Relationship between preterm birth and air pollution in Santos, Sao Paulo, Brazil

Abstract Santos is a seaboard Brazilian city recognized by its port activity where the road and rail infrastructure along with the large transportation operation, displays an important factor to contribute with all kinds of toxic and air pollutants. Recent studies have suggested associations between air pollution and various birth outcomes. Pollutant gases such as NOx, O3 and particulate matter PM2,5, PM10 have been cited as factors involved in such outcomes. The present study aims to assess the relationship between atmospheric pollutants and perinatal outcomes in the city of Santos from Jan. 2012 to Dec. 2015. Cross-sectional study that analyzed 10.319 singleton births in an area set with 2 km radius of the monitoring stations. Birth weight and information on mother and pregnancy were obtained at the Brazilian “Born Alive National Information System”. Daily records of air pollutants (PM10, PM2.5, NO2 and O3), temperature and relative air humidity, for the study period, were obtained from São Paulo State Environmental Agency (CETESB). Associations between preterm birth and air pollutants mean levels at each gestational trimester were investigated using multiple logistic regression model controlled by the variables: infant sex, type of delivery, maternal education. prenatal care, and number of previous live births, temperature and relative air humidity. NO2 e PM2,5 was not associated with preterm birth. O3 was significantly associated in the first trimester in the fourth quartile (OR = 1,47 CI 95% 1,05; 2,07). PM10 was significantly associated in the first trimester for the fourth quartile (OR = 1,28 CI 95% 1,00; 1,64), second trimester for the second quartile (OR = 1,37 CI 95% 1,07; 1,77). Conclusions the results shows evidence that maternal exposure to air pollution especially during the first trimester of pregnancy may contribute to preterm birth. Further actions are needed towards controlling air pollution are strongly recommended for promoting early-life health. Key messages This is the first research of this kind that was made in Santos. It brings important evidence of the impact in the life of the population, especially those whose is not even born yet. It can be used as a resource to guide public policies in health, especially the guidelines that dictate the concentration of air pollutants and air quality.

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THE IMPACT OF DIFFERENT URBAN LAND USE TYPES ON AIR POLLUTION IN THE MEGACITY OF SÃO PAULO

Revista Presença Geográfica ◽

10.36026/rpgeo.v7i1.5366 ◽

2020 ◽

Vol 7 (1) ◽

pp. 91

Author(s):

Júlio Barboza Chiquetto ◽

Maria Elisa Siqueira Silva ◽

Rita Yuri Ynoue ◽

Flávia Noronha Dutra Ribieiro ◽

Débora Souza Alvim ◽

...

Keyword(s):

Land Use ◽

Air Pollution ◽

Urban Land ◽

Sao Paulo ◽

Urban Land Use ◽

São Paulo ◽

Land Use Types ◽

The Impact

A poluição do ar é influenciada por fatores naturais e antropogênicos. Quatro pontos de monitoramento (veicular, comercial, residencial e background urbano (BGU))da poluição do ar em São Paulo foram avaliados durante 16 anos, revelando diferenças significativas devidoao uso do solo em todas as escalas temporais. Na escala diurna, as concentrações de poluentes primários são duas vezes mais altas nos pontos veicular e residencial do que no ponto BGU, onde a concentração de ozonio (O3) é 50% mais alta. Na escala sazonal, as concentrações de monóxido de carbono(CO) variaram em 80% devido ao uso do solo, e 55% pela sazonalidade.As variações sazonais ede uso do solo exercem impactos similares nas concentrações de O3 e monóxido de nitrogênio (NO). Para o material particulado grosso (MP10) e o dióxido de nitrogênio(NO2), as variações sazonais são mais intensas do que as por uso do solo. Na série temporal de 16 anos, o ponto BGU apresentou correlações mais fortes e significativas entre a média mensal de ondas longas (ROL) e o O3 (0,48) e o MP10 (0,37), comparadas ao ponto veicular (0,33 e 0,22, respectivamente). Estes resultados confirmam que o uso do solo urbano tem um papel significativo na concentração de poluentes em todas as escalas de análise, embora a sua influência se torne menos pronunciada em escalas maiores, conforme a qualidade do ar transita de um sistema antropogênico para um sistema natural. Isto poderá auxiliar decisões sobre políticas públicas em megacidades envolvendo a modificação do uso do solo.

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Socioeconomic inequalities and exposure to traffic-related air pollution in the city of São Paulo, Brazil

Cadernos de Saúde Pública ◽

10.1590/0102-311x00168412 ◽

2014 ◽

Vol 30 (1) ◽

pp. 119-125 ◽

Cited By ~ 9

Author(s):

Mateus Habermann ◽

Míriam Souza ◽

Rogério Prado ◽

Nelson Gouveia

Keyword(s):

Air Pollution ◽

Socioeconomic Status ◽

Air Pollutants ◽

Epidemiological Studies ◽

Sao Paulo ◽

Health Concern ◽

Traffic Density ◽

São Paulo ◽

The Relationship ◽

The City

Air pollution is a leading public health concern. In addition, poor populations have been reported as showing increased exposure to such pollution. The current study thus aimed to evaluate the socioeconomic status of the population exposed to vehicle-related air pollution in the city of São Paulo, Brazil. The study used data from the 2010 Census on head-of-household’s mean monthly income and the percentage of households connected to the sewage system. Exposure to air pollutants was estimated according to traffic density in the census tract plus a 200m surrounding buffer. The relationship between exposure and socioeconomic variables was analyzed by the Kruskal-Wallis test. Exposure increased with increasing socioeconomic status (p < 0.001). The population with the highest socioeconomic status lives in the most polluted areas of the city. However, place of residence alone is not capable of measuring exposure. The study suggests that future epidemiological studies include other indicators of vulnerability.

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Anomalous scales of Tillandsia usneoides (L.) L. (Bromeliaceae) exposed in the Metropolitan Region of Campinas, SP, Brazil as air pollution markers

Hoehnea ◽

10.1590/2236-8906-18/rad/2015 ◽

2015 ◽

Vol 42 (4) ◽

pp. 749-757 ◽

Cited By ~ 4

Author(s):

Patrícia Giampaoli ◽

Natalie do Valle Capelli ◽

Armando Reis Tavares ◽

Francine Faia Fernandes ◽

Marisa Domingos ◽

...

Keyword(s):

Air Pollution ◽

Air Pollutants ◽

Sao Paulo ◽

Initial Evaluation ◽

Metropolitan Region ◽

São Paulo ◽

Paulo State ◽

Tillandsia Usneoides ◽

São Paulo State

Tillandsia usneoides is an epiphytic bromeliad that has been used as a universal bioindicator. The species accumulates metals and presents foliar scale variations when exposed to air pollutants. This study aimed to use the variations in foliar scales as microscopic markers of pollutant effects in the Metropolitan Region of Campinas (MRC), São Paulo State, Brazil. T. usneoides plants were exposed for 12 weeks during dry and wet seasons, totaling four exposures, at five sites in the MRC. Samples were selected before each exposure for initial evaluation of the plants (T0). Leaf fragments were fixed in glutaraldehyde and total scale density and anomalous scale percentage were evaluated. Plants exposed in the MRC showed anomalies and changes in number of subperipheral cells of leaf scales. When compared to T0, T. usneoides presented higher total scale density and anomalous scale percentage at disturbed sites, thus the species can be used as a pollution bioindicator for MRC.

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Association between particulate matter air pollution and monthly inhalation and nebulization procedures in Ribeirão Preto, São Paulo State, Brazil

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2012000800017 ◽

2012 ◽

Vol 28 (8) ◽

pp. 1591-1598 ◽

Cited By ~ 10

Author(s):

Estela Cristina Carneseca ◽

Jorge Alberto Achcar ◽

Edson Zangiacomi Martinez

Keyword(s):

Air Pollution ◽

Particulate Matter ◽

Sao Paulo ◽

Respiratory Morbidity ◽

São Paulo ◽

Random Factor ◽

Paulo State ◽

São Paulo State ◽

The Impact ◽

The Relationship

The study was designed to investigate the impact of air pollution on monthly inhalation/nebulization procedures in Ribeirão Preto, São Paulo State, Brazil, from 2004 to 2010. To assess the relationship between the procedures and particulate matter (PM10) a Bayesian Poisson regression model was used, including a random factor that captured extra-Poisson variability between counts. Particulate matter was associated with the monthly number of inhalation/nebulization procedures, but the inclusion of covariates (temperature, precipitation, and season of the year) suggests a possible confounding effect. Although other studies have linked particulate matter to an increasing number of visits due to respiratory morbidity, the results of this study suggest that such associations should be interpreted with caution.

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The effects of air pollution on cardiovascular diseases: lag structures

Revista de Saúde Pública ◽

10.1590/s0034-89102006000500018 ◽

2006 ◽

Vol 40 (4) ◽

pp. 677-683 ◽

Cited By ~ 27

Author(s):

Lourdes Conceição Martins ◽

Luiz A A Pereira ◽

Chin A Lin ◽

Ubiratan P Santos ◽

Gildeoni Prioli ◽

...

Keyword(s):

Air Pollution ◽

Cardiovascular Diseases ◽

Air Pollutants ◽

Hospital Admissions ◽

Sao Paulo ◽

Southeastern Brazil ◽

Female Group ◽

São Paulo ◽

Distributed Lag ◽

Gender Groups

OBJECTIVE: To assess the lag structure between air pollution exposure and elderly cardiovascular diseases hospital admissions, by gender. METHODS: Health data of people aged 64 years or older was stratified by gender in São Paulo city, Southeastern Brazil, from 1996 to 2001. Daily levels of air pollutants (CO, PM10, O3, NO2, and SO2) , minimum temperature, and relative humidity were also analyzed. It were fitted generalized additive Poisson regressions and used constrained distributed lag models adjusted for long time trend, weekdays, weather and holidays to assess the lagged effects of air pollutants on hospital admissions up to 20 days after exposure. RESULTS: Interquartile range increases in PM10 (26.21 mug/m³) and SO2 (10.73 mug/m³) were associated with 3.17% (95% CI: 2.09-4.25) increase in congestive heart failure and 0.89% (95% CI: 0.18-1.61) increase in total cardiovascular diseases at lag 0, respectively. Effects were higher among female group for most of the analyzed outcomes. Effects of air pollutants for different outcomes and gender groups were predominately acute and some "harvesting" were found. CONLUSIONS: The results show that cardiovascular diseases in São Paulo are strongly affected by air pollution.

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Atmospheric effects of air pollution during dry and wet periods in São Paulo

Environmental Science: Atmospheres ◽

10.1039/d1ea00080b ◽

2022 ◽

Author(s):

Sergio Ibarra-Espinosa ◽

Gyrlene Aparecida Mendes da Silva ◽

Amanda Rehbein ◽

Angel Vara-Vela ◽

Edmilson Dias Dias de Freitas

Keyword(s):

Air Pollution ◽

Developing Countries ◽

Air Pollutants ◽

Sao Paulo ◽

The State ◽

Atmospheric Effects ◽

São Paulo ◽

High Concentrations

Air pollutants reach high concentrations in developing countries, such as Brazil. The state of São Paulo is the economic and demographic center of Brazil and presents high levels of urbanization,...

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Individual exposure to urban air pollution and its correlation with placental angiogenic markers in the first trimester of pregnancy, in São Paulo, Brazil

Environmental Science and Pollution Research ◽

10.1007/s11356-021-12353-7 ◽

2021 ◽

Author(s):

Karen Hettfleisch ◽

Mariana Azevedo Carvalho ◽

Mara Sandra Hoshida ◽

Luciana Duzolina Manfré Pastro ◽

Silvia Regina Dias Medici Saldiva ◽

...

Keyword(s):

Air Pollution ◽

Urban Air Pollution ◽

First Trimester ◽

Sao Paulo ◽

Urban Air ◽

São Paulo ◽

Individual Exposure ◽

First Trimester Of Pregnancy ◽

Angiogenic Markers

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Modelling the impact of delaying vaccination against SARS-CoV-2 assuming unlimited vaccine supply

Theoretical Biology and Medical Modelling ◽

10.1186/s12976-021-00143-0 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Marcos Amaku ◽

Dimas Tadeu Covas ◽

Francisco Antonio Bezerra Coutinho ◽

Raymundo Soares Azevedo ◽

Eduardo Massad

Keyword(s):

Mathematical Model ◽

Vaccination Campaign ◽

Vaccination Rate ◽

Sao Paulo ◽

The State ◽

São Paulo ◽

Health Authorities ◽

The World ◽

The Moment ◽

The Impact

Abstract Background At the moment we have more than 177 million cases and 3.8 million deaths (as of June 2021) around the world and vaccination represents the only hope to control the pandemic. Imperfections in planning vaccine acquisition and difficulties in implementing distribution among the population, however, have hampered the control of the virus so far. Methods We propose a new mathematical model to estimate the impact of vaccination delay against the 2019 coronavirus disease (COVID-19) on the number of cases and deaths due to the disease in Brazil. We apply the model to Brazil as a whole and to the State of Sao Paulo, the most affected by COVID-19 in Brazil. We simulated the model for the populations of the State of Sao Paulo and Brazil as a whole, varying the scenarios related to vaccine efficacy and compliance from the populations. Results The model projects that, in the absence of vaccination, almost 170 thousand deaths and more than 350 thousand deaths will occur by the end of 2021 for Sao Paulo and Brazil, respectively. If in contrast, Sao Paulo and Brazil had enough vaccine supply and so started a vaccination campaign in January with the maximum vaccination rate, compliance and efficacy, they could have averted more than 112 thousand deaths and 127 thousand deaths, respectively. In addition, for each month of delay the number of deaths increases monotonically in a logarithmic fashion, for both the State of Sao Paulo and Brazil as a whole. Conclusions Our model shows that the current delay in the vaccination schedules that is observed in many countries has serious consequences in terms of mortality by the disease and should serve as an alert to health authorities to speed the process up such that the highest number of people to be immunized is reached in the shortest period of time.

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The modification effect of temperature on the relationship between air pollutants and daily incidence of influenza in Ningbo, China

Respiratory Research ◽

10.1186/s12931-021-01744-6 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Rui Zhang ◽

Yujie Meng ◽

Hejia Song ◽

Ran Niu ◽

Yu Wang ◽

...

Keyword(s):

Air Pollution ◽

High Temperature ◽

Air Pollutants ◽

Meteorological Data ◽

Effect Of Temperature ◽

Distributed Lag ◽

Modification Effect ◽

Incidence Risk ◽

The Impact ◽

The Relationship

Abstract Background Although exposure to air pollution has been linked to many health issues, few studies have quantified the modification effect of temperature on the relationship between air pollutants and daily incidence of influenza in Ningbo, China. Methods The data of daily incidence of influenza and the relevant meteorological data and air pollution data in Ningbo from 2014 to 2017 were retrieved. Low, medium and high temperature layers were stratified by the daily mean temperature with 25th and 75th percentiles. The potential modification effect of temperature on the relationship between air pollutants and daily incidence of influenza in Ningbo was investigated through analyzing the effects of air pollutants stratified by temperature stratum using distributed lag non-linear model (DLNM). Stratified analysis by sex and age were also conducted. Results Overall, a 10 μg/m3 increment of O3, PM2.5, PM10 and NO2 could increase the incidence risk of influenza with the cumulative relative risk of 1.028 (95% CI 1.007, 1.050), 1.061 (95% CI 1.004, 1.122), 1.043 (95% CI 1.003, 1.085), and 1.118 (95% CI 1.028, 1.216), respectively. Male and aged 7–17 years were more sensitive to air pollutants. Through the temperature stratification analysis, we found that temperature could modify the impacts of air pollution on daily incidence of influenza with high temperature exacerbating the impact of air pollutants. At high temperature layer, male and the groups aged 0–6 years and 18–64 years were more sensitive to air pollution. Conclusion Temperature modified the relationship between air pollution and daily incidence of influenza and high temperature would exacerbate the effects of air pollutants in Ningbo.

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The Impact of COVID-19 on Urban Agriculture in São Paulo, Brazil

Sustainability ◽

10.3390/su13116185 ◽

2021 ◽

Vol 13 (11) ◽

pp. 6185

Author(s):

André Ruoppolo Biazoti ◽

Angélica Campos Nakamura ◽

Gustavo Nagib ◽

Vitória Oliveira Pereira de Souza Leão ◽

Giulia Giacchè ◽

...

Keyword(s):

Urban Agriculture ◽

Technical Assistance ◽

Community Gardens ◽

Sao Paulo ◽

Food Chains ◽

São Paulo ◽

Sales Channels ◽

Paulo State ◽

The Impact ◽

The City

During the initial months of the COVID-19 pandemic, farmers worldwide were greatly affected by disruptions in the food chain. In 2020, São Paulo city experienced most of the effects of the pandemic in Brazil, with 15,587 deaths through December 2020. Here, we describe the impacts of COVID-19 on urban agriculture (UA) in São Paulo from April to August 2020. We analyzed two governmental surveys of 2100 farmers from São Paulo state and 148 from São Paulo city and two qualitative surveys of volunteers from ten community gardens and seven urban farmers. Our data showed that 50% of the farmers were impacted by the pandemic with drops in sales, especially those that depended on intermediaries. Some farmers in the city adapted to novel sales channels, but 22% claimed that obtaining inputs became difficult. No municipal support was provided to UA in São Paulo, and pre-existing issues were exacerbated. Work on community gardens decreased, but no garden permanently closed. Post COVID-19, UA will have the challenge of maintaining local food chains established during the pandemic. Due to the increase in the price of inputs and the lack of technical assistance, governmental efforts should be implemented to support UA.

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