A proposal of a fuzzy rule-based system for the analysis of health and health environments in Brazil

Abstract A challenging activity in the promotion of sustainable development is to synthesise indicators that can support decision-making. In developing countries such as Brazil, the use of information in support of the health and health-related environment of humans needs improvement. This paper presents a proposal for a system that can evaluate human health and urban environment sanitation in an integrated manner. The indicators selected for human health were child mortality rate, mortality rate due to acute diarrhoea for all ages and 1–4-year-old mortality rate due to acute respiratory tract infections. Environmental sanitation has been represented by indicators of sanitation coverage, such as sewerage. The paper describes the design of a fuzzy linguistic model that synthesises these indicators. The designed fuzzy rule-based system has proved to be a useful tool to integrate information and assist in the public planning of interrelated areas.

[1]  Bernard Fisher,et al.  Fuzzy approaches to environmental decisions: application to air quality , 2006 .

[2]  James J. Kay,et al.  An ecosystem approach for sustainability: addressing the challenge of complexity , 1999 .

[3]  E. Rametsteiner,et al.  Sustainability indicator development-Science or political negotiation? , 2011 .

[4]  William Ocampo-Duque,et al.  Assessing water quality in rivers with fuzzy inference systems: a case study. , 2006, Environment international.

[5]  Eduardo Massad,et al.  Fuzzy epidemics , 2003, Artif. Intell. Medicine.

[6]  Zhi Chen,et al.  Environmental risk assessment of offshore produced water discharges using a hybrid fuzzy-stochastic modeling approach , 2010, Environmental Modelling & Software.

[7]  William Silvert,et al.  Fuzzy indices of environmental conditions , 2000 .

[8]  Lotfi A. Zadeh,et al.  Is there a need for fuzzy logic? , 2008, NAFIPS 2008 - 2008 Annual Meeting of the North American Fuzzy Information Processing Society.

[9]  Eduardo Massad,et al.  Fuzzy Logic in Action: Applications in Epidemiology and Beyond , 2010, Studies in Fuzziness and Soft Computing.

[10]  Roberto Wagner Lourenço,et al.  Fuzzy environmental quality index , 2010, International Conference on Fuzzy Systems.

[11]  P. Coelho,et al.  The role of common local indicators in regional sustainability assessment , 2010 .

[12]  Yilmaz Icaga,et al.  Fuzzy evaluation of water quality classification , 2007 .

[13]  Maria Augusta Soares Machado,et al.  River quality analysis using fuzzy water quality index: Ribeira do Iguape river watershed, Brazil , 2009 .

[14]  Peter Tyedmers,et al.  Contrasting and comparing sustainable development indicator metrics , 2007 .

[15]  Eduardo Massad,et al.  A Bayesian approach to fuzzy hypotheses testing for the estimation of optimal age for vaccination against measles , 2008, Math. Comput. Simul..

[16]  T. Prato Sustaining Ecological Integrity with Respect to Climate Change: A Fuzzy Adaptive Management Approach , 2010, Environmental management.

[17]  J. Teixeira,et al.  Análise da associação entre saneamento e saúde nos países da América Latina e do Caribe, empregando dados secundários do banco de dados da Organização Pan-Americana de Saúde - OPAS , 2005 .

[18]  J. Teixeira,et al.  ANÁLISE DA ASSOCIAÇÃO ENTRE SANEAMENTO E SAÚDE NOS ESTADOS BRASILEIROS, EMPREGANDO DADOS SECUNDÁRIOS DO BANCO DE DADOS INDICADORES E DADOS BÁSICOS PARA A SAÚDE 2003- IDB 2003 , 2006 .

[19]  David Kay,et al.  Estimating the burden of disease from water, sanitation, and hygiene at a global level , 2002 .

[20]  Lotfi A. Zadeh,et al.  Fuzzy Sets , 1996, Inf. Control..

[21]  W. Silvert Ecological impact classification with fuzzy sets , 1997 .

[22]  Tony Prato,et al.  Adaptively Managing Wildlife for Climate Change: A Fuzzy Logic Approach , 2011, Environmental management.

[23]  Eduardo Massad,et al.  Fuzzy gradual rules in epidemiology , 2003 .

[24]  David Waltner-Toews,et al.  Ecosystem Sustainability and Health: A Practical Approach , 2004 .

[25]  E. Massad,et al.  Fuzzy logic and measles vaccination: designing a control strategy. , 1999, International journal of epidemiology.

[26]  Holger R. Maier,et al.  Future research challenges for incorporation of uncertainty in environmental and ecological decision-making , 2008 .

[27]  Paul Lanoie,et al.  Measuring the sustainability of cities: An analysis of the use of local indicators , 2010 .

[28]  Arjen Ysbert Hoekstra,et al.  Assessment of uncertainties in expert knowledge, illustrated in fuzzy rule-based models , 2010 .

[29]  C. Corvalan,et al.  How much global ill health is attributable to environmental factors? , 1999, Epidemiology.

[30]  T. Ross Fuzzy Logic with Engineering Applications , 1994 .

[31]  Tullio Facchinetti,et al.  F-IND: A framework to design fuzzy indices of environmental conditions , 2009 .

[32]  Neli Regina Siqueira Ortega,et al.  Ecosystem approach and the Fuzzy logic: a dialectical proposal for information on Environmental Health , 2012 .

[33]  D. Waltner-Toews An ecosystem approach to health and its applications to tropical and emerging diseases. , 2001, Cadernos de saude publica.

[34]  Charles Lee,et al.  Environmental justice: building a unified vision of health and the environment. , 2002, Environmental health perspectives.

[35]  Bernard De Baets,et al.  Fuzzy rule-based models for decision support in ecosystem management. , 2004, The Science of the total environment.

[36]  J. Teixeira,et al.  Análise da associação entre saneamento e saúde nos estados Brasileiros: estudo comparativo entre 2001 e 2006 , 2011 .

[37]  J. Martínez-Alier,et al.  [Political ecology, ecological economics, and public health: interfaces for the sustainability of development and health promotion]. , 2007, Cadernos de saude publica.

[38]  O. C. Netto,et al.  [Relationship between water supply, sanitation, public health, and environment: elements for the formulation of a sanitary infrastructure planning model]. , 2002, Cadernos de Saúde Pública.

[39]  B. Moldan,et al.  How to understand and measure environmental sustainability: Indicators and targets , 2012 .