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The Unintended Consequences of Infrastructure Development

Antonella Bancalari
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Antonella Bancalari: Institute for Fiscal Studies

The Review of Economics and Statistics, 2026, vol. 108, issue 3, 582-596

Abstract: I investigate the social costs imposed by poor implementation of public infrastructure. Focusing on the period from 2005 to 2015 in Peru, when the government embarked on a nationwide initiative to expand sewerage systems, I leverage quasirandom variation in initiation of the implementation phase. By combining several sources of administrative data, I find that infrastructure development increased infant and under-5 mortality. These effects are driven by health and safety hazards associated with construction work, leading to increased deaths from accidents and waterborne diseases. The severity of these effects is more pronounced in areas where construction activity was more intense.

Date: 2026
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The Review of Economics and Statistics is currently edited by Pierre Azoulay, Olivier Coibion, Will Dobbie, Raymond Fisman, Benjamin R. Handel, Brian A. Jacob, Kareen Rozen, Xiaoxia Shi, Tavneet Suri and Yi Xu

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