College of Public Health and Human Sciences

The purpose of this study is to estimate the environmentally attributable costs associated with diseases and disabilities in Oregon. We utilised actual Oregon data on disease rates and costs whenever available. If state-specific data were not available, we extrapolated from national estimates. We then used environmentally attributable fractions to estimate the environmentally attributable costs. The estimated environmentally attributable costs are the following: adult and childhood asthma: $29.6M; adult cardiovascular disease: $342.4M; adult and childhood cancer: $130.5M; childhood lead poisoning: $866.2M; birth defects: $3.0M; and childhood neurobehavioural disorders: $185M. Policymakers and researchers in other states are encouraged to apply the methods we have presented here to calculate the environmentally attributable costs associated with diseases and disabilities in their state. Knowing that many of the environmental contributors to disease are often preventable, policymakers are encouraged to make environmental public health a top priority.