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Steven A. Sumner, MD; Peter M. Layde, MD, MSc

JAMA. 2009;302(7):787-789.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Recent passage of the American Recovery and Reinvestment Act of 2009¹ provides significantly increased funding for renewable energy industries that are expected to increasingly supplant the traditional fossil fuel energy industries of coal, oil, and natural gas.

Although fossil fuel energy has historically been priced lower than renewable energy, hidden costs to energy production have not been fully included or internalized in the market price of fuel, thereby distorting true costs. These additional costs are known as externalities of energy. One such externality of energy is adverse effects on human health.

Human health problems associated with high carbon dioxide emissions from energy production have largely been described as resulting from air pollution; spread of vector and waterborne infectious diseases²; flood, drought, and malnutrition²; and deaths due to terrorist attacks and military intervention.³ A reduction in these problems has been . . . [Full Text of this Article]

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Author Affiliations: Department of Medicine, Duke University Medical Center, Durham, North Carolina (Dr Sumner); Injury Research Center (Drs Sumner and Layde) and Department of Population Health (Dr Layde), Medical College of Wisconsin, Milwaukee.

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