响的国家制定广泛的相关政策至关重要。拟议研究的结果对于更准确的成本效益分析非常重要，而成本效益分析是关于登革热病媒控制规划决策的重要证据基础。此外，六种登革热候选疫苗正处于不同的开发阶段；巴西和其他国家将需要考虑在不久的将来引进一种疫苗，然后在设计其免疫规划时针对最需要的亚人群。