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Table 3 Health impacts, annual costs and benefits from reducing chlordecone exposures in Guadeloupe (Without threshold)

From: Public health and chronic low chlordecone exposures in Guadeloupe; Part 2: Health impacts, and benefits of prevention

Health outcome

Main source of variation

Population at risk

Period of exposure measurement

n

Impact (mean estimate)

CI low (€2006)

CI mean (€2006)

CI high (€2006)

Proportion (mean estimate)

Liver cancer

Conversion from ingestion dose to blood chlordecone

All

<2003

436 968

5.4

8 821 000

13 129 000

26 874 000

34 %

≥2003

458 465

2.0

3 274 000

4 873 000

9 974 000

21 %

Annual benefit

 

−3.4

5 547 000

8 256 000

16 900 000

56 %

Prostate cancer

IC95% of RR

Men > 44 years

<2003

72 566

2.8

1 405 000

5 152 000

10 572 000

13 %

≥2003

76 049

1.0

490 000

1 797 000

3 687 000

8 %

Annual benefit

 

−1.8

915 000

3 355 000

6 885 000

23 %

Renal dysfunction

BMD10-HED

Women

<2003

227 417

0.10

27 000

308 000

769 000

0.80 %

≥2003

239 470

0.04

11 000

128 000

320 000

0.54 %

Annual benefit

 

−0.06

16 000

180 000

449 000

1.23 %

Cognitive development

Equivalence between QI point and ASQ point

Male new born

<2003

3 747

1 173

3 949 000

19 745 000

39 489 000

52 %

≥2003

3 929

1 003

3 377 000

16 887 000

33 773 000

71 %

Annual benefit

 

−168

572 000

2 858 000

5 716 000

20 %

Total

  

<2003

  

14 202 000

38 334 000

77 704 000

100 %

≥2003

  

7 152 000

23 685 000

47 754 000

100 %

Annual benefit

  

7 050 000

14 649 000

29 950 000

100 %

  1. n = population, 2002 census data for the first period of time and 2006 census data for second period. Impacts are expressed in number of death, except for cognitive development where the impacts are expressed in QI point lost. CI = Cost of Impacts (= DALY * VOLY)
  2. Impact is the number of cases (Eq.3), except IQ points for Cognitive development