Exploring the Burden of PM2.5-Related Deaths and Economic Health Losses in Beijing.

Air pollution is one of the major global public health challenges. Using annual fine particulate matter (PM2.5) concentration data from 2016 to 2021, along with the global exposure mortality model (GEMM), we estimated the multi-year PM2.5-pollution-related deaths divided by different age groups and diseases. Then, using the VSL (value of statistical life) method, we assessed corresponding economic losses and values. The number of deaths attributed to PM2.5 in Beijing in 2021 fell by 33.74 percent from 2016, while health economic losses would increase by USD 4.4 billion as per capita disposable income increases year by year. In 2021, the average annual concentration of PM2.5 in half of Beijing's municipal administrative districts is less than China's secondary ambient air quality standard (35 µg/m3), but it can still cause 48,969 deaths and corresponding health and economic losses of USD 16.31 billion, equivalent to 7.9 percent of Beijing's GDP. Therefore, it is suggested that more stringent local air quality standards should be designated to protect public health in Beijing.

Cashing in: cost-benefit analysis framework for digital hospitals.

BACKGROUND: For many countries, especially those outside the USA without incentive payments, implementing and maintaining electronic medical records (EMR) is expensive and can be controversial given the large amounts of investment. Evaluating the value of EMR implementation is necessary to understand whether or not, such investment, especially when it comes from the public source, is an efficient allocation of healthcare resources. Nonetheless, most countries have struggled to measure the return on EMR investment due to the lack of appropriate evaluation frameworks. METHODS: This paper outlines the development of an evidence-based digital health cost-benefit analysis (eHealth-CBA) framework to calculate the total economic value of the EMR implementation over time. A net positive benefit indicates such investment represents improved efficiency, and a net negative is considered a wasteful use of public resources. RESULTS: We developed a three-stage process that takes into account the complexity of the healthcare system and its stakeholders, the investment appraisal and evaluation practice, and the existing knowledge of EMR implementation. The three stages include (1) literature review, (2) stakeholder consultation, and (3) CBA framework development. The framework maps the impacts of the EMR to the quadruple aim of healthcare and clearly creates a method for value assessment. CONCLUSIONS: The proposed framework is the first step toward developing a comprehensive evaluation framework for EMRs to inform health decision-makers about the economic value of digital investments rather than just the financial value.

Estimating the Allocation of the Economic Value Generated by Utilization of All-Oral Direct-Acting Antivirals for Hepatitis C in the United States, 2015 to 2019.

OBJECTIVES: Between 2013 to 2019, several all-oral direct-acting antivirals (DAAs) were launched with the potential to cure patients with hepatitis C virus (HCV). They generated economic value in terms of the health gains for patients and cost-savings for the US healthcare system. We estimated the share of this value allocated to 4 manufacturers vs society. METHODS: For 2015 to 2019, we estimated the incremental impact of DAAs on HCV health outcomes and costs. We used the Center for Disease Analysis Foundation Polaris Observatory database to estimate utilization. Per-patient projections of lifetime quality-adjusted life-years (QALYs) gained and medical costs avoided were based on a standard 9-state HCV disease-progression model for DAA treatment vs alternatives. Annual QALY gains were valued at $114 000 per QALY. Outcomes and costs were discounted at 3%. Estimated revenues were based on reported sales. RESULTS: An estimated 1 080 000 patients received DAAs: 81.5% would not have received the pre-DAA standard of care. On average, these patients were projected to gain 4.4 QALYs and save $104 400 in lifetime healthcare costs, generating $531.8 billion in value. Those who would have received treatment gained 1.7 QALYs and saved $41 500 in lifetime costs, generating $47.4 billion in economic value. As treatment costs fell nearly 75%, the 4 manufacturers reported $37.4 billion from DAA sales-an allocation of 6.5% of the total value. CONCLUSIONS: The significant majority (∼90%) of the economic value of curing HCV with DAAs were health benefits to patients and net cost-savings to society. DAA manufacturers received a minority share (6.5%) of the aggregate economic value generated.

Cost-effectiveness of mepolizumab for severe eosinophilic asthma in China.

OBJECTIVE: To evaluate the economic value of mepolizumab as an add-on therapy to the standard of care (SoC) for patients with severe eosinophilic asthma in China. METHODS: A Markov model with three health conditions was constructed to calculate the incremental cost per quality-adjusted life year (QALY) in mepolizumab with SoC and SoC only groups from the perspective of the Chinese healthcare system throughout an entire lifespan. The model was populated with local costs, while efficacy parameters were obtained from the global Phase III MENSA trial and mortality was derived from two surveys. One-way and probabilistic sensitivity analyses were conducted. Additional scenario analysis was used to estimate the cost-effectiveness impact of changes in the price of mepolizumab. RESULTS: Over the lifetime treatment horizon, the incremental cost-effectiveness ratio (ICER) of mepolizumab plus SoC compared to SoC alone was $170 648.73 per QALY. Sensitivity analyses focused on these results. Scenario analysis showed that mepolizumab would require a price reduction of at least 82% to reach the current willingness-to-pay (WTP=$38 223.34/QALY) threshold. CONCLUSION: Mepolizumab is not a cost-effective healthcare resource in China at its current pricing.

A study on the quantity, type, economic value and reasons for pharmaceutical waste returned to pharmacies in Finland.

INTRODUCTION: Some medicines purchased are not used, resulting in pharmaceutical waste. Finland, among many other countries, is seeking to reduce the amount of pharmaceutical waste, but little information on this is currently available. This study aimed to evaluate the quantity, type, economic value, and reasons for returning pharmaceutical waste from households to community pharmacies in Finland. METHODS: Community pharmacies (n = 82) quantified and qualified the amount of pharmaceutical waste returned to them over three days in May 2022. The data was collected using an electronic form. The reasons for returning medicines were asked from customers who returned medicines using a paper questionnaire. The data was analyzed for frequencies and percentages. To estimate the economic value, we used the Finnish medicines prices at the end of June 2022. The annual economic value was calculated by means of a pharmacy size-weighted average. The confidence intervals were estimated using the non-parametric bootstrap method. Sensitivity analyses were conducted to examine the reliability of the results. RESULTS: In total, 5173 medicines were returned to pharmacies, of which 66 % were prescription medicines. The most common medicines group returned were medicines for nervous system (18 %), respiratory system (16 %), and alimentary tract and metabolism (12 %). The estimated annual economic value of the medicines returned was 81 million euros (CI 95 % M€61-M€103), of which the cost to society was 43 million euros (CI 95 % M€30-M€60). 799 customers responded to the questionnaire (Response rate 81.9 %). The limited shelf life of the medicine after opening (36 %), improvement of the medical condition or symptom (25 %), and the unnecessarily large pack size (22 %) were common reasons for returning. CONCLUSION: A considerable amount of pharmaceutical waste is returned to pharmacies, causing unnecessary costs to both individuals and society, indicating the need to reduce waste. The limited shelf life and large pack sizes of medicines account for a large proportion of causes for household pharmaceutical waste. Reducing pharmaceutical waste requires action from all actors in the pharmaceutical chain.

Evaluation of the green economic value added index in the game of enterprise capital providers.

This study explores the performance evaluation of steel enterprises, emphasizing the importance of green environmental performance. Based on the review of the current situation of green investment research, economic added value evaluation system, and game analysis of enterprise capital providers, this study discusses the comprehensive evaluation of games among enterprise capital providers from the perspective of green economic added value. It constructs a game model of capital providers from the perspective of green investment. This model is based on the probability of creditors making green bond investments and shareholders pledging equity, deriving game results, and using economic added value returns to measure enterprise performance. The main data in this study are from the CSMAR database, a corporate governance project, and the relevant environmental protection data from Nangang's annual report. The results show that the green economic added value return rate is higher than the traditional economic added value return rate, indicating that environmental investments do not reduce the operational performance of enterprises. The game of capital providers leans towards equity investment and does not enhance enterprise performance at the expense of the environment. The green economic added value index only reflects past operational performance, based on which enterprises can design reasonable performance evaluation mechanisms, encouraging capital providers to favor environmental investments. This study has important theoretical and practical significance, guiding enterprises' strategic choices during green transformation.

Approximating the global economic (market) value of farmed animals.

Understanding the global economic importance of farmed animals to society is essential as a baseline for decision making about future food systems. We estimated the annual global economic (market) value of live animals and primary production outputs, e.g., meat, eggs, milk, from terrestrial and aquatic farmed animal systems. The results suggest that the total global market value of farmed animals ranges between 1.61 and 3.3 trillion USD (2018) and is expected to be similar in absolute terms to the market value of crop outputs (2.57 trillion USD). The cattle sector dominates the market value of farmed animals. The study highlights the need to consider other values of farmed animals to society, e.g., finance/insurance value and cultural value, in decisions about the sector's future.

Mining-induced changes in ecosystem services value and implications of their economic and relational cost in a mining landscape, Ghana.

The surge in mining operations to meet the global demand for mineral resources adversely impacts ecosystem services and dependent households, but the issue barely attracts attention. This study evaluated the dynamics of mining-induced changes in the value of ecosystem services (ES) and the consequent economic and relational cost to rural households in the Ahafo region of Ghana. Face-to-face structured interviews with 200 householders were conducted in three mining communities. We determined relational values in the landscape through focus group discussion and the economic cost of the ecosystem services lost by applying replacement and contingency cost estimations. Old-growth forests, degraded forests, teak plantations, cultivated land, wetlands, and grassland were ecosystems identified in the mining landscape. The most valued ecosystem was old-growth forest, while the least was grassland. Provisioning service was the most valued ES, while supporting service was the least. Provisioning ES was rated the most impacted by the mine, whereas cultural services were the least affected. Mining activities caused a significant loss of 14 ecosystem services (including crops, livestock, capture fisheries, wild food, bush meat, biomass fuel, and freshwater) that were of priority to the communities. The affected households experienced relatively high monthly economic costs, approximating $300 per household, from the loss of priority ecosystem services. Canonical correspondence analysis revealed connections between ecosystem services valuation and the socio-demographic characteristics of the respondents. There was a perceived mine-adverse effect on the relational values of the people relating to cultural identity, sovereignty, symbolic value, security, subsistence and livelihood, sense of place, social cohesion, social memory, female emotional/mental health, and womanhood training opportunities. Actors in the mining industry should consider policies and management interventions that will limit ecosystem services loss, widely ascertain ecosystem benefits, and comprehensively mitigate the impact of their loss on households.

Economic values of reproductive and growth traits in Chinese Yiling sheep.

This study aimed to calculate the economic value (EV) of reproductive and growth traits for Yiling sheep. A bio-economic model was developed to assess the economic value of litter size (LS), litter size at weaning (LSW), age at first lambing (AFL), lambing interval (LI), birth weight (BW), weaning weight (WW), and 6-month body weight (6MW). The sensitivity of the economic value of traits to changes in market prices was also analyzed. In this study, the trait with the highest EV was LSW (427.97 ¥), followed by LS (419.96 ¥), BW (52.13 ¥), 6MW (14.46 ¥), WW (11.03 ¥), AFL (-0.51 ¥), and LI (-9.09 ¥). LS was the most important trait in the production system with a relative economic weight of 22.81%, followed by 6MW and LSW with relative economic weights of 18.98% and 19.01%, respectively. All traits assessed, except AFL and LI, had positive economic values, indicating that genetic improvement of these traits would have a positive impact on profitability. The results of the sensitivity analysis showed that the economic value of AFL was not sensitive to price changes. All growth traits were unaffected by price changes in labor and medical costs. In addition, the LS, LSW, LI, WW, and 6MW were sensitive to changes in liveweight and feed prices. Generally, as feed prices increased, the economic value of all traits except LI and BW decreased. Except for LI and BW, the economic value of all traits increased due to the rise in liveweight prices. This suggested that liveweight and feed prices significantly affect the profitability of the production system.

The Economic Value of Antimicrobial Use in Livestock Production.

(1) Introduction: Antimicrobial agents have played an important role in improving the productivity of worldwide livestock production by reducing the impact of livestock diseases. However, a major drawback of antimicrobial use is the emergence of antimicrobial-resistant pathogens in food-producing animals. To reduce the use of antimicrobials, it is important to know the economic value of the use of antimicrobials and factors that determine that economic value. (2) Results: A theoretical framework was developed to assess the economic value of antimicrobial use. Three situations were distinguished: firstly, a baseline model for a farm with a conventional production system; secondly, an extension of the baseline model that includes the impact of production system improvements; and thirdly, an extension of the baseline model that includes the impacts of risk and risk attitude. This framework shows that the economic value of antimicrobial use is negatively affected by the price of productive inputs and damage-abatement inputs, and positively affected by the output price, the input-output combination, the damage abatement effect, risk aversion and variance in profit. (3) Conclusions: The theoretical framework presented in this study shows that there are several factors that (can) affect the economic value of antimicrobial use. The knowledge about the effect of these factors can be utilized to affect the economic value of antimicrobials and, consequently, affect antimicrobial use.

Prospects of recycling from end-of-life of Li-ion batteries on alleviating materials demand-supply gap in new electric vehicles in Asia.

The acceptance of battery electric vehicles (BEVs) is continuously increasing to mitigate CO2 emissions, resulting in an increase in the future material demand for LIBs. Therefore, the proper handling of End-of-life (EOL) BEV batteries requires careful attention to mitigate the supply chain issues for future LIBs materials, especially in Asia. A system dynamics model assessment was performed to evaluate the EOL of LIBs by considering the dynamic lifespan, recovery rate, and economic value under three growth rate scenarios in Asia from 2022 to 2030, depending on the battery chemistry over time. We find that comparing three different scenarios to materials demand, the result showed that materials demand for LIBs is greater in higher scenarios as compared with lower and reference scenarios. Moreover, in the low scenario, the nickel demand and recovery from end-of-life LIBs BEVs will achieve 244.0 and 43.28 kt in 2030. Based on the dynamic economic evaluation, an overall, higher potential economic value of all materials would achieve around 1471 million USD in 2030 in the low scenario. This study manifested that recycling LIBs materials has enormous economic potential and would be a step towards economic sustainability, especially in Asia in the near future.

Economic costs of the invasive Yellow-legged hornet on honey bees.

Biological invasions have ecological impacts worldwide with potential massive economic costs. Among other ecosystem services such as nitrogen cycle, carbon sequestration and primary production, invasive alien species are particularly known to impact pollination. By predating honey bees (Apis mellifera), the invasive Yellow-legged hornet (Vespa velutina nigrithorax) increases the mortality risk of European bee colonies; however, little is known about its economic costs. We developed an analytic process combining large-scale field data, niche modelling techniques and agent-based models to spatially assess the ecological and economic impacts of the Yellow-legged hornet on honey bees and beekeeping in France. In particular, we estimated (i) the hornet-related risk of bee colony mortality, (ii) the economic cost of colony loss for beekeepers and (iii) the economic impact of livestock replacement compared to honey revenues at regional and national scales. We estimated an overall density of 1.08 hornet nest/km2 in France, based on the field record of 1260 nests over a searched area of 28,348 km2. However, this predator density was heterogeneously spread out across the country as well as the distribution of managed honey bee colonies. Overall, this hornet-related risk of bee colony mortality could reach up to 29.2 % of the beekeepers' livestock at national scale each year in high predation scenario. This national cost could reach as much as € 30.8 million per year due to colony loss, which represents for beekeepers an economic impact of livestock replacement of 26.6 % of honey revenues. Our results suggest non-negligible ecological and economic impacts of the invasive Yellow-legged hornet on honey bees and beekeeping activities. Moreover, this study meets the urgent need for more numerous and accurate economic estimations, necessary to calculate the impact of biological invasions on biodiversity and human goods, with a view to enhance policies of biodiversity conservation.

Exploring total economic values in an emerging urban circular wastewater system.

Circular water management has the potential to close resource and material loops within and across value chains. In the water industry, circular municipal wastewater management through industrial urban symbiosis (IUS) is recognized as a solution to overcome water scarcity in urban environments. IUS involves collaboration between actors with different organizational backgrounds, which can lead to inherent risks of conflicting goals. This study explores how different values drive various organizations to participate in an emerging circular wastewater collaboration. The study comprises a literature review of 34 scientific articles and a case study of a potential circular wastewater system through IUS in Simrishamn, Sweden. It presents an interdisciplinary framework based on the total economic value concept and organizational archetypes for examining actor values in circular wastewater management. This framework provides a novel approach for assessing different values and how they may compete or align. It can also identify the absence of certain values, enabling the achievement of a minimum level of value coherence amongst different actors, and thereby increasing the sustainability and effectiveness of circular wastewater collaborations. Therefore, careful planning and stakeholder interaction, in accordance with economic value perspectives, can enhance the legitimacy and policy development of circular solutions.

Valorization of Wild Edible Plants as Food Ingredients and Their Economic Value.

(1) Background: Wild Edible Plants (WEPs) are plants that grow without human help, by simply using the available resources. These types of plants are undervalued, because there is a lack of knowledge about their bioactive composition and nutritional/functional potential. (2) Scope and Approach: The main aim of this review is to fully identify the potential uses and importance of WEPs in certain regions based on (i) their sustainability, because they grow with their own resources, (ii) their content of bioactive compounds and consequently nutritional and functional value, (iii) their socio-economic relevance, and (iv) their ability to be useful in the agri-food industry in the short term. (3) Results: This review found evidence that a consumption of between 100 and 200 g of some of these WEPs can cover up to 50% of the recommended daily intake of proteins and fiber, being also a natural source of macro- and micro-minerals. Regarding their bioactive composition, most of these plants contain phenolic compounds and flavonoids, which determine their antioxidant capacity. (4) Conclusions: These reported results clearly demonstrate the high potential of the WEPs from a nutritional, economic and social point of view; although further studies are needed to gather deeper scientific information about their potential role in the socio-economic sustainability of specific groups of farmers worldwide.

The Economic Value of Health Benefits Associated with Urban Park Investment.

The allocation of resources towards the development and enhancement of urban parks offers an effective strategy for promoting and improving the health and well-being of urban populations. Investments in urban parks can result in a multitude of health benefits. The increased usage of greenspace by park users has been linked to positive physical and mental health outcomes. Additionally, the expansion of greenspace in urban areas can mitigate harmful impacts from air pollutants, heat, noise, and climate-related health risks. While the health benefits attributed to urban parks and greenspaces are well documented, few studies have measured the economic value of these benefits. This study applied a novel ecohealth economic valuation framework to quantify and estimate the potential economic value of health benefits attributed to the development of a proposed park in the downtown core of Peterborough, Canada. The results indicated that development of the small urban park will result in annual benefits of CAD 133,000 per year, including CAD 109,877 in the avoided economic burden of physical inactivity, CAD 23,084 in health savings associated with improved mental health, and CAD 127 in health savings attributed to better air quality. When including the economic value of higher life satisfaction, the economic benefit is more than CAD 4 million per year. The study demonstrates the value of developing and enhancing urban parks as a strategy to improve population health and well-being, and as a means of cost savings to the medical system.

The Economic Value of Water Ecology in Sponge City Construction Based on a Ternary Interactive System.

Ecological water resources occupy a vital position in the national economy; without sufficient ecological water resources, the construction and economic development of sponge cities would be seriously restricted. Appropriately, the Chinese government proposed that sponge city planning should be carried out in accordance with the number of available ecological water resources. The government therefore put forward the method of conservation and intensification to solve the problem of water shortage. This paper highlights the interactions between ecological water resources, sponge cities, and economic development in northern China, starting with the interaction and mechanism of action that concerns ecological water resource utilization, sponge cities, and economic development. In the empirical test, the dynamic changes of the three indicators were analyzed empirically using the panel data vector autoregression method, and the dynamic relationship of each factor was measured using generalized moment estimation. It was found that ecological water resources are a key factor in promoting regional economic development, and the relationship between ecological water resources and sponge cities is both supportive and constraining; therefore, the constraints that ecological water resources place on sponge cities also indirectly affects economic development. To disconnect the use of water and ecological resources from economic development, it is necessary to note the following: the feedback effect of economic development and the resolution of the contradiction between sponge cities, water, and ecological resource use.

Economic value and characteristics of cloud pharmacy for children based on internet hospital in western China during the COVID-19 pandemic: Cross-sectional survey study.

Background: Online health care services have been encouraged by the Chinese government in recent years, and the COVID-19 pandemic catalyzed the rapid growing of internet hospitals. As an integral part of online health care services, little is known about the economic value and characteristics of cloud pharmacy especially for children. This study aimed to reveal the economic value and comprehensive characteristics of pediatric cloud pharmacy during the COVID-19 pandemic in a tertiary children's hospital in western China. Methods: A total of 33,254 online prescriptions over the course of February 2020 through December 2021 were analyzed with respect to the user profiles, diseases, consulting behaviors, distribution of departments, delivery region and distance, drug information and degree of satisfaction. The cost savings for patients calculated lost wages and the high-speed railway fees for transport to and from hospital. Results: A total of 33,254 prescriptions, including 56,216 drugs were delivered to 27 provinces and municipalities of China. The internet cloud pharmacy saved a total of more than RMB 11.17 million in financial costs for patients. Of the 33,254 delivered prescriptions, 50.40% were sent to Chongqing Province, the top 5 provinces for out-of-province prescription deliveries were Sichuan (37.77%), Guizhou (8.00%), Yunnan (1.18%), Hubei (0.66%) and Guangdong (0.42%). In terms of department distribution, neurology (31.7%), respiratory (15.0%) and endocrinology (14.6%) were the top three departments. Epilepsy (16.2%), precocious puberty (10.3%) and asthma (8.7%) were the top three frequently consulted diseases. The peak times of day for online prescriptions occurred at 9 AM and 8 PM. 99.67% of users gave full marks for their internet counseling. Conclusion: The pediatric cloud pharmacy is efficient, cost-saving and convenient for children with chronic disease or mild symptoms during the COVID-19 pandemic. The widespread use of this pediatric cloud pharmacy can help alleviating pressure on offline hospitals and facilitated people's lives beyond geographical and time-related limitations. Further efforts are needed to be made to improve the quality and acceptance of pediatric cloud pharmacy, as well as to regulate and standardize the management of this novel online health care service.

Valuing live births from assisted reproduction: A health economics viewpoint.

Infertility is a medical condition that can be overcome, thanks to advances in medically assisted reproductive (MAR) therapies. Despite the ultimate measure of MAR efficacy being the birth of a new human being, there are ethical and methodological questions as to which outcome best translates the value of MAR in cost-effectiveness analyses. Many authors favour cost per life birth outcomes instead of more traditional cost per quality-adjusted life years (QALYs), which raises generalizability issues for decision-makers. Nonetheless, infertility and infertility treatments substantially differ from other health conditions and health treatments, particularly in the way they affect the quality of life of the infertile couple. Collecting quality of life measures in infertility and pregnancy is also surrounded by challenges not easily overcome. We reflect on cost-effectiveness methods applied to MAR technologies, on ethical considerations for valuing a MAR-generated life, and on its broader societal value for consideration by decision-makers.

Population, biomass, and economic value of small ruminants in Ethiopia.

Ethiopia has a large population of small ruminants (sheep and goats) which are mostly kept in traditional subsistence production systems that are poorly described. Understanding these different systems, their population structure, biomass, production, and economic value is essential for further analysis and effective policy making. The objective of this study was to quantify these parameters for small ruminant production systems in Ethiopia to use them as a basis for analysis of disease burden within the Global Burden of Animal Diseases program. Population structure and trends of small ruminants were analyzed using data from ten annual national agriculture surveys. A stochastic herd model was used to simulate the small ruminant population, biomass, and economic value. The model was parameterised stochastically using data from statistical databases and the literature, and sensitivity analysis of main model outputs to the stochastic inputs was done. Small ruminants are held across the country mainly managed under two major production systems: the crop-livestock mixed system and the pastoral system. The small ruminant population has grown in the past 10 years with an average annual growth rate of 4.6% for sheep and 6.7% for goats. The national average small ruminant population for 2021 was projected at 96.4 (range 95.3-97.7) million heads and the mean stock biomass was about 2,129 (range 1,680-2,686) million kilograms. The monetary value of the small ruminant population was estimated at USD 5,953 (range 4,369-7,765) million. The annual monetary value of small ruminant production outputs was estimated at USD 1,969 (range 1,245-2,857) million. Although the small ruminant population is large and rapidly growing, contributing about 2% of national annual GDP, the sub-sector is characterized by low productivity, low offtake rates, and a limited range of production outputs with no signs of intensification. Efforts should be made to reduce small ruminant mortality, improve fertility, and better utilize products such as milk to improve the livelihoods of rural households and to benefit the national economy. The approaches developed in this study can be replicated in other systems and countries to reveal trends in the size and value of livestock systems, providing a better understanding of its economic importance and performance.

Leveraging the Contribution of Volunteers: The Critical Role and Economic Value of Volunteers in Older Americans Act Programs.

The United States is facing a surge in the aging population, which will increase the demand for services and supports that allow older adults to age independently. This study assessed the size and value of the volunteer labor force in two home- and community-based programs funded under the Older Americans Act (OAA). Using publicly available program data for fiscal years 2015-2019, we calculated the annual contribution of volunteers, based on the total number of volunteer hours and share of labor effort, and estimated the economic value of volunteers in these OAA programs. In fiscal year 2019, volunteers contributed a total value of $1.7 billion in the OAA Title III program and $14.0 million in the Title VII long-term care ombudsman program. These results highlight the value of volunteers in OAA programs and the need for policies to support volunteers in the aging services network.