Health Impact Assessment of Air Pollution in Sao Paulo, Brazil

Epidemiological research suggests that air pollution may cause chronic diseases, as well as exacerbation of related pathologies such as cardiovascular and respiratory morbidity and mortality. This study evaluates air pollution scenarios considering a Health Impact Assessment approach in Sao Paulo, B...

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Detalhes bibliográficos
Autores: Abe, Karina Camasmie [UNIFESP], El Khouri Miraglia, Simone Georges [UNIFESP]
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/57649
Acesso em linha:http://dx.doi.org/10.3390/ijerph13070694
https://repositorio.unifesp.br/handle/11600/57649
Access Level:acceso abierto
Palavra-chave:air pollution
Health Impact Assessment
public health
ozone
particulate matter
air quality
health management
Brazil
economic costs
Descrição
Resumo:Epidemiological research suggests that air pollution may cause chronic diseases, as well as exacerbation of related pathologies such as cardiovascular and respiratory morbidity and mortality. This study evaluates air pollution scenarios considering a Health Impact Assessment approach in Sao Paulo, Brazil. We have analyzed abatement scenarios of Particulate Matter (PM) with an aerodynamic diameter <10 mu m (PM10), <2.5 mu m (PM2.5) and ozone concentrations and the health effects on respiratory and cardiovascular morbidity and mortality in the period from 2009 to 2011 through the APHEKOM tool, as well as the associated health costs. Considering World Health Organization (WHO) standards of PM2.5 (10 mu g/m(3)), Sao Paulo would avoid more than 5012 premature deaths (equivalent to 266,486 life years' gain) and save US$15.1 billion annually. If Sao Paulo could even diminish the mean of PM2.5 by 5 mu g/m(3), nearly 1724 deaths would be avoided, resulting in a gain of US$4.96 billion annually. Reduced levels of PM10, PM2.5 and ozone could save lives and an impressive amount of money in a country where economic resources are scarce. Moreover, the reduced levels of air pollution would also lower the demand for hospital care, since hospitalizations would diminish. In this sense, Brazil should urgently adopt WHO air pollution standards in order to improve the quality of life of its population.