The Impacts of Floods on the Health of Riverside Communities in the State of Maranhão: An Integrative Review

Abstract

Purpose: Through this research, the aim is not only to identify problems but also to provide valuable insights for the formulation of public policies aimed at improving the living conditions and health of these communities, making them more resilient in the face of frequent climatic challenges. Theoretical framework: Floods contribute to the spread of waterborne diseases due to the contamination of water sources and the lack of access to clean water during flooding periods. The presence of pathogens, such as bacteria and viruses, in flooded environments increases the risk of gastrointestinal diseases, emphasizing the need for integrated approaches to control these illnesses. Method/design/approach: Initially, a comprehensive literature review was conducted on studies related to the impacts of floods on the health of riparian communities, with emphasis on the specific context of the State of Maranhão. Academic databases such as PubMed, Scopus, and the Brazilian Digital Library of Theses and Dissertations (BDTD) will be consulted to identify relevant research, theories, and concepts associated with the effects of floods on health. Results and conclusion: Among the 46 selected articles, a higher number focused on floods in the riverside communities of Maranhão (n=30). In second place are those related to health, though few include consequences related to floods (n=10). Fewer articles addressed the social and historical-cultural profile, as observed in (Chart 1) (n=6). The integrative review highlights the complexity and interdisciplinary nature of the impacts of floods on the health of riverside communities in the State of Maranhão. The evidence presented indicates the need for public policies that address not only immediate challenges but also underlying causes, promoting sustainable interventions centered on communities. Research implications: The main managerial, academic, and social contributions of the research include the clear identification of challenges faced by riverside communities in Maranhão during floods. Originality/value: The study adopts an interdisciplinary approach by not only considering the direct impacts of floods on health but also exploring the social and cultural dimensions of riverside communities. This integration of health, environment, and social sciences enhances the understanding of the challenges faced by these communities.