Browsing by Author "Gouveia, Nelson"

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    Air Pollution and Mortality in Latin America The Role of Education
    (LIPPINCOTT WILLIAMS & WILKINS, 2008) O'Neill, Marie S.; Bell, Michelle L.; Ranjit, Nalini; Cifuentes, Luis A.; Loomis, Dana; Gouveia, Nelson; Borja Aburto, Victor H.
    Background: People with less education in Europe, Asia, and the United States are at higher risk of mortality associated with daily and longer-term air pollution exposure. We examined whether educational level modified associations between mortality and ambient particulate pollution (PM10) in Latin America, using several timescales.
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    Ambient fine particulate matter in Latin American cities: Levels, population exposure, and associated urban factors
    (2021) Gouveia, Nelson; Kephart, Josiah L.; Dronova, Iryna; McClure, Leslie; Granados, Jose Tapia; Morales Betancourt, Ricardo; Cortinez O'Ryan, Andrea; Luis Texcalac-Sangrador, Jose; Martinez-Folgar, Kevin; Rodriguez, Daniel; Diez-Roux, Ana, V
    Background: Exposure to particulate matter (PM2.5) is a major risk factor for morbidity and mortality. Yet few studies have examined patterns of population exposure and investigated the predictors of PM2.5 across the rap-idly growing cities in lower- and middle-income countries.
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    Health Effects of Pesticide Exposure in Latin American and the Caribbean Populations: A Scoping Review
    (Public Health Services, US Dept of Health and Human Services, 2022) Zúñiga-Venegas, Liliana A.; Jara, Juan P. Gutiérrez; Hyland, Carly; Cardenas, Andrés; Smith, Anna; Mora, Ana M.; Muñoz-Quezada, María Teresa; Lucero, Boris; Quirós-Alcalá, Lesliam; Butinof, Mariana; Buralli, Rafael; Fernandez, Ricardo A.; Foerster, Claudia; Gouveia, Nelson; Muñoz, María Pía; Ramírez-Santana, Muriel; Tirado, Noemi; Joode, Berna van Wendel; Calaf, Gloria M.; Handal, Alexis J.; Silva, Agnes Soares; Cortés Arancibia, Sandra Isabel; CEDEUS (Chile)
    © 2022, Public Health Services, US Dept of Health and Human Services. All rights reserved.BACKGROUND: Multiple epidemiological studies have shown that exposure to pesticides is associated with adverse health outcomes. However, the literature on pesticide-related health effects in the Latin American and the Caribbean (LAC) region, an area of intensive agricultural and residential pesticide use, is sparse. We conducted a scoping review to describe the current state of research on the health effects of pesticide exposure in LAC populations with the goal of identifying knowledge gaps and research capacity building needs. METHODS: We searched PubMed and SciELO for epidemiological studies on pesticide exposure and human health in LAC populations published between January 2007 and December 2021. We identified 233 publications from 16 countries that met our inclusion criteria and grouped them by health outcome (genotoxicity, neurobehavioral outcomes, placental outcomes and teratogenicity, cancer, thyroid function, reproductive outcomes, birth outcomes and child growth, and others). RESULTS: Most published studies were conducted in Brazil (37%, n = 88) and Mexico (20%, n = 46), were cross-sectional in design (72%, n = 167), and focused on farmworkers (45%, n = 105) or children (21%, n = 48). The most frequently studied health effects included genotoxicity (24%, n = 62) and neurobehavioral outcomes (21%, n = 54), and organophosphate (OP) pesticides were the most frequently examined (26%, n = 81). Forty-seven percent (n = 112) of the studies relied only on indirect pesticide exposure assessment methods. Exposure to OP pesticides, carbamates, or to multiple pesticide classes was consistently associated with markers of genotoxicity and adverse neurobehavioral outcomes, particularly among children and farmworkers. DISCUSSION: Our scoping review provides some evidence that exposure to pesticides may adversely impact the health of LAC populations, but methodological limitations and inconsistencies undermine the strength of the conclusions. It is critical to increase capacity building, integrate research initiatives, and conduct more rigorous epidemiological studies in the region to address these limitations, better inform public health surveillance systems, and maximize the impact of research on public policies.
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    Life expectancy and mortality in 363 cities of Latin America
    (2021) Bilal, Usama; Hessel, Philipp; Perez-Ferrer, Carolina; Michael, Yvonne L.; Alfaro, Tania; Tenorio-Mucha, Janeth; Friche, Amelia A. L.; Pina, Maria Fatima; Vives, Alejandra; Quick, Harrison; Alazraqui, Marcio; Rodriguez, Daniel A.; Miranda, J. Jaime; Diez-Roux, Ana V.; Alazraqui, Marcio; Alazraqui, Marcio; Spinelli, Hugo; Guevel, Carlos; Di Cecco, Vanessa; Tisnes, Adela; Leveau, Carlos; Santoro, Adrian; Herkovits, Damian; Trotta, Andres; Aguirre, Patricia; Lopez, Santiago Rodriguez; Tumas, Natalia; Gouveia, Nelson; Mascolli, Maria Antonietta; Slovic, Anne Dorothee; Martins, Lucas Soriano; Kanai, Claudio Makoto; Barreto, Mauricio; Santos, Gervasio; de Freitas, Anderson Dias; De Castro, Caio Porto; Filho, Jose Firmino de Sousa; Bell, Maria Izabel dos Santos; Andrade, Roberto Fernandes Silva; Cardoso, Leticia; Menezes, Mariana Carvalho de; Pina, Maria de Fatima de; Skaba, Daniel Albert; Guimaraes, Joanna Miguez Nery; Matos, Vanderlei Pascoal de; Caiaffa, Waleska Teixeira; Friche, Amelia Augusta de Lima; Andrade, Amanda Cristina de Souza; Vaz, Camila Teixeira; Coelho, Debora Moraes; Sales, Denise Marques; Aguilar, Guilherme Aparecido Santos; Nascimento, Julia de Carvalho; Morais, Lidia Maria de Oliveira; Santos, Mariana de Melo; Silva, Uriel Moreira; Frenz, Patricia; Alfaro, Tania; Cordova, Cynthia; Ruiz, Pablo; Fuentes, Mauricio; Castillo, Marianela; Pedrero, Sebastian; Rodriguez, Lorena; Doberti, Tamara; Vergara, Alejandra Vives; Salazar, Alejandro; Cortinez-O'Ryan, Andrea; Schmitt, Cristian; Gonzalez, Francisca; Baeza, Fernando; Angelini, Flavia; Orlando, Laura; Sarmiento, Olga Lucia; Higuera, Diana; Gonzalez, Catalina; Montes, Felipe; Useche, Andres F.; Guaje, Oscar; Jaramillo, Ana Maria; Guzman, Luis Angel; Cuesta, Diego Lucumi; Guerra, John Alexis; Bonilla, Jorge Alexander; Guzman, Luis Angel; Linares, Mario; Hessel, Philipp; Morales, Ricardo; Triana, Camilo; Wilches, Maria Alejandra; Palacio, Alejandro; Pena, Fabian Camilo; Sabogal, Joaquin Hernando Jaramillo; Lopez, Julieth; Fajardo, Karen; Botero, Marcelo; Cely, Natalia; Martinez, Paola; Moncada, Carlos; Meisel, Jose David; Martinez, Eliana; Kroker-Lobos, Maria Fernanda; Ramirez-Zea, Manuel; Mazariegos, Monica; Morales, Anali; Barrientos-Gutierrez, Tonatiuh; Perez-Ferrer, Carolina; Prado-Galbarro, Javier; Lopez-Olmedo, Nancy Paulina; de Castro, Filipa; Rojas-Martinez, Rosalba; Jauregui, Alejandra; Stern, Dalia; Riojas, Horacio; Texcalac, Jose Luis; Perez, Desiree Vidana; Miranda, J. Jaime; Vasquez, Akram Hernandez; Diez-Canseco, Francisco; Garcia, Lorena Saavedra; Hammond, Ross; Rodriguez, Daniel; Dronova, Iryna; Wang, Xize; Moran, Mika; Zhao, Yuanyuan; Ju, Yang; Delclos-Alio, Xavier; Hovmand, Peter; Ballard, Ellis; Kuhlberg, Jill; Diez-Roux, Ana V.; Auchincloss, Amy; Barber, Sharrelle; Bilal, Usama; Garcia-Espana, Felipe; Langellier, Brent; Lovasi, Gina; McClure, Leslie; Michael, Yvonne; Moore, Kari; Ortigoza, Ana; Quick, Harrison; Quistberg, D. Alex; Sanchez, Brisa N.; Stankov, Ivana; Tapia-Granados, Jose; Yamada, Goro; Rodriguez-Hernandez, Jordan; Melly, Steve; Avila-Palencia, Ione; Kephart, Josiah; Mullachery, Pricila; Trejo, Bricia; Braverman, Ariela; Fry, Dustin; Henson, Rosie Mae; Martinez-Folgar, Kevin; Slesinski, S. Claire; Indvik, Katherine; Bolinaga, Andrea; CEDEUS (Chile)
    The concept of a so-called urban advantage in health ignores the possibility of heterogeneity in health outcomes across cities. Using a harmonized dataset from the SALURBAL project, we describe variability and predictors of life expectancy and proportionate mortality in 363 cities across nine Latin American countries. Life expectancy differed substantially across cities within the same country. Cause-specific mortality also varied across cities, with some causes of death (unintentional and violent injuries and deaths) showing large variation within countries, whereas other causes of death (communicable, maternal, neonatal and nutritional, cancer, cardiovascular disease and other noncommunicable diseases) varied substantially between countries. In multivariable mixed models, higher levels of education, water access and sanitation and less overcrowding were associated with longer life expectancy, a relatively lower proportion of communicable, maternal, neonatal and nutritional deaths and a higher proportion of deaths from cancer, cardiovascular disease and other noncommunicable diseases. These results highlight considerable heterogeneity in life expectancy and causes of death across cities of Latin America, revealing modifiable factors that could be amenable to urban policies aimed toward improving urban health in Latin America and more generally in other urban environments.
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    The 2022 South America report of The Lancet Countdown on health and climate change: trust the science. Now that we know, we must act
    (2023) Hartinger, Stella M.; Yglesias-Gonzalez, Marisol; Blanco-Villafuerte, Luciana; Palmeiro-Silva, Yasna K.; Lescano, Andres G.; Stewart-Ibarra, Anna; Rojas-Rueda, David; Melo, Oscar; Takahashi, Bruno; Buss, Daniel; Callaghan, Max; Chesini, Francisco; Flores, Elaine C.; Posse, Carolina Gil; Gouveia, Nelson; Jankin, Slava; Miranda-Chacon, Zaray; Mohajeri, Nahid; Helo, Juliana; Ortiz, Laura; Pantoja, Chrissie; Salas, Maria Fernanda; Santiago, Raquel; Sergeeva, Milena; de Camargo, Tatiana Souza; Valdes-Velasquez, Armando; Walawender, Maria; Romanello, Marina
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    The 2023 Latin America report of the Lancet countdown on health and climate change: the imperative for health-centred climate-resilient development
    (2024) Hartinger, Stella M.; Palmeiro-Silva, Yasna K.; Llerena-Cayo, Camila; Blanco-Villafuerte, Luciana; Escobar, Luis E.; Diaz, Avriel; Helo Sarmiento, Juliana; Lescano, Andrés G.; Melo Contreras, Oscar Alfredo; Rojas-Rueda, David; Takahashi, Bruno; Callaghan, Max; Chesini, Francisco; Dasgupta, Shouro; Gil Posse, Carolina; Gouveia, Nelson; Martins de Carvalho, Aline; Miranda-Chacón, Zaray; Mohajeri, Nahid; Pantoja, Chrissie; Robinson, Elizabeth J. Z; Salas, María Fernanda; Santiago, Raquel; Sauma Santis, Enzo Enrique; Santos-Vega, Mauricio; Scamman, Daniel; Sergeeva, Milena; Souza de Camargo, Tatiana; Sorensen, Cecilia; Umaña, Juan D.; Yglesias-González, Marisol; Walawender, María; Buss, Daniel; Romanello, Marina
    In 2023, a series of climatological and political events unfolded, partly driving forward the global climate and health agenda while simultaneously exposing important disparities and vulnerabilities to climate-related events. On the policy front, a significant step forward was marked by the inaugural Health Day at COP28, acknowledging the profound impacts of climate change on health. However, the first-ever Global Stocktake showed an important gap between the current progress and the targets outlined in the Paris Agreement, underscoring the urgent need for further and decisive action. From a Latin American perspective, some questions arise: How do we achieve the change that is needed? How to address the vulnerabilities to climate change in a region with long-standing social inequities? How do we promote intersectoral collaboration to face a complex problem such as climate change? The debate is still ongoing, and in many instances, it is just starting.
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    Using community-based system dynamics modeling to understand the complex systems that influence health in cities: The SALURBAL study
    (ELSEVIER SCI LTD, 2019) Langellier, Brent A.; Kuhlberg, Jill A.; Ballard, Ellis A.; Slesinski, S. Claire; Stankov, Ivana; Gouveia, Nelson; Meisel, Jose D.; Kroker Lobos, Maria F.; Sarmiento, Olga L.; Caiaffa, Waleska Teixeira; Roux, Ana V. Diez; Alazraqui, Marcio; Spinelli, Hugo; Guevel, Carlos; Di Cecco, Vanessa; Tisnes, Adela; Leveau, Carlos; Santoro, Adrian; Herkovits, Damian; Gouveia, Nelson; Barreto, Mauricio; Santos, Gervasio; Cardoso, Leticia; de Menezes, Mariana Carvalho; de Pina, Maria de Fatima; Caiaffa, Waleska Teixeira; de Lima Friche, Amelia Augusta; de Souza Andrade, Amanda Cristina; Frenz, Patricia; Alfaro, Tania; Cordova, Cynthia; Ruiz, Pablo; Fuentes, Mauricio; Vives Vergara, Alejandra; Salazar, Alejandro; Cortinez O'Ryan, Andrea; Schmitt, Cristian; Gonzalez, Francisca; Baeza, Fernando; Angelini, Flavia; Sarmiento Duenas, Olga Lucia; Higuera, Diana; Gonzalez, Catalina; Montes, Felipe; Useche, Andres F.; Guaje, Oscar; Maria Jaramillo, Ana; Angel Guzman, Luis; Hessel, Philipp; Lucumi, Diego; David Meisel, Jose; Martinez, Eliana; Kroker Lobos, Maria F.; Ramirez Zea, Manuel; Martinez Folgar, Kevin; Barrientos Gutierrez, Tonatiuh; Perez Ferrer, Carolina; Prado Galbarro, Javier; de Castro, Filipa; Rojas Martinez, Rosalba; Jaime Miranda, J.; Hernandez Vasquez, Akram; Diez Canseco, Francisco; Hammond, Ross; Rodriguez, Daniel; Dronova, Iryna; Wang, Xize; Moran, Mika; Hovmand, Peter; Fuchs, Ricardo Jordan; Braslow, Juliet; Siri, Jose; Roux, Ana Diez; Auchincloss, Amy; Bilal, Usama; Garcia Espana, Felipe; Langellier, Brent; Lovasi, Gina; McClure, Leslie; Michael, Yvonne; Moore, Kari; Quick, Harrison; Quistberg, D. Alex; Sanchez, Brisa N.; Stankov, Ivana; Granados, Jose Tapia; SALURBAL Grp
    We discuss the design, implementation, and results of a collaborative process designed to elucidate the complex systems that drive food behaviors, transport, and health in Latin American cities and to build capacity for systems thinking and community-based system dynamics (CBSD) methods among diverse research team members and stakeholders. During three CB SD workshops, 62 stakeholders from 10 Latin American countries identified 98 variables and a series of feedback loops that shape food behaviors, transportation and health, along with 52 policy levers. Our findings suggest that CBSD can engage local stakeholders, help them view problems through the lens of complex systems and use their insights to prioritize research efforts and identify novel solutions that consider mechanisms of complexity.