PM10 Exposure and Cardiorespiratory Mortality - Estimating the Effects and Economic Losses in Sao Paulo, Brazil

被引:14
|
作者
Abe, Karina Camasmie [1 ]
Silva dos Santos, Gianni Mara [2 ]
Zanotti Stagliorio Coelho, Micheline de Sousa [3 ]
El Khouri Miraglia, Simone Georges [1 ]
机构
[1] Univ Fed Sao Paulo, UNIFESP, Inst Ciencias Ambientais Quim & Farmaceut, BR-09913030 Diadema, SP, Brazil
[2] Univ Fed Sao Paulo, UNIFESP, Setor Estat Aplicada, BR-04037003 Sao Paulo, SP, Brazil
[3] FMUSP, BR-01246903 Sao Paulo, SP, Brazil
关键词
Particulate matter; Air pollution; Health effects; Economic valuation; Costs; PARTICULATE AIR-POLLUTION; LIFE LOST; HEALTH IMPACTS; COSTS; POLLUTANTS; DISEASES; IRAN;
D O I
10.4209/aaqr.2018.05.0161
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Air pollution is an important health risk concern and an economic burden, notably on low- and middle-income countries. The aim of this study was to determine the mortality burden of cardiovascular and respiratory diseases, specifically, the relative risk due to air pollution and the economic valuation derived from life-years lost within the population of Sao Paulo, Brazil. This study was conducted using a retrospective Health Impact Assessment (HIA) approach via daily time series of cardiovascular and respiratory deaths for the population of Sao Paulo from 2000 to 2011. The effects of particulate matter smaller than 10 mu m (PM10) were estimated with Poisson generalized additive models. The single-day lag effects of air pollutant exposure were estimated for 0-3-day lags. Therefore, we obtained the years of life lost (YLL) through the disability-adjusted life years (DALY) method to estimate the burden of disease due to air pollution in Sao Paulo. The value of a life year (VOLY) was then applied to convert the YLL component to economic loss. The results showed an association between PM10 and cardiovascular and respiratory mortality, lagging 3 days. The YLL totaled 231,691.8 years, meaning an overall economic loss of more than US$14.1 billion. In conclusion, knowledge regarding the costs of premature deaths related to air pollution can be used to improve public policy and to facilitate decision making in the context of scarce resources.
引用
收藏
页码:3127 / 3133
页数:7
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