TY - RPRT AU - Zivin, Joshua Graff AU - Neidell, Matthew AU - Sanders, Nicholas AU - Singer, Gregor TI - When Externalities Collide: Influenza and Pollution PY - 2021/May/ PB - Institute of Labor Economics (IZA) CY - Bonn T2 - IZA Discussion Paper IS - 14399 UR - https://www.iza.org/publications/dp14399 AB - Influenza and air pollution each pose significant public health risks with large global economic consequences. The common pathways through which each harms health presents an interesting case of compounding risk via interacting externalities. Using instrumental variables based on changing wind directions, we show increased levels of contemporaneous pollution significantly increase influenza hospitalizations. We exploit random variations in the effectiveness of the influenza vaccine as an additional instrument to show vaccine protection neutralizes this relationship. This suggests seemingly disparate policy actions of pollution control and vaccination campaigns jointly provide greater returns than those implied by addressing either in isolation. KW - externalities KW - vaccines KW - hospitalizations KW - influenza KW - air pollution ER -