A respiratory health survey conducted in Hang Kong in 1989 identified
significant health differences between school age children living in a
n industrial area with poor ambient air quality and those in a control
group living in a relatively clean area. In 1990, the government bann
ed the use of high sulphur fuel. As a result, ambient sulfur levels dr
opped sharply and particulate levels dropped moderately. The avoided c
osts of doctor consultations alone offset a moderate fraction of the c
osts of this air quality improvement. If even the lower end of estimat
es from elsewhere apply to Hang Kong's willingness to pay for symptom
relief, such values offset a major share of the costs of the air quali
ty improvement simply through near-term improvements in health. Consid
ering longer-term health and other benefits leads one to conclude that
the economic benefits likely far outweigh the costs.