Evidence map›Paper›PMID 39290578›Full record

ReviewLancet regional health. Americas2024

Environmental pollution challenges public health surveillance: the case of mercury exposure and intoxication in Brazil.

Maria Elena Crespo-Lopez, Amanda Lopes-Araújo, Paulo Cesar Basta, Isabela Soares-Silva, Carlos B A de Souza, Caio Gustavo Leal-Nazaré, Letícia Santos-Sacramento, Jean Ludger Barthelemy, Gabriela P Arrifano, Marcus Augusto-Oliveira

Abstract readReview
In one paragraph

Review in Lancet regional health. Americas, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
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

10 authors.

Maria Elena Crespo-LopezLaboratory of Molecular Pharmacology, Institute of Biological Sciences, Federal University of Pará, Belém, Brazil.
Amanda Lopes-AraújoLaboratory of Molecular Pharmacology, Institute of Biological Sciences, Federal University of Pará, Belém, Brazil.
Paulo Cesar BastaNational School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Isabela Soares-SilvaLaboratory of Molecular Pharmacology, Institute of Biological Sciences, Federal University of Pará, Belém, Brazil.
Carlos B A de SouzaCenter for Behavioral Theory and Research, Federal University of Pará, Belém, Brazil.
Caio Gustavo Leal-NazaréLaboratory of Molecular Pharmacology, Institute of Biological Sciences, Federal University of Pará, Belém, Brazil.
Letícia Santos-SacramentoLaboratory of Molecular Pharmacology, Institute of Biological Sciences, Federal University of Pará, Belém, Brazil.
Jean Ludger BarthelemyLaboratory of Molecular Pharmacology, Institute of Biological Sciences, Federal University of Pará, Belém, Brazil.
Gabriela P ArrifanoLaboratory of Molecular Pharmacology, Institute of Biological Sciences, Federal University of Pará, Belém, Brazil.
Marcus Augusto-OliveiraLaboratory of Molecular Pharmacology, Institute of Biological Sciences, Federal University of Pará, Belém, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pollution, causing millions of deaths annually, disproportionally affects low- and middle-income countries (LMICs). Mercury ranks among the three main chemicals of major public health concern, and even low levels can cause cardiovascular and nervous outcomes, with children and indigenous populations being especially vulnerable. Nearly 80% of all emissions in South America originate from the Amazon. Brazil, the fifth-largest contributor to global mercury emissions, exemplifies the challenges faced by LMICs in effectively monitoring and addressing mercury exposure/intoxication. Despite having powerful tools such as SINAN (a digital platform for compulsory disease reporting), and Community Health Agents, data reveals significant underreporting, especially in the Amazon. Furthermore, SINAN has important delays in its update: for instance, 196 cases of Munduruku Indigenous people in 2019 have only been included in 2023. In this Personal View, we outline insightful recommendations to enhance public health surveillance and implement enduring, effective strategies to monitor, report and address mercury exposure/intoxication, focusing on the Brazilian Amazon. Although these recommendations are tailored to the challenges of this country, they hold potential for adaptation by other Amazonian countries facing similar issues (high mercury emissions and the presence of vulnerable populations, among others).

Indexed as

AmazonContaminationEnvironmental healthIndigenous peopleMercuryMethylmercuryPublic healthSurveillance

Identifiers

PMID39290578
PMCPMC11402532

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.