Effects of Environmental and Socioeconomic Inequalities on Health Outcomes: A Multi-Region Time-Series Study.

The gradual increase in temperatures and changes in relative humidity, added to the aging and socioeconomic conditions of the population, may represent problems for public health, given that future projections predict even more noticeable changes in the climate and the age pyramid, which require analyses at an appropriate spatial scale. To our knowledge, an analysis of the synergic effects of several climatic and socioeconomic conditions on hospital admissions and deaths by cardiorespiratory and mental disorders has not yet been performed in Brazil. Statistical analyses were performed using public time series (1996-2015) of daily health and meteorological data from 16 metropolitan regions (in a subtropical climate zone in South America). Health data were stratified into six groups according to gender and age ranges (40-59; 60-79; and ≥80 years old) for each region. For the regression analysis, two distributions (Poisson and binomial negative) were tested with and without zero adjustments for the complete series and percentiles. Finally, the relative risks were calculated, and the effects based on exposure-response curves were evaluated and compared among regions. The negative binomial distribution fit the data best. High temperatures and low relative humidity were the most relevant risk factors for hospitalizations for cardiovascular diseases (lag = 0), while minimum temperatures were important for respiratory diseases (lag = 2 or 3 days). Temperature extremes, both high and low, were the most important risk factors for mental illnesses at lag 0. Groups with people over 60 years old presented higher risks for cardiovascular and respiratory diseases, while this was observed for the adult group (40-59 years old) in relation to mental disorders. In general, no major differences were found in the results between men and women. However, regions with higher urbanization levels presented risks, mainly for respiratory diseases, while the same was observed for cardiovascular diseases for regions with lower levels of urbanization. The Municipal Human Development Index is an important factor for the occurrence of diseases and deaths for all regions, depending on the evaluated group, representing high risks for health outcomes (the value for hospitalization for cardiovascular diseases was 1.6713 for the female adult group in the metropolitan region Palmas, and the value for hospitalization for respiratory diseases was 1.7274 for the female adult group in the metropolitan region Campo Mourão). In general, less developed regions have less access to adequate health care and better living conditions.

Open waste burning causes fast and sharp changes in particulate concentrations in peripheral neighborhoods.

The open burning of municipal solid waste (MSW) -frequently observed in developing countries- emits harmful pollutants, including fine particulate matter (PM2.5) and black carbon (BC), and deteriorates the air quality in urban areas. This work reports on PM2.5 and BC measurements (fixed and mobile) conducted in a residential neighborhood on the outskirts of a Brazilian city (Londrina), complemented by a public opinion survey to understand the open burning in the context of waste management. Mean (± standard deviation) BC concentration (1.48 ± 1.40 µg m-3) at the fixed sites of the neighborhood was lower than downtown, while PM2.5 (9.68 ± 8.40 µg m-3) concentration was higher. The mobile monitoring showed higher mean PM2.5 concentrations but lower BC/PM2.5 ratios than downtown, with sharp and fast spikes (up to 317.87 and 565.21 µg m-3 for BC and PM2.5, respectively). The large spatial heterogeneity of particulate concentrations was associated with the occurrence of MSW burning events. Our observations were verified by the survey respondents who identified poor waste management practices: garbage in streets, waste burning, and illegal dump sites. Even though the area has a municipal waste collection service, the majority of the respondents (87%) had seen waste burning close to their homes on a weekly basis, and think that people burn waste out of habit (54%) and because they are not patient to wait for the collection services (67%). To combat this illegal practice, we suggest raising the public awareness through campaigns at local level, adopting education initiatives and economic incentives for correct waste segregation, and enforcing regular inspection of burning events by the authorities. Our research method proved to be a time- and cost-effective approach for mapping particulate concentrations and for identifying undesirable waste practices, and could be effectively applied to other global cities.

Risk assessment of temperature and air pollutants on hospitalizations for mental and behavioral disorders in Curitiba, Brazil.

BACKGROUND: Extreme ambient temperatures and air quality have been directly associated with various human diseases from several studies around the world. However, few analyses involving the association of these environmental circumstances with mental and behavioral disorders (MBD) have been carried out, especially in developing countries such as Brazil. METHODS: A time series study was carried out to explore the associations between daily air pollutants (SO2, NO2, O3, and PM10) concentrations and meteorological variables (temperature and relative humidity) on hospital admissions for mental and behavioral disorders for Curitiba, Brazil. Daily hospital admissions from 2010 to 2016 were analyzed by a semi-parametric generalized additive model (GAM) combined with a distributed lag non-linear model (DLNM). RESULTS: Significant associations between environmental conditions (10 µg/m3 increase in air pollutants and temperature °C) and hospitalizations by MBD were found. Air temperature was the environmental variable with the highest relative risk (RR) at 0-day lag for all ages and sexes analyzed, with RR values of 1.0182 (95% CI: 1.0009-1.0357) for men, and 1.0407 (95% CI: 1.0230-1.0587) for women. Ozone exposure was a risk for all women groups, being higher for the young group, with a RR of 1.0319 (95% CI: 1.0165-1.0483). Elderly from both sexes were more susceptible to temperature variability, with a RR of 1.0651 (95% CI: 1.0213-1.1117) for women, and 1.0215 (95% CI: 1.0195-1.0716) for men. CONCLUSIONS: This study suggests that temperatures above and below the thermal comfort threshold, in addition to high concentrations of air pollutants, present significant risks on hospitalizations by MBD; besides, there are physiological and age differences resulting from the effect of this exposure.

The ideal frequency of temperature data collection in compostability experiments on domestic organic residues.

One of the main analytical variable to indicate the evolution and the phases of the composting process is temperature, whose constant monitoring is fundamental for decision making. However, studies usually perform collection of temperature data with a daily frequency due to the operational difficulty in obtaining this information from manually collected samples. Thus, the aim of this study was to determine the ideal frequency of temperature data collection in composting layers. Eight composting layers containing tree prunings + domestic organic residues were installed and four temperature sensors were installed in each layer. The temperature data were collected and recorded from minute to minute by means of a datalogger developed with an Arduino board during 70 days of composting. Thus, the collected temperatures were used as a pilot sample, and therefore the ideal temperature collection rate was estimated for different estimation error limits. No significant difference was found between the different collection times according to the Kruskal-Wallis test at a significance level of 5%. Therefore, the ideal collection frequency can be determined from the error limit of temperature estimation that is acceptable to the researcher.