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

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  • 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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    2. Aydin, Eren & Gehrsitz, Markus & Traxler, Christian, 2024. "Greener Fleet, Cleaner Air: How Low Emission Zones Reduce Pollution," IZA Discussion Papers 17144, Institute of Labor Economics (IZA).
    3. Sarah Gust, 2024. "(Not) Going to School in Times of Climate Change: Natural Disasters and Student Achievement," ifo Working Paper Series 413, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.
    4. Beshir, H.A.; & Fichera, E.;, 2022. "“And Breathe Normally†: The Low Emission Zone impacts on health and well-being in England," Health, Econometrics and Data Group (HEDG) Working Papers 22/09, HEDG, c/o Department of Economics, University of York.
    5. Alexandre Godzinski & Milena Suarez Castillo, 2024. "Air pollution, viral spread and health outcomes evidence from strikes in France," Health Economics, John Wiley & Sons, Ltd., vol. 33(11), pages 2575-2617, November.
    6. Shuhei Nishitateno & Paul J. Burke, 2024. "Effects of Low Emission Zones on Air Quality, New Vehicle Registrations, and Birthweights: Evidence from Japan," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 87(7), pages 1955-1992, July.
    7. Gruhl, Henri & Volkhausen, Nicolas & Pestel, Nico & aus dem Moore, Nils, 2022. "Air pollution and the housing market: Evidence from Germany's Low Emission Zones," Ruhr Economic Papers 977, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    8. Brehm, Johannes & Pestel, Nico & Schaffner, Sandra & Schmitz, Laura, 2022. "From low emission zone to academic track: Environmental policy effects on educational achievement in elementary school," Ruhr Economic Papers 980, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.

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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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