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. 2021 Jan-Feb;47(1):e20200267. doi: 10.36416/1806-3756/e20200267

Chart 2. Major studies on air pollution, especially from biomass burning, and respiratory diseases conducted in Brazil.

Authors Population and setting Outcome Exposure Results
Arbex et al. 87 Population in the city of Araraquara, located in the state of Sâo Paulo Use of medication by the population (inhalation therapy) TSP Increased visits for inhalation therapy during the sugarcane burning season
Cançado et al. 89 Children and elderly individuals in the city of Piracicaba, located in the state of São Paulo Hospitalization for respiratory disease PM2.5, PM10 Increased hospitalizations on more polluted days; major effects during the sugarcane burning season
Arbex et al. 90 Population in the city of Araraquara Hospitalization for asthma TSP Increased hospitalizations on more polluted days and during the sugarcane burning season; a 50% increase in hospitalizations during the sugarcane burning season
do Carmo et al. 94 Children and elderly individuals in Alta Floresta, a town in the state of Mato Grosso Outpatient treatment for respiratory disease PM2.5 from forest burning Increased visits by children but not by elderly individuals
Ignotti et al. 95 Children and elderly individuals in microregions of the Brazilian Amazon Hospitalization for respiratory disease PM2.5 > 80 µg/m3 Increased hospitalizations in children and elderly individuals
Rodrigues et al. 108 Elderly individuals in the Brazilian Amazon Hospitalization for asthma Dry season vs. wet season Hospitalization rates are three times higher during the dry season than during the wet season.
Riguera et al. 91 Schoolchildren aged 10 to 14 years in Monte Aprazível, a town in the state of São Paulo Asthma and rhinitis symptoms, PEF PM2.5 and black carbon Increased symptoms of asthma and rhinitis; a higher prevalence of rhinitis during the sugarcane burning season; decreased PEF
Goto et al. 92 Sugarcane workers in Cerquilho, a town in the state of São Paulo Mucociliary clearance Sugarcane burning Impaired clearance and changes in mucus properties
Prado et al. 77 Sugarcane workers and residents of Mendonça, a town in the state of São Paulo Lung function, respiratory symptoms, oxidative stress markers Sugarcane burning Reduced lung function, increased respiratory symptoms, and increased oxidative stress during the harvest season
Silva et al. 96 Children and elderly individuals in the city of Cuiabá, located in the state of Mato Grosso Hospitalization PM2.5 Increased hospitalizations in children but not in elderly individuals
Arbex et al. 88 Population in the city of Araraquara Emergency room visit for pneumonia TSP An increased effect of exposure during the sugarcane burning season
Jacobson et al. 97 Schoolchildren aged 6 to 15 years in the city of Tangará da Serra, located in the state of Mato Grosso Lung function PM10 and PM2.5 Decreases in PEF
Mazzoli-Rocha et al. 98 Mice, cities of São Paulo and Araraquara, both located in the state of São Paulo Lung resistance, lung elastance, and lung inflammation Repeated instillation of PM PM from sugarcane burning is more toxic than is PM from vehicular sources.
de Oliveira Alves et al. 109 Lung cells, the Amazon region Cell toxicity PM during burning in the Amazon forest Increased levels of reactive oxygen species, inflammatory cytokines, DNA damage, apoptosis, and necrosis

TSP: total suspended particles; PM10: particulate matter with an aerodynamic diameter less than 10 µm; and PM2.5: particulate matter with an aerodynamic diameter less than 2.5 µm.