Graduate Program in Translational Medicine, Department of Medicine, Federal University of Sao Paulo, São Paulo, Brazil.
Department of Medicine - Discipline of Economics and Management in Health, Federal University of São Paulo (Unifesp), São Paulo, Brazil.
BMC Health Serv Res. 2024 Oct 14;24(1):1230. doi: 10.1186/s12913-024-11595-8.
Mining occupies a prominent place in Brazil, which, if observed, means that one must work with the contingencies that arise from its activity. Mining disasters, such as those in Mariana and Brumadinho, exemplify the impact on the health system and are models for similar situations, so the study sought to investigate the impact of these disasters on hospital admissions in the Brazilian public health system.
Through segmented regression, we sought to assess possible changes in the variables HAA (authorized hospital admissions), total admission value, and mortality rate in Mariana and Brumadinho. This measurement method allows the researcher to identify changes during the study period.
The study observed significant changes in the variable mortality rate in the city of Brumadinho. Although the other variables, both in Mariana and Brumadinho, do not present a level of significance compatible with possible effects, we can still say that they present a trend that can be inferred as an effect of the disaster.
The mining disaster significantly changed the mortality profile in the city of Brumadinho, with implications for the health system. In Mariana, there have been no objective changes, but there is evidence of potential impacts.
矿业在巴西占据着重要地位,如果加以观察,就意味着必须应对其活动带来的各种意外情况。矿业灾难,如马里亚纳和布鲁马迪纽矿坝溃坝事故,就是对卫生系统产生影响的典型例子,也是类似情况的范例,因此,本研究旨在调查这些灾难对巴西公共卫生系统住院人数的影响。
通过分段回归,我们试图评估马里亚纳和布鲁马迪纽的 HAA(授权住院人数)、总入院人数和死亡率等变量可能发生的变化。这种测量方法可以让研究人员识别研究期间的变化。
本研究观察到布鲁马迪纽市死亡率变量的显著变化。尽管其他变量,无论是在马里亚纳还是布鲁马迪纽,都没有表现出与可能的影响相一致的显著水平,但我们仍然可以说,它们呈现出一种趋势,可以推断为灾难的影响。
矿业灾难显著改变了布鲁马迪纽市的死亡模式,对卫生系统产生了影响。在马里亚纳,没有发生客观变化,但有潜在影响的证据。