Programme OS6f The human dimension of
water management abstract 851
Economic costs on health related to water: Mexico case
Author(s): Boris
Marañón-Pimentel
Universidad Nacional Autónoma de México.
Instituto de
Investigaciones Económicas- UNAM, D-218, 2do. Piso. Circuito Maestro Mario de la Cueva s/n, Ciudad de la
Investigación en Humanidades.
Ciudad Universitaria, C.P. 04510; México.
Fax number de fax: 52-
55-56230128
Telephone number: -52-55-56242440
Correo electrónico:
bolin88@servidor.unam.mx
Keyword(s): water, health costs, diarrhoeic diseases, social rigth
Article:
Poster:
Session: OS6f The human dimension of
water management
Abstract
This communication presents the main results of an investigation
made in Mexico on the magnitude of the economic costs on health relative to the deficient service of drinking
water.
The methodology considers the case of the diarrhoeic diseases, which are related to deficient services
of potable water, according to the World Health Organization. In Mexico , the diarrhoeic diseases are the third
factor of general morbidity, and they occupy a smaller importance as mortality cause. The study rises a critic to the
production of statistical epidemiology, specially in relation to the under registry, that reaches an important magnitude.
Soon it passes to the analysis of the diarrhoeas, taking like representative category the one of “Other intestinal
infectious diseases and), since it explains more than the four fifth parts of the total of annual cases. A characterization
of the diarrhoeas is made according to distribution by ages, geographic and institution of treatment.
The study
reveals that the economic dimension of this problem has not been dealed with systematic way in Mexico. Few
investigations exist on the matter and all of them have been made with different intentions, covers (national, regional,
local or study of case), types of costs (direct, indirect), types of patients, methods of investigation of costs; types of
hospitable institutions of treatment; therefore, the results of the considered costs are not comparable. At the same
time, no of them has made a systematic critic to the problem of the under registration (subregistro) of the cases of
patients affected by diarrhoeas.
In this way, the investigation takes care to analyze the problem of the under
registration and its causes, and to evaluate the magnitudes of the economic costs mentioned according to category,
taking as it bases the investigations made in Mexico. The reached results reveal that the economic costs of the
treatment (costs of hospitable treatment and the expenses made by the patients) of the diarrhoeas reach a significant
magnitude. This would mean that at the governmental level a greater effort would be do to improve the efficiency of
the service of potable water (cover, provided volume, quality of the liquid) and in this way to prevent the economic
and social production of diarrhoeic diseases and its related costs.
Finally, to make more reliable estimation of
the economic costs of diarrhoeas, the document proposes a methodology for such intention, defining for it a set of
variables.