<?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>0188-4999</journal-id>
<journal-title><![CDATA[Revista internacional de contaminación ambiental]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Int. Contam. Ambient]]></abbrev-journal-title>
<issn>0188-4999</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Instituto de Ciencias de la Atmósfera y Cambio Climático]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0188-49992025000100152</article-id>
<article-id pub-id-type="doi">10.20937/rica.55326</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad infantil por malformaciones congénitas y su relación con factores socioambientales en la región de emergencia sanitaria y ambiental &#8220;Cuenca del Alto Atoyac&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA[Infant mortality due to congenital malformations and its relationship with socio-environmental factors in the health and environmental emergency region "Cuenca del Alto Atoyac"]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Castresana]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arroyo-Ortega]]></surname>
<given-names><![CDATA[Itzel Fabiola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camacho-Sanabria]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sermeño]]></surname>
<given-names><![CDATA[Flor-Martínez]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Uribe]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Iberoamericana Instituto de Investigaciones en Medio Ambiente &#8220;Xabier Gorostiaga S.J.&#8221; ]]></institution>
<addr-line><![CDATA[San Andrés Cholula Puebla]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ciudad de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Ecología A. C. Centro de Estudios e Investigación en Biocultura, Agroecología, Ambiente y Salud ]]></institution>
<addr-line><![CDATA[Xalapa Veracruz]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro de Investigación en Matemáticas Coordinación de Servicios Tecnológicos ]]></institution>
<addr-line><![CDATA[Guanajuato Guanajuato]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Servicios de Salud del Estado de Puebla Departamento de Enfermedades Crónicas No Transmisibles ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Estudios de Posgrado de Excelencia de México Departamento de Posgrados ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>México</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>41</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0188-49992025000100152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0188-49992025000100152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0188-49992025000100152&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La Cuenca del Alto Atoyac (CAA) enfrenta una situación de emergencia sanitaria y ambiental derivada de la intensa industrialización. En 2020, el Consejo Nacional de Humanidades, Ciencia y Tecnología financió varios proyectos nacionales de investigación e incidencia (PRONAII) para favorecer la comprensión de esta problemática y ofrecer recomendaciones al respecto. Este artículo presenta resultados del PRONAII &#8220;Enfermedades crónicas no transmisibles en la CAA&#8221;, en el cual se establecieron, entre otros objetivos, analizar la mortalidad infantil por malformaciones congénitas (MC) en 2000-2019, así como estimar el riesgo de mortalidad por MC en relación con factores ambientales y de vulnerabilidad a nivel municipal. Los análisis estadísticos revelaron que las cardiopatías congénitas son la principal causa de fallecimientos entre las MC, con una situación especialmente grave en la región poblana vinculada con la diversidad y tipos de industrias instaladas, lo cual probablemente incide en la calidad del aire y determina la mezcla de contaminantes a los que se exponen los habitantes. De acuerdo con registros nacionales de contaminantes, en esta región poblana se liberan mayores niveles de benceno, dioxinas, bifenilos policlorados y metales pesados, pero también niveles de PM2.5 y PM10 cuatro veces mayores con respecto a Tlaxcala. Cada vez hay más evidencias de la asociación entre la exposición ambiental a mezclas de contaminantes y las cardiopatías. El abordaje metodológico, mediante la formulación de índices, es novedoso y busca ofrecer una contribución para el manejo integral de las MC, mediante la mitigación-prevención de los factores ambientales y de vulnerabilidad que determinan el riesgo de mortalidad por MC a nivel municipal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The Alto Atoyac Basin (CAA) is currently in the grip of a pressing health and environmental emergency, a direct consequence of its intense industrialization. In response to this urgent situation, the Consejo Nacional de Humanidades, Ciencia y Tecnología initiated several national research and intervention projects (PRONAII) in 2020. This article presents results from the PRONAII &#8220;Non-communicable Chronic Diseases in the CAA,&#8221; which aimed, among other objectives, to analyze infant mortality due to congenital malformations (CM) from 2000-2019 and estimate the risk of CM mortality concerning environmental and vulnerability factors at the municipal level. Statistical analyses revealed that congenital heart diseases are the leading cause of death among CMs, with an especially severe situation in the Puebla region linked to the diversity and types of industries installed, which likely affects air quality and determines the mix of pollutants to which residents are exposed. According to national pollutant records, higher levels of benzene, dioxins, PCBs, and heavy metals are released in this Puebla region, and PM2.5 and PM10 levels are four times higher than in Tlaxcala. There is increasing evidence of the association between environmental exposure to pollutant mixtures and heart diseases. The methodological approach, through the formulation of indices, is novel and represents a significant step forward in our understanding of these issues. It aims to contribute to the comprehensive management of CMs by mitigating and preventing the environmental and vulnerability factors that determine the risk of CM mortality at the municipal level.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cardiopatías congénitas]]></kwd>
<kwd lng="es"><![CDATA[salud pública ambiental]]></kwd>
<kwd lng="es"><![CDATA[contaminación]]></kwd>
<kwd lng="es"><![CDATA[vulnerabilidad social]]></kwd>
<kwd lng="en"><![CDATA[congenital heart disease]]></kwd>
<kwd lng="en"><![CDATA[environmental public health]]></kwd>
<kwd lng="en"><![CDATA[pollution]]></kwd>
<kwd lng="en"><![CDATA[social vulnerability]]></kwd>
</kwd-group>
</article-meta>
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<page-range>1-10</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
