A review of low-level air pollution and adverse effects on human health: implications for epidemiological studies and public policy

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorOLMO, Neide Regina Simoes
dc.contributor.authorSALDIVA, Paulo Hilario do Nascimento
dc.contributor.authorBRAGA, Alfesio Luis Ferreira
dc.contributor.authorLIN, Chin An
dc.contributor.authorSANTOS, Ubiratan de Paula
dc.contributor.authorPEREIRA, Luiz Alberto Amador
dc.date.accessioned2017-11-27T16:35:15Z
dc.date.available2017-11-27T16:35:15Z
dc.date.issued2011
dc.description.abstractThe aim of this study was to review original scientific articles describing the relationship between atmospheric pollution and damage to human health. We also aimed to determine which of these studies mentioned public policy issues. Original articles relating to atmospheric pollution and human health published between 1995 and 2009 were retrieved from the PubMed database and analyzed. This study included only articles dealing with atmospheric pollutants resulting primarily from vehicle emissions. Three researchers were involved in the final selection of the studies, and the chosen articles were approved by at least two of the three researchers. Of the 84 non-Brazilian studies analyzed, 80 showed an association between atmospheric pollution and adverse effects on human health. Moreover, 66 showed evidence of adverse effects on human health, even at levels below the permitted emission standards. Three studies mentioned public policies aimed at changing emission standards. Similarly, the 29 selected Brazilian studies reported adverse associations with human health, and 27 showed evidence of adverse effects even at levels below the legally permitted emission standards. Of these studies, 16 mentioned public policies aimed at changing emission standards. Based on the Brazilian and non-Brazilian scientific studies that have been conducted, it can be concluded that, even under conditions that are compliant with Brazilian air quality standards, the concentration of atmospheric pollutants in Brazil can negatively affect human health. However, as little discussion of this topic has been generated, this finding demonstrates the need to incorporate epidemiological evidence into decisions regarding legal regulations and to discuss the public policy implications in epidemiological studies.
dc.description.indexMEDLINE
dc.description.sponsorshipResearch Support Foundation of the State of Sao Paulo (FAPESP)
dc.identifier.citationCLINICS, v.66, n.4, p.681-690, 2011
dc.identifier.doi10.1590/S1807-59322011000400025
dc.identifier.issn1807-5932
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/23535
dc.language.isoeng
dc.publisherHOSPITAL CLINICAS, UNIV SAO PAULO
dc.relation.ispartofClinics
dc.rightsopenAccess
dc.rights.holderCopyright HOSPITAL CLINICAS, UNIV SAO PAULO
dc.subjectAir pollution
dc.subjectadverse effects
dc.subjecthuman health
dc.subjectpublication bias
dc.subjectpublic policies
dc.subjectsystematic review
dc.subject.otheremergency-room visits
dc.subject.otherheart-rate-variability
dc.subject.otherlong-term exposure
dc.subject.othertime-series analysis
dc.subject.otherlow-birth-weight
dc.subject.otherrio-de-janeiro
dc.subject.othersao-paulo
dc.subject.othermyocardial-infarction
dc.subject.otherrespiratory health
dc.subject.otherhospital admissions
dc.subject.wosMedicine, General & Internal
dc.titleA review of low-level air pollution and adverse effects on human health: implications for epidemiological studies and public policy
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus65
hcfmusp.contributor.author-fmusphcNEIDE REGINA SIMOES OLMO
hcfmusp.contributor.author-fmusphcPAULO HILARIO NASCIMENTO SALDIVA
hcfmusp.contributor.author-fmusphcALFESIO LUIS FERREIRA BRAGA
hcfmusp.contributor.author-fmusphcCHIN AN LIN
hcfmusp.contributor.author-fmusphcUBIRATAN DE PAULA SANTOS
hcfmusp.contributor.author-fmusphcLUIZ ALBERTO AMADOR PEREIRA
hcfmusp.description.beginpage681
hcfmusp.description.endpage690
hcfmusp.description.issue4
hcfmusp.description.volume66
hcfmusp.origemWOS
hcfmusp.origem.pubmed21655765
hcfmusp.origem.scopus2-s2.0-79958747474
hcfmusp.origem.wosWOS:000291312100025
hcfmusp.publisher.citySAO PAULO
hcfmusp.publisher.countryBRAZIL
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