0265/2021 - Análises das causas das subnotificações das intoxicações por agrotóxicos na rede de saúde em município do sul do Brasil Analysis of the causes of underreporting of pesticide poisoning in the health network in a municipality in southern Brazil
O uso intensivo de agrotóxicos na agricultura está associado a externalidades negativas, que afetam o meio ambiente e a saúde pública. Sabe-se que o número de registros é menor que os de intoxicações por pesticidas, ocorrendo subnotificações. Com o objetivo de compreender esse evento analisou-se os dados de dois sistemas de informação de notificações e agravos à saúde e realizou-se estudo de caso com profissionais da 5ª Regional de Saúde e da rede de saúde de um Município do Paraná. Confirmou-se que ocorrem as subnotificações nos sistemas de informações, a inconsistência de dados e a falta de comunicação entre eles, dificultando a compreensão da realidade das intoxicações. No estudo de caso identificou-se a ocorrência de subnotificação prévia: quando muitos trabalhadores não procuram os sistemas de saúde; as capacitações dos profissionais são insuficientes e neutralizadas pela grande rotatividade, especialmente de médicos; o diagnóstico, a conduta e o tratamento das intoxicações por agrotóxicos não fazem parte do currículo de muitos dos cursos da área de saúde; e a capacidade dos serviços de saúde de muitos municípios está aquém da demanda, ocasionando sobrecarga de trabalho aos profissionais e a consequente subnotificação.
Palavras-chave:
Agrotóxicos, Intoxicações, Saúde Pública, Envenenamento, Vigilância em saúde
Abstract:
The intensive use of pesticides in agriculture is associated with several negative externalities, which affect both the environment and public health. It is known that the number of records is less than that of pesticide poisonings, with underreporting occurring. In order to understand the event of underreporting, we used the crossing of datatwo information systems for notifications and health problems and a case study with the opinion of professionalsthe 5th Regional Health and the health network of a Municipality of Paraná. It was concluded that underreporting occurs in the information systems, confirming the inconsistency of data and the lack of communication between them, making it difficult to understand the reality of intoxications. In the case study, the occurrence of prior underreporting was identified: when many workers do not seek health systems; the training of professionals is few and neutralized by high turnover, especially doctors; the diagnosis, conduct and treatment of pesticide poisoning are not part of the curriculum of many courses in the health area; the capacity of health services in many municipalities falls short of demand, causing work overload to professionals and the consequent underreporting.
Keywords:
Pesticides, Intoxications, Public Health, Poisoning, Health surveillance
Analysis of the causes of underreporting of pesticide poisoning in the health network in a municipality in southern Brazil
Resumo (abstract):
The intensive use of pesticides in agriculture is associated with several negative externalities, which affect both the environment and public health. It is known that the number of records is less than that of pesticide poisonings, with underreporting occurring. In order to understand the event of underreporting, we used the crossing of datatwo information systems for notifications and health problems and a case study with the opinion of professionalsthe 5th Regional Health and the health network of a Municipality of Paraná. It was concluded that underreporting occurs in the information systems, confirming the inconsistency of data and the lack of communication between them, making it difficult to understand the reality of intoxications. In the case study, the occurrence of prior underreporting was identified: when many workers do not seek health systems; the training of professionals is few and neutralized by high turnover, especially doctors; the diagnosis, conduct and treatment of pesticide poisoning are not part of the curriculum of many courses in the health area; the capacity of health services in many municipalities falls short of demand, causing work overload to professionals and the consequent underreporting.
Palavras-chave (keywords):
Pesticides, Intoxications, Public Health, Poisoning, Health surveillance
Tosetto, E. E., Andrioli, A. I., Cristofoli, P. I.. Análises das causas das subnotificações das intoxicações por agrotóxicos na rede de saúde em município do sul do Brasil. Cien Saude Colet [periódico na internet] (2021/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/analises-das-causas-das-subnotificacoes-das-intoxicacoes-por-agrotoxicos-na-rede-de-saude-em-municipio-do-sul-do-brasil/18164?id=18164
