Health impacts associated with the Fundão tailings dam disaster in Mariana, Minas Gerais, Brazil
DOI:
https://doi.org/10.5055/ajdm.0493Keywords:
health impacts, mining disaster, Mariana, Brazil, disability-adjusted life yearAbstract
We aim to evaluate the health impacts of the Fundão tailings dam disaster by analyzing secondary data collected from various databases of the Brazilian Ministry of Health and conducting a study to assess the burden of disease using years of life lost due to disability and the disability-adjusted life year (DALY) indicator as a summary measure.
An ecologic study design was used to compare municipalities affected by the disaster with a group of controls. Based on the incidence of diseases registered in public databases, an assessment of the impact on mental and physical health associated with the disaster was carried out using a burden of diseases approach. DALYs were calculated for all the diseases identified based on the evaluation of the epidemiological parameters: (i) attributable risk (AR) ratio, (ii) ratio of cumulative incidences (CIs) before and after the disaster, and (iii) a plausibility coefficient, idealized in order to express the relevance of the health conditions identified to a set of health conditions plausibly associated with the disaster.
Key findings include the estimation of an average loss of 2.39 years of life due to disability for the affected municipalities, considering 75 groups of diseases that had higher CIs and ARs after the disaster, compared with a set of control municipalities, indicating a worsening of health of these populations. We also identified respiratory diseases, various types of cancer, mental disorders, and violence as responsible for a very significant portion of the damage identified.
We included a series of public health recommendations that can be implemented to facilitate the resilience of those living in affected municipalities.
References
Nomura S, Parsons AJQ, Hirabayashi M, et al.: Social determinants of mid- to long-term disaster impacts on health: A systematic review. Int J Disaster Risk Reduct. 2016; 16: 53-67. DOI: 10.1016/j.ijdrr.2016.01.013. DOI: https://doi.org/10.1016/j.ijdrr.2016.01.013
Shoaf KI, Rottman SJ: Public health impact of disasters. Aust J Emerg Manag. 2000; 15(3): 58-63. DOI: https://doi.org/10.1017/S1049023X00025243
Li A, Toll M, Bentley R: Health and housing consequences of climate-related disasters: A matched case-control study using population-based longitudinal data in Australia. Lancet Planet Health. 2023; 7(6): e490-e500. DOI: 10.1016/S2542-5196(23)00089-X. DOI: https://doi.org/10.1016/S2542-5196(23)00089-X
Parkes CM: Prolonged psychosocial effects of disaster: A study of Buffalo Creek by Goldine C. Gleser, Bonnie L. Green and Carolyn Winget. London: Academic Press. 1981. Pp 176-£12. 60, $19.00. Br J Psychiatry. 1982; 141(1). DOI: 10.1017/s0007125000081228. DOI: https://doi.org/10.1017/S0007125000081228
Brackbill RM, Hadler JL, DiGrande L, et al.: Asthma and post-traumatic stress symptoms 5 to 6 years following exposure to the world trade center terrorist attack. JAMA. 2009; 302(5): 502. DOI: 10.1001/jama.2009.1121. DOI: https://doi.org/10.1001/jama.2009.1121
Abrahams MJ, Price J, Whitlock FA, et al.: The Brisbane floods, January 1974: Their impact on health. Med J Aust. 1976; 2: 936-939. DOI: 10.5694/j.1326-5377.1976.tb115530.x. DOI: https://doi.org/10.5694/j.1326-5377.1976.tb115530.x
Keya TA, Leela A, Habib N, et al.: Mental health disorders due to disaster exposure: A systematic review and meta-analysis. Cureus. 2023; DOI: 10.7759/cureus.37031. DOI: https://doi.org/10.7759/cureus.37031
Morita T, Nomura S, Tsubokura M, et al.: Excess mortality due to indirect health effects of the 2011 triple disaster in Fukushima, Japan: A retrospective observational study. J Epidemiol Community Health. 2017; 71(10): 974-980. DOI: 10.1136/jech-2016-208652. DOI: https://doi.org/10.1136/jech-2016-208652
Bennet G: Bristol floods 1968. Controlled survey of effects on health of local community disaster. Br Med J. 1970; 3(5720): 454-458. DOI: 10.1136/bmj.3.5720.454. DOI: https://doi.org/10.1136/bmj.3.5720.454
Watson JT, Gayer M, Connolly MA: Epidemics after natural disasters. Emerg Infect Dis. 2007; 13(1): 1-5. DOI: https://doi.org/10.3201/eid1301.060779
Goldmann E, Galea S: Mental health consequences of disasters. Annu Rev Public Health. 2014; 35: 169-183. DOI: 10.1146/annurevpublhealth-032013-182435. DOI: https://doi.org/10.1146/annurev-publhealth-032013-182435
Lock S, Rubin GJ, Murray V, et al.: Secondary stressors and extreme events and disasters: A systematic review of primary research from 2010-2011. PLoS Curr. 2012; DOI: 10.1371/currents.dis.a9b76fed1b2dd5c5bfcfc13c87a2f24f. DOI: https://doi.org/10.1371/currents.dis.a9b76fed1b2dd5c5bfcfc13c87a2f24f
Makwana N: Disaster and its impact on mental health: A narrative review. J Family Med Prim Care. 2019; 8(10): 3090. DOI: 10.4103/jfmpc.jfmpc_893_19. DOI: https://doi.org/10.4103/jfmpc.jfmpc_893_19
Davidson LM, Fleming R, Baum A: Chronic stress, catecholamines, and sleep disturbance at Three Mile Island. J Human Stress. 1987; 13(2): 75-83. DOI: 10.1080/0097840X.1987.9936798. DOI: https://doi.org/10.1080/0097840X.1987.9936798
Giorgadze T, Maisuradze I, Japaridze A, et al.: Disasters and their consequences for public health. Georgian Med News. 2011; 194: 59-63.
de Freitas CM, Barcellos C, Asmus CIRF, et al.: From Samarco in Mariana to Vale in Brumadinho: Mining dam disasters and public health. Cad Saude Publica. 2019; 35(5). DOI: 10.1590/0102-311X00052519. DOI: https://doi.org/10.1590/0102-311x00052519
Fundação Getulio Vargas: Análise de Agravos Notificados às Bases do DATASUS-Parte 1/Fundação Getulio Vargas. Rio de Janeiro, São Paulo: FGV, 2019: 547. Available at https://www.mpf.mp.br/grandes-casos/caso-samarco/documentos/fgv/fgv_analisede-agravos-notificados-as-bases-do-datasus-parte-1. Accessed November 26, 2024.
Fundação Getulio Vargas: Análise de Agravos Notificados às Bases do DATASUS-Parte 2/Fundação Getulio Vargas. Rio de Janeiro, São Paulo: FGV, 2019: 282. Available at https://www.mpf.mp.br/grandes-casos/caso-samarco/documentos/fgv/FGV_Analise%20de%20Agravos%20Notificados%20as%20Bases%20do%20DATASUS%20-%20Parte%202%20.pdf. Accessed November 26, 2024.
Fundação Getulio Vargas: Parâmetros e Subsídios para a Reparação dos Danos Socioeconômicos nos Territórios de Rio Doce, Santa Cruz do Escalvado e Chopotó/Fundação Getulio Vargas. Rio de Janeiro, São Paulo: FGV, 2020: 977. Available at https://www.mpf.mp.br/grandescasos/caso-samarco/documentos/fgv/rosa-fortini-parametros-e-subsidios-para-a-reparacao-dos-danos-socioeconomicos_parte-1.pdf. Accessed November 26, 2024.
Fundação Getulio Vargas: A Violência Doméstica contra as Mulheres Atingidas pelo Rompimento da Barragem de Fundão / Fundação Getulio Vargas. Rio de Janeiro, São Paulo: FGV, 2021: 237. Available at https://www.mpf.mp.br/grandes-casos/caso-samarco/documentos/fgv/fgv_a-violaancia-doma-c-stica-contra-as-mulheresatingidas-pelo-rompimento-da-barragem-de-fundapso.pdf. Accessed November 26, 2024.
LACTEC: Diagnóstico Socioambiental Do Rio Doce—Relatório Pós-Desastre Grupo 02—Meios Físico e Biótico, Geologia, Solos, Hidrologia e Hidrosedimentologia, Qualidade de Sedimentos Unidades de Conservação, Flora e Fauna. 2018. Available at https://www.mpf.mp.br/grandes-casos/caso-samarco/documentos/relatorios-lactec/lactec_relatorio-pos-desastre-grupo-02. Accessed November 26, 2024.
LACTEC: Diagnóstico Socioambiental Do Rio Doce—Relatório Pós-Desastre Grupo 01—Qualidade de Água, Águas Subterrâneas. Pesca Toxicologia, 2018. Available at https://www.mpf.mp.br/grandes-casos/caso-samarco/documentos/relatorios-lactec/lactec_relatorio-pos-desastre-grupo-01.
Andrade MV, Noronha Kvm de S, Santos AS, et al.: Estimation of health-related quality of life losses owing to a technological disaster in Brazil using EQ-5D-3L: A cross-sectional study. Value Health Reg Issues. 2021; 26: 66-74. DOI: 10.1016/j.vhri.2021.02.003. DOI: https://doi.org/10.1016/j.vhri.2021.02.003
ISS e Greenpeace: Avaliação Dos Riscos Em Saúde Da População Afetada Pelo Desastre de Mariana. 2017. Available at https://www.greenpeace.org.br/hubfs/Campanhas/Agua_Para_Quem/documentos/RelatorioGreenpeace_saude_RioDoce.pdf?_gl=1*1b30nin*_gcl_au*MTIyNjU1NDY2Ny4xNzMxNzAxNTkx&_ga=2.114133575.1748704879.1731701591-438385423.1731701591. Accessed November 26, 2024.
Garcia FD, Neves MCLD, Firmo JOA, et al.: Prevalence of psychiatric symptoms and associated factors in the adult population from the area affected by the tailings dam rupture-Brumadinho Health Project. Rev Bras Epidemiol. 2022; 25(Suppl. 2): e220011. DOI: 10.1590/1980-549720220011.supl.2. Erratum in: Rev Bras Epidemiol. 2024; 30: 27: e220011erratum. DOI: 10.1590/1980-549720220011.supl.2erratum. Accessed November 26, 2024. DOI: https://doi.org/10.1590/1980-549720220011.supl.2erratum
EPISUS: Dois Anos Pós-Desastre Da Barragem Do Fundão: Perfil Epidemiológico e Toxicológico Da População de Barra Longa MG. Relatório Final, 2018. DOI: 10.1590/1806-93472019v39n81-07.
Espindola HS, Nodari ES, dos Santos MA: Rio Doce: riscos e incertezas a partir do desastre de Mariana (MG). Rev Bras Hist. 2019; 39(81): 141-162. DOI: https://doi.org/10.1590/1806-93472019v39n81-07
Vergilio C dos S, Lacerda D, Oliveira Bcv D, et al.: Metal concentrations and biological effects from one of the largest mining disasters in the world (Brumadinho, Minas Gerais, Brazil). Sci Rep. 2020; 10(1). DOI: 10.1038/s41598-020-62700-w. DOI: https://doi.org/10.1038/s41598-020-62700-w
Carmo FFD, Kamino LHY, Junior RT, et al.: Fundão tailings dam failures: The environment tragedy of the largest technological disaster of Brazilian mining in global context. Perspect Ecol Conserv. 2017; 15(3): 145-151. DOI: 10.1016/j.pecon.2017.06.002. DOI: https://doi.org/10.1016/j.pecon.2017.06.002
Queiroz HM, Nóbrega GN, Ferreira TO, et al.: The Samarco mine tailing disaster: A possible time-bomb for heavy metals contamination? Sci Total Environ. 2018; 637-638: 498-506. DOI: 10.1016/j.scitotenv.2018.04.370. DOI: https://doi.org/10.1016/j.scitotenv.2018.04.370
Fernandes GW, Goulart FF, Ranieri BD, et al.: Deep into the mud: Ecological and socio-economic impacts of the dam breach in Mariana, Brazil. Nat Conser. 2016; 14(2): 35-45. DOI: 10.1016/j.ncon.2016.10.003. DOI: https://doi.org/10.1016/j.ncon.2016.10.003
LACTEC: Diagnóstico Socioambiental Dos Danos Decorrentes Do Rompimento Da Barragem de Fundão Na Bacia Do Rio Doce Caracterização Parcial Do Rejeito de Mineração Do Complexo de Germano. 2018. Available at https://www.mpf.mp.br/grandes-casos/caso-samarco/documentos/relatorios-lactec/lactec_caracterizacaoparcial-do-rejeito-de-mineracao-do-complexo-de-germano. Accessed November 26, 2024.
IBAMA: Laudo Técnico Preliminar-Impactos Ambientais Decorrentes Do Desastre Envolvendo o Rompimento Da Barragem de Fundão. Em Mariana: Minas Gerais, 2015.
WISE Uranium Project: Chronology of major tailings dam failures. 2016. Available at https://www.wise-uranium.org/mdaf.html. Accessed November 26, 2024.
Agência Nacional de Águas: Encarte Especial Sobre a Bacia Do Rio Doce. Conjuntura Dos Recursos Hídricos No BRASIL Informe 2015. Rompimento Da Barragem Em Mariana/MG. 2016. Available at https://arquivos.ana.gov.br/RioDoce/EncarteRioDoce_22_03_2016v2.pdf. Accessed November 26, 2024.
Hatje V, Pedreira RMA, De Rezende CE, et al.: The environmental impacts of one of the largest tailing dam failures worldwide. Sci Rep. 2017; 7(1). DOI: 10.1038/s41598-017-11143-x. DOI: https://doi.org/10.1038/s41598-017-11143-x
Pires JMM, Lena JC, de Machado CC, et al.: Potencial poluidor de resíduo sólido da samarco mineração: Estudo de caso da barrage de germano. Rev Árvore. 2003; 27(3): 393-397. DOI: 10.1590/s0100-67622003000300017. DOI: https://doi.org/10.1590/S0100-67622003000300017
Segura FR, Nunes EA, Paniz FP, et al.: Potential risks of the residue from Samarco’s mine dam burst (Bento Rodrigues, Brazil). Environ Pollut. 2016; 218: 813-825. DOI: 10.1016/j.envpol.2016.08.005. DOI: https://doi.org/10.1016/j.envpol.2016.08.005
LACTEC: Diagnóstico Socioambiental Dos Danos Decorrentes Do Rompimento Da Barragem de Fundão Na Bacia Do Rio Doce: Qualificação e Quantificação de Elementos Potencialmente Tóxicos (Metais d Semimetais) Em Pescado Proveniente Da Área de Proibição Da Pesca. 2019. Available at https://www.mpf.mp.br/grandes-casos/caso-samarco/documentos/relatorios-lactec/lactec_qualificacao-equantificacao-de-epts-em-pescado-proveniente-da-area-de-proibicaode-pesca. Accessed November 26, 2024.
Quadra GR, Roland F, Barros N, et al.: Far-reaching cytogenotoxic effects of mine waste from the Fundão dam disaster in Brazil. Chemosphere. 2019; 215: 753-757. DOI: 10.1016/j.chemosphere.2018.10.104. DOI: https://doi.org/10.1016/j.chemosphere.2018.10.104
LACTEC: Diagnóstico socioambiental dos danos decorrentes do rompimento da barragem de fundão na bacia do rio doce. In Relatório de Linha-Base: Volume II—Meio Biótico e Bens Arqueológicos e Culturais. Publ. Institutos Lactec, 2017. Available at https://www.mpf.mp.br/grandes-casos/caso-samarco/documentos/relatorios-lactec/diagnostico-rio-doce-relatorio-de-linha-base-volume-ii-meio-biotico-ebens-arqueologicos-e-culturais. Accessed November 26, 2024.
Arantes FP, Savassi LA, Santos HB, et al.: Bioaccumulation of mercury, cadmium, zinc, chromium, and lead in muscle, liver, and spleen tissues of a large commercially valuable catfish species from Brazil. An Acad Bras Ciênc. 2016; 88(1): 137-147. DOI: 10.1590/0001-3765201620140434. DOI: https://doi.org/10.1590/0001-3765201620140434
IBGE-Instituto Brasileiro de Geografia E Estatística: Censo Brasileiro de. 2022. Available at https://cidades.ibge.gov.br/brasil/mg/panorama. Accessed February 20, 2024.
Brasil P, Ipea FJP: Atlas do desenvolvimento humano no Brasil. 2024. Available at http://www.atlasbrasil.org.br/consulta. Accessed February 20, 2024.
Massad E, Ortega NRS, de Barros LC, et al.: Fuzzy Logic in Action: Applications in Epidemiology and Beyond. Berlin: Springer, 2008. ISBN: 3540690921. DOI: https://doi.org/10.1007/978-3-540-69094-8
Grossi E: Medical concepts related to individual risk are better explained with “plausibility” rather than “probability”. BMC Cardiovasc Disord. 2005; 5(1): 31. DOI: 10.1186/1471-2261-5-31. DOI: https://doi.org/10.1186/1471-2261-5-31
World Health Organization (WHO): WHO methods and data sources for country-level causes of death 2000-2019. 2020. Available at https://www.who.int/docs/default-source/gho-documents/global-healthestimates/ghe2019_cod_methods.pdf. Accessed November 26, 2024.
Murray CJ, Lopez AD: Global mortality, disability, and the contribution of risk factors: Global burden of disease study. Lancet. 1997; 349(9063): 1436-1442. DOI: 10.1016/S0140-6736(96)07495-8. DOI: https://doi.org/10.1016/S0140-6736(96)07495-8
Mota JD, Valente JG, Schramm JM, et al.: Estudo da carga de doença das condições orais em Minas Gerais, Brasil, 2004-2006. Ciên Saúde Colet. 2014; 19(7): 2167-2178. DOI: 10.1590/1413-81232014197.09312013. DOI: https://doi.org/10.1590/1413-81232014197.09312013
Devleesschauwer B, Havelaar AH, Maertens de Noordhout C, et al.: Calculating disability-adjusted life years to quantify burden of disease. Int J Public Health. 2014; 59(3): 565-569. DOI: 10.1007/s00038-014-0552-z. DOI: https://doi.org/10.1007/s00038-014-0552-z
Fernandez A, Black J, Jones M, et al.: Flooding and mental health: A systematic mapping review. PLoS One. 2015; 10(4): e0119929. DOI: 10.1371/journal.pone.0119929. DOI: https://doi.org/10.1371/journal.pone.0119929
Fewtrell L, Kay D: An attempt to quantify the health impacts of flooding in the UK using an urban case study. Public Health. 2008; 122(5): 446-451. DOI: 10.1016/j.puhe.2007.09.010. DOI: https://doi.org/10.1016/j.puhe.2007.09.010
Marinho F, de Azeredo Passos VM, Carvalho Malta D, et al.: Burden of disease in Brazil, 1990–2016: A systematic subnational analysis for the global burden of disease study 2016. Lancet. 2018; 392(10149): 760-775. DOI: 10.1016/S0140-6736(18)31221-2. DOI: https://doi.org/10.1016/S0140-6736(18)31221-2
WHO: Global health estimates technical paper. In WHO Methods and Data Sources for Country-Level Causes of Death 2000-2015. Geneva: WHO, 2016.
Muniz Dh de F, Oliveira-Filho EC: Metais pesados provenientes de rejeitos de mineração e seus efeitos sobre a saúde e o meio ambiente. Univ Ci Saúde. 2008; 4(1): 83-100. DOI: 10.5102/ucs.v4i1.24. DOI: https://doi.org/10.5102/ucs.v4i1.24
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