<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232025000110121</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202501832</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Queimadas e saúde na Amazônia: tendências temporais das internações cardiorrespiratórias no estado do Pará, Brasil (2013-2023)]]></article-title>
<article-title xml:lang="en"><![CDATA[Fires and health in the Amazon: temporal trends of cardiorespiratory hospitalizations in the state of Pará, Brazil (2013-2023)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parente]]></surname>
<given-names><![CDATA[Edson Vinícius Reis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mardegan]]></surname>
<given-names><![CDATA[Sílvia Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal do Pará Instituto de Ciências Biológicas ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>16</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232025000110121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232025000110121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232025000110121&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  OBJETIVO:  Avaliar a relação entre desmatamento, queimadas e internações por doenças respiratórias e circulatórias no estado do Pará, Amazônia brasileira, com foco nos oito municípios com maiores taxas de desmatamento entre 2013 e 2023.  MATERIAL E MÉTODOS:  Foram utilizados dados anuais de focos de queimadas e incremento do desmatamento (BDQueimadas e Projeto PRODES - INPE), além de registros de internações hospitalares do DATASUS, conforme a Classificação Internacional de Doenças (CID-10), capítulos IX e X. Para avaliar as tendências temporais dos indicadores ambientais e de saúde, ajustaram-se modelos de regressão linear tendo o ano como variável preditora nas séries: (I) agregadas, representando o total anual combinado dos oito municípios; e (II) estratificadas por município. As associações entre saúde e exposição foram testadas por regressões lineares simples, considerando as internações como variável dependente e, separadamente, os focos de queimadas ou a área desmatada como variáveis independentes. Adicionalmente, modelos lineares com efeitos fixos de município e ano foram aplicados para controlar variações estruturais espaço-temporais e aumentar a robustez das estimativas.  RESULTADOS:  Os municípios com maiores índices de desmatamento apresentaram também maior número de queimadas. As internações foram mais frequentes entre crianças menores de quatro anos e idosos acima de 60 anos. Identificaram-se correlações significativas entre desmatamento, queimadas e internações em determinados anos e municípios, especialmente durante períodos de seca e na pandemia de COVID-19.  CONCLUSÃO:  Os resultados indicam que as queimadas associadas ao desmatamento contribuem para o agravamento de doenças cardiorrespiratórias, reforçando a necessidade de políticas públicas integradas de controle ambiental e fortalecimento da saúde coletiva na Amazônia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVE:  To assess the relationship between deforestation, fires, and hospitalizations due to respiratory and circulatory diseases in the state of Pará, Brazilian Amazon, focusing on the eight municipalities with the highest deforestation rates between 2013 and 2023.  MATERIAL AND METHODS:  Annual data on fire hotspots and deforestation increment (BDQueimadas and PRODES - INPE) were analyzed, along with hospital admission records from DATASUS according to the International Classification of Diseases (ICD-10), Chapters IX and X. To evaluate temporal trends in environmental and health indicators, linear regression models were fitted using year as the predictor variable for the following series: (I) aggregated, representing the combined annual total of the eight municipalities; and (II) stratified by municipality. Associations between health outcomes and exposure were tested using simple linear regressions, with hospitalizations as the dependent variable and, separately, fire hotspots or deforested area as independent variables. In addition, linear models with municipality and year fixed effects were applied to control for structural spatiotemporal variations and improve estimate robustness.  RESULTS:  The municipalities with the highest deforestation rates also presented the largest number of fires. Hospitalizations were more frequent among children under four years of age and older adults over 60 years. Significant correlations between deforestation, fires, and hospitalizations were identified in specific years and municipalities, particularly during dry periods and the COVID-19 pandemic.  CONCLUSION:  The findings indicate that fires associated with deforestation contribute to the worsening of cardiorespiratory diseases, reinforcing the need for integrated public policies for environmental control and the strengthening of collective health in the Amazon.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Amazônia]]></kwd>
<kwd lng="pt"><![CDATA[DATASUS]]></kwd>
<kwd lng="pt"><![CDATA[Doenças Cardiorrespiratórias]]></kwd>
<kwd lng="pt"><![CDATA[INPE]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Coletiva]]></kwd>
<kwd lng="en"><![CDATA[Amazon]]></kwd>
<kwd lng="en"><![CDATA[DATASUS]]></kwd>
<kwd lng="en"><![CDATA[Cardiorespiratory Diseases]]></kwd>
<kwd lng="en"><![CDATA[INPE]]></kwd>
<kwd lng="en"><![CDATA[Public Health]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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