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Your Environment. Your Health.

Health costs of occupational disease in New York State

Environmental Health Economic Analysis Annotated Bibliography


Research article Cost analysis (CA)
Fahs MC, Markowitz SB, Fischer E, Shapiro J, and Landrigan P
American Journal of Industrial Medicine
This cost analysis study of occupational illnesses in New York state estimated the partial economic cost of occupational disease to be approximately $600 million per year, and the greatest proportion of costs were associated with occupationally induced cancer. Results suggested that analysis of the true costs of occupational disease can help in planning public and private efforts toward prevention.
Adolescents and adults (≥ 15 years)

Health Outcomes

  • Cancer outcomes (occupational cancer)
  • respiratory outcomes (chronic respiratory disease, pneumoconiosis (asbestosis, silicosis, coal workers' pneumoconiosis))
  • cardiovascular outcomes (cardiovascular disease)
  • kidney outcomes (end stage renal disease)
  • cerebrovascular disease

Environmental Agents

List of Environmental Agents: (Not available)

Source of Environmental Agents: (Not available)

Economic Evaluation / Methods and Source


  • Cost analysis (CA)

Cost Measured:

  • Healthcare costs (hospitalization, physicians' services, nursing home care)
  • treatment costs
  • future loss earnings (value of the output of workers and retirees suffering premature death or disability)

Potential Cost Measures:

  • Costs/wage losses incurred by retirees who are not currently in labor force
  • economic costs for market imperfections from inequitable distribution of wages and salaries for certain groups (e.g., women and minorities)
  • pain and suffering of all victims and their families

Benefits Measures: (Not available)

Potential Benefits: (Not available)


  • New York state

Models Used: (Not available)

Methods Used:

  • The authors estimated the total costs of occupational disease in New York State. The authors — 1) used incidence and prevalence statistics, mortality records, and a variety of financial data; and 2) employed two methods of cost accounting strategies applicable to the human capital approach, the incidence method, and the prevalence method, to estimate the costs of four categories of occupational illnesses.

Sources Used: (Not available)

Economic Evaluation / Methods and Source


  • Fahs MC, Markowitz SB, Fischer E, Shapiro J, and Landrigan P. 1989. Health costs of occupational disease in New York State. American Journal of Industrial Medicine.
  • Pubmed
  • DOI: (Not available)

NIEHS Funding: (Not available)

Other Funding: (Not available)

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