Productivity Loss Due to Deaths Caused by Cardiovascular Diseases Associated with Exposure to Air Pollutants in Sorocaba, Brazil in the Years of 2015 to 2017
Abstract
Air pollution from air pollutants has associations with causes of hospitalization. Objective is to evidence the association between exposure to pollutants 03, PM10 and NO2, on hospital deaths in the public network. The loss of productive potential of this population was analyzed with “Anos Potencias de Vida Perdidos (APVP)”. Methodology used ecological study of the time series, where the dependent variable considered was the number of hospital admissions that died: cardiovascular diseases (41 to 64 years old). The statistical approach used the Poisson Regression model with lags from 0 to 7 days. The financial costs and increases in the number of hospitalizations resulting from increases in the concentration of 10 μg in air were estimated. Coefficients were converted into relative risk of hospitalization adopting alpha = 5%. The result was 232 occurrences, not all exclusive and related to pollution. The value obtained was R$626 thousand and a cost of use of R$319 thousand reais. The APVP, was 2547 years with an associated cost of around R$56 million. Attributing loss of life associated with pollutants in the air, due to an increase of 10 μg in the air, we could avoid 20 deaths and the cost of around 3 million reais.
References
[2] Arbex, MA, et al. 2004. Queima de biomassa e efeitos sobre a saúde. Jornal Brasileiro de Pneumologia 30(2) - march/april. DOI: https://doi.org/10.1590/S1806-37132004000200015
[3] Arbex MA, et al. 2012. A poluição do ar e o sistema respiratório. J Bras Pneumol, 38(5): 643-655. DOI:https://doi.org/10.1590/S1806-37132012000500015
[4] Azevedo, VG, Sartori, S, and Campos, LMS. 2017. CO2 emissions: A quantitative analysis among the BRICS nations. Renewable and Sustainable Energy Reviews, 81: 107-115. DOI: 10.1016/j.rser.2017.07.027
[5] Bartington SE, et al. 2017. Patterns of domestic exposure to carbon monoxide and particulate matter in households using biomass fuel in Janakpur, Nepal. Environmental Pollution, 220: 38e45. DOI:10.1016/j.envpol.2016.08.074
[6] Beelen, R., Raaschou-Nielsen, O, and Stafoggia, M. 2014. Effects of long-term exposure to air pollution on natural-cause mortality: an analysis of 22 European cohorts within the multicentre ESCAPE project. Lancet, 383: 785-795. DOI: 10.1016/S0140-6736(13)62158-3
[7] Brook, R.D. and Rajagopalan, S. 2010. Particulate matter air pollution and cardiovascular disease: an update to the scientific statement from the American Heart Association. Circulation, 121: 2331–2378. DOI:https://doi.org/10.1161/CIR.0b013e3181dbece1
[8] Cançado, JED, et al. 2006. Repercussões clínicas da exposição à poluição Atmosférica. J Bras Pneumol, 32 (Supl 1): 5-11. DOI: https://doi.org/10.1590/S1806-37132006000800003
[9] Cepeda M., et al. 2017. Levels of ambient air pollution according to mode of transport: a systematic review. Lancet Public Health, 2: 23-34. DOI: 10.1016/S2468-2667(16)30021-4
[10] Cesaroni G, et al. 2013. Long-term exposure to urban air pollution and mortality in a cohort of more than a million adults in Rome. Environ Health Perspect, 121: 324–331. DOI: 10.1289/ehp.1205862
[11] Chen, J. and Li, C. 2017. A review of biomass burning: Emissions and impacts on air quality, health and climate in China. Science of the Total Environment, 579: 1000–1034. DOI:https://doi.org/10.1016/j.scitotenv.2016.11.025
[12] Cohen, A.J. and Brauer, M. 2017. Estimates and 25-year trends of the global burden of disease attributable to ambient air pollution: an analysis of data from the Global Burden of Diseases Study 2015. Lancet, 389: 1907-2018. DOI: 10.1016/S0140-6736(17)30505-6
[13] Daniels, M.J., Dominici, F., Zeger, S.L., and Samet, J.M. 2004. The National Morbidity, Mortality, and Air Pollution Study. Part III: PM10 concentration– response curves and thresholds for the 20 largest US cities. Res Rep Health Eff Inst.; 94 (Pt3): 1-21; discussion 23-30, PMID: 15457982.
[14] Dapper, S.N., Spohr, C., and Zanini, R.R. 2016. Poluição do ar como fator de risco para a saúde: uma revisão sistemática no estado de São Paulo. Estudos Avançados, 30(86), ISSN: 0103-4014, eISSN: 1806-9592.
[15] Fajersztajn, L., Veras. M. and Saldiva, P.H.N. 2016. Como as cidades podem favorecer ou dificultar a promoção da saúde de seus moradores? Estudos Avançados, 30(86). DOI: https://doi.org/10.1590/S0103-40142016.00100002
[16] Folino, F. and Buja, G. 2017. Association between air pollution and ventricular arrhythmias in high-risk patients (ARIA study): a multicentre longitudinal study. Lancet Planet Health, 1: 58-64. DOI: 10.1016/S2542-5196(17)30020-7
[17] Forouzanfar, M.H. and Lily, A. 2015. Global, regional, and national comparative risk assessment of 79 behavioral, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet, 386: 2287-2323.
[18] Furie, G.L. and Balbus, J. 2012. Global environmental health and sustainable development: the role at Rio+20. Ciência & Saúde Coletiva, 17(6): 1427-1432. DOI: doi.org/10.1590/S1413-81232012000600007
[19] Gavinier, S. and Nascimento, LFC. 2014. Air pollutants and hospital admissions due to stroke. Revista Ambiente e Água, Taubaté, 9(3): 390-401. DOI: doi.org/10.4136/ambi-agua.1318
[20] Gioda, A. and Aquino Neto, FR. 2003. Poluição química relacionada ao ar de interiores no Brasil. Quim. Nova, 26(3): 359-365. DOI: doi.org/10.1590/S0100-40422003000300013
[21] Guo, Y., et al. 2009. The association between fine particulate air pollution and hospital emergency room visits for cardiovascular diseases in Beijing, China. Sci Total Environ., 407(17): 4826-30. DOI:10.1016/j.scitotenv.2009.05.022
[22] Habermann, M.M. and Gouveia, APPN. 2011. Tráfego veicular como método de avaliação da exposição à poluição atmosférica nas grandes metrópoles. Rev Bras Epidemiol; 14: 120-130. DOI:https://doi.org/10.1590/S1415-790X2011000100011
[23] Halonen, J.I., et al. 2009. Particulate air pollution and acute cardiorespiratory hospital admissions and mortality among the elderly. Epidemiology, Cambridge, 20: 143-153. DOI: 10.1097/EDE.0b013e31818c7237
[24] Hérick, T.S., et al. 2017. Health impact modelling of different travel patterns on physical activity, air pollution and road injuries for São Paulo, Brazil. Environment International, 108: 22-31. DOI:10.1016/j.envint.2017.07.009
[25] Kelly, F.J. and Fussell, J.C. 2017. Role of oxidative stress in cardiovascular disease outcomes following exposure to ambient air pollution. Free Radic Biol Med., 110: 345-367. DOI: 10.1016/j.freeradbiomed
[26] Leite, RCM, et al. 2011. Utilização de regressão logística simples na verificação da qualidade do ar atmosférico de Uberlândia. Eng Sanit Ambient, 16(1): 175-180.
[27] Machin, A.B., Nascimento, L.F., Mantovani, K. and Machin, E.B. 2019. Effects of exposure to fine particulate matter in elderly hospitalizations due to respiratory diseases in the South of the Brazilian Amazon. Brazilian Journal of Medical and Biological Research, 52(2): e8130. DOI: https://doi.org/10.1590/1414-431X20188130
[28] Mantovani, K.C.C. 2016. Estudo dos poluentes do ar em um município de médio porte por meio dos dados estimados pelo modelo CCATT BRAMS. Guaratinguetá, UNESP (doctoral thesis).
[29] Mascarenhas, M.D.M., et al. 2008. Poluição atmosférica devida à queima de biomassa florestal e atendimentos de emergência por doença respiratória em Rio Branco, Brasil - Setembro, 2005. J. Bras. Pneumol, 34(1): 42-46. DOI: doi.org/10.1590/S1806-37132008000100008
[30] Miller, G.T. 2011. Ciência ambiental. São Paulo, Cengage Learning.
[31] Moore, J.X., Akinyemijua, T. and Wang, H.E. 2017. Pollution and regional variations of lung cancer mortality in the United States. Cancer Epidemiology, 49: 118-127. DOI: 10.1016/j.canep.2017.05.013
[32] Nardocci AC, et al. 2013. Poluição do ar e doenças respiratórias e cardiovasculares: estudo de séries temporais em Cubatão, São Paulo, Brasil. Cadernos de Saúde Pública, Rio de Janeiro, 29(9): 1867-76. DOI:https://doi.org/10.1590/0102-311X00150012
[33] Nascimento, L.F.C. et al. 2004. Efeitos da poluição atmosférica na saúde infantil: um estudo ecológico no Vale do Paraíba. Revista Brasileira de Saúde Materna e Infantil, Recife, v.4, n.4, p.367-74, out./dez, ISSN 1518-8787. DOI: https://doi.org/10.1590/S0034-89102006000100013
[34] Nascimento, L.F.C. et al. 2006. Efeitos da poluição atmosférica na saúde infantil em São José dos Campos, SP. Rer Saúde Pública, 40(1): 77-82.
[35] Oliveira, B.F.A. and Ignotti, H.E.S.S. 2011. A systematic review of the physical and chemical characteristics of pollutants from biomass burning and combustion of fossil fuels and health effects in Brazil. Cad. Saúde Pública, Rio de Janeiro, 27(9):1678-1698. DOI: https://doi.org/10.1590/S0102-311X2011000900003
[36] Oudin, A. et al. 2009. Long-term exposure to air pollution and hospital admissions for ischemic stroke. A register-based case-control study using modelled NO(x) as exposure proxy. BMC Public Health, 9: 301. DOI:https://doi.org/10.1186/1471-2458-9-301
[37] Paiva, R.F.P.S. 2004. Morbidade hospitalar por doenças associadas à poluição do ar na cidade de Volta Redonda, Rio de Janeiro: casos e custo econômico. Cad. Saúde Colet., Rio de Janeiro, 22 (2): 127-32. DOI:10.1590/1414-462X201400020004
[38] Raaschou, O. et al. 2012. Traffic air pollution and mortality from cardiovascular disease and all causes: a Danish cohort study. Environ Health, 11: 60-75. DOI: 10.1186/1476-069X-11-60
[39] Samoli, E. et al. 2008. Acute effects of ambient particulate matter on mortality in Europe and North America: results from the APHENA study. Environmental Health Perpectives, Baltimore, 116(11): 1480-1486. DOI:10.1289/ehp.11345
[40] Santos, U.P. et al. 2008. Cardiac arrhythmia emergency room visits and environmental air pollution in Sao Paulo, Brazil. Jornal of Epidemiology and Community Health, 62(3): 267-272. DOI:10.1136/jech.2006.058123
[41] Stockfelt, L. et al. 2017. Long-term effects of total and source-specific particulate air pollution on incident cardiovascular disease in Gothenburg, Sweden. Environmental Research, 158: 61-71. DOI:doi.org/10.1016/j.envres.2017.05.036
[42] Tadano, Y.S., Ugaya, C.M.L. and Franco, A.T. 2009. Método de regressão de Poisson: metodologia para avaliação do impacto da poluição atmosférica na saúde populacional. Ambiente & Sociedade, XII(2): 241-255.
[43] Torricelli, A.A.M. et al. 011. Ocular surface adverse effects of ambient levels of air pollution. Arq Bras Oftalmol, 74(5): 377-82. DOI: https://doi.org/10.1590/S0004-27492011000500016
[44] Yang, T., Gbaguidi, A., Yan, P. and Zhang, W. 2017. Model elucidating the sources and formation mechanisms of severe haze pollution over Northeast mega-city cluster in China. Environmental Pollution, 230: 692-700. DOI: 10.1016/j.envpol.2017.06.007
[45] EEA Air Quality in Europe Report. EEA Report No 5/2014. European Environment Agency, Copenhagen. 2014.
[46] https://www.ibge.gov.br/government data from 2016.
[47] https://www.ibge.gov.br/government data from 2019.
[48] NRC. Research Priorities for Airborne Particulate Matter: III. Early Research Progress. National Academies Press, Washington, DC, 2001.
[49] WHO. 2014. Burden of Disease from Household Air Pollution for 2012. Summary of Results. Public Health, Social and Environmental Determinants of Health Department, World Health Organization, Geneva, Switzerland.
Copyright© 2024 The Author(s). Published by ASERS Publishing 2024. This is an open access article distributed under the terms of CC-BY 4.0 license.