Estimating annualized earthquake losses for the conterminous United States

USGS Publications Warehouse

Jaiswal, Kishor S.; Bausch, Douglas; Chen, Rui; Bouabid, Jawhar; Seligson, Hope

2015-01-01

We make use of the most recent National Seismic Hazard Maps (the years 2008 and 2014 cycles), updated census data on population, and economic exposure estimates of general building stock to quantify annualized earthquake loss (AEL) for the conterminous United States. The AEL analyses were performed using the Federal Emergency Management Agency's (FEMA) Hazus software, which facilitated a systematic comparison of the influence of the 2014 National Seismic Hazard Maps in terms of annualized loss estimates in different parts of the country. The losses from an individual earthquake could easily exceed many tens of billions of dollars, and the long-term averaged value of losses from all earthquakes within the conterminous U.S. has been estimated to be a few billion dollars per year. This study estimated nationwide losses to be approximately $4.5 billion per year (in 2012$), roughly 80% of which can be attributed to the States of California, Oregon and Washington. We document the change in estimated AELs arising solely from the change in the assumed hazard map. The change from the 2008 map to the 2014 map results in a 10 to 20% reduction in AELs for the highly seismic States of the Western United States, whereas the reduction is even more significant for Central and Eastern United States.

Benefits of mercury controls for the United States

PubMed Central

Selin, Noelle E.

2016-01-01

Mercury pollution poses risks for both human and ecosystem health. As a consequence, controlling mercury pollution has become a policy goal on both global and national scales. We developed an assessment method linking global-scale atmospheric chemical transport modeling to regional-scale economic modeling to consistently evaluate the potential benefits to the United States of global (UN Minamata Convention on Mercury) and domestic [Mercury and Air Toxics Standards (MATS)] policies, framed as economic gains from avoiding mercury-related adverse health endpoints. This method attempts to trace the policies-to-impacts path while taking into account uncertainties and knowledge gaps with policy-appropriate bounding assumptions. We project that cumulative lifetime benefits from the Minamata Convention for individuals affected by 2050 are $339 billion (2005 USD), with a range from $1.4 billion to $575 billion in our sensitivity scenarios. Cumulative economy-wide benefits to the United States, realized by 2050, are $104 billion, with a range from $6 million to $171 billion. Projected Minamata benefits are more than twice those projected from the domestic policy. This relative benefit is robust to several uncertainties and variabilities, with the ratio of benefits (Minamata/MATS) ranging from ≈1.4 to 3. However, we find that for those consuming locally caught freshwater fish from the United States, rather than marine and estuarine fish from the global market, benefits are larger from US than global action, suggesting domestic policies are important for protecting these populations. Per megagram of prevented emissions, our domestic policy scenario results in US benefits about an order of magnitude higher than from our global scenario, further highlighting the importance of domestic action. PMID:26712021

Balancing Growth, Harvest, and Consumption of Hardwood Resources in the North Central Region

Treesearch

Stephen R. Shifley; Neal Sullivan

2001-01-01

The volume of timber in the North Central Region of the Unites States (IN, IL, IA, MN, WI, MI) has more than doubled since 1950. Annual growth of growing stock on timberland is about 2.3 billion cubic feet (8.5 billion board feet). Removals from growing stock are about 1.1 billion cubic feet (3.4 billion board feet). However, the people who live in the region consume...

Data from: An Analysis of Nearly One Billion Dollars of Aquaculture Grants

Science.gov Websites

Us Search  Log inRegister Home Home Datasets Data from: An Analysis of Nearly One Billion Dollars : An Analysis of Nearly One Billion Dollars of Aquaculture Grants made by the United States Federal , or other details for analysis. A limited number of umbrella grants were issued to one institution

Ozone injury across the Southern United States, 2002–06

Treesearch

Anita K. Rose; John W. Coulston

2009-01-01

In the Eastern United States, hourly concentrations of ozone typically range from 30 to 50 parts per billion(ppb), with events that may exceed 100 ppb. Typical exposure levels can cause visible foliar injury to

Environmental Releases in the Fuel Ethanol Industry

EPA Science Inventory

Corn ethanol is the largest produced alternate biofuel in the United States. More than 13 billion gallons of ethanol were produced in 2010. The projected corn ethanol production is 15 billion gallons by 2015. With increased production of ethanol, the environmental releases from e...

A Cross Cultural Analysis of the Geographical Knowledge of U.S., Irish, Israeli, Mexican, and South Korean Business School Students

ERIC Educational Resources Information Center

Hise, Richard T.; Shin, Jong-Kuk; Davidow, Moshe; Fahy, John; Solano-Mendez, Roberto; Troy, Lisa

2004-01-01

Geographical knowledge about foreign countries is considered to be a significant factor related to the successful marketing of goods and services in international markets-a not insignificant conclusion by experts given the sizable trade deficits run up by the United States in 2000 ($365 billion), 2001 ($346 billion), and 2002 ($435 billion).…

Cutting the Nation's Health Care Costs

PubMed Central

Davis, Emsley A.

1987-01-01

In 1984 health care expenditures totaled $387.4 billion, and may reach $757.9 billion by 1990. The following factors and their annual cost overrun price tags are the prime forces behind this rapidly growing expense: professional liability insurance, litigations, and defensive medicine, $30 billion; hospital administrative management and employee excess, $6.3 billion; community hospital profits, $8.3 billion; oversupply and duplication of drugs and drug sundries, $22.5 billion; the oversupply of physician specialists, at least $10 to $15 billion; unsolicited physician interpretation of routine, unsophisticated tests, $13.2 billion; and, finally, an American lifestyle adversely affected by illicit drugs ($60 billion), alcohol ($117 billion), and automobile accidents ($43.3 billion), for a total cost of $220 billion yearly. The intent of this article is to educate the public in an open and responsible fashion, and to demonstrate that the health care industry in the United States can save approximately $334.0 billion yearly. PMID:3118051

An analysis of whether higher health care spending in the United States versus Europe is 'worth it' in the case of cancer.

PubMed

Philipson, Tomas; Eber, Michael; Lakdawalla, Darius N; Corral, Mitra; Conti, Rena; Goldman, Dana P

2012-04-01

The United States spends more on health care than other developed countries, but some argue that US patients do not derive sufficient benefit from this extra spending. We studied whether higher US cancer care costs, compared with those of ten European countries, were "worth it" by looking at the survival differences for cancer patients in these countries compared to the relative costs of cancer care. We found that US cancer patients experienced greater survival gains than their European counterparts; even after considering higher US costs, this investment generated $598 billion of additional value for US patients who were diagnosed with cancer between 1983 and 1999. The value of that additional survival gain was highest for prostate cancer patients ($627 billion) and breast cancer patients ($173 billion). These findings do not appear to have been driven solely by earlier diagnosis. Our study suggests that the higher-cost US system of cancer care delivery may be worth it, although further research is required to determine what specific tools or treatments are driving improved cancer survival in the United States.

GREEN CHEMISTRY FOR SELECTIRVE OXIDATION PROCESSES

EPA Science Inventory

The costs of handling, treating and disposing of wastes generated annually in the United States has reached to 2.2% of gross domestic product, and continued to rise. The chemical manufacturing industry generates more than 1.5 billion tons of hazardous waste and 9 billion tons of ...

Reserve growth of the world's giant oil fields

USGS Publications Warehouse

Klett, T.R.; Schmoker, J.W.

2005-01-01

Analysis of estimated total recoverable oil volume (field size) of 186 well-known giant oil fields of the world (>0.5 billion bbl of oil, discovered prior to 1981), exclusive of the United States and Canada, demonstrates general increases in field sizes through time. Field sizes were analyzed as a group and within subgroups of the Organization of Petroleum Exporting Countries (OPEC) and non-OPEC countries. From 1981 through 1996, the estimated volume of oil in the 186 fields for which adequate data were available increased from 617 billion to 777 billion bbl of oil (26%). Processes other than new field discoveries added an estimated 160 billion bbl of oil to known reserves in this subset of the world's oil fields. Although methods for estimating field sizes vary among countries, estimated sizes of the giant oil fields of the world increased, probably for many of the same reasons that estimated sizes of oil fields in the United States increased over the same time period. Estimated volumes in OPEC fields increased from a total of 550 billion to 668 billion bbl of oil and volumes in non-OPEC fields increased from 67 billion to 109 billion bbl of oil. In terms of percent change, non-OPEC field sizes increased more than OPEC field sizes (63% versus 22%). The changes in estimated total recoverable oil volumes that occurred within three 5-year increments between 1981 and 1996 were all positive. Between 1981 and 1986, the increase in estimated total recoverable oil volume within the 186 giant oil fields was 11 billion bbl of oil; between 1986 and 1991, the increase was 120 billion bbl of oil; and between 1991 and 1996, the increase was 29 billion bbl of oil. Fields in both OPEC and non-OPEC countries followed trends of substantial reserve growth.

The Estimated Annual Cost of Uterine Leiomyomata in the United States

PubMed Central

CARDOZO, Eden R.; CLARK, Andrew D.; BANKS, Nicole K.; HENNE, Melinda B.; STEGMANN, Barbara J.; SEGARS, James H.

2011-01-01

Objective To estimate the total annual societal cost of uterine fibroids in the United States, based on direct and indirect costs, including associated obstetric complications. Study Design A systematic review of the literature was conducted to estimate the number of women seeking treatment for symptomatic fibroids annually, the costs of medical and surgical treatment, work lost and obstetric complications attributable to fibroids. Total annual costs were converted to 2010 U.S. dollars. A sensitivity analysis was performed. Results The estimated annual direct costs (surgery, hospital admissions, outpatient visits, medications) were $4.1 to $9.4 billion. Estimated lost work costs ranged from $1.55 to $17.2 billion annually. Obstetric outcomes attributed to fibroids resulted in a cost of $238 million to $7.76 billion annually. Uterine fibroids were estimated to cost the US $5.9 to $34.4 billion annually. Conclusions Obstetric complications associated with fibroids contributed significantly to their economic burden. Lost work costs may account for the largest proportion of societal costs due to fibroids. PMID:22244472

The upper pennsylvanian pittsburgh coal bed: Resources and mine models

USGS Publications Warehouse

Watson, W.D.; Ruppert, L.F.; Tewalt, S.J.; Bragg, L.J.

2001-01-01

The U.S. Geological Survey recently completed a digital coal resource assessment model of the Upper Pennsylvanian Pittsburgh coal bed, which indicates that after subtracting minedout coal, 16 billion short tons (14 billion tonnes) remain of the original 34 billion short tons (31 billion tonnes) of coal. When technical, environmental, and social restrictions are applied to the remaining Pittsburgh coal model, only 12 billion short tons (11 billion tonnes) are available for mining. Our assessment models estimate that up to 0.61 billion short tons (0.55 billion tonnes), 2.7 billion short tons (2.4 billion tonnes), and 8.5 billion short tons (7.7 billion tonnes) could be available for surface mining, continuous mining, and longwall mining, respectively. This analysis is an example of a second-generation regional coal availability study designed to model recoverability characteristics for all the major coal beds in the United States. ?? 2001 International Association for Mathematical Geology.

A metabolomics-based approach identifies changes in the small molecular weight compound composition of the peanut as a result of dry-roasting

USDA-ARS?s Scientific Manuscript database

Peanut production in the United States is a $1.12 billion industry. United States peanut production is primarily focused on the edibles market. Peanut seeds are included in a variety of snack and confectionary products. Raw peanuts are rarely consumed in the United States. Instead, peanut seeds are ...

Assessment of potential additions to conventional oil and gas resources of the world (outside the United States) from reserve growth, 2012

USGS Publications Warehouse

Klett, Timothy R.; Cook, Troy A.; Charpentier, Ronald R.; Tennyson, Marilyn E.; Attanasi, E.D.; Freeman, Phil A.; Ryder, Robert T.; Gautier, Donald L.; Verma, Mahendra K.; Le, Phuong A.; Schenk, Christopher J.

2012-01-01

The U.S. Geological Survey estimated volumes of technically recoverable, conventional petroleum resources resulting from reserve growth for discovered fields outside the United States that have reported in-place oil and gas volumes of 500 million barrels of oil equivalent or greater. The mean volumes were estimated at 665 billion barrels of crude oil, 1,429 trillion cubic feet of natural gas, and 16 billion barrels of natural gas liquids. These volumes constitute a significant portion of the world's oil and gas resources.

Afghanistan: Post Taliban Governance, Security, and U.S. Policy

DTIC Science & Technology

2016-09-26

billion in assistance to the ANDSF has come from these sources. There is also a NATO-Russia Council Helicopter Maintenance Trust Fund. Launched in...March 2011, this fund provides maintenance and repair capacity to the Afghan Air Force helicopter fleet, much of which is Russian-made. The Afghan...United States obligated $2.5 billion for the AAF, including nearly $1 billion for equipment and aircraft. Still, equipment, maintenance , logistical

Recycled Cell Phones - A Treasure Trove of Valuable Metals

USGS Publications Warehouse

Sullivan, Daniel E.

2006-01-01

This U.S. Geological Survey (USGS) Fact Sheet examines the potential value of recycling the metals found in obsolete cell phones. Cell phones seem ubiquitous in the United States and commonplace throughout most of the world. There were approximately 1 billion cell phones in use worldwide in 2002. In the United States, the number of cell phone subscribers increased from 340,000 in 1985 to 180 million in 2004. Worldwide, cell phone sales have increased from slightly more than 100 million units per year in 1997 to an estimated 779 million units per year in 2005. Cell phone sales are projected to exceed 1 billion units per year in 2009, with an estimated 2.6 billion cell phones in use by the end of that year. The U.S. Environmental Protection Agency estimated that, by 2005, as many as 130 million cell phones would be retired annually in the United States. The nonprofit organization INFORM, Inc., anticipated that, by 2005, a total of 500 million obsolete cell phones would have accumulated in consumers' desk drawers, store rooms, or other storage, awaiting disposal. Typically, cell phones are used for only 1 1/2 years before being replaced. Less than 1 percent of the millions of cell phones retired and discarded annually are recycled. When large numbers of cell phones become obsolete, large quantities of valuable metals end up either in storage or in landfills. The amount of metals potentially recoverable would make a significant addition to total metals recovered from recycling in the United States and would supplement virgin metals derived from mining.

Healthcare reform in the United States and China: pharmaceutical market implications.

PubMed

Daemmrich, Arthur; Mohanty, Ansuman

2014-01-01

The United States and China are broadening health insurance coverage and increasing spending on pharmaceuticals, in contrast to other major economies that are reducing health spending and implementing a variety of drug price controls. This article analyzes the implications of health system reforms in the United States and China for national pharmaceutical markets. It follows a historical institutionalist approach that identifies path dependency in the design and operation of national health systems. On that basis, we estimate prescription sales for 2015 and 2020, analyze the sustainability of free-market pricing for drugs in the two countries, and assess future competitive dynamics in the pharmaceutical sector. The institutional trajectories of health system reform and insurance coverage were studied for the United States and China. Next, data were collected from government, industry, and analyst reports on total healthcare spending and prescription drug expenditure by insurance status (in the United States) and by site of care (in China). Simple quantitative models were developed to estimate future drug spending based on insurance coverage, treatment locations, and health spending as a percentage of GDP. Both countries will see rising total pharmaceutical spending and will be the two largest country markets for prescription drugs through at least 2020. In dollar terms, the U.S. pharmaceutical market will be over $440 billion in 2015 and $700 billion in 2020; China's prescription market will be over $155 billion in 2015 and grow further to $260 billion in 2020. In both countries, generics will increase their share of all prescriptions, but economic and structural incentives for new drug invention and brand-name prescribing by physicians will keep the share of patented drug sales high compared to countries with more direct government control over the pharmaceutical market. Expanding private insurance contributes to spending on branded drugs, since insurers compete for market share rather than cost savings. Health system reforms presently being enacted in the United States and China align to historical institutional trajectories in each country, but leave unresolved a core tension between incentives for new drug invention and universal access to affordable medicines.

Prioritizing food safety and research

USDA-ARS?s Scientific Manuscript database

Recent publications have revealed that approximately 48 million individuals in the the United States of America contract foodborne illnesses each year, with associated costs estimated at $77.7 billion U.S. dollars (equivalent to ca. 87.5 trillion Korean won in the year 2012). The United States Depa...

Kiln drying lumber in the United States : a survey of volume, species, kiln capacity, equipment, and procedures, 1992-1993

Treesearch

Robert W. Rice; Jeffrey L. Howe; R. Sidney Boone; John L. Tschernitz

1994-01-01

A survey was conducted of primary and secondary manufacturing firms that have at least one dry kiln and process approximately 2 million board feet or more of lumber annually. More than 1,500 surveys were completed, representing manufacturers in 43 states. According to survey respondents, approximately 5 billion board feet of hardwood lumber and 24 billion board feet of...

The status of timber resources in the North Central United States

Treesearch

Neal H. Sullivan; Stephen R. Shifley

2003-01-01

Between 1953 and 1997 the volume of standing timber in the region (growing stock) more than doubled from 37 to 83 billion cubic feet. Forests in the North Central Region grow 2.3 billion cubic feet of new wood on growing-stock trees each year. Annual removals are about half that amount. The pattern is the same in each of the seven included states (Minnesota, Wisconsin...

Connecting people with ecosystems in the 21st century: an assessment of our nation's urban forests.

Treesearch

John F. Dwyer; David J. Nowak; Mary Heather Noble; Susan M. Sisinni

2000-01-01

Urban areas (cities, towns, villages, etc.) cover 3.5 percent of the 48 conterminous states and contain more than 75 percent of the population. urban areas, about 3.8 billion trees cover 27.1 percent of the land. On a broader scale, metropolitan areas (urban counties) cover 24.5 percent of the conterminous United States and contain 74.4 billion trees that cover 33.4...

Growth, Producion, and Consumption of Forest Resources in the Upper Great Lakes Region of the United States

Treesearch

Stephen R. Shifley; Neal Sullivan

2001-01-01

The Lake States (MN, WI, MI) have 47 million acres of forest--36 percent of the total land area. Nearly all of that acreage is capable of producing commercial crops of timber. The growing stock volume on those forests is 60 billion cubic feet. In addition to growing stock volume there are 7 billion cubic feet of volume on trees of noncommercial species, trees with poor...

Lime application to manure as a management strategy for Porcine Epidemic Diarrhea virus

USDA-ARS?s Scientific Manuscript database

Arrival of Porcine Epidemic Diarrhea virus (PEDv) in 2013 resulted in billions of dollars in losses in the United States. Currently, increased on-farm biosecurity and mortality management help limit the virus spread. Managing PEDv infections requires mandatory reporting to the United States Depart...

3 CFR - Presidential Determination on Major Drug Transit or Major Illicit Drug Producing Countries for...

Code of Federal Regulations, 2014 CFR

2014-01-01

... United States. United States-bound trafficking in cocaine through the Caribbean dramatically increased... drug producer or transit zone, the region is a growing concern. The destabilizing effects of increasing... estimates that cocaine trafficking in West Africa generates approximately $1.25 billion at wholesale prices...

77 FR 6563 - Economic Impact Policy

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-08

... EXPORT-IMPORT BANK OF THE UNITED STATES Economic Impact Policy This notice is to inform the public that the Export-Import Bank of the United States has received an application for a $1.74 billion loan... and Korea. Interested parties may submit comments on this transaction by email to economic[email protected

Banning the Bottle

ERIC Educational Resources Information Center

Palliser, Janna

2010-01-01

Bottled water is ubiquitous, taken for granted, and seemingly benign. Americans are consuming bottled water in massive amounts and spending a lot of money: In 2007, Americans spent $11.7 billion on 8.8 billions gallons of bottled water (Gashler 2008). That same year, two million plastic water bottles were used in the United States every five…

Economic and environmental transportation effects of large-scale ethanol production and distribution in the United States

DOT National Transportation Integrated Search

2009-02-25

The combination of current and planned 2007 U.S. ethanol production capacity is 50 billion L/yr, one-third of the Energy Independence and Security Act of 2007 (EISA) target of 136 billion L of biofuels by 2022. In this study, we evaluate transportati...

Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association.

PubMed

Heidenreich, Paul A; Trogdon, Justin G; Khavjou, Olga A; Butler, Javed; Dracup, Kathleen; Ezekowitz, Michael D; Finkelstein, Eric Andrew; Hong, Yuling; Johnston, S Claiborne; Khera, Amit; Lloyd-Jones, Donald M; Nelson, Sue A; Nichol, Graham; Orenstein, Diane; Wilson, Peter W F; Woo, Y Joseph

2011-03-01

Cardiovascular disease (CVD) is the leading cause of death in the United States and is responsible for 17% of national health expenditures. As the population ages, these costs are expected to increase substantially. To prepare for future cardiovascular care needs, the American Heart Association developed methodology to project future costs of care for hypertension, coronary heart disease, heart failure, stroke, and all other CVD from 2010 to 2030. This methodology avoided double counting of costs for patients with multiple cardiovascular conditions. By 2030, 40.5% of the US population is projected to have some form of CVD. Between 2010 and 2030, real (2008$) total direct medical costs of CVD are projected to triple, from $273 billion to $818 billion. Real indirect costs (due to lost productivity) for all CVD are estimated to increase from $172 billion in 2010 to $276 billion in 2030, an increase of 61%. These findings indicate CVD prevalence and costs are projected to increase substantially. Effective prevention strategies are needed if we are to limit the growing burden of CVD.

Total Economic Consequences of an Influenza Outbreak in the United States.

PubMed

Prager, Fynnwin; Wei, Dan; Rose, Adam

2017-01-01

Pandemic influenza represents a serious threat not only to the population of the United States, but also to its economy. In this study, we analyze the total economic consequences of potential influenza outbreaks in the United States for four cases based on the distinctions between disease severity and the presence/absence of vaccinations. The analysis is based on data and parameters on influenza obtained from the Centers for Disease Control and the general literature. A state-of-the-art economic impact modeling approach, computable general equilibrium, is applied to analyze a wide range of potential impacts stemming from the outbreaks. This study examines the economic impacts from changes in medical expenditures and workforce participation, and also takes into consideration different types of avoidance behavior and resilience actions not previously fully studied. Our results indicate that, in the absence of avoidance and resilience effects, a pandemic influenza outbreak could result in a loss in U.S. GDP of $25.4 billion, but that vaccination could reduce the losses to $19.9 billion. When behavioral and resilience factors are taken into account, a pandemic influenza outbreak could result in GDP losses of $45.3 billion without vaccination and $34.4 billion with vaccination. These results indicate the importance of including a broader set of causal factors to achieve more accurate estimates of the total economic impacts of not just pandemic influenza but biothreats in general. The results also highlight a number of actionable items that government policymakers and public health officials can use to help reduce potential economic losses from the outbreaks. © 2016 Society for Risk Analysis.

Hazus® estimated annualized earthquake losses for the United States

USGS Publications Warehouse

Jaiswal, Kishor; Bausch, Doug; Rozelle, Jesse; Holub, John; McGowan, Sean

2017-01-01

Large earthquakes can cause social and economic disruption that can be unprecedented to any given community, and the full recovery from these impacts may or may not always be achievable. In the United States (U.S.), the 1994 M6.7 Northridge earthquake in California remains the third costliest disaster in U.S. history; and it was one of the most expensive disasters for the federal government. Internationally, earthquakes in the last decade alone have claimed tens of thousands of lives and caused hundreds of billions of dollars of economic impact throughout the globe (~90 billion U.S. dollars (USD) from 2008 M7.9 Wenchuan China, ~20 billion USD from 2010 M8.8 Maule earthquake in Chile, ~220 billion USD from 2011 M9.0 Tohoku Japan earthquake, ~25 billion USD from 2011 M6.3 Christchurch New Zealand, and ~22 billion USD from 2016 M7.0 Kumamoto Japan). Recent earthquakes show a pattern of steadily increasing damages and losses that are primarily due to three key factors: (1) significant growth in earthquake-prone urban areas, (2) vulnerability of the older building stock, including poorly engineered non-ductile concrete buildings, and (3) an increased interdependency in terms of supply and demand for the businesses that operate among different parts of the world. In the United States, earthquake risk continues to grow with increased exposure of population and development even though the earthquake hazard has remained relatively stable except for the regions of induced seismic activity. Understanding the seismic hazard requires studying earthquake characteristics and locales in which they occur, while understanding the risk requires an assessment of the potential damage from earthquake shaking to the built environment and to the welfare of people—especially in high-risk areas. Estimating the varying degree of earthquake risk throughout the United States is critical for informed decision-making on mitigation policies, priorities, strategies, and funding levels in the public and private sectors. For example, potential losses to new buildings may be reduced by proper land-use planning, applying most current seismic design codes and using new technologies and specialized construction techniques. However, decisions to spend money on any of those solutions require benefit and cost comparison against the perceived risk. Previous versions of the FEMA 366 studies are the only nationally accepted criteria and methodology for comparing seismic risk across regions.

Cataract surgery cost utility revisited in 2012: a new economic paradigm.

PubMed

Brown, Gary C; Brown, Melissa M; Menezes, Alicia; Busbee, Brandon G; Lieske, Heidi B; Lieske, Philip A

2013-12-01

To assess the 2012 cost utility of cataract surgery in the United States and to compare 2012 cost-utility data with those from 2000. Value-Based Medicine (Flourtown, PA), patient preference-based, comparative effectiveness analysis and cost-utility analysis using 2012 real United States dollars. Previously published Patient Outcomes Research Team Study data and time tradeoff utilities obtained from patients with vision loss. Visual acuity measurements from patients wtih untreated cataract were used as controls. Thirteen-year, average, first-eye and second-eye cataract surgery cost-utility analysis using the societal and third-party insurer cost perspectives. Patient value gain in quality-adjusted life years (QALYs) and percent gain in quality of life as well as the cost-utility ratio using the dollars expended per QALY gained. Patient and financial value outcomes were discounted at 3% annually with net present value analysis. First-eye cataract surgery conferred 1.6212 QALYs over the 13-year model, a 20.8% quality-of-life gain. Bilateral cataract surgery conferred 2.8152 QALYs over 13 years, a 36.2% improvement in quality of life. The direct ophthalmic medical cost for unilateral cataract surgery in 2012 United States nominal dollars was $2653, an inflation-adjusted 34.2% less than in 2000 and 85% less than in 1985. The 2012 inflation-adjusted physician fee was 10.1% of that in 1985. The 13-year societal cost perspective, financial return on investment (ROI) for first-eye cataract surgery was $121,198, a 4567% gain. The third-party insurer cost perspective average cost-utility ratio was $2653/1.6212 = $1636/QALY for unilateral cataract surgery, whereas the societal cost perspective average cost-utility ratio was -$121,198/1.6212 = -$74,759/QALY. The net 13-year $123.4-billion financial ROI from a 1-year cohort of cataract surgery patients was accrued: Medicare, $36.4 billion; Medicaid, $3.3 billion; other insurers, $9.6 billion; patients, $48.6 billion; and increased United States national productivity, $25.4 billion. Cataract surgery in 2012 greatly improved quality of life and was highly cost effective. It was 34.4% less expensive than in 2000 and 85% less expensive than in 1985. Initial cataract surgery yielded an extraordinary 4567% financial ROI to society over the 13-year model. Copyright © 2013 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

Economic Impacts of Potential Foot and Mouth Disease Agro-terrorism in the United States: A Computable General Equilibrium Analysis

DOE Office of Scientific and Technical Information (OSTI.GOV)

Oladosu, Gbadebo A; Rose, Adam; Bumsoo, Lee

2013-01-01

The foot and mouth disease (FMD) virus has high agro-terrorism potential because it is contagious, can be easily transmitted via inanimate objects and can be spread by wind. An outbreak of FMD in developed countries results in massive slaughtering of animals (for disease control) and disruptions in meat supply chains and trade, with potentially large economic losses. Although the United States has been FMD-free since 1929, the potential of FMD as a deliberate terrorist weapon calls for estimates of the physical and economic damage that could result from an outbreak. This paper estimates the economic impacts of three alternative scenariosmore » of potential FMD attacks using a computable general equilibrium (CGE) model of the US economy. The three scenarios range from a small outbreak successfully contained within a state to a large multi-state attack resulting in slaughtering of 30 percent of the national livestock. Overall, the value of total output losses in our simulations range between $37 billion (0.15% of 2006 baseline economic output) and $228 billion (0.92%). Major impacts stem from the supply constraint on livestock due to massive animal slaughtering. As expected, the economic losses are heavily concentrated in agriculture and food manufacturing sectors, with losses ranging from $23 billion to $61 billion in the two industries.« less

Biological and ecological science for Michigan—The Great Lakes State

USGS Publications Warehouse

,

2018-04-04

Michigan is rich in lakes, rivers, dune and rocky shorelines, forests, fish and wildlife, and has the longest freshwater coastline in the United States, 3,224 miles. Many enterprises critical to Michigan’s economy and cultural heritage are based on natural resources including commercial and sport fishing, hunting, and other outdoor recreation. Overall, outdoor recreation is enjoyed by more than 63 percent of Michigan residents, and has been estimated to generate $18.7 billion in consumer spending, create 194,000 jobs, and raise $1.4 billion in State and local tax revenue annually.

Merger mania: mergers and acquisitions in the generic drug sector from 1995 to 2016.

PubMed

Gagnon, Marc-André; Volesky, Karena D

2017-08-22

Drug shortages and increasing generic drug prices are associated with low levels of competition. Mergers and acquisitions impact the level of competition. Record merger and acquisition activity was reported for the pharmaceutical sector in 2014/15, yet information on mergers and acquisitions in the generic drug sector are absent from the literature. This information is necessary to understand if and how such mergers and acquisitions can be a factor in drug shortages and increasing prices. Data on completed merger and acquisition deals that had a generic drug company being taken over (i.e. 'target') were extracted from Bloomberg Finance L.P. The number and announced value of deals are presented globally, for the United States, and globally excluding the United States annually from 1995 to 2016 in United States dollars. Generic drug companies comprised 9.3% of the value of all deals with pharmaceutical targets occurring from 1995 to 2016. Globally, in 1995 there were no deals, in 2014 there were 22 deals worth $1.86 billion, in 2015 there were 34 deals totalling $33.56 billion, and in 2016 there were 42 deals worth in excess of $44 billion. This substantial increase was partially attributed to Teva's 2016 acquisition of Allergan's generic drug business. The surge in mergers and acquisitions for 2015/16 was driven by deals in the United States, where they represented 89.7% of the dollar value of deals in those years. The recent blitz in mergers and acquisitions signals that the generic drug industry is undergoing a transformation, especially in the United States. This restructuring can negatively affect the level of competition that might impact prices and shortages for some products, emphasizing the importance of updating regulations and procurement policies.

Navy Fact File 1984

DTIC Science & Technology

1984-10-01

Textile Fibers/Products Foods , Feeds, Beverages Industrial Supplies Value of Goods Exported ($ billions) 1958 1968 1978 $18.1 billion...character of its government, the soundness of its economy, its industrial efficiency, the development of its internal communications, the quality...decades the United States produced more raw materials than its growing industrial complex could consume. From a raw-materials-surplus-nation we

Pesticides on the inside: Exploiting the natural chemical defenses of maize against insect and microbial pests

USDA-ARS?s Scientific Manuscript database

Maize (Zea mays) is one of the most significant and abundantly grown crop plants in the United States with yields exceeding $50 billion annually. Despite major improvements in productivity, it is estimated that billions of bushels are lost per year due to the combined effects of herbivory and diseas...

Total delay impact study : a comprehensive assessment of the costs and impacts of flight delay in the United States

DOT National Transportation Integrated Search

2010-10-01

Flight delay is a serious and widespread problem in the United States. Increasing flight delays place a significant strain on the US air travel system and cost airlines, passengers, and society at many billions of dollars each year. While a number of...

77 FR 29344 - Economic Impact Policy

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-17

... EXPORT-IMPORT BANK OF THE UNITED STATES Economic Impact Policy This notice is to inform the public that the Export-Import Bank of the United States has received an application for a $4.3 billion direct... economic[email protected] or by mail to 811 Vermont Avenue NW., Room 947, Washington, DC 20571, within 14...

Challenges of converting agricultural abundance to biofuels: Agricultural Research Service-United States Department of Agriculture Research

USDA-ARS?s Scientific Manuscript database

The United States Government is aggressively promoting ethanol and alternative biofuels as a substitute for gasoline. The Energy Independence and Security Act of 2007 enacted on December 19 targets production of 36 billion gallons of biofuels by 2022. Passage of this bill was motivated by recent s...

Adoption of precision agriculture technology in the Southeastern United States

USDA-ARS?s Scientific Manuscript database

Agricultural production in the Southeast is diverse and differs from other regions of the United States (U.S.). Crops grown in the Southeast are specific to the region, such as cotton and peanuts. Corn farmers supply most of the grain produced to the poultry industry to support over 15 billion dolla...

Emotional Intelligence: A Key to Improving Federal Chief Information Officer Management

ERIC Educational Resources Information Center

Borkowski, Tammy M.

2012-01-01

The United States Government relies on information technology to provide services to its citizens, spending more than $600 billion on its products and services in the last decade. Given the current fiscal climate, the Executive Branch of the United States Government has a renewed focus on information technology (IT) innovation, requiring federal…

Nongovernment Philanthropic Spending on Public Health in the United States.

PubMed

Shaw-Taylor, Yoku

2016-01-01

The objective of this study was to estimate the dollar amount of nongovernment philanthropic spending on public health activities in the United States. Health expenditure data were derived from the US National Health Expenditures Accounts and the US Census Bureau. Results reveal that spending on public health is not disaggregated from health spending in general. The level of philanthropic spending is estimated as, on average, 7% of overall health spending, or about $150 billion annually according to National Health Expenditures Accounts data tables. When a point estimate of charity care provided by hospitals and office-based physicians is added, the value of nongovernment philanthropic expenditures reaches approximately $203 billion, or about 10% of all health spending annually.

U.S. Geological Survey assessment of reserve growth outside of the United States

USGS Publications Warehouse

Klett, Timothy R.; Cook, Troy A.; Charpentier, Ronald R.; Tennyson, Marilyn E.; Le, Phuong A.

2015-12-21

The U.S. Geological Survey estimated volumes of technically recoverable, conventional petroleum resources resulting from reserve growth for discovered fields outside the United States that have reported in-place oil and gas volumes of 500 million barrels of oil equivalent or greater. The mean volumes of reserve growth were estimated at 665 billion barrels of crude oil; 1,429 trillion cubic feet of natural gas; and 16 billion barrels of natural gas liquids. These volumes constitute a significant portion of the world’s oil and gas resources and represent the potential future growth of current global reserves over time based on better assessment methodology, new technologies, and greater understanding of reservoirs.

The private sector economic and employment benefits to the nation and to each state of proposed FY 1990 NASA procurement expenditures

NASA Technical Reports Server (NTRS)

1989-01-01

The private sector economic and employment benefits (disaggregated among 80 industries and 475 occupations) of the proposed FY 1990 NASA procurement expenditures to the nation and to each state are estimated. Nationwide, it is found that FY 1990 NASA procurement expenditures of $11.3 billion will have an economic multiplier of 2.1 and will create, directly and indirectly, 237,000 jobs, $23.2 billion in total industry sales, $2.4 billion in corporate profits, and $7.4 billion in Federal, state, and local government tax revenues. These benefits are widely dispersed throughout the United States and are significant in many states not normally considered to be major beneficiaries of NASA spending. The indirect economic benefits are identified for each state resulting from the second-, third-, and fourth rounds of industry purchases generated by NASA procurement expenditures. Each state is ranked on the basis of several criteria, including the total benefits, indirect benefits, and per capita benefits received from NASA spending. The estimates developed are important for maintaining a viable U.S. Space Program through the remainder of this century.

Funding of US biomedical research, 2003-2008.

PubMed

Dorsey, E Ray; de Roulet, Jason; Thompson, Joel P; Reminick, Jason I; Thai, Ashley; White-Stellato, Zachary; Beck, Christopher A; George, Benjamin P; Moses, Hamilton

2010-01-13

With the exception of the American Recovery and Reinvestment Act, funding support for biomedical research in the United States has slowed after a decade of doubling. However, the extent and scope of slowing are largely unknown. To quantify funding of biomedical research in the United States from 2003 to 2008. Publicly available data were used to quantify funding from government (federal, state, and local), private, and industry sources. Regression models were used to compare financial trends between 1994-2003 and 2003-2007. The numbers of new drug and device approvals by the US Food and Drug Administration over the same period were also evaluated. Funding and growth rates by source; numbers of US Food and Drug Administration approvals. Biomedical research funding increased from $75.5 billion in 2003 to $101.1 billion in 2007. In 2008, funding from the National Institutes of Health and industry totaled $88.8 billion. In 2007, funding from these sources, adjusted for inflation, was $90.2 billion. Adjusted for inflation, funding from 2003 to 2007 increased by 14%, for a compound annual growth rate of 3.4%. By comparison, funding from 1994 to 2003 increased at an annual rate of 7.8% (P < .001). In 2007, industry (58%) was the largest funder, followed by the federal government (33%). Modest increase in funding was not accompanied by an increase in approvals for drugs or devices. In 2007, the United States spent an estimated 4.5% of its total health expenditures on biomedical research and 0.1% on health services research. After a decade of doubling, the rate of increase in biomedical research funding slowed from 2003 to 2007, and after adjustment for inflation, the absolute level of funding from the National Institutes of Health and industry appears to have decreased by 2% in 2008.

Health spending in the 1980's: Integration of clinical practice patterns with management

PubMed Central

Freeland, Mark S.; Schendler, Carol E.

1984-01-01

Health care spending in the United States more than tripled between 1972 and 1982, increasing from $94 billion to $322 billion. This growth substantially outpaced overall growth in the economy. National health expenditures are projected to reach approximately $690 billion in 1990 and consume roughly 12 percent of the gross national product. Government spending for health care is projected to reach $294 billion by 1990, with the Federal Government paying 72 percent. The Medicare prospective payment system and increasing competition in the health services sector are providing incentives to integrate clinical practice patterns with improved management practices. PMID:10310595

Clean Energy Manufacturing Boosting U.S. Competitiveness

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

2015-09-14

Clean energy manufacturing is booming in the United States. U.S. clean energy investment topped $51 billion in 2014 alone, and even more growth is expected in the $250 billion clean energy market worldwide in coming years. America has an important opportunity to continue growing clean energy manufacturing industries, along with the high quality jobs and stronger local economies that come with them.

Non-industrial private forests: timber supply for an uncertain future.

Treesearch

Ralph J. Alig

1990-01-01

According to U.S. Forest Service estimates (in press), annual timber harvest volume in the United States will have to increase from the 18 billion cubic feet of 1986 to 27 billion cubic feet by 2040 to satisfy increasing demand (Figure 1). It's doubtful that public forest lands can provide much of this additional timber, primarily because of increasing calls for...

Clean Energy Manufacturing Boosting U.S. Competitiveness

ScienceCinema

None

2018-06-06

Clean energy manufacturing is booming in the United States. U.S. clean energy investment topped $51 billion in 2014 alone, and even more growth is expected in the $250 billion clean energy market worldwide in coming years. America has an important opportunity to continue growing clean energy manufacturing industries, along with the high quality jobs and stronger local economies that come with them.

Managing the "other" forest: collecting and protecting nontimber forest products

Treesearch

Sally Duncan

2003-01-01

Wild harvest of nontimber forest products (NTFP) contributes to an international commercial trade in plant material—thought to be thousands of tons of raw product valued at billions of dollars. From 1991 through 1998, international trade in pharmaceutical plants alone was valued at over $1 billion, with the United States second only to China in value of...

Pallet re-use and recycling saves high value material from landfills

Treesearch

Urs Buehlmann; Philip Araman; Robert Bush

2010-01-01

Pallets move the world. In the United States, an estimated 4 billion pallets are in daily service. Nationwide, on an annual basis, an estimated 441 million new pallets are manufactured and 357 million pallets are repaired or rebuilt from discarded pallets. Manufacturing these pallets consumes more than seven billion bd ft1 of lumber annually, roughly two-thirds...

Arsenic in detergents: Possible danger and pollution hazard

USGS Publications Warehouse

Angino, E.E.; Magnuson, L.M.; Waugh, T.C.; Galle, O.K.; Bredfeldt, J.

1970-01-01

Arsenic at a concentration of 10 to 70 parts per million has been detected in several common presoaks and household detergents. Arsenic values of 2 to 8 parts per billion have been measured in the Kansas River. These concentrations are close to the amount (10 parts per billion) recommended by the United States Public Health Service as a drinking-water standard.

From the ground up: groundwater, surface water runoff, and air as pathogen routes for food contamination

USDA-ARS?s Scientific Manuscript database

Foodborne infectious disease transmission of 31 pathogen types is estimated to account for 9.4 million illnesses, 56,000 hospitalizations, and 1,300 deaths in the United States annually (Scallan et al. 2011). The economic costs from foodborne illness in the United States are more than $50 billion pe...

A New Landscape: Opportunities and Pitfalls for Universities Expanding in the Persian Gulf

ERIC Educational Resources Information Center

DiConsiglio, John

2009-01-01

Dozens of universities--primarily from the United States, United Kingdom, and Australia--are eyeing the Gulf region as a largely untapped reservoir of academic potential and economic opportunity. During the last few years, UAE states like Dubai, Abu Dhabi, Qatar, and Ras al Khaymah have spent billions to entice top universities. And many colleges…

Urban forest sustainability in the United States

Treesearch

David J. Nowak

2017-01-01

Urban forests in the United States provide numerous ecosystem services that vary in magnitude across the country and are valued in the billions of dollars per year. Urban tree cover has been on the decline in recent years. Numerous forces for change will continue to alter urban forests in the coming years (i.e., development, climate change, insects and diseases,...

Volume and Availability of Eastern Hardwoods

Treesearch

Raymond M. Sheffield; William A. Bechtold

1990-01-01

In the Eastern United States, some 354 million acres of timberland are classified as a hardwood or pine-hardwood forest type. The inventory of hardwood growing stock totals 275 billion cubic feet, or 90 percent of the hardwood inventory in the United States. Whereas hardwood inventories have increased by 70 percent since 1952, the availability of this resource for use...

The impact of free-ranging domestic cats on wildlife of the United States.

PubMed

Loss, Scott R; Will, Tom; Marra, Peter P

2013-01-01

Anthropogenic threats, such as collisions with man-made structures, vehicles, poisoning and predation by domestic pets, combine to kill billions of wildlife annually. Free-ranging domestic cats have been introduced globally and have contributed to multiple wildlife extinctions on islands. The magnitude of mortality they cause in mainland areas remains speculative, with large-scale estimates based on non-systematic analyses and little consideration of scientific data. Here we conduct a systematic review and quantitatively estimate mortality caused by cats in the United States. We estimate that free-ranging domestic cats kill 1.4-3.7 billion birds and 6.9-20.7 billion mammals annually. Un-owned cats, as opposed to owned pets, cause the majority of this mortality. Our findings suggest that free-ranging cats cause substantially greater wildlife mortality than previously thought and are likely the single greatest source of anthropogenic mortality for US birds and mammals. Scientifically sound conservation and policy intervention is needed to reduce this impact.

Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.

PubMed

Payette, Michael; Chatterjee, Abhishek; Weeks, William B

2009-06-01

Efforts to improve patient safety have attempted to incorporate aviation industry safety standards. We sought to evaluate the cost and workforce implications of applying aviation duty-hour restrictions to the entire practicing physician workforce. The work hours and personnel deficit for United States residents and practicing physicians that would be created by the adoption of aviation standards were calculated. Application of aviation standards to the resident workforce creates an estimated annual cost of $6.5 billion, requiring a 174% increase in the number of residents to meet the deficit. Its application to practicing physicians creates an additional annual cost of $80.4 billion, requiring a 71% increase in the physician workforce. Adding in the aviation industry's mandatory retirement age (65 years) increases annual costs by $10.5 billion. The cost per life-year saved would be $1,035,227. Application of aviation duty-hour restrictions to the United States health care system would be prohibitively costly. Alternate approaches for improving patient safety are warranted.

Assessing the coal resources of the United States

USGS Publications Warehouse

Gluskoter, Harold J.; Flores, R.M.; Hatch, J.; Kirschbaum, M.A.; Ruppert, L.F.; Warwick, Peter D.

1996-01-01

In 1994, coal production in the United States reached the highest level in history (slightly more than 909 million metric tons or one billion short tons), continuing the upward trend of coal production and utilization that began 34 years ago. Previous assessments of the coal resources of the United States, which were completed as early as 1909, clearly indicated that the total coal resources of the Nation are large and that utilization at the current rate will not soon deplete them.

Nongovernment Philanthropic Spending on Public Health in the United States

PubMed Central

2016-01-01

The objective of this study was to estimate the dollar amount of nongovernment philanthropic spending on public health activities in the United States. Health expenditure data were derived from the US National Health Expenditures Accounts and the US Census Bureau. Results reveal that spending on public health is not disaggregated from health spending in general. The level of philanthropic spending is estimated as, on average, 7% of overall health spending, or about $150 billion annually according to National Health Expenditures Accounts data tables. When a point estimate of charity care provided by hospitals and office-based physicians is added, the value of nongovernment philanthropic expenditures reaches approximately $203 billion, or about 10% of all health spending annually. PMID:26562104

Applying cost analyses to drive policy that protects children: mercury as a case study.

PubMed

Trasande, Leonardo; Schechter, Clyde; Haynes, Karla A; Landrigan, Philip J

2006-09-01

Exposure in prenatal life to methylmercury (MeHg) has become the topic of intense debate in the United States after the Environmental Protection Agency (EPA) announced a proposal in 2004 to reverse strict controls on emissions of mercury from coal-fired power plants that had been in effect for the preceding 15 years. This proposal failed to incorporate any consideration of the health impacts on children that would result from increased mercury emissions. We assessed the impact on children's health of industrial mercury emissions and found that between 316,588 and 637,233 babies are born with mercury-related losses of cognitive function ranging from 0.2 to 5.13 points. We calculated that decreased economic productivity resulting from diminished intelligence over a lifetime results in an aggregate economic cost in each annual birth cohort of $8.7 billion annually (range: $0.7-$13.9 billion, 2000 dollars). $1.3 billion (range: $51 million-$2.0 billion) of this cost is attributable to mercury emitted from American coal-fired power plants. Downward shifts in intellectual quotient (IQ) are also associated with 1566 (range: 115-2675) excess cases of mental retardation (MR defined as IQ < 70) annually. This number accounts for 3.2% (range: 0.2-5.4%) of MR cases in the United States. If the lifetime excess cost of a case of MR (excluding individual productivity losses) is $1,248,648 in 2000 dollars, then the cost of these excess cases of MR is $2.0 billion annually (range: $143 million-$3.3 billion). Preliminary data suggest that more stringent mercury policy options would prevent thousands of cases of MR and billions of dollars over the next 25 years.

Evaluation and Management of Diabetes Mellitus

PubMed Central

Nguyen, Quang; Nguyen, Loida; Felicetta, James

2008-01-01

Diabetes mellitus is a major public health problem with tremendous medical and economic burdens. It is the seventh leading cause of death and the number one cause of end-stage renal disease, adult blindness, impotence, and nontraumatic lower-limb amputation in the United States. People with diabetes are 2 to 4 times more likely to suffer from stroke or from cardiovascular disease, and are twice as likely to die compared with age-matched individuals without diabetes. Diabetes cost the United States around $174 billion in 2007, $58 billion of which was related to disability, work loss, and early mortality. Although there is currently no known cure for diabetes, much progress has been made over the past 2 decades to improve the diagnosis and management of diabetes. Evidence has shown that applying aggressive interventions early can prevent or delay progression to microvascular complications that increase the mortality rate in diabetes. The authors review the guidelines for optimal evaluation of diabetes mellitus and discuss the current and emerging therapeutic options available in the United States. PMID:25126259

Industrial R&D Spending Reached $26.6 Billion in 1976. Science Resources Studies Highlights, May 5, 1978.

ERIC Educational Resources Information Center

National Science Foundation, Washington, DC. Div. of Science Resources Studies.

This report presents data compiled as part of a comprehensive program to measure and analyze the nation's resources expended for research and development (R&D). Industry, which carries out 69% of the R&D in the United States, spent $26.6 billion on these activities in 1976, 10% above the 1975 level. In constant dollars, this presents an…

Water decontamination

Treesearch

Roger Rowell

2004-01-01

For 1.5 to 2.5 billion people in the world, lack of clean water is a critical issue. It is estimated that by the year 2025 there will be an additional 2.5 billion people who will live in regions already lacking sufficient clean water. In the United States today, it is estimated that 90% of citizens live within 10 mi of a body of contaminated water. Large numbers of...

A "Fat" Tax: Knowledge and Attitudes of Snack Food Taxing among College Students

ERIC Educational Resources Information Center

McMahan, Shari; Hampl, Jeffrey; Chikamoto, Yosuke

2003-01-01

The economic cost for the United States from heart disease, diabetes, and cancer is estimated at $71 billion annually. Along with this trend, the prevalence of obesity in the United States has reached epidemic proportions. To date, all interventions related to the prevention and treatment of obesity have failed. We must find a new way to prevent…

Contracting Data Analysis: Assessment of Government-Wide Trends

DTIC Science & Technology

2017-03-01

GAO-17-244SP United States Government Accountability Office (This Page Intentionally Left Blank) United States Government Accountability ...2015, accounting for almost 40 percent of the government’s discretionary spending. Because spending on contracts consumes a large portion of the...year 2015, federal agencies obligated over $430 billion through contracts for goods and services, accounting for almost 40 percent of the

JPRS Report, China.

DTIC Science & Technology

1991-09-27

in the world will be able to compare with the United IV. Basic Characteristics of the Future Multipolar States and the USSR in military strength...main characteristic of the bipolar age was two and strike capabilities. They were also the earliest to antithetical superpowers, formulation of a...over the adversary. By military expenditures, totaling $950 billion. Third, the comparison with the foregoing characteristics , the mul- United States

Retrospective cost-effectiveness analyses for polio vaccination in the United States.

PubMed

Thompson, Kimberly M; Tebbens, Radboud J Duintjer

2006-12-01

The history of polio vaccination in the United States spans 50 years and includes different phases of the disease, multiple vaccines, and a sustained significant commitment of resources. We estimated cost-effectiveness ratios and assessed the net benefits of polio vaccination applicable at various points in time from the societal perspective and we discounted these back to appropriate points in time. We reconstructed vaccine price data from available sources and used these to retrospectively estimate the total costs of the U.S. historical polio vaccination strategies (all costs reported in year 2002 dollars). We estimate that the United States invested approximately US dollars 35 billion (1955 net present value, discount rate of 3%) in polio vaccines between 1955 and 2005 and will invest approximately US dollars 1.4 billion (1955 net present value, or US dollars 6.3 billion in 2006 net present value) between 2006 and 2015 assuming a policy of continued use of inactivated poliovirus vaccine (IPV) for routine vaccination. The historical and future investments translate into over 1.7 billion vaccinations that prevent approximately 1.1 million cases of paralytic polio and over 160,000 deaths (1955 net present values of approximately 480,000 cases and 73,000 deaths). Due to treatment cost savings, the investment implies net benefits of approximately US dollars 180 billion (1955 net present value), even without incorporating the intangible costs of suffering and death and of averted fear. Retrospectively, the U.S. investment in polio vaccination represents a highly valuable, cost-saving public health program. Observed changes in the cost-effectiveness ratio estimates over time suggest the need for living economic models for interventions that appropriately change with time. This article also demonstrates that estimates of cost-effectiveness ratios at any single time point may fail to adequately consider the context of the investment made to date and the importance of population and other dynamics, and shows the importance of dynamic modeling.

Occupational injury and illness in the United States. Estimates of costs, morbidity, and mortality.

PubMed

Leigh, J P; Markowitz, S B; Fahs, M; Shin, C; Landrigan, P J

1997-07-28

To estimate the annual incidence, the mortality and the direct and indirect costs associated with occupational injuries and illnesses in the United States in 1992. Aggregation and analysis of national and large regional data sets collected by the Bureau of Labor Statistics, the National Council on Compensation Insurance, the National Center for Health Statistics, the Health Care Financing Administration, and other governmental bureaus and private firms. To assess incidence of and mortality from occupational injuries and illnesses, we reviewed data from national surveys and applied an attributable risk proportion method. To assess costs, we used the human capital method that decomposes costs into direct categories such as medical and insurance administration expenses as well as indirect categories such as lost earnings, lost home production, and lost fringe benefits. Some cost estimates were drawn from the literature while others were generated within this study. Total costs were calculated by multiplying average costs by the number of injuries and illnesses in each diagnostic category. Approximately 6500 job-related deaths from injury, 13.2 million nonfatal injuries, 60,300 deaths from disease, and 862,200 illnesses are estimated to occur annually in the civilian American workforce. The total direct ($65 billion) plus indirect ($106 billion) costs were estimated to be $171 billion. Injuries cost $145 billion and illnesses $26 billion. These estimates are likely to be low, because they ignore costs associated with pain and suffering as well as those of within-home care provided by family members, and because the numbers of occupational injuries and illnesses are likely to be undercounted. The costs of occupational injuries and illnesses are high, in sharp contrast to the limited public attention and societal resources devoted to their prevention and amelioration. Occupational injuries and illnesses are an insufficiently appreciated contributor to the total burden of health care costs in the United States.

The potential economic burden of Zika in the continental United States.

PubMed

Lee, Bruce Y; Alfaro-Murillo, Jorge A; Parpia, Alyssa S; Asti, Lindsey; Wedlock, Patrick T; Hotez, Peter J; Galvani, Alison P

2017-04-01

As the Zika virus epidemic continues to spread internationally, countries such as the United States must determine how much to invest in prevention, control, and response. Fundamental to these decisions is quantifying the potential economic burden of Zika under different scenarios. To inform such decision making, our team developed a computational model to forecast the potential economic burden of Zika across six states in the US (Alabama, Florida, Georgia, Louisiana, Mississippi, and Texas) which are at greatest risk of Zika emergence, under a wide range of attack rates, scenarios and circumstances. In order to accommodate a wide range of possibilities, different scenarios explored the effects of varying the attack rate from 0.01% to 10%. Across the six states, an attack rate of 0.01% is estimated to cost $183.4 million to society ($117.1 million in direct medical costs and $66.3 million in productivity losses), 0.025% would result in $198.6 million ($119.4 million and $79.2 million), 0.10% would result in $274.6 million ($130.8 million and $143.8 million) and 1% would result in $1.2 billion ($268.0 million and $919.2 million). Our model and study show how direct medical costs, Medicaid costs, productivity losses, and total costs to society may vary with different attack rates across the six states and the circumstances at which they may exceed certain thresholds (e.g., Zika prevention and control funding allocations that are being debated by the US government). A Zika attack rate of 0.3% across the six states at greatest risk of Zika infection, would result in total costs that exceed $0.5 billion, an attack rate of 1% would exceed $1 billion, and an attack rate of 2% would exceed $2 billion.

Phosphate rock resources of the United States

USGS Publications Warehouse

Cathcart, James Bachelder; Sheldon, Richard Porter; Gulbrandsen, Robert A.

1984-01-01

In 1980, the United States produced about 54 million tons of phosphate rock, or about 40 percent of the world's production, of which a substantial amount was exported, both as phosphate rock and as chemical fertilizer. During the last decade, predictions have been made that easily ruinable, low-cost reserves of phosphate rock would be exhausted, and that by the end of this century, instead of being a major exporter of phosphate rock, the United States might become a net importer. Most analysts today, however, think that exports will indeed decline in the next one or two decades, but that resources of phosphate are sufficient to supply domestic needs for a long time into the future. What will happen in the future depends on the actual availability of low-cost phosphate rock reserves in the United States and in the world. A realistic understanding of future phosphate rock reserves is dependent on an accurate assessment, now, of national phosphate rock resources. Many different estimates of resources exist; none of them alike. The detailed analysis of past resource estimates presented in this report indicates that the estimates differ more in what is being estimated than in how much is thought to exist. The phosphate rock resource classification used herein is based on the two fundamental aspects of a mineral resource(l) the degree of certainty of existence and (2) the feasibility of economic recovery. The comparison of past estimates (including all available company data), combined with the writers' personal knowledge, indicates that 17 billion metric tons of identified, recoverable phosphate rock exist in the United States, of which about 7 billion metric tons are thought to be economic or marginally economic. The remaining 10 billion metric tons, mostly in the Northwestern phosphate district of Idaho, are considered to be subeconomic, ruinable when some increase in the price of phosphate occurs. More than 16 billion metric tons probably exist in the southeastern Coastal Plain phosphate province, principally in Florida and North Carolina and offshore in the shallow Atlantic Ocean from North Carolina to southern Florida. This resource is considered to be hypothetical because it is based on geologic inference combined with sparse drilling data. Total resources of phosphate rock in the United States are sufficient to supply domestic demands for the foreseeable future, provided that drilling is done to confirm hypothetical resources and the chemistry of the deposits is determined. Mining and beneficiation techniques will have to be modified or improved, and new techniques will have to be developed so that these deposits can be profitably exploited.

Public Higher Education Governance: An Empirical Examination

ERIC Educational Resources Information Center

Fowles, Jacob

2010-01-01

Public higher education is a large enterprise in the United States. Total state expenditures for higher education totaled nearly $152 billion dollars in FY2008, accounting for over ten percent of total state expenditures and representing the single largest category of discretionary spending in most states (NASBO, 2009). The last three decades have…

FPI Cohort Reports: California State University System

ERIC Educational Resources Information Center

Quirk, Robert J.

2013-01-01

The California State University (CSU) system is the largest higher educational system in the United States. The system has physical assets valued at more than $20 billion (current replacement value) on the "State" side of the house alone. With over 1,200 buildings, and 50 million square foot of mixed-use space, the CSU facility managers…

Save water, save money

USGS Publications Warehouse

,; Fairfax County, VA

1977-01-01

The United States uses huge quantities of water. In 1976, for example, it was estimated that for each person in the U.S., about 2,000 gallons of water were used daily in homes, offices, farms, and factories. This means that roughly 420 billion gallons of water were pumped, piped, or diverted each day—about 15 percent more than in 1970. By the year 2000, our daily water needs will probably exceed 800 billion gallons.

U.S.-French Commercial Ties

DTIC Science & Technology

2008-05-19

Z39-18 U.S.- French Commercial Ties Summary U.S. commercial ties with France are extensive, mutually profitable, and growing. With over $1.2 billion...relationship. The scale of sales of U.S.-owned companies operating in France and French -owned companies operating in the United States outweighs trade...with investments valued at $65.9 billion was the number one foreign investor in France . During that same year, French companies had direct

Impact of the great recession on the forest products industry in the western United States

Treesearch

Charles E. Keegan; Collin B. Sorenson; Todd A. Morgan; Jean M. Daniels; Steven W. Hayes

2012-01-01

Wood product prices and production fell dramatically in 2009 as a severe recession and massive decline in U.S. housing led to a global financial crisis. In 2009 and 2010, virtually every major western mill suffered curtailments and 30 large mills closed permanently. Sales value of wood and paper products in the West dropped from $49 billion in 2005 to $34 billion in...

Africa, the G8, and the Blair Initiative

DTIC Science & Technology

2005-06-14

international financial institutions. The IFF would issue bonds to finance an additional $25 billion in annual aid to Africa for three to five years...followed by another $25 billion boost if African governments improve their managerial and administrative capabilities. IFF bonds would be backed by a... bonds after 2015 would unconstitutionally bind future Congresses; others point out that the United States routinely agrees to repay debt in the future

Vertical nuclear proliferation.

PubMed

Sidel, Victor W

2007-01-01

All the nuclear-weapon states are working to develop new nuclear-weapon systems and upgrade their existing ones. Although the US Congress has recently blocked further development of small nuclear weapons and earth-penetrating nuclear weapons, the United States is planning a range of new warheads under the Reliable Replacement Warhead programme, and renewing its nuclear weapons infrastructure. The United Kingdom is spending 1 billion pounds sterling on updating the Atomic Weapons Establishment at Aldermaston, and about 20 billion pounds sterling on replacing its Vanguard submarines and maintaining its Trident warhead stockpile. The US has withdrawn from the Anti-Ballistic Missile Treaty and plans to install missile defence systems in Poland and the Czech Republic; Russia threatens to upgrade its nuclear countermeasures. The nuclear-weapon states should comply with their obligations under Article VI of the Non-Proliferation Treaty, as summarised in the 13-point plan agreed at the 2000 NPT Review Conference, and they should negotiate a Nuclear Weapons Convention.

Change in the southern U.S. water demand and supply over the next forty years

Treesearch

Steven C. McNulty; Ge Sun; Erika C. Cohen; Jennifer A. Moore Myers

2008-01-01

Water shortages are often considered a problem in the western United States, where water supply is limited compared to the eastern half of the country. However, periodic water shortages are also common in the southeastern United States due to high water demand and periodic drought. Southeastern U.S. municipalities spend billions of dollars to develop water storage...

Global Climate Change: Three Policy Perspectives

DTIC Science & Technology

2008-11-26

example, the EPA spent approximately $2 billion supporting development of a feasible flue gas desulfurization (FGD) device for electric utility use to...Framework Convention on Climate Change, the United States committed to the objective of achieving “stabilization of greenhouse gas concentrations in...the United States would convene a meeting of the world’s “major economies” that are responsible for most greenhouse gas emissions. Held in September

Challenges Faced by African International Students at a Metropolitan Research University: A Phenomenological Case Study

ERIC Educational Resources Information Center

Evivie, Loretta Gbemudu

2009-01-01

The number of international students coming to the United States has increased from 48,486 in 1959-1960 to 623,805 in the 2007-2008 academic years (Open Doors, 2008). These students contributed $15.5 billion to the United States economy, making education the nation's fifth largest service export (Open Doors, 2008). The literature has focused on…

Iraq: Recent Developments in Reconstruction Assistance

DTIC Science & Technology

2005-01-27

Developments in Reconstruction Assistance Summary Large-scale reconstruction assistance programs are being undertaken by the United States following the war...in grant aid and as much as $13.3 billion in possible loans. On June 28, 2004, the entity implementing assistance programs , the Coalition Provisional... programs are being undertaken by the United States in Iraq. This report describes recent developments in this assistance effort. The report will be updated

Iraq: Recent Developments in Reconstruction Assistance

DTIC Science & Technology

2004-12-20

Developments in Reconstruction Assistance Summary Large-scale reconstruction assistance programs are being undertaken by the United States following the war...in grant aid and as much as $13.3 billion in possible loans. On June 28, 2004, the entity implementing assistance programs , the Coalition... programs are being undertaken by the United States in Iraq. This report describes recent developments in this assistance effort. The report will be

Guaranteed Loan Programs Are an Increasing Risk. Statement of Donald H. Chapin given before the Committee on Government Affairs, United States Senate.

ERIC Educational Resources Information Center

Chapin, Donald H.

Testimony is presented concerning the financial burden the United States government is expected to endure from the billions of dollars in loans it has guaranteed (and continues to guarantee) for business, education, housing, and other purposes, many of which are in areas now experiencing economically hard times. The testimony discusses predicting…

Suicide and Suicidal Attempts in the United States: Costs and Policy Implications.

PubMed

Shepard, Donald S; Gurewich, Deborah; Lwin, Aung K; Reed, Gerald A; Silverman, Morton M

2016-06-01

The national cost of suicides and suicide attempts in the United States in 2013 was $58.4 billion based on reported numbers alone. Lost productivity (termed indirect costs) represents most (97.1%) of this cost. Adjustment for under-reporting increased the total cost to $93.5 billion or $298 per capita, 2.1-2.8 times that of previous studies. Previous research suggests that improved continuity of care would likely reduce the number of subsequent suicidal attempts following a previous nonfatal attempt. We estimate a highly favorable benefit-cost ratio of 6 to 1 for investments in additional medical, counseling, and linkage services for such patients. © 2015 The Authors. Suicide and LifeThreatening Behavior published by Wiley Periodicals, Inc. on behalf of American Association of Suicidology.

Long-range side scan sonar and geophysical survey of the Aleutian Basin

NASA Astrophysics Data System (ADS)

Carlson, P. R.; Cooper, , A. K.; Gardner, J. V.; Karl, H. A.; Marlow, M. S.; Stevenson, A. J.; Huggett, Q.; Kenyon, N. H.; Parson, L. M.

In 1983, President Ronald Reagan established the Exclusive Economic Zone, an area of 3.9 billion acres (˜1.6 billion hectares) that gives the United States exclusive rights to energy and mineral resources on and under the seafloor for a distance of 200 nautical miles (˜370 km) from its coastline and in its territorial seas [Rowland et al., 1983]. The U.S. Geological Survey established a program, EEZ-Scan, in spring 1984 to map this new undersea territory [Gardner, 1984; EEZ-Scan Group, 1985]. The results of the first field season of mapping the EEZ off the conterminous west coast of the United States have been published as an atlas [EEZ-Scan 84 Scientific Staff, 1986] that is the first volume of a series.

Forecasting the future of stroke in the United States: a policy statement from the American Heart Association and American Stroke Association.

PubMed

Ovbiagele, Bruce; Goldstein, Larry B; Higashida, Randall T; Howard, Virginia J; Johnston, S Claiborne; Khavjou, Olga A; Lackland, Daniel T; Lichtman, Judith H; Mohl, Stephanie; Sacco, Ralph L; Saver, Jeffrey L; Trogdon, Justin G

2013-08-01

Stroke is a leading cause of disability, cognitive impairment, and death in the United States and accounts for 1.7% of national health expenditures. Because the population is aging and the risk of stroke more than doubles for each successive decade after the age of 55 years, these costs are anticipated to rise dramatically. The objective of this report was to project future annual costs of care for stroke from 2012 to 2030 and discuss potential cost reduction strategies. The American Heart Association/American Stroke Association developed methodology to project the future costs of stroke-related care. Estimates excluded costs associated with other cardiovascular diseases (hypertension, coronary heart disease, and congestive heart failure). By 2030, 3.88% of the US population>18 years of age is projected to have had a stroke. Between 2012 and 2030, real (2010$) total direct annual stroke-related medical costs are expected to increase from $71.55 billion to $183.13 billion. Real indirect annual costs (attributable to lost productivity) are projected to rise from $33.65 billion to $56.54 billion over the same period. Overall, total annual costs of stroke are projected to increase to $240.67 billion by 2030, an increase of 129%. These projections suggest that the annual costs of stroke will increase substantially over the next 2 decades. Greater emphasis on implementing effective preventive, acute care, and rehabilitative services will have both medical and societal benefits.

Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association.

PubMed

Heidenreich, Paul A; Albert, Nancy M; Allen, Larry A; Bluemke, David A; Butler, Javed; Fonarow, Gregg C; Ikonomidis, John S; Khavjou, Olga; Konstam, Marvin A; Maddox, Thomas M; Nichol, Graham; Pham, Michael; Piña, Ileana L; Trogdon, Justin G

2013-05-01

Heart failure (HF) is an important contributor to both the burden and cost of national healthcare expenditures, with more older Americans hospitalized for HF than for any other medical condition. With the aging of the population, the impact of HF is expected to increase substantially. We estimated future costs of HF by adapting a methodology developed by the American Heart Association to project the epidemiology and future costs of HF from 2012 to 2030 without double counting the costs attributed to comorbid conditions. The model assumes that HF prevalence will remain constant by age, sex, and race/ethnicity and that rising costs and technological innovation will continue at the same rate. By 2030, >8 million people in the United States (1 in every 33) will have HF. Between 2012 and 2030, real (2010$) total direct medical costs of HF are projected to increase from $21 billion to $53 billion. Total costs, including indirect costs for HF, are estimated to increase from $31 billion in 2012 to $70 billion in 2030. If one assumes all costs of cardiac care for HF patients are attributable to HF (no cost attribution to comorbid conditions), the 2030 projected cost estimates of treating patients with HF will be 3-fold higher ($160 billion in direct costs). The estimated prevalence and cost of care for HF will increase markedly because of aging of the population. Strategies to prevent HF and improve the efficiency of care are needed.

Forecasting the Impact of Heart Failure in the United States

PubMed Central

Heidenreich, Paul A.; Albert, Nancy M.; Allen, Larry A.; Bluemke, David A.; Butler, Javed; Fonarow, Gregg C.; Ikonomidis, John S.; Khavjou, Olga; Konstam, Marvin A.; Maddox, Thomas M.; Nichol, Graham; Pham, Michael; Piña, Ileana L.; Trogdon, Justin G.

2013-01-01

Background Heart failure (HF) is an important contributor to both the burden and cost of national healthcare expenditures, with more older Americans hospitalized for HF than for any other medical condition. With the aging of the population, the impact of HF is expected to increase substantially. Methods and Results We estimated future costs of HF by adapting a methodology developed by the American Heart Association to project the epidemiology and future costs of HF from 2012 to 2030 without double counting the costs attributed to comorbid conditions. The model assumes that HF prevalence will remain constant by age, sex, and race/ethnicity and that rising costs and technological innovation will continue at the same rate. By 2030, >8 million people in the United States (1 in every 33) will have HF. Between 2012 and 2030, real (2010$) total direct medical costs of HF are projected to increase from $21 billion to $53 billion. Total costs, including indirect costs for HF, are estimated to increase from $31 billion in 2012 to $70 billion in 2030. If one assumes all costs of cardiac care for HF patients are attributable to HF (no cost attribution to comorbid conditions), the 2030 projected cost estimates of treating patients with HF will be 3-fold higher ($160 billion in direct costs). Conclusions The estimated prevalence and cost of care for HF will increase markedly because of aging of the population. Strategies to prevent HF and improve the efficiency of care are needed. PMID:23616602

National water summary 1983: Hydrologic events and issues

USGS Publications Warehouse

,

1984-01-01

The United States as a Nation possesses abundant water resources and has developed and used those resources extensively. The national renewable supply of water is about 1,400 billion gallons per day (for the conterminous 48 States). Approximately 380 billion gallons per day of freshwater is withdrawn for use by the Nation's homes, farms, and industries, and about 280 billion gallons per day is returned to streams. Although a large percentage of the Nation's waste is carried in this return flow, the quality of water in streams has improved in many respects as a result of the pollution-control pro- grams of recent years. However, much remains to be learned about water quality particularly the extent of contamination by synthetic organic chemicals and heavy metals, and the effects of these contaminants on human health.

Modeling The Economic Burden Of Adult Vaccine-Preventable Diseases In The United States.

PubMed

Ozawa, Sachiko; Portnoy, Allison; Getaneh, Hiwote; Clark, Samantha; Knoll, Maria; Bishai, David; Yang, H Keri; Patwardhan, Pallavi D

2016-11-01

Vaccines save thousands of lives in the United States every year, but many adults remain unvaccinated. Low rates of vaccine uptake lead to costs to individuals and society in terms of deaths and disabilities, which are avoidable, and they create economic losses from doctor visits, hospitalizations, and lost income. To identify the magnitude of this problem, we calculated the current economic burden that is attributable to vaccine-preventable diseases among US adults. We estimated the total remaining economic burden at approximately $9 billion (plausibility range: $4.7-$15.2 billion) in a single year, 2015, from vaccine-preventable diseases related to ten vaccines recommended for adults ages nineteen and older. Unvaccinated individuals are responsible for almost 80 percent, or $7.1 billion, of the financial burden. These results not only indicate the potential economic benefit of increasing adult immunization uptake but also highlight the value of vaccines. Policies should focus on minimizing the negative externalities or spillover effects from the choice not to be vaccinated, while preserving patient autonomy. Project HOPE—The People-to-People Health Foundation, Inc.

Federally owned coal and federal lands in the Colorado Plateau region

USGS Publications Warehouse

,

1999-01-01

Federally owned coal plays a major role in the energy supply of the United States. About 1.1 billion tons of coal were produced in the United States in 1997 (U.S. Department of Energy, 1998). About 30 percent of that total, or about 330 million tons, came from Federal lands. Almost all of the Federal coal production is from Wyoming, Montana, and three States in the Colorado Plateau Region—Utah, Colorado, and New Mexico.

Total and state-specific medical and absenteeism costs of COPD among adults aged ≥ 18 years in the United States for 2010 and projections through 2020.

PubMed

Ford, Earl S; Murphy, Louise B; Khavjou, Olga; Giles, Wayne H; Holt, James B; Croft, Janet B

2015-01-01

COPD remains a leading cause of morbidity and mortality. The objectives of this study were to estimate (1) national US COPD-attributable annual medical costs by payer (direct) and absenteeism (indirect) in 2010 and projected medical costs through 2020 and (2) state-specific COPD-attributable medical and absenteeism costs in 2010. We used the 2006-2010 Medical Expenditure Panel Survey, the 2004 National Nursing Home Survey, and 2010 Centers for Medicare and Medicaid Services data to generate cost estimates and 2010 census data to project medical costs through 2020. In 2010, total national medical costs attributable to COPD and its sequelae were estimated at $32.1 billion, and total absenteeism costs were $3.9 billion, for a total burden of COPD-attributable costs of $36 billion. An estimated 16.4 million days of work were lost because of COPD. Of the medical costs, 18% was paid for by private insurance, 51% by Medicare, and 25% by Medicaid. National medical costs are projected to increase from $32.1 billion in 2010 to $49.0 billion in 2020. Total state-specific costs in 2010 ranged from $49.1 million in Wyoming to $2.8 billion in California: medical costs ranged from $42.5 million in Alaska to $2.5 billion in Florida and absenteeism costs ranged from $8.4 million in Wyoming to $434.0 million in California. Costs attributable to COPD and its sequelae are substantial and are projected to increase through 2020. Evidence-based interventions that prevent tobacco use and reduce the clinical complications of COPD may result in potential decreased COPD-attributable costs.

Education Issues. Transition Series.

ERIC Educational Resources Information Center

Comptroller General of the U.S., Washington, DC.

The United States educational system is not meeting the increasing demand for highly skilled workers required in the international marketplace. While local, state, and federal governments spend $221 billion on public elementary and secondary education, only a small percentage of the nation's students have adequate reasoning and problem-solving…

Israel: Background and Relations with the United States

DTIC Science & Technology

2006-11-14

investment of up to $3.5 billion or $525 million to secure the deal. In May 2006, prominent U.S. investor Warren Buffet announced that he was buying...into account changed “realities on the ground, including already existing major Israeli population centers” (i.e., settlements), asserting “it is...weapons to military targets. Other Current Issues Military Sales. Israel accounts for about 10% of the world’s defense exports, totaling $3.5 billion in

Educational Assistance Overpayments, A Billion Dollar Problem--A Look at the Causes, Solutions, and Collection Efforts. Veterans Administration. Report to the Congress by the Comptroller General of the United States.

ERIC Educational Resources Information Center

Comptroller General of the U.S., Washington, DC.

Overpayments to veterans and veterans' dependents under the VA's educational assistance programs have increased dramatically in recent years; as of the end of 1975, cumulative overpayments totaled almost $1.4 billion. In fiscal year 1967, overpayments represented 0.7 percent of VA's total educational benefits paid, whereas in the first six months…

USA: Economica, Politics, Ideology. Number 6, June 1977

DTIC Science & Technology

1977-07-07

important factors intensifying the contradictions and increasing the dif- ficulties in the American economy. It coincided with the most severe cyclical...energy resources. Since the beginning of the 1950’s, the energy needs of the United States have increased more rapidly than the domestic production...1.229 billion tons of fuel in 1950 to 2.592 billion tons in 1975; this was an increase of 111 percent. The average rate of increase in consumption

Arms Control and Nonproliferation: A Catalog of Treaties and Agreements

DTIC Science & Technology

2009-02-10

agreements to address U.S. security concerns. The United States and Soviet Union began to sign agreements limiting their strategic offensive nuclear ...era nuclear , chemical, and biological weapons. Through these cooperative efforts, the United States now allocates more than $1 billion each year to...spread of nuclear weapons. This regime, although suffering from some setbacks in recent years in Iran and North Korea, includes formal treaties

Cancer Statistics

MedlinePlus

... 1,790 died of the disease. Estimated national expenditures for cancer care in the United States in 2017 were $147.3 billion. In future years, costs are likely to increase as the population ages and cancer prevalence increases. ...

7 CFR 996.11 - Negative aflatoxin content.

Code of Federal Regulations, 2011 CFR

2011-01-01

... STANDARDS FOR DOMESTIC AND IMPORTED PEANUTS MARKETED IN THE UNITED STATES Definitions § 996.11 Negative aflatoxin content. Negative aflatoxin content means 15 parts per billion (ppb) or less for peanuts that have...

7 CFR 996.11 - Negative aflatoxin content.

Code of Federal Regulations, 2010 CFR

2010-01-01

... STANDARDS FOR DOMESTIC AND IMPORTED PEANUTS MARKETED IN THE UNITED STATES Definitions § 996.11 Negative aflatoxin content. Negative aflatoxin content means 15 parts per billion (ppb) or less for peanuts that have...

Current nuclear threats and possible responses

NASA Astrophysics Data System (ADS)

Lamb, Frederick K.

2005-04-01

Over the last 50 years, the United States has spent more than 100 billion developing and building a variety of systems intended to defend its territory against intercontinental-range ballistic missiles. Most of these systems never became operational and ultimately all were judged ineffective. The United States is currently spending about 10 billion per year developing technologies and systems intended to defend against missiles that might be acquired in the future by North Korea or Iran. This presentation will discuss these efforts ad whether they are likely to be more effective than those of the past. It will also discuss the proper role of anti-ballistic programs at a time when the threat of a nuclear attack on the U.S. by terrorists armed with nuclear weapons is thought to be much higher than the threat of an attack by nuclear-armed ballistic missles.

Health care administration in the United States and Canada: micromanagement, macro costs.

PubMed

Woolhandler, Steffie; Campbell, Terry; Himmelstein, David U

2004-01-01

A decade ago, U.S. health administration costs greatly exceeded Canada's. Have the computerization of billing and the adoption of a more business-like approach to care cut administrative costs? For the United States and Canada, the authors calculated the 1999 administrative costs of health insurers, employers' health benefit programs, hospitals, practitioners' offices, nursing homes, and home care agencies; they analyzed published data, surveys of physicians, employment data, and detailed cost reports filed by hospitals, nursing homes, and home care agencies; they used census surveys to explore time trends in administrative employment in health care settings. Health administration costs totaled at least dollar 294.3 billion, dollar 1,059 per capita, in the United States vs. dollar 9.4 billion, dollar 307 per capita, in Canada. After exclusions, health administration accounted for 31.0 percent of U.S. health expenditures vs. 16.7 percent of Canadian. Canada's national health insurance program had an overhead of 1.3 percent, but overhead among Canada's private insurers was higher than in the U.S.: 13.2 vs. 11.7 percent. Providers' administrative costs were far lower in Canada. Between 1969 and 1999 administrative workers' share of the U.S. health labor force grew from 18.2 to 27.3 percent; in Canada it grew from 16.0 percent in 1971 to 19.1 percent in 1996. Reducing U.S. administrative costs to Canadian levels would save at least dollar 209 billion annually, enough to fund universal coverage.

When Weather Matters: Science and Service to Meet Critical Societal Needs

NASA Technical Reports Server (NTRS)

2010-01-01

The goal of weather prediction is to provide information people and organizations can use to reduce weather-related losses and enhance societal benefits, including protection of life and property, public health and safety, and support of economic prosperity and quality of life. In economic terms, the benefit of the investment in public weather forecasts and warnings is substantial: the estimated annualized benefit is about $31.5 billion, compared to the $5.1 billion cost of generating the information. Between 1980 and 2009, 96 weather disasters in the United States each caused at least $1 billion in damages, with total losses exceeding $700 billion. Between 1999 and 2008, there were an average of 629 direct weather fatalities per year. The annual impacts of adverse weather on the national highway system and roads are staggering: 1.5 million weather-related crashes with 7,400 deaths, more than 700,000 injuries, and $42 billion in economic losses.

Evaluation of the Level of Food Safety Protection Provided by the U.S. Grade "A" Pasteurized Milk Ordinance and Its Associated Cooperative Grade "A" Milk Safety Program.

PubMed

Ma, Yinqing; Klontz, Karl C; DiNovi, Michael J; Edwards, Alison J; Hennes, Robert F

2015-08-01

The present study was conducted to evaluate the level of food safety protection provided to consumers of Grade "A" milk and milk products in the United States by the National Conference on Interstate Milk Shipments (NCIMS) Grade "A" Milk Safety Program through its implementation and enforcement of the U.S. Grade "A" Pasteurized Milk Ordinance (PMO). The number of reported illnesses associated with Grade "A" milk and milk products in the United States was obtained from state and federal agencies and published articles. The consumption of Grade "A" milk and milk products in the United States was estimated from food consumption survey data for individuals. The level of food safety protection was measured quantitatively using the metric of annual illness attack rate. During a 15-year period (1999 through 2013), the estimated annual illness attack rate was 0.41 reported illnesses per 1 billion exposures (estimated using person-day intake data) or 0.52 reported illnesses per 1 billion lb (454 million kg) of Grade "A" milk and milk products consumed. Food safety protection provided to consumers of Grade "A" milk and milk products by the NCIMS through its implementation and enforcement of the PMO is important given the common consumption of Grade "A" milk and milk products in the United States.

Israel: Background and Relations with the United States

DTIC Science & Technology

2008-02-26

2004, however President Bush noted the need to take into account changed “realities on the ground, including already existing major Israeli population...Israel provided a grant of 15% of an investment of up to $3.5 billion or $525 million to secure the deal. In May 2006, prominent U.S. investor Warren ... Buffet announced that he was buying 80% of Iscar, a major Israeli metalworks, for $4 billion. Energy Cooperation. In the context of Israel’s

Investigation of superstorm Sandy 2012 in a multi-disciplinary approach

NASA Astrophysics Data System (ADS)

Kunz, M.; Mühr, B.; Kunz-Plapp, T.; Daniell, J. E.; Khazai, B.; Wenzel, F.; Vannieuwenhuyse, M.; Comes, T.; Elmer, F.; Schröter, K.; Fohringer, J.; Münzberg, T.; Lucas, C.; Zschau, J.

2013-03-01

At the end of October 2012, Hurricane Sandy moved from the Caribbean Sea into the Atlantic Ocean and entered the United States not far from New York. Along its track, Sandy caused more than 200 fatalities and severe losses in Jamaica, Bahamas, Haiti, Cuba, and the US. This paper demonstrates the capability and potential for near-real time analysis of catastrophes. It is shown that the impact of Sandy was driven by the superposition of different extremes (high wind speeds, storm surge, heavy precipitation) and by cascading effects. In particular the interaction between Sandy and an extra-tropical weather system created a huge storm that affected large areas in the US. It is examined how Sandy compares to historic hurricane events, both from a hydro-meteorological and impact perspective. The distribution of losses to different sectors of the economy is calculated with simple input-output models as well as government estimates. Direct economic losses are estimated about 4.2 billion US in the Caribbean and between 78 and 97 billion US for the US. Indirect economic losses from power outages is estimated in the order of 16.3 billion US. Modelling sector-specific dependencies, quantifies total business interruption losses between 10.8 and 15.5 billion US. Thus, seven years after the record impact of Hurricane Katrina in 2005, Hurricane Sandy is the second costliest hurricane in the history of the United States.

Investigation of superstorm Sandy 2012 in a multi-disciplinary approach

NASA Astrophysics Data System (ADS)

Kunz, M.; Mühr, B.; Kunz-Plapp, T.; Daniell, J. E.; Khazai, B.; Wenzel, F.; Vannieuwenhuyse, M.; Comes, T.; Elmer, F.; Schröter, K.; Fohringer, J.; Münzberg, T.; Lucas, C.; Zschau, J.

2013-10-01

At the end of October 2012, Hurricane Sandy moved from the Caribbean Sea into the Atlantic Ocean and entered the United States not far from New York. Along its track, Sandy caused more than 200 fatalities and severe losses in Jamaica, The Bahamas, Haiti, Cuba, and the US. This paper demonstrates the capability and potential for near-real-time analysis of catastrophes. It is shown that the impact of Sandy was driven by the superposition of different extremes (high wind speeds, storm surge, heavy precipitation) and by cascading effects. In particular the interaction between Sandy and an extra-tropical weather system created a huge storm that affected large areas in the US. It is examined how Sandy compares to historic hurricane events, both from a hydro-meteorological and impact perspective. The distribution of losses to different sectors of the economy is calculated with simple input-output models as well as government estimates. Direct economic losses are estimated about USD 4.2 billion in the Caribbean and between USD 78 and 97 billion in the US. Indirect economic losses from power outages is estimated in the order of USD 16.3 billion. Modelling sector-specific dependencies quantifies total business interruption losses between USD 10.8 and 15.5 billion. Thus, seven years after the record impact of Hurricane Katrina in 2005, Hurricane Sandy is the second costliest hurricane in the history of the United States.

State summaries: California

USGS Publications Warehouse

Kohl, S. G.

2006-01-01

According to the United States Geological Survey (USGS), California ranked second behind Arizona among the states in nonfuel mineral production during 2005. It accounted for 7% of the US's total. The market value of mineral production for California amounted to $3.7 billion. During the year, California produced 30 varieties of industrial minerals. The nonfuel minerals came from 820 active mines.

Industrial diamond

USGS Publications Warehouse

Olson, D.W.

2012-01-01

Estimated 2011 world production of natural and synthetic industrial diamond was about 4.45 billion carats. During 2011, natural industrial diamonds were produced in more than 20 countries, and synthetic industrial diamond was produced in at least 13 countries. About 98 percent of the combined natural and synthetic global output was produced in China, Ireland, Japan, Russia, South Africa and the United States. China is the world's leading producer of synthetic industrial diamond followed by Russia and the United States.

Impacts of urbanization on stream water quantity and quality in the United States

Treesearch

Ge Sun; Peter Caldwell

2015-01-01

Since the 1950s, the world’s urban population has grown more than 400% to 3.9 billion today. About 60% of the total population is expected to live in urban areas by the year 2025. For the United States (U.S.), 80% of the population lives in urban areas. The Earth has entered into the Anthropocene, a new geological epoch dominated by urbanization and people.

Critical incident management guidelines

DOT National Transportation Integrated Search

1998-07-01

The public transportation network in the United States includes 508 bus and rail agencies and 15 commuter railroads providing 22 million trips daily, 8 billion trips annually. These agencies employ almost 300,000 people and provide approximately 41 b...

Estimating usable resources from historical industry data

USGS Publications Warehouse

Cargill, S.M.; Root, D.H.; Bailey, E.H.

1981-01-01

Historical production statistics are used to predict the quantity of remaining usable resources. The commodities considered are mercury, copper and its byproducts gold and silver, and petroleum; the production and discovery data are for the United States. The results of the study indicate that the cumulative return per unit of effort, herein measured as grade of metal ores and discovery rate of recoverable petroleum, is proportional to a negative power of total effort expended, herein measured as total ore mined and total exploratory wells or footage drilled. This power relationship can be extended to some limiting point (a lower ore grade or a maximum number of exploratory wells or footage), and the apparent quantity of available remaining resource at that limit can be calculated. For mercury ore of grades at and above 0.1 percent, the remaining usable resource in the United States is calculated to be 54 million kg (1,567,000 flasks). For copper ore of grades at and above 0.2 percent, the remaining usable copper resource is calculated to be 270 million metric tons (298 million short tons); remaining resources of its by-products gold and silver are calculated to be 3,656 metric tons (118 million troy ounces) and 64,676 metric tons (2,079 million troy ounces), respectively. The undiscovered recoverable crude oil resource in the conterminous United States, at 3 billion feet of additional exploratory drilling, is calculated to be nearly 37.6 billion barrels; the undiscovered recoverable petroleum resource in the Permian basin of western Texas and southeastern New Mexico, at 300 million feet of additional exploratory drilling or 50,000 additional exploratory wells, is calculated to be about 6.2 billion BOE (barrels of oil equivalent).

Economic burden of seasonal influenza in the United States.

PubMed

Putri, Wayan C W S; Muscatello, David J; Stockwell, Melissa S; Newall, Anthony T

2018-05-22

Seasonal influenza is responsible for a large disease and economic burden. Despite the expanding recommendation of influenza vaccination, influenza has continued to be a major public health concern in the United States (U.S.). To evaluate influenza prevention strategies it is important that policy makers have current estimates of the economic burden of influenza. To provide an updated estimate of the average annual economic burden of seasonal influenza in the U.S. population in the presence of vaccination efforts. We evaluated estimates of age-specific influenza-attributable outcomes (ill-non medically attended, office-based outpatient visit, emergency department visits, hospitalizations and death) and associated productivity loss. Health outcome rates were applied to the 2015 U.S. population and multiplied by the relevant estimated unit costs for each outcome. We evaluated both direct healthcare costs and indirect costs (absenteeism from paid employment) reporting results from both a healthcare system and societal perspective. Results were presented in five age groups (<5 years, 5-17 years, 18-49 years, 50-64 years and ≥65 years of age). The estimated average annual total economic burden of influenza to the healthcare system and society was $11.2 billion ($6.3-$25.3 billion). Direct medical costs were estimated to be $3.2 billion ($1.5-$11.7 billion) and indirect costs $8.0 billion ($4.8-$13.6 billion). These total costs were based on the estimated average numbers of (1) ill-non medically attended patients (21.6 million), (2) office-based outpatient visits (3.7 million), (3) emergency department visit (0.65 million) (4) hospitalizations (247.0 thousand), (5) deaths (36.3 thousand) and (6) days of productivity lost (20.1 million). This study provides an updated estimate of the total economic burden of influenza in the U.S. Although we found a lower total cost than previously estimated, our results confirm that influenza is responsible for a substantial economic burden in the U.S. Copyright © 2018. Published by Elsevier Ltd.

Health care expenditures associated with pediatric pain-related conditions in the United States.

PubMed

Groenewald, Cornelius B; Wright, Davene R; Palermo, Tonya M

2015-05-01

The primary objective of this study was to assess the impact of pediatric pain-related conditions on health care expenditures. We analyzed data from a nationally representative sample of 6- to 17-year-old children captured in the 2007 National Health Interview Survey and 2008 Medical Expenditure Panel Survey. Health care expenditures of children with pain-related conditions were compared with those of children without pain-related conditions. Pain-related conditions were associated with incremental health care expenditures of $1339 (95% confidence interval [CI], $248-$2447) per capita. Extrapolated to the nation, pediatric pain-related conditions were associated with $11.8 billion (95% CI, $2.18-$21.5 billion) in total incremental health care expenditures. The incremental health care expenditures associated with pediatric pain-related conditions were similar to those of attention deficit and hyperactivity disorder ($9.23 billion; 95% CI, $1.89-$18.1 billion), but more than those associated with asthma ($5.35 billion; 95% CI, $0-$12.3 billion) and obesity ($0.73 billion; 95% CI, $6.28-$8.81 billion). Health care expenditures for pediatric pain-related conditions exert a considerable economic burden on society. Efforts to prevent and treat pediatric pain-related conditions are urgently needed.

Billing and insurance-related administrative costs in United States' health care: synthesis of micro-costing evidence.

PubMed

Jiwani, Aliya; Himmelstein, David; Woolhandler, Steffie; Kahn, James G

2014-11-13

The United States' multiple-payer health care system requires substantial effort and costs for administration, with billing and insurance-related (BIR) activities comprising a large but incompletely characterized proportion. A number of studies have quantified BIR costs for specific health care sectors, using micro-costing techniques. However, variation in the types of payers, providers, and BIR activities across studies complicates estimation of system-wide costs. Using a consistent and comprehensive definition of BIR (including both public and private payers, all providers, and all types of BIR activities), we synthesized and updated available micro-costing evidence in order to estimate total and added BIR costs for the U.S. health care system in 2012. We reviewed BIR micro-costing studies across healthcare sectors. For physician practices, hospitals, and insurers, we estimated the % BIR using existing research and publicly reported data, re-calculated to a standard and comprehensive definition of BIR where necessary. We found no data on % BIR in other health services or supplies settings, so extrapolated from known sectors. We calculated total BIR costs in each sector as the product of 2012 U.S. national health expenditures and the percentage of revenue used for BIR. We estimated "added" BIR costs by comparing total BIR costs in each sector to those observed in existing, simplified financing systems (Canada's single payer system for providers, and U.S. Medicare for insurers). Due to uncertainty in inputs, we performed sensitivity analyses. BIR costs in the U.S. health care system totaled approximately $471 ($330 - $597) billion in 2012. This includes $70 ($54 - $76) billion in physician practices, $74 ($58 - $94) billion in hospitals, an estimated $94 ($47 - $141) billion in settings providing other health services and supplies, $198 ($154 - $233) billion in private insurers, and $35 ($17 - $52) billion in public insurers. Compared to simplified financing, $375 ($254 - $507) billion, or 80%, represents the added BIR costs of the current multi-payer system. A simplified financing system in the U.S. could result in cost savings exceeding $350 billion annually, nearly 15% of health care spending.

Aerodynamic Drag and Drag Reduction: Energy and Energy Savings (Invited)

NASA Technical Reports Server (NTRS)

Wood, Richard M.

2003-01-01

An assessment of the role of fluid dynamic resistance and/or aerodynamic drag and the relationship to energy use in the United States is presented. Existing data indicates that up to 25% of the total energy consumed in the United States is used to overcome aerodynamic drag, 27% of the total energy used in the United States is consumed by transportation systems, and 60% of the transportation energy or 16% of the total energy consumed in the United States is used to overcome aerodynamic drag in transportation systems. Drag reduction goals of 50% are proposed and discussed which if realized would produce a 7.85% total energy savings. This energy savings correlates to a yearly cost savings in the $30Billion dollar range.

Estimation of Potential Shale Gas Yield Amount and Land Degradation in China by Landcover Distribution regarding Water-Food-Energy and Forest

NASA Astrophysics Data System (ADS)

Kim, N.; Heo, S.; Lim, C. H.; Lee, W. K.

2017-12-01

Shale gas is gain attention due to the tremendous reserves beneath the earth. The two known high reservoirs are located in United States and China. According to U.S Energy Information Administration China have estimated 7,299 trillion cubic feet of recoverable shale gas and placed as world first reservoir. United States had 665 trillion cubic feet for the shale gas reservoir and placed fourth. Unlike the traditional fossil fuel, spatial distribution of shale gas is considered to be widely spread and the reserved amount and location make the resource as energy source for the next generation. United States dramatically increased the shale gas production. For instance, shale gas production composes more than 50% of total natural gas production whereas China and Canada shale gas produce very small amount of the shale gas. According to U.S Energy Information Administration's report, in 2014 United States produced shale gas almost 40 billion cubic feet per day but China only produced 0.25 billion cubic feet per day. Recently, China's policy had changed to decrease the coal powerplants to reduce the air pollution and the energy stress in China is keep increasing. Shale gas produce less air pollution while producing energy and considered to be clean energy source. Considering the situation of China and characteristics of shale gas, soon the demand of shale gas will increase in China. United States invested 71.7 billion dollars in 2013 but it Chinese government is only proceeding fundamental investment due to land degradation, limited water resources, geological location of the reservoirs.In this study, firstly we reviewed the current system and technology of shale gas extraction such as hydraulic Fracturing. Secondly, listed the possible environmental damages, land degradations, and resource demands for the shale gas extraction. Thirdly, invested the potential shale gas extraction amount in China based on the location of shale gas reservoirs and limited resources for the gas extraction. Fourthly, invested the potential land degradation on agricultural, surface water, and forest in developing shale gas extraction scenario. In conclusion, we suggested possible environmental damages and social impacts from shale gas extraction in China.

Mechanical behavior of fouled polyurethane stabilized ballast (PSB).

DOT National Transportation Integrated Search

2012-11-01

The United State (US) Department of Transportation (DOT) estimates that the demand for rail freight transportation (tonnage) will : increase 88% by 2035, North American railroads spend about $3.4 billion every year on track substructure maintenance a...

CDC Grand Rounds: Improving Medication Adherence for Chronic Disease Management - Innovations and Opportunities.

PubMed

Neiman, Andrea B; Ruppar, Todd; Ho, Michael; Garber, Larry; Weidle, Paul J; Hong, Yuling; George, Mary G; Thorpe, Phoebe G

2017-11-17

Adherence to prescribed medications is associated with improved clinical outcomes for chronic disease management and reduced mortality from chronic conditions (1). Conversely, nonadherence is associated with higher rates of hospital admissions, suboptimal health outcomes, increased morbidity and mortality, and increased health care costs (2). In the United States, 3.8 billion prescriptions are written annually (3). Approximately one in five new prescriptions are never filled, and among those filled, approximately 50% are taken incorrectly, particularly with regard to timing, dosage, frequency, and duration (4). Whereas rates of nonadherence across the United States have remained relatively stable, direct health care costs associated with nonadherence have grown to approximately $100-$300 billion of U.S. health care dollars spent annually (5,6). Improving medication adherence is a public health priority and could reduce the economic and health burdens of many diseases and chronic conditions (7).

Point-of-purchase tobacco environments and variation by store type--United States, 1999.

PubMed

2002-03-08

To promote its products, the tobacco industry spent $8.2 billion on marketing in 1999, an increase of $1.5 billion over the previous year. Tobacco advertising in various media increases tobacco consumption and adolescents are more susceptible than adults to being influenced by some forms of tobacco advertising. To describe the retail tobacco advertising and marketing environment, researchers from the Robert Wood Johnson Foundation-sponsored ImpacTeen Project collected and analyzed store observation data in 163 communities throughout the United States. This report summarizes the extent of point-of-purchase (POP) tobacco advertising and marketing found in various types of stores. The findings in this report indicate that certain retail environments frequented by teenagers heavily promote tobacco use. To reduce demand for tobacco products among adolescents, public health efforts should address POP environment exposure to tobacco advertising and marketing.

Billions for biodefense: federal agency biodefense funding, FY2009-FY2010.

PubMed

Franco, Crystal

2009-09-01

Since 2001, the United States government has spent substantial resources on preparing the nation against a bioterrorist attack. Earlier articles in this series analyzed civilian biodefense funding by the federal government for fiscal years (FY) 2001 through 2009. This article updates those figures with budgeted amounts for FY2010, specifically analyzing the budgets and allocations for biodefense at the Departments of Health and Human Services, Defense, Homeland Security, Agriculture, and State; the Environmental Protection Agency; and the National Science Foundation. This year's article also provides an assessment of the proportion of the biodefense budget that serves multiple programmatic goals and benefits, including research into infectious disease pathogenesis and immunology, public health planning and preparedness, and disaster response efforts. The FY2010 federal budget for civilian biodefense totals $6.05 billion. Of that total, $4.96 billion is budgeted for programs that serve multiple goals and provide manifold benefits.

Solid-State High Power Radio Frequency Directed Energy Systems in Support of USMC Force Protection Operations

DTIC Science & Technology

2015-06-01

Washington Post. May 7, 2015. 6 Defense has spent upward of $75 billion on new equipment, specialized units, and infrastructure against the deadly weapon...resources, in blood and treasure, spent to combat them. Observers will argue that vehicles used in suicide attempts have been used against the United...Technology Priorities list. It states that resources should be spent to, “create a capability to detect and neutralize suicide bombers including person

Global Markets and the Health of American Forests: A Forest Service Perspective

Treesearch

Sally Collins; David Darr; David Wear; Hutch Brown

2008-01-01

The United States is rich in forests, yet about 39% of the softwood lumber used by Americans in 2005 came from other countries (WWPA 2006). In fact, the United States has not been “self-sufficient” in lumber (with exports exceeding imports) for more than 40 years. According to Haynes et al. (2007), the trade deficit in lumber has grown from 4.1 billion board feet (bbf...

Redefining the survival of the fittest: communication disorders in the 21st century.

PubMed

Ruben, R J

2000-02-01

To determine the economic effect on the US economy of the cost of caring for people with communication disorders as well as the cost of lost or degraded employment opportunities for people with such disorders, including disorders of hearing, voice, speech, and language. Survey of available historical and contemporary governmental and scholarly data concerning work force distribution and the epidemiology of disorders of hearing, voice, speech, and language. Analysis of epidemiological and economic data for industrialized countries, North America, and the United States. Communication disorders are estimated to have a prevalence of 5% to 10%. People with communication disorders may be more economically disadvantaged than those with less severe disabilities The data suggest that people with severe speech disabilities are more often found to be unemployed or in a lower economic class than people with hearing loss or other disabilities. Communication disorders may cost the United States from $154 billion to $186 billion per year, which is equal to 2.5% to 3% of the Gross National Product. Communication disorders reduce the economic output of the United States, whose economy has become dependent on communication-based employment. This trend will increase during the next century. The economic cost and the prevalence rates of communication disorders in the United States indicate that they will be a major public health challenge for the 21st century.

Israel: Background and Relations with the United States

DTIC Science & Technology

2007-07-06

to $3.5 billion or $525 million to secure the deal. In May 2006, prominent U.S. investor Warren Buffet announced that he was buying 80% of Iscar, a...state. On April 14, 2004, however President Bush noted the need to take into account changed “realities on the ground, including already existing

Joint Force Quarterly. Issue 54, 3rd Quarter 2009

DTIC Science & Technology

2009-07-01

executed, state capacity remains low, and the private sector suffers from a lack of security and weak national and provincial gover - nance. The rule of law... tourism industry reported that in 2008, 22.6 million foreign visitors, the majority from the United States, spent $13.3 billion, an increase of 3.4

Interventional pain management at crossroads: the perfect storm brewing for a new decade of challenges.

PubMed

Manchikanti, Laxmaiah; Singh, Vijay; Boswell, Mark V

2010-01-01

The health care industry in general and care of chronic pain in particular are described as recession-proof. However, a perfect storm with a confluence of many factors and events -none of which alone is particularly devastating - is brewing and may create a catastrophic force, even in a small specialty such as interventional pain management. Multiple challenges related to interventional pain management in the current decade will include individual and group physicians, office practices, ambulatory surgery centers (ASCs), and hospital outpatient departments (HOPD). Rising health care costs are discussed on a daily basis in the United States. The critics have claimed that health outcomes are the same as or worse than those in other countries, but others have presented the evidence that the United States has the best health care system. All agree it is essential to reduce costs. Numerous factors contribute to increasing health care costs. They include administrative costs, waste, abuse, and fraud. It has been claimed the U.S. health care system wastes up to $800 billion a year. Of this, fraud accounts for approximately $200 billion a year, involving fraudulent Medicare claims, kickbacks for referrals for unnecessary services, and other scams. Administrative inefficiency and redundant paperwork accounts for 18% of health care waste, whereas medical mistakes account for $50 billion to $100 billion in unnecessary spending each year, or 11% of the total. Further, American physicians spend nearly 8 hours per week on paperwork and employ 1.66 clerical workers per doctor, more than any other country. It has been illustrated that it takes $60,000 to $88,000 per physician per year, equal to one-third of a family practitioner's gross income, and $23 to $31 billion each year in total to interact with health insurance plans. The studies have illustrated that an average physician spends $68,274 per year communicating with insurance companies and performing other non-medical functions. For an office-based practice, the overall total in the United States is $38.7 billion, or $85,276 per physician. In the United States there are 2 types of physician payment systems: private health care and Medicare. Medicare has moved away from the Medicare Economic Index (MEI) and introduced the sustainable growth rate (SGR) formula which has led to cuts in physician payments on a yearly basis. In 2010 and beyond into the new decade, interventional pain management will see significant changes in how we practice medicine. There is focus on avoiding waste, abuse, fraud, and also cutting costs. Evidence-based medicine (EBM) and comparative effectiveness research (CER) have been introduced as cost-cutting and rationing measures, however, with biased approaches. This manuscript will analyze various issues related to interventional pain management with a critical analysis of physician payments, office facility payments, and ASC payments by various payor groups.

Reducing hospital expenditures with the COPE (Creating Opportunities for Parent Empowerment) program for parents and premature infants: an analysis of direct healthcare neonatal intensive care unit costs and savings.

PubMed

Melnyk, Bernadette Mazurek; Feinstein, Nancy Fischbeck

2009-01-01

More than 500,000 premature infants are born in the United States every year. Preterm birth results in a multitude of negative adverse outcomes for children, including extended stays in the neonatal intensive care unit (NICU), developmental delays, physical and mental health/behavioral problems, increased medical utilization, and poor academic performance. In addition, parents of preterms experience a higher incidence of depression and anxiety disorders along with altered parent-infant interactions and overprotective parenting, which negatively impact their children. The costs associated with preterm birth are exorbitant. In 2005, it is estimated that preterm birth cost the United States $26.2 billion. The purpose of this study was to perform a cost analysis of the Creating Opportunities for Parent Empowerment (COPE) program for parents of premature infants, a manualized educational-behavioral intervention program comprising audiotaped information and an activity workbook that is administered to parents in 4 phases, the first phase commencing 2 to 4 days after admission to the NICU. Findings indicated that the COPE program resulted in cost savings of at least $4864 per infant. In addition to improving parent and child outcomes, routine implementation of COPE in NICUs across the United States could save the healthcare system more than $2 billion per year.

Freshwater diatomite deposits in the western United States

USGS Publications Warehouse

Wallace, Alan R.; Frank, David G.; Founie, Alan

2006-01-01

Freshwater diatomite deposits in the Western United States are found in lake beds that formed millions of years ago. These diatom-rich sediments are among the Nation's largest commercial diatomite deposits. Each deposit contains billions of tiny diatom skeletons, which are widely used for filtration, absorption, and abrasives. New studies by the U.S. Geological Survey (USGS) are revealing how ancient lakes in the Western States produced such large numbers of diatoms. These findings can be used by both land-use managers and mining companies to better evaluate diatomite resources in the region.

Protecting Dark Skies as a State-Wide Resource

NASA Astrophysics Data System (ADS)

Allen, Lori E.; Walker, Constance E.; Hall, Jeffrey C.; Larson, Steve; Williams, Grant; Falco, Emilio; Hinz, Joannah; Fortin, Pascal; Brocious, Dan; Corbally, Christopher; Gabor, Paul; Veillet, Christian; Shankland, Paul; Jannuzi, Buell; Cotera, Angela; Luginbuhl, Christian

2018-01-01

The state of Arizona contains the highest concentration of research telescopes in the continental United States, contributing more than a quarter of a billion dollars annually to the state's economy. Protecting the dark skies above these observatories is both good for astronomy and good for the state's economy. In this contribution we describe how a coalition of Arizona observatories is working together to protect our dark skies. Efforts date back to the creation of one of the first Outdoor Lighting Codes in the United States and continue today, including educational outreach, public policy engagement, and consensus building. We review some proven strategies, highlight recent successes and look at current threats.

Distraction and drowsiness in motorcoach drivers.

DOT National Transportation Integrated Search

2016-11-01

Despite the large number of motorcoaches in the United States, there has been limited research on motorcoach operations. With more than 15 billion miles traveled per year and the transport of millions of people, crashes, when they occur, can involve ...

A sensor network system for the health monitoring of the Parkview bridge deck.

DOT National Transportation Integrated Search

2010-01-31

Bridges are a critical component of the transportation infrastructure. There are approximately 600,000 bridges in : the United State according to the Federal Highway Administration. Four billion vehicles traverse these bridges daily. : Regular inspec...

Tomorrow's Transportation Market : Developing an Innovative, Seamless Transportation System

DOT National Transportation Integrated Search

2013-04-17

With the cost of congestion in the United States estimated to be in the order of $121 billion, transportation planners are under increasing pressure to improve conditions and meet projected demand increases. Harnessing emerging technologies to develo...

Challenges with secondary use of multi-source water-quality data in the United States

USGS Publications Warehouse

Sprague, Lori A.; Oelsner, Gretchen P.; Argue, Denise M.

2017-01-01

Combining water-quality data from multiple sources can help counterbalance diminishing resources for stream monitoring in the United States and lead to important regional and national insights that would not otherwise be possible. Individual monitoring organizations understand their own data very well, but issues can arise when their data are combined with data from other organizations that have used different methods for reporting the same common metadata elements. Such use of multi-source data is termed “secondary use”—the use of data beyond the original intent determined by the organization that collected the data. In this study, we surveyed more than 25 million nutrient records collected by 488 organizations in the United States since 1899 to identify major inconsistencies in metadata elements that limit the secondary use of multi-source data. Nearly 14.5 million of these records had missing or ambiguous information for one or more key metadata elements, including (in decreasing order of records affected) sample fraction, chemical form, parameter name, units of measurement, precise numerical value, and remark codes. As a result, metadata harmonization to make secondary use of these multi-source data will be time consuming, expensive, and inexact. Different data users may make different assumptions about the same ambiguous data, potentially resulting in different conclusions about important environmental issues. The value of these ambiguous data is estimated at \\$US12 billion, a substantial collective investment by water-resource organizations in the United States. By comparison, the value of unambiguous data is estimated at \\$US8.2 billion. The ambiguous data could be preserved for uses beyond the original intent by developing and implementing standardized metadata practices for future and legacy water-quality data throughout the United States.

Applying cost analyses to drive policy that protects children. Mercury as a case study

DOE Office of Scientific and Technical Information (OSTI.GOV)

Leonardo Trasande; Clyde Schechter; Karla A. Haynes

2006-09-15

Exposure in prenatal life to methylmercury (MeHg) has become the topic of intense debate in the United States after the Environmental Protection Agency (EPA) announced a proposal in 2004 to reverse strict controls on emissions of mercury from coal-fired power plants that had been in effect for the preceding 15 years. This proposal failed to incorporate any consideration of the health impacts on children that would result from increased mercury emissions. We assessed the impact on children's health of industrial mercury emissions and found that between 316,588 and 637,233 babies are born with mercury-related losses of cognitive function ranging frommore » 0.2 to 5.13 points. We calculated that decreased economic productivity resulting from diminished intelligence over a lifetime results in an aggregate economic cost in each annual birth cohort of $8.7 billion annually. $1.3 billion of this cost is attributable to mercury emitted from American coal-fired power plants. Downward shifts in intellectual quotient (IQ) are also associated with 1566 excess cases of mental retardation annually. This number accounts for 3.2% of MR cases in the United States. If the lifetime excess cost of a case of MR is $1,248,648 in 2000 dollars, then the cost of these excess cases of MR is $2.0 billion annually. Preliminary data suggest that more stringent mercury policy options would prevent thousands of cases of MR and billions of dollars over the next 25 years.« less

Building Technologies Office FY 2017 Budget At-A-Glance

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

2016-03-01

Buildings and homes use more than 73% of the electrical energy consumed in the United States. They also consume 40% of the nation’s total energy, with an annual energy bill of $430 billion. These energy bills can be cost effectively reduced by 20%–50% or more through various energy-efficient technologies and techniques. The Building Technologies Office (BTO) will continue to develop and demonstrate advanced building efficiency technologies and practices to make buildings in the United States more efficient, affordable, and comfortable.

The prevention of baseball and softball injuries.

PubMed

Janda, David H

2003-04-01

Forty million individuals participate in organized softball leagues each year in the United States. Eighteen million additional student athletes and young adults also participate in organized baseball league play. In addition to being two of the most popular team sports in the United States, they also are responsible for a significant percentage of sports-related injuries that are sustained in the United States. Fortunately, numerous interventions independently have been shown to be effective at reducing the injury scenario, which has grown to be of epidemic proportion. Interventions such as break-away bases, batting helmets, face shields on helmets, lighter mass baseballs, and teaching and reiteration of the fundamentals of softball and baseball all have been effective in preventing millions of injuries and billions of dollars in healthcare costs each year in the United States.

North American freight transportation : U.S. trade with Canada and Mexico

DOT National Transportation Integrated Search

2006-06-01

The freight transportation industry used the nations transportation system to carry $790 billion in merchandise, a record high, between the United States and its two largest trading partners, Canada and Mexico, in 2005. The goods, weighing nearly ...

Evaluation of cost effective protective coatings for ODOT snow & ice equipment.

DOT National Transportation Integrated Search

2016-04-01

Current estimates suggest that the United States loses over $220 billion dollars due to corrosion each year. The research results from this project further ODOTs effort to implement a corrosion prevention strategy that will increase public safety ...

Increased trade spurs growth in North American freight transportation

DOT National Transportation Integrated Search

2007-05-01

Freight Transportation between the United States and our North American Free Trade Agreement partners Canada and Mexico continues to grow at a strong pace. In 2006, the U.S. transportation system carried goods for export worth $364 billion an...

Tuition and Fees at Virginia's State-Supported Colleges and Universities, 2009-10

ERIC Educational Resources Information Center

Zheng, Yan; Hix, Dan

2009-01-01

In order to speed the national economic recovery, create and save jobs, and provide services to people affected by the recession, the 111th United States Congress enacted and President Obama signed into law the American Recovery and Reinvestment Act of 2009 (ARRA)--an economic stimulus package worth $787 billion--on February 17, 2009. Virginia…

Apply Deming's Methods to K-12 Curriculum and Improve Student Achievement

ERIC Educational Resources Information Center

Kelly, Thomas F.

2008-01-01

The United States has been engaged in school reform for three decades. The federal government as well as all fifty states have passed numerous versions of reform legislation to mandate and regulate the process. Educators have adjusted their practices to the policy created by this legislation. They have also allocated hundreds of billions of…

Fumigant toxicity of essential oils to Reticulitermes flavipes

Treesearch

Carol A. Clausen; Vina W. Yang

2008-01-01

Subterranean termite infestations occur in every state in the contiguous United States and are responsible for damage to wooden structures in excess of two billion dollars (U.S.) annually. Essential oils have historically been used to repel insects. They have relatively low toxicity and some of them are exempt from regulation by the Federal Insecticide Fungicide and...

Competing for School Improvement Dollars: State Grant-Making Strategies

ERIC Educational Resources Information Center

Lazarin, Melissa

2012-01-01

In 2009 the Obama administration announced a focused commitment to turn around 5,000 of the United States' chronically lowest-performing public schools as part of the American Recovery and Reinvestment Act (ARRA). This commitment came with $3 billion in funding for the School Improvement Grant program, or SIG, along with new guidelines to ensure…

Do Data Breach Disclosure Laws Reduce Identity Theft?

ERIC Educational Resources Information Center

Romanosky, Sasha; Telang, Rahul; Acquisti, Alessandro

2011-01-01

In the United States, identity theft resulted in corporate and consumer losses of $56 billion dollars in 2005, with up to 35 percent of known identity thefts caused by corporate data breaches. Many states have responded by adopting data breach disclosure laws that require firms to notify consumers if their personal information has been lost or…

Socialized medicine: a solution to the cost crisis in health care in the United States.

PubMed

Himmelstein, D U; Woolhandler, S

1986-01-01

Despite growing concern with cost containment, most health policy analysts have ignored vast potential savings on medically irrelevant spending for excess administration, profits, high physician incomes, marketing, and legal involvement in medicine. Indeed, many recent reforms encourage administrative hypertrophy, entrepreneurialism and litigation. A universal national health program could abolish billing and consequently the need for much of the administrative apparatus of health care, and decrease spending for profits and marketing. In this article we analyze the administrative savings that could be realized from instituting a Canadian-style national health insurance program or a national health service similar to that in Britain, and the potential savings from additional reforms to curtail profits, marketing and litigation. Our calculations based on 1983 data suggest that national health insurance would save $42.6 billion annually: $29.2 billion on health administration and insurance overhead, $4.9 billion on profits, $3.9 billion on marketing, and $4.6 billion on physician's incomes. A national health service would save $65.8 billion: $38.4 billion on health administration and insurance overhead, $4.9 billion on profits, $3.9 billion on marketing, and $18.6 billion on physician's incomes. Complete nationalization of all health related industries and reform of the malpractice system would save at least $87.2 billion per year. We conclude that a national health program, in addition to improving access to health care for the oppressed, could achieve cost containment without rationing of care.

Biological and health effects of exposure to kerosene-based jet fuels and performance additives.

PubMed

Ritchie, Glenn; Still, Kenneth; Rossi, John; Bekkedal, Marni; Bobb, Andrew; Arfsten, Darryl

2003-01-01

Over 2 million military and civilian personnel per year (over 1 million in the United States) are occupationally exposed, respectively, to jet propulsion fuel-8 (JP-8), JP-8 +100 or JP-5, or to the civil aviation equivalents Jet A or Jet A-1. Approximately 60 billion gallon of these kerosene-based jet fuels are annually consumed worldwide (26 billion gallon in the United States), including over 5 billion gallon of JP-8 by the militaries of the United States and other NATO countries. JP-8, for example, represents the largest single chemical exposure in the U.S. military (2.53 billion gallon in 2000), while Jet A and A-1 are among the most common sources of nonmilitary occupational chemical exposure. Although more recent figures were not available, approximately 4.06 billion gallon of kerosene per se were consumed in the United States in 1990 (IARC, 1992). These exposures may occur repeatedly to raw fuel, vapor phase, aerosol phase, or fuel combustion exhaust by dermal absorption, pulmonary inhalation, or oral ingestion routes. Additionally, the public may be repeatedly exposed to lower levels of jet fuel vapor/aerosol or to fuel combustion products through atmospheric contamination, or to raw fuel constituents by contact with contaminated groundwater or soil. Kerosene-based hydrocarbon fuels are complex mixtures of up to 260+ aliphatic and aromatic hydrocarbon compounds (C(6) -C(17+); possibly 2000+ isomeric forms), including varying concentrations of potential toxicants such as benzene, n-hexane, toluene, xylenes, trimethylpentane, methoxyethanol, naphthalenes (including polycyclic aromatic hydrocarbons [PAHs], and certain other C(9)-C(12) fractions (i.e., n-propylbenzene, trimethylbenzene isomers). While hydrocarbon fuel exposures occur typically at concentrations below current permissible exposure limits (PELs) for the parent fuel or its constituent chemicals, it is unknown whether additive or synergistic interactions among hydrocarbon constituents, up to six performance additives, and other environmental exposure factors may result in unpredicted toxicity. While there is little epidemiological evidence for fuel-induced death, cancer, or other serious organic disease in fuel-exposed workers, large numbers of self-reported health complaints in this cohort appear to justify study of more subtle health consequences. A number of recently published studies reported acute or persisting biological or health effects from acute, subchronic, or chronic exposure of humans or animals to kerosene-based hydrocarbon fuels, to constituent chemicals of these fuels, or to fuel combustion products. This review provides an in-depth summary of human, animal, and in vitro studies of biological or health effects from exposure to JP-8, JP-8 +100, JP-5, Jet A, Jet A-1, or kerosene.

Air quality and exercise-related health benefits from reduced car travel in the midwestern United States.

PubMed

Grabow, Maggie L; Spak, Scott N; Holloway, Tracey; Stone, Brian; Mednick, Adam C; Patz, Jonathan A

2012-01-01

Automobile exhaust contains precursors to ozone and fine particulate matter (PM ≤ 2.5 µm in aerodynamic diameter; PM2.5), posing health risks. Dependency on car commuting also reduces physical fitness opportunities. In this study we sought to quantify benefits from reducing automobile usage for short urban and suburban trips. We simulated census-tract level changes in hourly pollutant concentrations from the elimination of automobile round trips ≤ 8 km in 11 metropolitan areas in the upper midwestern United States using the Community Multiscale Air Quality (CMAQ) model. Next, we estimated annual changes in health outcomes and monetary costs expected from pollution changes using the U.S. Environmental Protection Agency Benefits Mapping Analysis Program (BenMAP). In addition, we used the World Health Organization Health Economic Assessment Tool (HEAT) to calculate benefits of increased physical activity if 50% of short trips were made by bicycle. We estimate that, by eliminating these short automobile trips, annual average urban PM2.5 would decline by 0.1 µg/m3 and that summer ozone (O3) would increase slightly in cities but decline regionally, resulting in net health benefits of $4.94 billion/year [95% confidence interval (CI): $0.2 billion, $13.5 billion), with 25% of PM2.5 and most O3 benefits to populations outside metropolitan areas. Across the study region of approximately 31.3 million people and 37,000 total square miles, mortality would decline by approximately 1,295 deaths/year (95% CI: 912, 1,636) because of improved air quality and increased exercise. Making 50% of short trips by bicycle would yield savings of approximately $3.8 billion/year from avoided mortality and reduced health care costs (95% CI: $2.7 billion, $5.0 billion]. We estimate that the combined benefits of improved air quality and physical fitness would exceed $8 billion/year. Our findings suggest that significant health and economic benefits are possible if bicycling replaces short car trips. Less dependence on automobiles in urban areas would also improve health in downwind rural settings.

Air Quality and Exercise-Related Health Benefits from Reduced Car Travel in the Midwestern United States

PubMed Central

Spak, Scott N.; Holloway, Tracey; Stone, Brian; Mednick, Adam C.; Patz, Jonathan A.

2011-01-01

Background: Automobile exhaust contains precursors to ozone and fine particulate matter (PM ≤ 2.5 µm in aerodynamic diameter; PM2.5), posing health risks. Dependency on car commuting also reduces physical fitness opportunities. Objective: In this study we sought to quantify benefits from reducing automobile usage for short urban and suburban trips. Methods: We simulated census-tract level changes in hourly pollutant concentrations from the elimination of automobile round trips ≤ 8 km in 11 metropolitan areas in the upper midwestern United States using the Community Multiscale Air Quality (CMAQ) model. Next, we estimated annual changes in health outcomes and monetary costs expected from pollution changes using the U.S. Environmental Protection Agency Benefits Mapping Analysis Program (BenMAP). In addition, we used the World Health Organization Health Economic Assessment Tool (HEAT) to calculate benefits of increased physical activity if 50% of short trips were made by bicycle. Results: We estimate that, by eliminating these short automobile trips, annual average urban PM2.5 would decline by 0.1 µg/m3 and that summer ozone (O3) would increase slightly in cities but decline regionally, resulting in net health bene-fits of $4.94 billion/year [95% confidence interval (CI): $0.2 billion, $13.5 billion), with 25% of PM2.5 and most O3 bene-fits to populations outside metropolitan areas. Across the study region of approximately 31.3 million people and 37,000 total square miles, mortality would decline by approximately 1,295 deaths/year (95% CI: 912, 1,636) because of improved air quality and increased exercise. Making 50% of short trips by bicycle would yield savings of approximately $3.8 billion/year from avoided mortality and reduced health care costs (95% CI: $2.7 billion, $5.0 billion]. We estimate that the combined benefits of improved air quality and physical fitness would exceed $8 billion/year. Conclusion: Our findings suggest that significant health and economic benefits are possible if bicycling replaces short car trips. Less dependence on automobiles in urban areas would also improve health in downwind rural settings. PMID:22049372

National Health Expenditures, 19801

PubMed Central

Gibson, Robert M.; Waldo, Daniel R.

1981-01-01

The United States spent an estimated $247 billion for health care in 1980 (Figure 1), an amount equal to 9.4 percent of the Gross National Product (GNP). Highlights of the figures that underlie this estimate include the following: Health care expenditures in 1980 accelerated at a time when the economy as a whole exhibited sluggish growth. The 9.4 percent share of the GNP was a dramatic increase from the 8.9 percent share in 1979.Health care expenditures amounted to $1,067 per person in 1980 (Table 1). Of that amount, $450, or 42.2 percent, came from public funds.Expenditures for health care included $64.9 billion in premiums to private health insurance, $70.9 billion in Federal payments, and $33.3 billion in State and local government funds (Table 2).Hospital care accounted for 40.3 percent of total health care spending in 1980 (Table 3). These expenditures increased 16.2 percent between 1979 and 1980, to a level of $99.6 billion.Spending for the services of physicians increased 14.5 percent to $46.6 billion, 18.9 percent of all health care spending.All third parties combined—private health insurers, governments, philanthropists, and industry—financed 67.6 percent of the $217.9 billion spent for personal health care in 1980 (Table 4), ranging from 90.9 percent of hospital care services to 62.7 percent of physicians' services and 38.5 percent of the remainder (Table 5).Direct payments by consumers reached $70.6 billion in 1980 (Table 6). This accounted for 32.4 percent of all personal health care expenses.Outlays for health care benefits by the Medicare and Medicaid programs totaled $60.6 billion, including $35.8 billion for hospital care. The two programs combined to pay for 27.8 percent of all personal health care in the nation (Table 7). PMID:10309470

National Health Expenditures, 19811

PubMed Central

Gibson, Robert M.; Waldo, Daniel R.

1982-01-01

The United States spent an estimated $287 billion for health care in 1981 (Figure 1), an amount equal to 9.8 percent of the Gross National Product (GNP). Highlights of the figures that underly this estimate include the following: Health care expenditures continued to grow at a rapid rate in 1981, at a time when the economy as a whole exhibited sluggish growth. The 9.8 percent share of the GNP was a dramatic increase from the 8.9 percent share seen just two years earlier.Health care expenditures amounted to $1,225 per person in 1981 (Table 1). Of that amount, $524, or 42.7 percent, came from public funds.Hospital care accounted for 41.2 percent of total health care spending in 1981 (Table 2). These expenditures increased 17.5 percent from 1980, to a level of $118 billion.Spending for the services of physicians increased 16.9 percent to $55 billion—19.1 percent of all health care spending.Public sources provided 42.7 percent of the money spent on health in 1981, including Federal payments of $84 billion and $39 billion in State and local government funds (Table 3).All third parties combined—private health insurers, governments, private charities, and Industry—financed 67.9 percent of the $255 billion in personal health care in 1981 (Table 4), covering 89.2 percent of hospital care services, 62.1 percent of physicians' services, and 41.3 percent of the remainder (Table 5).Direct patient payments for health care reached $82 billion in 1981, accounting for 32.1 percent of all personal health care expenses (Table 6). Consumers and their employers paid another $73 billion in premiums to private health insurers, $67 billion of which was returned in the form of benefits.Outlays for health care benefits by the Medicare and Medicaid programs totaled $73 billion, including $42 billion for hospital care. The two programs combined paid for 28.6 percent of all personal health care in the nation (Table 7). PMID:10309718

International Environment: Environmental Infrastructure Needs in the U.S.-Mexican Border Region Remain Unmet.

DTIC Science & Technology

1996-07-01

225 million of paid-in capital (for a total of $450 million) and $1.275 billion in callable capital (for a total of $2.55 billion) over 4 years. Paid...in capital is the funding provided directly to the Bank. Callable capital is a commitment by the United States and Mexico to provide additional funds...in the case of a failure by the NADBank to meet financial obligations on its own bonds . The Bank’s capital is used to finance infrastructure projects

NHMA screening and brief intervention toolkit for the Hispanic patient

DOT National Transportation Integrated Search

2008-07-01

Alcohol consumption is the third leading cause of death in the Unites States and costs over $148 billion each year.1 Studies have shown that rapid, accurate alcohol screening instruments can detect alcohol problems in primary care settings and can po...

SENSITIVE SUBPOPULATIONS AND CHILDREN'S HEALTH

EPA Science Inventory

There are over 20,000 pesticide products containing 620 active ingredients on the market. Each year, 1 billion pounds of active ingredients in conventional pesticides are applied in the United States. There are over 80,000 existing chemicals on the TSCA inventory and each year an...

U.S. ethanol production capacity continues to increase

EIA Publications

2017-01-01

Fuel ethanol production capacity in the United States reached 15.5 billion gallons per year, or 1.01 million barrels per day (b/d), at the beginning of 2017, according to EIA's most recent U.S. Fuel Ethanol Plant Production Capacity report.

Lost in Translation: Public Policies, Evidence-Based Practice, and Autism Spectrum Disorder

ERIC Educational Resources Information Center

Dillenburger, Karola; McKerr, Lyn; Jordan, Julie-Ann

2014-01-01

Prevalence rates of autism spectrum disorder have risen dramatically over the past few decades (now estimated at 1:50 children). The estimated total annual cost to the public purse in the United States is US$137 billion, with an individual lifetime cost in the United Kingdom estimated at between £0.8 million and £1.23 million depending on the…

Terrorism and emergency preparedness in state and territorial public health departments--United States, 2004.

PubMed

2005-05-13

After the events of September 11, 2001, federal funding for state public health preparedness programs increased from $67 million in fiscal year (FY) 2001 to approximately $1 billion in FY 2002. These funds were intended to support preparedness for and response to terrorism, infectious disease outbreaks, and other public health threats and emergencies. The Council of State and Territorial Epidemiologists (CSTE) assessed the impact of funding on epidemiologic capacity, including terrorism preparedness and response, in state health departments in November 2001 and again in May 2004, after distribution of an additional $1 billion in FY 2003. This report describes the results of those assessments, which indicated that increased funding for terrorism preparedness and emergency response has rapidly increased the number of epidemiologists and increased capacity for preparedness at the state level. However, despite the increase in epidemiologists, state public health officials estimate that 192 additional epidemiologists, an increase of 45.3%, are needed nationwide to fully staff terrorism preparedness programs.

Floating Offshore Wind in California: Gross Potential for Jobs and Economic Impacts from Two Future Scenarios

DOE Office of Scientific and Technical Information (OSTI.GOV)

Speer, Bethany; Keyser, David; Tegen, Suzanne

Construction of the first offshore wind farm in the United States began in 2015, using fixed platform structures that are appropriate for shallow seafloors, like those located off of the East Coast and mid-Atlantic. However, floating platforms, which have yet to be deployed commercially, will likely need to anchor to the deeper seafloor if deployed off of the West Coast. To analyze the employment and economic potential for floating offshore wind along the West Coast, the Bureau of Ocean Energy Management (BOEM) has commissioned the National Renewable Energy Laboratory (NREL) to analyze two hypothetical, large-scale deployment scenarios for California: 16more » GW of offshore wind by 2050 (Scenario A) and 10 GW of offshore wind by 2050 (Scenario B). The results of this analysis can be used to better understand the general scales of economic opportunities that could result from offshore wind development. Results show total state gross domestic product (GDP) impacts of $16.2 billion in Scenario B or $39.7 billion in Scenario A for construction; and $3.5 billion in Scenario B or $7.9 billion in Scenario A for the operations phases.« less

Does Funding for HIV and Sexually Transmitted Disease Prevention Matter? Evidence from Panel Data

ERIC Educational Resources Information Center

Chesson, Harrell W.; Harrison, Paul; Scotton, Carol R.; Varghese, Beena

2005-01-01

Since the onset of the AIDS epidemic, the Centers for Disease Control and Prevention (CDC) has allocated several billion dollars for the prevention of HIV and other sexually transmitted diseases (STDs) in the United States. Using state-level data from 1981 to 1998, the authors found that greater amounts of prevention funding in a given year are…

The Effects of a State Need-based Access Grant on Traditional and Nontraditional Student Persistence

ERIC Educational Resources Information Center

Davidson, J. Cody

2015-01-01

In 2011-2012, more than 236.7 billion dollars of student financial aid was disbursed to undergraduate and graduate students at postsecondary institutions in the United States. Today, many groups and organizations are advocating for financial aid to increase student access and success as well as to assist the neediest students. The purpose of this…

Assessing the US Urban Forest Resources

Treesearch

David J. Nowak; Mary H. Noble; Susan M. Sisinni; John F. Dwyer

2001-01-01

Urban areas in the conterminous United States doubled in size between 1969 and 1994, and currently cover 3.5 percent of the total land area and contain more than 75 percent of the US population. Urban areas contain approximately 3.8 billion trees with an average tree canopy cover of 27 percent. The extent and variation of urban forests across the 48 states are explored...

CRITICAL ELEMENTS IN DESCRIBING AND UNDERSTANDING OUR NATION'S AQUATIC RESOURCES

EPA Science Inventory

Despite spending $115 billion per year on environmental actions in the United States, we have only a limited ability to describe the effectiveness of these expenditures. Moreover, after decades of such investments, we cannot accurately describe status and trends in the nation's a...

Maritime vessels carry more than half of growing U.S.-East Africa trade

DOT National Transportation Integrated Search

2009-03-01

Trade between the United States and East African countries : (defi ned in this special report as Burundi, Kenya, : Rwanda, Tanzania, and Uganda) has grown substantially : in recent years, reaching $1.3 billion in value in 2007. : Between 1997 and 200...

QTL-seq analysis of heat tolerance in broccoli

USDA-ARS?s Scientific Manuscript database

Broccoli (Brassica oleracea var. italica) production, worth approximately a billion dollars annually in the United States alone, is restricted in terms of location and season, due to the sensitivity of commercial cultivars to high temperatures. Heat stress during heading causes yield and quality los...

The economic impact of motor vehicle crashes, 2000

DOT National Transportation Integrated Search

2002-05-01

This report presents the results of an analysis of motor vehicle crash costs in the United State in the year 2000. The total economic cost of motor vehicle crashes in 2000 was $230.6 billion. This represents the present value of lifetime costs for 41...

Combined effect of microbial and chemical control agents on subterranean termites

USDA-ARS?s Scientific Manuscript database

Subterranean termites are responsible for several billion dollars in damage in the United States annually, including control and repair costs. Formosan subterranean termites (FST) cause a large proportion of this damage. The fungus Paecilomyces fumosoroseus (Pfr) has been previously shown to control...

Worldwide Report, Telecommunications Policy, Research and Development

DTIC Science & Technology

1984-03-23

billion dollars) in credit to China under the second economic cooperation package starting in fiscal 1984, government sources said Thursday. The...Minister Mota Pinto recently announced during his trip to the United States that this project, which was budgeted for 9 million escudos at the

North American Grasslands & Biogeographic Regions

USDA-ARS?s Scientific Manuscript database

North American grasslands are the product of a long interaction among land, people, and animals. Covering over one billion hectares across Canada, the United States, and Mexico, a defining trait of the realm is its vast surface area. From subtropical grasslands interspersed with wetlands in the sout...

Wind Energy Finance in the United States: Current Practice and Opportunities

DOE Office of Scientific and Technical Information (OSTI.GOV)

Schwabe, Paul D.; Feldman, David J.; Settle, Donald E.

In the United States, investment in wind energy has averaged nearly $13.6 billion annually since 2006 with more than $140 billion invested cumulatively over that period (BNEF 2017). This sizable investment activity demonstrates the persistent appeal of wind energy and its increasing role in the U.S electricity generation portfolio. Despite its steady investment levels over the last decade, some investors still consider wind energy as a specialized asset class. Limited familiarity with the asset class both limit the pool of potential investors and drive up costs for investors. This publication provides an overview of the wind project development process, capitalmore » sources and financing structures commonly used, and traditional and emerging procurement methods. It also provides a high-level demonstration of how financing rates impact a project's all-in cost of energy. The goal of the publication is to provide a representative and wide-ranging resource for the wind development and financing processes.« less

Six climate change-related events in the United States accounted for about $14 billion in lost lives and health costs.

PubMed

Knowlton, Kim; Rotkin-Ellman, Miriam; Geballe, Linda; Max, Wendy; Solomon, Gina M

2011-11-01

The future health costs associated with predicted climate change-related events such as hurricanes, heat waves, and floods are projected to be enormous. This article estimates the health costs associated with six climate change-related events that struck the United States between 2000 and 2009. The six case studies came from categories of climate change-related events projected to worsen with continued global warming-ozone pollution, heat waves, hurricanes, infectious disease outbreaks, river flooding, and wildfires. We estimate that the health costs exceeded $14 billion, with 95 percent due to the value of lives lost prematurely. Actual health care costs were an estimated $740 million. This reflects more than 760,000 encounters with the health care system. Our analysis provides scientists and policy makers with a methodology to use in estimating future health costs related to climate change and highlights the growing need for public health preparedness.

The U.S. Geological Survey Energy Resources Program

USGS Publications Warehouse

,

2006-01-01

The United States uses tremendous amounts of geologic energy resources. In 2004 alone, the United States consumed more than 7.4 billion barrels of oil, 21.9 trillion cubic feet of natural gas, and 1.1 billion short tons of coal. Forecasts indicate the Nation's need for energy resources will continue to grow, raising several questions: How much domestic and foreign petroleum resources are available to meet the growing energy demands of the Nation and world? Does the United States have coal deposits of sufficient quantity and quality to meet demand over the next century? What other geologic energy resources can be added to the U.S. energy mix? How do the occurrence and use of energy resources affect environmental quality and human health? Unbiased information from robust scientific studies is needed for sound energy policy and resource management decisions addressing these issues. The U.S. Geological Survey Energy Resources Program provides impartial, scientifically robust information to advance the understanding of geologically based energy resources including: petroleum (oil, natural gas, natural gas liquids), coal, gas hydrates, geothermal resources, oil shale, oil sands, uranium, and heavy oil and natural bitumen. This information can be used to contribute to plans for a secure energy future and to facilitate evaluation and responsible use of resources.

Anti-Counterfeiting

NASA Astrophysics Data System (ADS)

Tuyls, Pim; Guajardo, Jorge; Batina, Lejla; Kerins, Tim

Counterfeiting of goods is becoming a very huge problem for our society. It not only has a global economic impact, but it also poses a serious threat to our global safety and health. Currently, global economic damage across all industries due to the counterfeiting of goods is estimated at over 600 billion annually [2]. In the United States, seizure of counterfeit goods has tripled in the last 5 years, and in Europe, over 100 million pirated and counterfeit goods were seized in 2004. Fake products cost businesses in the United Kingdom approximately 17 billion [2]. In India, 15% of fast-moving consumer goods and 38% of auto parts are counterfeit. Other industries in which many goods are being counterfeit are the toy industry, content and software, cosmetics, publishing, food and beverages, tobacco, apparel, sports goods, cards, and so forth.

Adherence to the Otitis Media with Effusion Clinical Practice Guideline By Providers in a United States Air Force Medical Treatment Facility

DTIC Science & Technology

1999-03-18

In the United States, office visits for otitis media increased by 150 percent between 1975 and 1990, to 24.5 million (annually), with children under...visits for otitis media , they also had the greatest increase in number of visits between 1975 and 1990: 224 percent. Of significance, is the increase in...expenditure. Gates (1996) estimated the costs to be about five billion dollars annually. Cost is not the only factor important in the management of otitis media with

FUEL OXYGENATES HEALTH ISSUES

EPA Science Inventory

Oxygenates (e.g., methyl tertiary butyl ether [MTBE], ethanol) are required in certain areas of the United States by the 1990 Clean Air Act Amendments. MTBE and ethanol have also been used to increase octane ratings in U.S. gasoline since the 1970s. In 1996 alone, 10 billion Kg...

Toll facilities in the United States : bridges, roads, tunnels, ferries

DOT National Transportation Integrated Search

2000-09-01

Speeding is one of the most prevalent factors related to traffic crashes. The economic cost to society of speeding-related crashes is estimated to be $27.7 billion annually. In 1998, speeding was a factor in about one-third of all fatal crashes. Pres...

Mineral resource of the month: steel

USGS Publications Warehouse

Fenton, Michael D.

2007-01-01

About 96 million metric tons of steel was produced in the United States last year — more than any other metal. And the $3.46 billion of iron and steel scrap exported was also the highest of any metal scrap export, helping to reduce the U.S. trade deficit.

The conundrum of chemical boll weevil control in subtropical regions

USDA-ARS?s Scientific Manuscript database

The boll weevil, Anthonomus grandis grandis Boheman (Coleoptera: Curculionidae), is a tropical Mesoamerican insect that invaded the United States in 1893, spreading across the Cotton Belt as the key pest of cotton and causing billions of dollars in yield losses and insecticide-based control efforts;...

Market cost of renewable jet fuel adoption in the United States.

DOT National Transportation Integrated Search

2013-03-01

The US Federal Aviation Administration (FAA) has a goal that one billion gallons of renewable jet : fuel is consumed by the US aviation industry each year from 2018. We examine the cost to US airlines : of meeting this goal using renewable fuel produ...

Investigate existing non-intrusive (NII) technologies for port cargo inspections.

DOT National Transportation Integrated Search

2011-09-01

"The quantity of cargo handled by United States ports has increased significantly in recent years. Based on : 2004 data, almost 2.7 billion tons of cargo passed through the ports in one year. To protect the U.S., all of this : cargo must be inspected...

IFT Scientific Status Summary 2008: Innovative Food Packaging Solutions

USDA-ARS?s Scientific Manuscript database

Food and beverage packaging comprises 55-65% of the $110 billion value of packaging in the United States. This review provides a summary of innovative technology developments in food packaging. The expanded role of food and beverage packaging is reviewed. Active and intelligent food packaging, ba...

Beneficial Use of Scrap Tire Rubber in Low-volume Road and Bridge Construction with Expansive Soils

DOT National Transportation Integrated Search

2010-07-14

Billions of dollars in damages are attributed to expansive soils in the United States (Jones and Jones 1987) and in many other countries each year. Geotechnical design and analyses in/on/with expansive soils may involve additional complications that ...

Climate Strategy Impact on Nitrogen Deposition in the USA

EPA Science Inventory

Nitrogen (N) leakage to the environment in the United States costs an estimated $210 billion per year, equivalent to 1-3% of the national GDP, in part due to atmospheric N pollution. Excess N deteriorates ecosystems via eutrophication in water bodies, causing fish kills and addi...

Cost Effective Analysis of Recycled Products for Use in Highway Construction.

DOT National Transportation Integrated Search

1998-04-01

Over 4.5 billion of non-hazardous wastes are generated in the United States each year. Out of these wastes over 200 million tons of post consumer waste is generated. The disposal of post consumer waste is the responsibility of municipality and societ...

Congress and SDIO, 1983-1989.

DTIC Science & Technology

1992-01-31

Dellums offered an amendment that would have reduced the amount to $1.1 billion. Two other amendments to reduce the SDI authorization—one by Rep. Nicholas ...Senate, Committee on Armed Services, Hearings: National Security Strategy of the United States. 100:1, Jan. 12, 1987, Steno . transcript, p. 112, copy in

Development of freight policy analysis tool for northeastern Illinois and the United States.

DOT National Transportation Integrated Search

2010-10-01

Freight transportation is a vital element in the economic prosperity of any country. According to the : nationwide commodity flow survey, over 12 billion tons of goods, valued at more than $11.6 trillion, were moved in : America in the year 2007(Bure...

European Union-28: An annualised cost-of-illness model for venous thromboembolism.

PubMed

Barco, Stefano; Woersching, Alex L; Spyropoulos, Alex C; Piovella, Franco; Mahan, Charles E

2016-04-01

Annual costs for venous thromboembolism (VTE) have been defined within the United States (US) demonstrating a large opportunity for cost savings. Costs for the European Union-28 (EU-28) have never been defined. A literature search was conducted to evaluate EU-28 cost sources. Median costs were defined for each cost input and costs were inflated to 2014 Euros (€) in the study country and adjusted for Purchasing Power Parity between EU countries. Adjusted costs were used to populate previously published cost-models based on adult incidence-based events. In the base model, annual expenditures for total, hospital-associated, preventable, and indirect costs were €1.5-2.2 billion, €1.0-1.5 billion, €0.5-1.1 billion and €0.2-0.3 billion, respectively (indirect costs: 12 % of expenditures). In the long-term attack rate model, total, hospital-associated, preventable, and indirect costs were €1.8-3.3 billion, €1.2-2.4 billion, €0.6-1.8 billion and €0.2-0.7 billion (indirect costs: 13 % of expenditures). In the multiway sensitivity analysis, annual expenditures for total, hospital-associated, preventable, and indirect costs were €3.0-8.5 billion, €2.2-6.2 billion, €1.1-4.6 billion and €0.5-1.4 billion (indirect costs: 22 % of expenditures). When the value of a premature life-lost increased slightly, aggregate costs rose considerably since these costs are higher than the direct medical costs. When evaluating the models aggregately for costs, the results suggests total, hospital-associated, preventable, and indirect costs ranging from €1.5-13.2 billion, €1.0-9.7 billion, €0.5-7.3 billion and €0.2-6.1 billion, respectively. Our study demonstrates that VTE costs have a large financial impact upon the EU-28's healthcare systems and that significant savings could be realised if better preventive measures are applied.

2016 Billion-Ton Report: Advancing Domestic Resources for a Thriving Bioeconomy (Executive Summary)

DOE PAGES

Langholtz, Matthew; Stokes, Bryce; Eaton, Laurence

2016-10-01

We report that consumption of renewable energy in the United States is the highest in history, contributing to energy security, greenhouse gas reductions, and other social, economic, and environmental benefits. The largest single source of renewable energy is biomass, representing 3.9 quadrillion of 9.6 quadrillion British thermal units (Btu) in 2015. Biomass includes agricultural and forestry resources, municipal solid waste (MSW), and algae.

Designing Production Based Learning as a Basic Strategy for Creating Income Generating Units at Universitas Pendidikan Indonesia

NASA Astrophysics Data System (ADS)

Suryadi, D.; Supriatna, N.

2018-02-01

The establishment of Universitas Pendidikan Indonesia (later to be referred as UPI) Statute as a State-Owned State University (PTN-BH) has implications for UPI requirements. One of them is the need for UPI to generate an Income Generating Unit (IGU) of at least IDR 100 Billion (one hundred billion rupiah). This requirement is considered difficult since UPI is one of the universities whose focus is on the world of education and not the business and industry. Surely this becomes the thinking of the entire academic community to make a breakthrough by optimizing their potential. This study aims to find the pattern of learning practice that produces economic value products as one indicator of IGU value achievement as an effort to support UPI as PTN-BH. Learning strategy is done by designing and implementing the production base learning (PBL) approach as the basis strategy for the development of production units capable of becoming IGU in UPI. The research method used refers to research and development methods with adjustments taking into account the effectiveness in validating and conducting field model trials. The result of this research is the basic design of PBL model as the development strategy of production unit in the achievement of IGU UPI PTN-BH.

Models Used by the Military Services to Develop Budgets for Activities Associated with Operational Readiness

DTIC Science & Technology

2012-02-01

Operating Tempo and Training ($19.0 billion) Facilities ($18.1 billion) Maintenance ($11.3 billion) Not Modeled ($26.3 billion) Miscellaneous...Adebayo Adedeji, Daniel Frisk, and Derek Trunkey of CBO’s National Secur supervision of Matthew Goldberg and David Mosher. CBO staff members Elizabeth...rs M ce F ciliti e Op nt M aintng Direct Costs for Unit Operating Tempo and Training ng Indirect Costs for Unit Operating Tempo and Training odel

Spending on Children’s Personal Health Care in the United States, 1996–2013

PubMed Central

Bui, Anthony L.; Dieleman, Joseph L.; Hamavid, Hannah; Birger, Maxwell; Chapin, Abigail; Duber, Herbert C.; Horst, Cody; Reynolds, Alex; Squires, Ellen; Chung, Paul J.; Murray, Christopher J. L.

2017-01-01

IMPORTANCE Health care spending on children in the United States continues to rise, yet little is known about how this spending varies by condition, age and sex group, and type of care, nor how these patterns have changed over time. OBJECTIVE To provide health care spending estimates for children and adolescents 19 years and younger in the United States from 1996 through 2013, disaggregated by condition, age and sex group, and type of care. EVIDENCE REVIEW Health care spending estimates were extracted from the Institute for Health Metrics and Evaluation Disease Expenditure 2013 project database. This project, based on 183 sources of data and 2.9 billion patient records, disaggregated health care spending in the United States by condition, age and sex group, and type of care. Annual estimates were produced for each year from 1996 through 2013. Estimates were adjusted for the presence of comorbidities and are reported using inflation-adjusted 2015 US dollars. FINDINGS From 1996 to 2013, health care spending on children increased from $149.6 (uncertainty interval [UI], 144.1–155.5) billion to $233.5 (UI, 226.9–239.8) billion. In 2013, the largest health condition leading to health care spending for children was well-newborn care in the inpatient setting. Attention-deficit/hyperactivity disorder and well-dental care (including dental check-ups and orthodontia) were the second and third largest conditions, respectively. Spending per child was greatest for infants younger than 1 year, at $11 741 (UI, 10 799–12 765) in 2013. Across time, health care spending per child increased from $1915 (UI, 1845–1991) in 1996 to $2777 (UI, 2698–2851) in 2013. The greatest areas of growth in spending in absolute terms were ambulatory care among all types of care and inpatient well-newborn care, attention-deficit/hyperactivity disorder, and asthma among all conditions. CONCLUSIONS AND RELEVANCE These findings provide health policy makers and health care professionals with evidence to help guide future spending. Some conditions, such as attention-deficit/hyperactivity disorder and inpatient well-newborn care, had larger health care spending growth rates than other conditions. PMID:28027344

Economies of Scale and Forest Management in Mississippi

Treesearch

Andrew James Londo; Donald Leo Grebner

2004-01-01

Mississippi is the leading producer of timber in the south- central region of the United States with a combined 78 billion board feet of hardwood and softwood sawtimber harvested annually. Most of this timber comes from private nonindus-trial forest land, which accounts for 66 percent of the State’s 18.6 million acres of forest land. The forest products industry...

Climate change effects on forests, water resources, and communities of the Delaware River Basin

Treesearch

Will Price; Susan Beecher

2014-01-01

The Delaware River provides drinking water to 5 percent of the United States, or approximately 16.2 million people living in 4 states, 42 counties, and over 800 municipalities. The more than 1.5 billion gallons withdrawn or diverted daily for drinking water is delivered by more than 140 purveyors, yet constitutes less than 20 percent of the average daily withdrawals....

Incidence and lifetime costs of injuries in the United States

PubMed Central

Corso, P; Finkelstein, E; Miller, T; Fiebelkorn, I; Zaloshnja, E

2006-01-01

Background Standardized methodologies for assessing economic burden of injury at the national or international level do not exist. Objective To measure national incidence, medical costs, and productivity losses of medically treated injuries using the most recent data available in the United States, as a case study for similarly developed countries undertaking economic burden analyses. Method The authors combined several data sets to estimate the incidence of fatal and non‐fatal injuries in 2000. They computed unit medical and productivity costs and multiplied these costs by corresponding incidence estimates to yield total lifetime costs of injuries occurring in 2000. Main outcome measures Incidence, medical costs, productivity losses, and total costs for injuries stratified by age group, sex, and mechanism. Results More than 50 million Americans experienced a medically treated injury in 2000, resulting in lifetime costs of $406 billion; $80 billion for medical treatment and $326 billion for lost productivity. Males had a 20% higher rate of injury than females. Injuries resulting from falls or being struck by/against an object accounted for more than 44% of injuries. The rate of medically treated injuries declined by 15% from 1985 to 2000 in the US. For those aged 0–44, the incidence rate of injuries declined by more than 20%; while persons aged 75 and older experienced a 20% increase. Conclusions These national burden estimates provide unequivocal evidence of the large health and financial burden of injuries. This study can serve as a template for other countries or be used in intercountry comparisons. PMID:16887941

Chinese Doctoral Student Socialization in the United States: A Qualitative Study

ERIC Educational Resources Information Center

Li, Wendan; Collins, Christopher S.

2014-01-01

Although international students annually contribute billions of dollars to the US economy, meaningful intercultural interaction between international students, peers, and faculty is often missing at US host campuses. Feelings of isolation, loneliness, and alienation are pervasive among international students at US campuses; these feelings can…

Counseling Adult Clients Experiencing Chronic Pain

ERIC Educational Resources Information Center

Burns, Stephanie T.

2010-01-01

Chronic pain affects 35% to 57% of the adult population in the United States and results in billions of dollars spent annually in direct health-care costs and lost productivity. Extensive research confirms the considerable role psychological factors play in the experience and expression of chronic pain. The author discusses implications for…

Integrating phytotechnologies with energy crop production for biofuels, bioenergy, and bioproducts

Treesearch

Ronald S. Jr. Zalesny

2009-01-01

Forest biomass constitutes ~30% of the total biomass that can be produced in the United States, making adequate woody feedstock availability necessary for environmental and economic sustainability. Woody feedstock production is vital for achieving our National goal of 16 billion gallons of cellulosic ethanol by 2022.

Direct genetic evidence to support the presence of sexual recombination within the life cycle of Aspergillus flavus

USDA-ARS?s Scientific Manuscript database

Aspergillus flavus contaminates many important crops worldwide and is the major producer of aflatoxins, which are cancer-causing secondary metabolites. In the United States, mycotoxins have been estimated to cause agricultural losses totaling upwards of $1.4 billion annually, with aflatoxin contamin...

School Construction: Fixing Facilities

ERIC Educational Resources Information Center

Kennedy, Mike

2012-01-01

About two decades ago, a consensus began to take root among educators and policymakers that school systems in the United States could no longer afford to ignore the inadequate building conditions that made teaching and learning difficult in many classrooms. Since then, billions of dollars have been spent, and thousands of modern classrooms have…

The synergistic effects of almond protection fungicides on honey bee (Apis mellifera) forager survival

USDA-ARS?s Scientific Manuscript database

The honey bee (Apis mellifera) contributes approximately $17 billion annually in pollination services performed for major agricultural crops in the United States including almond, which is completely dependent on honey bee pollination for nut set. Almond growers face challenges to crop productivity ...

An estimate of undiscovered conventional oil and gas resources of the world, 2012

USGS Publications Warehouse

Schenk, Christopher J.

2012-01-01

Using a geology-based assessment methodology, the U.S. Geological Survey estimated means of 565 billion barrels of conventional oil and 5,606 trillion cubic feet of undiscovered conventional natural gas in 171 priority geologic provinces of the world, exclusive of the United States.

UTILIZING SOCIAL MEDIA AND PROTECTING MILITARY MEMBERS AND THEIR FAMILIES

DTIC Science & Technology

2016-02-01

is the property of the United States Government. iii Table of Contents Disclaimer...ii Table of Contents ...According to Facebook, it had 12 million active users in 2006, 500 million active users in 2010, and 1.65 billion active users in 2014.7 The DoD

Colleges' Effort To Prepare for Y2K May Yield Benefits for Many Years.

ERIC Educational Resources Information Center

Olsen, Florence

2000-01-01

Suggests that the money spent ($100 billion) to fix the Y2K bug in the United States resulted in improved campus computer systems. Reports from campuses around the country indicate that both mainframe and desktop systems experienced fewer problems than expected. (DB)

BIOACCUMULATION FACTORS AND INTAKE OF 2,3,7,8-POLYCHLORINATED DIBENZO-P-DIOXINS IN THE DOMESTIC CHICKEN

EPA Science Inventory

One of the most commercially valuable farm animals in the United States is the domestic chicken (Gallus domesticus). Rapidly reared in controlled, intensive environments, the US Department of Agriculture (USDA) estimated the production of these animals exceeded eight billion in ...

Investigating Team Cohesion in COCOMO II.2000

ERIC Educational Resources Information Center

Snowdeal-Carden, Betty A.

2013-01-01

Software engineering is team oriented and intensely complex, relying on human collaboration and creativity more than any other engineering discipline. Poor software estimation is a problem that within the United States costs over a billion dollars per year. Effective measurement of team cohesion is foundationally important to gain accurate…

SALMON RECOVERY IN THE TWENTY-FIRST CENTURY: BREACHING THE BASIC BARRIERS

EPA Science Inventory

Protecting and restoring runs of wild Pacific salmon enjoys wide public support. Billions of dollars have been spent in a so-far failed attempt to reverse the long-term decline of wild salmon in the western contiguous United States. Of the Earth's four regions (i.e., Asian Far ...

RESTORING SALMON TO THE PACIFIC NORTHWEST: LEGACIES, CHOICES, AND TRAJECTORIES

EPA Science Inventory

The general policy goal of protecting and restoring runs of wild Pacific salmon enjoys wide public support. Billions of dollars have been spent in a so-far failed attempt to reverse the long-term decline of wild salmon in the western contiguous United States. Of the Earth's fou...

Improving the Vertical Distribution of Fire Emissions in CMAQ

EPA Science Inventory

The area burned by wildland fires (prescribed and wild) across the contiguous United States (U.S.) has expanded by nearly 50% and now averages 2 million hectares per year. Such fires are estimated to cause 8000 deaths per year and are monetized as having a ~$450 billion impact t...

Sugarcane aphid spatial distribution in grain sorghum fields

USDA-ARS?s Scientific Manuscript database

Sorghum is an important summer grain crop in the United States. In 2014, the U.S. produced 432 million bushels of sorghum valued at $1.67 billion on more than 6 million acres. The sugarcane aphid, Melanaphis sacchari (Zehntner), was discovered in damaging numbers in grain sorghum, Sorghum bicolor ...

Variation in bird-window collision mortality and scavenging rates within an urban landscape

EPA Science Inventory

Annual avian mortality from collisions with windows and buildings is estimated to range from a million to a billion birds in the United States alone. However, estimates of mortality based on carcass counts suffer from bias due to imperfect detection and carcass scavenging. We stu...

75 FR 19358 - Availability of Grant Funds for FY 2010

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-14

... $1 billion annually. With its Exclusive Economic Zone of 3.4 million square miles, the United States... Programs: (1) Sea Grant Aquaculture Research Program 2010; (2) NOAA Sea Grant Aquaculture Extension and Technology Transfer 2010; and (3) NOAA Sea Grant Aquatic Invasive Species 2010. This notice supplements the...

Biofuel Supply Chains: Impacts, Indicators and Sustainability Metrics(Presentation)

EPA Science Inventory

Biofuel supply chains in the United States are expected to expand considerably, in part due to the Energy Independence and Security Act (EISA) of 2007. This law mandates through the EPA’s Renewable Fuel Standard an expansion to 36 billion gallons of renewable fuels per year by 2...

External damage cost of noise emitted from motor vehicles

DOT National Transportation Integrated Search

1998-10-01

With a detailed model of the cost of motor vehicle noise in the United States in 1990, it is estimated that the external damage cost of this noise could range from as little as $100 million per year to as much as $40 billion per year, although it is ...

Petroleum geology and total petroleum systems of the Widyan Basin and Interior Platform of Saudi Arabia and Iraq

USGS Publications Warehouse

Fox, James E.; Ahlbrandt, Thomas S.

2002-01-01

The Widyan Basin-Interior Platform Province (2023) ranks 17th in the world, exclusive of the United States, with 62.5 billion barrels of oil equivalent of total petroleum endowment (cumulative production plus remaining petroleum plus estimated mean undiscovered volumes). Mean estimates of undiscovered petroleum for the province, which includes both Paleozoic and Jurassic petroleum systems as well as portions of three additional total petroleum systems from adjacent provinces, are 21.22 billion barrels of oil, 94.75 trillion cubic feet of gas (15.8 billion barrels of oil equivalent), and 6.85 billion barrels of natural gas liquids. The Paleozoic total petroleum system is dominantly gas prone, whereas the volumetrically larger Jurassic total petroleum system is oil prone - resulting in the characterization of the province as an oil province. The discovery maturity for the province is a relatively low 31 percent, meaning that much of the province petroleum potential lies in the future.

Modeling The Economic And Health Impact Of Increasing Children’s Physical Activity In The United States

PubMed Central

Lee, Bruce Y.; Adam, Atif; Zenkov, Eli; Hertenstein, Daniel; Ferguson, Marie C.; Wang, Peggy I.; Wong, Michelle S.; Wedlock, Patrick; Nyathi, Sindiso; Gittelsohn, Joel; Falah-Fini, Saeideh; Bartsch, Sarah M.; Cheskin, Lawrence J.; Brown, Shawn T.

2017-01-01

Increasing physical activity among children is a potentially important public health intervention. Quantifying the economic and health effects of the intervention would help decision makers understand its impact and priority. Using a computational simulation model that we developed to represent all US children ages 8–11 years, we estimated that maintaining the current physical activity levels (only 31.9 percent of children get twenty-five minutes of high-calorie-burning physical activity three times a week) would result each year in a net present value of $1.1 trillion in direct medical costs and $1.7 trillion in lost productivity over the course of their lifetimes. If 50 percent of children would exercise, the number of obese and overweight youth would decrease by 4.18 percent, averting $8.1 billion in direct medical costs and $13.8 billion in lost productivity. Increasing the proportion of children who exercised to 75 percent would avert $16.6 billion and $23.6 billion, respectively. PMID:28461358

Coal geology and assessment of coal resources and reserves in the Powder River Basin, Wyoming and Montana

USGS Publications Warehouse

Luppens, James A.; Scott, David C.

2015-01-01

This report presents the final results of the first assessment of both coal resources and reserves for all significant coal beds in the entire Powder River Basin, northeastern Wyoming and southeastern Montana. The basin covers about 19,500 square miles, exclusive of the part of the basin within the Crow and Northern Cheyenne Indian Reservations in Montana. The Powder River Basin, which contains the largest resources of low-sulfur, low-ash, subbituminous coal in the United States, is the single most important coal basin in the United States. The U.S. Geological Survey used a geology-based assessment methodology to estimate an original coal resource of about 1.16 trillion short tons for 47 coal beds in the Powder River Basin; in-place (remaining) resources are about 1.15 trillion short tons. This is the first time that all beds were mapped individually over the entire basin. A total of 162 billion short tons of recoverable coal resources (coal reserve base) are estimated at a 10:1 stripping ratio or less. An estimated 25 billion short tons of that coal reserve base met the definition of reserves, which are resources that can be economically produced at or below the current sales price at the time of the evaluation. The total underground coal resource in coal beds 10–20 feet thick is estimated at 304 billion short tons.

Workplace injuries and the take-up of Social Security disability benefits.

PubMed

O'Leary, Paul; Boden, Leslie I; Seabury, Seth A; Ozonoff, Al; Scherer, Ethan

2012-01-01

Workplace injuries and illnesses are an important cause of disability. State workers' compensation programs provide almost $60 billion per year in cash and medical-care benefits for those injuries and illnesses. Social Security Disability Insurance (DI) is the largest disability insurance program in the United States, with annual cash payments to disabled workers of $95 billion in 2008. Because injured workers may also receive DI benefits, it is important to understand how those two systems interact to provide benefits. This article uses matched state workers' compensation and Social Security data to study the relationship between workplace injuries and illnesses and DI benefit receipt. We find that having a lost-time injury substantially increases the probability of DI receipt, and, for people who become DI beneficiaries, those with injuries receive DI benefits at younger ages. This relationship remains robust even after we account for important personal and work characteristics.

U.S. Geological Survey resource assessment of selected Tertiary coal zones in Wyoming, Montana and North Dakota

USGS Publications Warehouse

Nichols, D.J.; Ellis, M.S.

2003-01-01

In 1999, 1 Gt (1.1 billion st) of coal was produced in the United States. Of this total, 37% was produced in Wyoming, Montana and North Dakota. Coals of Tertiary age from these states typically have low ash contents. Most of these coals have sulfur contents that are in compliance with Clean Air Act standards and most have low concentrations of the trace elements that are of environmental concern. The U.S. Geological Survey (USGS) National Coal Resource Assessment for these states includes geologic, stratigraphic, palynologic and geochemical studies and resource calculations for major Tertiary coal zones in the Powder River, Williston, Greater Green River, Hanna and Carbon Basins. Calculated resources are 595 Gt (655 billion st). Results of the study are available in a USGS Professional Paper and a USGS Open-File Report, both in CD-ROM format.

Funding of Parkinson research from industry and US federal and foundation sources.

PubMed

Dorsey, E Ray; Thompson, Joel P; Frasier, Mark; Sherer, Todd; Fiske, Brian; Nicholson, Sean; Johnston, S Claiborne; Holloway, Robert G; Moses, Hamilton

2009-04-15

Funding for biomedical and neuroscience research has increased over the last decade but without a concomitant increase in new therapies. This study's objectives were to determine the level and principal sources of recent funding for Parkinson disease (PD) research and to determine the current state of PD drug development. We determined the level and principal sources of recent funding for PD research from the following sources: US federal agencies, large PD foundations based in the United States, and global industry. We assessed the status of PD drug development through the use of a proprietary drug pipeline database. Funding for PD research from the sources examined was approximately $1.1 billion in 2003 and $1.2 billion in 2005. Industry accounted for 77% of support from 2003 to 2005. The number of drugs in development for PD increased from 67 in 2003 to 97 in 2007. Of the companies with at least one compound in development for PD in 2007, most were small (62% had annual revenue of less than $100 million), and most (53%) were based outside the United States. These companies will likely require partnerships to drive successful development of new PD therapies.

Preventable health and cost burden of adverse birth outcomes associated with pregestational diabetes in the United States.

PubMed

Peterson, Cora; Grosse, Scott D; Li, Rui; Sharma, Andrea J; Razzaghi, Hilda; Herman, William H; Gilboa, Suzanne M

2015-01-01

Preconception care for women with diabetes can reduce the occurrence of adverse birth outcomes. We aimed to estimate the preconception care (PCC)-preventable health and cost burden of adverse birth outcomes associated with diagnosed and undiagnosed pregestational diabetes mellitus (PGDM) in the United States. Among women of reproductive age (15-44 years), we estimated age- and race/ethnicity-specific prevalence of diagnosed and undiagnosed diabetes. We applied age and race/ethnicity-specific pregnancy rates, estimates of the risk reduction from PCC for 3 adverse birth outcomes (preterm birth, major birth defects, and perinatal mortality), and lifetime medical and lost productivity costs for children with those outcomes. Using a probabilistic model, we estimated the reduction in adverse birth outcomes and costs associated with universal PCC compared with no PCC among women with PGDM. We did not assess maternal outcomes and associated costs. We estimated 2.2% of US births are to women with PGDM. Among women with diagnosed diabetes, universal PCC might avert 8397 (90% prediction interval [PI], 5252-11,449) preterm deliveries, 3725 (90% PI, 3259-4126) birth defects, and 1872 (90% PI, 1239-2415) perinatal deaths annually. Associated discounted lifetime costs averted for the affected cohort of children could be as high as $4.3 billion (90% PI, 3.4-5.1 billion) (2012 US dollars). PCC among women with undiagnosed diabetes could yield an additional $1.2 billion (90% PI, 951 million-1.4 billion) in averted cost. Results suggest a substantial health and cost burden associated with PGDM that could be prevented by universal PCC, which might offset the cost of providing such care. Published by Elsevier Inc.

Economic burden of occupational injury and illness in the United States.

PubMed

Leigh, J Paul

2011-12-01

The allocation of scarce health care resources requires a knowledge of disease costs. Whereas many studies of a variety of diseases are available, few focus on job-related injuries and illnesses. This article provides estimates of the national costs of occupational injury and illness among civilians in the United States for 2007. This study provides estimates of both the incidence of fatal and nonfatal injuries and nonfatal illnesses and the prevalence of fatal diseases as well as both medical and indirect (productivity) costs. To generate the estimates, I combined primary and secondary data sources with parameters from the literature and model assumptions. My primary sources were injury, disease, employment, and inflation data from the U.S. Bureau of Labor Statistics (BLS) and the Centers for Disease Control and Prevention (CDC) as well as costs data from the National Council on Compensation Insurance and the Healthcare Cost and Utilization Project. My secondary sources were the National Academy of Social Insurance, literature estimates of Attributable Fractions (AF) of diseases with occupational components, and national estimates for all health care costs. Critical model assumptions were applied to the underreporting of injuries, wage-replacement rates, and AFs. Total costs were calculated by multiplying the number of cases by the average cost per case. A sensitivity analysis tested for the effects of the most consequential assumptions. Numerous improvements over earlier studies included reliance on BLS data for government workers and ten specific cancer sites rather than only one broad cancer category. The number of fatal and nonfatal injuries in 2007 was estimated to be more than 5,600 and almost 8,559,000, respectively, at a cost of $6 billion and $186 billion. The number of fatal and nonfatal illnesses was estimated at more than 53,000 and nearly 427,000, respectively, with cost estimates of $46 billion and $12 billion. For injuries and diseases combined, medical cost estimates were $67 billion (27% of the total), and indirect costs were almost $183 billion (73%). Injuries comprised 77 percent of the total, and diseases accounted for 23 percent. The total estimated costs were approximately $250 billion, compared with the inflation-adjusted cost of $217 billion for 1992. The medical and indirect costs of occupational injuries and illnesses are sizable, at least as large as the cost of cancer. Workers' compensation covers less than 25 percent of these costs, so all members of society share the burden. The contributions of job-related injuries and illnesses to the overall cost of medical care and ill health are greater than generally assumed. © 2011 Milbank Memorial Fund.

Economic Indicators of the Farm Sector. State Financial Summary, 1985.

ERIC Educational Resources Information Center

Economic Research Service (USDA), Washington, DC.

Government data indicate that the top five states in net farm income in 1985 were California ($3.5 billion), Texas ($2.5 billion), Nebraska ($1.8 billion), Florida ($1.8 billion), and Iowa ($1.7 billion). Cattle and calves and dairy products were the top commodities in cash receipts. Texas led cattle and calf production with $4.1 billion, and…

Out-of-Pocket Expenditures on Complementary Health Approaches Associated with Painful Health Conditions in a Nationally Representative Adult Sample

PubMed Central

Nahin, Richard L.; Stussman, Barbara J.; Herman, Patricia M.

2015-01-01

National surveys suggest that millions of adults in the United States use complementary health approaches such as acupuncture, chiropractic manipulation, and herbal medicines to manage painful conditions such as arthritis, back pain and fibromyalgia. Yet, national and per person out-of-pocket (OOP) costs attributable to this condition-specific use are unknown. In the 2007 National Health Interview Survey, use of complementary health approaches, reasons for this use, and associated OOP costs were captured in a nationally representative sample of 5,467 adults. Ordinary least square regression models that controlled for co-morbid conditions were used to estimate aggregate and per person OOP costs associated with 14 painful health conditions. Individuals using complementary approaches spent a total of $14.9 billion (S.E. $0.9 billion) OOP on these approaches to manage these painful conditions. Total OOP expenditures seen in those using complementary approaches for their back pain ($8.7 billion, S.E. $0.8 billion) far outstripped that of any other condition, with the majority of these costs ($4.7 billion, S.E. $0.4 billion) resulting from visits to complementary providers. Annual condition-specific per-person OOP costs varied from a low of $568 (SE $144) for regular headaches, to a high of $895 (SE $163) for fibromyalgia. PMID:26320946

Compared to What? Estimating Causal Effects for Latent Subgroups to Understand Variation in the Impacts of Head Start by Alternate Child Care Setting

ERIC Educational Resources Information Center

Feller, Avi; Grindal, Todd; Miratrix, Luke; Page, Lindsay C.

2014-01-01

Head Start programs currently provide early childhood education and family support services to more than 900,000 low-income children and their families across the United States with an annual budget of around $8 billion in state and federal funds. Researchers and policy makers have debated the program's effectiveness since its inception in 1964.…

Analysis of Maize versus Ethanol Production in Nebraska, United States and International Agricultural Droughts: Lessons for Global Food Security

NASA Astrophysics Data System (ADS)

Boken, V.; Tenkorang, F.

2012-04-01

Nebraska is one of the eight main corn (maize) belt states of the United States. Maize is the major crop of Nebraska with an average annual production of about 38 million tons (about 12% of U.S. production), which contributes billions of dollars to the state's economy. The yield of maize has increased significantly over the past century - from 1.6 t/ha in 1900 to 10.4 t/ha in 2010. While the majority of maize (about 40%) is currently used for animal feed and ethanol production, only about six percent is exported. It is estimated that about one billion people accounting for about 15% population of the world live in chronic hunger because of low agricultural productivity and drought. Most of these people depend on the U.S. for grains including maize. If a greater quantity of maize is diverted to ethanol production, considerably less quantity of maize would be available for export to developing countries where it could be used for human consumption and to mitigate hunger and improve food security. This paper presents analysis of maize production in Nebraska for the past three decades and examines how its commercialization for ethanol production has affected its exports in the face of drought at an international level.

National health expenditures, 1995.

PubMed

Levit, K R; Lazenby, H C; Braden, B R; Cowan, C A; McDonnell, P A; Sivarajan, L; Stiller, J M; Won, D K; Donham, C S; Long, A M; Stewart, M W

1996-01-01

This article presents data on health care spending for the United States, covering expenditures for various types of medical services and products and their sources of funding from 1960 to 1995. In 1995, $988.5 billion was spent to purchase health care in the United States, up 5.5 percent from 1994. Growth in spending between 1993 and 1995 was the slowest in more than three decades, primarily because of slow growth in private health insurance and out-of-pocket spending. As a result, the share of health spending funded by private sources fell, reflecting the influence of increased enrollment in managed care plans.

Impacts of Electrification of Light-Duty Vehicles in the United States, 2010 - 2017

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gohlke, David; Zhou, Yan

This report examines the sales of plug-in electric vehicles (PEVs) in the United States from 2010 to 2017, exploring vehicle sales, electricity consumption, petroleum reduction, and battery production, among other factors. Over 750,000 PEVs have been sold, driving nearly 16 billion miles on electricity, thereby reducing gasoline consumption by 0.1% in 2016 and 600 million gallons cumulatively through 2017, while using over 5 terawatt-hours of electricity. Over 23 gigawatt-hours of battery capacity has been placed in vehicles, and 98% of this is still on the road, assuming typical scrappage rates.

Estimates of the direct and indirect cost savings associated with heart disease that could be avoided through dietary change in the United States.

PubMed

Cawley, John; Meyerhoefer, Chad; Gillingham, Leah G; Kris-Etherton, Penny; Jones, Peter J H

2017-02-01

Diets high in saturated fat are associated with elevated risk of heart disease. This study estimates the savings in direct (medical care) costs and indirect (job absenteeism) costs in the US from reductions in heart disease associated with substituting monounsaturated fats (MUFA) for saturated fats. A four-part model of the medical care cost savings from avoided heart disease was estimated using data on 247,700 adults from the 2000-2010 Medical Expenditure Panel Survey (MEPS). The savings from reduced job absenteeism due to avoided heart disease was estimated using a zero-inflated negative binomial model of the number of annual work loss days applied to data on 164,577 adults from the MEPS. Estimated annual savings in medical care expenditures resulting from a switch from a diet high in saturated fat to a high-MUFA diet totaled ∼ $25.7 billion (95% CI = $6.0-$45.4 billion) in 2010, with private insurance plans saving $7.9 billion (95% CI = $1.8-$14.0 billion), Medicare saving $9.4 billion (95% CI = $2.1-$16.7 billion), Medicaid saving $1.4 billion (95% CI = $0.2-$2.5 billion), and patients saving $2.2 billion (95% CI = $0.5-$3.8 billion). The annual savings in terms of reduced job absenteeism ranges from a lower bound of $600 million (95% CI = $100 million to $1.0 billion) to an upper bound of $1.2 billion (95% CI = $0.2-$2.1 billion) for 2010. The data cover only the non-institutionalized population. Decreased costs due to any decreases in the severity of heart disease are not included. Cost savings do not include any reduction in informal care at home. Diets high in saturated fat impose substantial medical care costs and job absenteeism costs, and substantial savings could be achieved by substituting MUFA for saturated fat.

Israel: Background and Relations with the United States

DTIC Science & Technology

2007-04-30

provided a grant of 15% of an investment of up to $3.5 billion or $525 million to secure the deal. In May 2006, prominent U.S. investor Warren Buffet ...President Bush noted the need to take into account changed “realities on the ground, including already existing major Israeli population centers

First report of the Soybean Cyst Nematode, Heterodera glycines, in New York

USDA-ARS?s Scientific Manuscript database

The soybean cyst nematode (SCN), Heterodera glycines Ichinohe, is the most damaging pathogen of soybean (Glycine max (L.) Merr.), causing more than $1 billion in yield losses annually in the United States (Koenning and Wrather 2010). The SCN distribution map updated in 2014 showed that SCN were dete...

Assessing the comparative effectiveness of Tai Chi versus physical therapy for knee osteoarthritis: design and rationale for a randomized trial

USDA-ARS?s Scientific Manuscript database

Background: Knee osteoarthritis (OA) causes pain and long-term disability with annual healthcare costs exceeding $185 billion in the United States. Few medical remedies effectively influence the course of the disease. Finding effective treatments to maintain function and quality of life in patients ...

Molecular diagnostics of potato cyst nematodes (PCN) from the national survey

USDA-ARS?s Scientific Manuscript database

The potato cyst nematodes (PCN) Globodera rostochiensis and G. pallida are regulated pathogens of potato, a crop worth nearly $3.9 billion in the United States. Since the initial discovery of G. pallida in Idaho in 2006, extensive surveys of the major potato growing acreage have been carried out, to...

CONCENTRATED ANIMAL FEEDING OPERATIONS AS A SOURCE OF EDCS AND THEIR MANAGEMENT

EPA Science Inventory

In the United States, there is an estimated 376,000 animal feed operations, generating approximately 128 billion pounds of waste each year. A facility is an animal feed operation (AFO) if animals are stabled/confined, or fed/maintained, for 45 days or more within any 12-month per...

Blueprint for Tomorrow: Redesigning Schools for Student-Centered Learning

ERIC Educational Resources Information Center

Nair, Prakash

2014-01-01

The United States has about $2 trillion tied up in aging school facilities. School districts throughout the country spend about $12 billion every year keeping this infrastructure going. Yet almost all of the new money we pour into school facilities reinforces an existing--and obsolete--model of schooling. In "Blueprint for Tomorrow,"…

REGIONAL ESTIMATION OF CURRENT AND FUTURE FOREST BIOMASS. (R828785)

EPA Science Inventory

The 90,674 wildland fires that burned 2.9 million ha at an estimated suppression cost of $1.6 billion in the United States during the 2000 fire season demonstrated that forest fuel loading has become a hazard to life, property, and ecosystem health as a result of past fire exc...

School Plant Management: Organizing the Maintenance Program. Bulletin, 1960, No. 15. OE-21002

ERIC Educational Resources Information Center

Finchum, R. N.

1960-01-01

Present capital outlay investments in elementary and secondary school buildings, sites, and equipment in the United States are being increased at the rate of about $3 billion annually. Maintenance and operational services, important aspects of property protection, educational progress, pupil safety, and plant efficiency, are being provided in…

77 FR 10560 - United States v. International Paper Company et al.; Proposed Final Judgment and Competitive...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-22

..., Antitrust Division, Antitrust Documents Group, 450 Fifth Street NW., Suite 1010, Washington, DC 20530... Packaging Group, which produces containerboard and corrugated products, accounting for $8.4 billion. 10... linerboards in a wavy, fluted pattern. Linerboard is made from virgin wood fiber, recycled fiber (usually...

Elementary and Secondary Education Act of 1965: Allocation Methods. CRS Report for Congress.

ERIC Educational Resources Information Center

Irwin, Paul M.

The Elementary Secondary Education Act (ESEA) of 1965 authorizes 39 programs that are administered by the United States Department of Education and account for $8.6 billion in FY 1993. ESEA funds are distributed through three allocation methods: formulas, discretionary grants, and specifically designated recipients. Almost half of ESEA programs…

Unwelcome Guests: Extoic Forest Pests

Treesearch

Sun Jiang-Hua

2002-01-01

Exotic forest pests cost China and the United States billions of dollars each year. Current regulatory systems worldwide are over-whelmed with the increasing volume of international trade. Trade in nursery stock, wood products, pallets and dunnage have proven the most common means of transport for exotic forest pests. Despite our best efforts, pests such as chestnut...

Durability of wood-plastic composite lumber

Treesearch

Rebecca E. Ibach

2010-01-01

Wood-plastic composite (WPC) lumber has been marketed as a low-maintenance, high-durability product. Retail sales in the United States were slightly less than $1 billion in 2008. Applications include docking, railing, windows, doors, fencing, siding, moldings, landscape timbers, car interior parts, and furniture. The majority of these products are used outdoors and...

QUANTITATION OF PERCHLORATE ION: PRACTICES AND ADVANCES APPLIED TO THE ANALYSIS OF COMMON MATRICES

EPA Science Inventory

In 1997, low level perchlorate contamination (<50 ng mL-1 or parts per billion) was discovered in the western United States. Since that time, it has been found in sites scattered around the nation. Although the Environmental Protection Agency has not established a regulation fo...

Response of reservoir atrazine concentrations following regulatory and management changes

USDA-ARS?s Scientific Manuscript database

Since the early 1990s, atrazine concentrations in United States drinking water supplies exceeding the drinking water standard of 3 parts per billion (ppb) have been identified as a costly and major water quality concern. Atrazine levels in Columbus, Ohio tap water reached 8.74 ppb in the early 1990s...

75 FR 81643 - Hydropower Resource Assessment at Existing Reclamation Facilities-Draft Report

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-28

[email protected] . The Draft Report is also accessible from the following Web site: http://www.usbr.gov/power... or about 48.4 billion pounds of coal. Reclamation is the second largest producer of hydroelectric power in the United States, and is actively engaged in looking for opportunities to encourage...

Upskilling the Aerospace Workforce in Washington. Scaling Change: Air Washington Consortium

ERIC Educational Resources Information Center

Bragg, D. D.

2016-01-01

Several federal grants prioritized the role of community colleges in education and training in recent years, and one of the most substantial investments was the Trade Adjustment Act Community College and Career Training (TAACCCT) program of the United States Department of Labor (DOL). Beginning October 2011, these $2 billion capacity-building…

Mitigation of atrazine, S-metolachlor, and diazinon using common aquatic emergent vegetation

USDA-ARS?s Scientific Manuscript database

Based on current population rates, by the year 2050, the population of the United States will reach over 418 million, while the global population will reach 9.6 billion. To continue providing safe food and fiber for this population increase, agriculture must balance the mixture of natural resources...

Expanding Student Support Services. Scaling Change: MoHealthWINs Consortium

ERIC Educational Resources Information Center

Kirby, C. L.

2016-01-01

Several federal grants prioritized the role of community colleges in education and training in recent years, and one of the most substantial investments was the Trade Adjustment Act Community College and Career Training (TAACCCT) program of the United States Department of Labor (DOL). Beginning October 2011, these $2 billion capacity-building…

It is time for IsoBank

USDA-ARS?s Scientific Manuscript database

It was back in 1982, when the United States was mired in the Cold War and a recession, that the National Institutes of Health awarded a five-year, $3.2 million grant to a group of scientists at the Los Alamos National Laboratory to develop GenBank. It now houses nearly 200 billion bases from 178 mil...

The streptococcal phage SA2 and B30 endolysins act synergistically and kill mastitis causing streptococci in milk

USDA-ARS?s Scientific Manuscript database

Bovine mastitis results in billion dollar losses annually in the United States alone. Among the most relevant causative agents of this disease are members of the genus Streptococcus, particularly the species S. agalactiae (Group B Streptococcus; GBS), S. dysgalactiae (Group C; GCS), and S. uberis....

Straight A's: Public Education Policy and Progress. Volume 6, Number 16

ERIC Educational Resources Information Center

Amos, Jason, Ed.

2006-01-01

"Straight A's: Public Education Policy and Progress" is a biweekly newsletter that focuses on education news and events both in Washington, DC and around the country. The following articles are included in this issue: (1) Paying Double: United States Spends Over $1.4 Billion Annually on Remedial Education for Recent High School…

eProcurement: The Technology of Smart Shopping

ERIC Educational Resources Information Center

Briggs, Linda L.

2006-01-01

This article talks about eProcurement and examines why school districts are so slow to make the transition. Despite the billions of dollars that flow from schools each year in procurement spending, most K-12 districts in the United States, especially smaller ones, persist in using paperbased procurement models in which supplies are identified in…

On the Origin and Political Significance of Test-Based Teacher Evaluation and Compensation

ERIC Educational Resources Information Center

Garrison, Mark J.

2011-01-01

Education "reform" is unfolding at an unprecedented rate, with little public input. The most discussed factor driving this transformation is the nearly $5 billion in discretionary funding provided to the United States Department of Education (USDOE) by the "American Recovery and Reinvestment Act of 2009" (ARRA), known as Race…

Reacting to the American Graduation Initiative

ERIC Educational Resources Information Center

Community College Journal, 2009

2009-01-01

As part of his quest to help the United States reclaim its status as the world's top producer of college graduates by 2020, on July 14 President Obama introduced the aptly named American Graduation Initiative (AGI). The sweeping proposal would, if approved by Congress, pump an unprecedented $12 billion into the nation's community colleges to help…

Use of Spectral Vegetation Indices for Detection of European Corn Borer Infestation in Iowa Corn Plots

EPA Science Inventory

Recently, corn grown for grain in the United States has increased from 28 million ha in 2006 to more than 35 million ha in 2007 with a production value of over $52 billion dollars. Transgenic corn expressing the plant incorporated protectant Bacillus thuringiensis toxin represen...

US Research on Wildland Fires??…with a Focus on EPA’s Efforts

EPA Science Inventory

The United States spends more than $1 billion every year to fight wildfires. According to National Interagency Fire Center data, of the 10 years with the largest acreage burned, nine have occurred since 2000 (as of 2012). This period coincides with many of the warmest years on re...

Digital Games and Language Teaching and Learning

ERIC Educational Resources Information Center

Sykes, Julie M.

2018-01-01

The digital gaming industry has captured the public's attention worldwide and in the United States alone, the video game industry is predicted to increase by 30% from 2010 to 2019, reaching $19.6 billion in revenue (Takahashi, 2015, n.p.). Not surprisingly, digital gameplay is also rapidly expanding in educational domains. Although researchers…

The State of the World's Children, 1993.

ERIC Educational Resources Information Center

Grant, James P.

This report argues that despite all the problems of the post cold war world, the means are now at hand to end mass malnutrition, preventable disease, and widespread illiteracy among the world's children. UNICEF (the United Nations Children's Fund) estimates the cost of about $25 billion per year in additional aid to developing nations. To give…

America's First Universal Design "Smart" Home

ERIC Educational Resources Information Center

Schwab, Charles M.

2009-01-01

By providing a $20,000 tax credit for Universal Design (UD) housing, when new housing construction begins anew, the United States has a real opportunity to save hundreds of billions of dollars in long-term healthcare while encouraging long-term economic growth. Universal Design (also known as Inclusive Design or "Aging in Place" when referring to…

National Mandates and Statewide Enactments: Inquiry in/to Large-Scale Reform

ERIC Educational Resources Information Center

Hines, Mary Beth; Conner, Jenny; Campano, Gerald; Damico, James; Enoch, Melissa; Nam, Daehyeon

2007-01-01

Since the inauguration of the No Child Left Behind Act of 2001 (NCLB) in the United States, with a billion-dollar budget to induce educational reform, American schools have been under the microscope for meeting accountability standards for students. The performance pressures have intensified as the consequences for not achieving academic…

Modeling containment of large wildfires using generalized linear mixed-model analysis

Treesearch

Mark Finney; Isaac C. Grenfell; Charles W. McHugh

2009-01-01

Billions of dollars are spent annually in the United States to contain large wildland fires, but the factors contributing to suppression success remain poorly understood. We used a regression model (generalized linear mixed-model) to model containment probability of individual fires, assuming that containment was a repeated-measures problem (fixed effect) and...

The War against America's Public Schools: Privatizing Schools, Commercializing Education.

ERIC Educational Resources Information Center

Bracey, Gerald W.

Education reform has a long and ignoble history of searching for magic bullets. Charter schools, vouchers, educational management organizations, tuition tax credits, and high-standards movements are all part of the education landscape today. Some reformers are mere opportunists who look at the $700 billion that the United States spends on…

The Migration of Foreign Students to Russia

ERIC Educational Resources Information Center

Pis'mennaia, E. E.

2010-01-01

According to forecasts, the competitive struggle on the worldwide scale to attract foreign students is going to get more intense, as many countries see students as the most desirable category of migrants. The world market of educational services has been estimated at $50-60 billion. The economically developed countries, such as the United States,…

Health Care Costs for Adults With Congenital Heart Disease in the United States 2002 to 2012.

PubMed

Briston, David A; Bradley, Elisa A; Sabanayagam, Aarthi; Zaidi, Ali N

2016-08-15

More adults than children with congenital heart disease (CHD) are alive today. Few studies have evaluated adult congenital heart disease (ACHD) health care utilization in the United States. Data from the National Inpatient Sample from 2002 to 2012, using International Classification of Diseases, Ninth Revision, codes for moderate and complex CHD were analyzed. Hospital discharges, total billed and reimbursed amounts, length of stay, and gender/age disparities were evaluated. There was an increase in CHD discharges (moderate CHD: 4,742 vs 6,545; severe CHD: 807 vs 1,115) and total billed and reimbursed dollar amounts across all CHD (billed: $2.7 vs $7.0 billion, 155% increase; reimbursed: $1.3 vs $2.3 billion, 99% increase) and in the ACHD subgroup (billed: $543 million vs $1.5 billion, 178% increase; reimbursed: $221 vs $433 million, 95% increase). Women comprised more discharges in 2002 but not in 2012 (men:women, 2002: 6,503 vs 7,805; 2012: 7,715 vs 7,200, p = 0.39). Gender-based billed amounts followed similar trends (2002: $263 vs $280 million; 2012: $845 vs $662 million, p = 0.006) as did reimbursements (2002: $108 vs $114 million; 2012: $243 vs $190 million, p = 0.008). All age subgroups demonstrated increased health care expenditures, including the >44 versus 18- to 44-year-old age subgroup (billed: $618 vs $347 million, p <0.001; reimbursed: $136 vs $75 million, p <0.001). Our results reveal increased ACHD billed and reimbursed amounts and hospital discharges with a shift in gender-based ACHD hospitalizations: men now account for more hospitalizations in the United States. In conclusion, increased health care expenditure in older patients with ACHD is likely to increase further as health care system use and costs continue to grow. Copyright © 2016 Elsevier Inc. All rights reserved.

The Economic Impact of Adult Hearing Loss: A Systematic Review.

PubMed

Huddle, Matthew G; Goman, Adele M; Kernizan, Faradia C; Foley, Danielle M; Price, Carrie; Frick, Kevin D; Lin, Frank R

2017-10-01

Hearing impairment (HI) is highly prevalent in older adults and has been associated with adverse health outcomes. However, the overall economic impact of HI is not well described. The goal of this review was to summarize available data on all relevant costs associated with HI among adults. A literature search of PubMed, Embase, the Cochrane Library, CINAHL, and Scopus was conducted in August 2015. For this systematic review, data extraction and quality assessment were performed by 2 independent reviewers. Eligibility criteria for included studies were presence of quantitative estimation of economic impact or loss of productivity of patients with HI, full-text English-language access, and publication in an academic, peer-reviewed journal or government report prior to August 2015. This review follows the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. A meta-analysis was not performed owing to the studies' heterogeneity in outcomes measures, methodology, and study country. The initial literature search yielded 4595 total references. After 2043 duplicates were removed, 2552 publications underwent title and abstract review, yielding 59 articles for full-text review. After full-text review, 25 articles were included. Of the included articles, 8 incorporated measures of disability; 5 included direct estimates of medical expenditures; 8 included other cost estimates; and 7 were related to noise-induced or work-related HI. Estimates of the economic cost of lost productivity varied widely, from $1.8 to $194 billion in the United States. Excess medical costs resulting from HI ranged from $3.3 to $12.8 billion in the United States. Hearing loss is associated with billions of dollars of excess costs in the United States, but significant variance is seen between studies. A rigorous, comprehensive estimate of the economic impact of hearing loss is needed to help guide policy decisions around the management of hearing loss in adults.

Lean and Green Hand Surgery.

PubMed

Van Demark, Robert E; Smith, Vanessa J S; Fiegen, Anthony

2018-02-01

Health care in the United States is both expensive and wasteful. The cost of health care in the United States continues to increase every year. Health care spending for 2016 is estimated at $3.35 trillion. Per capita spending ($10,345 per person) is more than twice the average of other developed countries. The United States also leads the world in solid waste production (624,700 metric tons of waste in 2011). The health care industry is second only to the food industry in annual waste production. Each year, health care facilities in the United States produce 4 billion pounds of waste (660 tons per day), with as much as 70%, or around 2.8 billion pounds, produced directly by operating rooms. Waste disposal also accounts for up to 20% of a hospital's annual environmental services budget. Since 1992, waste production by hospitals has increased annually by a rate of at least 15%, due in part to the increased usage of disposables. Reduction in operating room waste would decrease both health care costs and potential environmental hazards. In 2015, the American Association for Hand Surgery along with the American Society for Surgery of the Hand, American Society for Peripheral Nerve Surgery, and the American Society of Reconstructive Microsurgery began the "Lean and Green" surgery project to reduce the amount of waste generated by hand surgery. We recently began our own "Lean and Green" project in our institution. Using "minor field sterility" surgical principles and Wide Awake Local Anesthesia No Tourniquet (WALANT), both surgical costs and surgical waste were decreased while maintaining patient safety and satisfaction. As the current reimbursement model changes from quantity to quality, "Lean and Green" surgery will play a role in the future health care system. Copyright © 2018 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Overview of causes and costs of injuries in Massachusetts: a methodology for analysis of state data.

PubMed Central

Schuster, M; Cohen, B B; Rodgers, C G; Walker, D K; Friedman, D J; Ozonoff, V V

1995-01-01

Massachusetts has developed the first State profile of the causes and costs of injury based on the national study, "Cost of Injury in the United States: A Report to Congress." Incidence of fatal injuries is based on Massachusetts data; nonfatal hospitalized injuries, on Massachusetts age and sex rates and U.S. cause data; and nonhospitalized injuries, on U.S. rates applied to Massachusetts census data. Lifetime costs per injured person are based on national data adjusted for higher personal health care expenditures and for higher mean annual earnings in Massachusetts. The estimated total lifetime cost for the 1.4 million injuries that occurred in 1989 is $4.4 billion--$1.7 billion for health care and $2.7 billion for lost earnings. Injuries attributed to motor vehicles and falls account for more than half of the total cost. The other cause categories are poisonings, fire-burns, firearms, drowings-near drownings, and other. For every person who dies from an injury, 17 people are hospitalized, and an estimated 535 people require outpatient treatment, consultation, or restricted activity. Development of a State-based cost report can be useful in monitoring the contribution of injuries to health status and in planning effective injury prevention strategies in a community-based health care system. The methodology described in this paper can be replicated by other States through accessing their State-specific mortality and hospital discharge data bases. PMID:7610211

Israel: Background and Relations with the United States

DTIC Science & Technology

2010-01-07

provided a grant of 15% of an investment of up to $3.5 billion or $525 million to secure the deal. In May 2006, prominent U.S. investor Warren Buffet ...emergence of a geographically contiguous Palestinian state. On April 14, 2004, however, President Bush noted the need to take into account changed...between military needs and taking into account humanitarian considerations needs to be found.”114 P.L. 111-117, the Consolidated Appropriations Act

Israel: Background and Relations With the United States

DTIC Science & Technology

2008-09-08

of up to $3.5 billion or $525 million to secure the deal. In May 2006, prominent U.S. investor Warren Buffet announced that he was buying 80% of...state. On April 14, 2004, however President Bush noted the need to take into account changed “realities on the ground, including already existing...absolute ban is justified, and a balance between military needs and taking into account humanitarian considerations needs to be found.”71

The United Arab Emirates (UAE): Issues for U.S. Policy

DTIC Science & Technology

2014-05-15

entrepreneurship , legal reform, civil society, independent media, and international trade law compliance—funded largely by the State Department’s Middle East...their citizenship to their children —the first GCC state to allow this. Many domestic service jobs are performed by migrant women, and they are denied...Iraq and to provide medical treatment to Iraqi children in the UAE. Bilateral trade is estimated at about $5 billion, and UAE companies reportedly are

The United Arab Emirates (UAE): Issues for U.S. Policy

DTIC Science & Technology

2014-09-25

political participation, entrepreneurship , legal reform, civil society, independent media, and international trade law compliance—funded largely by State...divorce cases and other family law issues. As of December 2011, UAE women are allowed to pass on their citizenship to their children —the first GCC state to...used to rebuild hospitals and provide medical treatment to Iraqi children in the UAE. Bilateral trade was estimated at about $5 billion, and UAE

PK-3: An Aligned and Coordinated Approach to Education for Children 3 to 8 Years Old. Social Policy Report. Volume 19, Number 3

ERIC Educational Resources Information Center

Bogard, Kimber; Takanishi, Ruby

2005-01-01

The United States is as known for its high-quality universities as for its poor-quality public schools. Many states are taking steps to improve the likelihood that their children will succeed in grades K-12 by providing funding for pre-kindergarten (PK). More than $2.4 billion dollars is spent on these programs, and the number of children…

Fire danger rating and fire behavior prediction in the United States

Treesearch

Patricia L. Andrews

2005-01-01

For the seven year period from 1998 to 2004, an average of almost 79,000 fires per year on U.S. Federal and State land burned a yearly average of over 22,000 km2. An average of 1 billion US dollars was spent on suppression each year by the Federal agencies alone. Variation in climate, vegetation, and population across the U.S. leads to significant differences in the...

JPRS Report, Near East & South Asia

DTIC Science & Technology

1989-03-03

Secretary Gives Views on Present Situation [AL-ANWAR 1 Jan] 27 QATAR Methods To Develop Water Resources Discussed [AL-RAYAH 25 Dec] 31 SAUDI ARABIA...Arabia, Kuwait, Qatar , the United Arab Emirates, Oman and Bahrain. GCC states are now spending $3 billion on reserve electricity and this project will...Arabia, Kuwait, Bahrain and Qatar ) will be connected by a power grid while the second stage will see the southern states of Oman and the UAE being

Alternative Governance Structures in Megacities: Threats or Opportunities

DTIC Science & Technology

2016-11-01

Intelligence Stud- ies and Data Informatics at Mercyhurst University as well as a graduate of that program. She teaches intelli- gence communication...States imported $11.6 billion in oil in 2013;35 and Karachi, Pakistan, due to its location at the crossroad of India and China and its state’s con...offer sustainable long-term solu- tions to Karachi’s violent politics. 38 Lagos, Nigeria. Although the United States imports 70 percent less oil

1980 Weather summary

NASA Astrophysics Data System (ADS)

Bell, Peter M.

The weather in the United States during 1980 was bad. A 3-month heat wave in the southwest caused about $20 billion in ruined crops, an increase in power consumption, and damage to roads and highways. Nationwide, the heat killed 1320 people. Floods caused more than $1 billion in losses. Hurricane Allen caused about $500 million in property losses and took two lives.The highest temperature reading during 1980, 51°C (124°F), was reached five times. Locations were at Bull Head, Arizona; Death Valley, California; and three times at Baker, California. Preliminary figures also show that the lowest temperature for the year was recorded at Tok weather station, 150 miles southeast of Fairbanks, Alaska. There the mercury plummeted to -56°C (-68°F). In the lower 48 states the minimum thermometer reading was -44°C at Wisdom, Montana.

Cost of pain medication to treat adult patients with nonmalignant chronic pain in the United States.

PubMed

Rasu, Rafia S; Vouthy, Kiengkham; Crowl, Ashley N; Stegeman, Anne E; Fikru, Bithia; Bawa, Walter Agbor; Knell, Maureen E

2014-09-01

Nonmalignant chronic pain (NMCP) is a public health concern. Among primary care appointments, 22% focus on pain management. The American Academy of Pain Medicine guidelines for NMCP recommend combination medication therapy (including analgesics, nonsteroidal anti-inflammatory drugs [NSAIDs], opioids, antidepressants, and anticonvulsants) as a key component to effective treatment for many chronic pain diagnoses. However, there has been little evidence outlining the costs of pain medications in adult patients with NMCP in the United States, an area that necessitates further consideration as the nation moves toward value-based benefit design. To estimate the cost of pain medication attributable to treating adult patients with NMCP in the United States and to analyze the trend of outpatient pain visits. This cross-sectional study used the National Ambulatory Medical Care Survey (NAMCS) data from 2000-2007. The Division of Health Care Statistics, National Center for Health Statistics, and the Centers for Disease Control and Prevention conducted the survey. The study included patients aged ≥18 years with chronic pain diagnoses (identified by the ICD-9-CM codes: primary, secondary, and tertiary). Patients prescribed at least 1 pain medication were included in the cost analysis. Pain-related prescription medications prescribed during ambulatory care visits were retrieved by using NAMCS drug codes/National Drug Code numbers. National pain prescription frequencies (weighted) were obtained from NAMCS data, using the statistical software STATA. We created pain therapy categories (drug classes) for cost analysis based on national pain guidelines. Drug classes used in this analysis were opioids/opioid-like agents, analgesics/NSAIDs, tricyclic antidepressants, selective serotonin reuptake inhibitors, antirheumatics/immunologics, muscle relaxants, topical products, and corticosteroids. We calculated average prices based on the 3 lowest average wholesale prices reported in the Red Book 2009 for maximum recommended daily dose. Total pain medication costs were calculated in 2009 and 2013 dollar values. The study analyzed NMCP-related outpatient visit trends and used time series analysis to forecast visits using U.S. population data and statistics. The total costs of prescription medications prescribed for pain were $17.8 billion annually in the United States. Cost estimates were captured based on a total of 690,205,290 (~690 million) weighted outpatient visits made for chronic pain from 2000 to 2007 in the United States. Of those patients, 99% received a medication that could be used for NMCP. Among the patients, 29% reported taking ≥5 medications. A linear trend of pain visits is visible, reporting change (from 11% to 14%) from 2000 to 2007 in the United States. All agents except opioids/opioid-like agents and analgesics/NSAIDs were further categorized as adjuvant therapy to create 3 major drug class categories. The largest 3 categories of pain therapy for the United States (annually) were analgesics/NSAIDs ($1.9 billion), opioids ($3.6 billion), and adjuvants ($12.3 billion). Despite having the highest prescription frequency nationally, analgesics/NSAIDS accounted for about 11% of the overall pain medication costs. This study found that adjuvant therapy accounted for 69% of the total pain medication costs. Among adjuvants, 33.5% of the cost was contributed by antirheumatics/immunologics. Other adjuvants included muscle relaxants (4.4%), topical products (8.6%), and corticosteroids (9.4%). This study demonstrated national prescribing costs and use within various drug categories of pain medications in a large outpatient population over an 8-year period in the United States. Policymakers, stakeholders, and health plan decision makers may consider this cost analysis, since they need to know how drug costs are being allocated. Moreover, information about costs and use of pain medications is valuable for the practitioner making individual patient care decisions, as well as for those who make population based decisions. This study reported an increasing trend of outpatient pain visits in the United States. Therefore, policymakers and health plan decision makers may expect a growing number of pain-related outpatient visits in coming years and allocate resources accordingly to meet the need.

Modeling The Economic And Health Impact Of Increasing Children's Physical Activity In The United States.

PubMed

Lee, Bruce Y; Adam, Atif; Zenkov, Eli; Hertenstein, Daniel; Ferguson, Marie C; Wang, Peggy I; Wong, Michelle S; Wedlock, Patrick; Nyathi, Sindiso; Gittelsohn, Joel; Falah-Fini, Saeideh; Bartsch, Sarah M; Cheskin, Lawrence J; Brown, Shawn T

2017-05-01

Increasing physical activity among children is a potentially important public health intervention. Quantifying the economic and health effects of the intervention would help decision makers understand its impact and priority. Using a computational simulation model that we developed to represent all US children ages 8-11 years, we estimated that maintaining the current physical activity levels (only 31.9 percent of children get twenty-five minutes of high-calorie-burning physical activity three times a week) would result each year in a net present value of $1.1 trillion in direct medical costs and $1.7 trillion in lost productivity over the course of their lifetimes. If 50 percent of children would exercise, the number of obese and overweight youth would decrease by 4.18 percent, averting $8.1 billion in direct medical costs and $13.8 billion in lost productivity. Increasing the proportion of children who exercised to 75 percent would avert $16.6 billion and $23.6 billion, respectively. Project HOPE—The People-to-People Health Foundation, Inc.

A reevaluation of the costs of heart failure and its implications for allocation of health resources in the United States.

PubMed

Voigt, Jeff; Sasha John, M; Taylor, Andrew; Krucoff, Mitchell; Reynolds, Matthew R; Michael Gibson, C

2014-05-01

The annual cost of heart failure (HF) is estimated at $39.2 billion. This has been acknowledged to underestimate the true costs for care. The objective of this analysis is to more accurately assess these costs. Publicly available data sources were used. Cost calculations incorporated relevant factors such as Medicare hospital cost-to-charge ratios, reimbursement from both government and private insurance, and out-of-pocket expenditures. A recently published Atherosclerosis Risk in Communities (ARIC) HF scheme was used to adjust the HF classification scheme. Costs were calculated with HF as the primary diagnosis (HF in isolation, or HFI) or HF as one of the diagnoses/part of a disease milieu (HF syndrome, or HFS). Total direct costs for HF were calculated at $60.2 billion (HFI) and $115.4 billion (HFS). Indirect costs were $10.6 billion for both. Costs attributable to HF may represent a much larger burden to US health care than what is commonly referenced. These revised and increased costs have implications for policy makers.

Tissue Issues

ERIC Educational Resources Information Center

Metz, James

2016-01-01

Every day, 27,000 trees are used to make bathroom tissue. Americans use an average of 23.6 rolls per person per year, and more than 7 billion rolls of toilet paper are sold yearly in the United States alone. Perhaps the amount of bathroom tissue used can be reduced by changing the dimensions of the paper or the core. This brief article presents…

Bingo! Let's Learn about Energy

ERIC Educational Resources Information Center

Derby, Melanie; DeCesare, Carl

2011-01-01

An understanding of energy is critical to today's students, as energy-related spending in the United States tops 500 billion dollars per year (U.S. Department of Energy, 2010). Often, students do not consider where something as common as electricity comes from in order to charge an MP3 player or power a microwave. Students can realize real-world…

A summary and comparison of bird mortality from anthropogenic causes with an emphasis on collisions

Treesearch

Wallace P. Erickson; Gregory D. Johnson; David P. Jr. Young

2005-01-01

We estimate that from 500 million to possibly over 1 billion birds are killed annually in the United States due to anthropogenic sources including collisions with human-made structures such as vehicles, buildings and windows, power lines, communication towers, and wind turbines; electrocutions; oil spills and other contaminants; pesticides; cat predation; and...

Flood control surveys in the northeast

Treesearch

Arthur Bevan

1947-01-01

Floods are a grave danger to our Nation's resources. It is estimated that floods cost the United States at least $100 million every year. The recent Mississippi floods, which dramatically brought the seriousness of the situation to public attention, cost half a billion dollars in direct-damages. The Northeast carries a heavy burden of flood losses. In 1936, floods...

Cannabis (Cannabis sativa or C. indica) agriculture and the environment: a systematic, spatially-explicit survey and potential impacts

Treesearch

Van Butsic; Jacob C. Brenner

2017-01-01

Cannabis (Cannabis sativa or C. indica) agriculture is a multi-billion dollar industry in the United States that is changing rapidly with policy liberalization. Anecdotal observations fuel speculation about associated environmental impacts, and there is an urgent need for systematic empirical research. An example from Humboldt...

Detection of European corn borer infestation in rainfed and irrigated corn using airborne hyperspectral imaging: implications for resistance management

EPA Science Inventory

Recently, corn grown for grain in the United States has increased from 28 million ha in 2006 to more than 35 million ha in 2007 with a production value of over $52 billion dollars. Transgenic corn expressing the plant incorporated protectant Bacillus thuringiensis toxin represen...

Adoption and validation of Ribonucleotide Reductase (RNR)-based real-time assays for detection of HLB ‘Candidatus Liberibacter asiaticus’ (CLas)

USDA-ARS?s Scientific Manuscript database

Huanglongbing (HLB), aka Citrus Greening, is a well-known destructive disease that threatens the multi-billion dollar citrus industry in the United States and citrus production in other countries around the world. The presumptive causal agent of HLB, ‘Candidatus Liberibacter asiaticus' (CLas), is of...

75 FR 38092 - The Dow Chemical Company; Application for Blanket Authorization To Export Liquefied Natural Gas

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-01

... DEPARTMENT OF ENERGY [FE Docket No. 10-57-LNG] The Dow Chemical Company; Application for Blanket... receipt of an application (Application), filed on May 26, 2010, by The Dow Chemical Company (Dow... the United States from foreign sources in an amount up to the equivalent of 390 billion cubic feet...

Survey for tolerance to emerald ash borer within North American ash species

Treesearch

Jennifer L. Koch; Mary E. Mason; David W. Carey; Kathleen Knight; Therese Poland; Daniel A. Herms

2010-01-01

Since the discovery of the emerald ash borer (EAB) near Detroit, MI, in 2002, more than 40 million ash trees have been killed and another 7.5 billion are at risk in the United States. When the EAB outbreak was initially discovered, our native ash species appeared to have no resistance to the pest.

Biorefinery developments for advanced biofuels from a widening array of biomass feedstocks

USDA-ARS?s Scientific Manuscript database

When the United States passed the Renewable Fuel Standards (RFS) of 2007 into law it mandated that, by the year 2022, 36 billion gallons of biofuels be produced annually in the U.S. to displace petroleum. This targeted quota, which required that at least half of domestic transportation fuel be “adva...

Ethanol production from woody biomass: Silvicultural opportunities for suppressed western conifers

Treesearch

Andrew Youngblood; Junyong Zhu; C. Tim Scott

2010-01-01

The 2007 Energy Security and Independence Act (ESIA) requires 16 billion gallons of ethanol to be produced from lignocellulose biomass by 2022 in the United States. Forests can be a key source of renewable lignocellulose for ethanol production if cost and conversion efficiency barriers can be overcome. We explored opportunities for using woody biomass from thinning...

New Ribbon for the Department of Education Spotlights Facilities

ERIC Educational Resources Information Center

Falken, Andrea Suarez

2012-01-01

In recent years, schools have been forced by rising costs and shrinking budgets to stretch their resources further than ever before in order to meet the educational needs of today's students. Energy costs continue to rise, placing unprecedented stress on limited funds. In fact, K-12 schools in the United States spend more than $8 billion every…

Forest-Based Biomass Supply Curves for the United States

Treesearch

Kenneth Skog; Jamie Barbour; Marilyn Buford; Dennis Drykstra; Patti Lebow; Pat Miles; Bob Perlack; Bryce Stokes

2013-01-01

Nationwide, county-level supply curves have been estimated for forest-based biomass to evaluate their potential contributions to producing biofuels. This study builds on the estimates of potential supply in the Billion Ton Supply study prepared by the U.S. Department of Agriculture and the U.S. Department of Energy. Forest biomass sources include logging...

Transforming College Practices and Student Experiences to Advance STEM Education. Scaling Change: National STEM Consortium

ERIC Educational Resources Information Center

Richie, D.

2016-01-01

Several federal grants prioritized the role of community colleges in education and training in recent years, and one of the most substantial investments was the Trade Adjustment Act Community College and Career Training (TAACCCT) program of the United States Department of Labor (DOL). Beginning October 2011, these $2 billion capacity-building…

Protecting marine parks and sanctuaries from aquatic nuisance species releases from ballast during emergency response events

Treesearch

Phyllis A. Green

2011-01-01

Commercial shipping activities that release aquatic invasive species are recognized globally as a dominant transport vector for marine invasions. Aquatic nuisance species (ANS) introductions have resulted in billions of dollars of damages and immeasurable biological devastation within the Great Lakes. National Park Service managers are working with United States...

Chinese Geography through Chinese Cuisine

ERIC Educational Resources Information Center

Lipman, Jonathan

2010-01-01

China has the world's largest population, now over 1.3 billion, but its land area (much of it high mountains or desert) is about the same as that of the United States, which has less than one-fourth as many people. So Chinese farmers have learned to use every inch of their fertile land intensively. Pressure on the land has required extremely…

Obesity Prevention in Young Schoolchildren: Results of a Pilot Study

ERIC Educational Resources Information Center

Manger, William M.; Manger, Lynn S.; Minno, Alexander M.; Killmeyer, Mike; Holzman, Robert S.; Schullinger, John N.; Roccella, Edward J.

2012-01-01

Background: Overweight and obesity occur in 17% of children in the United States. Complications of excess weight in Americans cause 216,000 to 300,000 deaths yearly and cost $147 billion. Methods: A convenience sample of 14 intervention and 15 control schools in the Catholic Diocese of Pittsburgh was used. A program to improve lifestyle (Values…

Using aerial infrared thermography to detect utility theft of service

NASA Astrophysics Data System (ADS)

Stockton, Gregory R.; Lucas, R. Gillem

2012-06-01

Natural gas and electric utility companies, public utility commissions, consumer advocacy groups, city governments, state governments and the federal government United States continue to turn a blind eye towards utility energy theft of service which we conservatively estimate is in excess of 10 billion a year. Why? Many in the United States have exhausted their unemployment benefits. The amounts for federal funding for low income heating assistance programs (LIHEAP) funds were cut by nearly 40% for 2012 to 3.02 billion. "At peak funding ($5.1 billion in 2009), the program was national in scale but still only had enough resources to support roughly 1/4 of the eligible households.i" Contributions to charities are down and the number of families below the poverty line who are unable to pay to heat their houses continues to rise. Many of the less fortunate in our society now consider theft and fraud to be an attractive option for their supply of natural gas and/or electricity. A record high mild winter in 2011-2012 coupled with 10-year low natural gas prices temporarily obscured the need for low income heating assistance programs (LIHEAPs) from the news and federal budgets, but cold winters will return. The proliferation of smart meters and automated meter infrastructures across our nation can do little to detect energy theft because the thieves can simply by-pass the meters, jumper around the meters and/or steal meters from abandoned houses and use them. Many utility systems were never set-up to stop these types of theft. Even with low-cost per identified thief method using aerial infrared thermography, utilities continue to ignore theft detection.

The environmental and public health benefits of achieving high penetrations of solar energy in the United States

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wiser, Ryan; Millstein, Dev; Mai, Trieu

We estimate the environmental and public health benefits that may be realized if solar energy cost reductions continue until solar power is competitive across the U.S. without subsidies. Specifically, we model, from 2015 to 2050, solar power-induced reductions to greenhouse gas (GHG) emissions, air pollutant emissions, and water usage. To find the incremental benefits of new solar deployment, we compare the difference between two scenarios, one where solar costs have fallen such that solar supplies 14% of the nation's electricity by 2030 and 27% by 2050, and a baseline scenario in which no solar is added after 2014. We monetizemore » benefits, where credible methods exist to do so. We find that under these scenarios, solar power reduces GHG and air pollutants by ~10%, from 2015 to 2050, providing a discounted present value of $56-$789 billion (central value of ~$250 billion, equivalent to ~2 cents/kWh-solar) in climate benefits and $77-$298 billion (central value of $167 billion, or ~1.4 cents/kWh-solar) in air quality and public health benefits. The ranges reflect uncertainty within the literature about the marginal impact of emissions of GHG and air pollutants. Solar power is also found to reduce water withdrawals and consumption by 4% and 9%, respectively, including in many drought-prone states.« less

Vital signs: melanoma incidence and mortality trends and projections - United States, 1982-2030.

PubMed

Guy, Gery P; Thomas, Cheryll C; Thompson, Trevor; Watson, Meg; Massetti, Greta M; Richardson, Lisa C

2015-06-05

Melanoma incidence rates have continued to increase in the United States, and risk behaviors remain high. Melanoma is responsible for the most skin cancer deaths, with about 9,000 persons dying from it each year. CDC analyzed current (2011) melanoma incidence and mortality data, and projected melanoma incidence, mortality, and the cost of treating newly diagnosed melanomas through 2030. Finally, CDC estimated the potential melanoma cases and costs averted through 2030 if a comprehensive skin cancer prevention program was implemented in the United States. In 2011, the melanoma incidence rate was 19.7 per 100,000, and the death rate was 2.7 per 100,000. Incidence rates are projected to increase for white males and females through 2019. Death rates are projected to remain stable. The annual cost of treating newly diagnosed melanomas was estimated to increase from $457 million in 2011 to $1.6 billion in 2030. Implementation of a comprehensive skin cancer prevention program was estimated to avert 230,000 melanoma cases and $2.7 billion in initial year treatment costs from 2020 through 2030. If additional prevention efforts are not undertaken, the number of melanoma cases is projected to increase over the next 15 years, with accompanying increases in health care costs. Much of this morbidity, mortality, and health care cost can be prevented. Substantial reductions in melanoma incidence, mortality, and cost can be achieved if evidence-based comprehensive interventions that reduce ultraviolet (UV) radiation exposure and increase sun protection are fully implemented and sustained.

Food Assistance: Efforts To Control Fraud and Abuse in the Child and Adult Care Food Program Should Be Strengthened. United States General Accounting Office Report to Congressional Committees.

ERIC Educational Resources Information Center

Robertson, Robert E.

The Child and Adult Care Food Program provides over $1.5 billion in benefits annually to children and adults in day care. In order to address the longstanding problems of fraud and abuse present in the program, state agencies have been charged with the responsibility for implementing Food and Nutrition Service's (FNS) regulations to prevent and…

Economic Burden of Occupational Injury and Illness in the United States

PubMed Central

Leigh, J Paul

2011-01-01

Context The allocation of scarce health care resources requires a knowledge of disease costs. Whereas many studies of a variety of diseases are available, few focus on job-related injuries and illnesses. This article provides estimates of the national costs of occupational injury and illness among civilians in the United States for 2007. Methods This study provides estimates of both the incidence of fatal and nonfatal injuries and nonfatal illnesses and the prevalence of fatal diseases as well as both medical and indirect (productivity) costs. To generate the estimates, I combined primary and secondary data sources with parameters from the literature and model assumptions. My primary sources were injury, disease, employment, and inflation data from the U.S. Bureau of Labor Statistics (BLS) and the Centers for Disease Control and Prevention (CDC) as well as costs data from the National Council on Compensation Insurance and the Healthcare Cost and Utilization Project. My secondary sources were the National Academy of Social Insurance, literature estimates of Attributable Fractions (AF) of diseases with occupational components, and national estimates for all health care costs. Critical model assumptions were applied to the underreporting of injuries, wage-replacement rates, and AFs. Total costs were calculated by multiplying the number of cases by the average cost per case. A sensitivity analysis tested for the effects of the most consequential assumptions. Numerous improvements over earlier studies included reliance on BLS data for government workers and ten specific cancer sites rather than only one broad cancer category. Findings The number of fatal and nonfatal injuries in 2007 was estimated to be more than 5,600 and almost 8,559,000, respectively, at a cost of $6 billion and $186 billion. The number of fatal and nonfatal illnesses was estimated at more than 53,000 and nearly 427,000, respectively, with cost estimates of $46 billion and $12 billion. For injuries and diseases combined, medical cost estimates were $67 billion (27% of the total), and indirect costs were almost $183 billion (73%). Injuries comprised 77 percent of the total, and diseases accounted for 23 percent. The total estimated costs were approximately $250 billion, compared with the inflation-adjusted cost of $217 billion for 1992. Conclusions The medical and indirect costs of occupational injuries and illnesses are sizable, at least as large as the cost of cancer. Workers’ compensation covers less than 25 percent of these costs, so all members of society share the burden. The contributions of job-related injuries and illnesses to the overall cost of medical care and ill health are greater than generally assumed. PMID:22188353

Blue Growth: the 2014 FAO State of the World Fisheries and Aquaculture

USGS Publications Warehouse

Moffitt, Christine M.; Cajas-Cano, Lubia

2014-01-01

The latest United Nations Food and Agriculture Organization report (FAO 2014) addresses the prospect of feeding a human population set to rise to 9.6 billion by 2050. Aquaculture products now provide approximately one-half of all food fish consumed, and fish also provide important food security and economic growth. In the FAO analyses, food fish included finfish, crustaceans, mollusks, amphibians, freshwater turtles, and other aquatic animals (such as sea cucumbers, sea urchins, sea squirts, and edible jellyfish) produced for human consumption. At the present time, food fish provides the world population of nearly 7.3 billion people with an average of one-fifth of total animal protein intake.

Octachlorodipropyl ether (s-2) mosquito coils are inadequately studied for residential use in Asia and illegal in the United States.

PubMed Central

Krieger, Robert I; Dinoff, Travis M; Zhang, Xiaofei

2003-01-01

Children and their parents in residences are often protected by insecticides from nuisance and disease-bearing mosquitoes. The annual worldwide consumption of the four major types of residential insecticide products--aerosols, mosquito coils, liquid vaporizers, and vaporizing mats--is in the billions of units. Mosquito coils are burned indoors and outdoors in East Asia and to a limited extent in other parts of the world, including the United States. Coils consist of an insecticide/repellant, organic fillers capable of burning with smoldering, binder, and additives such as synergists, dyes, and fungicide. The number of coil users in China is in the millions. In Indonesia alone, an estimated seven billion coils are purchased annually. Coils containing pyrethroid insecticides, particularly d-allethrin, may contain octachlorodipropyl ether (S-2, S-421) as a synergist or active ingredient. Use of those coils likely exposes children and adults to some level of bis(chloromethyl)ether (BCME). BCME is formed from formaldehyde and hydrogen chloride, combustion products formed from the slow smoldering (about 8 hr/coil) of the mosquito coils. Because BCME is an extremely potent lung carcinogen, the nature and extent of prolonged exposures that recur in homes during the mosquito season in tropical regions must be evaluated with respect to health. In a small analytical study, coils purchased in Indonesia and in the United States contained highly variable amounts of S-2. Some coils that contained S-2 were not labeled, making it impossible for consumers to make an informed decision about coil contents. Mosquito coils containing S-2 are unregistered, and their use is illegal in the United States. Indoor air monitoring under conditions that represent conditions of use in tropical settings and epidemiology to assess health impacts of coil use are essential to permit responsible regulatory decisions regarding continuing S-2 use. PMID:12948880

The search for consumer content in energy marketing and retailing

DOE Office of Scientific and Technical Information (OSTI.GOV)

Dar, V.K.

1996-09-15

The gas and electric industries in the United STates control about $900 billion in assets (production, logistical, merchant). They employ these assets to serve about 150 million customers (counted separately for gas and electric), but they manage to offer only two rudimentary products-molecules and electrons-and at only two levels of service: firm and interruptible. Such a poverty of consumer content stands without precedent in the history of U.S. business. That this game is coming to an end should elicit no surprise. True retail competition in the gas and electric industries will become a transforming and quotidian reality within five years,more » creating great shifts in revenue and capital: (1) a $50-billion drip in annual consumer energy spending; (2) from $200 to $300 billion extinguished over seven to 10 years in noncash book value in the pipes and wires and energy production industries; (3) tens of billions of dollars in new investments, particularly gas-fired merchant and distributed generation plants, and computing and communications systems; and (4) many more billions in new enterprise value for efficient and innovative firms. The old business model emphasized industrial technology and quantitative increases in consumption of energy commodities. The new model, supplanting the old, will accentuate information technology and qualitative increases in consumption of energy services.« less

Enabling Efficient, Responsive, and Resilient Buildings: Collaboration Between the United States and India

DOE Office of Scientific and Technical Information (OSTI.GOV)

Basu, Chandrayee; Ghatikar, Girish

The United States and India have among the largest economies in the world, and they continue to work together to address current and future challenges in reliable electricity supply. The acceleration to efficient, grid-responsive, resilient buildings represents a key energy security objective for federal and state agencies in both countries. The weaknesses in the Indian grid system were manifest in 2012, in the country’s worst blackout, which jeopardized the lives of half of India’s 1.2 billion people. While both countries are investing significantly in power sector reform, India, by virtue of its colossal growth rate in commercial energy intensity andmore » commercial floor space, is better placed than the United States to integrate and test state-of-art Smart Grid technologies in its future grid-responsive commercial buildings. This paper presents a roadmap of technical collaboration between the research organizations, and public-private stakeholders in both countries to accelerate the building-to-grid integration through pilot studies in India.« less

Birding economics and birder demographics studies as conservation tools

Treesearch

Paul Kerlinger

1993-01-01

Birders are the primary user-group of neotropical migratory birds. In the United States, birders number in the tens of millions and spend upwards of $20 billion dollars per year on bird seed, travel, and birding paraphernalia. Average yearly spending by active birders averages between $1,500 and $3,400, with travel being the major expenditure. Research needs include...

Implementing Promising Practices to Prepare Quality Teacher Educators

ERIC Educational Resources Information Center

Gentry, Ruben

2012-01-01

The United States does more than just talk; it invests a lot of money in public education. While students are the major focus of concern, teachers are a mainstay in the enterprise. In 2002, the U.S. invested $192 billion in teacher pay and benefits. More than 50% of all dollars allocated by the government for education is paid in salaries for…

Used Pallets as a Source of Pellet Fuel: Current Industry Status

Treesearch

P.B. Aruna; Jan G. Laarman; Philip A. Araman; Edward Coulter; Frederick Cubbage

1997-01-01

U.S. companies discard approximately 4 billion board feet per year of wood pallets and containers. Manufacturing fuel pellets from this wasted wood may be an alternative to disposal. This study traces the development of biomass energy and the wood pellet industry in the United States and considers the production aspects of making pellets from used pallets. In addition...

Development of a method using multispectral imagery and spatial pattern metrics to quantify stress to wheat fields caused by Diuraphis noxia

USDA-ARS?s Scientific Manuscript database

The Russian wheat aphid, Diuraphis noxia, is an important pest of winter wheat, Triticum aestivum, and barley, Hordeum vulgare that has caused an annual economic loss estimated at over 1 billion dollars since it first appeared in the United States. The objective of this study was to determine the p...

Projections of forest contributions to global carbon cycles

Treesearch

Michael E. Goerndt; Stephen R. Shifley; Patrick D. Miles; Dave Wear; Francisco X. Aguilar

2016-01-01

Forests cover 42 percent of the Northern United States, and collectively they store 13 billion tons of carbon in live trees (29 percent), roots (6 percent), forest floor (9 percent), dead trees (6 percent), and soils (50 percent). About half the biomass of a live tree (dry weight basis) is sequestered carbon (Woodall et al. 2011) - not the largest but the most dynamic...

Projection matrices as a forest management tool: an invasive tree case study

Treesearch

Ian J. Renne; Benjamin F. Tracy; Timothy P. Spira

2003-01-01

Life history parameters of many forest-dwelling species are affected by native and non-native pests. In turn, these pests alter forest processes and cost the United States billions of dollars annually. Population projection matrices can aid ecologists and managers in evaluating the impact of pests on forest species as well as devising effective strategies for pest...

Factors affecting regional changes in hardwood lumber production

Treesearch

William G. Luppold; Gilbert P. Dempsey; Gilbert P. Dempsey

1994-01-01

Hardwood lumber production increased by nearly 1.8 billion board feet between 1986 and 1990 and decreased sharply in 1991. However, not all areas of the country experienced the same growth in hardwood lumber production during the 1980s. While lumber production in inland regions of the eastern United States and the west increased during the 1980s, lumber output in...

Construction of a Rye BAC Library for Utilization in Physical Mapping of an Aluminum Tolerance Gene Complex

USDA-ARS?s Scientific Manuscript database

Aluminium, the most abundant metal on earth, is highly toxic to plant growth and is found in about 2.5 billion hectares of acid soils, including more than 130 million hectares in the United States. Many of the world’s farmers are living on marginal soils that offer a stressful environment for plant ...

Lines Developed from New Genetic Source PI 567516C Provide Broader Resistance to Heterodera glycines and Potential for Sustainable Soybean Production

USDA-ARS?s Scientific Manuscript database

Worldwide, soybean [Glycine max (L.) Merr] is the most used legume crop, providing 71% of protein meal, as well as food oil, and a renewable source of fuel. In the United States alone, the annual production value exceeds $35 billion. Soybean cyst nematode (SCN, Heterodera glycines Ichinohe) is the m...

Discounting Report, 2012: Growth in Discounting Slows as Economy Improves. Ninth Annual Comparative Research Study

ERIC Educational Resources Information Center

Noel-Levitz, Inc, 2012

2012-01-01

This annual report summarizes the previous fall's outcomes and long-term trends for a sizable sample of private colleges and universities across the United States. The report is based on the annually aggregated freshman data of institutions that are currently partnering with Noel-Levitz to strategically manage more than $2 billion in institutional…

The OTA report on harmful nonindigenous species

Treesearch

Phyllis N. Windle

1998-01-01

At least 4,500 species of foreign origin have established free-living populations in the United States, of which about 15% cause severe economic or environmental harm. Between 1906 and 1991, just 79 species caused an estimated $97 billion in losses. Virtually every economic sector and area of the country is affected, with some of the biggest problems in the east....

Emotional Intelligence: A Quantitative Study of the Relationship among Academic Success Factors and Emotional Intelligence

ERIC Educational Resources Information Center

Iannucci, Brian A.

2013-01-01

Researchers have found a correlation between emotional intelligence (EI) and success in the workplace. As a result, many companies have invested a large amount of resources into EI testing during their hiring process. In the United States, corporations are spending over $33 billion on hiring, training, and development. In addition to the increase…

Updating FRCS, the Fuel Reduction Cost Simulator, for national biomass assessments

Treesearch

Dennis Dykstra; Bruce Hartsough; Bryce. Stokes

2009-01-01

In 2005 the USDA and DOE jointly published a report concluding that it would be technically feasible to supply a billion dry tons of biomass annually from farms and forests throughout the United States in support of an emerging bioenergy and bioproducts industry. The report was criticized because it defined "supply" largely in terms of physical availability...

Air quality effects of urban trees and parks

Treesearch

David Nowak; Gordon Heisler

2010-01-01

Parks are significant parts of the urban landscape and comprise about 6% of city and town areas in the conterminous United States. These urban parks are estimated to contain about 370 million trees with a structural value of approximately $300 billion. The number of park trees varies by region of the country, but they can produce significant air quality effects in and...

Ancient granite gneiss in the Black Hills, South Dakota

USGS Publications Warehouse

Zartman, R.E.; Norton, J.J.; Stern, T.W.

1964-01-01

Granite gneiss, with an age of approximately 2.5 billion years, in the Black Hills, South Dakota , provides a link betweeen ancient rocks in western Wyoming and Montana and in eastern North and South Dakota and Minnesota. The discovery suggests that early Precambrian rocks covered an extensive area in northcentral United States and were not restricted to several small nuclei.

Detection of pathogens, indicators, and antibiotic resistance genes following land application of poultry litter

USDA-ARS?s Scientific Manuscript database

The United States (U.S.) is the world’s largest producer of poultry with over eight billion broilers produced yearly. Poultry litter (PL) is a mixture of manure, bedding, feathers, and spilled feed that is a by-product of broiler production. In 2009, the U.S. produced more than 50 million tons of PL...

Hurricane Hugo: South Carolina Forest Land Research and Management Related to the Storm

Treesearch

Jacqueline L. Haymond; William R. Harms; [Editors

1996-01-01

Hurricane Hugo was probably one of the most destructive hurricanes to assault the forests of the Eastern United States in recorded history. Four and one-half million acres were damaged in North Carolina and South Carolina, an estimated 21.4 billion board feet of timber were destroyed or damaged, and several federally listed endangered species (red-cockaded woodpecker,...

The third wave--medical tourism in the 21st century.

PubMed

Pafford, Bennett

2009-08-01

The high number of uninsured or underinsured Americans and the spiraling cost of healthcare in the United States has spurred growth in patients traveling abroad for affordable healthcare, which has become known as medical tourism. It is projected to become a $21 billion a year industry by 2011. Overseas prices for most procedures, including airfare, are often half the cost of those performed in the United States; some procedures are 80% less. International facilities in India, Thailand, and elsewhere are obtaining Joint Commission International (JCI) accreditation and aggressively marketing to Western customers and insurance agencies and advertising high quality standards and personalized service. The acceptance of medial tourism is growing, with a recent poll showing more than 40% of US healthcare consumers willing to travel abroad for care. Insurance companies have begun to integrate foreign care into their coverage, offering discounts to patients agreeing to overseas travel. Physician groups have been slow to respond, even though estimates are that medical tourism may represent $162 billion in lost spending in America by 2012. Some experts think the continued US healthcare cost crisis will drive an increase in medical tourism and international competition, significantly impacting domestic physicians and hospitals.

What it will take to achieve the as-yet-unfulfilled promises of health information technology.

PubMed

Kellermann, Arthur L; Jones, Spencer S

2013-01-01

A team of RAND Corporation researchers projected in 2005 that rapid adoption of health information technology (IT) could save the United States more than $81 billion annually. Seven years later the empirical data on the technology's impact on health care efficiency and safety are mixed, and annual health care expenditures in the United States have grown by $800 billion. In our view, the disappointing performance of health IT to date can be largely attributed to several factors: sluggish adoption of health IT systems, coupled with the choice of systems that are neither interoperable nor easy to use; and the failure of health care providers and institutions to reengineer care processes to reap the full benefits of health IT. We believe that the original promise of health IT can be met if the systems are redesigned to address these flaws by creating more-standardized systems that are easier to use, are truly interoperable, and afford patients more access to and control over their health data. Providers must do their part by reengineering care processes to take full advantage of efficiencies offered by health IT, in the context of redesigned payment models that favor value over volume.

A Simple Method for Estimating the Economic Cost of Productivity Loss Due to Blindness and Moderate to Severe Visual Impairment.

PubMed

Eckert, Kristen A; Carter, Marissa J; Lansingh, Van C; Wilson, David A; Furtado, João M; Frick, Kevin D; Resnikoff, Serge

2015-01-01

To estimate the annual loss of productivity from blindness and moderate to severe visual impairment (MSVI) using simple models (analogous to how a rapid assessment model relates to a comprehensive model) based on minimum wage (MW) and gross national income (GNI) per capita (US$, 2011). Cost of blindness (COB) was calculated for the age group ≥50 years in nine sample countries by assuming the loss of current MW and loss of GNI per capita. It was assumed that all individuals work until 65 years old and that half of visual impairment prevalent in the ≥50 years age group is prevalent in the 50-64 years age group. For cost of MSVI (COMSVI), individual wage and GNI loss of 30% was assumed. Results were compared with the values of the uncorrected refractive error (URE) model of productivity loss. COB (MW method) ranged from $0.1 billion in Honduras to $2.5 billion in the United States, and COMSVI ranged from $0.1 billion in Honduras to $5.3 billion in the US. COB (GNI method) ranged from $0.1 million in Honduras to $7.8 billion in the US, and COMSVI ranged from $0.1 billion in Honduras to $16.5 billion in the US. Most GNI method values were near equivalent to those of the URE model. Although most people with blindness and MSVI live in developing countries, the highest productivity losses are in high income countries. The global economy could improve if eye care were made more accessible and more affordable to all.

$17 billion needed by year 2000.

PubMed

Finger, W R

1995-09-01

The United Nations Population Fund (UNFPA) estimates that US$17 billion will be needed to fund reproductive health care in developing countries by the year 2000. About US$10 billion of would go for family planning: currently, the amount spent on family planning is about US$5 billion. Donors are focusing on fewer countries because of limited resources. The United States Agency for International Development (USAID) is planning to phase out support for family planning in Jamaica and Brazil because the programs there have advanced sufficiently. Resources will be shifted to countries with more pressing needs. Dr. Richard Osborn, senior technical officer for UNFPA, states that UNFPA works with national program managers in allocating resources at the macro level (commodities, training). Currently, two-thirds of family planning funds spent worldwide come from developing country governments (mainly China, India, Indonesia, Mexico, South Africa, Turkey, and Bangladesh). Sustaining programs, much less adding new services, will be difficult. User fees and public-private partnerships are being considered; worldwide, consumers provide, currently, about 14% of family planning funds (The portion is higher in most Latin American countries.). In a few countries, insurance, social security, and other public-private arrangements contribute. Social marketing programs are being considered that would remove constraints on prescriptions and prices and improve the quality of services so that clients would be more willing to pay for contraceptives. Although governments are attempting to fit family planning into their health care budgets, estimates at the national level are difficult to make. Standards are needed to make expenditure estimates quickly and at low cost, according to Dr. Barbara Janowitz of FHI, which is developing guidelines. Studies in Bangladesh, Ecuador, Ghana, Mexico, and the Philippines are being conducted, with the assistance of The Evaluation Project at the Population Center at the University of North Carolina and in-country organizations, to determine the amounts from government resources spent on family planning services in general and by function (training, administration, service delivery, and information).

United States-Vietnam Relations 1945-1967. Book 7 of 12

DTIC Science & Technology

1971-09-20

have the 118 rate in both directions. (2) A new tax on beverages would raise about 1.5 billion piasters in revenue. (3) The GVK would sell gold to...12) Increase receipts from domestic taxes and tariffs, and revise monetary policies. 103/ 17. The Leverage Study On August 31 State...of pressures against the North became more urgent, and the pros-- peet of increasing U.S. inputs to all phases of the war loomed larger. The U.S

Distance to nearest road in the conterminous United States

USGS Publications Warehouse

Watts, Raymond D.

2005-01-01

The new dataset is the first member of the National Overview Road Metrics (NORM) family of road related indicators.  This indicator measures straight-line or Euclidean distance (ED) to the nearest road, and is given the compound name NORM ED.  NORM ED data can be viewed and downloaded from the transportation section of the web viewer for The National Map, http://nationalmap.usgs.gov.  The full-resolution dataset for the conterminous states is made of 8.7 billion values.

Military Engagement and Forward Presence: Down But Not Out as Tools to Shape and Win

DTIC Science & Technology

2016-01-01

the $8 billion spent by the United States on military engagement in Colombia , as part of the “Plan Colombia ” initiative, is largely viewed as money...well- 11 spent.22 Colombia is not free of violence, but it is far from the near-failed narco-state that some feared it would become over a decade ago...Philippines, Colombia , Iraq, and Afghanistan a key independent variable is the unmistakable presence of parallel interests and policy preferences on the

$17 billion needed for population programme to year 2000: Dr. Nafis Sadik launches State of World Population Report.

PubMed

1995-01-01

Dr. Nafis Sadik, Executive Director of the United Nations Population Fund (UNFPA), in her address on July 11 to the Foreign Press Association in London on the occasion of the release of the "1995 State of the World Population Report," stated that governments needed to invest in people, and that the estimated amount needed to reduce population numbers in developing countries was $17 billion for the year 2000. Two-thirds of the cost would be supplied by the developing countries. She said that coordinating population policies globally through such documents as the Programme of Action from the Cairo Conference would aid in slowing population growth. World population, currently 5.7 billion, is projected to reach 7.1-7.83 billion in 2015 and 7.9-11.9 billion in 2050. She also noted that certain conditions faced by women bear upon unsustainable population growth. The cycle of poverty continues in developing countries because very young mothers, who face higher risks in pregnancy and childbirth than those who delay childbearing until after the age of 20, are less likely to continue their education, more likely to have lower-paying jobs, and have a higher rate of separation and divorce. The isolation of women from widespread political participation and the marginalization of women's concerns from mainstream topics has resulted in ineffective family planning programs, including prevention of illness or impairment related to pregnancy or childbirth. Women, in most societies, cannot fully participate in economic and public life, have limited access to positions of influence and power, have narrower occupational choices and lower earnings than men, and must struggle to reconcile activities outside the home with their traditional roles. Sustainable development can only be achieved when social development expands opportunities for individuals (men and women), and their families, empowering them in the attainment of their social, economic, political, and cultural aspirations.

The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis.

PubMed

Bartick, Melissa; Reinhold, Arnold

2010-05-01

A 2001 study revealed that $3.6 billion could be saved if breastfeeding rates were increased to levels of the Healthy People objectives. It studied 3 diseases and totaled direct and indirect costs and cost of premature death. The 2001 study can be updated by using current breastfeeding rates and adding additional diseases analyzed in the 2007 breastfeeding report from the Agency for Healthcare Research and Quality. Using methods similar to those in the 2001 study, we computed current costs and compared them to the projected costs if 80% and 90% of US families could comply with the recommendation to exclusively breastfeed for 6 months. Excluding type 2 diabetes (because of insufficient data), we conducted a cost analysis for all pediatric diseases for which the Agency for Healthcare Research and Quality reported risk ratios that favored breastfeeding: necrotizing enterocolitis, otitis media, gastroenteritis, hospitalization for lower respiratory tract infections, atopic dermatitis, sudden infant death syndrome, childhood asthma, childhood leukemia, type 1 diabetes mellitus, and childhood obesity. We used 2005 Centers for Disease Control and Prevention breastfeeding rates and 2007 dollars. If 90% of US families could comply with medical recommendations to breastfeed exclusively for 6 months, the United States would save $13 billion per year and prevent an excess 911 deaths, nearly all of which would be in infants ($10.5 billion and 741 deaths at 80% compliance). Current US breastfeeding rates are suboptimal and result in significant excess costs and preventable infant deaths. Investment in strategies to promote longer breastfeeding duration and exclusivity may be cost-effective.

"Lost milk?": Counting the economic value of breast milk in gross domestic product.

PubMed

Smith, J P

2013-11-01

The contribution of breastfeeding and mothers milk to the economy is invisible in economic statistics. This article demonstrates how the economic value of human milk production can be included in economic statistics such as gross domestic product (GDP) and provides estimates for Australia, the United States, and Norway. The contribution of human milk and lactation to GDP in these countries is estimated using United Nations (System of National Accounting) guidelines and conventional economic valuation approaches to measuring production in GDP. In Australia, current human milk production levels exceed $3 billion annually. The United States has the potential to produce human milk worth more than US$110 billion a year, but currently nearly two thirds of this value is lost due to premature weaning. In Norway, production valued at US$907 million annually is 60% of its potential value. The potential loss of economic value from not protecting women's lactation and milk production from competing market pressures is large. Failure to account for mothers' milk production in GDP and other economic data has important consequences for public policy. The invisibility of human milk reduces the perceived importance of programs and regulations that protect and support women to breastfeed. The value of human milk can be measured using accepted international guidelines for calculating national income and production. It is quantitatively nontrivial and should be counted in GDP.

Regional Feedstock Partnership Summary Report: Enabling the Billion-Ton Vision

DOE Office of Scientific and Technical Information (OSTI.GOV)

Owens, Vance N.; Karlen, Douglas L.; Lacey, Jeffrey A.

2016-07-12

The U.S. Department of Energy (DOE) and the Sun Grant Initiative established the Regional Feedstock Partnership (referred to as the Partnership) to address information gaps associated with enabling the vision of a sustainable, reliable, billion-ton U.S. bioenergy industry by the year 2030 (i.e., the Billion-Ton Vision). Over the past 7 years (2008–2014), the Partnership has been successful at advancing the biomass feedstock production industry in the United States, with notable accomplishments. The Billion-Ton Study identifies the technical potential to expand domestic biomass production to offset up to 30% of U.S. petroleum consumption, while continuing to meet demands for food, feed,more » fiber, and export. This study verifies for the biofuels and chemical industries that a real and substantial resource base could justify the significant investment needed to develop robust conversion technologies and commercial-scale facilities. DOE and the Sun Grant Initiative established the Partnership to demonstrate and validate the underlying assumptions underpinning the Billion-Ton Vision to supply a sustainable and reliable source of lignocellulosic feedstock to a large-scale bioenergy industry. This report discusses the accomplishments of the Partnership, with references to accompanying scientific publications. These accomplishments include advances in sustainable feedstock production, feedstock yield, yield stability and stand persistence, energy crop commercialization readiness, information transfer, assessment of the economic impacts of achieving the Billion-Ton Vision, and the impact of feedstock species and environment conditions on feedstock quality characteristics.« less

Estimating the required logistical resources to support the development of a sustainable corn stover bioeconomy in the USA

DOE PAGES

Ebadian, Mahmood; Sokhansanj, Shahabaddine; Webb, Erin

2016-11-23

In this paper, the logistical resources required to develop a bioeconomy based on corn stover in the USA are quantified, including field equipment, storage sites, transportation and handling equipment, workforce, corn growers, and corn lands. These resources are essential to mobilize large quantities of corn stover from corn fields to biorefineries. The logistical resources are estimated over the lifetime of the biorefineries. Seventeen corn-growing states are considered for the logistical resource assessment. Over 6.8 billion gallons of cellulosic ethanol can be produced annually from 108 million dry tons of corn stover in these states. The maximum number of required fieldmore » equipment (i.e., choppers, balers, collectors, loaders, and tractors) is estimated to be 194 110 units with a total economic value of about 26 billion dollars. In addition, 40 780 trucks and flatbed trailers would be required to transport bales from corn fields and storage sites to biorefineries with a total economic value of 4.0 billion dollars. About 88 899 corn growers need to be contracted with an annual net income of over 2.1 billion dollars. About 1903 storage sites would be required to hold 53.1 million dry tons of inventory after the harvest season. These storage sites would take up about 35 320.2 acres and 4077 loaders with an economic value of 0.4 billion dollars would handle this inventory. The total required workforce to run the logistics operations is estimated to be 50 567. Furthermore, the magnitude of the estimated logistical resources demonstrates the economic and social significance of the corn stover bioeconomy in rural areas in the USA.« less

Estimating the required logistical resources to support the development of a sustainable corn stover bioeconomy in the USA

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ebadian, Mahmood; Sokhansanj, Shahabaddine; Webb, Erin

In this paper, the logistical resources required to develop a bioeconomy based on corn stover in the USA are quantified, including field equipment, storage sites, transportation and handling equipment, workforce, corn growers, and corn lands. These resources are essential to mobilize large quantities of corn stover from corn fields to biorefineries. The logistical resources are estimated over the lifetime of the biorefineries. Seventeen corn-growing states are considered for the logistical resource assessment. Over 6.8 billion gallons of cellulosic ethanol can be produced annually from 108 million dry tons of corn stover in these states. The maximum number of required fieldmore » equipment (i.e., choppers, balers, collectors, loaders, and tractors) is estimated to be 194 110 units with a total economic value of about 26 billion dollars. In addition, 40 780 trucks and flatbed trailers would be required to transport bales from corn fields and storage sites to biorefineries with a total economic value of 4.0 billion dollars. About 88 899 corn growers need to be contracted with an annual net income of over 2.1 billion dollars. About 1903 storage sites would be required to hold 53.1 million dry tons of inventory after the harvest season. These storage sites would take up about 35 320.2 acres and 4077 loaders with an economic value of 0.4 billion dollars would handle this inventory. The total required workforce to run the logistics operations is estimated to be 50 567. Furthermore, the magnitude of the estimated logistical resources demonstrates the economic and social significance of the corn stover bioeconomy in rural areas in the USA.« less

Alaska coal geology, resources, and coalbed methane potential

USGS Publications Warehouse

Flores, Romeo M.; Stricker, Gary D.; Kinney, Scott A.

2004-01-01

Estimated Alaska coal resources are largely in Cretaceous and Tertiary rocks distributed in three major provinces. Northern Alaska-Slope, Central Alaska-Nenana, and Southern Alaska-Cook Inlet. Cretaceous resources, predominantly bituminous coal and lignite, are in the Northern Alaska-Slope coal province. Most of the Tertiary resources, mainly lignite to subbituminous coal with minor amounts of bituminous and semianthracite coals, are in the other two provinces. The combined measured, indicated, inferred, and hypothetical coal resources in the three areas are estimated to be 5,526 billion short tons (5,012 billion metric tons), which constitutes about 87 percent of Alaska's coal and surpasses the total coal resources of the conterminous United States by 40 percent. Coal mining has been intermittent in the Central Alaskan-Nenana and Southern Alaska-Cook Inlet coal provinces, with only a small fraction of the identified coal resource having been produced from some dozen underground and strip mines in these two provinces. Alaskan coal resources have a lower sulfur content (averaging 0.3 percent) than most coals in the conterminous United States are within or below the minimum sulfur value mandated by the 1990 Clean Air Act amendments. The identified resources are near existing and planned infrastructure to promote development, transportation, and marketing of this low-sulfur coal. The relatively short distances to countries in the west Pacific Rim make them more exportable to these countries than to the lower 48 States of the United States. Another untapped but potential resource of large magnitude is coalbed methane, which has been estimated to total 1,000 trillion cubic feet (28 trillion cubic meters) by T.N. Smith 1995, Coalbed methane potential for Alaska and drilling results for the upper Cook Inlet Basin: Intergas, May 15 - 19, 1995, Tuscaloosa, University of Alabama, p. 1 - 21.

The incidence and economic costs of cancer, motor vehicle injuries, coronary heart disease, and stroke: a comparative analysis.

PubMed Central

Hartunian, N S; Smart, C N; Thompson, M S

1980-01-01

The economic impact of disease and injury has most often been calculated by examining the costs associated with the prevalence of the impairments in the reference year. An alternative accounting approach is to assign all disease costs to the year of incidence, an approach which entails present-valuing to the year of incidence both health care expenditures and lost productivity. The incidence approach is the more appropriate for gauging the economic gains achievable through prevention, immediate rehabilitation, and arresting progression. Incidence-based costs have been estimated for the United States in 1975 for cancer, coronary heart disease, motor vehicle injuries, and stroke. A noteworthy finding is the relative economic importance of motor vehicle injuries, which frequently have been overlooked in the ordering of public health expenditure priorities. After cancer, which generated approximately $23.1 billion in present-valued costs in 1975 (discounted at 6 per cent), motor vehicle injuries and coronary heart disease constitute the next most expensive conditions--having generated estimated annual costs of $14.4 billion and $13.7 billion, respectively. Stroke, at $6.5 billion, follows in economic importance. PMID:7435742

Surgical streams in the flow of health care financing. The role of surgery in national expenditures: what costs are controllable?

PubMed Central

Moore, F D

1985-01-01

The dollar flow in United States medical care has been analyzed in terms of a six-level model; this model and the gross 1981 flow data are set forth. Of the estimated $310 billion expended in 1981, it is estimated that $85-$95 billion was the "surgical stream", i.e., that amount expended to take care of surgical patients at a variety of institutional types and including ambulatory care and surgeons' fees. Some of the determinants of surgical flow are reviewed as well as controllable costs and case mix pressures. Surgical complications, when severe, increase routine operative costs by a factor of 8 to 20. Maintenance of high quality in American surgery, despite new manpower pressures, is the single most important factor in cost containment. By voluntary or imposed controls on fees, malpractice premiums, case mix selection, and hospital utilization, a saving of $2.0-$4.0 billion can be seen as reachable and practical. This is five per cent of the surgical stream and is a part of the realistic "achievable" savings of total flow estimated to be about +15 billion or 5 per cent. PMID:3918514

Mineral resources and consumption in the twenty-first century

USGS Publications Warehouse

Menzie, W. David; Singer, Donald A.; DeYoung,, John H.; Simpson, R.D.; Toman, M.A.; Ayres, R.U.

2005-01-01

Modern societies are highly dependent upon energy and mineral resources to produce and deliver the material goods and even the services of everyday life. Although societies' dependence upon fossil fuels is evident and understood by much of the population, few people are as well informed about their dependence upon a wide variety of nonfuel minerals. This ignorance may result from two interrelated conditions. First, in contrast to fossil fuels, few people directly use nonfuel minerals in recognizable forms because most use is as part of manufactured products. Second, the value of raw ($38 billion) and even processed ($397 billion) nonfuel minerals in the United States in 2002 was small relative to the value the industries that consume these materials contribute to the economy ($1,700 billion). That is, although nonfuel mineral inputs are indispensable to construction and to the manufacture of durable and even nondurable goods (USGS 2003), their value is modest compared with the value of the final products.

Tax economics of charitable giving: pointers for the hospital and donor.

PubMed

1980-01-01

Charitable giving is a big business in the United States. In 1979 over $43 billion was donated to charitable organizations, an amount equal to over 50 percent of the $78 billion combined net income for all of Fortune Magazine's largest 500 corporations in America. Only 13.7 percent (approximately $6 billion) of these donations were received by health care institutions. A much smaller amount went specifically to hospitals. The excalating cost of providing quality health care and the increasing difficulty of fully recovering these costs from third party payers is making hospitals more dependent on charitable contributions to remain solvent. Hospital executives and board members who can intelligently discuss with potential donors the tax economics of charitable giving are better able to increase the flow of donated funds to their own hospitals. Careful planning by donors and hospitals can result in properly structured donations that reduce taxes paid by the donor, increase the donor's personal cash flow and increase donations to the hospital.

Defence electronics industry profile, 1990-1991

NASA Astrophysics Data System (ADS)

The defense electronics industry profiled in this review comprises an estimated 150 Canadian companies that develop, manufacture, and repair radio and communications equipment, radars for surveillance and navigation, air traffic control systems, acoustic and infrared sensors, computers for navigation and fire control, signal processors and display units, special-purpose electronic components, and systems engineering and associated software. Canadian defense electronics companies generally serve market niches and end users of their products are limited to the military, government agencies, or commercial airlines. Geographically, the industry is concentrated in Ontario and Quebec, where about 91 percent of the industry's production and employment is found. In 1989, the estimated revenue of the industry was $2.36 billion, and exports totalled an estimated $1.4 billion. Strengths and weaknesses of the industry are discussed in terms of such factors as the relatively small size of Canadian companies, the ability of Canadian firms to access research and development opportunities and export markets in the United States, the dependence on foreign-made components, and international competition.

Medical biofilms--nanotechnology approaches.

PubMed

Neethirajan, Suresh; Clond, Morgan A; Vogt, Adam

2014-10-01

Biofilms are colonies of bacteria or fungi that adhere to a surface, protected by an extracellular polymer matrix composed of polysaccharides and extracellular DNA. They are highly complex and dynamic multicellular structures that resist traditional means of killing planktonic bacteria. Recent developments in nanotechnology provide novel approaches to preventing and dispersing biofilm infections, which are a leading cause of morbidity and mortality. Medical device infections are responsible for approximately 60% of hospital acquired infections. In the United States, the estimated cost of caring for healthcare-associated infections is approximately between $28 billion and $45 billion per year. In this review, we will discuss our current understanding of biofilm formation and degradation, its relevance to challenges in clinical practice, and new technological developments in nanotechnology that are designed to address these challenges.

On the Use of NASA Earth Observations to Characterize the 2012 US Drought

NASA Technical Reports Server (NTRS)

Lawford, Richard; Toll, David; Doorn, Bradley; Entin, Jared; Mocko, David; Svoboda, Mark; Rodell, Matthew; Koster, Randy; Schubert, Siegried; Liang, Xin-Zhong;

Consumption of Combustible and Smokeless Tobacco - United States, 2000-2015.

PubMed

Wang, Teresa W; Kenemer, Brandon; Tynan, Michael A; Singh, Tushar; King, Brian

2016-12-09

Combustible and smokeless tobacco use causes adverse health outcomes, including cardiovascular disease and multiple types of cancer (1,2). Standard approaches for measuring tobacco use include self-reported surveys of use and consumption estimates based on tobacco excise tax data (3,4). To provide the most recently available tobacco consumption estimates in the United States, CDC used federal excise tax data to estimate total and per capita consumption during 2000-2015 for combustible tobacco (cigarettes, roll-your-own tobacco, pipe tobacco, small cigars, and large cigars) and smokeless tobacco (chewing tobacco and dry snuff). During this period, total combustible tobacco consumption decreased 33.5%, or 43.7% per capita. Although total cigarette consumption decreased 38.7%, cigarettes remained the most commonly used combustible tobacco product. Total noncigarette combustible tobacco (i.e., cigars, roll-your-own, and pipe tobacco) consumption increased 117.1%, or 83.8% per capita during 2000-2015. Total consumption of smokeless tobacco increased 23.1%, or 4.2% per capita. Notably, total cigarette consumption was 267.0 billion cigarettes in 2015 compared with 262.7 billion in 2014. These findings indicate that although cigarette smoking declined overall during 2000-2015, and each year from 2000 to 2014, the number of cigarettes consumed in 2015 was higher than in 2014, and the first time annual cigarette consumption was higher than the previous year since 1973. Moreover, the consumption of other combustible and smokeless tobacco products remains substantial. Implementation of proven tobacco prevention interventions (5) is warranted to further reduce tobacco use in the United States.

Israel: Background and Relations with the United States

DTIC Science & Technology

2008-06-06

investor Warren Buffet announced that he was buying 80% of Iscar, a major Israeli metalworks, for $4 billion. Energy Cooperation. In the context of...take into account changed “realities on the ground, including already existing major Israeli population centers” (i.e., settlement blocs), asserting...justified, and a balance between military needs and taking into account humanitarian considerations needs to be found.”70 Intellectual Property

Reforming Health Professions Education through a Network of Strategic Multi-Level Partnerships. Scaling Change: Health Professions Pathways (H2P) Consortium

ERIC Educational Resources Information Center

Fox, H. L.

2016-01-01

Several federal grants prioritized the role of community colleges in education and training in recent years, and one of the most substantial investments was the Trade Adjustment Act Community College and Career Training (TAACCCT) program of the United States Department of Labor (DOL). Beginning October 2011, these $2 billion capacity-building…

A century and a half of research on the Stable Fly, Stomoxys calcitrans (L.) (Diptera: Muscidae), 1862-2011: an annotated bibliography

USDA-ARS?s Scientific Manuscript database

The stable fly, Stomoxys calcitrans, is a cosmopolitan pest of livestock, wild animals, pets and humans. It is a primary pest of cattle in the United States, estimated to cause more than $1 billion in economic losses annually. It also causes dissention at the rural-urban interface and is a problem i...

United States Department of Defense: Agency Financial Report Fiscal Year 2014

DTIC Science & Technology

2014-01-01

Defense Review (QDR) 2014 to Congress in March 2014. The QDR is a legislatively -mandated report, issued every four years, that evaluates the...Operational Test & Evaluation General Counsel, DoD ASD ( Legislative Affairs) ATSD (Public Affairs) DoD Chief Information Officer Director, Net...in Billions Breakout Accounts Payable $19.8 1% Military Retirement and Employment Benefits $2,334.0 95% Environmental and Disposal Liabilities

A new conservation partnership: conserving the migratory birds of the Americas

Treesearch

Jack C. Capp; David Mehlman

Over five billion birds move each year across the Americas, flying great distances over almost every location and habitat on the continents (Weidensaul 1999). Over 350 of the over 800 bird species in the United States migrate each year to Latin America and the Caribbean (Degraaf and Rappole 1995). Some fly each way over 4000 miles, chasing the seasons across oceans and...

The Social Cost of Trading: Measuring the Increased Damages from Sulfur Dioxide Trading in the United States

ERIC Educational Resources Information Center

Henry, David D., III; Muller, Nicholas Z.; Mendelsohn, Robert O.

2011-01-01

The sulfur dioxide (SO[subscript 2]) cap and trade program established in the 1990 Clean Air Act Amendments is celebrated for reducing abatement costs ($0.7 to $2.1 billion per year) by allowing emissions allowances to be traded. Unfortunately, places with high marginal costs also tend to have high marginal damages. Ton-for-ton trading reduces…

Regional estimation of current and future forest biomass

Treesearch

R.A. Mickler; T.S. Earnhardt; J.A. Moore

2002-01-01

The 90,674 wildland fires that burned 2.9 million ha at an estimated suppression cost of $1.6 billion in the United States during the 2000 fire season demonstrated that forest fuel loading has become a hazard to life, property, and ecosystem health as a result of past fire exclusion policies and practices. The fire regime at any given location in these regions is a...

Employer-Sponsored Recurrent Education in the United States: A Report on Recent Inquiries into Its Structure.

ERIC Educational Resources Information Center

Smith, G. B.

Employer-sponsored recurrent (or lifelong) learning has grown from its World War II beginnings to become a large, important, but little-studied aspect of American education, one with major implications for the U.S. economy and society. U.S. employers spend from 20 to 100 billion dollars on educational programs for anywhere from 37 to 73 million…

The Impact of Geographic Information Systems on Emergency Management Decision Making at the U.S. Department of Homeland Security

ERIC Educational Resources Information Center

King, Steven Gray

2012-01-01

Geographic information systems (GIS) reveal relationships and patterns from large quantities of diverse data in the form of maps and reports. The United States spends billions of dollars to use GIS to improve decisions made during responses to natural disasters and terrorist attacks, but precisely how GIS improves or impairs decision making is not…

Historical forest seedling production in the southern United States: 2008 to 2009 planting season

Treesearch

Scott A. Enebak

2011-01-01

Seedling production across the southern US for the 2008 to 2009 planting season was 1.05 billion seedlings, a decrease of 53.6 million (5%) from the 2007 to 2008 planting season. The vast majority (90%) of reduction in conifer seedling production from 2008 was bareroot loblolly (Pinus taeda) and slash (P. elliottii) pine. Hardwoods were about 1% of regional seedling...

Concrete Solution

NASA Technical Reports Server (NTRS)

1998-01-01

A Space Act Agreement between Kennedy Space Center and Surtreat Southeast, Inc., resulted in a new treatment that keeps buildings from corroding away over time. Structural corrosion is a multi-billion dollar problem in the United States. The agreement merged Kennedy Space Center's research into electrical treatments of structural corrosion with chemical processes developed by Surtreat. Combining NASA and Surtreat technologies has resulted in a unique process with broad corrosion-control applications.

Designing an Energy Drink: High School Students Learn Design and Marketing Skills in This Activity

ERIC Educational Resources Information Center

Martin, Doug

2008-01-01

A decade ago, energy drinks were almost nonexistent in the United States, but in the past five years they've become wildly popular. In fact, the $3.4 billion energy-drink market is expected to double this year alone, and the younger generation is the market targeted by manufacturers. This article presents an energy-drink designing activity. This…

Insurance Reserves: Strategies for Regulating the Federal Employees Health Benefits Program. Report to the Chairman, Committee on Post Office and Civil Service, House of Representatives.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC. Div. of Human Resources.

In 1985, the Federal Employees Health Benefits Program (FEHBP) reserves had accumulated over $2 billion in reserve surplus, precipitating the program's first refund. Concerned about FEHBP reserve practices, the chairman of the House Committee on Post Office and Civil Service, United States Congress, asked the General Accounting Office (GAO) to…

Foreign Aid to Education: Recent U.S. Initiatives--Background, Risks, and Prospects

ERIC Educational Resources Information Center

Heyneman, Stephen P.

2005-01-01

The Millennium Challenge Account (MCA) is a commitment of the United States to raise its grant aid by a factor of 50% over the next 3 years and will result in a $5 billion annual increase over current foreign aid levels. Many other countries and multinational development assistance agencies will be asked to help co-finance this new account, and…

Toward Institutional Autonomy or Nationalization? A Case Study of the Federal Role in U.S. Higher Education Accreditation

ERIC Educational Resources Information Center

Matthews, Leah K.

2012-01-01

The centerpiece of the United States government's commitment to assuring that more Americans enroll in college and earn a degree is a massive system of federal financial aid that delivers billions of dollars to millions of students enrolled in accredited universities across the country. Since 1952, the federal government has relied upon…

Compensatory value of urban trees in the United States

Treesearch

David J. Nowak; Daniel E. Crane; John F. Dwyer

2002-01-01

Understanding the value of an urban forest can give decision makers a better foundation for urban tree namagement. Based on tree-valuation methods of the Council of Tree and Landscape Appraisers and field data from eight cities, total compensatory value of tree populations in U.S. cities ranges from $101 million in Jersey City, New Jersey, to $6.2 billion in New York,...

The rise and fall of the Pacific Northwest log export market.

Treesearch

Jean M. Daniels

2005-01-01

For decades, softwood log exports were an important component of international wood products trade from the Pacific Northwest (PNW) region of the United States. Log exports to the Pacific Rim began in earnest after the Columbus Day Storm of 1962 generated billions of board feet of salvaged timber. This market was maintained and expanded owing to Japan’s demand for high...

Project Manager Personality as a Factor for Success

DTIC Science & Technology

2008-03-01

the project manager includes planning , 1 organizing, directing, and controlling the project (Program Management Institute, 2004; Kerzner, 2006). By...programs identified 5 percent cost growth per year from 2004 to 2007, costing $165 billion dollars more than originally planned (United States...Bjeirmi, 1996) and point out that good project managers can "contribute to project success, but are unlikely to prevent failure" ( de Witt, 1988, p

The Economic Burden of Musculoskeletal Disease in Children and Adolescents in the United States.

PubMed

Rosenfeld, Scott B; Schroeder, Katherine; Watkins-Castillo, Sylvia I

2018-04-01

Musculoskeletal conditions are among the most common and costly conditions suffered by Americans. In 2011, there was an estimated $213 billion in annual cost of direct treatment for and lost wages due to musculoskeletal disease in the United States. Data on economic burden, however, comes mostly from the adult population, with significantly less information regarding the burden of these conditions in young patients available. The purpose of this report is to provide data on the economic burden of musculoskeletal diseases in children and adolescents in the United States. Eleven diagnosis categories were identified, with health care visits and hospitalization data derived from ICD-9-CM codes for each of the conditions searched. The largest database utilized was the Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID). Total visits came from the KID, HCUP NEDS (emergency department), NCHS NHAMCS OP (outpatient), and NCHS NAMCS (physician office) databases. The National Health Interview Survey (NHIS) child sample was additionally searched to obtain patient/parent-reported data. In 2012, more than 19 million children and adolescents received treatment in medical centers, physicians' offices, and hospitals for a musculoskeletal-related condition. The most common reason for treatment (68%) was traumatic injury, followed by a pain syndrome (13%) and deformity (9%). Total hospital charges in 2012 for children and adolescents with a primary musculoskeletal-related diagnosis totaled $7.6 billion. Trauma (43%) and deformity (38%) were the major contributors to total hospital charges. Although we found that hospital-related charges for musculoskeletal diseases for children and adolescents in 2012 totaled $7.6 billion, this number underestimates the total cost for all pediatric musculoskeletal conditions. Musculoskeletal conditions accounted for 5.4% of hospital charges in the pediatric population. However, only 1.4% of pediatric research funding is designated to musculoskeletal research. Going forward, the data in this report may be used to further research and to stimulate development of better methods with which to measure the direct and indirect costs of musculoskeletal conditions in children. Level IV-economic and decision analysis.

Projection display market trends

NASA Astrophysics Data System (ADS)

Mentley, David E.

1997-05-01

The projection display industry is now a multi-billion dollar market comprising an expanding variety of technologies and applications. Growth is being driven by a combination of high volume consumer products and high value business demand. After many years of marginal, but steady performance improvements, essentially all types of projectors have crossed the threshold of acceptability and are now facing accelerated continuing growth. Overall worldwide unit sales of all types of projection displays for all applications will nearly double from 1.6 million units in 1996 to 2.8 million units in 2002. By value at the end user price, the global projector market will grow modestly from 6.3 billion dollars in 1996 to 7.7 billion dollars in 2002. Consumer television will represent the largest share of unit consumption over this time period; in 1996, this application represents 72 percent of the total unit volume. The second major application category for projection displays is the business or presentation projector, representing only 14 percent of the unit shipment total in 1996, but 50 percent of the value.

The anatomy of medical research: US and international comparisons.

PubMed

Moses, Hamilton; Matheson, David H M; Cairns-Smith, Sarah; George, Benjamin P; Palisch, Chase; Dorsey, E Ray

2015-01-13

Medical research is a prerequisite of clinical advances, while health service research supports improved delivery, access, and cost. Few previous analyses have compared the United States with other developed countries. To quantify total public and private investment and personnel (economic inputs) and to evaluate resulting patents, publications, drug and device approvals, and value created (economic outputs). Publicly available data from 1994 to 2012 were compiled showing trends in US and international research funding, productivity, and disease burden by source and industry type. Patents and publications (1981-2011) were evaluated using citation rates and impact factors. (1) Reduced science investment: Total US funding increased 6% per year (1994-2004), but rate of growth declined to 0.8% per year (2004-2012), reaching $117 billion (4.5%) of total health care expenditures. Private sources increased from 46% (1994) to 58% (2012). Industry reduced early-stage research, favoring medical devices, bioengineered drugs, and late-stage clinical trials, particularly for cancer and rare diseases. National Insitutes of Health allocations correlate imperfectly with disease burden, with cancer and HIV/AIDS receiving disproportionate support. (2) Underfunding of service innovation: Health services research receives $5.0 billion (0.3% of total health care expenditures) or only 1/20th of science funding. Private insurers ranked last (0.04% of revenue) and health systems 19th (0.1% of revenue) among 22 industries in their investment in innovation. An increment of $8 billion to $15 billion yearly would occur if service firms were to reach median research and development funding. (3) Globalization: US government research funding declined from 57% (2004) to 50% (2012) of the global total, as did that of US companies (50% to 41%), with the total US (public plus private) share of global research funding declining from 57% to 44%. Asia, particularly China, tripled investment from $2.6 billion (2004) to $9.7 billion (2012) preferentially for education and personnel. The US share of life science patents declined from 57% (1981) to 51% (2011), as did those considered most valuable, from 73% (1981) to 59% (2011). New investment is required if the clinical value of past scientific discoveries and opportunities to improve care are to be fully realized. Sources could include repatriation of foreign capital, new innovation bonds, administrative savings, patent pools, and public-private risk sharing collaborations. Given international trends, the United States will relinquish its historical international lead in the next decade unless such measures are undertaken.

Medical cost of type 2 diabetes attributable to physical inactivity in the United States in 2012.

PubMed

Shah, Priyank; Shamoon, Fayez; Bikkina, Mahesh; Kohl, Harold W

Type 2 diabetes has grown to epidemic proportions in the U.S. and physical activity levels in the population continues to remain low, although it is one of the primary preventive strategies for diabetes. The objectives of this study were to estimate the direct medical costs of type 2 diabetes attributable to not meeting physical activity Guidelines and to physical inactivity in the U.S. in 2012. This was a cross sectional study that used physical activity prevalence data from the Behavioral Risk Factor Surveillance System to estimate the population attributable risk percentage for type 2 diabetes. These data were combined with the prevalence and cost data of type 2 diabetes to estimate the cost of type 2 diabetes attributable to not meeting physical activity Guidelines and to inactivity in 2012. The cost of type 2 diabetes in the U.S. in 2012, attributable to not meeting physical activity guidelines was estimated to be $18.3 billion, and that attributable to physical inactivity was estimated to be $4.65 billion. Based on sensitivity analyses, these estimates ranged from $10.19 billion to $27.43 billion for not meeting physical activity guidelines and $2.59 billion-$6.98 billion for physical inactivity in the year 2012. This study shows that billions of dollars could be saved annually just in terms of type 2 diabetes cost in the U.S., if the entire adult population met physical activity guidelines. Physical activity promotion, particularly at the environmental and policy level should be a priority in the population. Copyright © 2016 Diabetes India. Published by Elsevier Ltd. All rights reserved.

National Enhanced Elevation Assessment at a glance

USGS Publications Warehouse

Snyder, Gregory I.

2012-01-01

Elevation data are essential for hazards mitigation, conservation, infrastructure development, national security, and many other applications. Under the leadership of the U.S. Geological Survey and the member States of the National Digital Elevation Program (NDEP), Federal agencies, State agencies, and others work together to acquire high-quality elevation data for the United States and its territories. New elevation data are acquired using modern technology to replace elevation data that are, on average, more than 30 years old. Through the efforts of the NDEP, a project-by-project data acquisition approach resulted in improved, publicly available data for 28 percent of the conterminous United States and 15 percent of Alaska over the past 15 years. Although the program operates efficiently, the rate of data collection and the typical project specifications are currently insufficient to address the needs of government, the private sector, and other organizations. The National Enhanced Elevation Assessment was conducted to (1) document national-level requirements for improved elevation data, (2) estimate the benefits and costs of meeting those requirements, and (3) evaluate multiple national-level program-implementation scenarios. The assessment was sponsored by the NDEP's member agencies. The study participants came from 34 Federal agencies, agencies from all 50 States, selected local government and Tribal offices, and private and not-for-profit organizations. A total of 602 mission-critical activities were identified that need significantly more accurate data than are currently available. The results of the assessment indicate that a national-level enhanced-elevation-data program has the potential to generate from $1.2 billion to $13 billion in new benefits annually.

The public health benefits of insulation retrofits in existing housing in the United States

PubMed Central

Levy, Jonathan I; Nishioka, Yurika; Spengler, John D

2003-01-01

Background Methodological limitations make it difficult to quantify the public health benefits of energy efficiency programs. To address this issue, we developed a risk-based model to estimate the health benefits associated with marginal energy usage reductions and applied the model to a hypothetical case study of insulation retrofits in single-family homes in the United States. Methods We modeled energy savings with a regression model that extrapolated findings from an energy simulation program. Reductions of fine particulate matter (PM2.5) emissions and particle precursors (SO2 and NOx) were quantified using fuel-specific emission factors and marginal electricity analyses. Estimates of population exposure per unit emissions, varying by location and source type, were extrapolated from past dispersion model runs. Concentration-response functions for morbidity and mortality from PM2.5 were derived from the epidemiological literature, and economic values were assigned to health outcomes based on willingness to pay studies. Results In total, the insulation retrofits would save 800 TBTU (8 × 1014 British Thermal Units) per year across 46 million homes, resulting in 3,100 fewer tons of PM2.5, 100,000 fewer tons of NOx, and 190,000 fewer tons of SO2 per year. These emission reductions are associated with outcomes including 240 fewer deaths, 6,500 fewer asthma attacks, and 110,000 fewer restricted activity days per year. At a state level, the health benefits per unit energy savings vary by an order of magnitude, illustrating that multiple factors (including population patterns and energy sources) influence health benefit estimates. The health benefits correspond to $1.3 billion per year in externalities averted, compared with $5.9 billion per year in economic savings. Conclusion In spite of significant uncertainties related to the interpretation of PM2.5 health effects and other dimensions of the model, our analysis demonstrates that a risk-based methodology is viable for national-level energy efficiency programs. PMID:12740041

In Brief: Report calls for transforming the U.S. energy system

NASA Astrophysics Data System (ADS)

Showstack, Randy; Tretkoff, Ernie

2010-12-01

The United States should develop a coordinated, government-wide, federal energy policy to transform the nation's energy system within 1-2 decades, according to a 29 November report by the President's Council of Advisors on Science and Technology (PCAST). A key recommendation is for the president to establish a quadrennial energy review process to provide a road map for short- and long-term energy objectives, to outline legislative proposals, to put forward anticipated executive branch actions, and to identify resource requirements for research and development programs. Entitled “Report to the president on accelerating the pace of change in energy technologies through an integrated federal energy policy,” the report also calls for the government to invest $16 billion per year for clean energy innovation. The report indicates that this would be an approximate tripling of current Department of Energy investments in energy science and technology. Stating that “the discretionary budget is under severe pressure,” the report recommends that the president engage the private sector and Congress to generate about $10billion per year of funding through new revenue streams. A small charge on electricity and transportation fuel could be “well within the normal fluctuations in price seen by consumers” and generate billions of dollars for research.

Impact of the Space Program on the U.S. economy - National and state analyses

NASA Technical Reports Server (NTRS)

Bezdek, Roger H.; Wendling, Robert M.

1992-01-01

The private-sector economic and employment impacts of the U.S. Space Program on the whole nation and on each state were investigated, considering 80 industries and 475 occupations. It is shown that the FY 1987 NASA procurement expenditures of $8.6 billion resulted in 209,000 jobs, $17.8 billion in total industry sales, $2.9 billion in corporate profits, and $5.6 billion in Federal, state, and local government tax revenues. Although the industry and job impacts are concentrated in states that are the largest direct recipients of NASA program funds (California, Texas, and Florida), every state in the nation benefits from the Space Program and the indirect economic benefits for many states are very high. Details are presented of the total sales and jobs created in each state.

An overview of aggregate resources in the United States

USGS Publications Warehouse

Langer, William H.; Scott, P.W.; Bristow, C.M.

2002-01-01

In 2000 the USA produced about 2.7 billion tonnes of aggregate worth about $13.7 billion. Both crushed stone and sand and gravel are produced in virtually every State, although limited quantities are available in the Gulf Coastal Plain, the Colorado Plateau , the Wyoming Basin and the Great Plains. Prices vary depending on the product and location. Most aggregates are transported by road, and minor amounts by railroad, barge on navigable inland channels, and through the Great Lake ports. Imports and exports of aggregates are very minor. A major amount f crushed stone aggregates is consumed by concrete aggregate. Recycled aggregates account for about 8% of total demand, although the amount recycled is thought to be increasing. Current issues facing the inductry unclude the differences in quality specifications between States, adjusting to the increasing concern for the impact of aggregate mining on the environmentm, health issues from particulate matter and crystalline silica, and the complexity of obtaining permits for extraction. Redcustion in the number od companies extracting aggregrates is likely to occur through acquisitions.

US energy for the rest of the century, 1984 edition

NASA Astrophysics Data System (ADS)

Gustaferro, J. F.

1984-07-01

The U.S. energy consumption and supply for two years 1983 and 2000 is presented. In 1983 the United States consumed about 70.5 quadrillion British thermal units of energy. A U.S. energy consumption of about 84 quadrillion British thermal units in the year 2000 is projected. The 84 quadrillion British thermal units consists of 13 million barrels per day of petroleum, 18 trillion cubic feet of natural gas and 3.5 trillion kilowatt hours of electricity. Coal production is projected at 1,405 million tons which includes exports. The data presented in the 1984 forecast over the spectrum of U.S. energy requirements and focus on the end use of energy operational purposes, e.g., highway transportation, space heating, lighting, and construction. Data on fuel consumption by types and energy content for 1983 and as projected for the year 2000 is provided. End users of energy in the United States currently spend $441 billion annually for energy. This includes direct taxes.

World health dilemmas: Orphan and rare diseases, orphan drugs and orphan patients

PubMed Central

Kontoghiorghe, Christina N; Andreou, Nicholas; Constantinou, Katerina; Kontoghiorghes, George J

2014-01-01

According to global annual estimates hunger/malnutrition is the major cause of death (36 of 62 million). Cardiovascular diseases and cancer (5.44 of 13.43 million) are the major causes of death in developed countries, while lower respiratory tract infections, human immunodeficiency virus infection/acquired immunodeficiency syndrome, diarrhoeal disease, malaria and tuberculosis (10.88 of 27.12 million) are the major causes of death in developing countries with more than 70% of deaths occurring in children. The majority of approximately 800 million people with other rare diseases, including 100000 children born with thalassaemia annually receive no treatment. There are major ethical dilemmas in dealing with global health issues such as poverty and the treatment of orphan and rare diseases. Of approximately 50000 drugs about 10% are orphan drugs, with annual sales of the latter approaching 100 billion USD. In comparison, the annual revenue in 2009 from the top 12 pharmaceutical companies in Western countries was 445 billion USD and the top drug, atorvastatin, reached 100 billion USD. In the same year, the total government expenditure for health in the developing countries was 410 billion USD with only 6%-7% having been received as aid from developed countries. Drugs cost the National Health Service in the United Kingdom more than 20 billion USD or 10% of the annual health budget. Uncontrollable drug prices and marketing policies affect global health budgets, clinical practice, patient safety and survival. Fines of 5.3 billion USD were imposed on two pharmaceutical companies in the United States, the regulatory authority in France was replaced and clinicians were charged with bribery in order to overcome recent illegal practises affecting patient care. High expenditure for drug development is mainly related to marketing costs. However, only 2 million USD was spent developing the drug deferiprone (L1) for thalassaemia up to the stage of multicentre clinical trials. The criteria for drug development, price levels and use needs to be readdressed to improve drug safety and minimise costs. New global health policies based on cheaper drugs can help the treatment of many categories of orphan and rare diseases and millions of orphan patients in developing and developed countries. PMID:25332915

World health dilemmas: Orphan and rare diseases, orphan drugs and orphan patients.

PubMed

Kontoghiorghe, Christina N; Andreou, Nicholas; Constantinou, Katerina; Kontoghiorghes, George J

2014-09-26

According to global annual estimates hunger/malnutrition is the major cause of death (36 of 62 million). Cardiovascular diseases and cancer (5.44 of 13.43 million) are the major causes of death in developed countries, while lower respiratory tract infections, human immunodeficiency virus infection/acquired immunodeficiency syndrome, diarrhoeal disease, malaria and tuberculosis (10.88 of 27.12 million) are the major causes of death in developing countries with more than 70% of deaths occurring in children. The majority of approximately 800 million people with other rare diseases, including 100000 children born with thalassaemia annually receive no treatment. There are major ethical dilemmas in dealing with global health issues such as poverty and the treatment of orphan and rare diseases. Of approximately 50000 drugs about 10% are orphan drugs, with annual sales of the latter approaching 100 billion USD. In comparison, the annual revenue in 2009 from the top 12 pharmaceutical companies in Western countries was 445 billion USD and the top drug, atorvastatin, reached 100 billion USD. In the same year, the total government expenditure for health in the developing countries was 410 billion USD with only 6%-7% having been received as aid from developed countries. Drugs cost the National Health Service in the United Kingdom more than 20 billion USD or 10% of the annual health budget. Uncontrollable drug prices and marketing policies affect global health budgets, clinical practice, patient safety and survival. Fines of 5.3 billion USD were imposed on two pharmaceutical companies in the United States, the regulatory authority in France was replaced and clinicians were charged with bribery in order to overcome recent illegal practises affecting patient care. High expenditure for drug development is mainly related to marketing costs. However, only 2 million USD was spent developing the drug deferiprone (L1) for thalassaemia up to the stage of multicentre clinical trials. The criteria for drug development, price levels and use needs to be readdressed to improve drug safety and minimise costs. New global health policies based on cheaper drugs can help the treatment of many categories of orphan and rare diseases and millions of orphan patients in developing and developed countries.

Global cost of child survival: estimates from country-level validation

PubMed Central

van Ekdom, Liselore; Scherpbier, Robert W; Niessen, Louis W

2011-01-01

Abstract Objective To cross-validate the global cost of scaling up child survival interventions to achieve the fourth Millennium Development Goal (MDG4) as estimated by the World Health Organization (WHO) in 2007 by using the latest country-provided data and new assumptions. Methods After the main cost categories for each country were identified, validation questionnaires were sent to 32 countries with high child mortality. Publicly available estimates for disease incidence, intervention coverage, prices and resources for individual-level and programme-level activities were validated against local data. Nine updates to the 2007 WHO model were generated using revised assumptions. Finally, estimates were extrapolated to 75 countries and combined with cost estimates for immunization and malaria programmes and for programmes for the prevention of mother-to-child transmission of the human immunodeficiency virus (HIV). Findings Twenty-six countries responded. Adjustments were largest for system- and programme-level data and smallest for patient data. Country-level validation caused a 53% increase in original cost estimates (i.e. 9 billion 2004 United States dollars [US$]) for 26 countries owing to revised system and programme assumptions, especially surrounding community health worker costs. The additional effect of updated population figures was small; updated epidemiologic figures increased costs by US$ 4 billion (+15%). New unit prices in the 26 countries that provided data increased estimates by US$ 4.3 billion (+16%). Extrapolation to 75 countries increased the original price estimate by US$ 33 billion (+80%) for 2010–2015. Conclusion Country-level validation had a significant effect on the cost estimate. Price adaptations and programme-related assumptions contributed substantially. An additional 74 billion US$ 2005 (representing a 12% increase in total health expenditure) would be needed between 2010 and 2015. Given resource constraints, countries will need to prioritize health activities within their national resource envelope. PMID:21479091

Economic return from the Women's Health Initiative estrogen plus progestin clinical trial: a modeling study.

PubMed

Roth, Joshua A; Etzioni, Ruth; Waters, Teresa M; Pettinger, Mary; Rossouw, Jacques E; Anderson, Garnet L; Chlebowski, Rowan T; Manson, Joann E; Hlatky, Mark; Johnson, Karen C; Ramsey, Scott D

2014-05-06

The findings of the Women's Health Initiative (WHI) estrogen plus progestin (E+P) trial led to a substantial reduction in use of combined hormone therapy (cHT) among postmenopausal women in the United States. The economic effect of this shift has not been evaluated relative to the trial's $260 million cost (2012 U.S. dollars). To estimate the economic return from the WHI E+P trial. Decision model to simulate health outcomes for a "WHI scenario" with observed cHT use and a "no-WHI scenario" with cHT use extrapolated from the pretrial period. Primary analyses of WHI outcomes, peer-reviewed literature, and government sources. Postmenopausal women in the United States, aged 50 to 79 years, who did not have a hysterectomy. 2003 to 2012. Payer. Combined hormone therapy. Disease incidence, expenditure, quality-adjusted life-years, and net economic return. The WHI scenario resulted in 4.3 million fewer cHT users, 126,000 fewer breast cancer cases, 76,000 fewer cardiovascular disease cases, 263,000 more fractures, 145,000 more quality-adjusted life-years, and expenditure savings of $35.2 billion. The corresponding net economic return of the trial was $37.1 billion ($140 per dollar invested in the trial) at a willingness-to-pay level of $100,000 per quality-adjusted life-year. The 95% CI for the net economic return of the trial was $23.1 to $51.2 billion. No evaluation of indirect costs or outcomes beyond 2012. The WHI E+P trial made high-value use of public funds with a substantial return on investment. These results can contribute to discussions about the role of public funding for large, prospective trials with high potential for public health effects. National Heart, Lung, and Blood Institute.

Israel: Background and Relations with the United States

DTIC Science & Technology

2009-03-07

of 15% of an investment of up to $3.5 billion or $525 million to secure the deal. In May 2006, prominent U.S. investor Warren Buffet announced that he... account changed “realities on the ground, including already existing major Israeli population centers...don’t think such an absolute ban is justified, and a balance between military needs and taking into account humanitarian considerations needs to be

UAV Swarm Attack: Protection System Alternatives for Destroyers

DTIC Science & Technology

2012-12-01

Tactical Rocket-Propelled Grenade Airbag Protection System TRL - Technology Readiness Level UAV - Unmanned Aerial Vehicle USN - United States...com- posed of 62 DDGs is $2.014 billion dollars for the 12 year life cycle. J. REACTIVE ARMOR The Tactical Rocket-Propelled Grenade (RPG) Airbag ...Protection System (TRAPS) system involves ‘close-in’ protection using airbags located around a vehicle to minimize the damage from RPGs. This system was

The United States 1998

USGS Publications Warehouse

Butterman, W.C.; McCartan, L.; Morse, D.E.; Sibley, S.F.

1999-01-01

The US coal industry had a good year in 1998, setting another production record of 1.015 Gt (1.12 billion st), an increase of 2.6% from 1997. The increase was led by coal use for electricity generation, responding primarily to a substantial decline in hydroelectric generation. Year-end coal stocks at electric utilities swelled in 1998 for the first time in four years due to unseasonably mild fall and winter weather.

Egypt: Background and U.S. Relations

DTIC Science & Technology

2012-12-06

brokering an Israeli-Hamas cease-fire and the approval of a $4.8 billion IMF loan for Egypt. In the weeks since that November 22 document was... financial support for peace between Israel and her Arab neighbors. In two separate memoranda accompanying the treaty, the United States outlined...projects and cash transfers.7 ESF funds are allocated to a variety of sectors , including health, education, economic growth, and democracy and governance

Military Review. July-August 2011

DTIC Science & Technology

2011-08-01

IGHTING THE SO-CALLED “information war” against terrorists andinsurgents has cost the U.S. military nearly $1 billion in the past three years.1 But that...may not be the highest cost . Congressional questions about the spending for communication programs and news reports about questionable use of...strategic communications during the wars in Iraq and Afghanistan. In the end, these well-intended schemes might cost the United States its credibil­

Potential air quality benefits from increased solar photovoltaic electricity generation in the Eastern United States

NASA Astrophysics Data System (ADS)

Abel, David; Holloway, Tracey; Harkey, Monica; Rrushaj, Arber; Brinkman, Greg; Duran, Phillip; Janssen, Mark; Denholm, Paul

2018-02-01

We evaluate how fine particulate matter (PM2.5) and precursor emissions could be reduced if 17% of electricity generation was replaced with solar photovoltaics (PV) in the Eastern United States. Electricity generation is simulated using GridView, then used to scale electricity-sector emissions of sulfur dioxide (SO2) and nitrogen oxides (NOX) from an existing gridded inventory of air emissions. This approach offers a novel method to leverage advanced electricity simulations with state-of-the-art emissions inventories, without necessitating recalculation of emissions for each facility. The baseline and perturbed emissions are input to the Community Multiscale Air Quality Model (CMAQ version 4.7.1) for a full accounting of time- and space-varying air quality changes associated with the 17% PV scenario. These results offer a high-value opportunity to evaluate the reduced-form AVoided Emissions and geneRation Tool (AVERT), while using AVERT to test the sensitivity of results to changing base-years and levels of solar integration. We find that average NOX and SO2 emissions across the region decrease 20% and 15%, respectively. PM2.5 concentrations decreased on average 4.7% across the Eastern U.S., with nitrate (NO3-) PM2.5 decreasing 3.7% and sulfate (SO42-) PM2.5 decreasing 9.1%. In the five largest cities in the region, we find that the most polluted days show the most significant PM2.5 decrease under the 17% PV generation scenario, and that the greatest benefits are accrued to cities in or near the Ohio River Valley. We find summer health benefits from reduced PM2.5 exposure estimated as 1424 avoided premature deaths (95% Confidence Interval (CI): 284 deaths, 2 732 deaths) or a health savings of 13.1 billion (95% CI: 0.6 billion, 43.9 billion) These results highlight the potential for renewable energy as a tool for air quality managers to support current and future health-based air quality regulations.

Non-celiac gluten sensitivity: All wheat attack is not celiac

PubMed Central

Igbinedion, Samuel O; Ansari, Junaid; Vasikaran, Anush; Gavins, Felicity N; Jordan, Paul; Boktor, Moheb; Alexander, Jonathan S

2017-01-01

Currently, 1% of the United States population holds a diagnosis for celiac disease (CD), however, a more recently recognized and possibly related condition, “non-celiac gluten sensitivity” (NCGS) has been suggested to affect up to 6% of the United States public. While reliable clinical tests for CD exist, diagnosing individuals affected by NCGS is still complicated by the lack of reliable biomarkers and reliance upon a broad set of intestinal and extra intestinal symptoms possibly provoked by gluten. NCGS has been proposed to exhibit an innate immune response activated by gluten and several other wheat proteins. At present, an enormous food industry has developed to supply gluten-free products (GFP) with GFP sales in 2014 approaching $1 billion, with estimations projecting sales to reach $2 billion in the year 2020. The enormous demand for GFP also reflects a popular misconception among consumers that gluten avoidance is part of a healthy lifestyle choice. Features of NCGS and other gluten related disorders (e.g., irritable bowel syndrome) call for a review of current distinctive diagnostic criteria that distinguish each, and identification of biomarkers selective or specific for NCGS. The aim of this paper is to review our current understanding of NCGS, highlighting the remaining challenges and questions which may improve its diagnosis and treatment. PMID:29142467

A Compendium of Energy Conservation: Success Stories 90

DOE R&D Accomplishments Database

1990-12-01

The Department of Energy's (DOE) Office of Conservation and Renewable Energy proudly presents this summary of some its most successful projects and activities. The projects included in this document have made significant contributions to improving energy efficiency and fuel flexibility in the United States. The energy savings that can be realized from these projects are considerable. Americans have shown an impressive ability to reduce energy consumption since 1973. Studies show that 34 quadrillion Btus (quads) of energy were saved in 1988 alone as a result of energy conservation and other factors. These savings, worth approximately $180 billion, represent more energy than the United States obtains from any other single source. The availability of new, energy-efficient technologies has been an important ingredient in achieving these savings. Federal efforts to develop and commercialize energy-saving technologies and processes are a part of the reason for this progress. Over the past 10 years, DOE has carefully invested more than $2 billion in hundreds of research and development (R&D) projects to ensure the availability of advanced technology in the marketplace. These energy-efficient projects are carried out through DOE's Office of Conservation and Renewable Energy and reflect opportunities in the three energy-consuming, end-use sectors of the economy: buildings, transportation, and industry.

Federal Agency biodefense funding, FY2011-FY2012.

PubMed

Franco, Crystal; Sell, Tara Kirk

2011-06-01

Since 2001, the United States government has spent substantial resources on preparing the nation against a bioterrorist attack. Earlier articles in this series have analyzed civilian biodefense funding by the federal government for fiscal years (FY) 2001 through proposed funding for FY2011. This article updates those figures with budgeted amounts for FY2012, specifically analyzing the budgets and allocations for biodefense at the Departments of Health and Human Services, Defense, Homeland Security, Agriculture, Commerce, and State; the Environmental Protection Agency; and the National Science Foundation. This article also includes an updated assessment of the proportion of biodefense funding provided for programs that address multiple scientific, public health, healthcare, national security, and international security issues in addition to biodefense. The FY2012 federal budget for civilian biodefense totals $6.42 billion. Of that total, $5.78 billion (90%) is budgeted for programs that have both biodefense and nonbiodefense goals and applications, and $637.6 million (10%) is budgeted for programs that have objectives solely related to biodefense.

Federal agency biodefense funding, FY2013-FY2014.

PubMed

Sell, Tara Kirk; Watson, Matthew

2013-09-01

Since 2001, the United States government has spent substantial resources on preparing the nation against a bioterrorist attack. Earlier articles in this series have analyzed civilian biodefense funding by the federal government for fiscal years (FY) 2001 through proposed funding for FY2013. This article updates those figures with budgeted amounts for FY2014, specifically analyzing the budgets and allocations for biodefense at the Departments of Health and Human Services, Defense, Homeland Security, Agriculture, Commerce, Veterans Affairs, and State; the Environmental Protection Agency; and the National Science Foundation. This article also includes an updated assessment of the proportion of biodefense funding provided for programs that address multiple scientific, public health, healthcare, national security, and international security issues in addition to biodefense. The FY2014 federal budget for civilian biodefense totals $6.69 billion. Of that total, $5.86 billion (88%) is budgeted for programs that have both biodefense and nonbiodefense goals and applications, and $835 million (12%) is budgeted for programs that have objectives solely related to biodefense.

Federal agency biodefense funding, FY2010-FY2011.

PubMed

Franco, Crystal; Sell, Tara Kirk

2010-06-01

Since 2001, the United States government has spent substantial resources on preparing the nation against a bioterrorist attack. Earlier articles in this series have analyzed civilian biodefense funding by the federal government for fiscal years (FY) 2001 through FY2010. This article updates those figures with budgeted amounts for FY2011, specifically analyzing the budgets and allocations for biodefense at the Departments of Health and Human Services, Defense, Homeland Security, Agriculture, Commerce, and State; the Environmental Protection Agency; and the National Science Foundation. This article also includes an updated assessment of the proportion of biodefense funding provided for programs that address multiple public health, healthcare, national security, and international security issues in addition to biodefense. The FY2011 federal budget for civilian biodefense totals $6.48 billion. Of that total, $5.90 billion (91%) is budgeted for programs that have both biodefense and nonbiodefense goals and applications, and $577.9 million (9%) is budgeted for programs that deal strictly with biodefense.

Effect of subsidies to fossil fuel companies on United States crude oil production

NASA Astrophysics Data System (ADS)

Erickson, Peter; Down, Adrian; Lazarus, Michael; Koplow, Doug

2017-11-01

Countries in the G20 have committed to phase out `inefficient' fossil fuel subsidies. However, there remains a limited understanding of how subsidy removal would affect fossil fuel investment returns and production, particularly for subsidies to producers. Here, we assess the impact of major federal and state subsidies on US crude oil producers. We find that, at recent oil prices of US50 per barrel, tax preferences and other subsidies push nearly half of new, yet-to-be-developed oil investments into profitability, potentially increasing US oil production by 17 billion barrels over the next few decades. This oil, equivalent to 6 billion tonnes of CO2, could make up as much as 20% of US oil production through 2050 under a carbon budget aimed at limiting warming to 2 °C. Our findings show that removal of tax incentives and other fossil fuel support policies could both fulfil G20 commitments and yield climate benefits.

Federal Agency Biodefense Funding, FY2013-FY2014

PubMed Central

Watson, Matthew

2013-01-01

Since 2001, the United States government has spent substantial resources on preparing the nation against a bioterrorist attack. Earlier articles in this series have analyzed civilian biodefense funding by the federal government for fiscal years (FY) 2001 through proposed funding for FY2013. This article updates those figures with budgeted amounts for FY2014, specifically analyzing the budgets and allocations for biodefense at the Departments of Health and Human Services, Defense, Homeland Security, Agriculture, Commerce, Veterans Affairs, and State; the Environmental Protection Agency; and the National Science Foundation. This article also includes an updated assessment of the proportion of biodefense funding provided for programs that address multiple scientific, public health, healthcare, national security, and international security issues in addition to biodefense. The FY2014 federal budget for civilian biodefense totals $6.69 billion. Of that total, $5.86 billion (88%) is budgeted for programs that have both biodefense and nonbiodefense goals and applications, and $835 million (12%) is budgeted for programs that have objectives solely related to biodefense. PMID:23906009

Biogeochemical consequences of regional land use change to a biofuel crop in the southeastern United States

DOE Office of Scientific and Technical Information (OSTI.GOV)

Duval, Benjamin D.; Hartman, Melannie; Marx, Ernest

Here, the United States has mandated the production of 80 billion liters of second–generation biofuel by 2022, and several approaches to meet this target focus on using ligno–cellulosic ethanol from perennial grasses and non–food crops. The large–scale deployment of biofuel agronomy should consider high–yielding crops that meet ethanol production goals, choose appropriate landscapes for biofuel crops from a climate and food production standpoint, and a full consideration of the environmental impact of large–scale land use change. The southeastern United States has a long growing season conducive for producing high–yielding crops, and is relatively less important to US food production thanmore » the rain–fed Midwestern states that have been extensively studied for biofuel crops. We use the DayCent biogeochemical model to run simulation experiments to test the hypotheses that converting a large swath of traditional agriculture in the southeastern United States that is already utilized for bioenergy production (assuming 35% of current corn–soy, and 10% of grazed pasture hectares; ~950,000 ha) to energy cane will result in greater biomass production, increased soil C storage, decreased soil N losses and lower greenhouse gas emissions than a landscape of corn–soy rotations and interspersed grazed pasture. Our simulations suggest that energy cane above–ground productivity on former pasture and corn–soy fields would be between 52–59 million Mg dry mass per year, resulting in 21.1–23.7 billion liters of ligno–cellulosic ethanol, or ~28% of the 2022 US government mandate. DayCent did not predict significant changes in soil C flux from land conversion to energy cane, but simulations predicted lower rates of N loss compared to current agriculture. GHG emissions from energy cane landscapes were substantially higher on former pasture, but an order of magnitude lower when compared to corn–soy hectares. While further study is needed to ascertain the full economic and industrial feasibility of converting nearly 1,000,000 ha of land to energy cane production, our results suggest that such an undertaking could meet a sizeable fraction of the US ethanol mandate, reduce N pollution and GHG emissions, and avoid compromising land devoted to food production in the southeastern United States.« less

Biogeochemical consequences of regional land use change to a biofuel crop in the southeastern United States

DOE PAGES

Duval, Benjamin D.; Hartman, Melannie; Marx, Ernest; ...

2015-12-11

Here, the United States has mandated the production of 80 billion liters of second–generation biofuel by 2022, and several approaches to meet this target focus on using ligno–cellulosic ethanol from perennial grasses and non–food crops. The large–scale deployment of biofuel agronomy should consider high–yielding crops that meet ethanol production goals, choose appropriate landscapes for biofuel crops from a climate and food production standpoint, and a full consideration of the environmental impact of large–scale land use change. The southeastern United States has a long growing season conducive for producing high–yielding crops, and is relatively less important to US food production thanmore » the rain–fed Midwestern states that have been extensively studied for biofuel crops. We use the DayCent biogeochemical model to run simulation experiments to test the hypotheses that converting a large swath of traditional agriculture in the southeastern United States that is already utilized for bioenergy production (assuming 35% of current corn–soy, and 10% of grazed pasture hectares; ~950,000 ha) to energy cane will result in greater biomass production, increased soil C storage, decreased soil N losses and lower greenhouse gas emissions than a landscape of corn–soy rotations and interspersed grazed pasture. Our simulations suggest that energy cane above–ground productivity on former pasture and corn–soy fields would be between 52–59 million Mg dry mass per year, resulting in 21.1–23.7 billion liters of ligno–cellulosic ethanol, or ~28% of the 2022 US government mandate. DayCent did not predict significant changes in soil C flux from land conversion to energy cane, but simulations predicted lower rates of N loss compared to current agriculture. GHG emissions from energy cane landscapes were substantially higher on former pasture, but an order of magnitude lower when compared to corn–soy hectares. While further study is needed to ascertain the full economic and industrial feasibility of converting nearly 1,000,000 ha of land to energy cane production, our results suggest that such an undertaking could meet a sizeable fraction of the US ethanol mandate, reduce N pollution and GHG emissions, and avoid compromising land devoted to food production in the southeastern United States.« less

Aging, Diabetes, and the Public Health System in the United States

PubMed Central

Thomas, G. Darlene; Boseman, Letia A.; Beckles, Gloria L. A.; Albright, Ann L.

2012-01-01

Diabetes (diagnosed or undiagnosed) affects 10.9 million US adults aged 65 years and older. Almost 8 in 10 have some form of dysglycemia, according to tests for fasting glucose or hemoglobin A1c. Among this age group, diagnosed diabetes is projected to reach 26.7 million by 2050, or 55% of all diabetes cases. In 2007, older adults accounted for $64.8 billion (56%) of direct diabetes medical costs, $41.1 billion for institutional care alone. Complications, comorbid conditions, and geriatric syndromes affect diabetes care, and medical guidelines for treating older adults with diabetes are limited. Broad public health programs help, but effective, targeted interventions and expanded surveillance and research and better policies are needed to address the rapidly growing diabetes burden among older adults. PMID:22698044

Tracking development assistance for health to fragile states: 2005-2011.

PubMed

Graves, Casey M; Haakenstad, Annie; Dieleman, Joseph L

2015-03-19

Development assistance for health (DAH) has grown substantially, totaling more than $31.3 billion in 2013. However, the degree that countries with high concentrations of armed conflict, ethnic violence, inequality, debt, and corruption have received this health aid and how that assistance might be different from the funding provided to other countries has not been assessed. We combine DAH estimates and a multidimensional fragile states index for 2005 through 2011. We disaggregate and compare total DAH disbursed for fragile states versus stable states. Between 2005 and 2011, DAH per person in fragile countries increased at an annualized rate of 5.4%. In 2011 DAH to fragile countries totaled $6.2 billion, which is $5.05 per person. This is 43% of total DAH that is traced to a country. Comparing low-income countries, funding channeled to fragile countries was $7.22 per person while stable countries received $11.15 per person. Relative to stable countries, donors preferred to provide more funding to low-income fragile countries that have refugees or ongoing external intervention but tended to avoid providing funding to countries with political gridlock, flawed elections, or economic decline. In 2011, Ethiopia received the most health aid of all fragile countries, while the United States provided the most funds to fragile countries. In 2011, 1.2 billion people lived in fragile countries. DAH can bolster health systems and might be especially valuable in providing long-term stability in fragile environments. While external health funding to these countries has increased since 2005, it is, in per person terms, almost half as much as the DAH provided to stable countries of comparable income levels.

U.S. Geological Survey 2013 assessment of undiscovered resources in the Bakken and Three Forks Formations of the U.S. Williston Basin Province

USGS Publications Warehouse

Gaswirth, Stephanie B.; Marra, Kristen R.

2014-01-01

The Upper Devonian Three Forks and Upper Devonian to Lower Mississippian Bakken Formations comprise a major United States continuous oil resource. Current exploitation of oil is from horizontal drilling and hydraulic fracturing of the Middle Member of the Bakken and upper Three Forks, with ongoing exploration of the lower Three Forks, and the Upper, Lower, and Pronghorn Members of the Bakken Formation. In 2008, the U.S. Geological Survey (USGS) estimated a mean of 3.65 billion bbl of undiscovered, technically recoverable oil resource within the Bakken Formation. The USGS recently reassessed the Bakken Formation, which included an assessment of the underlying Three Forks Formation. The Pronghorn Member of the Bakken Formation, where present, was included as part of the Three Forks assessment due to probable fluid communication between reservoirs. For the Bakken Formation, five continuous and one conventional assessment units (AUs) were defined. These AUs are modified from the 2008 AU boundaries to incorporate expanded geologic and production information. The Three Forks Formation was defined with one continuous and one conventional AU. Within the continuous AUs, optimal regions of hydrocarbon recovery, or “sweet spots,” were delineated and estimated ultimate recoveries were calculated for each continuous AU. Resulting undiscovered, technically recoverable resource estimates were 3.65 billion bbl for the five Bakken continuous oil AUs and 3.73 billion bbl for the Three Forks Continuous Oil AU, generating a total mean resource estimate of 7.38 billion bbl. The two conventional AUs are hypothetical and represent a negligible component of the total estimated resource (8 million barrels of oil).

How Culture Influences the "Social" in Social Media: Socializing and Advertising on Smartphones in India and the United States.

PubMed

Muralidharan, Sidharth; La Ferle, Carrie; Sung, Yongjun

2015-06-01

The importance of the mobile phone is evidenced by predictions that there will be 1.76 billion smartphone users worldwide at the start of 2015. A country that is spearheading this movement toward the digital era is India. To illustrate this, India is expected to surpass the United States in 2015 and record the second highest smartphone sales globally. Despite the rising penetration and adoption of smartphones, there is limited advertising research that sheds light on the Indian smartphone user. The current study aims to fill that void by cross-culturally comparing a national online panel of smartphone users from India (n=158) with users from the United States (n=114). Findings reveal that entertainment impacts Indians' attitudes toward smartphone advertising while informativeness is stronger for the American sample. Collectivism was found to be the driving force behind socializing activities on social networking sites for Indian consumers. Implications are discussed.

Streamflow characterization using functional data analysis of the Potomac River

NASA Astrophysics Data System (ADS)

Zelmanow, A.; Maslova, I.; Ticlavilca, A. M.; McKee, M.

2013-12-01

Flooding and droughts are extreme hydrological events that affect the United States economically and socially. The severity and unpredictability of flooding has caused billions of dollars in damage and the loss of lives in the eastern United States. In this context, there is an urgent need to build a firm scientific basis for adaptation by developing and applying new modeling techniques for accurate streamflow characterization and reliable hydrological forecasting. The goal of this analysis is to use numerical streamflow characteristics in order to classify, model, and estimate the likelihood of extreme events in the eastern United States, mainly the Potomac River. Functional data analysis techniques are used to study yearly streamflow patterns, with the extreme streamflow events characterized via functional principal component analysis. These methods are merged with more classical techniques such as cluster analysis, classification analysis, and time series modeling. The developed functional data analysis approach is used to model continuous streamflow hydrographs. The forecasting potential of this technique is explored by incorporating climate factors to produce a yearly streamflow outlook.

78 FR 34431 - Effluent Limitations Guidelines and Standards for the Steam Electric Power Generating Point...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-07

...EPA is proposing a regulation that would strengthen the controls on discharges from certain steam electric power plants by revising technology-based effluent limitations guidelines and standards for the steam electric power generating point source category. Steam electric power plants alone contribute 50-60 percent of all toxic pollutants discharged to surface waters by all industrial categories currently regulated in the United States under the Clean Water Act. Furthermore, power plant discharges to surface waters are expected to increase as pollutants are increasingly captured by air pollution controls and transferred to wastewater discharges. This proposal, if implemented, would reduce the amount of toxic metals and other pollutants discharged to surface waters from power plants. EPA is considering several regulatory options in this rulemaking and has identified four preferred alternatives for regulation of discharges from existing sources. These four preferred alternatives differ with respect to the scope of requirements that would be applicable to existing discharges of pollutants found in two wastestreams generated at power plants. EPA estimates that the preferred options for this proposed rule would annually reduce pollutant discharges by 0.47 billion to 2.62 billion pounds, reduce water use by 50 billion to 103 billion gallons, cost $185 million to $954 million, and would be economically achievable.

Economic analysis of opportunities to accelerate Alzheimer’s disease research and development

PubMed Central

Scott, Troy J; O'Connor, Alan C; Link, Albert N; Beaulieu, Travis J

2014-01-01

The development of disease-modifying treatments for Alzheimer's disease (AD) faces a number of barriers. Among these are the lack of surrogate biomarkers, the exceptional size and duration of clinical trials, difficulties in identifying appropriate populations for clinical trials, and the limitations of monotherapies in addressing such a complex multifactorial disease. This study sets out to first estimate the consequent impact on the expected cost of developing disease-modifying treatments for AD and then to estimate the potential benefits of bringing together industry, academic, and government stakeholders to co-invest in, for example, developing better biomarkers and cognitive assessment tools, building out advanced registries and clinical trial-readiness cohorts, and establishing clinical trial platforms to investigate combinations of candidate drugs and biomarkers from the portfolios of multiple companies. Estimates based on interviews with experts on AD research and development suggest that the cost of one new drug is now $5.7 billion (95% confidence interval (CI) $3.7–9.5 billion) and could be reduced to $2.0 billion (95% CI $1.5–2.9 billion). The associated acceleration in the arrival of disease-modifying treatments could reduce the number of case years of dementia by 7.0 million (95% CI 4.4–9.4 million) in the United States from 2025 through 2040. PMID:24673372

Economic benefits of the Mediterranean-style diet consumption in Canada and the United States

PubMed Central

Abdullah, Mohammad M.H.; Jones, Jason P.H.; Jones, Peter J.H.

2015-01-01

Background The Mediterranean-style diet (MedDiet) is an established healthy-eating behavior that has consistently been shown to favorably impact cardiovascular health, thus likely improving quality of life and reducing costs associated with cardiovascular disease (CVD). Data on the economic benefits of MedDiet intakes are, however, scarce. Objective The objective of this study was to estimate the annual healthcare and societal cost savings that would accrue to the Canadian and American public, independently, as a result of a reduction in the incidence of CVD following adherence to a MedDiet. Design A variation in cost-of-illness analysis entailing three stages of estimations was developed to 1) identify the proportion of individuals who are likely to adopt a MedDiet in North America, 2) assess the impact of the MedDiet intake on CVD incidence reduction, and 3) impute the potential savings in costs associated with healthcare and productivity following the estimated CVD reduction. To account for the uncertainty factor, a sensitivity analysis of four scenarios, including ideal, optimistic, pessimistic, and very-pessimistic assumptions, was implemented within each of these stages. Results Significant improvements in CVD-related costs were evident with varying MedDiet adoption and CVD reduction rates. Specifically, CAD $41.9 million to 2.5 billion in Canada and US $1.0–62.8 billion in the United States were estimated to accrue as total annual savings in economic costs, given the ‘very-pessimistic’ through ‘ideal’ scenarios. Conclusions Closer adherence to dietary behaviors that are consistent with the principles of the MedDiet is expected to contribute to a reduction in the monetary burdens of CVD in Canada, the United States, and possibly other parts of the world. PMID:26111965

Ten Reasons Why the "Economic Stimulus" Should Not Include Education Spending. Backgrounder. No. 2233

ERIC Educational Resources Information Center

Lips, Dan

2009-01-01

House Democrats recently unveiled draft legislation for the American Recovery and Reinvestment Act of 2009. Widely touted as an economic stimulus package, the $825 billion draft legislation included as much as $142 billion for education. This includes the creation of a $79 billion State Fiscal Stabilization Fund to assist state governments in…

New Lunar Meteorite Provides its Lunar Address and Some Clues about Early Bombardment of the Moon

NASA Astrophysics Data System (ADS)

Taylor, G. J.

2004-10-01

Edwin Gnos (University of Bern, Switzerland) and colleagues from Switzerland, Germany, Sweden, England, and the United States describe an information-packed meteorite found in Oman, Sayh al Uhaymir 169 (SaU 169). The complicated rock is composed mostly of an impact melt that contains an exceptionally large amount of thorium, indicative of an origin in the Imbrium-Procellarum region of the Moon. Gnos and his colleagues report that the impact melt has an age of 3.909 (±0.013) billion years, slightly older than estimates of when the huge Imbrium impact basin formed on the Moon (about 3.850 billion years ago). The meteorite was involved in a subsequent impact 2.8 billion years ago, then another 200 million years ago, and a relatively recent one no more than 340 thousand years ago. It landed on Earth about 10 thousand years ago. This amazingly detailed record led Gnos to conclude that the rock was blasted off the Moon from a place not far from Lalande Crater. The 3.9 billion year age of the impact melt adds to the debate about whether there was an increase in the impact rate 3.9 billion years ago or there was a continuous decline in the impact rate from 4.5 to 3.8 billon years. This debate may not be settled until we have samples from the South Pole-Aitken basin on the farside of the Moon.

Investigating pharmaceutical marketing in Canada using American prosecutions.

PubMed

Shoucri, Rami; Persaud, Navindra

2014-01-01

Pharmaceutical companies are prohibited from marketing medications for off-label uses in both the United States and Canada. In the United States, there have been several recent multi-billion dollar settlements with pharmaceutical companies based, partly, on off-label promotion. Health Canada has not publicized any investigations into, or prosecutions of, pharmaceutical companies for off-label promotion in Canada even though many of the same medications are marketed here. The prohibition on off-label promotion is largely directed at preventing pharmaceutical companies from circumventing the drug licensing process and attendant safety checks. To determine if sanctions for off-label pharmaceutical promotion in one jurisdiction can be used to regulate marketing in another. We reviewed and compared the laws and regulatory bodies in Canada and the United States to determine if Canadian regulators could use the findings of American regulators. There were no important differences in the laws and regulatory bodies in Canada and the United States related to off-label promotion. Canadian regulators can use the findings of American regulators to investigate off-label promotion in Canada. All countries should consider using sanctions in other jurisdictions to direct the deployment of limited regulatory resources.

Geographic origin of publications in radiological journals as a function of GDP and percentage of GDP spent on research.

PubMed

Halpenny, Darragh; Burke, John; McNeill, Graeme; Snow, Aisling; Torreggiani, William C

2010-06-01

The aim of this study was to examine the geographic origin of publications in the highest impacting radiology journals and to examine the link between the percentage of gross domestic product (GDP) spent on research by a country and the output of radiology publications. The five highest impacting general radiology journals (according to the ISI Web of Knowledge database) were selected over a 6-year period from January 2002 to December 2007. Publications were totaled according to the country of the corresponding author. Publications (total and corrected for population size) were assessed according to the GDP of a given country and the percentage of GDP spent on research in that country. Correlation was determined using Spearman's rank. In total, 10,925 papers were identified. The top 10 nations produced 83.9% of the total number of papers. The United States was the most prolific country, with 41.7% of the total. The second-ranked and third-ranked countries were Germany (11.6%) and Japan (6.7%). Corrected for GDP, smaller European countries outperformed larger nations. Switzerland (0.925 publications per billion of GDP), Austria (0.694 publications per billion of GDP), and Belgium (0.648 publications per billion of GDP) produced the most papers per billion of GDP. When corrected for percentage of GDP spent on research, European countries again ranked highest, with Greece, Turkey, and Belgium having the best ratios. The percentage of GDP spent on research was positively correlated with the number of publications in high-ranking radiology journals (r = 0.603, P < .001). The United States is the most productive country in absolute number of publications. The flaws of using population size to compare publication output are clear, and a comparison using GDP and the percentage of GDP spent on research may give more meaningful results. When GDP is taken into consideration, smaller European countries are more productive. The importance of investment in radiologic research is emphasized by the association between increased funding of research and the number of publications in high-impacting radiology journals. Copyright (c) 2010 AUR. Published by Elsevier Inc. All rights reserved.

Israel: Background and Relations With the United States

DTIC Science & Technology

2006-08-18

2006, prominent U.S. investor Warren Buffet announced that he was buying 80% of Iscar, a major Israeli metalworks, for $4 billion. On July 26, the House...take into account changed “realities on the ground, including already existing major Israeli population centers” (i.e., settlements), asserting “it is...agreements that restrict use of the weapons to military targets. Other Current Issues Military Sales. Israel accounts for about 10% of the world’s defense

Four Possible Directions for Economic Reform in Russia: Will They Constrain the Military?

DTIC Science & Technology

1992-11-01

shortage continues, causing more frequent demonstrations by homeless servicemen. Unfortunately, this grim situation does not promise to improve in...military with even the basic survival funds and resources. To preserve unit solidarity and protect their subordinates, local commanders are turning more...its member states. For example, in 1988, the World Bank arranged a $1 billion loan to Argentina despite the fact that Argentina had no IMF program and

Shared Compromise -- Future US-Mexican Border Security Initiatives

DTIC Science & Technology

2011-10-28

improve regional economic performance. Following the passage of the North American Free Trade Agreement (NAFTA), to eliminate barriers to trade and...investment between the U.S., Canada, and Mexico, the United States and Mexico were on a path to balance trade and security. For example, from 1996...2006 the agricultural trade between our countries increased by 3 more than $13 billion. 2 The events of September 11, 2001 changed all of that. The

U.S. Mexico Border Despite Some Progress, Environmental Infrastructure Challenges Remain

DTIC Science & Technology

2000-03-01

United States General Accounting Office PAQ Report to Congressional Requesters March 2000 U.S.- MEXICO BORDER Despite Some Progress...Activities Table 9: Mexican Programs to Address Border Environmental Issues 19 34 35 36 37 39 40 42 Figure 1: U.S.- Mexico Border Region and 14...Sister Cities Figure 2: Percentage Breakdown of Funding for Bank-financed Projects, 1995-99 Figure 3: U.S.- Mexico Border Funding, 1994-99 (in billions

Designing Test Suites for Software Interactions Testing

DTIC Science & Technology

2004-01-01

the annual cost of insufficient software testing methods and tools in the United States is between 22.2 to 59.5 billion US dollars [13, 14]. This study...10 (2004), 1–29. [21] Cheng, C., Dumitrescu, A., and Schroeder , P. Generating small com- binatorial test suites to cover input-output relationships... Proceedings of the Conference on the Future of Software Engineering (May 2000), pp. 61 – 72. [51] Hartman, A. Software and hardware testing using

Asian Security Following PRC Unification with Taiwan

DTIC Science & Technology

2008-03-18

15.7 billion in Chinese goods and services making China South Korea’s second biggest source of imports only behind Japan.6 This strong economic...largest GDP in the world, Indian growth will have propelled it to the number three position overall, behind the second-ranked United States.38 Evidence...to China, “these are two old civilizations and their relationship will move at a civilisational pace.”66 It is likely that, in the current

Higher Education: Science, Technology, Engineering, and Mathematics Trends and the Role of Federal Programs. Testimony before the Committee on Education and the Workforce, House of Representatives. GAO-06-702T

ERIC Educational Resources Information Center

Ashby, Cornelia M.

2006-01-01

The United States is a world leader in scientific and technological innovation. To help maintain this advantage, the federal government has spent billions of dollars on education programs in the science, technology, engineering, and mathematics (STEM) fields for many years. However, concerns have been raised about the nation's ability to maintain…

China’s Economic Conditions

DTIC Science & Technology

2007-07-13

growth of China’s exports over the past few months indicates that China may surpass the United States as the world’s second largest exporter in 2007...particularly acute over the past few years. China’s total reserves reached $1,330 billion at the end of June 2007. During the first six months of...economic growth over the past several years, and many economists project that it will enjoy fairly healthy growth in the near future. However

MEXICAN DRUG CARTELS AND TERRORIST ORGANIZATIONS, A NEW ALLIANCE

DTIC Science & Technology

2016-02-16

two countries is basic market opportunism responding to supply and demand. Having originated from U.S. demand for marijuana and heroin after WWII and...billion a year.18 Accordingly, Mexico has grown to be a major producer of heroin, marijuana , and methamphetamine destined for the United States which...according to the Central Intelligence Agency (CIA), is the world’s largest consumer of cocaine, Colombian heroin, and Mexican heroin and marijuana .19

Factors Associated With Increases in US Health Care Spending, 1996-2013

PubMed Central

Squires, Ellen; Bui, Anthony L.; Campbell, Madeline; Chapin, Abigail; Hamavid, Hannah; Horst, Cody; Li, Zhiyin; Matyasz, Taylor; Reynolds, Alex; Sadat, Nafis; Schneider, Matthew T.; Murray, Christopher J. L.

2017-01-01

Importance Health care spending in the United States increased substantially from 1995 to 2015 and comprised 17.8% of the economy in 2015. Understanding the relationship between known factors and spending increases over time could inform policy efforts to contain future spending growth. Objective To quantify changes in spending associated with 5 fundamental factors related to health care spending in the United States: population size, population age structure, disease prevalence or incidence, service utilization, and service price and intensity. Design and Setting Data on the 5 factors from 1996 through 2013 were extracted for 155 health conditions, 36 age and sex groups, and 6 types of care from the Global Burden of Disease 2015 study and the Institute for Health Metrics and Evaluation’s US Disease Expenditure 2013 project. Decomposition analysis was performed to estimate the association between changes in these factors and changes in health care spending and to estimate the variability across health conditions and types of care. Exposures Change in population size, population aging, disease prevalence or incidence, service utilization, or service price and intensity. Main Outcomes and Measures Change in health care spending from 1996 through 2013. Results After adjustments for price inflation, annual health care spending on inpatient, ambulatory, retail pharmaceutical, nursing facility, emergency department, and dental care increased by $933.5 billion between 1996 and 2013, from $1.2 trillion to $2.1 trillion. Increases in US population size were associated with a 23.1% (uncertainty interval [UI], 23.1%-23.1%), or $269.5 (UI, $269.0-$270.0) billion, spending increase; aging of the population was associated with an 11.6% (UI, 11.4%-11.8%), or $135.7 (UI, $133.3-$137.7) billion, spending increase. Changes in disease prevalence or incidence were associated with spending reductions of 2.4% (UI, 0.9%-3.8%), or $28.2 (UI, $10.5-$44.4) billion, whereas changes in service utilization were not associated with a statistically significant change in spending. Changes in service price and intensity were associated with a 50.0% (UI, 45.0%-55.0%), or $583.5 (UI, $525.2-$641.4) billion, spending increase. The influence of these 5 factors varied by health condition and type of care. For example, the increase in annual diabetes spending between 1996 and 2013 was $64.4 (UI, $57.9-$70.6) billion; $44.4 (UI, $38.7-$49.6) billion of this increase was pharmaceutical spending. Conclusions and Relevance Increases in US health care spending from 1996 through 2013 were largely related to increases in health care service price and intensity but were also positively associated with population growth and aging and negatively associated with disease prevalence or incidence. Understanding these factors and their variability across health conditions and types of care may inform policy efforts to contain health care spending. PMID:29114831

Economic Indicators of the Farm Sector. State Financial Summary, 1984.

ERIC Educational Resources Information Center

Economic Research Service (USDA), Washington, DC.

Crop production in 1984, particularly for spring-planted crops, returned to near-normal levels from the much reduced output of 1983 when government programs curbed planted acreage and drought depressed yields. The top five states in net farm income were California, at $3.5 billion; Iowa, $2.2 billion; Florida, $1.8 billion; and Illinois, $1.7…

Estimated effects of adding universal public coverage of an essential medicines list to existing public drug plans in Canada.

PubMed

Morgan, Steven G; Li, Winny; Yau, Brandon; Persaud, Nav

2017-02-27

Canada's universal health care system does not include universal coverage of prescription drugs. We sought to estimate the effects of adding universal public coverage of an essential medicines list to existing public drug plans in Canada. We used administrative and market research data to estimate the 2015 shares of the volume and cost of prescriptions filled in the community setting that were for 117 drugs on a model list of essential medicines for Canada. We compared prices of these essential medicines in Canada with prices in the United States, Sweden and New Zealand. We estimated the cost of adding universal public drug coverage of these essential medicines based on anticipated effects on medication use and pricing. The 117 essential medicines on the model list accounted for 44% of all prescriptions and 30% of total prescription drug expenditures in 2015. Average prices of generic essential medicines were 47% lower in the US, 60% lower in Sweden and 84% lower in New Zealand; brand-name drugs were priced 43% lower in the US. Estimated savings from universal public coverage of these essential medicines was $4.27 billion per year (range $2.72 billion to $5.83 billion; 28% reduction) for patients and private drug plan sponsors, at an incremental government cost of $1.23 billion per year (range $373 million to $1.98 billion; 11% reduction). Our analysis showed that adding universal public coverage of essential medicines to the existing public drug plans in Canada could address most of Canadians' pharmaceutical needs and save billions of dollars annually. Doing so may be a pragmatic step forward while more comprehensive pharmacare reforms are planned. © 2017 Canadian Medical Association or its licensors.

Economic costs of childhood lead exposure in low- and middle-income countries.

PubMed

Attina, Teresa M; Trasande, Leonardo

2013-09-01

Children's blood lead levels have declined worldwide, especially after the removal of lead in gasoline. However, significant exposure remains, particularly in low- and middle-income countries. To date, there have been no global estimates of the costs related to lead exposure in children in developing countries. Our main aim was to estimate the economic costs attributable to childhood lead exposure in low- and middle-income countries. We developed a regression model to estimate mean blood lead levels in our population of interest, represented by each 1-year cohort of children < 5 years of age. We used an environmentally attributable fraction model to estimate lead-attributable economic costs and limited our analysis to the neurodevelopmental impacts of lead, assessed as decrements in IQ points. Our main outcome was lost lifetime economic productivity due to early childhood exposure. We estimated a total cost of $977 billions of international dollars in low- and middle-income countries, with economic losses equal to $134.7 billion in Africa [4.03% of gross domestic product (GDP)], $142.3 billion in Latin America and the Caribbean (2.04% of GDP), and $699.9 billion in Asia (1.88% of GDP). Our sensitivity analysis indicates a total economic loss in the range of $728.6-1162.5 billion. We estimated that, in low- and middle-income countries, the burden associated with childhood lead exposure amounts to 1.20% of world GDP in 2011. For comparison, in the United States and Europe lead-attributable economic costs have been estimated at $50.9 and $55 billion, respectively, suggesting that the largest burden of lead exposure is now borne by low- and middle-income countries.

Projected wood energy impact on US forest wood resources

DOE Office of Scientific and Technical Information (OSTI.GOV)

Skog, K.E.

1993-12-31

The USDA Forest Service has developed long-term projections of wood energy use as part of a 1993 assessment of demand for and supply of resources from forest and range lands in the United States. To assess the impact of wood energy demand on timber resources, a market equilibrium model based on linear programming was developed to project residential, industrial, commercial, and utility wood energy use from various wood energy sources: roundwood from various land sources, primary wood products mill residue, other wood residue, and black liquor. Baseline projections are driven by projected price of fossil fuels compared to price ofmore » wood fuels and the projected increase in total energy use in various end uses. Wood energy use is projected to increase from 2.67 quad in 1986 to 3.5 quad in 2030 and 3.7 quad in 2040. This is less than the DOE National Energy Strategy projection of 5.5 quad in 2030. Wood energy from forest sources (roundwood) is projected to increase from 3.1 billion (10{sup 9}) ft{sup 3} in 1986 to 4.4. billion ft{sup 3} in 2030 and 4.8 billion ft{sup 3} in 2040 (88, 124 and 136 million m{sup 3}, respectively). This rate of increase of roundwood use for fuel -- 0.8 percent per year -- is virtually the same as the projected increase rate for roundwood for pulpwood. Pulpwood roundwood is projected to increase from 4.2 billion ft{sup 3} in 1986 to 6.0 billion ft{sup 3} in 2030 and 6.4 billion ft{sup 3} in 2040 (119, 170 and 183 million m{sup 3}, respectively).« less

Natural Hazards - A National Threat

USGS Publications Warehouse

Geological Survey, U.S.

2007-01-01

The USGS Role in Reducing Disaster Losses -- In the United States each year, natural hazards cause hundreds of deaths and cost billions of dollars in disaster aid, disruption of commerce, and destruction of homes and critical infrastructure. Although the number of lives lost to natural hazards each year generally has declined, the economic cost of major disaster response and recovery continues to rise. Each decade, property damage from natural hazards events doubles or triples. The United States is second only to Japan in economic damages resulting from natural disasters. A major goal of the U.S. Geological Survey (USGS) is to reduce the vulnerability of the people and areas most at risk from natural hazards. Working with partners throughout all sectors of society, the USGS provides information, products, and knowledge to help build more resilient communities.

Acid rain report released

NASA Astrophysics Data System (ADS)

Katzoff, Judith A.

A joint report issued January 8, 1986, by special envoys from the United States and Canada recommends that the United States implement a 5-year, $5-billion commercial demonstration program for technologies to control emissions from the burning of coal. The recommendations call for government and industry to share the costs of the proposed program.The report was issued by Drew Lewis, former U.S. Secretary of Transportation, and William Davis, former Premier of Ontario, at the request of U.S. President Ronald Reagan and Canadian Prime Minister Brian Mulroney after a summit conference between the two leaders in March 1985. Discussion of the report is on the agenda for a second meeting this coming March. Reagan has said he will review the report but has not committed himself to endorse its recommendations.

The feasibility of replacing or upgrading utility distribution transformers during routine maintenance

DOE Office of Scientific and Technical Information (OSTI.GOV)

Barnes, P.R.; Van Dyke, J.W.; McConnell, B.W.

It is estimated that electric utilities use about 40 million distribution transformers in supplying electricity to customers in the United States. Although utility distribution transformers collectively have a high average efficiency, they account for approximately 61 billion kWh of the 229 billion kWh of energy lost annually in the delivery of electricity. Distribution transformers are being replaced over time by new, more efficient, lower-loss units during routine utility maintenance of power distribution systems. Maintenance is typically not performed on units in service. However, units removed from service with appreciable remaining life are often refurbished and returned to stock. Distribution transformersmore » may be removed from service for many reasons, including failure, over- or underloading, or line upgrades such as voltage changes or rerouting. When distribution transformers are removed from service, a decision must be made whether to dispose of the transformer and purchase a lower-loss replacement or to refurbish the transformer and return it to stock for future use. This report contains findings and recommendations on replacing utility distribution transformers during routine maintenance, which is required by section 124(c) of the Energy Policy Act of 1992. The objectives of the study are to evaluate the practicability, cost-effectiveness, and potential energy savings of replacing or upgrading existing transformers during routine utility maintenance and to develop recommendations on was to achieve the potential energy savings.« less

Trends and patterns in research and development expenditures in the United States

PubMed Central

Jaffe, Adam B.

1996-01-01

This paper is a review of recent trends in United States expenditures on research and development (R&D). Real expenditures by both the government and the private sector increased rapidly between the mid-1970s and the mid-1980s, and have since leveled off. This is true of both overall expenditures and expenditures on basic research, as well as funding of academic research. Preliminary estimates indicate that about $170 billion was spent on R&D in the United States in 1995, with ≈60% of that funding coming from the private sector and about 35% from the federal government. In comparison to other countries, we have historically spent more on R&D relative to our economy than other advanced economies, but this advantage appears to be disappearing. If defense-related R&D is excluded, our expenditures relative to the size of the economy are considerably smaller than those of other similar economies. PMID:8917476

Impact of alcohol fuel production on agricultural markets

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gardiner, W.H.

1986-01-01

Production of alcohol from biomass feedstocks, such as corn, was given Federal and State support which resulted in alcohol production rising from 20 million gallons in 1979 to 430 million gallons in 1984. This study estimates the impacts of alcohol production from corn on selected agricultural markets. The tool of analysis was a three region (United States, the European Community and the rest of the world) econometric model of the markets for corn, soybeans, soybean meal, soybean oil, wheat and corn byproduct feeds. Three alternative growth paths for alcohol production (totalling 1.1, 2.0, and 3.0 billion gallons) were analyzed withmore » the model in the context of three different trade environments. The results of this analysis indicate that alcohol production of 1.1 billion gallons by 1980 would have caused moderate adjustments to commodity markets while 3.0 billion gallons would have caused major adjustments. Corn prices rose sharply with increased alcohol production as did wheat prices but to a somewhat lesser extent. The substitution of corn for soybeans on the supply side was not sufficient to offset the demand depressing effects of corn byproduct feeds on soybean meal which translated into slightly lower soybean prices. A quota limiting imports of corn gluten feed into the EC to three million tons annually would cause reductions in export earnings for corn millers.« less

Endovascular repair of aortic disease: a venture capital perspective.

PubMed

Buchanan, Lucas W; Stavropoulos, S William; Resnick, Joshua B; Solomon, Jeffrey

2009-03-01

Endovascular devices for the treatment of abdominal and thoracic aortic disease are poised to become the next $1 billion medical device market. A shift from open repair to endovascular repair, advances in technology, screening initiatives, and new indications are driving this growth. Although billion-dollar medical device markets are rare, this field is fraught with risk and uncertainty for startups and their venture capital investors. Technological hurdles, daunting clinical and regulatory timelines, market adoption issues, and entrenched competitors pose significant barriers to successful new venture creation. In fact, the number of aortic endografts that have failed to reach commercialization or have been pulled from the market exceeds the number of Food and Drug Administration-approved endografts in the United States. This article will shed some light on the venture capital mind-set and decision-making paradigm in the context of aortic disease.

Assessment of undiscovered petroleum resources of the Arctic Alaska Petroleum Province

USGS Publications Warehouse

Houseknecht, David W.; Bird, Kenneth J.; Garrity, Christopher P.

2012-01-01

The Arctic Alaska Petroleum Province encompasses all lands and adjacent continental shelf areas north of the Brooks Range-Herald arch tectonic belts and south of the northern (outboard) margin of the Alaska rift shoulder. Even though only a small part is thoroughly explored, it is one of the most prolific petroleum provinces in North America, with total known resources (cumulative production plus proved reserves) of about 28 billion barrels of oil equivalent. For assessment purposes, the province is divided into a platform assessment unit, comprising the Alaska rift shoulder and its relatively undeformed flanks, and a fold-and-thrust belt assessment unit, comprising the deformed area north of the Brooks Range and Herald arch tectonic belts. Mean estimates of undiscovered, technically recoverable resources include nearly 28 billion barrels of oil and 122 trillion cubic feet of nonassociated gas in the platform assessment unit and 2 billion barrels of oil and 59 trillion cubic feet of nonassociated gas in the fold-and-thrust belt assessment unit.

The Effects of American Sign Language on General Self-Efficacy and Anxiety among Mothers in a Residential Rehabilitation Facility for Drug Addiction and Substance Abuse

ERIC Educational Resources Information Center

Kissel, Bonnie J.

2010-01-01

Globally, approximately 208 million people aged 15 and older used illicit drugs at least once in the last 12 months; 2 billion consumed alcohol and tobacco consumption affected 25% (World Drug Report, 2008). In the United States, 20.1 million (8.0%) people aged 12 and older were illicit drug users, 129 million (51.6%) abused alcohol and 70.9…

Demonstration and Validation of a Waste-to-Energy Conversion System for Fixed DoD Installations

DTIC Science & Technology

2013-09-01

hydrocarbon HVAC heating, ventilation , and air conditioning HX heat exchanger I/O input/output ISO International Organization for Standardization...DEMONSTRATION In 2011, renewable energy accounted for just 9% of total energy consumption in the United States, and just 5% (or 0.45% overall) of that (477...operations and facilities.3 Facility energy costs accounted for ~21% ($4.1 billion). DoD has made great progress in reducing its energy consumption for

Guinea: Background and Relations with the United States

DTIC Science & Technology

2010-03-22

wounded, by stray bullets.20 After a week of unrest, Conté met with mutiny leaders, and the government agreed to pay salary arrears of $1,100 to each...period. IDA also provides grants to countries at risk of debt distress. 117 The HIPC Initiative is a comprehensive approach to debt reduction for...track. Reaching the HIPC “completion point” would grant Guinea an estimated relief of $2.2 billion and reduce debt service by approximately $100

Guinea: Background and Relations with the United States

DTIC Science & Technology

2010-07-19

salary arrears of $1,100 to each soldier, sack the defense minister, and grant promotions to junior officers, ending the uprising.15 In mid-June 2008...Service 17 printing large amounts of new currency in 2009), and the freezing of some foreign aid.75 Guinea’s external debt burden—$3.1 billion in...period. IDA also provides grants to countries at risk of debt distress. 100 The HIPC Initiative is a comprehensive approach to debt reduction for

Financial Crisis; Department of Defense Spending: How to Control Fraud, Waste, and Abuse in the Military

DTIC Science & Technology

2012-04-25

problem that continues to cost billions of dollars in losses at a time when the United States Military and Federal Government can least afford it. It...to look like. The federal budget has become the leading issue affecting every Government Agency. The military’s budget is decreasing by more than...discuss the cost savings measures and initiatives currently being debated in Washington, and offer, for debate, several new recommendations that have

The Eagle in the Desert: The Origins of the U.S.Saudi Arabian Security Partnership

DTIC Science & Technology

2015-09-01

the United States exported over 1.5 billion barrels of crude oil, finished petroleum products, natural gases and other liquids —400 million barrels...7, 2012, http://www.eia.gov/todayinenergy/detail.cfm?id=5290. 14 “Exports, Petroleum and Other Liquids ,” U.S. Energy Information Administration...foreign leaders. The president did promise the Crown Prince that the U.S. government would soon make available for purchase multiple supersonic jet

U.S. Geological Survey—Energy and wildlife research annual report for 2017

USGS Publications Warehouse

Khalil, Mona

2017-09-08

IntroductionTerrestrial and aquatic ecosystems provide valuable services to humans and are a source of clean water, energy, raw materials, and productive soils. The Nation’s food supply is more secure because of wildlife. For example, native pollinators enhance agricultural crops, and insect-eating bats provide pest control services worth billions of dollars to farmers annually. Fish and wildlife are also vital to a vibrant outdoor recreation and tourism industry. Recreational activities, such as hunting, shooting, boating, and angling, generated \\$1.1 billion in excise taxes paid to State wildlife agencies in 2017. National parks, wildlife refuges, and monuments accounted for $35 billion in economic output and 318,000 jobs nationwide in 2016. Additional economic benefits are generated from the use and enjoyment of wildlife in State-owned lands and waters.Although the United States is rich in natural resources, human activity continues to place new pressures on fish and wildlife and the habitats they rely on. The United States became the world’s top producer of petroleum and natural gas products in 2012, surpassing Russia’s natural gas production levels in 2009 and Saudi Arabia’s petroleum production in 2013. The U.S. Energy Information Administration projects that the demand for liquid fuel, natural gas, and renewable energy will show strong growth in the next 20 years. Wind energy has demonstrated consistent growth since 2007 with now more than 53,000 wind turbines contributing to power grids in 41 States, Guam, and Puerto Rico. Solar energy has seen rapid growth since 2013 and made up nearly one-third of the total electricity generation additions in 2016. Yet as our Nation works to advance energy security and sustain wildlife, some conflicts have surfaced. Impacts of an expanding energy infrastructure include fragmentation and loss of habitat as well as mortality of birds, bats, fish, and other animals from interactions with energy generation facilities. Because energy development can often occur in wildlife habitats, ecological science can help guide project siting and operational decisions to areas that present the lowest risk to wildlife and energy developers.To address these challenges and make the most of new opportunities, the U.S. Geological Survey is producing innovative science to develop workable solutions that can help sustain wildlife and the habitat they rely upon, while allowing informed development.

Economic Analysis of the Use of Facemasks During Pandemic (H1N1) 2009

PubMed Central

Tracht, Samantha M.; Del Valle, Sara Y.; Edwards, Brian K.

2012-01-01

A large-scale pandemic could cause severe health, social, and economic impacts. The recent 2009 H1N1 pandemic confirmed the need for mitigation strategies that are cost-effective and easy to implement. Typically, in the early stages of a pandemic, as seen with pandemic (H1N1) 2009, vaccines and antivirals may be limited or non-existent, resulting in the need for non-pharmaceutical strategies to reduce the spread of disease and the economic impact. We construct and analyze a mathematical model for a population comprised of three different age groups and assume that some individuals wear facemasks. We then quantify the impact facemasks could have had on the spread of pandemic (H1N1) 2009 and examine their cost effectiveness. Our analyses show that an unmitigated pandemic could result in losses of nearly $832 billion in the United States during the length of the pandemic. Based on present value of future earnings, hospital costs, and lost income estimates due to illness, this study estimates that the use of facemasks by 10%, 25%, and 50% of the population could reduce economic losses by $478 billion, $570 billion, and $573 billion, respectively. The results show that facemasks can significantly reduce the number of influenza cases as well as the economic losses due to a pandemic. PMID:22300798

Estimated economic impact of vaccinations in 73 low- and middle-income countries, 2001-2020.

PubMed

Ozawa, Sachiko; Clark, Samantha; Portnoy, Allison; Grewal, Simrun; Stack, Meghan L; Sinha, Anushua; Mirelman, Andrew; Franklin, Heather; Friberg, Ingrid K; Tam, Yvonne; Walker, Neff; Clark, Andrew; Ferrari, Matthew; Suraratdecha, Chutima; Sweet, Steven; Goldie, Sue J; Garske, Tini; Li, Michelle; Hansen, Peter M; Johnson, Hope L; Walker, Damian

2017-09-01

To estimate the economic impact likely to be achieved by efforts to vaccinate against 10 vaccine-preventable diseases between 2001 and 2020 in 73 low- and middle-income countries largely supported by Gavi, the Vaccine Alliance. We used health impact models to estimate the economic impact of achieving forecasted coverages for vaccination against Haemophilus influenzae type b, hepatitis B, human papillomavirus, Japanese encephalitis, measles, Neisseria meningitidis serogroup A, rotavirus, rubella, Streptococcus pneumoniae and yellow fever. In comparison with no vaccination, we modelled the costs - expressed in 2010 United States dollars (US$) - of averted treatment, transportation costs, productivity losses of caregivers and productivity losses due to disability and death. We used the value-of-a-life-year method to estimate the broader economic and social value of living longer, in better health, as a result of immunization. We estimated that, in the 73 countries, vaccinations given between 2001 and 2020 will avert over 20 million deaths and save US$ 350 billion in cost of illness. The deaths and disability prevented by vaccinations given during the two decades will result in estimated lifelong productivity gains totalling US$ 330 billion and US$ 9 billion, respectively. Over the lifetimes of the vaccinated cohorts, the same vaccinations will save an estimated US$ 5 billion in treatment costs. The broader economic and social value of these vaccinations is estimated at US$ 820 billion. By preventing significant costs and potentially increasing economic productivity among some of the world's poorest countries, the impact of immunization goes well beyond health.

Estimating Medicare and patient savings from the use of bevacizumab for the treatment of exudative age-related macular degeneration.

PubMed

Rosenfeld, Philip J; Windsor, Matthew A; Feuer, William J; Sun, Sissi J J; Frick, Kevin D; Swanson, Eric A; Huang, David

2018-04-12

The Medicare cost savings from the use of bevacizumab in the United States for the treatment of exudative age-related macular degeneration (AMD) were estimated by replacing the use of bevacizumab with ranibizumab and aflibercept. Retrospective trend study. Main outcome measures were spending by Medicare as tracked by Current Procedural Terminology (CPT) codes for intravitreal injections (67028) and treatment-specific J-codes (J0178, J2778, J9035, J3490 and J3590) for inhibitors of vascular endothelial growth factor. These claims were identified from the Medicare Provider Utilization and Payment Data from the Centers for Medicare and Medicaid Services among fee-for-service (FFS) Medicare beneficiaries from 2012 - 2015. The 2008 claims were acquired from the 100% fee-for-service (FFS) Part B Medicare Claims File. The use of bevacizumab from 2008 to 2015 resulted in an estimated savings of $17.3 billion, which corresponded to a $13.8 billion savings to Medicare and a $3.5 billion savings to patients. This amount underestimated the actual cost-savings to Medicare providers since approximately 30% of Medicare-eligible recipients received care within Medicare Advantage plans and were not included in this analysis. The cost savings from the use of bevacizumab from 2008-2015 for Medicare fee-for-service patients undergoing treatment for exudative AMD was estimated at $17.3 billion. Additional savings over the $17.3 billion would have accrued from the use of bevacizumab if diagnostic categories such as diabetic macular edema and retinal vein occlusion were included in this study. Copyright © 2018. Published by Elsevier Inc.

Predicted national productivity implications of calorie and sodium reductions in the American diet.

PubMed

Dall, Timothy M; Fulgoni, Victor L; Zhang, Yiduo; Reimers, Kristin J; Packard, Patricia T; Astwood, James D

2009-01-01

To model the potential long-term national productivity benefits from reduced daily intake of calories and sodium. Simulation based on secondary data analysis; quantitative research. Measures include absenteeism, presenteeism, disability, and premature mortality under various hypothetical dietary changes. United States. Two hundred twenty-five million adults. Findings come from a Nutrition Impact Model that combines information from national surveys, peer-reviewed studies, and government reports. We compare current estimates of national productivity loss associated with overweight, obesity, and hypertension to estimates for hypothetical scenarios in which national prevalence of these risk factors is lower. Using the simulation model, we illustrate how modest dietary change can achieve lower national prevalence of excess weight and hypertension. We estimate that permanent 100-kcal reductions in daily intake among the overweight/obese would eliminate approximately 71.2 million cases of overweight/obesity. In the long term, this could increase national productivity by $45.7 billion annually. Long-term sodium reductions of 400 mg in those with uncontrolled hypertension would eliminate about 1.5 million cases, potentially increasing productivity by $2.5 billion annually. More aggressive diet changes of 500 kcal and 1100 mg of sodium reductions yield potential productivity benefits of $133.3 and $5.8 billion, respectively. The potential long-term benefit of reduced calories and sodium, combining medical cost savings with productivity increases, ranges from $108.5 billion for moderate reductions to $255.6 billion for aggressive reductions. These findings help inform public health policy and the business case for improving diet. (AmJ Health Promot 2009;23[6]:423-430.)

The social costs of tobacco advertising and promotions.

PubMed

Emery, S; Choi, W S; Pierce, J P

1999-01-01

Recent longitudinal evidence suggests that approximately 34% of all new tobacco experimentation occurs because of tobacco advertising and promotions. Based on this figure, in this paper we estimate the long-term impact on mortality and morbidity, as well as the economic and medical costs associated with smoking that is attributable to cigarette advertising and promotions in the United States. This study used several data sources, including the Teenage Attitudes and Practices Survey (TAPS), the 1993 and 1996 Adolescent California Tobacco Surveys (CTS), and the Food and Drug Administration's estimates of annual illness-related benefits of alternative effectiveness rates of banning tobacco advertising. Our resulting estimates are that in each year between 1988 and 1998, tobacco advertising and promotional activities generated approximately 193000 additional adult smokers who began smoking as adolescents because of advertisements and promotions. That decade of tobacco advertising and promotions will also result in approximately 46400 smoking-attributable deaths per year and 698400 years of potential life lost, which translates into costs of approximately $21.7 billion to $33.3 billion in total medical, productivity, and mortality-related costs. Even accounting for quitting behavior, each year of advertising-attributable smoking increases the number of smokers in the population. We conclude that annual costs can be expected to continue to increase if tobacco advertising and promotional activities are not effectively eliminated. If all tobacco industry advertising and promotional activities were banned for the next 25 years, nearly 60000 smoking-attributable deaths per year could be avoided, saving nearly 900000 life-years, $2.6 billion in excess medical expenses, and between $28 billion and $43 billion in mortality costs.

Why We Need to Build a Culture of Health in the United States.

PubMed

Lavizzo-Mourey, Risa

2015-07-01

The United States spends $2.7 trillion a year on health care, more than any other country by far, and yet the U.S. population is not healthy. In fact, the United States loses $227 billion in productivity each year because of poor health. This is not sustainable-and it is the reason behind the Robert Wood Johnson Foundation's Culture of Health initiative. Culture of Health means so much more than simply not being sick. It means embracing a definition of health as outlined by the World Health Organization-a state of complete physical, mental, and social well-being. And it means shifting the values-and the actions-in the United States so that health becomes a part of everything we do. Health is the bedrock of personal fulfillment. It is the backbone of prosperity and the key to creating a strong and competitive nation. With health, children can grow up making the most of life's opportunities. Businesses can rely on the vitality of workers to stay competitive, and the military can perform at its highest level. But there is no single way to cultivate health. This Commentary explores the principles behind the Culture of Health initiative and examines the role of academic medicine in achieving this vision. Different communities must come up with the approaches that serve them best. Only by working toward a common goal in unique ways will a true Culture of Health be attainable in the United States.

Fiscal year 2013 energy department budget: Proposed investments in clean energy research

NASA Astrophysics Data System (ADS)

Balcerak, Ernie

2012-03-01

Energy and environmental research programs generally fared well in President Barack Obama's proposed budget for the Department of Energy (DOE) for fiscal year (FY) 2013. In his State of the Union address, Obama called for the United States to pursue an "all of the above" energy strategy that includes fossil fuels, as well as a variety of renewable sources of energy. The DOE budget request supports that strategy, Energy Secretary Steven Chu said in a 13 February press briefing announcing the budget proposal. The proposed budget gives DOE 27.2 billion overall, a 3.2% increase from the FY 2012 enacted budget (see Table 1). This budget "reflects some tough choices," Chu said. The proposed budget would cut 4 billion in subsidies for oil and gas companies; many Republican members of Congress have already indicated that they oppose such cuts, suggesting that congressional approval of this budget may run into stumbling blocks. The budget would also cut funding for research and development projects that are already attracting private-sector investment or that are not working, and would reduce some of the department's operational costs.

The economics of health care quality and medical errors.

PubMed

Andel, Charles; Davidow, Stephen L; Hollander, Mark; Moreno, David A

2012-01-01

Hospitals have been looking for ways to improve quality and operational efficiency and cut costs for nearly three decades, using a variety of quality improvement strategies. However, based on recent reports, approximately 200,000 Americans die from preventable medical errors including facility-acquired conditions and millions may experience errors. In 2008, medical errors cost the United States $19.5 billion. About 87 percent or $17 billion were directly associated with additional medical cost, including: ancillary services, prescription drug services, and inpatient and outpatient care, according to a study sponsored by the Society for Actuaries and conducted by Milliman in 2010. Additional costs of $1.4 billion were attributed to increased mortality rates with $1.1 billion or 10 million days of lost productivity from missed work based on short-term disability claims. The authors estimate that the economic impact is much higher, perhaps nearly $1 trillion annually when quality-adjusted life years (QALYs) are applied to those that die. Using the Institute of Medicine's (IOM) estimate of 98,000 deaths due to preventable medical errors annually in its 1998 report, To Err Is Human, and an average of ten lost years of life at $75,000 to $100,000 per year, there is a loss of $73.5 billion to $98 billion in QALYs for those deaths--conservatively. These numbers are much greater than those we cite from studies that explore the direct costs of medical errors. And if the estimate of a recent Health Affairs article is correct-preventable death being ten times the IOM estimate-the cost is $735 billion to $980 billion. Quality care is less expensive care. It is better, more efficient, and by definition, less wasteful. It is the right care, at the right time, every time. It should mean that far fewer patients are harmed or injured. Obviously, quality care is not being delivered consistently throughout U.S. hospitals. Whatever the measure, poor quality is costing payers and society a great deal. However, health care leaders and professionals are focusing on quality and patient safety in ways they never have before because the economics of quality have changed substantially.

International Commons: Sharing of International Resourees

NASA Astrophysics Data System (ADS)

Salam, Abdus

In 1945 Europe was devastated. Soon after, the United States took a remarkable initiative with the launching of the Marshall Plan to finance European recovery. Some 32 billion dollars were generously provided, amounting, in the beginning, to a contribution of around 2.79% of the Gross National Product of the USA. A magnificent act of magnanimity, it was pure altruism, because the USA knew that by building up Europe, it was contributing to the future prosperity for the entire Western world, including enhanced prosperity of the United States itself, through trade and commerce. It is unfashionable nowadays to speak in these terms, but one may have called this act Keynesianism at its best, inspired by the earlier success of the New Deal in the United States itself. One of the results of this all too rare act of economic wisdom was that during the next decade — the sixties and the seventies — after Western Europe was back on its feet, the prosperity of all countries — including the donor country of the USA — increased to levels unmatched in world history before…

Burden of unintended pregnancy in the United States: potential savings with increased use of long-acting reversible contraception.

PubMed

Trussell, James; Henry, Nathaniel; Hassan, Fareen; Prezioso, Alexander; Law, Amy; Filonenko, Anna

2013-02-01

This study evaluated the total costs of unintended pregnancy (UP) in the United States (US) from a third-party health care payer perspective and explored the potential role for long-acting reversible contraception (LARC) in reducing UP and resulting health care expenditure. An economic model was constructed to estimate direct costs of UP as well as the proportion of UP costs that could be attributed to imperfect contraceptive adherence. The model considered all women requiring reversible contraception in the US: the pattern of contraceptive use and the rates of UP were derived from published sources. The costs of UP in the United States and the proportion of total cost that might be avoided by improved adherence through increased use of LARC were estimated. Annual medical costs of UP in the United States were estimated to be $4.6 billion, and 53% of these were attributed to imperfect contraceptive adherence. If 10% of women aged 20-29 years switched from oral contraception to LARC, total costs would be reduced by $288 million per year. Imperfect contraceptive adherence leads to substantial UP and high, avoidable costs. Improved uptake of LARC may generate health care cost savings by reducing contraceptive non-adherence. Copyright © 2013 Elsevier Inc. All rights reserved.

Burden of unintended pregnancy in the United States: Potential savings with increased use of long-acting reversible contraception

PubMed Central

Trussell, James; Henry, Nathaniel; Hassan, Fareen; Prezioso, Alexander; Law, Amy; Filonenko, Anna

2013-01-01

Background This study evaluated the total costs of unintended pregnancy (UP) in the United States from a third -party health care payer perspective and explored the potential role for long-acting reversible contraception (LARC) in reducing UP and resulting health care expenditure. Study Design An economic model was constructed to estimate direct costs of UP as well as the proportion of UP costs that could be attributed to imperfect contraceptive adherence. The model considered all US women requiring reversible contraception: the pattern of contraceptive use and rates of UP were derived from published sources. The costs of UP in the United States and the proportion of total cost that might be avoided by improved adherence through increased use of LARC were estimated. Results Annual medical costs of UP in the United States were estimated to be $4.5 billion, and 53% of these were attributed to imperfect contraceptive adherence. If 10% of women aged 20–29 years switched from oral contraception to LARC, total costs would be reduced by $288 million per year. Conclusions Imperfect contraceptive adherence leads to substantial unintended pregnancy and high, avoidable costs. Improved uptake of LARC may generate health care cost savings by reducing contraceptive non-adherence. PMID:22959904

Rules Set for $4 Billion Race to Top Contest: Final Rules Give States Detailed Map in Quest for $4 Billion in Education Stimulus Aid

ERIC Educational Resources Information Center

McNeil, Michele

2009-01-01

For a good shot at $4 billion in grants from the federal Race to the Top Fund, states will need to make a persuasive case for their education reform agendas, demonstrate significant buy-in from local school districts, and devise plans to evaluate teachers and principals based on student performance, according to final regulations released last…

Cost Effectiveness of a Sugar-Sweetened Beverage Excise Tax in the U.S.

PubMed

Long, Michael W; Gortmaker, Steven L; Ward, Zachary J; Resch, Stephen C; Moodie, Marj L; Sacks, Gary; Swinburn, Boyd A; Carter, Rob C; Claire Wang, Y

2015-07-01

Reducing sugar-sweetened beverage consumption through taxation is a promising public health response to the obesity epidemic in the U.S. This study quantifies the expected health and economic benefits of a national sugar-sweetened beverage excise tax of $0.01/ounce over 10 years. A cohort model was used to simulate the impact of the tax on BMI. Assuming ongoing implementation and effect maintenance, quality-adjusted life-years gained and disability-adjusted life-years and healthcare costs averted were estimated over the 2015-2025 period for the 2015 U.S. Costs and health gains were discounted at 3% annually. Data were analyzed in 2014. Implementing the tax nationally would cost $51 million in the first year. The tax would reduce sugar-sweetened beverage consumption by 20% and mean BMI by 0.16 (95% uncertainty interval [UI]=0.06, 0.37) units among youth and 0.08 (95% UI=0.03, 0.20) units among adults in the second year for a cost of $3.16 (95% UI=$1.24, $8.14) per BMI unit reduced. From 2015 to 2025, the policy would avert 101,000 disability-adjusted life-years (95% UI=34,800, 249,000); gain 871,000 quality-adjusted life-years (95% UI=342,000, 2,030,000); and result in $23.6 billion (95% UI=$9.33 billion, $54.9 billion) in healthcare cost savings. The tax would generate $12.5 billion in annual revenue (95% UI=$8.92, billion, $14.1 billion). The proposed tax could substantially reduce BMI and healthcare expenditures and increase healthy life expectancy. Concerns regarding the potentially regressive tax may be addressed by reduced obesity disparities and progressive earmarking of tax revenue for health promotion. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

The Economic Impact of the State University of New York on the State of New York.

ERIC Educational Resources Information Center

State Univ. of New York, Albany.

A study of the impact of the State University of New York (SUNY) on the state's economy is reported. In 1992-93, about $9.2 billion of the state's economy was a direct result of spending by SUNY, its employees, students, and visitors; about five times the state's investment in SUNY in fiscal 1993. Annually, graduates add $16.8 billion to the…

Public and nonprofit funding for research on mental disorders in France, the United Kingdom, and the United States.

PubMed

Chevreul, Karine; McDaid, David; Farmer, Carrie M; Prigent, Amélie; Park, A-La; Leboyer, Marion; Kupfer, David J; Durand-Zaleski, Isabelle

2012-07-01

To document the investments made in research on mental disorders by both government and nonprofit nongovernmental organizations in France, the United Kingdom, and the United States. An exhaustive survey was conducted of primary sources of public and nonprofit organization funding for mental health research for the year 2007 in France and the United Kingdom and for fiscal year 2007-2008 in the United States, augmented with an examination of relevant Web sites and publications. In France, all universities and research institutions were identified using the Public Finance Act. In the United Kingdom, we scrutinized Web sites and hand searched annual reports and grant lists for the public sector and nonprofit charitable medical research awarding bodies. In the United States, we included the following sources: the National Institutes of Health, other administrative entities within the Department of Health and Human Services (eg, Centers for Disease Control and Prevention), the Department of Education, the Department of Veterans Affairs, the Department of Defense, and the National Science Foundation and, for nonprofit funding, The Foundation Center. We included research on all mental disorders and substance-related disorders using the same keywords. We excluded research on mental retardation and dementia and on the promotion of mental well-being. We used the same algorithm in each country to obtain data for only mental health funding in situations in which funding had a broader scope. France spent $27.6 million (2%) of its health research budget on mental disorders, the United Kingdom spent $172.6 million (7%), and the United States spent $5.2 billion (16%). Nongovernmental funding ranged from 1% of total funding for mental health research in France and the United States to 14% in the United Kingdom. Funding for research on mental disorders accounts for low proportions of research budgets compared with funding levels for research on other major health problems, whereas the expected return on investment is potentially high. © Copyright 2012 Physicians Postgraduate Press, Inc.

Valuing the human health damage caused by the fraud of Volkswagen.

PubMed

Oldenkamp, Rik; van Zelm, Rosalie; Huijbregts, Mark A J

2016-05-01

Recently it became known that Volkswagen Group has been cheating with emission tests for diesel engines over the last six years, resulting in on-road emissions vastly exceeding legal standards for nitrogen oxides in Europe and the United States. Here, we provide an estimate of the public health consequences caused by this fraud. From 2009 to 2015, approximately nine million fraudulent Volkswagen cars, as sold in Europe and the US, emitted a cumulative amount of 526 ktonnes of nitrogen oxides more than was legally allowed. These fraudulent emissions are associated with 45 thousand disability-adjusted life years (DALYs) and a value of life lost of at least 39 billion US dollars, which is approximately 5.3 times larger than the 7.3 billion US dollars that Volkswagen Group has set aside to cover worldwide costs related to the diesel emissions scandal. Copyright © 2016 Elsevier Ltd. All rights reserved.

China cuts energy intensity, but overall energy growth continues, report notes

NASA Astrophysics Data System (ADS)

Showstack, Randy

2012-02-01

A new report states that China has cut its energy intensity—defined as energy use per unit of economic output—by 19.1% from 2006 to 2010, reversing the previous upward trend. However, energy use and carbon emissions in the country continue to grow sharply, according to the Climate Policy Initiative's (CPI) Annual Review of Low-Carbon Development in China: 2010, the second of such reports. China nearly hit its goal of a 20% target reduction in energy intensity during that time period, which spanned the country's eleventh Five-Year Period (FYP) for social and economic development, but during that same period energy-related growth in carbon dioxide (CO2) emissions in China increased by 33.6%, from 5.15 billion tons to 6.88 billion tons, said Qi Ye, CPI's Beijing office director, at a 2 February briefing held at the Brookings Institution in Washington, D. C.

Pathophysiology and Immune Dysfunction in Endometriosis

PubMed Central

Ahn, Soo Hyun; Monsanto, Stephany P.; Miller, Caragh; Singh, Sukhbir S.; Thomas, Richard; Tayade, Chandrakant

2015-01-01

Endometriosis is an estrogen-dependent, chronic, proinflammatory disease prevalent in 10% of women of reproductive age worldwide. Characterized by the growth of endometrium-like tissue in aberrant locations outside of the uterus, it is responsible for symptoms including chronic pelvic pain, dysmenorrhea, and subfertility that degrade quality of life of women significantly. In Canada, direct and indirect economic cost of endometriosis amounts to 1.8 billion dollars, and this is elevated to 20 billion dollars in the United States. Despite decades of research, the etiology and pathophysiology of endometriosis still remain to be elucidated. This review aims to bring together the current understanding regarding the pathogenesis of endometriosis with specific focus on mechanisms behind vascularization of the lesions and the contribution of immune factors in facilitating lesion establishment and development. The role of hormones, immune cells, and cytokine signaling is highlighted, in addition to discussing the current pharmaceutical options available for management of pain symptoms in women with endometriosis. PMID:26247027

Pathophysiology and Immune Dysfunction in Endometriosis.

PubMed

Ahn, Soo Hyun; Monsanto, Stephany P; Miller, Caragh; Singh, Sukhbir S; Thomas, Richard; Tayade, Chandrakant

2015-01-01

Endometriosis is an estrogen-dependent, chronic, proinflammatory disease prevalent in 10% of women of reproductive age worldwide. Characterized by the growth of endometrium-like tissue in aberrant locations outside of the uterus, it is responsible for symptoms including chronic pelvic pain, dysmenorrhea, and subfertility that degrade quality of life of women significantly. In Canada, direct and indirect economic cost of endometriosis amounts to 1.8 billion dollars, and this is elevated to 20 billion dollars in the United States. Despite decades of research, the etiology and pathophysiology of endometriosis still remain to be elucidated. This review aims to bring together the current understanding regarding the pathogenesis of endometriosis with specific focus on mechanisms behind vascularization of the lesions and the contribution of immune factors in facilitating lesion establishment and development. The role of hormones, immune cells, and cytokine signaling is highlighted, in addition to discussing the current pharmaceutical options available for management of pain symptoms in women with endometriosis.

Paleointensity, solar wind and magnetopause 3.45 billion years ago (Invited)

NASA Astrophysics Data System (ADS)

Tarduno, J. A.; Cottrell, R. D.; Watkeys, M. K.; Hofmann, A.; Doubrovine, P. V.; Nelson, J.; Usui, Y.

2009-12-01

The standoff of the solar wind by the magnetic field produced by a core dynamo defines atmospheric shielding and prevention of volatile loss important for the evolution of a habitable planet. Yet little is known about magnetic field strength for the earliest Earth. Therefore, the potential for intense radiation from the young, rapidly rotating Sun modifying the atmosphere is uncertain. We report Thellier paleointensity results from single silicate crystals bearing magnetic inclusions that indicate the presence of a Paleoarchean geodynamo between 3.40 and 3.45 billion years ago. The field is somewhat weaker than the current field and when combined with the a greater solar wind pressure suggest steady-state Paleoarchean magnetopause standoff distances similar to those observed during recent solar storms. We will discuss efforts to further extend the paleointensity record, using single crystals with magnetic inclusions, such as zircons, eroded from older igneous rocks and now found within Archean sedimentary units.

Potential air quality benefits from increased solar photovoltaic electricity generation in the Eastern United States

DOE Office of Scientific and Technical Information (OSTI.GOV)

Abel, David; Holloway, Tracey; Harkey, Monica

We evaluate how fine particulate matter (PM2.5) and precursor emissions could be reduced if 17% of electricity generation was replaced with solar photovoltaics (PV) in the Eastern United States. Electricity generation is simulated using GridView, then used to scale electricity-sector emissions of sulfur dioxide (SO2) and nitrogen oxides (NOX) from an existing gridded inventory of air emissions. This approach offers a novel method to leverage advanced electricity simulations with state-of-the-art emissions inventories, without necessitating recalculation of emissions for each facility. The baseline and perturbed emissions are input to the Community Multiscale Air Quality Model (CMAQ version 4.7.1) for a fullmore » accounting of time- and space-varying air quality changes associated with the 17% PV scenario. These results offer a high-value opportunity to evaluate the reduced-form AVoided Emissions and geneRation Tool (AVERT), while using AVERT to test the sensitivity of results to changing base-years and levels of solar integration. We find that average NOX and SO2 emissions across the region decrease 20% and 15%, respectively. PM2.5 concentrations decreased on average 4.7% across the Eastern U.S., with nitrate (NO3-) PM2.5 decreasing 3.7% and sulfate (SO42-) PM2.5 decreasing 9.1%. In the five largest cities in the region, we find that the most polluted days show the most significant PM2.5 decrease under the 17% PV generation scenario, and that the greatest benefits are accrued to cities in or near the Ohio River Valley. We find summer health benefits from reduced PM2.5 exposure estimated as 1424 avoided premature deaths (95% Confidence Interval (CI): 284 deaths, 2 732 deaths) or a health savings of $13.1 billion (95% CI: $0.6 billion, $43.9 billion) These results highlight the potential for renewable energy as a tool for air quality managers to support current and future health-based air quality regulations.« less

Financial anatomy of biomedical research.

PubMed

Moses, Hamilton; Dorsey, E Ray; Matheson, David H M; Thier, Samuel O

2005-09-21

Public and private financial support of biomedical research have increased over the past decade. Few comprehensive analyses of the sources and uses of funds are available. This results in inadequate information on which to base investment decisions because not all sources allow equal latitude to explore hypotheses having scientific or clinical importance and creates a barrier to judging the value of research to society. To quantify funding trends from 1994 to 2004 of basic, translational, and clinical biomedical research by principal sponsors based in the United States. Publicly available data were compiled for the federal, state, and local governments; foundations; charities; universities; and industry. Proprietary (by subscription but openly available) databases were used to supplement public sources. Total actual research spending, growth rates, and type of research with inflation adjustment. Biomedical research funding increased from 37.1 billion dollars in 1994 to 94.3 billion dollars in 2003 and doubled when adjusted for inflation. Principal research sponsors in 2003 were industry (57%) and the National Institutes of Health (28%). Relative proportions from all public and private sources did not change. Industry sponsorship of clinical trials increased from 4.0 dollars to 14.2 billion dollars (in real terms) while federal proportions devoted to basic and applied research were unchanged. The United States spent an estimated 5.6% of its total health expenditures on biomedical research, more than any other country, but less than 0.1% for health services research. From an economic perspective, biotechnology and medical device companies were most productive, as measured by new diagnostic and therapeutic devices per dollar of research and development cost. Productivity declined for new pharmaceuticals. Enhancing research productivity and evaluation of benefit are pressing challenges, requiring (1) more effective translation of basic scientific knowledge to clinical application; (2) critical appraisal of rapidly moving scientific areas to guide investment where clinical need is greatest, not only where commercial opportunity is currently perceived; and (3) more specific information about sources and uses of research funds than is generally available to allow informed investment decisions. Responsibility falls on industry, government, and foundations to bring these changes about with a longer-term view of research value.

Enabling the Billion-Ton Bioeconomy

DOE Office of Scientific and Technical Information (OSTI.GOV)

Baumes, Harry; Csonka, Steve; Sayre, Richard

2016-08-08

The United States is rich in non-food ‎biomass that can fuel the development of a thriving ‎bioeconomy where renewable and sustainable resources power cars and planes instead of petroleum. The ‎transportation and aviation industry is actively seeking ways to reduce its carbon footprint by powering planes with solid municipal waste, woody biomass, purpose-grown crops, and ‎algae. Watch this short video to learn how biomass is being used to make our country greener, provide new employment opportunities, and reduce our dependence on foreign oil.

Space Programs: Nasa’s Independent Cost Estimating Capability Needs Improvement

DTIC Science & Technology

1992-11-01

AD--A2?t59 263 DTJC 93-01281 I I !:ig’ i ~I1 V:II oz ’~ -A e•, 2.JQ For United States NTISAO General Accounting Office Wto faB Washington, D.C...advisory committee’s recommendation to strengthen NASA’s independent cost estimating capability. Congress and the executive branch need accurate cost ...estimates in deciding whether to undertake or continue space programs which often cost millions or even billions of dollars. In December 1990, the

Appeasing the Dragon: An Analysis of Foreign Military Sales to Taiwan as an Indicator of Chinese Influence on US Foreign Policy

DTIC Science & Technology

2011-06-26

9 Over the last year, China has surpassed the United States as the largest consumer of GM automobiles with ―[a]utomakers… looking to China to...YUM brands, owner of fast-food chains like KFC and Pizza Hut, reported $1.2 billion in Chinese sales in its most recent quarter, surpassing its...representatives of large and small businesses, farm organizations, trade associations and consumer groups wrote to Clinton telling him that a failure

National Health Expenditures, 1979

PubMed Central

Gibson, Robert M

1980-01-01

Outlays for health care in the nation reached $212.2 billion in calendar year 1979—12.5 percent higher than in 1978, according to preliminary figures compiled by the Health Care Financing Administration. This estimate represented $943 per person in the United States and was equal to 9.0 percent of the Gross National Product. This latest report in the annual series representing national health expenditures provides detailed estimates of health care spending by type of service and method of financing. PMID:10309255

National Health Expenditures, 1978

PubMed Central

Gibson, Robert M.

1979-01-01

Outlays for health care in the Nation reached $192.4 billion in calendar year 1978--13 percent higher than in 1977, according to preliminary figures compiled by the Health Care Financing Administration. This estimate represented $863 per person in the United States and was equal to 9.1 percent of the GNP. This latest report in the annual series representing national health expenditures provides detailed estimates of health care spending by type of service and method of financing. Revised estimates are presented extending back to 1965. PMID:10309049

The Budget of the United States Government. Department of Defense Extract for Fiscal Years 1988 and 1989

DTIC Science & Technology

1989-01-01

due simply to chance—it is the result of successful policies adopted during the past 6 years. Disposable personal income is at an all-time high and...of the 7 previous postwar expansions in duration, and leading economic indicators point to continued growth ahead. Our policies have worked. Let me...relieving the economy of excessive regulation and paperwork; and • supporting a sound and stable monetary policy . BUDGET SUMMARY (In billions of

The Budget of the United States Government. Department of Defense Extract for Fiscal Years 1990 and 1991

DTIC Science & Technology

1988-01-01

i.e., programs gen - erally subject to control by annual appropriations) were $6.3 billion above the Administration’s original request for policy reasons...unobligated balance avail- Amounts for proposed new legislation are shown gen - able, end of year. That balance is carried forward and erally in separate...Program and Financing (in thousands of dollars) Trident strategic missile and submarine continues. Gen - lan 97-0819-0-1-051 199 actual 1909 e. 19eral

Mineral of the month: cadmium

USGS Publications Warehouse

Klimasauskas, Edward

2005-01-01

Cadmium, which was once used almost exclusively for pigments, now has many diverse applications. Cadmium’s low melting point, excellent electrical conductivity and resistance to corrosion make it valuable for many products including batteries, electroplated coatings, stabilizers for plastics, solar cells and nonferrous alloys. Today’s cadmium is primarily used in rechargeable batteries, accounting for about 78 percent of consumption in 2004. In 2000, an estimated 3.5 billion consumer batteries were sold in the United States, of which almost 10 percent were nickel-cadmium batteries.

The Persian Gulf Balance of Power and United States Foreign Policy Response.

DTIC Science & Technology

1988-04-01

is a region which can and has changed rapidly and without notice. This project was sponsored by the Air University National Security Affairs Briefing... growing industry includes trade natural gas, aluminum smelting, plastics, fish processing and oil refining. (8:194) The GDP in 1982 was $4.0 bI Ion, (36...and this figure was growing at an estimated annual rate of US $4 to US $5 billion." (35:248) Recently Saudi Arabia has tried to diversify Its arms

Military Review: The Professional Journal of the U. S. Army. July-August 2011

DTIC Science & Technology

2011-08-01

cost the U.S. military nearly $1 billion in the past three years.1 But that may not be the highest cost . Congressional questions about the spending...intended schemes might cost the United States its credibil- ity. Why did these ill-advised initiatives become so pervasive? How do we meet the need to com...cultures. (Follow-on work is necessary to account for the career development of civilians through integrating a culture and foreign language strategy

Bill Would Expand U.S. Drought Monitoring

NASA Astrophysics Data System (ADS)

Zielinski, Sarah

2006-05-01

The collection and dissemination of drought information would be centralized within the U.S. National Oceanic and Atmospheric Administration (NOAA) under a newly proposed bill, which received support at a 4 May hearing before the U.S. House of Representatives Science Subcommittee on Environment, Technology, and Standards. The economic costs of drought average $6 to $8 billion each year in the United States, according to NOAA. The effects of prolonged drought include extreme wildfire conditions, water restrictions, and reduced crop yields.

Contributions of the US state park system to nature recreation.

PubMed

Siikamäki, Juha

2011-08-23

Nature recreation in the United States concentrates in publicly provided natural areas. They are costly to establish and maintain, but their societal contributions are difficult to measure. Here, a unique approach is developed to quantifying nature recreation services generated by the US state park system. The assessment first uses data from five national surveys conducted between 1975 and 2007 to consistently measure the amount of time used for nature recreation. The surveys comprise two official federal surveys and their predecessors. Each survey was designed to elicit nationally representative, detailed data on how people divide their time into different activities. State-level data on time use for nature recreation were then matched with information on the availability of state parks and other potentially important drivers of recreation, so that statistical estimation methods for nonexperimental panel data (difference-in-differences) could be used to examine the net contribution of state parks to nature recreation. The results show that state parks have a robust positive effect on nature recreation. For example, the approximately 2 million acres of state parks established between 1975 and 2007 are estimated to contribute annually 600 million hours of nature recreation (2.7 h per capita, approximately 9% of all nature recreation). All state parks generate annually an estimated 2.2 billion hours of nature recreation (9.7 h per capita; approximately 33% of all nature recreation). Using conventional approaches to valuing time, the estimated time value of nature recreation services generated by the US state park system is approximately $14 billion annually.

Contributions of the US state park system to nature recreation

PubMed Central

Siikamäki, Juha

2011-01-01

Nature recreation in the United States concentrates in publicly provided natural areas. They are costly to establish and maintain, but their societal contributions are difficult to measure. Here, a unique approach is developed to quantifying nature recreation services generated by the US state park system. The assessment first uses data from five national surveys conducted between 1975 and 2007 to consistently measure the amount of time used for nature recreation. The surveys comprise two official federal surveys and their predecessors. Each survey was designed to elicit nationally representative, detailed data on how people divide their time into different activities. State-level data on time use for nature recreation were then matched with information on the availability of state parks and other potentially important drivers of recreation, so that statistical estimation methods for nonexperimental panel data (difference-in-differences) could be used to examine the net contribution of state parks to nature recreation. The results show that state parks have a robust positive effect on nature recreation. For example, the approximately 2 million acres of state parks established between 1975 and 2007 are estimated to contribute annually 600 million hours of nature recreation (2.7 h per capita, approximately 9% of all nature recreation). All state parks generate annually an estimated 2.2 billion hours of nature recreation (9.7 h per capita; approximately 33% of all nature recreation). Using conventional approaches to valuing time, the estimated time value of nature recreation services generated by the US state park system is approximately $14 billion annually. PMID:21831838

DOE Office of Scientific and Technical Information (OSTI.GOV)

Tyler, Brett M.; Tripathi, Sucheta; Aerts, Andrea

The approximately 60 species of Phytophthora are all destructive pathogens, causing rots of roots, stems, leaves and fruits of a wide range of agriculturally and ornamentally important plants (1). Some species, such as P. cinnamomi, P. parasitica and P. cactorum, each attack hundreds of different plant host species, whereas others are more restricted. Some of the crops where Phytophthora infections cause the greatest financial losses include potato, soybean, tomato, alfalfa, tobacco, peppers, cucurbits, pineapple, strawberry, raspberry and a wide range of perennial tree crops, especially citrus, avocado, almonds, walnuts, apples and cocoa, and they also heavily affect the ornamental, nurserymore » and forestry industries. The economic damage overall to crops in the United States by Phytophthora species is estimated in the tens of billions of dollars, including the costs of control measures, and worldwide it is many times this amount (1). In the northern midwest of the U.S., P. sojae causes $200 million in annual losses to soybean alone, and worldwide causes around $1-2 billion in losses per year. P. infestans infections resulted in the Irish potato famine last century and continues to be a difficult and worsening problem for potato and tomato growers worldwide, with worldwide costs estimated at $5 billion per year.« less

Great Lakes Literacy Principles

NASA Astrophysics Data System (ADS)

Fortner, Rosanne W.; Manzo, Lyndsey

2011-03-01

Lakes Superior, Huron, Michigan, Ontario, and Erie together form North America's Great Lakes, a region that contains 20% of the world's fresh surface water and is home to roughly one quarter of the U.S. population (Figure 1). Supporting a $4 billion sport fishing industry, plus $16 billion annually in boating, 1.5 million U.S. jobs, and $62 billion in annual wages directly, the Great Lakes form the backbone of a regional economy that is vital to the United States as a whole (see http://www.miseagrant.umich.edu/downloads/economy/11-708-Great-Lakes-Jobs.pdf). Yet the grandeur and importance of this freshwater resource are little understood, not only by people in the rest of the country but also by many in the region itself. To help address this lack of knowledge, the Centers for Ocean Sciences Education Excellence (COSEE) Great Lakes, supported by the U.S. National Science Foundation and the National Oceanic and Atmospheric Administration, developed literacy principles for the Great Lakes to serve as a guide for education of students and the public. These “Great Lakes Literacy Principles” represent an understanding of the Great Lakes' influences on society and society's influences on the Great Lakes.

Improving the estimated cost of sustained power interruptions to electricity customers

DOE Office of Scientific and Technical Information (OSTI.GOV)

LaCommare, Kristina Hamachi; Eto, Joseph H.; Dunn, Laurel N.

Electricity reliability and resiliency have become a topic of heightened interest in recent years in the United States. As utilities, regulators, and policymakers determine how to achieve optimal levels of electricity reliability while considering how best to prepare for future disruptions in power, the related issue of how much it costs when customers lose power remains a largely unanswered question. In 2006, Lawrence Berkeley National Laboratory developed an end-use based framework that estimates the cost of power interruptions in the U.S that has served as a foundational paper using the best available, yet far from perfect, information at that time.more » Since then, an abundance of work has been done to improve the quality and availability of information that now allow us to make a much more robust assessment of the cost of power interruptions to U.S. customers. In this paper, we find that the total U.S. cost of sustained power interruptions is 44 billion dollars per year (2015-) -25% more than the 26 billion dollars per year in 2002- (or 35 billion dollars per year in 2015-) estimated in our 2006 study.« less

The U.S. employment effects of military and domestic spending priorities.

PubMed

Pollin, Robert; Garrett-Peltier, Heidi

2009-01-01

This study focuses on the employment effects of military spending versus alternative domestic spending priorities. The authors begin by introducing the basic input-output modeling technique for considering issues such as these in a systematic way. They then present some simple alternative spending scenarios-namely, devoting $1 billion to the military versus the same amount of money spent for five alternatives: tax cuts that produce increased levels of personal consumption; health care; education; mass transit; and construction targeted at home weatherization and infrastructure repair. The first conclusion in assessing such relative employment effects is straightforward: $1 billion spent on personal consumption, health care, education, mass transit, and construction for home weatherization/infrastructure will all create more jobs in the U.S. economy than would the same $1 billion spent on the military. The authors then examine the pay level of jobs created through these alternative spending priorities and assess the overall welfare effects of the alternative employment outcomes. Combining these alternative domestic spending categories in an effective way can also generate a higher level of compensation for working people in the United States and a better average quality ofjobs.

Domestic phosphate deposits

USGS Publications Warehouse

McKelvey, V.E.; Cathcart, J.B.; Altschuler, Z.S.; Swanson, R.W.; Lutz, Katherine

1953-01-01

Most of the worlds phosphate deposits can be grouped into six types: 1) igneous apatite deposits; 2) marine phosphorites; 3) residual phosphorites; 4) river pebble deposits; 5) phosphatized rock; and 6) guano. The igneous apatites and marine phosphorites form deposits measurable in millions or billions of tons; the residual deposits are measurable in thousands or millions; and the other types generally only in thousands of tons. Igneous apatite deposits have been mined on a small scale in New York, New Jersey, and Virginia. Marine phosphorites have been mined in Montana, Idaho, Utah, Wyoming, Arkansas, Tennessee, North Carolina, South Carolina, Georgia, and Florida. Residual phosphorites have been mined in Tennessee, Pennsylvania, and Florida. River pebble has been produced in South Carolina and Florida; phosphatized rock in Tennessee and Florida; and guano in New Mexico and Texas. Present production is limited almost entirely to Florida, Tennessee, Montana, Idaho, and Wyoming. Incomplete but recently partly revised estimates indicate the presence of about 5 billion tons of phosphate deposits in the United States that is minable under present economic conditions. Deposits too lean in quality or thickness to compete with those in the western and southeastern fields probably contain tens of billions of tons.

Improving the estimated cost of sustained power interruptions to electricity customers

DOE PAGES

LaCommare, Kristina Hamachi; Eto, Joseph H.; Dunn, Laurel N.; ...

2018-04-18

Electricity reliability and resiliency have become a topic of heightened interest in recent years in the United States. As utilities, regulators, and policymakers determine how to achieve optimal levels of electricity reliability while considering how best to prepare for future disruptions in power, the related issue of how much it costs when customers lose power remains a largely unanswered question. In 2006, Lawrence Berkeley National Laboratory developed an end-use based framework that estimates the cost of power interruptions in the U.S that has served as a foundational paper using the best available, yet far from perfect, information at that time.more » Since then, an abundance of work has been done to improve the quality and availability of information that now allow us to make a much more robust assessment of the cost of power interruptions to U.S. customers. In this paper, we find that the total U.S. cost of sustained power interruptions is 44 billion dollars per year (2015-) -25% more than the 26 billion dollars per year in 2002- (or 35 billion dollars per year in 2015-) estimated in our 2006 study.« less

The costs and financing of perinatal care in the United States.

PubMed Central

Long, S H; Marquis, M S; Harrison, E R

1994-01-01

OBJECTIVES. The purpose of this study was to estimate the aggregate annual costs of maternal and infant health care and to describe the flow of funds that finance that care. METHODS. Estimates of costs and financing based on household and provider surveys, third-party claims data, and hospital discharge data were combined into a single, best estimate. RESULTS. The total cost of perinatal care in 1989 was $27.8 billion, or $6850 per mother-infant pair. Payments made directly by patients or third parties for this care totaled $25.4 billion, or about 7% of personal health care spending by the nonaged population. Payments were less than costs because they did not include a value for direct delivery care or for bad debt and charity care, which accounted for $2.4 billion. Private insurance accounted for about 63% of total payments, and Medicaid accounted for 17% of the total. CONCLUSIONS. National health reform would provide windfall receipts to hospitals, which would receive payment for the considerable bad debt and charity care they provide. Reform might also provide short-term gains to providers as private payment rates are substituted for those of Medicaid. PMID:8092374

Economic Impact of Hearing Loss and Reduction of Noise-Induced Hearing Loss in the United States.

PubMed

Neitzel, Richard L; Swinburn, Tracy K; Hammer, Monica S; Eisenberg, Daniel

2017-01-01

Hearing loss (HL) is pervasive and debilitating, and noise-induced HL is preventable by reducing environmental noise. Lack of economic analyses of HL impacts means that prevention and treatment remain a low priority for public health and environmental investment. This article estimates the costs of HL on productivity by building on established estimates for HL prevalence and wage and employment differentials between those with and without HL. We estimate that HL affects more than 13% of the working population. Not all HL can be prevented or treated, but if the 20% of HL resulting from excessive noise exposure were prevented, the economic benefit would be substantial-we estimate a range of $58 billion to $152 billion annually, with a core estimate of $123 billion. We believe this is a conservative estimate, because consideration of additional costs of HL, including health care and special education, would likely further increase the benefits associated with HL prevention. HL is costly and warrants additional emphasis in public and environmental health programs. This study represents an important first step in valuing HL prevention-in particular, prevention of noise-induced HL-where new policies and technologies appear promising.

Economic Return From the Women’s Health Initiative Estrogen Plus Progestin Clinical Trial

PubMed Central

Roth, Joshua A.; Etzioni, Ruth; Waters, Teresa M.; Pettinger, Mary; Rossouw, Jacques E.; Anderson, Garnet L.; Chlebowski, Rowan T.; Manson, JoAnn E.; Hlatky, Mark; Johnson, Karen C.; Ramsey, Scott D.

2014-01-01

Background The findings of the Women’s Health Initiative (WHI) estrogen plus progestin (E+P) trial led to a substantial reduction in use of combined hormone therapy (cHT) among postmenopausal women in the United States. The economic effect of this shift has not been evaluated relative to the trial’s $260 million cost (2012 U.S. dollars). Objective To estimate the economic return from the WHI E+P trial. Design Decision model to simulate health outcomes for a “WHI scenario” with observed cHT use and a “no-WHI scenario” with cHT use extrapolated from the pretrial period. Data Sources Primary analyses of WHI outcomes, peer-reviewed literature, and government sources. Target Population Postmenopausal women in the United States, aged 50 to 79 years, who did not have a hysterectomy. Time Horizon 2003 to 2012. Perspective Payer. Intervention Combined hormone therapy. Outcome Measures Disease incidence, expenditure, quality-adjusted life-years, and net economic return. Results of Base-Case Analysis The WHI scenario resulted in 4.3 million fewer cHT users, 126 000 fewer breast cancer cases, 76 000 fewer cardiovascular disease cases, 263 000 more fractures, 145 000 more quality-adjusted life-years, and expenditure savings of $35.2 billion. The corresponding net economic return of the trial was $37.1 billion ($140 per dollar invested in the trial) at a willingness-to-pay level of $100 000 per quality-adjusted life-year. Results of Sensitivity Analysis The 95% CI for the net economic return of the trial was $23.1 to $51.2 billion. Limitation No evaluation of indirect costs or outcomes beyond 2012. Conclusion The WHI E+P trial made high-value use of public funds with a substantial return on investment. These results can contribute to discussions about the role of public funding for large, prospective trials with high potential for public health effects. Primary Funding Source National Heart, Lung, and Blood Institute. PMID:24798522

The Condition of America's Schools: A National Disgrace.

ERIC Educational Resources Information Center

Crampton, Faith E.; Thompson, David C.

2002-01-01

Investigates state unmet funding needs for school infrastructure. Finds an estimated total of $266.1 billion in unmet funding needs. Provides state-by-state estimates of unmet funding that range from $220.1 million in Vermont to $47.6 billion in New York. Compares urban and rural infrastructure needs. Includes recommendations for school business…

The growth of tissue engineering.

PubMed

Lysaght, M J; Reyes, J

2001-10-01

This report draws upon data from a variety of sources to estimate the size, scope, and growth rate of the contemporary tissue engineering enterprise. At the beginning of 2001, tissue engineering research and development was being pursued by 3,300 scientists and support staff in more than 70 startup companies or business units with a combined annual expenditure of over $600 million. Spending by tissue engineering firms has been growing at a compound annual rate of 16%, and the aggregate investment since 1990 now exceeds $3.5 billion. At the beginning of 2001, the net capital value of the 16 publicly traded tissue engineering startups had reached $2.6 billion. Firms focusing on structural applications (skin, cartilage, bone, cardiac prosthesis, and the like) comprise the fastest growing segment. In contrast, efforts in biohybrid organs and other metabolic applications have contracted over the past few years. The number of companies involved in stem cells and regenerative medicine is rapidly increasing, and this area represents the most likely nidus of future growth for tissue engineering. A notable recent trend has been the emergence of a strong commercial activity in tissue engineering outside the United States, with at least 16 European or Australian companies (22% of total) now active.

State-level estimates of obesity-attributable costs of absenteeism.

PubMed

Andreyeva, Tatiana; Luedicke, Joerg; Wang, Y Claire

2014-11-01

To provide state-level estimates of obesity-attributable costs of absenteeism among working adults in the United States. Nationally representative data from the National Health and Nutrition Examination Survey for 1998 to 2008 and from the Behavioral Risk Factor Surveillance System for 2012 are examined. The outcome is obesity-attributable workdays missed in the previous year because of health and their costs to states. Obesity, but not overweight, is associated with a significant increase in workdays absent, from 1.1 to 1.7 extra days missed annually compared with normal-weight employees. Obesity-attributable absenteeism among American workers costs the nation an estimated $8.65 billion per year. Obesity imposes a considerable financial burden on states, accounting for 6.5% to 12.6% of total absenteeism costs in the workplace. State legislatures and employers should seek effective ways to reduce these costs.

The Future of Utility Customer-Funded Energy Efficiency Programs in the United States: Projected Spending and Savings to 2025

DOE Office of Scientific and Technical Information (OSTI.GOV)

Barbose, Galen; Goldman, Charles; Hoffman, Ian

2012-09-11

We develop projections of future spending on, and savings from, energy efficiency programs funded by electric and gas utility customers in the United States, under three scenarios through 2025. Our analysis, which updates a previous LBNL study, relies on detailed bottom-up modeling of current state energy efficiency policies, regulatory decisions, and demand-side management and utility resource plans. The three scenarios are intended to represent a range of potential outcomes under the current policy environment (i.e., without considering possible major new policy developments). By 2025, spending on electric and gas efficiency programs (excluding load management programs) is projected to double frommore » 2010 levels to $9.5 billion in the medium case, compared to $15.6 billion in the high case and $6.5 billion in the low case. Compliance with statewide legislative or regulatory savings or spending targets is the primary driver for the increase in electric program spending through 2025, though a significant share of the increase is also driven by utility DSM planning activity and integrated resource planning. Our analysis suggests that electric efficiency program spending may approach a more even geographic distribution over time in terms of absolute dollars spent, with the Northeastern and Western states declining from over 70% of total U.S. spending in 2010 to slightly more than 50% in 2025, with the South and Midwest splitting the remainder roughly evenly. Under our medium case scenario, annual incremental savings from customer-funded electric energy efficiency programs increase from 18.4 TWh in 2010 in the U.S. (which is about 0.5% of electric utility retail sales) to 28.8 TWh in 2025 (0.8% of retail sales). These savings would offset the majority of load growth in the Energy Information Administration’s most recent reference case forecast, given specific assumptions about the extent to which future energy efficiency program savings are captured in that forecast. However, the pathway that customer-funded efficiency programs ultimately take will depend on a series of key challenges and uncertainties associated both with the broader market and policy context and with the implementation and regulatory oversight of the energy efficiency programs themselves.« less

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sheffield, J.

Energy availability in a country is of great importance to its economy and to raising and maintaining its standard of living. In 1994, the United States consumed more than 88 quadrillion Btu (quads) of energy and spent about $500 billion on fuels and electricity. Fortunately, the United States is well endowed with energy sources, notably fossil fuels, and possesses a considerable nuclear power industry. The United States also has significant renewable energy resources and already exploits much of its hydropower resources, which represent 10% of electricity production. Nevertheless, in 1994, the United States imported about 45% of the petroleum productsmore » it consumed, equivalent to about 17 quads of energy. This dependence on imported oil puts the country at risk of energy supply disruptions and oil price shocks. Previous oil shocks may have cost the country as much as $4 billion (in 1993 dollars) between 1973 and 1990. Moreover, the production and use of energy from fossil fuels are major sources of environmental damage. The corresponding situation in many parts of the world is more challenging. Developing countries are experiencing rapid growth in population, energy demand, and the environmental degradation that often results from industrial development. The near-term depletion of energy resources in response to this rapid growth runs counter to the concept of ''sustainable development''--development that meets the needs of today without compromising the ability of future generations to meet their own needs. Energy research and development (R&D) to improve efficiency and to develop and deploy energy alternatives may be viewed, therefore, as an insurance policy to combat the dangers of oil shocks and environmental pollution and as a means of supporting sustainable development. These considerations guide the energy policy of the United States and of the U.S. Department of Energy (DOE). In its strategic plan, DOE identifies the fostering of ''a secure and reliable energy system that is environmentally and economically sustainable'' as the first component of its mission. The strategic goal established for energy resources, identified as one of DOE's four businesses, is for ''the Department of Energy and its partners [to] promote secure, competitive, and environmentally responsible energy systems that serve the needs of the public.'' DOE has also identified four strategic goals for its programs in energy resources: (1) strengthening the economy and raising living standards through improvements in the energy field; (2) protecting the environment by reducing the adverse environmental impacts associated with energy production, distribution, and use; (3) keeping America secure by reducing vulnerabilities to global energy market shocks; and (4) enhancing American competitiveness in a growing world energy market.« less

Cost-effectiveness and budget impact of hepatitis C virus treatment with sofosbuvir and ledipasvir in the United States.

PubMed

Chhatwal, Jagpreet; Kanwal, Fasiha; Roberts, Mark S; Dunn, Michael A

2015-03-17

Sofosbuvir and ledipasvir, which have recently been approved for treatment of chronic hepatitis C virus (HCV) infection, are more efficacious and safer than the old standard of care (oSOC) but are substantially more expensive. Whether and in which patients their improved efficacy justifies their increased cost is unclear. To evaluate the cost-effectiveness and budget impact of sofosbuvir and ledipasvir. Microsimulation model of the natural history of HCV infection. Published literature. Treatment-naive and treatment-experienced HCV population defined on the basis of HCV genotype, age, and fibrosis distribution in the United States. Lifetime. Third-party payer. Simulation of sofosbuvir-ledipasvir compared with the oSOC (interferon-based therapies). Quality-adjusted life-years (QALYs), incremental cost-effectiveness ratios (ICERs), and 5-year spending on antiviral drugs. Sofosbuvir-based therapies added 0.56 QALY relative to the oSOC at an ICER of $55 400 per additional QALY. The ICERs ranged from $9700 to $284 300 per QALY depending on the patient's status with respect to treatment history, HCV genotype, and presence of cirrhosis. At a willingness-to-pay threshold of $100 000 per QALY, sofosbuvir-based therapies were cost-effective in 83% of treatment-naive and 81% of treatment-experienced patients. Compared with the oSOC, treating eligible HCV-infected persons in the United States with the new drugs would cost an additional $65 billion in the next 5 years, whereas the resulting cost offsets would be $16 billion. Results were sensitive to drug price, drug efficacy, and quality of life after successful treatment. Data on real-world effectiveness of new antivirals are lacking. Treatment of HCV is cost-effective in most patients, but additional resources and value-based patient prioritization are needed to manage patients with HCV. National Institutes of Health.