12 February 2016 Economic valuation of the cost of disasters Issues in Economic Analysis for DCPP chapters and Chapter Guidance Contribution to chapter on Management of Disasters. DISEASE CONTROL PRIORITIES PROJECT Ricardo Zapata Marti, Focal Point on Disaster Evaluatio, ECLAC Some background for discussion: Impact of disasters is difficult to understand and estimate, not to say controversial. This brings the need to address the question of whether the impact of disaster is always negative or are there some positive outcomes, where disaster brings an opportunity for improvement and change. The negative first: losses are, particularly from the health sector outlook, under three categories: Lives are lost or affected due to injuries associated with the cause of disaster (be it climatic, geological, vulcanological or anthropic) as well as by the physical collapse of infrastructure and the collapse of services and equipment, instruments, medical attention) . The valuation of this may be translated into DALY and the economic valuation of these is really perceived in a twofold manner: firstly the cost of tending to those injured or of disposing of those that died and secondly the effect these lives lost or disabled will have on the overall welfare and economic development process (in terms of production, income generation, etc.) The second category of direct losses is in infrastructure and supplies, affecting investment made or the need to rebuild facilities destroyed or damaged, capital in terms of equipment and other assets, and medicines and other stocks crucial for the provision of health personal and public services. The third category of damage is the loss or disturbance in the attention and response capabilities, both curative and preventive. Negative impacts in these categories highlight the value and need for mitigation, which would translate in saving lives, by maintaining services and the increasing resilience both of the infrastructure and the care services. Mitigation will also increase the investment capacity since by avoiding losses and the need for reconstruction, you do not lose the opportunity cost of new investment which otherwise should be channelled to reconstruction). Another benefit of mitigation is shifting the emphasis to increasing the prevention capacity in contrast to passive curative interventions. Hence the question is there any positive outcome of disasters? The conviction that their occurrence increases resilience and those disasters provide an opportunity for reduction of vulnerability in the face of menaces and risk leads to the need to evaluate the impact of disasters and, conversely, the gains from mitigation or –in the UN’s current language, disaster reduction. The crucial then becomes that evaluating damage helps to establish mitigation criteria that have to be negotiated (what is an acceptable level of damage or loss?). The content of this negotiated is schematized in the following table: firstly which should be the 2 primal criterion, and the desirable one would be to maintain operational services, even at the loss of infrastructure (the cost of such provision being part of the evaluation of damage) and thus saving lives would be minimized (thus reducing those costs both in economic and DALY terms). Save Lives Save infrastructure (investment) Maintain function (services operating) High priority High priority High priority Priority Priority Priority Low Priority Low Priority Low Priority Incorporated in function Incorporated in function Incorporated in function Such a negotiation leads to the definition of the requirements to fulfil the agreed objectives and points to the systemic character of disaster mitigation. It is also relevant to consider the actors in that negotiation process which can be schematically divided into the categories: on the demand side would be both the beneficiary population and end users of the health services as well as those that provide them (professional care givers of every level and specialization). On the supply side would be a multidisciplinary team including academics, technicians, professional associations and policy and decision makers in charge of providing mitigation (i.e. designing and implementing risk management and disaster reduction interventions). Finally the third set of actors is the financial ones, both banking and insurance institutions as well as donors. All these actors may be public or private, include non-governmental institutions, and represent both the central and local levels of government and civil society. The crucial element is the introduction of mitigation in the project cycle in order to maintain services operational (i.e. disaster prevention) by considering the profitability of this prevention / mitigation both in economic and social terms. It is this context that damage and loss valuation becomes strategically crucial. It must be indicated from the outset that some things are easier to measure than others. Even though in human terms an approximation to the burden of disease and life damage may be expressed in DALYs, it is difficult to determine the value of lives lost or affected in an economic context that moves policy makers to assign financial resources to prevention and mitigation. The thresholds for such resources may vary from country to country not only on purely economic terms but on cultural ones. Ownership and appropriation of losses is not homogenous. Additionally the opportunity cost, cost-benefit or investment / profitability depends on the valuation criteria and the difficulty to establish these is associated with the lack of adequate base lines that assess the level, quality and efficiency / efficacy of health services provided. The value and quality of services 3 provided (both curative and preventive) is also non-homogenous and not necessarily linked to the quality and cost of the available equipment and infrastructure. Additionally, in the event of these being disrupted by a disaster, the cost of this loss is dependent on the duration of the transition / emergency phase (when field hospitals and evacuation processes are operational). On the other hand it is easier to determine the amount of investment required for reinforcement vs. the potential losses in equipment and inventories, or the cost of reinforcement as compared to the reposition cost of affected infrastructure. It is also possible to calculate the alternative cost of providing services when infrastructures collapse. Lack of such estimates does not allow an approximation to basic issues such as: - human suffering and deterioration of living standards, - disproportionate negative effects on most vulnerable groups, - loss of capital and investment that was made at great sacrifice, - postponement of development and investment projects to face reconstruction, - deterioration on macroeconomic results, - inability to face challenges of reconstruction without international co-operation, - expose country’s vulnerability and fragile economic and social equilibrium, and the - danger of setbacks in positive trends towards decentralisation, empowerment and active participation of society in decisions ECLAC has responded over the years to the need of countries where disasters surpass their capacity to respond and rebuild with their own resources and as an instrument for planning reconstruction. The result has been a still evolving methodology for the valuation of disasters.1 It is seen as a tool for reconstruction, mitigation and planning resilience. Increasingly it has proved its usefulness by developing historical records of major events in the region over time. Not only it develops a systemic approach that defines vulnerability as the result of menace (probability of a certain event recurring with a determined strength on a location) and risk (the level of exposure given infrastructural conditions and the leverage those at risk have in terms of appropriate management in physical, social and economic terms). Valuation 2 rests on the basic concepts of direct damage (destruction or damage to assets/capital) and indirect losses (as the effect on flows/economical, financial, fiscal). Valuation criteria will vary in accordance with the purpose of the analysis. Present value will give a historically accurate and comparable notion of damage and losses but, since it stands on the principle that present value reflects actual conditions and discounts assets value over time, it is an insufficient measure of replacement or reconstruction needs. Even more so if, as is necessarily the case, mitigation considerations must be incorporated in reconstruction and sometimes, due to the disaster, lack of resilience of the affected conditions is made apparent. This is even more evident in developing countries where negative impacts tend to concentrate on those more at risk (the poor, marginalised, and less 1 See ECLAC, Handbook for Estimating the Socio-economic and Environmental Effects of Disaster, LC/MEX/G.5, July 2003. 2 Valuation is made using all possible sources of information, from geo referenced satellite mapping and remote sensing to more conventional statistical data, direct observation, surveys, although, given the nature of the events there is a reliance on second hand information gathered immediately after the event. 4 resilient). Under those circumstances it would be unthinkable to replace assets lost by a reconstruction under the same conditions of vulnerability. Just as in infrastructure for example, a poorly designed and maintained highway should not be reconstructed under the pre existing conditions, or poor quality housing such as shanty towns should not be rebuilt in the same condition, health infrastructure affected must be replaced by more resilient and efficient means that ensure a better and sustainable service. Given its multi-sector and multidisciplinary approach such a valuation allows the socio-economic and environmental assessment of disasters. By using standard sectored procedures that allows comparability of results. It is expected to be an instrument for the decision making process and for policy formulation as it identifies more severely affected sectors, geographical areas and vulnerable groups. Over the year a number of conceptual improvements have been made to allow for the measuring of aspects not included in the national accounting systems to bring attention to environmental losses as a cross-cutting issue, the contribution of specific groups, namely women, as agents for change and the better management both of the emergency and the reconstruction processes, by analyzing their specific vulnerability. LATIN AMERICA AND THE CARIBBEAN: SUMMARY OF DISASTER IMPACT DATE AFFECTED POPULATION TOTAL DAMAGE (million US dls.) DEATHS Directly affected TOTAL DAMAGE DIRECT INDIRECT EXTERNA SECTOR EFFECTS 1972-1980 1980-1990 1990-1999 2001-2002 TOTAL OF "MAJOR" EVENTS 1972-2002 (30 YEARS) 38,042 33,638 11,086 120 82,886 4,229,260 5,442,500 2,318,508 4,828,470 16,818,738 9,375 19,603 20,901 4,491 54,371 5,420 13,916 10,401 2,270 32,006 3,956 5,687 10,501 2,228 22,371 2,749 8,059 6,109 1,835 18,752 Average per year 2,763 560,625 1,812 1,067 746 625 Impact of "small disasters" a/ 691 140,156 453 267 186 156 OVERALL ESTIMATE 103,608 21,023,423 67,963 40,008 27,964 23,440 a/ The full image should include the recurrent “small” disasters that don’t make the headlines but have a cumulative negative effect that is more pervasive and damaging to the development process since its economic, social, psychological and political impact is hardly perceived. An estimate of the average losses of "small disasters" would increase in at least 25 percent the average impact of large disasters. Source: ECLAC 5 These calculations, sector by sector, summarized in a globalized, non-duplicative account, allow projecting scenarios of future performance of the affected economy in the short and medium term, and estimate the potential alternative costs of implementing the necessary corrective economic policy measures. It allows determining the State’s capacity to face reconstruction tasks and determine needs for cooperation and international financing. The process by which the methodology is used also facilitates training in damage valuation and formulation of mitigation strategies and involves affected population with relevant authorities and aid providers. The following table summarizes the valuations made by ECLAC over the years for the Latin American and Caribbean region in terms of deaths, affected population and economic losses at current value. The multi-sector approach puts in evidence the systemic character of the development process and the interaction among sectors and stakeholders. The sequence of effects of a disaster may be illustrated in diagrammatic form: SEQUENCE OF EFFECTS PHENOMENON: EFFECTS: direct indirect Characteristics (physical description, typology and context) LINKAGES Menace Vulnerability Risk Impact/Benefit of reconstruction (global, by sector) qReduce vulnerability qSynergies for reconstruction: “appropriation” of risk by affecte d/menaced population (community, social group, sector, country) This sequence underpins the way these effects are measured. Again it is useful to see them in a diagram. 6 SEQUENCE OF DISASTER VALUATION VALUE OF DAMAGES By economic actors and sectors Public Private REPLACEMENT COSTS By economic sectors and actors Public Private TECHNOLOGICAL IMRPOVEMENT REINFORCEMENT/REINGENEERING PREVENTION MITIGATION Scheduling Input availability Material Human Finacial Macroeconomic impact RECONSTRUCTION REQUIREMENTS By economic and sector actors Public Private Absorption capacity At present value costs Material Includes asset depreciation Work force Considers the state of asset at time of damage Institutuional Discounts lack of maintenantce Project formulation Reconstrction and replacement Mitigation and reinforcement Prevention MACROECONOMIC VIABILITY SUSTAINABILITY CREDIBILITY Financial implications Public Private Domerstic resources Credits Donations Insurance and reinsurance External resources Credits Donations Homogeneity of results is ensured by a close understanding of two basic concepts used throughout to assess the impact: direct damage and indirect effects. Direct damage is defined as the material losses occurring as an immediate consequence of a disaster3, measured first in physical terms. These refer to assts, to capital, to material things that can be counted. Hospital beds lost, equipment and medicines destroyed, health services providing installations damaged or affected (number and type of installations, stocks of medicines, laboratory facilities, operating rooms, etc.) These are then valued both in terms of their present value (discounting it, taking into account their condition, repair needs prior to the event, etc.) as well as estimating the replacement costs. On the other hand, indirect effects are seen in flows to which a monetary cost is established. In general these refer to production of goods and services that will not occur, reduced income associate with these activities not occurring and increased expenses to be able to provide them as an outcome of the disaster. In the case of health services it means both the income losses associated with its diminished supply and the increased costs of providing those required by the disaster itself. Indirect impact is valued at the current market value of production of goods or services not occurring and the costs associated with 3 Evidently these direct losses are not as easily to determine in long-developing events (such as the ones associated with slow processes or climatic variability since over time there will be overlapping damage), in contrast to those occurring in sudden events like hurricanes or earthquakes. 7 the necessary provision under emergency, disaster-related conditions. Indirect impacts are perceived after the phenomenon, for a time-period that can last from weeks to months, till recuperation occurs. The purpose is measuring the damage “delta” or damage gap (D = Va – Vb), where Va is the initial condition expected for a variable (in each sector, weighed in accordance with the sector’s importance and links to the rest of the economy) and Vb is the discounted effect of the disaster. See the following diagram. Measuring the damage “delta” or damage gap Pre-existing conditions (ex ante) The measure Of direct and indirect damages Upon the pre-existing situation (sector by sector baselines) is aggregated into the national accounts and determines the resulting disastercaused scenario, as the gap over the expected performance prior to the event. Several scenarios may be outlined, based on the assumptions made for the Expected Disaster impact reconstruction process performance (without (ex post) disaster) 3-5 years 3-5 years Starting point is the asset or capital loss (K = Ka – Kb). Capital (assets) lost is estimated by compiling direct damages computed sector by sector. These result in flows being affected (Y = Ya – Yb) where the measure reflects production/income losses. In spite of the material losses it is considered that the disaster does not immediately cause technological change (although immediate adaptation during the emergency occurs) and thus, for calculating purposes, the capital/income-production ratio is generally assumed not to vary substantively as a result of the disaster. This analysis requires access to information that allows the observer to know the pre-existing situation. Such information will allow identifying the core development factors of the economy, as well as the main characteristics at the time of the disaster: the phase of the economic or production cycle, consider seasonal elements, available resources in terms of domestic savings, FDI flows, and indebtedness level. In more precise terms these means access to the macroeconomic data bases from national authorities, academic analysts and/or consultants and advisors in the country, identifying existing econometric models for the local economy, and where possible determine the links among sectors. Ideal tools are input-output tables and when not available determine weighing factors that indicate inter sectoral linkages. This information allows acknowledging the expected or projected outcome in the absence of disaster and is 8 necessarily obtained from government, academics and/or advisors and private consultants the existing scenarios or short and medium term projections before the disaster. There may have been more than one pre-disaster scenario for the main economic variables. Necessary information requires building a price table at current value for the disaster period with at least five year projections. It requires building a constant-value (real magnitude) series for the main variables (using the country’s base year, either in local currency or an internationally acceptable monetary measures, mostly US dollars or Euros, as the case may be. The established rate of exchange that will be used for the valuation will be set up front. On the basis of all these data and the flow impact of direct damage the situation caused by the disaster will be determined as stemming from sector valuations assess the value-added changes expected for every sector in the short term and for a medium-term period to be agreed (3-5 years or more). A damage scenario is built (taking into account the measured losses at replacement value) showing expected or possible variations in the main economic gaps in the external sector, the fiscal burden, and on the internal equilibrium (prices, exchange rate, etc.). The following chart indicates the image that is expected to emerge from such valuations: GROSS CAPITAL FORMATION THE EFFECT OF SUCCESSIVE DISASTERS ON CAPITAL FORMATION * * Ad Adapted apted from from Mora, Mora, “El “El imp impacto acto de de los los ddesastres, esastres, aspectos aspectos soc social ial es, es, polítifcos polítifcos econ económicos, ómicos, amb ambienta ientales les yy su su relac relación ión co conn el el des desarrol arrollo lo de de nnuestros uestros países países (BID, (BID, 199 1999) 9) DISASTER DEVELOPING COUNTRIIES INDUSTRIALIZED COUNTRIES * * * TIME In addition to providing an instrument for the immediate reconstruction process, these valuations build a case to affirm there is a clear link between vulnerability and development. Resources used to rebuild and remedial action take away scarce funds that otherwise could have been used to increase or improve existing capital –both material and human. The gap showed in concrete cases also provides an approach to the cost of not 9 taking preventive action. It is clear that in the health sector loss of services, especially in the face of a disaster that overwhelms the capacity to respond, the benefits of prevention and risk management are more evident than in other ones. Nevertheless a monetary figure associated with the loss of these services gives a parameter of the benefit that investment in risk management and disaster reduction can bring. An approach to cost-effectiveness of disaster reduction in the case of hospital infrastructure was developed for Latin America and the Caribbean by PAHO. 4 By linking the impact of a disaster over an economy or country other factors are also made evident, such as the relation of size, development and vulnerability and leads to the consideration of such factors as resilience (strengthening and preparedness of physical and organization infrastructure) in the face of sudden or unexpected shocks (internal, environmental, climatic, external). It also points out to factor of dependency and the need for diversification and, in some basic elements, redundancy. It is true in the overall economy that if one activity dominates the economy (tourism in a Caribbean island for example) and a disaster will affect it severely (such as a hurricane) the overall impact will be felt in all components of that economy and society. It is also true that if the provision of services (such as health care be it preventive or curative) is centralized in a non-protected process, vulnerability is larger than if there alternative service-providers or the provision is diversified. This brings the attention to the necessary linkages of all stages in the provision of such services and how resilience and competition are part of the same process. As a more systemic approach to development evolves the linkages between economic, social and environmental variables appear as increasingly relevant: economic damage is aggravated by skewed social structures and poor environmental management increases vulnerability in the face of natural risks. Another consideration that emerges from the application of this analytical tool in concrete cases the linkage between specific occurrences in a country and global processes as well as trans-border or regional impacts of a specific event. One particularly clear case was Hurricane Mitch that affected a whole region (the Central American Isthmus), bearing an impact over a vast multinational territory, affecting infrastructure that linked trade and economic activity in the region (a highway whose cuts in several parts affected regional transport, an air navigation control system that with damages in one country affected regional travel, the risk of transmissible diseases from one country spilling to others as contaminated waters in multinational watersheds might be a conduit and the need for regional epidemiological actions, the migration flows from affected areas that led to people moving to neighbouring countries and beyond. Another case in point is a drought in the same region and in Mexico (in 2000) that caused smoke clouds to affect air quality in distant areas, including cities in the southern cities of the United States. 4 See CEPAL (Daniel Bitrán), “Impacto económico de los desastres naturales en la infraestructura de salud” (LC/MEX/L.291, 8 January 1996, presented to the “Conferencia Internacional sobre Mitigación de Desastres en Instalaciones de Salud” (Pan American Health Organization (PAHO) / Organización Panamericana de la Salud (OPS), 1996) 10 The consideration of prospective alternative scenarios and macroeconomic models linked to scientific evidence of the probability and danger or exposure to specific events provides the necessary quantification for cost-effectiveness analysis of prevention and risk reduction policies and investment. Since the impact of disasters affects society in all its aspects, the disease related factors are just one –albeit very important or even central factor—that has to be coupled with others such as the consequences over production, competitiveness, share in world markets, technological change and societal organization and response structures. This kind of quantitative and qualitative analysis is thus not only a requirement for national authorities in the areas of economics and planning but a powerful instrument to promote mitigation and risk management policies beyond prevention and response. Not only it provides a tool for needs assessments after the fact and information to undertake a causal analysis that will face concrete operational problems: setting priorities and differentiating emergency from urgency: simultaneity and sequencing, it leads to the costbenefit or, more appropriately cost-effectiveness of risk management. The quantitative element gives a base for the estimation of resource allocation and economic implications of policy change promotion. It is on the basis of these quantifications that ECLAC has proposed courses of action at the national and international policy levels and indicated some sectoral components of those policies. A brief outline of these is given in the box: Internal policies are to include vulnerability reduction as an objective of development plans alongside goals of competitive growth, equitable development, sustainable and sustained development, and social participation External policies ought to introduce risk management as part of the regional international agenda, alongside: External competitive insertion Benefiting from the globalization process Inclusive regional insertion Sectoral components of disaster reduction and risk management policies might include: Monitoring, analysis and climate forecasting, including forest fires Contingency plans in key sectors, for example: o Agriculture, cattle raising, o rural poverty, o energy and baselines o Water and health Interconnected systems and redundancy in essential lifelines Regulation of basic services with sponsorship of private enterprise Focalized plans for vulnerable groups, including employment, food availability and nutrition Education to reduce vulnerability Diagnosis and monitoring of vulnerability at the local level The ultimate goal of disaster reduction and reconstruction processes is finally to preserve or if affected restore economic and social fabric, restore and strengthen productive linkages (upstream/downstream), and reduce internal / external vulnerability.