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OBJETIVO: mapear a produção técnico-científica sobre as competências necessárias para o desenvolvimento de evacuações aeromédicas em situações de emergências e desastres envolvendo agentes químicos, biológicos, radiológicos e nucleares. MÉTODO: protocolo de revisão de escopo. A elaboração deste protocolo foi baseada nas recomendações do Instituto Joanna Briggs, atendendo às recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Este protocolo orientará o processo de identificação de fontes de informação, extração de dados e análise de resultados, a partir da necessidade de dar suporte à análise das ações de capacitação de equipes de saúde frente às demandas clínicas e gerenciais a serem criteriosamente observadas em tais situações.

OBJECTIVE: to map the technical-scientific production on the skills necessary for aeromedical evacuation in emergency and disaster situations involving chemical, biological, radiological, and nuclear agents. METHOD: scoping review protocol. The elaboration of this protocol was based on the Joanna Briggs Institute's recommendations, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). This protocol will guide the identification of the sources of information, data extraction, and the analysis of the results based on the need to support the analysis of training actions for health teams facing clinical and managerial demands that must be carefully considered in such situations.

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Risk scenarios are caused by the convergence of a hazard with a potentially affected system in a specific place and time. One urban planning goal is to prevent environmental hazards, such as those generated by chemical accidents, from reaching human settlements, as they can cause public health issues. However, in many developing countries, due to their strategic positioning in global value chains, the quick and easy access to labor pools, and competitive production costs, urban sprawls have engulfed industrial areas, exposing residential conurbations to environmental hazards. This case study analyzes the spatial configuration of accidental chemical risk scenarios in three major Mexican metropolitan areas: Mexico City, Guadalajara, and Monterrey. Spatial analyses use an areal locations of hazardous atmosphere (ALOHA) dispersion model to represent the spatial effects of high-risk industrial activities in conurbations and the potentially affected populations vulnerable to chemical hazards. Complementary geostatistical correlation analyses use population data, marginalization indexes, and industrial clustering sectors to identify trends that can lead to comprehensive environmental justice approaches. In addition, the marginalization degree of inhabitants evaluates social inequalities concerning chemical risk scenarios.

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Resumen Se describe un caso de quemadura causada por cloroformiato de etilo en ocasión de la respuesta a un incidente que requirió el trasvase del producto desde contenedores defectuosos a otros seguros. La investigación del evento puso en evidenciala necesidad de mantener un protocolo de registro de materiales que ingresan a la zona caliente, que debe ser tenido en cuentaal momento del retiro de los mismos, procediendo a su correcta descontaminación bajo la fiscalización del oficial de seguridad.

Abstract A burn by Ethyl chloroformate in occasion of response to a chemical emergency which required to transfer products from defective containers to safe containers is described. The investigation of the event highlighted the need to maintain aprotocol for the registration of materials to be entered in the hot zone, which must be considered al the moment of remove andproceeding to the proper decontamination under the supervision of the security officer.

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Diatom growth strategies, which are used as a proxy to analyze disturbances and environmental impacts, can also provide reliable information about environmental gradients. In this study, we used diatom communities and biological traits to assess the structure of epilithic diatoms after an oil spill in a large tributary of the Iguaçu River (Paraná, Brazil). Epilithon and water samples were taken on July 12th, 2004, and after an unexpected oil spill, on the following days: 09/19, 10/03, and 10/13/2004. We observed that the spill caused a distinct shift in both diatom composition and guild group. Diversity decreased and pollution-tolerant diatoms of the motile group became dominant in response to the elevated nutrient levels and reduced light. Tube-forming diatoms, which are strong competitors for light, dominated the epilithon 24 days after the oil spill. Both diatom guilds and growth forms were successfully used to predict the environmental conditions. While diatom guilds responded to disturbances along a temporal gradient, changes inside the guilds were the main factor for understanding the environmental gradient.

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The rupture of the Fundão mine dam in Mariana municipality, Minas Gerais State, Brazil, spilled the tailings across the Doce River basin. These tailings, composed of residues discarded from the beneficiation of iron ore, are rich in SiO and AlO, as well as some ether amine compounds and NaOH. The aim of this study was to assess the distribution of these sediments, as well as their effect on the riparian zones reached, as compared with preserved sites. Sediment deposition in the river resulted in a morphological change from a meandering profile to a braided aspect. The nutrient and mineral content (P, K, Ca, Mg, Cu, Fe, Mn, Zn, and NO) and soil organic matter of the sediments were depleted, whereas NH, Na, and pH increased. A random presence of ether amines in the sediments was confirmed by quantitative and chromatographic analyses, with concentrations ranging from 0 to 57.8 mg kg; Na reached values as high as 150 mg kg. The impact of the dam tailings on biota was assessed by estimating total microbial biomass (phospholipid fatty acids), which were depleted in sediments relative to soils from preserved sites. Overall plant mortality, as well as a low resilience capacity, were also observed. Ether amines and Na present in the sediments had a strong toxic effect in the environment. Identification of these substances as the main impact factors will help guide future remediation efforts.

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OBJECTIVE: to describe case of occupational exposure to chemical products. METHOD: descriptive retrospective study using record data of 382 workers assisted in the Outpatient Care for Occupational Toxicology of the Reference Center of Workers' Health of the Federal District, between 2009 and 2013. RESULTS: From the total, 66.7% were men, 55.2% had up to 9 years of activity and 81% did not use personal protective equipment (PPE). Nearly 60% were farmers and environmental surveillance agents, exposed to pesticides (63%), of which 40% were organophosphorus insecticides. The majority (68%) presented butyrylcholinesterase activity decreased, mostly farmers (85.9%); 57.3% of workers were considered poisoned - 61.6% by pesticides and 37.9% by industrial chemicals -, and away from work for at least 10 days. CONCLUSION: The profile was male workers, from 30 to 39 years, which not used PPE, indicating the need for prevention together with them to prevent poisonings.

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To evaluate the impacts of the Fundão tailings dam failure (Minas Gerais, Brazil) on water quality of the Doce River, we analyzed metagenomics and physicochemical parameters during the month of the disaster and again 6 and 10 months after the disaster. To compare dam conditions before and after the failure, we performed a meta-analysis of physicochemical data from a public database. Immediately after the failure, suspended particulate matter (SPM) in the Doce River was 225-1877 mg L-1. Turbidity and dissolved aluminum and iron concentrations were extremely high, whereas dissolved oxygen was below Brazilian legislation norm (<5 mg L-1) in several locations. Six months later, physicochemical values were below thresholds set by Brazilian guidelines (e.g., SPM = 8-166 mg L-1). Short-term impacts on microbial communities included an increase in Actinobacteria and Bacteroidetes and gene sequences related to microbial virulence, motility, respiration, membrane transport, iron and nitrogen metabolism, suggesting changes in microbial metabolic profiles. The 11 recovered partial genomes from metagenomes (MAGs) had genes related to Fe cycle and metal resistance.

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ABSTRACT Objective: to describe case of occupational exposure to chemical products. Method: descriptive retrospective study using record data of 382 workers assisted in the Outpatient Care for Occupational Toxicology of the Reference Center of Workers' Health of the Federal District, between 2009 and 2013. Results: From the total, 66.7% were men, 55.2% had up to 9 years of activity and 81% did not use personal protective equipment (PPE). Nearly 60% were farmers and environmental surveillance agents, exposed to pesticides (63%), of which 40% were organophosphorus insecticides. The majority (68%) presented butyrylcholinesterase activity decreased, mostly farmers (85.9%); 57.3% of workers were considered poisoned - 61.6% by pesticides and 37.9% by industrial chemicals -, and away from work for at least 10 days. Conclusion: The profile was male workers, from 30 to 39 years, which not used PPE, indicating the need for prevention together with them to prevent poisonings.

RESUMEN Objetivo: describir casos de exposición ocupacional a productos químicos. Método: estudio retrospectivo descriptivo utilizando datos del prontuario de 382 trabajadores atendidos en el Ambulatorio de Toxicología Ocupacional del Centro de Referencia en Salud del Trabajador del Distrito Federal entre 2009 y 2013. Resultados: El 66,7% eran hombres, el 55,2% tenía hasta 9 años de actividad y el 81% no usaba el equipo de protección individual (EPI). Casi el 60% eran agricultores y agentes de vigilancia ambiental, expuestos a agrotóxicos (63%), de los cuales 40% insecticidas organofosforados. La mayoría (68%) presentó actividad de butirilcolinesterasa disminuida, principalmente agricultores (85,9%); el 57,3% de los trabajadores fueron considerados intoxicados, 61,6% por agrotóxicos y 37,9% por productos químicos industriales, y alejados del trabajo por lo menos 10 días. Conclusión: El perfil de los trabajadores atendidos fue de hombres, predominantemente de 30 a 39 años, que no utilizaban el EPI, indicando la necesidad de acciones de prevención junto a esa población para evitar la ocurrencia de intoxicaciones.

RESUMO Objetivo: descrever casos de exposição ocupacional a produtos químicos. Método: estudo retrospectivo descritivo utilizando dados do prontuário de 382 trabalhadores atendidos no Ambulatório de Toxicologia Ocupacional do Centro de Referência em Saúde do Trabalhador do Distrito Federal, entre 2009 e 2013. Resultados: 66,7% eram homens, 55,2% tinham até 9 anos de atividade e 81% não usavam equipamento de proteção individual (EPI). Quase 60% eram agricultores e agentes de vigilância ambiental, expostos a agrotóxicos (63%), dos quais 40% inseticidas organofosforados. A maioria (68%) apresentou atividade de butirilcolinesterase diminuída, principalmente agricultores (85,9%); 57,3% dos trabalhadores foram considerados intoxicados, 61,6% por agrotóxicos e 37,9% por produtos químicos industriais, e afastados do trabalho por pelo menos 10 dias. Conclusão: O perfil dos trabalhadores atendidos foi de homens, predominantemente de 30 a 39 anos, que não utilizavam EPI, indicando a necessidade de ações de prevenção junto a essa população para evitar a ocorrência de intoxicações.

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An oil platform in the Mississippi Canyon 20 (MC-20) site was damaged by Hurricane Ivan in September 2004. In this study, we use medium- to high-resolution (10-30 m) optical remote sensing imagery to systematically assess oil spills near this site for the period between 2004 and 2016. Image analysis detects no surface oil in 2004, but ~40% of the cloud-free images in 2005 show oil slicks, and this number increases to ~70% in 2006-2011, and >80% since 2012. For all cloud-free images from 2005 through 2016 (including those without oil slicks), delineated oil slicks show an average oil coverage of 14.9 km2/image, with an estimated oil discharge rate of 48 to ~1700 barrels/day, and a cumulative oil-contaminated area of 1900 km2 around the MC-20 site. Additional analysis suggests that the detected oil slick distribution can be largely explained by surface currents, winds, and density fronts.

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In November 2015, the largest socio-environmental disaster in the history of Brazil occurred when approximately 50 million m3 of mine tailings were released into the Doce River (SE Brazil), during the greatest failure of a tailings dam worldwide. The mine tailings passed through the Doce River basin, reaching the ecologically important estuary 17 days later. On the arrival of the mine wastes to the coastal area, contamination levels in the estuarine soils were measured to determine the baseline level of contamination and to enable an environmental risk assessment. Soil and tailings samples were collected and analyzed to determine the redox potential (Eh), pH, grain size and mineralogical composition, total metal contents (Fe, Mn, Cr, Zn, Ni, Cu, Pb and Co) and organic matter content. The metals were fractionated to elucidate the mechanisms governing the trace metal dynamics. The mine tailings are mostly composed of Fe (mean values for Fe: 45,200 ±â€¯2850; Mn: 433 ±â€¯110; Cr: 63.9 ±â€¯15.1; Zn: 62.4 ±â€¯28.4; Ni: 24.7 ±â€¯10.4; Cu: 21.3 ±â€¯4.6; Pb: 20.2 ±â€¯4.6 and Co: 10.7 ±â€¯4.8 mg kg-1), consisting of Fe-oxyhydroxides (goethite, hematite); kaolinite and quartz. The metal contents of the estuarine soils, especially the surface layers, indicate trace metal enrichment caused by the tailings. However, the metal contents were below threshold levels reported in Brazilian environmental legislation. Despite the fact that only a small fraction (<2%) of the metals identified are readily bioavailable (i.e. soluble and exchangeable fraction), trace metals associated with Fe oxyhydroxides contributed between 69.8 and 87.6% of the total contents. Control of the trace metal dynamics by Fe oxyhydroxides can be ephemeral, especially in wetland soils in which the redox conditions oscillate widely. Indeed, the physicochemical conditions (Eh < 100 mV and circumneutral pH) of estuarine soils favor Fe reduction microbial pathways, which will probably increase the trace metal bioavailability and contamination risk.

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Apresenta uma compilação de reportagens e registros fotográficos referente ao acidente com Césio 137, ocorrido na cidade de Goiânia-Go, Brasil, desde o ano de 1987,ano de ocorrência do acidente até o ano de 2017, ano em que o acidente completa 30 anos, com o objetivo de relembrar a história, homenagear as vítimas e os diversos profissionais que atuaram na época e os que atuam no presente na assistência aos radio acidentados.

Presents a compilation of reports and photographic records related to the accident with Cesium 137, which occurred in the city of Goiânia-Go, Brazil, from 1987, year of the accident until 2017, the year in which the accident turns 30 , in order to remember the history, to honor the victims and the various professionals who worked at the time and those who act in the present in the assistance to the injured radio.

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Increasing urbanization across the globe, combined with an increased use of chemicals in various regions, contributes to several environmental events that influence environmental health. Measures that identify environmental factors and events should be introduced to facilitate epidemiological investigations by health services. The Brazilian Ministry of Health published a new list of notifiable diseases on 25 January 2011 and introduced environmental events as a new category of notifiable occurrences. The Center for Epidemiologic Surveillance in State of Sao Paulo, Brazil, created an online notification system that highlights "environmental events", such as exposure to chemical contaminants, drinking water with contaminants outside of the recommended range, contaminated air, and natural or anthropogenic disasters. This paper analyzed 300 notifications received between May 2011 and May 2012. It reports the number of notifications with event classifications and analyzes the events relating to accidents with chemical substances. This paper describes the characteristics of the accidents that involved chemical substances, methods used, types of substances, exposed population, and measures adopted. The online notification of environmental events increases the analysis of the main events associated with diseases related to environmental chemicals; thus, it facilitates the adoption of public policies to prevent environmental health problems.

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OBJECTIVE: To assess the health risk of exposure to benzene for a community affected by a fuel leak. METHODS: Data regarding the fuel leak accident with, which occurred in the Brasilia, Federal District, were obtained from the Fuel Distributor reports provided to the environmental authority. Information about the affected population (22 individuals) was obtained from focal groups of eight individuals. Length of exposure and water benzene concentration were estimated through a groundwater flow model associated with a benzene propagation model. The risk assessment was conducted according to the Agency for Toxic Substances and Disease Registry methodology. RESULTS: A high risk perception related to the health consequences of the accident was evident in the affected community (22 individuals), probably due to the lack of assistance and a poor risk communication from government authorities and the polluting agent. The community had been exposed to unsafe levels of benzene (> 5 µg/L) since December 2001, five months before they reported the leak. The mean benzene level in drinking water (72.2 µg/L) was higher than that obtained by the Fuel Distributer using the Risk Based Corrective Action methodology (17.2 µg/L).The estimated benzene intake from the consumption of water and food reached a maximum of 0.0091 µg/kg bw/day (5 x 10-7 cancer risk per 106 individuals). The level of benzene in water vapor while showering reached 7.5 µg/m3 for children (1 per 104 cancer risk). Total cancer risk ranged from 110 to 200 per 106 individuals. CONCLUSIONS: The population affected by the fuel leak was exposed to benzene levels that might have represented a health risk. Local government authorities need to develop better strategies to respond rapidly to these types of accidents to protect the health of the affected population and the environment.

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OBJECTIVE: To assess the health risk of exposure to benzene for a community affected by a fuel leak. METHODS: Data regarding the fuel leak accident with, which occurred in the Brasilia, Federal District, were obtained from the Fuel Distributor reports provided to the environmental authority. Information about the affected population (22 individuals) was obtained from focal groups of eight individuals. Length of exposure and water benzene concentration were estimated through a groundwater flow model associated with a benzene propagation model. The risk assessment was conducted according to the Agency for Toxic Substances and Disease Registry methodology. RESULTS: A high risk perception related to the health consequences of the accident was evident in the affected community (22 individuals), probably due to the lack of assistance and a poor risk communication from government authorities and the polluting agent. The community had been exposed to unsafe levels of benzene (> 5 µg/L) since December 2001, five months before they reported the leak. The mean benzene level in drinking water (72.2 µg/L) was higher than that obtained by the Fuel Distributer using the Risk Based Corrective Action methodology (17.2 µg/L).The estimated benzene intake from the consumption of water and food reached a maximum of 0.0091 µg/kg bw/day (5 x 10-7 cancer risk per 106 individuals). The level of benzene in water vapor while showering reached 7.5 µg/m3 for children (1 per 104 cancer risk). Total cancer risk ranged from 110 to 200 per 106 individuals. CONCLUSIONS: The population affected by the fuel leak was exposed to benzene levels that might have represented a health risk. Local government authorities need to develop better strategies to respond rapidly to these ...

OBJETIVO: Avaliar os riscos à saúde da exposição ao benzeno de comunidade afetada por acidente de vazamento de combustível. MÉTODOS: Dados de acidente de vazamento de combustível ocorrido em Brasília, DF, em 2002, foram obtidos dos relatórios produzidos pelo distribuidor de combustível e submetidos a autoridade ambiental. Informação sobre a população afetada foi obtida em grupos focais com oito participantes. Foram estimados o tempo de exposição e concentração de benzeno na água usando modelo de fluxo subterrâneo acoplado a outro de transporte. A avaliação de risco foi conduzida de acordo com a metodologia da Agência de Registro de Substâncias Tóxicas e Doenças ( Agency for Toxic Substances and Disease Registry ). RESULTADOS: Alta percepção de risco à saúde relacionada ao acidente foi observada na população afetada (22 indivíduos), provavelmente devido à falta de assistência e à comunicação de risco deficiente do governo e agente poluidor. A comunidade esteve exposta a níveis inseguros de benzeno na água (> 5 µg/L) a partir de dezembro de 2001, cinco meses antes de ser reportado o vazamento. A concentração média de benzeno na água consumida (72,2 µg/L) foi maior que aquela estimada pelo distribuidor usando a metodologia Ação Corretiva Baseada em Risco ( Risk Based Corrective Action ) (17,2 µg/L). A ingestão estimada de benzeno pelo consumo de água e frutas alcançou 0,0091 µg/kg pc/dia (risco de 5 x 10-7 câncer per 106 indivíduos). O nível de benzeno no vapor d´água durante o banho atingiu 7,5 µg/m3 para ...

OBJETIVO: Evaluar los riesgos para la salud de la exposición al benceno en comunidad afectada por accidente de derrame de combustible. MÉTODOS: Datos del accidente ocurrido en el Distrito Federal (Brasil), fueron obtenidos de los informes realizados por el distribuidor de combustible y sometidos a la autoridad ambienta. Información sobre la población afectada fue obtenida en grupos focales con 8 participantes. Se hicieron estimaciones del tiempo de exposición y concentración de benceno en el agua usando modelo de flujo subterráneo acoplado a otro de transporte. La evaluación de riesgo fue conducida de acuerdo con la metodología de la "Agency for Toxic Substances and Disease Registry". RESULTADOS: Alta percepción de riesgo para la salud relacionada con el accidente fue observada en la población afectada (22 individuos), probablemente debido a la falta de asistencia y a la comunicación de riesgo deficiente del gobierno y agente contaminante. La comunidad estuvo expuesta a niveles inseguros de benceno en el agua (>5 µg/L) a partir de diciembre de 2001, cinco meses antes de ser reportado el derrame. La concentración promedio de benceno en el agua consumida (72,2 µg/L) fue mayor que la estimada por el distribuidor usando la metodología "Risk Based Corrective Action" (17,2 µg/L). La ingestión estimada de benceno por el consumo de agua y frutas alcanzó 0,0091 µg/kg pc/día (riesgo de 5 x 10-7 de cáncer per 106 individuos). El nivel de benceno en el vapor de agua durante el baño alcanzó 7,5 µg/m3 en niños (riesgo de cáncer de hasta 1 per 104). El Riesgo carcinogénico total fue de 110 a 200 per 106 individuos. CONCLUSIONES: La población afectada por el derrame de combustible estuvo expuesta ...

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The accidental oil spill in the Gulf of Mexico in 2010 has caused perceptible damage to marine and freshwater ecosystems. The large quantity of oil leaking at a constant rate and the long duration of the event caused an exponentially increasing mortality of vertebrates. Using data provided by NOAA and USFWS, we assessed the effects of this event on birds, sea turtles, and mammals. Mortality rates (measured as the number of carcasses recorded per day) were exponential for all three groups. Birds were the most affected group, as indicated by the steepest increase of mortality rates over time. For sea turtles and mammals, an exponential increase in mortality was observed after an initial delay. These exponential behaviors are consistent with a unified scenario for the mortality rate for tetrapod vertebrates. However, at least for mammals, pre-spill data seem to indicate that the growth in the mortality rate is not entirely a consequence of the spill.

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Weathered crude oil in the Gulf of Mexico can result from oil spills such as the Deepwater Horizon incident that occurred on April 20, 2010 or from natural seeps. Adult waterbirds of the Gulf Coast region may become exposed to weathered crude oil while foraging, wading, or resting, and residues can then be transferred to nests, eggs, and hatchlings. Although the toxicity of many types of crude oil to avian embryos has been thoroughly studied, the effects of weathered crude oil on developing avian embryos are not well characterized. The objective of the present study was to examine embryotoxicity of weathered crude oil collected from the Gulf of Mexico in June 2010 using mallard ducks (Anas platyrhynchos) as a model species. Weathered crude oil was applied to fertilized mallard duck eggs by paintbrush in masses ranging from 0.1 to 99.9 mg on day 3 of incubation. Mortality occurred as early as day 7 and the conservatively derived median lethal application of weathered crude oil was 30.8 mg/egg (0.5 mg/g egg) or 30.7 µl/egg (0.5 µl/g egg). Body mass, liver and spleen mass, crown-rump and bill lengths, and frequency of deformities were not significantly different among hatchlings from oiled and control eggs. In comparison to published reports of fresh crude oil embryotoxicity, weathered crude oil was considerably less toxic. We conclude that avian toxicity varies according to the degree of crude oil weathering and the stage of embryonic development at the time of exposure. Results indicate bird eggs exposed to weathered crude oil from the Gulf of Mexico during summer 2010 may have had reduced hatching success.

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Cutting and removal of oil-impacted marsh plants are still used worldwide as a clean-up and recovery technique. To experimentally test the efficacy of cutting and removing marsh plants under subtropical conditions, we simulated an oil spill (Bunker MF-180) in Spartina alterniflora marshes and compared the responses of plant height, biomass, density of culms and number of flowering plants in high and low energy areas in Paranaguá Bay (S Brazil) for about 9 months. Cutting and removal were inefficient in promoting or accelerating the recovery of the impacted areas. Cut or uncut impacted marshes fully recovered within 6 months, both in low and high energy areas. Plant cutting should be practiced only when there is an effective risk of contamination of groundwater near urban areas, when obvious aesthetical issues are involved in areas of touristic interest or when there are real short-term conservation risks to threatened species.

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