Environmental Health in Nicaragua : Study 1 Technical Annexes

Globally, an estimated 24 percent of the disease burden (healthy life years lost) and an estimated 23 percent of all deaths (premature mortality) are attributable to environmental risks (World Health Organization, or WHO 2006). The burden of diseas...

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Main Author: World Bank
Format: Report
Language:English
en_US
Published: Washington, DC 2015
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2010/06/15947729/nicaragua-addressing-key-environmental-challenges-vol-4-nicaragua-country-environmental-analysis
http://hdl.handle.net/10986/22290
id okr-10986-22290
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ADEQUATE SANITATION
ADULT MORTALITY
AGE DISTRIBUTION
AIR POLLUTION
AIR POLLUTION CONTROL
AIR QUALITY
AVERAGE COSTS
BASIC SANITATION
BEHAVIOR CHANGE
BENEFIT ANALYSIS
BOREHOLES
BULLETIN
CANCER
CENSUSES
CHILD HEALTH
CHILD MORTALITY
CHILD MORTALITY RATES
CHRONIC DISEASE
CLEAN FUELS
CLINICS
COAL
CONTINGENT VALUATION
COST ANALYSIS
COST OF WATER
DEVELOPED COUNTRIES
DEVELOPING COUNTRIES
DISABILITY
DISEASES
ECONOMETRIC ESTIMATES
ECONOMIC VALUE
ECONOMIES OF SCALE
ECONOMISTS
ELASTICITIES
ELDERLY
ENERGY EFFICIENCY
ENVIRONMENTAL
ENVIRONMENTAL DAMAGE
ENVIRONMENTAL DAMAGES
ENVIRONMENTAL DEGRADATION
ENVIRONMENTAL ECONOMICS
ENVIRONMENTAL HEALTH
ENVIRONMENTAL ISSUES
ENVIRONMENTAL POLICY
ENVIRONMENTAL PROTECTION
ENVIRONMENTAL RISK
EPIDEMIOLOGY
FAMILIES
FAMILY MEMBERS
FEMALE LITERACY
FERTILITY
FERTILITY RATES
FLUSH TOILET
HEALTH CARE
HEALTH CARE SERVICES
HEALTH CONSEQUENCES
HEALTH EFFECTS
HEALTH FACILITIES
HEALTH IMPACT
HEALTH OUTCOMES
HEALTH POLICY
HEALTH RESEARCH
HEALTH RISKS
HEALTH SERVICES
HOSPITAL
HOSPITALIZATION
HOUSEHOLD ENERGY CONSUMPTION
HOUSEHOLD SIZE
HOUSEHOLD SURVEYS
HOUSEHOLD USE
HOUSEHOLD WORK
HUMAN CAPITAL
HYGIENE
ILLNESS
ILLNESSES
INDIVIDUAL HOUSEHOLDS
INDOOR AIR POLLUTION
INFANT
INTERVENTION
INVESTMENT COSTS
JOURNAL OF EPIDEMIOLOGY
JOURNAL OF MEDICINE
LABOR FORCE
LABOR MARKET
LABOR PRODUCTIVITY
LONGER LIFE
LOW-INCOME COUNTRIES
MAINTENANCE COSTS
MARGINAL BENEFITS
MARGINAL COST
MARGINAL COSTS
MARITAL STATUS
MEDICAL FACILITIES
MEDICAL SERVICES
MEDICAL TREATMENT
METROPOLITAN AREAS
MINISTRY OF HEALTH
MONITORING PROGRAM
MORBIDITY
MORTALITY
MORTALITY REDUCTION
MORTALITY RISK
NATIONAL LEVEL
NATURAL GAS
NUMBER OF PEOPLE
OCCUPATIONAL RISK
ORAL REHYDRATION THERAPY
OZONE
PATIENTS
PIPED WATER
PIT LATRINES
POLICY ANALYSIS
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POLLUTION
POLLUTION CONTROL
POLLUTION LEVELS
POPULATION DISTRIBUTION
POPULATION GROUPS
POPULATION SUBGROUP
POTABLE WATER
PREMATURE DEATH
PRESENT VALUE
PRICE OF WATER
PRIVATE DOCTORS
PUBLIC HEALTH
PUBLIC SERVICES
QUALITY IMPROVEMENT
QUALITY STANDARDS
REAL WAGES
RESOURCE LIMITATIONS
RESPECT
RISK FACTORS
RISK OF DEATH
RISK OF ILLNESS
RIVERS
RURAL AREAS
RURAL DRINKING WATER
RURAL POPULATION
RURAL SANITATION
RURAL VILLAGES
RURAL WATER
RURAL WATER SUPPLY
RURAL WOMEN
SAFE DRINKING WATER
SAFETY EQUIPMENT
SANITATION
SANITATION COVERAGE
SANITATION FACILITIES
SCIENTIFIC EVIDENCE
SERVICE DELIVERY
SEWAGE TREATMENT
SMOKING
SPRING WATER
SURFACE WATER
SUSTAINABLE DEVELOPMENT
TECHNICAL ASSISTANCE
TUBERCULOSIS
UNEMPLOYMENT
URBAN AIR POLLUTION
URBAN AREAS
URBAN ENVIRONMENTS
URBAN POPULATION
URBAN WATER
URBAN WATER SUPPLY
VACCINATION
VENTILATION
WAGE DIFFERENTIALS
WAGE RATES
WAGES
WASHING
WATER CONSUMPTION
WATER QUALITY
WATER QUALITY IMPROVEMENT
WATER SANITATION
WATER SOURCE
WATER SUPPLY
WATER TREATMENT
WATER TREATMENT PLANT
WELLS
WILLINGNESS TO PAY
WORKERS
WORKFORCE
WORLD HEALTH ORGANIZATION
YOUNG CHILDREN
spellingShingle ADEQUATE SANITATION
ADULT MORTALITY
AGE DISTRIBUTION
AIR POLLUTION
AIR POLLUTION CONTROL
AIR QUALITY
AVERAGE COSTS
BASIC SANITATION
BEHAVIOR CHANGE
BENEFIT ANALYSIS
BOREHOLES
BULLETIN
CANCER
CENSUSES
CHILD HEALTH
CHILD MORTALITY
CHILD MORTALITY RATES
CHRONIC DISEASE
CLEAN FUELS
CLINICS
COAL
CONTINGENT VALUATION
COST ANALYSIS
COST OF WATER
DEVELOPED COUNTRIES
DEVELOPING COUNTRIES
DISABILITY
DISEASES
ECONOMETRIC ESTIMATES
ECONOMIC VALUE
ECONOMIES OF SCALE
ECONOMISTS
ELASTICITIES
ELDERLY
ENERGY EFFICIENCY
ENVIRONMENTAL
ENVIRONMENTAL DAMAGE
ENVIRONMENTAL DAMAGES
ENVIRONMENTAL DEGRADATION
ENVIRONMENTAL ECONOMICS
ENVIRONMENTAL HEALTH
ENVIRONMENTAL ISSUES
ENVIRONMENTAL POLICY
ENVIRONMENTAL PROTECTION
ENVIRONMENTAL RISK
EPIDEMIOLOGY
FAMILIES
FAMILY MEMBERS
FEMALE LITERACY
FERTILITY
FERTILITY RATES
FLUSH TOILET
HEALTH CARE
HEALTH CARE SERVICES
HEALTH CONSEQUENCES
HEALTH EFFECTS
HEALTH FACILITIES
HEALTH IMPACT
HEALTH OUTCOMES
HEALTH POLICY
HEALTH RESEARCH
HEALTH RISKS
HEALTH SERVICES
HOSPITAL
HOSPITALIZATION
HOUSEHOLD ENERGY CONSUMPTION
HOUSEHOLD SIZE
HOUSEHOLD SURVEYS
HOUSEHOLD USE
HOUSEHOLD WORK
HUMAN CAPITAL
HYGIENE
ILLNESS
ILLNESSES
INDIVIDUAL HOUSEHOLDS
INDOOR AIR POLLUTION
INFANT
INTERVENTION
INVESTMENT COSTS
JOURNAL OF EPIDEMIOLOGY
JOURNAL OF MEDICINE
LABOR FORCE
LABOR MARKET
LABOR PRODUCTIVITY
LONGER LIFE
LOW-INCOME COUNTRIES
MAINTENANCE COSTS
MARGINAL BENEFITS
MARGINAL COST
MARGINAL COSTS
MARITAL STATUS
MEDICAL FACILITIES
MEDICAL SERVICES
MEDICAL TREATMENT
METROPOLITAN AREAS
MINISTRY OF HEALTH
MONITORING PROGRAM
MORBIDITY
MORTALITY
MORTALITY REDUCTION
MORTALITY RISK
NATIONAL LEVEL
NATURAL GAS
NUMBER OF PEOPLE
OCCUPATIONAL RISK
ORAL REHYDRATION THERAPY
OZONE
PATIENTS
PIPED WATER
PIT LATRINES
POLICY ANALYSIS
POLICY RESEARCH
POLICY RESEARCH WORKING PAPER
POLLUTION
POLLUTION CONTROL
POLLUTION LEVELS
POPULATION DISTRIBUTION
POPULATION GROUPS
POPULATION SUBGROUP
POTABLE WATER
PREMATURE DEATH
PRESENT VALUE
PRICE OF WATER
PRIVATE DOCTORS
PUBLIC HEALTH
PUBLIC SERVICES
QUALITY IMPROVEMENT
QUALITY STANDARDS
REAL WAGES
RESOURCE LIMITATIONS
RESPECT
RISK FACTORS
RISK OF DEATH
RISK OF ILLNESS
RIVERS
RURAL AREAS
RURAL DRINKING WATER
RURAL POPULATION
RURAL SANITATION
RURAL VILLAGES
RURAL WATER
RURAL WATER SUPPLY
RURAL WOMEN
SAFE DRINKING WATER
SAFETY EQUIPMENT
SANITATION
SANITATION COVERAGE
SANITATION FACILITIES
SCIENTIFIC EVIDENCE
SERVICE DELIVERY
SEWAGE TREATMENT
SMOKING
SPRING WATER
SURFACE WATER
SUSTAINABLE DEVELOPMENT
TECHNICAL ASSISTANCE
TUBERCULOSIS
UNEMPLOYMENT
URBAN AIR POLLUTION
URBAN AREAS
URBAN ENVIRONMENTS
URBAN POPULATION
URBAN WATER
URBAN WATER SUPPLY
VACCINATION
VENTILATION
WAGE DIFFERENTIALS
WAGE RATES
WAGES
WASHING
WATER CONSUMPTION
WATER QUALITY
WATER QUALITY IMPROVEMENT
WATER SANITATION
WATER SOURCE
WATER SUPPLY
WATER TREATMENT
WATER TREATMENT PLANT
WELLS
WILLINGNESS TO PAY
WORKERS
WORKFORCE
WORLD HEALTH ORGANIZATION
YOUNG CHILDREN
World Bank
Environmental Health in Nicaragua : Study 1 Technical Annexes
geographic_facet Latin America & Caribbean
Nicaragua
description Globally, an estimated 24 percent of the disease burden (healthy life years lost) and an estimated 23 percent of all deaths (premature mortality) are attributable to environmental risks (World Health Organization, or WHO 2006). The burden of disease is unequally shared, with the children and the poor being particularly affected. Among children between the ages 0 and 14, the proportion of deaths attributable to environmental risks, such as poor water and sanitation, indoor air pollution and vector-borne diseases, is estimated to be as high as 36 percent (WHO 2006). Several key messages have emerged from the process of putting together this study: (i) environmental health risks impose a significant burden on Nicaraguas economy, amounting to 2.6 billion Nicaraguan Cordoba (NIO) or 2.4 percent of the countrys Gross Domestic Product (GDP), and result in premature deaths and infections, especially in children under five; (ii) cost-effective interventions to address these environmental health risks exist and should be prioritized in Nicaragua; (iii) country-specific health and environmental data are somewhat limited, especially in the case of air quality, and data collection and monitoring need to be further strengthened; and (iv) the capacity of Ministry of Environment and Natural Resources (MARENA) and Ministry of Health (MINSA) staff to conduct environmental health costing analysis needs to be strengthened through proper training.
format Report
author World Bank
author_facet World Bank
author_sort World Bank
title Environmental Health in Nicaragua : Study 1 Technical Annexes
title_short Environmental Health in Nicaragua : Study 1 Technical Annexes
title_full Environmental Health in Nicaragua : Study 1 Technical Annexes
title_fullStr Environmental Health in Nicaragua : Study 1 Technical Annexes
title_full_unstemmed Environmental Health in Nicaragua : Study 1 Technical Annexes
title_sort environmental health in nicaragua : study 1 technical annexes
publisher Washington, DC
publishDate 2015
url http://documents.worldbank.org/curated/en/2010/06/15947729/nicaragua-addressing-key-environmental-challenges-vol-4-nicaragua-country-environmental-analysis
http://hdl.handle.net/10986/22290
_version_ 1764450710523478016
spelling okr-10986-222902021-04-23T14:04:08Z Environmental Health in Nicaragua : Study 1 Technical Annexes World Bank ADEQUATE SANITATION ADULT MORTALITY AGE DISTRIBUTION AIR POLLUTION AIR POLLUTION CONTROL AIR QUALITY AVERAGE COSTS BASIC SANITATION BEHAVIOR CHANGE BENEFIT ANALYSIS BOREHOLES BULLETIN CANCER CENSUSES CHILD HEALTH CHILD MORTALITY CHILD MORTALITY RATES CHRONIC DISEASE CLEAN FUELS CLINICS COAL CONTINGENT VALUATION COST ANALYSIS COST OF WATER DEVELOPED COUNTRIES DEVELOPING COUNTRIES DISABILITY DISEASES ECONOMETRIC ESTIMATES ECONOMIC VALUE ECONOMIES OF SCALE ECONOMISTS ELASTICITIES ELDERLY ENERGY EFFICIENCY ENVIRONMENTAL ENVIRONMENTAL DAMAGE ENVIRONMENTAL DAMAGES ENVIRONMENTAL DEGRADATION ENVIRONMENTAL ECONOMICS ENVIRONMENTAL HEALTH ENVIRONMENTAL ISSUES ENVIRONMENTAL POLICY ENVIRONMENTAL PROTECTION ENVIRONMENTAL RISK EPIDEMIOLOGY FAMILIES FAMILY MEMBERS FEMALE LITERACY FERTILITY FERTILITY RATES FLUSH TOILET HEALTH CARE HEALTH CARE SERVICES HEALTH CONSEQUENCES HEALTH EFFECTS HEALTH FACILITIES HEALTH IMPACT HEALTH OUTCOMES HEALTH POLICY HEALTH RESEARCH HEALTH RISKS HEALTH SERVICES HOSPITAL HOSPITALIZATION HOUSEHOLD ENERGY CONSUMPTION HOUSEHOLD SIZE HOUSEHOLD SURVEYS HOUSEHOLD USE HOUSEHOLD WORK HUMAN CAPITAL HYGIENE ILLNESS ILLNESSES INDIVIDUAL HOUSEHOLDS INDOOR AIR POLLUTION INFANT INTERVENTION INVESTMENT COSTS JOURNAL OF EPIDEMIOLOGY JOURNAL OF MEDICINE LABOR FORCE LABOR MARKET LABOR PRODUCTIVITY LONGER LIFE LOW-INCOME COUNTRIES MAINTENANCE COSTS MARGINAL BENEFITS MARGINAL COST MARGINAL COSTS MARITAL STATUS MEDICAL FACILITIES MEDICAL SERVICES MEDICAL TREATMENT METROPOLITAN AREAS MINISTRY OF HEALTH MONITORING PROGRAM MORBIDITY MORTALITY MORTALITY REDUCTION MORTALITY RISK NATIONAL LEVEL NATURAL GAS NUMBER OF PEOPLE OCCUPATIONAL RISK ORAL REHYDRATION THERAPY OZONE PATIENTS PIPED WATER PIT LATRINES POLICY ANALYSIS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLLUTION POLLUTION CONTROL POLLUTION LEVELS POPULATION DISTRIBUTION POPULATION GROUPS POPULATION SUBGROUP POTABLE WATER PREMATURE DEATH PRESENT VALUE PRICE OF WATER PRIVATE DOCTORS PUBLIC HEALTH PUBLIC SERVICES QUALITY IMPROVEMENT QUALITY STANDARDS REAL WAGES RESOURCE LIMITATIONS RESPECT RISK FACTORS RISK OF DEATH RISK OF ILLNESS RIVERS RURAL AREAS RURAL DRINKING WATER RURAL POPULATION RURAL SANITATION RURAL VILLAGES RURAL WATER RURAL WATER SUPPLY RURAL WOMEN SAFE DRINKING WATER SAFETY EQUIPMENT SANITATION SANITATION COVERAGE SANITATION FACILITIES SCIENTIFIC EVIDENCE SERVICE DELIVERY SEWAGE TREATMENT SMOKING SPRING WATER SURFACE WATER SUSTAINABLE DEVELOPMENT TECHNICAL ASSISTANCE TUBERCULOSIS UNEMPLOYMENT URBAN AIR POLLUTION URBAN AREAS URBAN ENVIRONMENTS URBAN POPULATION URBAN WATER URBAN WATER SUPPLY VACCINATION VENTILATION WAGE DIFFERENTIALS WAGE RATES WAGES WASHING WATER CONSUMPTION WATER QUALITY WATER QUALITY IMPROVEMENT WATER SANITATION WATER SOURCE WATER SUPPLY WATER TREATMENT WATER TREATMENT PLANT WELLS WILLINGNESS TO PAY WORKERS WORKFORCE WORLD HEALTH ORGANIZATION YOUNG CHILDREN Globally, an estimated 24 percent of the disease burden (healthy life years lost) and an estimated 23 percent of all deaths (premature mortality) are attributable to environmental risks (World Health Organization, or WHO 2006). The burden of disease is unequally shared, with the children and the poor being particularly affected. Among children between the ages 0 and 14, the proportion of deaths attributable to environmental risks, such as poor water and sanitation, indoor air pollution and vector-borne diseases, is estimated to be as high as 36 percent (WHO 2006). Several key messages have emerged from the process of putting together this study: (i) environmental health risks impose a significant burden on Nicaraguas economy, amounting to 2.6 billion Nicaraguan Cordoba (NIO) or 2.4 percent of the countrys Gross Domestic Product (GDP), and result in premature deaths and infections, especially in children under five; (ii) cost-effective interventions to address these environmental health risks exist and should be prioritized in Nicaragua; (iii) country-specific health and environmental data are somewhat limited, especially in the case of air quality, and data collection and monitoring need to be further strengthened; and (iv) the capacity of Ministry of Environment and Natural Resources (MARENA) and Ministry of Health (MINSA) staff to conduct environmental health costing analysis needs to be strengthened through proper training. 2015-07-23T18:25:07Z 2015-07-23T18:25:07Z 2010-06-29 Report http://documents.worldbank.org/curated/en/2010/06/15947729/nicaragua-addressing-key-environmental-challenges-vol-4-nicaragua-country-environmental-analysis http://hdl.handle.net/10986/22290 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work Economic & Sector Work :: Country Environmental Analysis (CEA) Latin America & Caribbean Nicaragua