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

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

Autor André, Paulo Afonso Google Scholar
Veras, Mariana Matera Google Scholar
Miraglia, Simone Georges El Khouri Autor UNIFESP Google Scholar
Saldiva, Paulo Hilário Nascimento Google Scholar
Instituição Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Instituto Nacional de Análise Integrada de Risco Ambiental
Resumo OBJECTIVE: Due 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. METHODS: The 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. RESULTS: The 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. CONCLUSIONS: The 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.
Assunto Vehicular emission
Health costs
Environmental policies
Idioma Inglês
Financiador Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Data 2012-01-01
Publicado em Clinics. Faculdade de Medicina / USP, v. 67, n. 6, p. 639-646, 2012.
ISSN 1807-5932 (Sherpa/Romeo, fator de impacto)
Editor Faculdade de Medicina / USP
Extensão 639-646
Fonte http://dx.doi.org/10.6061/clinics/2012(06)15
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000305982700015
SciELO S1807-59322012000600015 (estatísticas na SciELO)
URI http://repositorio.unifesp.br/handle/11600/6803

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