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We present estimates of annual public health impacts, both illnesses and cost of illness, attributable to excess gastrointestinal illnesses caused by swimming in contaminated coastal waters at beaches in southern California. Beach-specific enterococci densities are used as inputs to two epidemiological dose response models to predict the risk of gastrointestinal illness at 28 beaches spanning 160 km of coastline in Los Angeles and Orange Counties. We use attendance data along with the health cost of gastrointestinal illness to estimate the number of illnesses among swimmers and their likely economic impact. We estimate that between 627,800 and 1,479,200 excess gastrointestinal illnesses occur at beaches in Los Angeles and Orange Counties each year. Using a conservative health cost of gastroenteritis, this corresponds to an annual economic loss of $21 or $51 million depending upon the underlying epidemiological model used (in year 2000 dollars). Results demonstrate that improving coastal water quality could result in e reduction of gastrointestinal illnesses locally and a concurrent savings in expenditures on related health care costs. [ABSTRACT FROM AUTHOR]

The literature argues that income growth leads to increased demand for environmental quality and thus reduction in pollution. Using a utility theoretic model, we hypothesize that the income-pollution relationship should depend on the level of disamenity of the pollutant. We proxy for disamenity using the toxicity of releases. For counties in the United States, the functional relationship between income and releases depends on the level of disamenity: the form is more concave for more toxic releases. We find that environmental improvements occur at lower levels of per capita income for more toxic pollutants. [ABSTRACT FROM AUTHOR]