Environmental health indicators and a case study of air pollution in Latin American cities

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author BELL, Michelle L.
CIFUENTES, Luis A.
DAVIS, Devra L.
CUSHING, Erin
TELLES, Adriana Gusman
GOUVEIA, Nelson FMUSP-HC
dc.date.issued 2011
dc.identifier.citation ENVIRONMENTAL RESEARCH, v.111, n.1, p.57-66, 2011
dc.identifier.issn 0013-9351
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/23367
dc.description.abstract Environmental health indicators (EHIs) are applied in a variety of research and decision-making settings to gauge the health consequences of environmental hazards, to summarize complex information, or to compare policy impacts across locations or time periods. While EHIs can provide a useful means of conveying information, they also can be misused. Additional research is needed to help researchers and policy-makers understand categories of indicators and their appropriate application. In this article, we review current frameworks for environmental health indicators and discuss the advantages and limitations of various forms. A case study EHI system was developed for air pollution and health for urban Latin American centers in order to explore how underlying assumptions affect indicator results. Sixteen cities were ranked according to five indicators that considered: population exposed, children exposed, comparison to health-based guidelines, and overall PM10 levels. Results indicate that although some overall patterns in rankings were observed, cities' relative rankings were highly dependent on the indicator used. In fact, a city that was ranked best under one indicator was ranked worst with another. The sensitivity of rankings, even when considering a simple case of a single pollutant, highlights the need for clear understanding of EHIs and how they may be affected by underlying assumptions. Careful consideration should be given to the purpose, assumptions, and limitations of EHIs used individually or in combination in order to minimize misinterpretation of their implications and enhance their usefulness.
dc.language.iso eng
dc.publisher ACADEMIC PRESS INC ELSEVIER SCIENCE
dc.relation.ispartof Environmental Research
dc.rights restrictedAccess
dc.subject Environmental health indicators; Air pollution; Public health
dc.subject.other short-term exposure; major risk-factors; republic-of-china; daily mortality; united-states; mexico-city; particulate matter; climate-change; quality index; ambient air
dc.title Environmental health indicators and a case study of air pollution in Latin American cities
dc.type article
dc.rights.holder Copyright ACADEMIC PRESS INC ELSEVIER SCIENCE
dc.description.group LIM/39
dc.identifier.doi 10.1016/j.envres.2010.10.005
dc.identifier.pmid 21075365
dc.type.category review
dc.type.version publishedVersion
hcfmusp.author GOUVEIA, Nelson:FM:MPR
hcfmusp.author.external · BELL, Michelle L.:Yale Univ, Sch Forestry & Environm Studies, New Haven, CT 06511 USA
· CIFUENTES, Luis A.:Pontificia Univ Catolica Chile, Dept Ind & Syst Engn, Santiago, Chile
· DAVIS, Devra L.:Univ Pittsburgh, Ctr Environm Oncol, Pittsburgh, PA USA
· CUSHING, Erin:Yale Univ, Sch Forestry & Environm Studies, New Haven, CT 06511 USA
· TELLES, Adriana Gusman:Harvard Univ, Sch Publ Hlth, Dept Environm Hlth, Boston, MA 02115 USA
hcfmusp.origem.id 2-s2.0-78751585291
hcfmusp.origem.id WOS:000286715300009
hcfmusp.publisher.city SAN DIEGO
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
hcfmusp.citation.scopus 54
hcfmusp.affiliation.country Brasil
hcfmusp.affiliation.country Estados Unidos
hcfmusp.affiliation.country Chile
hcfmusp.scopus.lastupdate 2021-08-27


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