The impact of sugarcane burning on hospitalization due to respiratory diseases/Impacto da queima da cana-de- acucar sobre internacoes hospitalares por doencas respiratorias

• Published in: Ciência & saude coletiva Vol. 24; no. 11; p. 4133
• Main Authors: Ramos, Dionei, Pestana, Paula Roberta Silva, Trevisan, Iara Buriola, Christofaro, Diego Giulliano Destro, Tacao, Guilherme Yassuyuki, Coripio, Iris Cristina, Ferreira, Aline Duarte, Ramos, Ercy Mara Cipulo
• Format: Journal Article
• Language: Spanish
• Published: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO 01.11.2019
• Subjects: Analysis; Health; Hospital admission and discharge; Humidity; Lung diseases; Nitrogen dioxide; Nitrogen oxides; Pneumonia; Pollutants; Respiratory tract diseases; Sugarcane; Weather
• ISSN: 1413-8123; 1678-4561
• DOI: 10.1590/1413-812320182411.32402017

The scope of this article is to evaluate the impact of emissions from sugarcane burning on hospital admission numbers for respiratory diseases in a sugarcane region. Hospital admission records for respiratory diseases were acquired from the database of the Hospital Information System of the Unified Health System (SIH-SUS) in the period from March 28, 2011 to December 28, 2012. Levels of PM10, NO2, O3, Temperature and Relative Humidity were recorded. Logistic regression models were created to analyze the association between the total number of hospitalizations, atmospheric pollutants and meteorological variables. A total of 1,179 hospitalization admissions were recorded, with a significant increase in cases of pneumonia in the burning period (p = 0.005). Likewise, it was observed that the cluster of PM10 and NO2 was influenced 67.9% (95% CI: 11.111-2.537) followed by cluster PM10, NO2, O3 and Temperature that influenced 91.1% (95% CI: 1.116; 3.271) in the total number of hospitalization admissions. During the sugarcane burning period there were more hospitalization admissions due to respiratory tract diseases, mainly pneumonia, where the influence of air pollutants and temperature in the process of illness in the population was detected. Key words Air pollutants, Sugarcane, Respiratory tract diseases, Pneumonia, Meteorological variables O objetivo deste artigo e avaliar o impacto das emissoes da queima da cana-de-acucar sobre o numero de internacoes hospitalares por doencas respiratorias em uma regiao canavieira. Registros de internacoes hospitalares por doencas respiratorias foram adquiridas a partir da base de dados referentes ao sistema de informacoes hospitalares do sistema unico de saude (SIH-SUS), no periodo de 28 de marco de 2011 a 28 de dezembro de 2012. Niveis de [MP.sub.10], N[O.sub.2], [O.sub.3], temperatura e umidade relativa foram registradas. Modelos de regressao logistica foram construidos para analisar a associacao entre o numero total de internacoes, poluentes atmosfericos e variaveis meteorologicas. Foram registradas 1.179 internacoes, dentre elas a pneumonia mostrou aumento significativo no periodo de queima (p = 0,005). Neste mesmo periodo observou-se que o cluster [MP.sub.10] e N[O.sub.2] influenciou 67,9% (IC95%: 11,111-2,537), seguido do cluster [MP.sub.10], N[O.sub.2], [O.sub.3] e temperatura que influenciou 91,1% (IC95%: 1,116; 3,271) no numero total de internacoes. Durante o periodo de queima houve maior numero de internacoes por doencas respiratorias, principalmente de pneumonia, quando foi observada a influencia dos poluentes e temperatura no processo de adoecimento da populacao. Palavras-chave Poluentes atmosfericos, Cana-de -acucar, Doencas respiratorias, Pneumonia, Modalidades meteorologicas