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The Cost of Heat: Health and Economic Burdens in Three Brazilian Cities

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Author(s):
Debone, Daniela ; do Rosario, Nilton Manuel evora ; Miraglia, Simone Georges El Khouri
Total Authors: 3
Document type: Journal article
Source: ATMOSPHERE; v. 16, n. 7, p. 16-pg., 2025-06-20.
Abstract

Excess mortality due to heat is a major public health concern globally. In this study, we investigated the association between extreme heat and mortality in three distinct locations in S & atilde;o Paulo state, Brazil-S & atilde;o Paulo city (the capital), Campinas (a large countryside city), and Mar & iacute;lia (a typical medium-sized rural city)-from 2004 to 2018. We applied a generalized linear model (GLM) with a Poisson distribution and a logarithmic link function for each city, using the excess heat factor (EHF) as the exposure metric. The results showed that increases in the EHF were associated with relative risks of 1.0018 (95% CI: 1.0015-1.0022) in S & atilde;o Paulo, 1.0029 (95% CI: 1.0023-1.0036) in Campinas, and 1.0033 (95% CI: 1.0025-1.0041) in Mar & iacute;lia. Altogether, 2319 heat-attributable deaths were estimated, representing an economic burden of USD 6.03 billion based on the value of a statistical life. By integrating economic valuation with mortality risk estimates, our study offers a broader perspective on the consequences of extreme heat, reinforcing the need for public health and policy interventions. (AU)

FAPESP's process: 24/02476-7 - Exploring different statistical approaches to assess the relationship between microbial resistance and climate change in Brazil.
Grantee:Daniela Debone Perez
Support Opportunities: Scholarships in Brazil - Post-Doctoral
FAPESP's process: 21/10599-3 - The Antimicrobial Resistance Institute of São Paulo (The Aries Project)
Grantee:Arnaldo Lopes Colombo
Support Opportunities: Research Grants - Research, Innovation and Dissemination Centers - RIDC
FAPESP's process: 23/04466-6 - Evaluation of the association of air pollution, meteorological variables and health outcomes in São Paulo, Brazil and in Porto, Portugal
Grantee:Simone Georges El Khouri Miraglia
Support Opportunities: Scholarships abroad - Research