SARS-CoV-2 and Exposure to Pollution of the Population Near an Industrial Area in the Metropolitan Region in São Paulo State, Brazil

Maria Angela Zaccarelli-Marino, T. Balderi, Felipe M Crepaldi, R. Alessi, M. Martins
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Abstract

Industrial installations close to residential areas could cause health risks. Our objectives are to evaluate the interaction between pre-existing conditions (i.e., rhinitis, sinusitis, pharyngitis, obstructive pulmonary diseases (OPDs), conjunctivitis, dermatitis and primary hypothyroidism (PH)) and a higher risk of complications when infected with SARS-CoV-2 in residents exposed to long-term air pollutants. With a focus on the area affected by the Capuava Petrochemical Complex (CPC) (Region 1) and combining the AERMOD dispersion model with the Weather Research Forecast (WRF) (2016), we evaluated the Greater ABC region, Brazil. The concentrations of the nitrogen dioxide (NO2), carbon monoxide (CO), particulate matter (PM10), sulfur dioxide (SO2) and volatile organic compounds (VOCs) were analyzed in 2017 and these data were correlated with data obtained in a survey of 2004 residents 8–72 years of age of both sexes; 1002 (Region 1), and 1002 of them reside within the areas surrounding various industrial areas (Region 2). SARS-CoV-2 cases were collected from the Greater ABC region. Region 1 showed higher average concentrations of all pollutants analyzed. Among the 2004 total residents, there were significant differences between Region 1 and Region 2 in the incidence of cases of rhinitis, sinusitis, pharyngitis, OPDs, conjunctivitis, dermatitis and PH demonstrating that there is a higher incidence of the evaluated diseases in residents who live closer to the CPC. Compared with residents with these diseases, the residents of Region 1 had a higher relative risk of complications when infected with SARS-CoV-2 than did the residents of Region 2.
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严重急性呼吸系统综合征冠状病毒2型与巴西圣保罗州大都会区工业区附近人群的污染暴露
靠近居民区的工业设施可能会造成健康风险。我们的目标是评估长期暴露于空气污染物的居民感染严重急性呼吸系统综合征冠状病毒2型时,先前存在的疾病(即鼻炎、鼻窦炎、咽炎、阻塞性肺病(OPDs)、结膜炎、皮炎和原发性甲状腺功能减退症(PH))与更高并发症风险之间的相互作用。重点关注受Capuava石化厂(CPC)影响的地区(1区),并将AERMOD分散模型与天气研究预测(WRF)(2016年)相结合,我们对巴西大ABC地区进行了评估。2017年分析了二氧化氮(NO2)、一氧化碳(CO)、颗粒物(PM10)、二氧化硫(SO2)和挥发性有机化合物(VOCs)的浓度,这些数据与2004年8-72岁男女居民的调查数据相关联;1002(区域1)和1002位于各个工业区(区域2)周围的区域内。严重急性呼吸系统综合征冠状病毒2型病例来自大ABC地区。区域1显示所分析的所有污染物的平均浓度较高。在2004年的总居民中,1区和2区的鼻炎、鼻窦炎、咽炎、门诊部疾病、结膜炎、皮炎和PH的发病率存在显著差异,这表明居住在CPC附近的居民中,评估疾病的发病率更高。与患有这些疾病的居民相比,1区居民感染严重急性呼吸系统综合征冠状病毒2型时并发症的相对风险高于2区居民。
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