Throwing the Baby Out with the Drinking Water: Unintended Consequences of Arsenic Mitigation Efforts in Bangladesh

Working Paper: NBER ID: w25729

Authors: Nina Buchmann; Erica M. Field; Rachel Glennerster; Reshmaan N. Hussam

Abstract: The 1994 discovery of arsenic in groundwater in Bangladesh prompted a massive public health campaign that led 20% of the population to switch from backyard wells to less convenient drinking water sources that had a higher risk of fecal contamination. We find evidence of unintended health consequences by comparing mortality trends between households in the same village that did and did not have an incentive to abandon shallow tubewells. Post-campaign, households encouraged to switch water sources have 46% higher rates of child mortality than those not encouraged to switch. Switching away from arsenic-contaminated wells also increased adult mortality.

Keywords: Arsenic; Child Mortality; Water Quality; Public Health; Bangladesh

JEL Codes: C81; C93; O12


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
Households encouraged to switch from shallow tubewells to alternative water sources (Q25)Child mortality rates (J13)
Switching from shallow tubewells (Q15)More remote water sources (Q25)
More remote water sources (Q25)Child mortality rates (J13)
Access to deep tubewells within 400 meters (Q25)Child mortality rates (J13)
Abandoning shallow tubewells contaminated with arsenic (Q53)Health risks outweigh benefits of reducing arsenic exposure (I12)

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