scholarly journals Evaluating Atmospheric Pollutants from Urban Buses under Real-World Conditions: Implications of the Main Public Transport Mode in São Paulo, Brazil

Atmosphere ◽  
2019 ◽  
Vol 10 (3) ◽  
pp. 108 ◽  
Author(s):  
Thiago Nogueira ◽  
Pamela Dominutti ◽  
Marcelo Vieira-Filho ◽  
Adalgiza Fornaro ◽  
Maria Andrade
Keyword(s):  
Public Health ◽  
Air Quality ◽  
Public Transport ◽  
Sao Paulo ◽  
Atmospheric Pollutants ◽  
Transport Sector ◽  
São Paulo ◽  
Transport Mode ◽  
The Public ◽  
The Impact

The broad expanse of the urban metropolitan area of São Paulo (MASP) has made buses, the predominant public transport mode for commuters in the city. In 2016, the bus fleet in the MASP reached 56,354 buses and it was responsible for more than 12 million daily trips. Here, we evaluate for the first time, the emission profile of gaseous and particulate pollutants from buses running on 7% biodiesel + 93% petroleum diesel and their spatial distribution in the MASP. This novel study, based on four bus terminal experiments, provides an extensive analysis of atmospheric pollutants of interest to public health and climate changes, such as CO2, CO, NOx, VOCs, PM10, PM2.5 and their constituents (black carbon (BC) and elements). Our results suggest that the renovation of the bus fleet from Euro II to Euro V and the incorporation of electric buses had a noticeable impact (by a factor of up to three) on the CO2 emissions and caused a decrease in NO emissions, by a factor of four to five. In addition, a comparison with previous Brazilian studies, shows that the newer bus fleet in the MASP emits fewer particles. Emissions from the public transport sector have implications for public health and air quality, not only by introducing reactive pollutants into the atmosphere but also by exposing the commuters to harmful concentrations. Our findings make a relevant contribution to the understanding of emissions from diesel-powered buses and about the impact of these new vehicular technologies on the air quality in the MASP.

scholarly journals The Impact of Antipsychotic Polytherapy Costs in the Public Health Care in Sao Paulo, Brazil

PLoS ONE ◽  
2015 ◽  
Vol 10 (4) ◽  
pp. e0124791 ◽  
Author(s):  
Denise Razzouk ◽  
Monica Kayo ◽  
Aglaé Sousa ◽  
Guilherme Gregorio ◽  
Hugo Cogo-Moreira ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Sao Paulo ◽  
Public Health Care ◽  
São Paulo ◽  
The Public ◽  
The Impact

Vasectomy within the public health services in Campinas, São Paulo, Brazil

2010 ◽  
Vol 57 (2) ◽  
pp. 254-259 ◽  
Author(s):  
N.M. Marchi ◽  
A.T. De Alvarenga ◽  
M.J.D. Osis ◽  
H.M. De Aguiar Godoy ◽  
M.F. Simões e Silva Domeni ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Sao Paulo ◽  
São Paulo ◽  
Public Health Services ◽  
The Public

scholarly journals INTRODUCTION: SUSTAINING THE LIFE OF THE POLIS

Africa ◽  
2013 ◽  
Vol 83 (4) ◽  
pp. 531-538 ◽  
Author(s):  
P. Wenzel Geissler ◽  
Ann H. Kelly ◽  
John Manton ◽  
Ruth J. Prince ◽  
Noémi Tousignant
Keyword(s):  
Public Health ◽  
Urban Space ◽  
Spatial Relations ◽  
Sao Paulo ◽  
São Paulo ◽  
The Public ◽  
African Cities ◽  
State Expenditure ◽  
Social Geographies ◽  
Civic Space

How are publics of protection and care defined in African cities today? The effects of globalization and neo-liberal policies on urban space are well documented. From London to São Paulo, denationalization, privatization, offshoring and cuts in state expenditure are creating enclaves and exclusions, resulting in fragmented, stratified social geographies (see Caldeira 2000; Ong 2006; Harvey 2006; Murray 2011). ‘Networked archipelagoes’, islands connected by transnational circulations of capital, displace other spatial relations and imaginaries. Spaces of encompassment, especially, such as ‘the nation’ or simply ‘society’ as defined by inclusion within a whole, lose practical value and intellectual purchase as referents of citizenship (Gupta and Ferguson 2002; Ferguson 2005). In African cities, where humanitarian, experimental or market logics dominate the distribution of sanitation and healthcare, this fragmentation is particularly stark (see, for example, Redfield 2006, 2012; Fassin 2007; Bredeloupet al. 2008; Nguyen 2012). Privilege and crisis interrupt older contiguities, delineating spaces and times of exception. The ‘public’ of health is defined by survival or consumption, obscuring the human as bearer of civic rights and responsibilities, as inhabitants of ‘objective’ material worlds ‘common to all of us’ (Arendt 1958: 52). Is it possible, under these conditions, to enact and imagine public health as a project of citizens, animated in civic space?

scholarly journals BUCHAREST PUBLIC TRANSPORT: CHALLENGES DURING THE COVID-19 PANDEMIC

2021 ◽  
Vol 11 (S.I.2) ◽  
Author(s):  
Andreea Daniela TUDOR
Keyword(s):  
Public Transport ◽  
Public Transportation ◽  
Transport Sector ◽  
Research Database ◽  
Safety Measures ◽  
The Public ◽  
The People ◽  
To Come ◽  
Main Barrier ◽  
The Impact

The COVID-19 pandemic had and it’s still having a big impact on mobility since the end of 2018, when it started. Public transportation was already facing issues in all the big metropolitan cities where many people are in the same space at the same time. If we add the COVID-19 consequences and rules, public transit is the main barrier for community members to go back to their daily routines being safe and comfortable. This paper presents the changes in the public transport sector since COVID-19 started and aims to explore the consequences and possible alternatives to mitigate the impact of the pandemic crisis. As research method I decided to analyze and summarize numerous primary sources along with the public transport operators’ official websites. Both quantitative and qualitative data were used by doing a comprehensive research in ProQuest Central, Coronavirus Research Database, Elsevier ScienceDirect and Web of Science. The results suggest that reduction of mobility has been the first measure to slow the growth of the worldwide COVID-19 cases. However, the transport limitations don’t have the same impact for all modes of transport, public transport having one of the most considerable decline so far. In Bucharest, the public transport operators have imposed safety measures such as mask wearing, periodic cleaning, transparency and access to the information. Those aspects are important, but sometimes not sufficient to fight against the pandemic. What this research does is to come and complete the set of safety measures focusing on mitigating the spread of the SARS-CoV-2 virus and increase the safety of the people while using public transport vehicles.

scholarly journals Boletim and Arquivos: scientific communication until the creation of the Revista de Saúde Pública

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Maria Cristina da Costa Marques ◽  
Mariana de Carvalho Dolci
Keyword(s):  
Public Health ◽  
Public Health Intervention ◽  
Scientific Communication ◽  
Sao Paulo ◽  
São Paulo ◽  
The Public ◽  
National Reference ◽  
Intervention Models ◽  
The Creation ◽  
Historical References

ABSTRACT Based on historical references of scientific communication, we analyzed the issues of the Boletim do Instituto de Higiene de São Paulo and of the Arquivos da Faculdade de Higiene e Saúde Pública da Universidade de São Paulo. Published respectively from 1919 to 1946 and from 1947 to 1966, they totaled 120 issues. In their 48 years of publication, their goal was to disseminate the scientific production of the institution and to legitimize the theoretical debate of the field, in addition to supporting the public health intervention models, written by leading researchers of the institution and by contributors and managers in the field of public health. Both the Boletim and the Arquivos were recognized as scientific communication of national reference, and have laid the foundations for the creation of the Revista de Saúde Pública, in 1967.

scholarly journals Access to medication in the Public Health System and equity: populational health surveys in São Paulo, Brazil

2016 ◽  
Vol 19 (1) ◽  
pp. 26-37 ◽  
Author(s):  
Camila Nascimento Monteiro ◽  
Reinaldo José Gianini ◽  
Marilisa Berti de Azevedo Barros ◽  
Chester Luiz Galvão Cesar ◽  
Moisés Goldbaum
Keyword(s):  
Public Health ◽  
Public Sector ◽  
Health System ◽  
Socioeconomic Position ◽  
Concentration Index ◽  
Public Health System ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
The Public

ABSTRACT: Introduction: Since 2003, the access to medication has been increasing in Brazil and particularly in São Paulo. The present study aimed to analyze the access to medication obtained in the public sector and the socioeconomic differences in this access in 2003 and 2008. Also, we explored the difference in access to medication from 2003 to 2008. Method: Data were obtained from two cross-sectional population-based household surveys from São Paulo, Brazil (ISA-Capital 2003 and ISA-Capital 2008). Concentration curve and concentration index were calculated to analyze the associations between socioeconomic factors and access to medication in the public sector. Additionally, the differences between 2003 and 2008 regarding socioeconomic characteristics and access to medication were studied. Results: Access to medication was 89.55% in 2003 and 92.99% in 2008, and the proportion of access to medication did not change in the period. Access in the public sector increased from 26.40% in 2003 to 48.55% in 2008 and there was a decrease in the concentration index between 2003 and 2008 in access to medication in the public sector. Conclusions: The findings indicate an expansion of Brazilian Unified Health System (Sistema Único de Saúde ) users, with the inclusion of people of higher socioeconomic position in the public sector. As the SUS gives more support to people of lower socioeconomic position in terms of medication provision, the SUS tends to equity. Nevertheless, universal coverage for medication and equity in access to medication in the public sector are still challenges for the Brazilian public health system.

scholarly journals Investigation Route of the Coronary Patient in the Public Health System in Curitiba, São Paulo and in Incor - IMPACT Study

2014 ◽  
Author(s):  
Juliano J. Cerci ◽  
Evelinda Trindade ◽  
Rodrigo Julio Cerci ◽  
Daniel Preto ◽  
Pedro A. Lemos ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Sao Paulo ◽  
São Paulo ◽  
Impact Study ◽  
The Public ◽  
Coronary Patient

scholarly journals Expected impact of COVID-19 outbreak in a major metropolitan area in Brazil

2020 ◽  
Author(s):  
Tarcísio M. Rocha Filho ◽  
Fabiana Sherine Ganem dos Santos ◽  
Victor Bertollo Gomes ◽  
Thiago Augusto Hernandes Rocha ◽  
Julio Henrique Rosa Croda ◽  
...  
Keyword(s):  
Public Health ◽  
Older People ◽  
Metropolitan Area ◽  
Sao Paulo ◽  
World Health ◽  
São Paulo ◽  
The World ◽  
Health Organization ◽  
The Impact ◽  
The City

AbstractIn January 2020 China reported to the World Health Organization an outbreak of pneumonia of undetermined origin in the city of Wuhan, Hubei. In January 30, 2020, the World Health Organization declared the outbreak of COVID-19 as a Public Health Emergency of International Interest (PHEI).ObjectivesThe aim of this study is to assess the impact of a COVID-19 epidemic in the metropolitan region of São Paulo, Brazil.MethodsWe used a generalized SEIR (Susceptibles, Exposed, Infectious, Recovered) model, with additional Hospitalized variables (SEIHR model) and age-stratified structure to analyze the expected time evolution during the onset of the epidemic in the metropolitan area of São Paulo. The model allows to determine the evolution of the number of cases, the number of patients admitted to hospitals and deaths caused by COVID-19. In order to investigate the sensibility of our results with respect to parameter estimation errors we performed Monte Carlo analysis with 100 000 simulations by sampling parameter values from an uniform distribution in the confidence interval.ResultsWe estimate 1 368 (IQR: 880, 2 407) cases, 301 (22%) in older people (≥60 years), 81 (50, 143) hospitalizations, and 14 (9, 26) deaths in the first 30 days, and 38 583 (IQR: 16 698, 113, 163) cases, 8 427 (21.8%) in older people (≥60 years), 2181 (914, 6392) hospitalizations, and 397(166, 1205) deaths in the first 60 days.LimitationsWe supposed a constant transmission probability Pc among different age-groups, and that every severe and critic case will be hospitalized, as well as that the detection capacity in all the primary healthcare services does not change during the outbreak.ConclusionSupposing the reported parameters in the literature apply in the city of São Paulo, our study shows that it is expected that the impact of a COVID-19 outbreak will be important, requiring special planning from the authorities. This is the first study for a major metropolitan center in the south hemisphere, and we believe it can provide policy makers with a prognosis of the burden of the pandemic not only in Brazil, but also in other tropical zones, allowing to estimate total cases, hospitalization and deaths, in support to the management of the public health emergence caused by COVID-19.

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