Evidence map›Paper›PMID 41924340›Full record

ArticleBulletin of the World Health Organization2026

Valuing reductions in the risk of death in benefit-cost analyses of environment- and climate-health actions.

Frank Pega, Natalie C Momen, Samuel A Agyemang, Laura Bojke, Joan Costa-Font, Laure de Preux, Eli P Fenichel, Bruce Gordon, Martin C Hensher, Richard Johnston and 9 more

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Frank PegaDepartment of Environment, Climate Change, One Health and Migration, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland.
Natalie C MomenDepartment of Environment, Climate Change, One Health and Migration, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland.
Samuel A AgyemangSchool of Public Health, University of Ghana, Legon, Ghana.
Laura BojkeCentre for Health Economics, University of York, York, England.
Joan Costa-FontDepartment of Health Policy, London School of Economics and Political Science, London, England.
Laure de PreuxDepartment of Economics and Public Policy, Imperial Business School, Imperial College London, London, England.
Eli P FenichelYale School of the Environment, Yale University, New Haven, United States of America (USA).
Bruce GordonDepartment of Environment, Climate Change, One Health and Migration, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland.
Martin C HensherMenzies Institute for Medical Research, University of Tasmania, Hobart, Australia.
Richard JohnstonDepartment of Environment, Climate Change, One Health and Migration, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland.
Yuvaraj KrishnamoorthyDepartment of Community Medicine, ESIC Medical College & Hospital, Chennai, India.
Antonios KolimenakisDepartment of Environment, Climate Change, One Health and Migration, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland.
Muhammad Ashar MalikFaculty of Arts and Sciences, Aga Khan University, Karachi, Pakistan.
Hiroaki MatsuuraFaculty of Tourism, Media, and Cultural Studies, Shoin University, Kanagawa, Japan.
Nhung NghiemJohn Curtin School of Medical Research, Australian National University, Canberra, Australia.
Bernadette O'HareSchool of Medicine, University of St Andrews, St Andrews, Scotland.
Megha RathiDepartment of Environment, Climate Change, One Health and Migration, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland.
Lisa A RobinsonHarvard TH Chan School of Public Health, Harvard University, Boston, USA.
Diarmid Campbell-LendrumDepartment of Environment, Climate Change, One Health and Migration, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Economic evaluation is key for efficient allocation of resources in health and related sectors. Actions addressing environmental risk factors and climate change can avert millions of deaths annually, yet valuing reductions in the risk of dying is challenging in benefit-cost analyses. We developed an interim statistical protocol to estimate the value per statistical life for World Health Organization (WHO) Member States, building on the 2019 benefit-cost analysis reference case and latest evidence. Using gross national income per capita based on purchasing power parity, we calculated national estimates for 2024 and projected values to 2100. We aggregated these estimates to produce global, regional and country income group averages, and additional sets for sensitivity and scenario analyses, including for alternative climate change scenarios. Our estimates cover 93.8% (182/194) of Member States, representing 98.4% (7.99 billion/8.12 billion) of the global population. The global average value per statistical life in 2024 was 3.76 million international dollars. By 2100, the global average is projected to increase by 159.8% to 9.77 million international dollars. These estimates provide a basis for valuing expected deaths averted by environment- and climate-health interventions, promoting comparability across analyses. Limitations include reliance on extrapolated values and uncertainty in income projections. More research, especially in low- and middle-income countries, is needed. Because value per statistical life estimates depend on income, analysts must supplement benefit-cost analysis with distributional analyses of benefits and costs across populations. Until WHO updates its recommended methods, these interim estimates offer a pragmatic tool for policy analysis.

Indexed as

Climate ChangeEnvironmental HealthGlobal HealthCost-Benefit AnalysisHumansWorld Health Organization

Identifiers

PMID41924340
PMCPMC13037182

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.