129 research outputs found

    Cost-effectiveness of interventions to reduce salt intake

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    Cost-effectiveness of physical activity interventions

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    Cost-effectiveness of alcohol interventions

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    Sedimentation ponds and their operation in stormwater systems

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    The efficacy of sedimentation ponds as a means of sediment and heavy metal remediation is investigated, with particular regard to the physical and chemical conditions that may lead to remobilisation of metals from the sedimentsThesis (M.Eng.Sc.) -- University of Adelaide, Dept. of Civil and Environmental Engineering, 200

    Cost-Effectiveness of Interventions to Promote Fruit and Vegetable Consumption

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    Background: Fruits and vegetables are an essential part of the human diet, but many people do not consume the recommended serves to prevent cardiovascular disease and cancer. In this research, we evaluate the cost-effectiveness of interventions to promote fruit and vegetable consumption to determine which interventions are good value for money, and by how much current strategies can reduce the population disease burden

    Cost-effectiveness of changes in alcohol taxation in Denmark:a modelling study

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    INTRODUCTION: Excessive alcohol consumption is a public health problem in many countries including Denmark, where 6% of the burden of disease is due to alcohol consumption, according to the new estimates from the Global Burden of Disease 2010 study. Pricing policies, including tax increases, have been shown to effectively decrease the level of alcohol consumption. METHODS: We analysed the cost-effectiveness of three different scenarios of changed taxation of alcoholic beverages in Denmark (20% and 100% increase and 10% decrease). The lifetime health effects are estimated as the difference in disability-adjusted life years between a Danish population that continues to drink alcohol at current rates and an identical population that changes their alcohol consumption due to changes in taxation. Calculation of cost offsets related to treatment of alcohol-related diseases and injuries, was based on health care system costs from Danish national registers. Cost-effectiveness was evaluated by calculating cost-effectiveness ratios (CERs) compared to current practice. RESULTS: The two scenarios of 20% and 100% increased taxation could avert 20,000 DALY and 95,500 DALY respectively, and yield cost savings of -€119 million and -€575 million, over the life time of the Danish population. Both scenarios are thus cost saving. The tax decrease scenario would lead to 10,100 added DALY and an added cost of €60 million. For all three interventions the health effects build up and reach their maximum around 15–20 years after implementation of the tax change. CONCLUSION: Our results show that decreased taxation will lead to an increased burden of disease and related increases in health care costs, whereas both a doubling of the current level of alcohol taxation and a scenario where taxation is only increased by 20% can be cost-saving ways to reduce alcohol related morbidity and mortality. Our results support the growing evidence that population strategies are cost-effective and should be considered for policy making and prevention of alcohol abuse

    Vegans, vegetarians, fish-eaters and meat-eaters in the UK show discrepant environmental impacts

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    Modelled estimates of the environmental burden associated with low meat consumption suggest that substantial benefits could accrue from shifts in diet. However, modelled dietary scenarios may not reflect true dietary practice and have not previously accounted for variation in the environmental burden of food due to sourcing and production methods. We link dietary data from a sample of 55,504 vegans, vegetarians, fish-eaters and meat-eaters with food-level data on greenhouse gas emissions (CO2, CH4 and N2O and three aggregated measures of CO2 equivalents), land use, water use, eutrophication risk and potential biodiversity loss from a review of 570 life cycle assessments covering more than 38,000 farms in 119 countries. By conducting Monte Carlo analyses drawing from food-level distributions of the environmental indicators that are due to variations in sourcing and production methods we estimate both mean impact and 95% uncertainty intervals for each diet group. We find that for all of the environmental indicators there is a positive association with amount of animal-based food consumed. Dietary impacts for vegans were 25.1% (95% uncertainty interval: 15.1% - 37.0%) of high meat-eaters (>=100g total meat consumed per day) for greenhouse gas emissions, 25.1% (7.1% - 44.5%) for land use, 46.4% (21.0% - 81.0%) for water use, 27.0% (19.4% - 40.4%) for eutrophication and 34.3% (12.0% - 65.3%) for biodiversity. Large differences (at least 30% for GHG emissions, eutrophication, and land use) in the environmental impact of diets are also observed between low (<50g/d) and high meat-eaters. Although there is substantial variation in environmental indicators due to where and how food is produced, the resultant uncertainty does not obscure the strong relationship between animal-based food consumption and environmental impact. Debate about sourcing and production of foods should therefore not prevent action aimed at reducing consumption of animal-based foods

    Modelling the health impact of food taxes and subsidies with price elasticities: the case for additional scaling of food consumption using the total food expenditure elasticity

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    Background Food taxes and subsidies are one intervention to address poor diets. Price elasticity (PE) matrices are commonly used to model the change in food purchasing. Usually a PE matrix is generated in one setting then applied to another setting with differing starting consumption and prices of foods. This violates econometric assumptions resulting in likely misestimation of total food consumption. We illustrate rescaling all consumption after applying a PE matrix using a total food expenditure elasticity (TFEe, the expenditure elasticity for all food combined given the policy induced change in the total price of food). We use case studies of NZ2per100gsaturatedfat(SAFA)tax,NZ2 per 100g saturated fat (SAFA) tax, NZ0.4 per 100g sugar tax, and a 20% fruit and vegetable (F&V) subsidy. Methods We estimated changes in food purchasing using a NZ PE matrix applied conventionally, then with TFEe adjustment. Impacts were quantified for total food expenditure and health adjusted life years (HALYs) for the total NZ population alive in 2011 over the rest of their lifetime using a multistate lifetable model. Results Two NZ studies gave TFEes of 0.68 and 0.83, with international estimates ranging from 0.46 to 0.90. Without TFEe adjustment, total food expenditure decreased with the tax policies and increased with the F&V subsidy, implausible directions of shift given economic theory. After TFEe adjustment, HALY gains reduced by a third to a half for the two taxes and reversed from an apparent health loss to a health gain for the F&V subsidy. With TFEe adjustment, HALY gains (in 1000s) were 1,805 (95% uncertainty interval 1,337 to 2,340) for the SAFA tax, 1,671 (1,220 to 2,269) for the sugar tax, and 953 (453 to 1,308) for the F&V subsidy. Conclusions If PE matrices are applied in settings beyond where they were derived, additional scaling is likely required. We suggest that the TFEe is a useful scalar
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