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What are the economic consequences of adult ill-health in Russia?. Marc Suhrcke msu@ihd.euro.who.int WHO European Office for Investment for Health and Development (Venice). Sustainable economic growth without health in Russia?. Source: World Bank WDI 2005; WHO/EURO HFA database 2005.
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What are the economic consequences of adult ill-health in Russia? Marc Suhrckemsu@ihd.euro.who.int WHO European Office for Investment for Health and Development (Venice)
Sustainable economic growth without health in Russia? Source: World Bank WDI 2005; WHO/EURO HFA database 2005
Relevant channels from health to the economy: a simple framework Labour productivity Labour supply HEALTH ECONOMY Education Saving
Assessing the economic consequences of adult ill-health A) Past and current impact of adult ill-health on economic outcomes B) Projected macroeconomic benefits of improving adult health
Annual days of absence due to illness per employee: Russia vs. EU15 Source: calculations based on RLMS rounds 2000-2003; EU-15 value is from ESWLC 2000
Costs of absenteeism due to illness in Russia Source: Suhrcke/Rocco/McKee et al (2005), calculations based on RLMS absenteeism data
The impact of ill health on labour productivity and supply Self-reported good health increases the wage rates by 22% for women and by 18% for men, compared to those who were not in good health A workday missed due to illness reduces the wage rate by 5.5% for females and 3.7% for males An ‘average’ Russian male aged 55 would be expected to retire at 59. With chronic illness he retires at 57.
The impact of chronic illness on early retirement Probability of retiring in subsequent period for average male individual: Richest Poorest Source: Panel logit regression as described in Suhrcke/Rocco/McKee et al. 2005
High alcohol consumption significantly increases the probability of job loss. The death of a household member affects other household members’ welfare: - alcohol consumption up by 10 grams per day • probability of suffering depression up by more than 50% Chronic illness affects household incomes: • annual loss of 5.6% of per capita income (1998-2000)
Projecting the impact of 3 future adult mortality scenarios on economic growth
Predicted GDP per capita (US$) based (conservative estimate): Source: Suhrcke/Rocco/McKee et al 2005
Difference in projected GDP per capita between scenario 1 (‘status quo’) and scenario 3 (‘reach EU15’) Source: Suhrcke/Rocco/McKee et al 2005
Sustainable economic growth without health in Russia? Source: World Bank WDI 2005; WHO/EURO HFA database 2005