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Preventing the White Death: Tuberculosis Dispensaries
University of Southern Denmark, Denmark.
University of Copenhagen, Denmark.
University of Southern Denmark, Denmark.ORCID iD: 0000-0003-1905-6859
2020 (English)In: The Economic Journal, ISSN 0013-0133, Vol. 130, no 629, p. 1288-1316Article in journal (Refereed) Published
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages
Abstract [en]

Tuberculosis (TB) is a leading cause of death worldwide and while treatable by antibiotics since the 1940s, drug resistant strains have emerged. This article estimates the effects of the establishment of a pre-antibiotic public health institution, known as a TB dispensary, designed to prevent the spread of the disease. Our annual difference-in-differences estimation reveals that the rollout of the dispensaries across Danish cities led to a 19% decline in the TB mortality rate, but no significant impacts on other diseases when performing placebo regressions. We next take advantage of the dispensaries explicit targeting on TB to setup a triple-differences model which exploits other diseases as controls and obtain a similar magnitude of the effect. As for the mechanism, the evidence highlights the dispensaries’ preventive actions, such as information provision. At an estimated cost as low as 68 dollars per saved life-year, this particular public-health institution was extraordinarily cost effective. Overall, our evidence suggests a policy for developing countries to combat drug resistant TB.

Place, publisher, year, edition, pages
Oxford University Press, 2020. Vol. 130, no 629, p. 1288-1316
Keywords [en]
Economics and Econometrics
National Category
Economics
Research subject
Economy, Economics
Identifiers
URN: urn:nbn:se:lnu:diva-107483DOI: 10.1093/ej/ueaa014ISI: 000582321200006Scopus ID: 2-s2.0-85098816427OAI: oai:DiVA.org:lnu-107483DiVA, id: diva2:1603101
Available from: 2021-10-14 Created: 2021-10-14 Last updated: 2024-09-16Bibliographically approved

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Sandholt Jensen, Peter

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf