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Note: EPA no longer updates this information, but it may be useful as a reference or resource.

The Cost of Illness Handbook

This web page provides electronic access to the COI Handbook. It gives regulatory analysts a quick and resource-saving estimate of the lower bound cost of medical care for a number of environmentally-related illnesses.

Specifically, this web page contains information on the per capita incremental direct medical costs associated with the various illnesses linked to environmental pollutants. The U.S. Environmental Protection Agency developed this information to provide support for benefits analyses, policy evaluation and development, and other EPA activities. The site contains cost data for numerous cancers, developmental diseases and disabilities, respiratory diseases, acute diseases, and additional illnesses.

Work on this project began in 1991 and is ongoing. The Agency welcomes comments and additional data regarding the information contained in this web page, which can be communicated by clicking on comments link in the footer.

The handbook was prepared for the Office of Pollution Prevention and Toxics, under the direction of Nicolaas Bouwes, by Abt Associates, Cambridge, Massachusetts. Funding for the project has been provided by the Office of Pollution Prevention and Toxics, the Office of Water, the Office of Radiation and Indoor Air, and the Office of Policy, Planning and Evaluation.

View or Download the Cost of Illness Handbook.

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