PubMed1996
The authors conducted a cost-benefit analysis of a project to improve water supply and sanitation infrastructure in a rural community (colonia) along the United States-Mexico border. The present value of total costs in the scenario without improvements was $42,937,507, compared with net costs with improvements of $34,600,800. It is estimated that improved access to safe drinking water and solid waste sanitation prevented 155 cases of hepatitis A and 5,165 cases of gastrointestinal illness over 26 years and saved $846,541 in associated health care costs, approximately 10% of the total estimated savings. The majority of benefits was in the form of time savings and increased land values. The authors did not consider the value of improving environmental conditions for future generations and preventing communicable disease epidemics associated with poor sanitation. Accurate value estimates for these benefits might strengthen the argument for undertaking similar infrastructure-improvement projects in the colonias and in other underdeveloped rural areas of the United States. cost-benefit analysis; water supply and sanitation; health care costs; disease-prevention effectiveness Hanley & Belfus, Inc. Int J Occup Environ Health 1077-3525 2 3 1996 July/September Decreases in Subpopulations of T Lymphocytes and Natural Killer Cells in the Blood of Retired Chromate Workers 222 225 EN Takeshi Tanigawa Shunichi Araki Department of Public Health, Faculty of Medicine, University of Tokyo 7-3-1 Hongo, Bunkyo-ku, Tokyo 113, Japan. Akinori Nakata Takaharu Araki Susumu Sakurai To examine the effects of past exposure to chromates on lymphocyte subpopulations in man, the authors measured subpopulations of T lymphocytes and natural killer (NK) cells by flow cytometry together with B lymphocytes in blood samples from 27 male workers and 22 healthy controls. All subjects were nonsmokers. The numbers of CD4+CD45RA+ (suppressor-inducer), CD8+ (suppressor/cytotoxic) and total T lymphocytes, CD16+CD57+ NK cells, and total lymphocytes in the blood of chromate workers were significantly smaller than those in the blood of healthy controls (analysis of covariance with age as a covariate). It is suggested that suppressor-inducer and suppressor/cytotoxic T lymphocytes and NK cells with intermediate NK cell activity are most susceptible to the effects of past exposure to chromates as compared with other lymphocyte subpopulations such as B and CD4+CD29+ T lymphocytes.