Pietri Diana De, Dietrich Patricia, Mayo Patricia, Carcagno Alejandro
Ministerio de Salud de la Nación, Buenos Aires, Argentina.
Rev Panam Salud Publica. 2011 Oct;30(4):377-87.
Develop a spatial model that includes environmental factors posing a health hazard, for application in the Matanza-Riachuelo River Basin (MRB) in Argentina.
Multicriteria evaluation procedures were used with geographic information systems to obtain territorial zoning based on the degree of suitability for residence. Variables that characterize the habitability of housing and potential sources of basin pollution were geographically referenced. Health information was taken from the Risk Factor Survey (RFS) to measure the relative risk of living in unsuitable areas (exposed population) compared with suitable areas (unexposed population).
Sixty percent of the MRB area is in suitable condition, a situation that affects 40% of residents. The rest of the population lives in unsuitable territory, and 6% live in the basin's most unsuitable conditions. Environmental conditions that are detrimental to health in the unsuitable areas became evident during the interviews through three of the pathologies considered: diarrheal diseases, respiratory diseases, and cancer.
A regional analysis that provides valid information to support decisionmaking was obtained. Considering the basin as a unit of analysis allowed the use of a single protocol to undertake comprehensive measurement of the magnitude of risk and, thus, set priorities.
建立一个包含对健康构成危害的环境因素的空间模型,用于阿根廷马坦萨 - 里亚丘埃洛河流域(MRB)。
使用多标准评估程序和地理信息系统,根据居住适宜程度进行地域分区。对表征住房宜居性和流域潜在污染源的变量进行地理定位。健康信息取自风险因素调查(RFS),以衡量与适宜区域(未暴露人群)相比,生活在不适宜区域(暴露人群)的相对风险。
MRB地区60%处于适宜状态,这种情况影响了40%的居民。其余人口生活在不适宜的地区,6%生活在流域最不适宜的条件下。在访谈中,通过所考虑的三种病症:腹泻病、呼吸道疾病和癌症,不适宜地区对健康有害的环境状况变得明显。
获得了一项为支持决策提供有效信息的区域分析。将流域视为一个分析单位,使得能够使用单一方案对风险程度进行全面衡量,从而确定优先事项。