Pontos críticos de clima e saúde na agricultura brasileira

Lista de referências utilizadas para mapear a CID-10 ao risco de saúde dos trabalhadores

Autores

Afiliação

Edgar Rodriguez-Huerta

University of Nottingham, Rights Lab

Ana Trevizan

University of Nottingham, Rights Lab

Categorias e Referências

Lista de referências utilizadas para a Classificação Internacional de Doenças, 10ª revisão (CID-10), com os principais riscos à saúde ocupacional descritos em “Saúde no Trabalho em um Clima em Mudança” (OIT, 2024): calor excessivo, poluição do ar, radiação UV, doenças transmitidas por vetores e exposição a agrotóxicos, além de doenças transmitidas pela água, visto que a falta de instalações adequadas de água, saneamento e higiene foi detectada como um dos principais problemas identificados na inspeção do trabalho.

categorias relacionadas ao clima e à saúde	Referências
Agrochemicals	(Alengebawy et al., 2021; Assis et al., 2022; Buralli et al., 2020; Chrisman, 2012; de Araujo et al., 2023; Dutra et al., 2020; Igual et al., 2020; Instituto Nacional de Câncer (INCA), 2022; Juntarawijit and Juntarawijit, 2018; Lopes and Albuquerque, 2018; Lopes, 2023; Machado et al., 2024; Ministério da Saúde and Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA), 2021; Carolina Panis et al., 2022; C. Panis et al., 2022; Panis et al., 2024; Paz De Lima and Nery, 2022; Pedroso et al., 2022; Pluth et al., 2020; Polanco Rodríguez et al., 2017; Ruths et al., 2019; Soares et al., 2024; Tang et al., 2021; Trevisan et al., 2009; Uyemura et al., 2017; Wei et al., 2023; Zeraatkar and Khajoei Nasab, 2024)
Waterborne diseases and WASH related	(Bartram et al., 2002; Brito et al., 2023; Coly et al., 2017; Crimmins et al., 2016; Fontoura et al., 2018; Greco et al., 2020; Halder and Islam, 2015; Khan et al., 2007; Kraay et al., 2018; Ortiz-Prado et al., 2022; Carolina Panis et al., 2022; Parker et al., 2024; Reis et al., 2019; Rieger et al., 2021; Semenza, 2021; Semenza et al., 2012; Sommer et al., 2015)
Excessive heat	(Andrews et al., 2018; Baassiri et al., 2024; Bitencourt et al., 2021; CDC, 2016; Chang and Yang, 2023; Chu et al., 2023; Commission for Environmental Cooperation, 2015; Crowe et al., 2010; El Khayat et al., 2022; Ferrari et al., 2023; Flouris et al., 2018; Gibb et al., 2024; Grigorieva and Lukyanets, 2021; Harduar Morano and Watkins, 2017; Kjellstrom et al., 2009; Masuda et al., 2019; Pires Bitencourt et al., 2020; Pradhan et al., 2019; Wu and Basu, 2021; Xiang et al., 2014; Xu et al., 2020; Yoon et al., 2021)
Air pollution	(Cheng et al., 2022; Dong et al., 2024; Grigorieva and Lukyanets, 2021; Horne et al., 2024; Knowlton and Limaye, 2021; Landrigan et al., 2018; Raza and Ali, 2021; Smith et al., 2023; Smith and Pillarisetti, 2017; Von Schneidemesser et al., 2020; Wen et al., 2024; Xu et al., 2021; Ye et al., 2021; Zhang et al., 2018)
UV radiation	(Buse et al., 2022; Chinem and Miot, 2011; Dally and Newman, 2021; Delic et al., 2017; Gholamnia et al., 2021; McGinty and Truscott, 2006; Narayanan et al., 2010; Nogueira et al., 2025; Schalka et al., 2014; Schulte and Chun, 2009; Slavinsky et al., 2024; Taylor et al., 1988; World Health Organization et al., 2010)
Vector-borne disease	(Buchwald et al., 2021; de Sousa et al., 2025; Franklinos et al., 2019; Fujita et al., 2023; Junior et al., 2022; Kaup, 2021; Leal Filho et al., 2018; Londe et al., 2018; Nava et al., 2017; Thomson and Stanberry, 2022; World Health Organization (WHO) and UNICEF, 2024)
Multiples climate-health decent work categories	(Adam-Poupart et al., 2013; Ansah et al., 2021; Applebaum et al., 2016; Ebi and Hess, 2020; Ferrari et al., 2023; Haines and Ebi, 2019; ILO, 2024; Levy and Patz, 2015; Li et al., 2023; Mousavi et al., 2020; Rocque et al., 2021; Schulte and Chun, 2009; Watts et al., 2021; Wuersch et al., 2023)

References

Adam-Poupart, A., Labrèche, F., Smargiassi, A., Duguay, P., Busque, M.-A., Gagné, C., Rintamäki, H., Kjellstrom, T., Zayed, J., 2013. Climate Change and Occupational Health and Safety in a Temperate Climate: Potential Impacts and Research Priorities in Quebec, Canada. Industrial Health 51, 68–78. https://doi.org/10.2486/indhealth.2012-0100

Alengebawy, A., Abdelkhalek, S.T., Qureshi, S.R., Wang, M.-Q., 2021. Heavy Metals and Pesticides Toxicity in Agricultural Soil and Plants: Ecological Risks and Human Health Implications. Toxics 9, 42. https://doi.org/10.3390/toxics9030042

Andrews, O., Le Quéré, C., Kjellstrom, T., Lemke, B., Haines, A., 2018. Implications for workability and survivability in populations exposed to extreme heat under climate change: a modelling study. The Lancet Planetary Health 2, e540–e547. https://doi.org/10.1016/S2542-5196(18)30240-7

Ansah, E.W., Ankomah-Appiah, E., Amoadu, M., Sarfo, J.O., 2021b. Climate change, health and safety of workers in developing economies: A scoping review. The Journal of Climate Change and Health 3, 100034. https://doi.org/10.1016/j.joclim.2021.100034

Applebaum, K.M., Graham, J., Gray, G.M., LaPuma, P., McCormick, S.A., Northcross, A., Perry, M.J., 2016. An Overview of Occupational Risks From Climate Change. Curr Envir Health Rpt 3, 13–22. https://doi.org/10.1007/s40572-016-0081-4

Assis, M.P.D., Nepomuceno, P., Silva, T.F.D., Lange, M., Mocelin, G., Pohl, H.H., Krug, S.B.F., 2022. Farmers Affected by Hematological Neoplasms and Exposed to Pesticides: A study in southern Brazil. IJAERS 9, 341–357. https://doi.org/10.22161/ijaers.97.35

Baassiri, H., Varghese, T., Clemens, K.K., Ouédraogo, A.M., Van Aarsen, K., Vujčić, B., Yan, J.W., 2024. Validity of an ICD-10 Coding Algorithm for Acute Heat Illness in the Emergency Department: A Retrospective Cohort Study. Int J Environ Res Public Health 21, 1132. https://doi.org/10.3390/ijerph21091132

Bartram, J., Thyssen, N., Gowers, A., Pond, K., Lack, T., Danzon, M., Jiménez-Beltrán, D., 2002. Water and health in Europe: A joint report from the European Environment Agency and the WHO Regional Office for Europe. World Health Organization Regional Publications - European Series 7.

Bitencourt, D.P., Muniz Alves, L., Shibuya, E.K., de Ângelo da Cunha, I., Estevam de Souza, J.P., 2021. Climate change impacts on heat stress in Brazil–-Past, present, and future implications for occupational heat exposure. International Journal of Climatology 41, E2741–E2756. https://doi.org/10.1002/joc.6877

Brito, M.I.B.D.S., Oliveira, E.C.A.D., Barbosa, C.S., Gomes, E.C.D.S., 2023. Factors associated with severe forms and deaths from schistosomiasis and application of probabilistic linkage in databases, state of Pernambuco, Brazil, 2007–2017. Rev. bras. epidemiol. 26, e230003. https://doi.org/10.1590/1980-549720230003

Buchwald, A.G., Garofalo, J.F., Gage, K.L., Beard, C.B., 2021. Chapter 8: Climate and its impacts on vector-borne diseases, in: Global Climate Change and Human Health : From Science to Practice. John Wiley & Sons, pp. 270–300.

Buralli, R.J., Ribeiro, H., Iglesias, V., Muñoz-Quezada, M.T., Leão, R.S., Marques, R.C., Almeida, M.M.C. de, Guimarães, J.R.D., 2020. Occupational exposure to pesticides and health symptoms among family farmers in Brazil. Rev. Saúde Pública 54, 133. https://doi.org/10.11606/s1518-8787.2020054002263

Buse, C.G., Brubacher, J., Lapp, H., Jackson, E., Wilson, R., Bevis, B., Komorowski, C., Zentner, S., Folkema, A., Trotz-Williams, L., 2022. Climate Change and Health Vulnerability Assessment for Waterloo Region. Public Health and Wellington-Dufferin-Guelph Public Health Unit., Wellington County, Dufferin County, and the City of Guelph. Waterloo and Guelph, ON: Region of Waterloo.

CDC, 2016. Technical Documentation: Heat-Related Deaths.

Chang, C.-J., Yang, H.-Y., 2023. Chronic Kidney Disease Among Agricultural Workers in Taiwan: A Nationwide Population-Based Study. Kidney International Reports 8, 2677–2689. https://doi.org/10.1016/j.ekir.2023.09.004

Cheng, J., Su, H., Song, J., Wang, X., 2022. Short-term effect of air pollution on childhood epilepsy in eastern China: A space–time-stratified case-crossover and pooled analysis. Environment International 170, 107591. https://doi.org/10.1016/j.envint.2022.107591

Chinem, V.P., Miot, H.A., 2011. Epidemiologia do carcinoma basocelular. An. Bras. Dermatol. 86, 292–305. https://doi.org/10.1590/S0365-05962011000200013

Chrisman, J. de R., 2012. Mortalidade em agricultores residentes em microrregiões produtoras de soja no Brasil xi,89-xi,89.

Chu, L., Chen, K., Crowley, S., Dubrow, R., 2023. Associations between short-term temperature exposure and kidney-related conditions in New York State: The influence of temperature metrics across four dimensions. Environment International 173, 107783. https://doi.org/10.1016/j.envint.2023.107783

Coly, S., Vincent, N., Vaissiere, E., Charras-Garrido, M., Gallay, A., Ducrot, C., Mouly, D., 2017. Waterborne disease outbreak detection: an integrated approach using health administrative databases. Journal of Water and Health 15, 475–489. https://doi.org/10.2166/wh.2017.273

Commission for Environmental Cooperation, 2015. CASE STUDY: Hermosillo, Mexico, Captures Heat-Related Illnesses at Medical Facilities Using New Database.

Crimmins, A., Balbus, J., Gamble, J.L., Beard, C.B., Bell, J.E., Dodgen, D., Eisen, R.J., Fann, N., Hawkins, M.D., Herring, S.C., Jantarasami, L., Mills, D.M., Saha, S., Sarofim, M.C., Trtanj, J., Ziska, L., 2016. The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment. U.S. Global Change Research Program, Washington, DC. https://doi.org/10.7930/J0R49NQX

Crowe, J., Manuel Moya-Bonilla, J., Román-Solano, B., Robles-Ramírez, A., 2010. Heat exposure in sugarcane workers in Costa Rica during the non-harvest season. Global Health Action 3, 5619. https://doi.org/10.3402/gha.v3i0.5619

Dally, M., Newman, L.S., 2021. Chapter 11: Worker Health, in: Global Climate Change and Human Health : From Science to Practice. John Wiley & Sons, pp. 350–384.

de Araujo, L.G., Zordan, D.F., Celzard, A., Fierro, V., 2023. Glyphosate uses, adverse effects and alternatives: focus on the current scenario in Brazil. Environmental Geochemistry and Health. https://doi.org/10.1007/s10653-023-01763-w

de Sousa, T.C.M., Barcellos, C., Barreto, M.L., 2025. The global burden of climate-sensitive diseases in Brazil: the national and subnational estimates and analysis, 1990–2017. Population Health Metrics 23, 29. https://doi.org/10.1186/s12963-025-00385-x

Delic, N.C., Lyons, J.G., Di Girolamo, N., Halliday, G.M., 2017. Damaging Effects of Ultraviolet Radiation on the Cornea. Photochem & Photobiology 93, 920–929. https://doi.org/10.1111/php.12686

Dong, H.-J., Ran, P., Liao, D.-Q., Chen, X.-B., Chen, G., Ou, Y.-Q., Li, Z.-H., 2024. Long-term exposure to air pollutants and new-onset migraine: A large prospective cohort study. Ecotoxicology and Environmental Safety 273, 116163. https://doi.org/10.1016/j.ecoenv.2024.116163

Dutra, L.S., Ferreira, A.P., Horta, M.A.P., Palhares, P.R., 2020. Uso de agrotóxicos e mortalidade por câncer em regiões de monoculturas. Saúde debate 44, 1018–1035. https://doi.org/10.1590/0103-1104202012706

Ebi, K.L., Hess, J.J., 2020. Health Risks Due To Climate Change: Inequity In Causes And Consequences: Study examines health risks due to climate change. Health Affairs 39, 2056–2062. https://doi.org/10.1377/hlthaff.2020.01125

El Khayat, M., Halwani, D.A., Hneiny, L., Alameddine, I., Haidar, M.A., Habib, R.R., 2022. Impacts of Climate Change and Heat Stress on Farmworkers’ Health: A Scoping Review. Front. Public Health 10, 782811. https://doi.org/10.3389/fpubh.2022.782811

Ferrari, G.N., Leal, G.C.L., Thom De Souza, R.C., Galdamez, E.V.C., 2023. Impact of climate change on occupational health and safety: A review of methodological approaches. WOR 74, 485–499. https://doi.org/10.3233/WOR-211303

Flouris, A.D., Dinas, P.C., Ioannou, L.G., Nybo, L., Havenith, G., Kenny, G.P., Kjellstrom, T., 2018. Workers’ health and productivity under occupational heat strain: a systematic review and meta-analysis. Lancet Planet Health 2, e521–e531. https://doi.org/10.1016/S2542-5196(18)30237-7

Fontoura, V.M., Graepp-Fontoura, I., Santos, F.S., Santos Neto, M., Tavares, H.S. de A., Bezerra, M.O.L., Feitosa, M. de O., Neves, A.F., de Morais, J.C.M., Nascimento, L.F.C., 2018. Socio-environmental factors and diarrheal diseases in under five-year old children in the state of Tocantins, Brazil. PLoS One 13, e0196702. https://doi.org/10.1371/journal.pone.0196702

Franklinos, L.H.V., Jones, K.E., Redding, D.W., Abubakar, I., 2019. The effect of global change on mosquito-borne disease. The Lancet Infectious Diseases 19, e302–e312. https://doi.org/10.1016/S1473-3099(19)30161-6

Fujita, D.M., Salvador, F.S., Nali, L.H.D.S., Andrade Júnior, H.F.D., 2023. Dengue and climate changes: Increase of DENV-1 in São Paulo/Brazil – 2023. Travel Medicine and Infectious Disease 56, 102668. https://doi.org/10.1016/j.tmaid.2023.102668

Gholamnia, R., Abtahi, M., Dobaradaran, S., Koolivand, A., Jorfi, S., Khaloo, S.S., Bagheri, A., Vaziri, M.H., Atabaki, Y., Alhouei, F., Saeedi, R., 2021. Spatiotemporal analysis of solar ultraviolet radiation based on Ozone Monitoring Instrument dataset in Iran, 2005–2019. Environmental Pollution 287, 117643. https://doi.org/10.1016/j.envpol.2021.117643

Gibb, K., Beckman, S., Vergara, X.P., Heinzerling, A., Harrison, R., 2024. Extreme Heat and Occupational Health Risks. Annual Review of Public Health 45, 315–335. https://doi.org/10.1146/annurev-publhealth-060222-034715

Greco, S.L., Drudge, C., Fernandes, R., Kim, J., Copes, R., 2020. Estimates of healthcare utilisation and deaths from waterborne pathogen exposure in Ontario, Canada. Epidemiol Infect 148, e70. https://doi.org/10.1017/S0950268820000631

Grigorieva, E., Lukyanets, A., 2021. Combined effect of hot weather and outdoor air pollution on respiratory health: Literature review. Atmosphere 12. https://doi.org/10.3390/atmos12060790

Haines, A., Ebi, K., 2019. The Imperative for Climate Action to Protect Health. N Engl J Med 380, 263–273. https://doi.org/10.1056/NEJMra1807873

Halder, J., Islam, N., 2015. Water Pollution and its Impact on the Human Health. Journal of Environment and Human 2, 36–46. https://doi.org/10.15764/eh.2015.01005

Harduar Morano, L., Watkins, S., 2017. Evaluation of Diagnostic Codes in Morbidity and Mortality Data Sources for Heat-Related Illness Surveillance. Public Health Rep 132, 326–335. https://doi.org/10.1177/0033354917699826

Horne, B., Haddad, F., Anderson, J., Maecker, H., Bair, T., Johnson, M., Bride, D., Muhlestein, J., Kim, J., Knight, S., Nadeau, K., Knowlton, K., 2024. Association of PM2.5 Air Pollution with Inflammatory Biomarkers in Patients with Heart Failure. Circulation 150, A4144036–A4144036. https://doi.org/10.1161/circ.150.suppl_1.4144036

Igual, S.D., Hartwig, S.V., Ignotti, E., 2020. Tendência das taxas de mortalidade por câncer e o do consumo de glifosato no Brasil. RSD 9, e84891110263. https://doi.org/10.33448/rsd-v9i11.10263

ILO, 2024. Ensuring safety and health at work in a changing climate | International Labour Organization (Global report). International Labour Organization.

Instituto Nacional de Câncer (INCA), 2022. Exposicao no trabalho e no -ambiente - Agrotóxico [WWW Document]. Agrotóxico. URL https://www.gov.br/inca/pt-br/assuntos/causas-e-prevencao-do-cancer/exposicao-no-trabalho-e-no-ambiente/agrotoxico (accessed 9.23.25).

Junior, J.B.S., Massad, E., Lobao-Neto, A., Kastner, R., Oliver, L., Gallagher, E., 2022. Epidemiology and costs of dengue in Brazil: a systematic literature review. International Journal of Infectious Diseases 122, 521–528. https://doi.org/10.1016/j.ijid.2022.06.050

Juntarawijit, C., Juntarawijit, Y., 2018. Association between diabetes and pesticides: a case-control study among Thai farmers. Environ Health Prev Med 23, 3. https://doi.org/10.1186/s12199-018-0692-5

Kaup, B.Z., 2021. Pathogenic Metabolisms: A Rift and the Zika Virus in Mato Grosso, Brazil. Antipode 53, 567–586. https://doi.org/10.1111/anti.12694

Khan, R., Phillips, D., Fernando, D., Fowles, J., Lea, R., 2007. Environmental health indicators in New Zealand: Drinking water - A case study. EcoHealth 4, 63–71. https://doi.org/10.1007/s10393-007-0089-1

Kjellstrom, T., Holmer, I., Lemke, B., 2009. Workplace heat stress, health and productivity – an increasing challenge for low and middle-income countries during climate change. Global Health Action 2, 2047. https://doi.org/10.3402/gha.v2i0.2047

Knowlton, K., Limaye, V.S., 2021. Chapter 5: Degraded Air Quality, in: Global Climate Change and Human Health : From Science to Practice. John Wiley & Sons, pp. 177–212.

Kraay, A.N.M., Brouwer, A.F., Lin, N., Collender, P.A., Remais, J.V., Eisenberg, J.N.S., 2018. Modeling environmentally mediated rotavirus transmission: The role of temperature and hydrologic factors. Proceedings of the National Academy of Sciences 115, E2782–E2790. https://doi.org/10.1073/pnas.1719579115

Landrigan, P.J., Fuller, R., Acosta, N.J.R., Adeyi, O., Arnold, R., Basu, N. (Nil), Baldé, A.B., Bertollini, R., Bose-O’Reilly, S., Boufford, J.I., Breysse, P.N., Chiles, T., Mahidol, C., Coll-Seck, A.M., Cropper, M.L., Fobil, J., Fuster, V., Greenstone, M., Haines, A., Hanrahan, D., Hunter, D., Khare, M., Krupnick, A., Lanphear, B., Lohani, B., Martin, K., Mathiasen, K.V., McTeer, M.A., Murray, C.J.L., Ndahimananjara, J.D., Perera, F., Potočnik, J., Preker, A.S., Ramesh, J., Rockström, J., Salinas, C., Samson, L.D., Sandilya, K., Sly, P.D., Smith, K.R., Steiner, A., Stewart, R.B., Suk, W.A., van Schayck, O.C.P., Yadama, G.N., Yumkella, K., Zhong, M., 2018. The Lancet Commission on pollution and health. The Lancet 391, 462–512. https://doi.org/10.1016/S0140-6736(17)32345-0

Leal Filho, W., Bönecke, J., Spielmann, H., Azeiteiro, U.M., Alves, F., Lopes de Carvalho, M., Nagy, G.J., 2018. Climate change and health: An analysis of causal relations on the spread of vector-borne diseases in Brazil. Journal of Cleaner Production 177, 589–596. https://doi.org/10.1016/j.jclepro.2017.12.144

Levy, B.S., Patz, J.A., 2015. Climate Change, Human Rights, and Social Justice. Annals of Global Health, Climate Change, Global Health and Human Rights 81, 310–322. https://doi.org/10.1016/j.aogh.2015.08.008

Li, A., Toll, M., Bentley, R., 2023. Mapping social vulnerability indicators to understand the health impacts of climate change: a scoping review. The Lancet Planetary Health 7, e925–e937. https://doi.org/10.1016/S2542-5196(23)00216-4

Londe, L.D.R., Moura, L.G., Coutinho, M.P., Marchezini, V., Soriano, E., 2018. Vulnerability, health and disasters in São Paulo coast (Brazil): challenges for a sustainable development. Ambient. soc. 21, e01022. https://doi.org/10.1590/1809-4422asoc0102r2vu18L1AO

Lopes, C.V.A., Albuquerque, G.S.C.D., 2018. Agrotóxicos e seus impactos na saúde humana e ambiental: uma revisão sistemática. Saúde debate 42, 518–534. https://doi.org/10.1590/0103-1104201811714

Lopes, H.R., 2023. Vivendo em territórios contaminados: um dossiê sobre agrotóxicos nas águas do Cerrado. Alternativas para pequena agricultura no Tocantins – APATO63, Palmas, TO.

Lucas, R.M., McMichael, A.J., Armstrong, B.K., Smith, W.T., 2008. Estimating the global disease burden due to ultraviolet radiation exposure. International Journal of Epidemiology 37, 654–667. https://doi.org/10.1093/ije/dyn017

Machado, M.G., Orrutéa, J.F.G., Panis, C., 2024. Pesticides, Drinking Water and Cancer Risk: A Portrait of Paraná Southwest, Brazil. Pollutants 4, 302–315. https://doi.org/10.3390/pollutants4030020

Masuda, Y.J., Castro, B., Aggraeni, I., Wolff, N.H., Ebi, K., Garg, T., Game, E.T., Krenz, J., Spector, J., 2019. How are healthy, working populations affected by increasing temperatures in the tropics? Implications for climate change adaptation policies. Global Environmental Change 56, 29–40. https://doi.org/10.1016/j.gloenvcha.2019.03.005

McGinty, S.J., Truscott, R.J.W., 2006. Presbyopia: The First Stage of Nuclear Cataract? Ophthalmic Res 38, 137–148. https://doi.org/10.1159/000090645

Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA), 2021. Ambiente, trabalho e câncer: aspectos epidemiológicos, toxicológicos e regulatórios. INCA, Instituto Nacional de Cancer, Rio de Janeiro, RJ.

Mousavi, A., Ardalan, A., Takian, A., Ostadtaghizadeh, A., Naddafi, K., Bavani, A.M., 2020. Climate change and health in Iran: a narrative review. J Environ Health Sci Engineer 18, 367–378. https://doi.org/10.1007/s40201-020-00462-3

Narayanan, D.L., Saladi, R.N., Fox, J.L., 2010. Review: Ultraviolet radiation and skin cancer. Int J Dermatology 49, 978–986. https://doi.org/10.1111/j.1365-4632.2010.04474.x

Nava, A., Shimabukuro, J.S., Chmura, A.A., Luz, S.L.B., 2017. The Impact of Global Environmental Changes on Infectious Disease Emergence with a Focus on Risks for Brazil. ILAR Journal 58, 393–400. https://doi.org/10.1093/ilar/ilx034

Nogueira, F. de A.M., Damacena, G.N., Otero, U.B., Szwarcwald, C.L., 2025. Prevalência da Exposição à Radiação Solar em Trabalhadores no Brasil: Subsídios para Ações de Prevenção do Câncer de Pele Relacionado ao Trabalho. Revista Brasileira de Cancerologia 71, e-054880. https://doi.org/10.32635/2176-9745.RBC.2025v71n1.4880

Ortiz-Prado, E., Simbaña-Rivera, K., Cevallos, G., Gómez-Barreno, L., Cevallos, D., Lister, A., Fernandez-Naranjo, R., Ríos-Touma, B., Vásconez-González, J., Izquierdo-Condoy, J.S., 2022. Waterborne diseases and ethnic-related disparities: A 10 years nationwide mortality and burden of disease analysis from Ecuador. Front Public Health 10, 1029375. https://doi.org/10.3389/fpubh.2022.1029375

Panis, Carolina, Candiotto, L.Z.P., Gaboardi, S.C., Gurzenda, S., Cruz, J., Castro, M., Lemos, B., 2022. Widespread pesticide contamination of drinking water and impact on cancer risk in Brazil. Environ Int 165, 107321. https://doi.org/10.1016/j.envint.2022.107321

Panis, C., Candiotto, L.Z.P., Gaboardi, S.C., Teixeira, G.T., Alves, F.M., Da Silva, J.C., Scandolara, T.B., Rech, D., Gurzenda, S., Ponmattam, J., Ohm, J., Castro, M.C., Lemos, B., 2024. Exposure to Pesticides and Breast Cancer in an Agricultural Region in Brazil. Environ. Sci. Technol. 58, 10470–10481. https://doi.org/10.1021/acs.est.3c08695

Panis, C., Kawassaki, A.C.B., Crestani, A.P., Pascotto, C., Bortoloti, D.S., Vicentini, G., Lucio, L.C., Ferreira, M.O., Prates, R.T.C., Vieira, V.K., Gaboardi, S.C., Candiotto, L.Z.P., 2022. Evidence on Human Exposure to Pesticides and the Occurrence of Health Hazards in the Brazilian Population: A Systematic Review. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2021.787438

Parker, M., Ybarra-Vega, M.J., Postma, J., 2024. Agricultural Worker Perspectives on Climate Hazards and Risk Reduction Strategies. Journal of Agromedicine 29, 333–343. https://doi.org/10.1080/1059924X.2023.2299378

Paz De Lima, P.J., Nery, T.D.C.D.S., 2022. Diseases and deaths from pesticides in Brazil. ISEE Conference Abstracts 2022, isee.2022.O-SY-013. https://doi.org/10.1289/isee.2022.O-SY-013

Pedroso, T.M.A., Benvindo-Souza, M., Nascimento, F. de A., Woch, J., Reis, F.G.D., Silva, D. de M. e, 2022. Cancer and occupational exposure to pesticides: a bibliometric study of the past 10 years. Environmental science and pollution research international. https://doi.org/10.1007/s11356-021-17031-2

Pires Bitencourt, D., Alves Maia, P., Cauduro Roscani, R., 2020. The heat exposure risk to outdoor workers in Brazil. Archives of Environmental & Occupational Health 75, 281–288. https://doi.org/10.1080/19338244.2019.1633991

Pluth, T.B., Zanini, L.A.G., Battisti, I.D.E., Kaszubowski, E., 2020. Epidemiological profile of cancer patients from an area with high pesticide use. Saúde debate 44, 1005–1017. https://doi.org/10.1590/0103-1104202012705

Polanco Rodríguez, Á.G., Inmaculada Riba López, M., Angel DelValls Casillas, T., León, J.A.A., Anjan Kumar Prusty, B., Álvarez Cervera, F.J., 2017. Levels of persistent organic pollutants in breast milk of Maya women in Yucatan, Mexico. Environ Monit Assess 189, 59. https://doi.org/10.1007/s10661-017-5768-y

Pradhan, B., Kjellstrom, T., Atar, D., Sharma, P., Kayastha, B., Bhandari, G., Pradhan, P.K., 2019. Heat Stress Impacts on Cardiac Mortality in Nepali Migrant Workers in Qatar. Cardiology 143, 37–48. https://doi.org/10.1159/000500853

Raza, A., Ali, Z., 2021. Impact of Air Pollution Generated by Brick Kilns on the Pulmonary Health of Workers. Journal of Health and Pollution 11, 210906. https://doi.org/10.5696/2156-9614-11.31.210906

Reis, L.L.D., Balieiro, A.A.D.S., Fonseca, F.R., Gonçalves, M.J.F., 2019. Leishmaniose visceral e sua relação com fatores climáticos e ambientais no Estado do Tocantins, Brasil, 2007 a 2014. Cad. Saúde Pública 35, e00047018. https://doi.org/10.1590/0102-311x00047018

Rieger, R.A., Penha, D.D.L.B., Teixeira, E.C., 2021. Waterborne Diseases, Basic Sanitation, and Health: Perspectives for Brazil’s Legal Amazon. Review of Regional Studies 51. https://doi.org/10.52324/001c.23477

Rocque, R.J., Beaudoin, C., Ndjaboue, R., Cameron, L., Poirier-Bergeron, L., Poulin-Rheault, R.-A., Fallon, C., Tricco, A.C., Witteman, H.O., 2021. Health effects of climate change: an overview of systematic reviews. BMJ Open 11, e046333. https://doi.org/10.1136/bmjopen-2020-046333

Ruths, J.C., Rizzoto, M.L.F., Machineski, G.G., 2019. Exposição a agrotóxicos e ocorrência de câncer em trabalhadores de dois municípios do Oeste do Paraná/ Exposure to pesticides and cancer occurrence in workers of two municipalities of West Paraná. Cienc. Cuid. Saúde 18. https://doi.org/10.4025/cienccuidsaude.v18i3.44570

Schalka, S., Steiner, D., Ravelli, F.N., Steiner, T., Terena, A.C., Marçon, C.R., Ayres, E.L., Addor, F.A.S., Miot, H.A., Ponzio, H., Duarte, I., Neffá, J., da Cunha, J.A.J., Boza, J.C., Samorano, L. de P., Corrêa, M. de P., Maia, M., Nasser, N., Leite, O.M.R.R., Lopes, O.S., Oliveira, P.D., Meyer, R.L.B., Cestari, T., dos Reis, V.M.S., Rego, V.R.P. de A., 2014. Brazilian Consensus on Photoprotection. An Bras Dermatol 89, 1–74. https://doi.org/10.1590/abd1806-4841.20143971

Schulte, P.A., Chun, H., 2009. Climate Change and Occupational Safety and Health: Establishing a Preliminary Framework. Journal of Occupational and Environmental Hygiene 6, 542–554. https://doi.org/10.1080/15459620903066008

Semenza, J.C., 2021. Chapter 4: Climate change impacts on the hydrologic cycle and waterborne diseases, in: Global Climate Change and Human Health : From Science to Practice. Jonh Wiley & Sons, pp. 140–176.

Semenza, J.C., Herbst, S., Rechenburg, A., Suk, J.E., Höser, C., Schreiber, C., Kistemann, T., 2012. Climate Change Impact Assessment of Food- and Waterborne Diseases. Critical Reviews in Environmental Science and Technology 42, 857–890. https://doi.org/10.1080/10643389.2010.534706

Slavinsky, V., Helmy, J., Vroman, J., Valdebran, M., 2024. Solar ultraviolet radiation exposure in workers with outdoor occupations: a systematic review and call to action. International Journal of Dermatology 63, 288–297. https://doi.org/10.1111/ijd.16877

Smith, D.J., Mizelle, E., Leslie, S.L., Li, G.X., Stone, S., Stauffer, P., Smith, A., Lewis, G., Rodden, E.L., McDermott-Levy, R., Thompson, L.M., 2023. Intervention studies to reduce the impact of climate change on health in rural communities in the United States: a systematic review. Environ. Res.: Health 1, 032001. https://doi.org/10.1088/2752-5309/acbbe6

Smith, K.R., Pillarisetti, A., 2017. Household Air Pollution from Solid Cookfuels and Its Effects on Health. Disease Control Priorities, Third Edition (Volume 7): Injury Prevention and Environmental Health 133–152. https://doi.org/10.1596/978-1-4648-0522-6_ch7

Soares, M.R., Corrêa, M.L.M., Andrade, A.C.D.S., Neves, M.S., Bel, H.D., Galvão, N.D., Rocon, P.C., 2024. Environmental and occupational exposure to pesticides according to sociodemographic factors that affect cancer patients in Mato Grosso, Brazil. Saúde debate 48, e8514. https://doi.org/10.1590/2358-289820241418514pi

Sommer, M., Ferron, S., Cavill, S., House, S., 2015. Violence, gender and WASH: spurring action on a complex, under-documented and sensitive topic. Environment and Urbanization 27, 105–116. https://doi.org/10.1177/0956247814564528

Tang, F.H.M., Lenzen, M., McBratney, A., Maggi, F., 2021. Risk of pesticide pollution at the global scale. Nat. Geosci. 14, 206–210. https://doi.org/10.1038/s41561-021-00712-5

Taylor, H.R., West, S.K., Rosenthal, F.S., Muñoz, B., Newland, H.S., Abbey, H., Emmett, E.A., 1988. Effect of Ultraviolet Radiation on Cataract Formation. N Engl J Med 319, 1429–1433. https://doi.org/10.1056/NEJM198812013192201

Thomson, M.C., Stanberry, L.R., 2022. Climate Change and Vectorborne Diseases. New England Journal of Medicine 387, 1969–1978. https://doi.org/10.1056/NEJMra2200092

Trevisan, M., Di Guardo, A., Balderacchi, M., 2009. An environmental indicator to drive sustainable pest management practices. Environmental Modelling & Software 24, 994–1002. https://doi.org/10.1016/j.envsoft.2008.12.008

Uyemura, S.A., Stopper, H., Martin, F., Kannen, V., 2017. A Perspective Discussion on Rising Pesticide Levels and Colon Cancer Burden in Brazil. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2017.00273

Von Schneidemesser, E., Driscoll, C., Rieder, H.E., Schiferl, L.D., 2020. How will air quality effects on human health, crops and ecosystems change in the future? Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences 378. https://doi.org/10.1098/rsta.2019.0330

Watts, N., Amann, M., Arnell, N., Ayeb-Karlsson, S., Beagley, J., Belesova, K., Boykoff, M., Byass, P., Cai, W., Campbell-Lendrum, D., Capstick, S., Chambers, J., Coleman, S., Dalin, C., Daly, M., Dasandi, N., Dasgupta, S., Davies, M., Di Napoli, C., Dominguez-Salas, P., Drummond, P., Dubrow, R., Ebi, K.L., Eckelman, M., Ekins, P., Escobar, L.E., Georgeson, L., Golder, S., Grace, D., Graham, H., Haggar, P., Hamilton, I., Hartinger, S., Hess, J., Hsu, S.-C., Hughes, N., Jankin Mikhaylov, S., Jimenez, M.P., Kelman, I., Kennard, H., Kiesewetter, G., Kinney, P.L., Kjellstrom, T., Kniveton, D., Lampard, P., Lemke, B., Liu, Y., Liu, Z., Lott, M., Lowe, R., Martinez-Urtaza, J., Maslin, M., McAllister, L., McGushin, A., McMichael, C., Milner, J., Moradi-Lakeh, M., Morrissey, K., Munzert, S., Murray, K.A., Neville, T., Nilsson, M., Sewe, M.O., Oreszczyn, T., Otto, M., Owfi, F., Pearman, O., Pencheon, D., Quinn, R., Rabbaniha, M., Robinson, E., Rocklöv, J., Romanello, M., Semenza, J.C., Sherman, J., Shi, L., Springmann, M., Tabatabaei, M., Taylor, J., Triñanes, J., Shumake-Guillemot, J., Vu, B., Wilkinson, P., Winning, M., Gong, P., Montgomery, H., Costello, A., 2021. The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises. The Lancet 397, 129–170. https://doi.org/10.1016/S0140-6736(20)32290-X

Wei, Y., Wang, L., Liu, J., 2023. The diabetogenic effects of pesticides: Evidence based on epidemiological and toxicological studies. Environmental Pollution 331, 121927. https://doi.org/10.1016/j.envpol.2023.121927

Wen, B., Ademi, Z., Wu, Y., Xu, R., Yu, P., Ye, T., Coêlho, M.D.S.Z.S., Saldiva, P.H.N., Guo, Y., Li, S., 2024. Ambient PM2.5 and productivity-adjusted life years lost in Brazil: a national population-based study. Journal of Hazardous Materials 467, 133676. https://doi.org/10.1016/j.jhazmat.2024.133676

World Health Organization, Lucas, R., Prüss-Üstün, A., Perkins van Deventer, E., 2010. Solar ultraviolet radiation: assessing the environmental burden of disease at national and local levels, Environmental burden of disease series;17. World Health Organization, Geneva.

World Health Organization (WHO), 2024. Mortality and burden of disease attributable to UV radiation [WWW Document]. URL https://www.who.int/data/gho/indicator-metadata-registry/imr-details/2394 (accessed 9.23.25).

World Health Organization (WHO), UNICEF, 2024. Water and sanitation interventions to prevent and control mosquito-borne diseases: focus on emergencies.

Wu, X. (May), Basu, R., 2021. Chapter 3: Health impacts of extreme heat, in: Global Climate Change and Human Health : From Science to Practice. John Wiley & Sons, pp. 113–139.

Wuersch, L., Neher, A., Marino, F.E., Bamberry, L., Pope, R., 2023. Impacts of Climate Change on Work Health and Safety in Australia: A Scoping Literature Review. International Journal of Environmental Research and Public Health 20, 7004. https://doi.org/10.3390/ijerph20217004

Xiang, J., Bi, P., Pisaniello, D., Hansen, A., 2014. Health Impacts of Workplace Heat Exposure: An Epidemiological Review. Ind Health 52, 91–101. https://doi.org/10.2486/indhealth.2012-0145

Xu, R., Zhao, Q., Coelho, M.S.Z.S., Saldiva, P.H.N., Abramson, M.J., Li, S., Guo, Y., 2020. Socioeconomic inequality in vulnerability to all-cause and cause-specific hospitalisation associated with temperature variability: a time-series study in 1814 Brazilian cities. The Lancet Planetary Health 4, e566–e576. https://doi.org/10.1016/S2542-5196(20)30251-5

Xu, W., Liu, X., Huang, Z., Du, Y., Zhang, B., Wang, Q., Xiang, J., Zou, Y., Ma, L., 2021. Acute Effects of Air Pollution on Ischemic Heart Disease Hospitalizations: A Population-Based Time-Series Study in Wuhan, China, 2017–2018. IJERPH 18, 12527. https://doi.org/10.3390/ijerph182312527

Ye, T., Guo, Y., Chen, G., Yue, X., Xu, R., Coêlho, M.D.S.Z.S., Saldiva, P.H.N., Zhao, Q., Li, S., 2021. Risk and burden of hospital admissions associated with wildfire-related PM2·5 in Brazil, 2000–15: a nationwide time-series study. The Lancet Planetary Health 5, e599–e607. https://doi.org/10.1016/S2542-5196(21)00173-X

Yoon, J.-H., Lee, W.-T., Yoon, M.J., Lee, W., 2021. Risk of Heat-Related Mortality, Disease, Accident, and Injury Among Korean Workers: A National Representative Study From 2002 to 2015. GeoHealth 5, e2021GH000516. https://doi.org/10.1029/2021GH000516

Zeraatkar, A., Khajoei Nasab, F., 2024. Mapping the habitat suitability of endemic and sub-endemic almond species in Iran under current and future climate conditions. Environ Dev Sustain 26, 14859–14876. https://doi.org/10.1007/s10668-023-03223-y

Zhang, W., Lin, S., Hopke, P.K., Thurston, S.W., van Wijngaarden, E., Croft, D., Squizzato, S., Masiol, M., Rich, D.Q., 2018. Triggering of cardiovascular hospital admissions by fine particle concentrations in New York state: Before, during, and after implementation of multiple environmental policies and a recession. Environ Pollut 242, 1404–1416. https://doi.org/10.1016/j.envpol.2018.08.030

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