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

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...

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Main Authors: Paulo Afonso de André, Mariana Matera Veras, Simone Georges El Khouri Miraglia, Paulo Hilário Nascimento Saldiva
Format: Article
Language:English
Published: Elsevier España 2012-01-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012000600015
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author Paulo Afonso de André
Mariana Matera Veras
Simone Georges El Khouri Miraglia
Paulo Hilário Nascimento Saldiva
author_facet Paulo Afonso de André
Mariana Matera Veras
Simone Georges El Khouri Miraglia
Paulo Hilário Nascimento Saldiva
author_sort Paulo Afonso de André
collection DOAJ
description 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 &#956;m, [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.
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spelling doaj.art-2501d19e21d849239b23ac99957753332022-12-22T01:22:54ZengElsevier EspañaClinics1807-59321980-53222012-01-0167663964610.6061/clinics/2012(06)15Lean diesel technology and human health: a case study in six Brazilian metropolitan regionsPaulo Afonso de AndréMariana Matera VerasSimone Georges El Khouri MiragliaPaulo Hilário Nascimento SaldivaOBJECTIVE: 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 &#956;m, [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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012000600015Vehicular emissionHealth costsEnvironmental policies
spellingShingle Paulo Afonso de André
Mariana Matera Veras
Simone Georges El Khouri Miraglia
Paulo Hilário Nascimento Saldiva
Lean diesel technology and human health: a case study in six Brazilian metropolitan regions
Clinics
Vehicular emission
Health costs
Environmental policies
title Lean diesel technology and human health: a case study in six Brazilian metropolitan regions
title_full Lean diesel technology and human health: a case study in six Brazilian metropolitan regions
title_fullStr Lean diesel technology and human health: a case study in six Brazilian metropolitan regions
title_full_unstemmed Lean diesel technology and human health: a case study in six Brazilian metropolitan regions
title_short Lean diesel technology and human health: a case study in six Brazilian metropolitan regions
title_sort lean diesel technology and human health a case study in six brazilian metropolitan regions
topic Vehicular emission
Health costs
Environmental policies
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322012000600015
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