Ted's main research focus is African economic development, including work on the economic causes and consequences of violence; the impact of ethnic divisions on local collective action; interactions between health, education, environment, and productivity for the poor; and methods for transparent social science research. He has conducted field work in Kenya, Sierra Leone, Tanzania, and India. Many of the datasets used in his research are posted online, either on the relevant article page (on this website) or on Dataverse.
This study estimates long-run impacts of a child health investment, exploiting community-wide experimental variation in school-based deworming. The program increased labor supply among men and education among women, with accompanying shifts in labor market specialization. Ten years after deworming treatment, men who were eligible as boys stay enrolled for more years of primary school, work 17% more hours each week, spend more time in non-agricultural self-employment, are more likely to hold manufacturing jobs, and miss one fewer meal per week. Women who were in treatment schools as girls are approximately one quarter more likely to have attended secondary school, halving the gender gap. They reallocate time from traditional agriculture into cash crops and non-agricultural self-employment. We estimate a conservative annualized financial internal rate of return to deworming of 32%, and show that mass deworming may generate more in future government revenue than it costs in subsidies.
Baird, Sarah, Joan Hamory Hicks, Michael Kremer and Edward Miguel. (2016). "Worms at work: Long-run impacts of a child health investment", Quarterly Journal of Economics, 131(4): 1637-1680, doi: 10.1093/qje/qjw022.
Intestinal helminths--including hookworm, roundworm, whipworm, and schistosomiasis--infect more than one-quarter of the world's population. Studies in which medical treatment is randomized at the individual level potentially doubly underestimate the benefits of treatment, missing externality benefits to the comparison group from reduced disease transmission, and therefore also underestimating benefits for the treatment group. We evaluate a Kenyan project in which school-based mass treatment with deworming drugs was randomly phased into schools, rather than to individuals, allowing estimation of overall program effects. The program reduced school absenteeism in treatment schools by one-quarter, and was far cheaper than alternative ways of boosting school participation. Deworming substantially improved health and school participation among untreated children in both treatment schools and neighboring schools, and these externalities are large enough to justify fully subsidizing treatment. Yet we do not find evidence that deworming improved academic test scores.
Miguel, Edward, and Michael Kremer. 2004. "Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities." Econometrica 72 (1): 159-217.
Miguel, Edward. 2003. "Comment on: Social Capital and Growth." Journal of Monetary Economics 50: 195-198.
OBJECTIVE: To report on the haemoglobin concentrations and prevalence of anaemia in schoolchildren in eight countries in Africa and Asia. DESIGN: Blood samples were collected during surveys of the health of schoolchildren as a part of programmes to develop school-based health services. SETTING: Rural schools in Ghana, Indonesia, Kenya, Malawi, Mali, Mozambique, Tanzania and Vietnam. SUBJECTS: Nearly 14 000 children enrolled in basic education in three age ranges (7±11 years, 12±14 years and ≥15 years) which reflect the new UNICEF/WHO thresholds to define anaemia. RESULTS: Anaemia was found to be a severe public health problem (defined as .40% anaemic) in five African countries for children aged 7±11 years and in four of the same countries for children aged 12±14 years. Anaemia was not a public health problem in the children studied in the two Asian countries. More boys than girls were anaemic, and children who enrolled late in school were more likely to be anaemic than children who enrolled closer to the correct age. The implications of the four new thresholds defining anaemia for school-age children are examined. CONCLUSIONS: Anaemia is a significant problem in schoolchildren in sub-Saharan Africa. School-based health services which provide treatments for simple conditions that cause blood loss, such as worms, followed by...
Hall, Andrew, Emily Bobrow, Simon Brooker, Matthew Jukes, Kate Nokes, Jane Lambo, Helen Guyatt, Don Bundy, Sam Adjei, Su-Tung Wen, Satoto, Hertanto Subagio, Mohammed Zen Rafiluddin, Ted Miguel, Sylvie Moulin, Joseph de Graft Johnson, Mary Mukaka, Nathalie Roschnik, Moussa Sacko, Anna Zacher, Bonifacio Mahumane, Charles Kihamia, Lillian Mwanri, Simon Tatala, Nicholas Lwambo, Julius Siza, Le Nguyen Bao Khanh, Ha Huy Khoi, and Nguyen Duy Toan. 2001. "Anaemia in Schoolchildren in Eight Countries in Africa and Asia." Public Health Nutrition 4(3): 749-756.
Data from 46 schools in western Kenya were used to investigate the performance of school-based questionnaires, on reported blood in stool and water-contact patterns, as indicators of the prevalence of human infection with Schistosoma mansoni. Prevalence of infection was associated with the prevalence of self-reported blood in stool, recent history of swimming and recent history of fishing. It was shown that use of a threshold of 30% of subjects reporting blood in stool would identify 42.9% of the `high-prevalence’ schools (i.e. prevalence ≥ 50%) and 87.5% of the `low-prevalence’ schools (i.e. prevalence < 50%). A threshold of 25% reporting swimming would identify 57.1% and 93.7% of the high- and low-prevalence schools, respectively. Blood in stool appears to be too coarse an indicator to identify schools for mass treatment correctly. Although the use of multiple questions improved the diagnostic performance of the questionnaire in identifying the high-prevalence schools, it was unclear how questions can best be combined in other settings. However, there is a direct relationship between prevalence of S. mansoni infection and distance of the school from the lakeshore; analysis indicated that use of a threshold of 5 km...
Brooker, Simon, Edward A. Miguel, Polycarp Waswa, Robert Namunyu, Sylvie Moulin, Helen Guyatt, and Donald A.P. Bundy. 2001. "The Potential of Rapid Screening Methods for Intestinal Schistosomiasis in Western Kenya." Annals of Tropical Medicine & Parasitology 95(4): 343-351.
OBJECTIVE: To describe the patterns of single and multiple helminth infection in school children from Busia District, Kenya. DESIGN: A cross-sectional school survey using a randomly selected sample, forming part of an evaluation study of an ongoing deworming project. SETTING: Budalangi and Funyula divisions of Busia District, Western Province, Kenya. SUBJECTS: One thousand seven hundred and thirty eight school children aged 8-20 years randomly selected from those enrolled in standards 3-8 in 25 randomly selected primary schools. RESULTS: Overall, 91.7% of children were infected with either hookworm, Ascaris lumbricoides, Trichuris trichiura or Schistosoma mansoni. Infection prevalence of each species varied considerably among schools, being most marked for S. mansoni, where prevalence was highest in lakeshore schools. Children were typically infected with two or more species of helminth. Infection intensity of each geohelminth species was higher in school children infected with multiple species than in school children with single species infections, and intensity increased with the number of concurrent infections. CONCLUSION: Helminth infections are exceptionally common among school children in Busia district, thus confirming the good sense of the school-based approach adopted by the control programme. The study also shows that there is an association between concurrent infection and the intensity of infection, which may have...
Brooker, Simon, Edward A. Miguel, Sylvie Moulin, Alfred I. Louba, Donald A.P. Bundy, and Michael Kremer. 2000. "Epidemiology of Single and Multiple Species of Helminth Infections Among School Children in Busia District, Kenya." East African Medical Journal 77(3): 157-161.