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Pollution, Infectious Disease, and Mortality

Evidence from the 1918 Spanish Influenza Pandemic

Bibliographic Data

ID5753264
AuthorsKaren Clay (0000-0003-3978-6656, National Bureau of Economic Research), Joshua Lewis (0000-0002-9114-2711), Joshua Alan Lewis (0000-0002-8170-1364, Université de Montréal), Edson Severnini (0000-0002-0166-4250, Carnegie Mellon University)
Year2018
Volume78
Issue4
Pages1179-1209
Publication date2018-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Journal of Economic History (JOURNAL)
Journal identifiersISSN: 0022-0507 • E-ISSN: 1471-6372
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s002205071800058x
OpenAlexW1940768770
LanguageEN
Citations received43
References cited25

The 1918 Influenza Pandemic killed millions worldwide and hundreds of thousands in the United States. This article studies the impact of air pollution on pandemic mortality. The analysis combines a panel dataset on infant and all-age mortality with a novel measure of air pollution based on the burning of coal in a large sample of U.S. cities. We estimate that air pollution contributed significantly to pandemic mortality. Cities that used more coal experienced tens of thousands of excess deaths in 1918 relative to cities that used less coal with similar pre-pandemic socioeconomic conditions and baseline health. Factors related to poverty, public health, and the timing of onset also affected pandemic mortality. The findings support recent medical evidence on the link between air pollution and influenza infection, and suggest that poor air quality was an important cause of mortality during the pandemic

Biology · Coronavirus disease 2019 (COVID-19) · Disease · Environmental health · Geography · Infectious disease (medical specialty) · Influenza pandemic · Pandemic · Climate Change and Health Impacts · COVID-19 epidemiological studies · Influenza Virus Research Studies · Internal Medicine · Medicine · Pollution · Virology

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    Open Access•Tatsuki Inoue•The Economic History Review•2026

  • Introduction

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  • Air pollution and Covid-19 mortality in the United States

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  • Disparities in PM 2.5 exposure and population density influence Sars-CoV-2 transmission among racial and ethnic minorities

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  • Sunlight and Protection Against Influenza

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  • Health benefits of air pollution reduction

    Open Access•Olexiy Kyrychenko•Economics & Human Biology•2024

  • Persistent Pandemics

    Open Access•Peter Z Lin, Christopher M Meissner•Economics & Human Biology•2021

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  • The historical impact of coal on cities

    Open Access•Karen Clay, Joshua Lewis et al.•Regional Science and Urban…•2024

  • Biological Differences between Late 19 th and Early 20 th Century Urban and Rural Residence

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  • Built and social indices for hazards in Children's environments

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  • Lockdowns and Innovation

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  • The Value of Health Insurance during a Crisis

    Karen Clay, Joshua Lewis et al.•The Review of Economics and…•2024

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    Brian Beach, Ryan Brown et al.•Journal of Political Economy•2022

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    Open Access•François R Velde•The Journal of Economic History•2022

  • Introduction to the symposium on demographic shocks

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  • Death, destruction, and growth in cities

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  • Disease, downturns, and wellbeing

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  • Financial Asset Ownership and Political Partisanship

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  • Demographic Shocks and Women's Labor Market Participation

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  • Short- and medium-run health and literacy impacts of the 1918 Spanish Flu pandemic in Brazil

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  • Poverty, pollution, and mortality

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  • The Enduring Impact of the American Dust Bowl

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  • Nonpharmaceutical Interventions Implemented by US Cities During the 1918-1919 Influenza Pandemic

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  • Influenza

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    Open Access•Jianhua Wang, S Ogawa•International Journal of…•2015

  • Updating the Accounts

    Niall Philip Alan Sean Johnson, Juergen Mueller•Bulletin of the history of medicine•2002

  • The Diffusion of the Influenza Pandemic of 1918 in Hartford, Connecticut

    Open Access•Peter Tuckel, Sassler et al.•Social Science History•2006

  • The Diffusion of the Influenza Pandemic of 1918 in Hartford, Connecticut

    Peter Tuckel•Social Science History•2006

  • Is the 1918 Influenza Pandemic Over? Long‐Term Effects of In Utero Influenza Exposure in the Post‐1940 U.S. Population

    Douglas Almond•Journal of Political Economy•2006

  • Typhoid Fever, Water Quality, and Human Capital Formation

    Open Access•Brian Beach, Joseph Ferrie et al.•The Journal of Economic History•2016

Unique citing works43
Citations per year6,14
Citation span2019 - 2026 (8)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 41

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