Evidence map›Paper›PMID 22760904›Full record

ArticleClinics (Sao Paulo, Brazil)2012

Lean diesel technology and human health: a case study in six Brazilian metropolitan regions.

Paulo Afonso de André, Mariana Matera Veras, Simone Georges El Khouri Miraglia, Paulo Hilário Nascimento Saldiva

Abstract read
In one paragraph

Article in Clinics (Sao Paulo, Brazil), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Paulo Afonso de AndréLaboratório de Poluição Atmosférica Experimental, Departmento de Patologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil. pauloafonso@lim05.fm.usp.br
Mariana Matera Veras
Simone Georges El Khouri Miraglia
Paulo Hilário Nascimento Saldiva

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDue to their toxicity, diesel emissions have been submitted to progressively more restrictive regulations in developed countries. However, in Brazil, the implementation of the Cleaner Diesel Technologies policy (Euro IV standards for vehicles produced in 2009 and low-sulfur diesel with 50 ppm of sulfur) was postponed until 2012 without a comprehensive analysis of the effect of this delay on public health parameters. We aimed to evaluate the impact of the delay in implementing the Cleaner Diesel Technologies policy on health indicators and monetary health costs in Brazil.

methodsThe primary estimator of exposure to air pollution was the concentration of ambient fine particulate matter (particles with aerodynamic diameters <2.5 μm, [PM2.5]). This parameter was measured daily in six Brazilian metropolitan areas during 2007-2008. We calculated 1) the projected reduction in the PM2.5 that would have been achieved if the Euro IV standards had been implemented in 2009 and 2) the expected reduction after implementation in 2012. The difference between these two time curves was transformed into health outcomes using previous dose-response curves. The economic valuation was performed based on the DALY (disability-adjusted life years) method.

resultsThe delay in implementing the Cleaner Diesel Technologies policy will result in an estimated excess of 13,984 deaths up to 2040. Health expenditures are projected to be increased by nearly US$ 11.5 billion for the same period.

conclusionsThe present results indicate that a significant health burden will occur because of the postponement in implementing the Cleaner Diesel Technologies policy. These results also reinforce the concept that health effects must be considered when revising fuel and emission policies.

Indexed as

Health Status IndicatorsPublic HealthAdultAge DistributionAir PollutantsBrazilCardiovascular DiseasesChild, PreschoolEnvironmental PolicyFemaleGasolineHospital MortalityHumansInfantInfant, NewbornMaleAir PollutantsGasolineParticulate MatterVehicle Emissions

Identifiers

PMID22760904
PMCPMC3370317

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.