Intermittent operation of a steel mill in a mountain valley in central
Utah provides a unique opportunity to measure the external health cos
ts of air pollution. A nearby valley provides a control. This paper an
alyzes data on hospital admissions and daily deaths for the two valley
s, using negative binomial regression models of daily hospital admissi
ons and deaths. Hospital admissions for respiratory diseases increase
significantly when the mill is in operation. Mortality also increases
during mill operation. Estimated excess hospitalization costs are abou
t 2 million dollars per year, and the increased cost of mortality exce
eds 40 million dollars per year.