Post-COVID-19 health inequalities: Estimates of the potential loss in the evolution of the health-related SDGs indicators.

This study delves into the global evolution of 43 Sustainable Development Goals (SDG) indicators, spanning 7 major health themes across 185 countries to evaluate the potential progress loss due to the COVID-19 pandemic. Both the cross-country and temporal variability of the dataset are employed to estimate an empirical model based on an extended version of the Preston curve, which links well-being to income levels and other key socioeconomic health determinants. The approach reveals significant global evolution trends operating in each SDG indicator assessed. We extrapolate the model yearly between 2020 and 2030 using the IMF's pre-COVID-19 economic growth projections to show how each country in the dataset are expected to evolve in these health topics throughout the decade, assuming no other external shocks. The results of this baseline scenario are contrasted with a post-COVID-19 scenario, where most of the pandemic costs were already known. The study reveals that economic growth losses are, on average, estimated as 42% and 28% for low- and lower middle-income countries, and of 15% and 7% in high- and upper middle-income countries, respectively, according to the IMF's projections. These disproportional figures are shown to exacerbate global health inequalities revealed by the curves. The expected progress loss in infectious diseases in low-income countries, for instance, is an average of 34%, against a mean of 6% in high-income countries. The theme of Infectious diseases is followed by injuries and violence; maternal and reproductive health; health systems coverage; and neonatal and infant health as those with worse performance. Low-income countries can expect an average progress loss of 16% across all health indicators assessed, whereas in high-income countries the estimated loss is as low as 3%. The disparity across countries is even more pronounced, with cases where the estimated progress loss is as high as nine times worse than the average loss of 8%. Conversely, countries with greater fiscal capacity are likely to fare much better under the circumstances, despite their worse death count, in many cases. Overall, these findings support the critical importance of integrating the fight against inequalities into the global development agendas.

Tropical forests are approaching critical temperature thresholds.

The critical temperature beyond which photosynthetic machinery in tropical trees begins to fail averages approximately 46.7 °C (Tcrit)1. However, it remains unclear whether leaf temperatures experienced by tropical vegetation approach this threshold or soon will under climate change. Here we found that pantropical canopy temperatures independently triangulated from individual leaf thermocouples, pyrgeometers and remote sensing (ECOSTRESS) have midday peak temperatures of approximately 34 °C during dry periods, with a long high-temperature tail that can exceed 40 °C. Leaf thermocouple data from multiple sites across the tropics suggest that even within pixels of moderate temperatures, upper canopy leaves exceed Tcrit 0.01% of the time. Furthermore, upper canopy leaf warming experiments (+2, 3 and 4 °C in Brazil, Puerto Rico and Australia, respectively) increased leaf temperatures non-linearly, with peak leaf temperatures exceeding Tcrit 1.3% of the time (11% for more than 43.5 °C, and 0.3% for more than 49.9 °C). Using an empirical model incorporating these dynamics (validated with warming experiment data), we found that tropical forests can withstand up to a 3.9 ± 0.5 °C increase in air temperatures before a potential tipping point in metabolic function, but remaining uncertainty in the plasticity and range of Tcrit in tropical trees and the effect of leaf death on tree death could drastically change this prediction. The 4.0 °C estimate is within the 'worst-case scenario' (representative concentration pathway (RCP) 8.5) of climate change predictions2 for tropical forests and therefore it is still within our power to decide (for example, by not taking the RCP 6.0 or 8.5 route) the fate of these critical realms of carbon, water and biodiversity3,4.

Produtos de origem animal: condições e desafios da fiscalização sanitária brasileira na agenda do desenvolvimento sustentável / Products of animal origin: conditions and challenges of Brazilian sanitary inspection in the sustainable development agenda

Erradicar a fome, proteger o planeta e melhorar a vida humana são metas da Organização das Nações Unidas em meio à campanha dos Objetivos do Desenvolvimento Sustentável (ODS) para o ano de 2030. Nesse sentido, as cadeias de produtos de origem animal (POA) estão em um ponto crítico de discussão, relacionado à produção de alimentos sanitariamente seguros, socialmente justos e que envolvam processos sustentáveis. Sob essa ótica, este trabalho propõe uma revisão narrativa multidisciplinar quanto à Fiscalização e Inspeção Sanitária de POA na vertente do desenvolvimento sustentável. O arcabouço básico legal, regulamentar e normativo brasileiro é levantado quanto aos seguintes assuntos: segurança alimentar e nutricional, fiscalização e inspeção sanitária de POA, política agrícola, produção orgânica, produtos com identificação geográfica, produtos artesanais, alimentação de povos tradicionais indígenas e agricultura de pequeno porte e familiar. Tais bases são discutidas na literatura, sendo apresentadas iniciativas públicas e privadas na temática. Por fim, o trabalho se debruça sobre as dificuldades e soluções para a capilaridade da Inspeção Sanitária Oficial de POA na imensidão quantitativa de municípios brasileiros envolvidos na agricultura de pequeno porte, além de levantar e discutir questões, tais como crédito, assistência técnica e acesso a mercados, apresentando a perspectiva, fora das grandes escalas, de um dos maiores países produtores de carne do mundo, o Brasil.

The eradication of hunger, the protection of the planet, and the improvement of human being lives are goals of the United Nations in the 2030 Sustainable Development Goals (SDGs) campaign. In this sense, the chains of products of animal origin (PAO) are at a critical point of discussion, related to food safety, socially fair products, and sustainable processes. Under this perspective, this paper proposes a multidisciplinary narrative review of PAO inspection and sustainable development. The Brazilian basic legal, regulatory, and normative framework is raised on the following subjects: food and nutritional security, Sanitary Inspection of PAO, agricultural policy, organic production, products with Geographical Identification, artisanal products, traditional indigenous people feed, and small farming and family farmers. Such bases are discussed in the literature, and public and private initiatives on the subject are presented. In the end, the article focuses on the difficulties and solutions for the capillarity of the Official Sanitary Inspection of PAO through the large number of Brazilian municipalities involved in small farming. Moreover, issues such as credit, technical assistance, and market access are also discussed, presenting the perspective, outside the large production scales, of Brazil, one of the major meat producer countries in the world.

Impacto de la Maestría de Cirugía de Mínimo Acceso en los Objetivos de Desarrollo Sostenible / Impact of the Master's Degree Course in Minimal Access Surgery on Sustainable Development Goals

Introducción: El Programa de Maestría en Cirugía de Mínimo Acceso responde a necesidades sociales y perspectivas del Sistema Nacional de Salud. Los resultados de sus investigaciones impactan en los Objetivos de Desarrollo Sostenible No. 3 Salud y bienestar y No. 4 Educación de calidad. Objetivo: Exponer cómo la Maestría en Cirugía de Mínimo Acceso impacta en el desarrollo sostenible, a partir de las investigaciones realizadas. Métodos: Se realizó una investigación cualitativa y retrospectiva en el Centro Nacional de Cirugía de Mínimo Acceso. La técnica de investigación empleada fue el análisis documental y bibliográfico, con la revisión de los informes de las tesis finales de maestría y de la autoevaluación del programa, en sus dos primeras ediciones (2015 y 2018), según el Sistema de Evaluación y Acreditación de Maestrías. Resultados: El Programa contó con 30 egresados, cuyas investigaciones abordaron el tratamiento laparoscópico del cáncer entre otros temas. Asimismo, la producción científica en la Edición 02 resultó de 100 publicaciones, 159 reconocimientos sociales relevantes y la edición de 3 libros. Conclusiones: La investigación y la creación de conocimiento e innovación en el Programa de Maestría en Cirugía de Mínimo Acceso han permitido fomentar soluciones de desarrollo sostenible en esta área del conocimiento. La producción científica y la socialización de los resultados obtenidos en eventos nacionales e internacionales propician su implementación en el Sistema Nacional de Salud. De esta forma, los resultados de investigación del programa contribuyen al logro de los Objetivos de Desarrollo Sostenible(AU)

Introduction:The program of the Master's degree in Minimal Access Surgery responds to social needs and perspectives of the national health system. The results of its research have an impact on Sustainable Development Goals 3, "Good health and well-being, and 4, Quality education. Objective: To present how the Master's Degree Course in Minimal Access Surgery impacts on sustainable development, upon the base of the researches conducted. Methods: A qualitative and retrospective research was carried out at the National Center for Minimal Access Surgery. The research technique used was the document and bibliographic analysis, with the review of the reports of the final master's theses and the self-evaluation of the program, in its first two editions (2015 and 2018), according to the Evaluation and Accreditation System for Master's Degree Programs. Results: The program had 30 graduates, whose researches addressed, among other topics, the laparoscopic treatment of cancer. Also, the scientific production in the Edition 02 turned out to be one hundred publications, 159 relevant social recognitions, and the edition of three books. Conclusions: Research and the creation of knowledge and innovation in the Master's Degree Program in Minimal Access Surgery have allowed fostering sustainable development solutions in this area of knowledge. The scientific production and the socialization of the results obtained in national and international events favor their implementation in the national health system. Thus, the research results of the program contribute to the achievement of the Sustainable Development Goals(AU)

EBP-Colombia and the bioeconomy: Genomics in the service of biodiversity conservation and sustainable development.

The 2016 Peace Agreement has increased access to Colombia's unique ecosystems, which remain understudied and increasingly under threat. The Colombian government has recently announced its National Bioeconomic Strategy (NBS), founded on the sustainable characterization, management, and conservation of the nation's biodiversity as a means to achieve sustainability and peace. Molecular tools will accelerate such endeavors, but capacity remains limited in Colombia. The Earth Biogenome Project's (EBP) objective is to characterize the genomes of all eukaryotic life on Earth through networks of partner institutions focused on sequencing either specific taxa or eukaryotic communities at regional or national scales. Colombia's immense biodiversity and emerging network of stakeholders have inspired the creation of the national partnership "EBP-Colombia." Here, we discuss how this Colombian-driven collaboration between government, academia, and the private sector is integrating research with sustainable, environmentally focused strategies to develop Colombia's postconflict bioeconomy and conserve biological and cultural diversity. EBP-Colombia will accelerate the uptake of technology and promote partnership and exchange of knowledge among Colombian stakeholders and the EBP's global network of experts; assist with conservation strategies to preserve Colombia's vast biological wealth; and promote innovative approaches among public and private institutions in sectors such as agriculture, tourism, recycling, and medicine. EBP-Colombia can thus support Colombia's NBS with the objective of sustainable and inclusive development to address the many social, environmental, and economic challenges, including conflict, inequality, poverty, and low agricultural productivity, and so, offer an alternative model for economic development that similarly placed countries can adopt.

Sustainability of carrot-cowpea intercropping systems through optimization of green manuring and spatial arrangements / Sustentabilidade de sistemas consorciados de cenoura e feijão-caupi por meio da otimização da adubação verde e arranjos espaciais

One of the biggest challenges in intercropping of two or more crops is to maintain their productivity as that of their sole counterparts. In order to obtain sustainable intercropping systems in a semi-arid environment, this study evaluated the agro-economic advantage and sustainability of intercropped systems of carrot and cowpea, optimizing the green manuring and spatial arrangements. Experiments were conducted in the period from July to October 2017 and 2018, using a randomized complete block design with the treatments arranged in a 4 x 3 factorial scheme, with four replications. Treatments included four amounts of M. aegyptia incorporated into the soil (20, 35, 50, and 65 t ha-1 on dry basis) with three spatial arrangements (2:2, 3:3, and 4:4) between the components cultures formed from cowpea rows alternated with carrot rows. The agro-economic advantage indices evaluated in the intercropping systems were: land equivalent ratio (LER), area-time equivalent ratio (ATER), score of the canonical variable (Z), actual yield loss (AYL), intercropping advantage (IA), gross income (GI), net income (NI), rate of return (RR), and profit margin (PM). The highest agro-economic advantages of the carrot and cowpea intercropping were obtained for LER, ATER, NI, and RR of 2.60, 4.16, US$ 8,720.99 ha-1, and US$ 2.21, respectively, for M. aegyptia biomass amounts of 46.42, 47.82, 32.60 and 31.51t ha-1 added to the soil. The 2: 2 spatial arrangement was the one with the best productive performance, with higher net income and rate of return in the intercropping of carrot-cowpea.(AU)

Um dos maiores desafios no consórcio de duas ou mais culturas é manter sua produtividade como a de suas únicas contrapartes. Com o objetivo de obter sistemas de consórcio sustentáveis ​​em ambiente semiárido, este estudo avaliou vantagem agroeconômica e a sustentabilidade de sistemas consorciados de cenoura e feijão-caupi, otimizando a adubação verde e os arranjos espaciais. Experimentos foram conduzidos no período de julho a outubro de 2017 e 2018, em delineamento de blocos ao acaso, com os tratamentos dispostos em esquema fatorial 4 x 3, com quatro repetições. Os tratamentos incluíram quatro quantidades de M. aegyptia incorporadas ao solo (20, 35, 50 e 65 t ha-1 em base seca) com três arranjos espaciais (2: 2, 3: 3 e 4: 4) entre as culturas componentes formadas a partir de fileiras de feijão-caupi alternadas com fileiras de cenoura. Os índices de vantagem agroeconômica avaliados nos sistemas de consorciação foram: índice de uso eficiente da terra (UET), razão de área equivalente no tempo (RAET), escore da variável canônica (Z), perda de rendimento real (PRR), vantagem do consórcio (VC), renda bruta (RB), renda líquida (RL), taxa de retorno (TR) e margem de lucro (ML). As maiores vantagens agroeconômicas do consórcio de cenoura e feijão-caupi foram obtidas para UET, RAET, RL e TR de 2,60, 4,16, US$ 8.720,99 ha-1 e US$ 2,21, respectivamente, para as quantidades de biomassa de M. aegyptia de 46,42, 47,82, 32,60 e 31,51 t ha-1, adicionadas ao solo. O arranjo espacial 2: 2 foi o de melhor desempenho produtivo, com maior receita líquida e taxa de retorno no consórcio entre feijão-caupi e cenoura.(AU)

Entrelaces entre a saúde, sustentabilidade e meio ambiente / Interlaces among health, sustainability and environment / Entrelaces entre la salud, sustentabilidad y medio ambiente

Objetivo: Conhecer o que vem sendo descrito sobre a saúde, sustentabilidade e meio ambiente. Métodos: Revisão integrativa realizada de março a abril de 2019. Os termos: saúde, sustentabilidade e meio ambiente. Os filtros: ser editado nos últimos 5 anos; estar relacionado com a conservação de recursos naturais; estar disponibilizado na íntegra e ser artigo científico. Análise utilizada foi de conteúdo, orientada por Bardim. Resultados: Foram selecionados 13 artigos, com seu conteúdo organizado nas categorias: Abrangência da saúde, que retrata a multiplicidade de fatores que interferem na saúde. Olhando para a sustentabilidade, que traz a perspectiva do desenvolvimento social a partir da reutilização dos recursos. E, Questões que influenciam o meio ambiente, apresentando o indivíduo como parte da natureza. Conclusão: Foi demostrando a importância de cada tema, a ligação natural dos mesmos, e como se cuidando de um, automaticamente se tem o reflexo nos outros

Objective:This research aims at knowing what has been described about health, sustainability and environment. Method:This integrative review was conducted from March to April 2019. The terms selected according the DeCS: health, sustainability and environment. The filters used are the following: have been edited in the last 5 years; have been related with the conservation of natural resources; have been available entirely and have been scientific article. Results: It has been found 13 articles, been its content organized in the following categories: Range of health, which describes the multiplicity of factors that interfere in health. Looking at the sustainability, which brings the perspective of social development from the reutilization of the resources. In addition, Issues which influence the environment, presenting the individual as part of nature. Conclusion: The results have allowed the constitution of a framework of knowledge about health, sustainability and environment

Objetivo: conocer lo que viene siendo descripto sobre la salud, sustentabilidad y medio ambiente. Métodos: Esta revisión integrativa fue realizada de marzo a abril de 2019. Los términos seleccionados conforme el DeCS: salud, sustentabilidad y medio ambiente. Los filtros utilizados: ser editado en los últimos 5 años; estar relacionado con la conservación de recursos naturales; estar disponible en la íntegra y ser artículo científico. Resultados: Fueron encontrados 13 artículos, siendo su contenido organizado en las categorías: Inclusión de la salud, que retrata la multiplicidad de factores que interfieren en la salud. Mirando hacia la sustentabilidad, que trae la perspectiva del desarrollo social a partir de la reutilización de los recursos. Y, cuestiones que influencian el medio ambiente, presentando el individuo como parte de la naturaleza.

Necesidad de una formación ambiental en la carrera de medicina / The need for environment-related training in the medical major

El deterioro del medio ambiente es un hecho indiscutible. Se llama a la comunidad internacional, a los Gobiernos y pueblos a frenar el daño causado y a colaborar con la recuperación. No obstante, el perjuicio resulta cada vez mayor. Diversos problemas naturales destruyen la Tierra, también los causados por el ser humano, como el cambio climático y la contaminación, cuyas nefastas consecuencias generan y agravan los problemas de salud vegetal, animal y humana. El cambio climático influye en el comportamiento de enfermedades transmisibles y no transmisibles. La contaminación, a través de contaminantes ambientales, como los disruptores endocrinos, pueden conllevar a la aparición de enfermedades crónicas. A pesar de que estas condiciones afectan al medio ambiente y en particular al hombre, no existe una verdadera conciencia ambiental, por lo que cabe preguntarse: ¿por qué persiste esta situación a pesar de los esfuerzos realizados y de la divulgación de esta problemática no solo en Cuba sino también a nivel mundial? Los insuficientes conocimientos de la temática ambiental y su no interiorización influyen en la falta de conciencia, por eso es imprescindible impartirlos en la carrera de medicina para lograr una verdadera formación en esta esfera, que contribuya con el desarrollo de una conciencia ambiental en la población, pues una de las funciones del médico es educar. Cuba tiene potencialidades que le permiten enfrentar los problemas ambientales que atentan contra el desarrollo socioeconómico, en general, y contra la vida, en particular, para así poder lograr un desarrollo humano sostenible(AU)

Environmental degradation is an indisputable fact. The international community, governments and peoples are called upon to stop the damage caused and to collaborate with its recovery. However, the damage is increasing. Various natural problems destroy the Earth; also those caused by humans, such as climate change and pollution, whose dire consequences generate and aggravate plant health, animal health and human health problems. Climate change influences the behavior of communicable and non-communicable diseases. Pollution, through environmental pollutants, such as endocrine disruptors, can lead to the appearance of chronic diseases. Despite the fact that these conditions affect the environment and the human being in particular, there is no true environmental awareness, so it is worth asking: Why does this situation persist despite efforts made and the disclosure of this problem not only in Cuba but also worldwide? Insufficient knowledge about environmental issues and its lack of internalization influence the lack of awareness; that is why, it is essential to teach them in the medical major, in order to achieve real training in this area, which contributes to the development of environmental awareness among the population, because one of the functions of the physician is to educate. Cuba has potential resources that allows to face environmental problems that threaten socioeconomic development, in general, and against life, in particular, in order to achieve sustainable human development(AU)

Lack of Safe Drinking Water for Lake Chapala Basin Communities in Mexico Inhibits Progress toward Sustainable Development Goals 3 and 6.

BACKGROUND: Access to safe, affordable and accessible drinking water is a human right and foundational to the third and sixth World Health Organization's Sustainable Development Goals (SDGs). Unsafe drinking water is a risk factor for chronic and enteric diseases. Both chronic kidney disease (CKD) and diarrheal disease are highly prevalent in the Lake Chapala basin, Jalisco, Mexico, suggesting disparities in factors leading to successful achievement of these two SDGs. METHODS: This study aimed to assess progress towards SDG three and six in the Lake Chapala basin. Qualitative, quantitative, and geospatial data were collected between May and August of 2019 from three towns within the municipalities of Poncitlán and Chapala. RESULTS: Ninety-nine households participated in this study. Water sampling analyses determined 81.18% of samples from water jugs (garrafones) and 70.05% of samples from tap water were contaminated with total coliform bacteria, often including E. coli. Additionally, 32% of garrafón samples and 61.9% of tap water samples had detectable levels of arsenic. Approximately 97.94% of respondents stated that they believe clean water is a human right, but 78.57% feel the Mexican government does not do enough to make this a reality. CONCLUSIONS: This mixed methods approach highlights water quality as a serious issue in communities around Lake Chapala, and demonstrates inadequate drinking water as a key hazard, potentially perpetuating the high disease burden of both CKD and enteric disease in the region.

Monitoring the progress of health-related sustainable development goals (SDGs) in Brazilian states using the Global Burden of Disease indicators.

BACKGROUND: Measuring the Global Burden of Disease (GBD) has been the key to verifying the evolution of health indicators worldwide. We analyse subnational GBD data for Brazil in order to monitor the performance of the Brazilian states in the last 28 years on their progress towards meeting the health-related SDGs. METHODS: As part of the GBD study, we assessed the 41 health-related indicators from the SDGs in Brazil at the subnational level for all the 26 Brazilian states and the Federal District from 1990 to 2017. The GBD group has rescaled all worldwide indicators from 0 to 100, assuming that for each one of them, the worst value among all countries and overtime is 0, and the best is 100. They also estimate the overall health-related SDG index as a function of all previously estimated health indicators and the SDI index (Socio-Demographic Index) as a function of per capita income, average schooling in the population aged 15 years or over, and total fertility rate under the age of 25 (TFU25). RESULTS: From 1990 to 2017, most subnational health-related SDGs, the SDG and SDI indexes improved considerable in most Brazilian states. The observed differences in SDG indicators within Brazilian states, including HIV incidence and health worker density, increased over time. In 2017, health-related indicators that achieved good results globally included the prevalence of child wasting, NTD, household air pollution, conflict mortality, skilled birth attendance, use of modern contraceptive methods, vaccine coverage, and health worker density, but poor results were observed for child overweight and homicide rates. The high rates of overweight, alcohol consumption, and smoking prevalence found in the historically richest regions (i.e., the South and Southeast), contrast with the high rates of tuberculosis, maternal, neonatal, and under-5 mortality and WASH-related mortality found in the poorer regions (i.e., the North and Northeast). CONCLUSIONS: The majority of Brazil's health-related SDG indicators have substantially improved over the past 28 years. However, inequalities in health among the Brazilian states and regions remain noticeable negatively affecting the Brazilian population, which can contribute to Brazil not achieving the SDG 2030 targets.

Relatório luz da Agenda 2030 de desenvolvimento sustentável: síntese III / Relatório Luz / Spotlight report on the 2030 sustainable development agenda: synthesis III Brazil

O Grupo de Trabalho da Sociedade Civil para a Agenda 2030, GTSC A2030, foi formalizado em setembro de 2014 e é resultado do encontro entre organizações não governamentais, movimentos sociais, fóruns e fundações brasileiras durante o seguimento das negociações da Agenda pós-2015. Desde então, atua na difusão, promoção e monitoramento da Agenda 2030, assim como da Agenda de Ação de Adis Abeba, em âmbito local, nacional e internacional.

This summary version of the Civil Society Spotlight Report indicates the magnitude of Brazil's challenges, whose policies to promote equality, and access to social and environmental justice have been losing status, budget, or have been simply eliminated in the last six months. It shows a rapid dismantling of strategic programs to achieve the Sustainable Development Goals, permeated by scandals in the three levels of power, fuelled by ultra-liberal, elitist, and ineffective policies that deepen the social-economic crisis which, in turn, is used to justify environmental degradation and social aggression. The federal government ignores laws and evidence, insisting on simplistic and misguided solutions to complex challenges, including by reorienting the foreign policy to the point of alienating historic geopolitical allies. The data presented here is from official sources, revealing a trend toward increasing inequalities and violence, which, if not reversed, will make Brazil an unsustainable country by 2030.

Mortality by road traffic accidents in adolescents and young people, Brazil, 1996-2015: will we achieve SDG 3.6? / Mortalidade por acidentes de transporte de trânsito em adolescentes e jovens, Brasil, 1996-2015: cumpriremos o ODS 3.6?

This paper aims to analyze the main characteristics of Road Traffic Accidents (RTA) mortality in Brazil for the period 1996-2015, focusing on the 10-29 years' age group. This is a two-step study consisting of (i) a bibliographic review on the topic of traffic violence in Brazil, and (ii) a study on RTA mortality in the Mortality Information System (SIM). The former situates the state of the art of scientific production on the theme and produces the theoretical reference for the analysis of the latter. During the period, about 39,000 people died by RTA, of which about 13,200 adolescents and young people died. The country should curb mortality to somewhere around 19,500/year and, among adolescents and young people, to 6,500/year to achieve SDG 3.6. With the establishment of the Brazilian Traffic Code (CTB), RTA mortality rate fell between 1997 and 2000. The rate increased in the subsequent decade. The focus on adolescents and young people help us understand that, in the post-CTB and Prohibition, male black and brown motorcyclists became the main victims. The literature provides data analysis and shows that reduction is currently submitted to an articulated discussion that involves worker's health, gender, employment, urban mobility and advertising policies. Concerning SDG, this means that achieving SDG 3.6 is a process that involves interacting with policies targeting other SDGs.

O objetivo deste artigo é analisar principais características da mortalidade por ATT no Brasil, 1996-2015, com foco na faixa de 10-29 anos. Estudo com 2 etapas articuladas: (i) revisão bibliográfica sobre o tema violência no trânsito no Brasil; (ii) estudo da mortalidade por ATT no SIM. A primeira situa o estado da arte da produção científica sobre o tema e produz o referencial teórico para a análise da segunda. No período, morreram por ATT cerca de 39.000 pessoas/ano, das quais cerca de 13.200 adolescentes e jovens. Para atingir o ODS 3.6, o país deve reduzir a mortalidade para algo em torno de 19.500/ano e, entre adolescentes e jovens, para 6.500/ano. Com a instituição do CTB houve queda na taxa de mortalidade por ATT entre 1997 e 2000. A taxa aumentou na década posterior. O foco nos adolescentes e jovens ajuda a compreender: no período pós CTB e Lei Seca, motociclistas do sexo masculino, pretos e pardos tornaram-se as principais vítimas. A literatura levantada propicia a análise dos dados e demonstra que a redução passa por uma discussão articulada que envolve políticas de saúde do trabalhador, gênero, emprego, mobilidade urbana e propaganda. Em termos de ODS isto significa que atingir o ODS 3.6 é um processo que envolve a interação com políticas que visem outros ODS.