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Killing Prescriptions Softly: Low Emission Zones and Child Health from Birth to School

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Listed:
  • Hannah Klauber
  • Felix Holub
  • Nicolas Koch
  • Nico Pestel
  • Nolan Ritter
  • Alexander Rohlf

Abstract

We examine the persistence of the impact of early-life exposure to air pollution on children's health from birth to school enrollment using administrative public health insurance records covering one-third of all children in Germany. For identification, we exploit air quality improvements caused by Low Emission Zones, a policy imposing driving restrictions on emission-intensive vehicles. Our results indicate that children exposed to cleaner air in utero and their first year of life require less medication for at least five years. The initially latent health response materializes only gradually, leaving important but subtle health benefits undetected in common measures of infant health.

Suggested Citation

  • Hannah Klauber & Felix Holub & Nicolas Koch & Nico Pestel & Nolan Ritter & Alexander Rohlf, 2024. "Killing Prescriptions Softly: Low Emission Zones and Child Health from Birth to School," American Economic Journal: Economic Policy, American Economic Association, vol. 16(2), pages 220-248, May.
    • Handle: RePEc:aea:aejpol:v:16:y:2024:i:2:p:220-48
    DOI: 10.1257/pol.20210729
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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • Q51 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Valuation of Environmental Effects
    • Q53 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Air Pollution; Water Pollution; Noise; Hazardous Waste; Solid Waste; Recycling
    • R48 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Transportation Economics - - - Government Pricing and Policy

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