Psychoactive substance consumption after the Fundão dam mine tailing disaster in Minas Gerais State, Brazil

Datos Bibliográficos

ID5223358
AutoresElaine Silva Miranda (0000-0002-6204-5023, Universidade Federal Fluminense, autor de correspondencia), Marcelo Dell''Aringa (0000-0002-4743-3263, Università del Piemonte Orientale, Italy), Everaldo Alves Da Costa (0000-0002-8118-8644, BlissMe Tech, Brasil), Thomas Piazza (0000-0001-9385-7609, Universidade Federal de Minas Gerais), Federico Della Corte (0000-0003-1736-2318, Università del Piemonte Orientale, Italy), Luca Ragazzoni (0000-0002-2528-4375, Università del Piemonte Orientale, Italy), Francesco Barone-Adesi (0000-0003-1550-436X, Università del Piemonte Orientale, Italy), Carla L Tavares De Andrade (0000-0003-3232-0917, Fundação Oswaldo Cruz), Claudia Garcia Serpa Osorio-De-Castro (0000-0003-4875-7216, Fundação Oswaldo Cruz)
Año2024
Volumen40
Número3
Páginase00237022-e00237022
Fecha de publicación2024-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCadernos de Saude Publica (JOURNAL)
Identificadores de la revistaISSN: 0102-311X • E-ISSN: 1678-4464
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen237022
PMID38477725
OpenAlexW4392719431
SCIELO_PIDS0102-311X2024000301405
IdiomaEN
Citas recibidas2
Referencias citadas22

Disasters cause changes in morbidity, mortality, and medicine use. Brazil is one of the main producers of mineral ores at great environmental cost. Mine tailings are stored in dams and ruptures have led to major disasters. We investigated the consumption of psychoactive medicines in the municipalities affected by the Fundão dam disaster in Minas Gerais State. An ecological study was carried out on drug consumption, estimated using public purchases in Minas Gerais and dispensing data from private retail pharmacies. Consumption (in number of defined daily doses/100,000 inhabitants per day) was analyzed descriptively in eight municipalities, stratified according to consumption level during a 25-month period. Six comparisons of mean consumption values for both data sets were done for pre- and post-disaster periods. The means of medicine consumption before and after the event were plotted and linear trends were added. Public purchase data evinced high consumption levels. Only pharmaceutical retail showed significant differences between the strata in the pre-disaster versus two post-disaster periods. Smaller municipalities showed an increase in consumption 15 months after the disaster. Clonazepam led the way in pharmaceutical retail consumption, followed by fluoxetine. Medicines showed an upward trend after the disaster. The high public provision may have stifled significant consumption patterns of psychoactive drugs; however, peak consumption were observed in private retail, suggesting a modification in use patterns after the disaster. The decrease in consumption immediately after the event was probably related to lower care-seeking behavior on the part of the population, and significant peaks after the disaster may reflect economic consequences of it

Business · Consumption (sociology) · Defined daily dose · Economics · Environmental health · Geography · Medical prescription · Population · Public health · Socioeconomics · Disaster Response and Management · Medicine · Pesticide Exposure and Toxicity · Pharmacy