{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T13:28:59Z","timestamp":1788355739605,"version":"build-2803163510"},"reference-count":20,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objective: To characterize the public health impacts resulting from the natural disaster caused by heavy rainfall and flooding in the state of Rio Grande do Sul (RS), Brazil, in 2024.  Methods: This was a descriptive ecological study covering the period between April 29 and May 31, 2024. The units of analysis were the municipalities and the nine functional planning regions. The following were analyzed: number and proportion of municipalities with an emergency declaration; deaths, ill individuals, and injured individuals per 100,000 inhabitants; and displaced and homeless people per thousand inhabitants.  Results: Of the 497 municipalities in RS, 91.3% declared an emergency, with emphasis on regions R2 and R5, where all municipalities were affected. Regions R1 and R2 were the most impacted in terms of human harm, particularly regarding homelessness, reaching 116 and 92.9 per thousand inhabitants, respectively. Emergencies were more frequent in regions R6, R7, and R5. The spatial distribution reveals that the most affected municipalities are geographically close, especially in regions R1, R2, and R8.  Conclusion: The unequal impacts across regions highlight the urgency of territorialized public policies, focused on prevention and emergency response. Strengthening risk governance and public health must occupy a central position in the climate agenda, promoting equity and resilience in the face of disasters.<\/jats:p>","DOI":"10.1590\/1980-549720260003","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T15:04:42Z","timestamp":1769785482000},"source":"Crossref","is-referenced-by-count":1,"title":["Public health emergency due to rains and floods in Rio Grande do Sul, Brazil: an ecological study, 2024"],"prefix":"10.1590","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4554-1551","authenticated-orcid":false,"given":"Ana Sara Seme\u00e3o de","family":"Souza","sequence":"first","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil; Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2070-3822","authenticated-orcid":false,"given":"Jo\u00e3o Roberto","family":"Cavalcante","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2350-3896","authenticated-orcid":false,"given":"Paula Orofino Moura","family":"Costa","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8737-3828","authenticated-orcid":false,"given":"Maiara Almeida","family":"Maia","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3380-5089","authenticated-orcid":false,"given":"Raquel","family":"Proen\u00e7a","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4202-2799","authenticated-orcid":false,"given":"Carlos Henrique Michiles","family":"Frank","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5501-7796","authenticated-orcid":false,"given":"Alessandro Pecego Martins","family":"Romano","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3187-374X","authenticated-orcid":false,"given":"Thiago Bas\u00edlio","family":"Mendon\u00e7a","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2531-6317","authenticated-orcid":false,"given":"Cristilene","family":"Delfino","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3658-1877","authenticated-orcid":false,"given":"Jos\u00e9 Lucas Pinho da","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4552-3250","authenticated-orcid":false,"given":"Daniel Roberto Coradi de","family":"Freitas","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7641-677X","authenticated-orcid":false,"given":"Edenilo Baltazar","family":"Barreira Filho","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4826-3355","authenticated-orcid":false,"given":"Ethel Leonor","family":"Maciel","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9001-278X","authenticated-orcid":false,"given":"M\u00e1rcio Henrique de Oliveira","family":"Garcia","sequence":"additional","affiliation":[{"name":"Secretariat of Health Surveillance and Environment,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"9","key":"ref1","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1093\/cid\/ciy227","article-title":"Health risks of flood disasters","volume":"67","author":"Paterson DL","year":"2018","journal-title":"Clin Infect Dis"},{"key":"ref2","article-title":"The human impact of floods: a historical review of events 1980-2009 and systematic literature review","volume":"5","author":"Doocy S","year":"2013","journal-title":"PLoS Curr"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"410","DOI":"10.2471\/BLT.23.290243","article-title":"Global, regional and national trends and impacts of natural floods, 1990-2022","volume":"102","author":"Liu Q","year":"2024","journal-title":"Bull World Health Organ"},{"key":"ref4","series-title":"Decreto n\u00b0 57.197, de 15 de setembro de 2023. Altera o Decreto n\u00b0 57.177, de 6 de setembro de 2023, que declarou estado de calamidade p\u00fablica nos munic\u00edpios do estado do Rio Grande do Sul afetados pelos eventos clim\u00e1ticos de chuvas intensas [Internet]","year":"2023"},{"issue":"112","key":"ref5","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1590\/s0103-4014.202438112.012","article-title":"O maior desastre clim\u00e1tico do Brasil: chuvas e inunda\u00e7\u00f5es no estado do Rio Grande do Sul em abril-maio 2024","volume":"38","author":"Marengo JA","year":"2024","journal-title":"Estud Av."},{"key":"ref6","series-title":"Brazil: Floods Emergency. One-Month Impact Report [Internet]","year":"2024"},{"issue":"18","key":"ref7","doi-asserted-by":"crossref","first-page":"11345","DOI":"10.3390\/ijerph191811345","article-title":"Lessons learned from the 2019 Nebraska floods: implications for emergency management, mass care, and food security","volume":"19","author":"Calloway EE","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref8","series-title":"Atlas Socioecon\u00f4mico do Rio Grande do Sul [Internet]","year":"2016"},{"key":"ref9","series-title":"Malha Municipal [Internet]","year":"2024"},{"key":"ref10","series-title":"Portal [Internet]","year":"2025"},{"key":"ref11","series-title":"Relat\u00f3rios: Sistema Integrado de Informa\u00e7\u00f5es sobre Desastres - S2ID [Internet]"},{"key":"ref12","series-title":"Geoportal Iede [Internet]"},{"key":"ref13","series-title":"Governo do Estado do Rio Grande do Sul. Decreto n\u00b0 57.646, de 30 de maio de 2024. Altera o Decreto n\u00b0 57.600, de 4 de maio de 2024, que reitera o estado de calamidade p\u00fablica no territ\u00f3rio do Estado do Rio Grande do Sul afetado pelos eventos clim\u00e1ticos de chuvas intensas, COBRADE 1.3.2.1.4, que ocorrem no per\u00edodo de 24 de abril ao m\u00eas de maio de 2024, e especifica os munic\u00edpios atingidos [Internet]","year":"2024"},{"key":"ref14","series-title":"Secretaria de Planejamento, Or\u00e7amento e Gest\u00e3o. Departamento de Planejamento Governamental. Plano Plurianual 2020-2023: Caderno de Regionaliza\u00e7\u00e3o: RF2 [Internet]","year":"2019"},{"key":"ref15","series-title":"Secretaria de Planejamento, Governan\u00e7a e Gest\u00e3o. Departamento de Planejamento Governamental. Atlas Socioecon\u00f4mico do Rio Grande do Sul [Internet]"},{"key":"ref16","series-title":"Fiocruz divulga nota t\u00e9cnica sobre os impactos imediatos das inunda\u00e7\u00f5es no RS [Internet]","year":"2024"},{"key":"ref17","series-title":"Minist\u00e9rio da Sa\u00fade. For\u00e7a Nacional do SUS ultrapassa 3,5 mil atendimentos \u00e0 popula\u00e7\u00e3o do Rio Grande do Sul [Internet]","year":"2024"},{"key":"ref18","series-title":"Minist\u00e9rio da Sa\u00fade. Secretaria de Vigil\u00e2ncia em Sa\u00fade e Ambiente. Departamento de Emerg\u00eancias em Sa\u00fade P\u00fablica. Guia para elabora\u00e7\u00e3o de planos de conting\u00eancia [Internet]","year":"2023"},{"key":"ref19","article-title":"Desastre no Rio Grande do Sul, Brasil: crise clim\u00e1tica, resposta do Sistema \u00danico de Sa\u00fade e desafios dos novos tempos","volume":"40","author":"Freitas CM","year":"2025","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.puhe.2024.12.053","article-title":"A framework to integrate equity in public health emergency response dashboards: Dashboard instrument to review equity (DIRE)","volume":"240","author":"Sosa P","year":"2025","journal-title":"Public Health"}],"container-title":["Revista Brasileira de Epidemiologia"],"original-title":["Emerg\u00eancia em sa\u00fade p\u00fablica por chuvas e inunda\u00e7\u00f5es no Rio Grande do Sul, Brasil: um estudo ecol\u00f3gico, 2024"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1415-790X2026000101003&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T15:04:45Z","timestamp":1769785485000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2026000101003&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":20,"alternative-id":["S1415-790X2026000101003"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720260003","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1980-549720260003.2","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-549720260003.2","asserted-by":"object"}]},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"value":"1980-5497","type":"electronic"},{"value":"1415-790X","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e260003"}}