Introduction: Covid 19 presents itself as a flu-like syndrome with a wide range of clinical manifestations, ranging from asymptomatic infections to more serious cases. Although the number of new infections and deaths is currently declining, it is important to understand how the virus can impact the functioning of the body and result in impairment of the functional capacity of individuals, especially those affected by mild acute infections.

Objective: To identify an association between reports of illness caused by SARS-CoV-2 and the presence of impaired functional capacity, characterize the sociodemographic profile with a focus on domestic activities performed by individuals and investigate a possible association of sociodemographic, occupational and health-related factors health with compromised functional capacity in individuals from a peripheral neighborhood in Salvador-BA.

Methodology: Cross-sectional study, carried out in the Alto das Pombas neighborhood, Salvador-BA, which included 504 participants aged 16 or over. Sociodemographic, health and work data were collected and the EQ-5D was applied to assess functional capacity. Collection took place from February to June 2022. Multivariate analysis was performed to investigate factors associated with impaired functional capacity, with a 95% CI.

Results: It was possible to identify an association between impaired functional capacity and a history of Covid 19 (RP: 1.29; 95% CI: 1.13-1.47), female sex (RP: 1.21; 95% CI: 1.02-1.44), living without a partner (PR: 1.16; 95% CI: 1.01-1.34), report of comorbidities (RP: 1.30; 95% CI: 1.14-1.49) and not being employed (RP: 1.20; 95% CI: 1.05-1.38).

Conclusion: The study carried out during the SARS-CoV-2 pandemic highlights the presence of impaired functional capacity in individuals with a mild history of Covid-19, in a vulnerable community marked by violence, mostly made up of black people and women. The study emphasizes the need for long-term monitoring of these individuals, especially in relation to mental health, and highlights the importance of considering social determinants when formulating more comprehensive public health policies.

Introduction: Traditional fishing communities were severely impacted by the oil spill that occurred on the Brazilian coast in 2019. Fishers were among the first to respond to the disaster and depend on local biodiversity for their survival. The impacts were amplified in the environmental protection areas (APAs) where fishing communities are located, due to the unique and diverse local ecosystem. The situation was further aggravated by the unpreparedness of the health sector, which failed to provide adequate guidance, research, or qualified assistance to those affected. Purpose: This study investigated the association between oil exposure and the presence of physical symptoms as compatible markers for anxiety in artisanal fishers from traditional communities residing in two APAs affected by the spill. Method: A cross-sectional epidemiological study was conducted between 2021 and 2022. A structured questionnaire validated by the Delphy method was administered to 377 artisanal fishers residing in APAs in the states of Sergipe and Bahia. Descriptive and exploratory statistical analyses of the data were conducted by modeling with robust Poisson regression separately for each outcome. Results: A positive association was observed between the presence of three or more symptoms in those exposed through inhalation (Prevalence Ratio - PR = 3.0; 95%CI: 1.6-5.5), skin contact (PR = 2.2; 95%CI: 1.5-3.3), and gastric route (PR = 3.4; 95%CI: 2.5-4.6), compared to individuals with lower exposure. Respondents who were married or lived with a partner had a 50% higher prevalence of three or more symptoms than single and widowed respondents. The prevalence of three or more symptoms was 2.7 times higher among fishers who required medical attention than those who did not. Conclusion: A greater occurrence of physical symptoms that contribute as compatible markers for anxiety was observed among the most exposed fishers. These markers are potential intensifiers of chronic stress, demonstrating risk of negative impacts on physical and mental health. The observed effects can be characterized as intensifying vulnerabilities seen in traditional communities in the states of Sergipe and Bahia, overlapping the dimensions of these fishers’ lives, through aspects in the social, personal and occupational spheres.

Introduction: Recently, in August 2019, an environmental disaster occurred on the Brazilian
coast, considered the country's largest incident involving oil. This triggered unprecedented
impacts for the affected areas and people, particularly for artisanal fishermen who had their
work and living environment severely affected with no prospect of recovery. This scenario was
further exacerbated by the effects of the COVID-19 pandemic, intensifying the socioeconomic
vulnerability of this coastal population. Objective: To assess the socioeconomic impacts of the
oil spill and COVID-19 on artisanal fishing communities in three conservation units in Bahia.
Method: Cross-sectional study, with 947 fishermen and women and shellfish gatherers residing
in three conservation units in Bahia: two Extractive Reserves (Canavieiras and Corumbau) and
one Environmental Protection Area (APA Litoral Norte). Data collection took place between
January and November 2021, through individual interviews using a structured questionnaire
validated by the Delphi method. Descriptive analyses of socioeconomic and occupational
variables were conducted by conservation unit, and the chi-square test to check the association
between income reduction, impact on fishing activity, and sociodemographic variables with
conservation units. Results: There was a significant impact on fish sales during the oil spill and
COVID-19, and a significant decline in fishermen's and shellfish gatherers income, with a loss
of between 50% to 100% of monthly earnings in most cases due to the environmental disaster.
An association was observed between conservation units and income reduction, as well as
between conservation units and variables related to fishing activity (production, sales, demand,
prices, and others for commercial purposes). Conclusion: The data presented demonstrate that
the oil spill in the study areas, followed by the COVID-19 pandemic, caused a significant impact
on the socioeconomic conditions of local fishing communities, exacerbating existing
vulnerability. In this context, it is necessary to implement more robust and structured public
policies in fishing communities, aiming to ensure social and economic equity, reducing
exposure and vulnerability to possible future events/disasters. Additionally, it is essential to
strengthen the environmental policies of conservation units, which will ensure the maintenance
and sustainability of traditional peoples, promoting sustainable projects and income generation.

Objective: To investigate the knowledge and perception of workers exposed to noise about hearing health. Methods: Cross-sectional study carried out with workers exposed to noise, from August to October 2021 at the Social Service of Industry to carry out occupational exams. Sociodemographic, occupational and hearing health information was collected through a self-applied questionnaire on beliefs and attitudes about hearing loss prevention. Data about audiological condition and segment of the company of these workers were extracted from the institution's digital medical record. Workers with a history of at least one year as an active employee of the contracting company were included, and those who did not complete the questionnaire in its entirety were excluded. Results: 90 workers participated in the study, most of them male, under 60 years old, and with at least high school education. The civil construction segment represented 32% of the sample. Most wore plug auricular protectors, had been exposed to noise for less than 10 years, and had last been trained in hearing protection for over a year. The diagnosis of normal hearing was identified in 71.1% of the workers, and the majority did not report hearing complaints. The median of the total score of the questionnaire was 56.5, with the highest score observed in thematic area six and the lowest in thematic area 10. It was verified that the Metallurgy/Petrochemical segment has a higher level of knowledge in hearing protection compared to others. Longer exposure time to noise correlated with a higher level of knowledge about hearing health of workers exposed to noise. Conclusion: The findings of the present study contribute to the identification of topics of lesser knowledge about the hearing health of workers exposed to noise, which should be prioritized in training for Hearing Conservation Programs. Additionally, they reveal factors that influence the level of knowledge about hearing health and that can be considered in the elaboration of strategies to favor the hearing health of these workers.

Introduction: Common mental disorders (CMD) are characterized by anxiety, irritability, chronic fatigue and psychosomatic symptoms, being considered one of the main causes of illness in adults and a relevant public health problem, especially in Brazil, as they represent the third cause of retirement for disability and sickness benefits. Working conditions, number of work hours and the work organization are factors that influence the physical and mental health of workers, with several epidemiological studies pointing to shift and night work as a risk factor for chronic diseases, including mental disorders. However, most studies that assess shift work as a determinant of health come from high-income countries, being scarce in low- and middle-income countries such as Brazil. Objectives: The dissertation aimed to analyze the association between shift and night work and common mental disorders in baseline participants of the ELSA-Brasil cohort. Methods: This study is part of the Longitudinal Study of Adult Health (ELSA-Brasil), a Brazilian multicenter cohort study, which includes six Research Centers from different states (Bahia, Espírito Santo, Minas Gerais, Rio de Janeiro, Rio Grande do Sul and São Paulo). The manuscript resulting from this dissertation carried out a cross-sectional analysis with data from the baseline (year 2008) of the ELSA-Brasil. The sample comprised 11,679 active workers from six Brazilian states. CMD were evaluated using the Clinical Interview Schedule-Revised (CIS-R). Using a structured questionnaire, sociodemographic, behavioral, and occupational variables were evaluated. To examine the associations of interest, bivariate (independent variables and outcome) and multiple regression analyzes (association between shift work and CMD, adjusting for confounders) were performed using logistic regression, estimating Odds Ratios and 95% confidence intervals. Results: The manuscript, written as the main result of the dissertation, presented the findings and showed that the prevalence of CMD was 27.9% in the studied population. About 36.5% did shift work, 14.7% daytime work, 6.8% night work, and 15.0% mixed. Being female, being black or brown, being between 35 and 44 years old, having only completed high school, being separated or widowed, and exposed to job strain were associated with a higher prevalence of CMD. Night and mixed shift work (day and night), respectively, were associated with 21% (OR=1.21, 95%CI 1.02-1.42) and 18% greater chance (OR=1.18, CI95%1.05-1.33) of CMD, compared to those who did not do shift work. Day shift work was not associated with CMD. Stratified analyzes suggested that gender may be an effect modifier of the investigated association. Discussion: The results corroborate the findings of studies in high- and middle-income countries, highlighting shift work as a risk factor for CMD, which is related to the work organization in contemporary society. Other sociodemographic and work factors may contribute to the occurrence of CMD. Shift work, particularly when performed at night, can promote behavioral and lifestyle changes that affect mental health, and should be the focus of measures to prevent chronic conditions such as CMD. Longitudinal analyses, which consider the confounding and interaction factors included in this study, in addition to possible mediators, are still needed to deepen the understanding of the association between shift and night work and mental disorders, particularly in low- and middle-income countries like Brazil.

Introduction: Chikungunya typically manifests with fever and arthralgia that can persist for
months to years. The permanence of joint pain for long periods can cause inability to perform
daily activities. AIM: To describe the quality of life, mental health and impact on work of
persistent arthralgia in patients with chikungunya. Methodology: Between June 2019 and
March 2020, a surveillance study for febrile and acute rash illnesses identified patients with
laboratory evidence (qRT-PCR or Elisa IgM) of chikungunya virus infection in an Emergency
Care Unit in Salvador - Bahia. Between October 2021 and January 2022, identified cases
aged ≥ 18 years were interviewed by telephone to collect data on persistence of arthralgia
and its impact. Participants who reported joint pain for ≥90 days were classified as having
persistent arthralgia and the others without persistent arthralgia. To assess quality of life, the
general question about self-assessment of health from the SF-12 scale instrument was used,
and to assess mental health, questionnaires from the PHQ-9 and GAD-7 scales were
applied. Closed questions were used to assess work absenteeism. Relative and absolute
frequencies, and measures of central tendency and dispersion were calculated to describe
participants and their outcomes. The study was approved by the Research Ethics Committee
of the Instituto Gonçalo Moniz. Results: Of the 63 cases of chikungunya interviewed, 42
participants (66.7%) had persistent arthralgia. Low level of quality of life was reported by
68.3% of those with persistent arthralgia and by 30.0% of those without persistent arthralgia.
Anxiety symptoms were reported by 43.9% and 35.0% of those with and without persistent
arthralgia, and symptoms of depression by 24.4% and 5.0%, respectively. Leave from work
occurred in 83.0% and 50.0%, respectively. Conclusion: Although the sample size limited
the power to verify whether the differences were statistically significant, the study reinforces
the negative impact of chikungunya on mental health, quality of life and work, highlighting the
need for adequate dimensioning of health services to guarantee psychological assistance
and rehabilitation to patients.

The study aims to review the literature to learn about the instruments used in the structuring of multi-risk plans for the mitigation and response to Public Health Emergencies (PHE). This is a scoping review developed based on the protocol and recommendations of the Joanna Briggs Institute (JBI). The strategies used to search for studies led to the capture of 72 articles, using the terms “emergencies” or/and “disasters” or/and “Public health” or/and “Multi-risk plans”. After reading the studies, 07 were kept for review. The results showed that the instruments used in the structuring of multi-risk plans to face and respond to PHE still have limitations and demand greater intra and intersectoral dialogue, in addition to greater governance on the subject. Delphi was the most appropriate instrument to help structure multi-risk plans to face and respond to PHE, as it presents an intersectoral approach that includes multi-risks, is easy to apply and has low costs to put it into practice. It is hoped that this study will be a precursor of systematic reviews that can demonstrate, with greater scientific rigor, the effectiveness of using these methods.

Introduction: Occupational stress is a risk factor for the health of workers, as it can affect satisfaction with life and performance at work, in addition to being associated with physical and mental illness. Objective: To analyze the association between Effort-Reward Imbalance (ERI) and life satisfaction, from a gender perspective, among active civil servants from the ELSA-Brasil cohort. Methods: Cross-sectional study with 9,199 active participants in the second wave (2012 to 2014). The effort-reward imbalance was measured by the Effort-Reward Imbalance (ERI) questionnaire and Satisfaction with life was applied to the Satisfaction with Life Scale (SWLS). Study covariates were: education, age, race/color, marital status, children, self-perception of health status, functional level and workload. Data were analyzed separately for women and men. Initially, descriptive analyzes of the data were performed and odds ratio (OR) were estimated through logistic regression. Stata version 12 was used. Results: Men who reported effort-reward imbalance at work were more likely to be dissatisfied with life (OR= 2.38; 95%CI: 1.93-2.93) when compared to men without ERI at work. Among women with effort-reward imbalance at work, there was a greater chance of being dissatisfied with life (OR=2.01; 95%CI: 1.68-2.39), compared to those who did not have ERI at work. Among female workers with higher functional/teaching level, an association was observed between DER and reduced satisfaction with life (OR= 2.77; 95%CI:1.90-4.04), inclusive, higher than that of female workers with higher level. functional support/médium (OR 1.71; 95%CI: 1.38- 2.12). Conclusions: Occupational stressors, measured by the ERI, are associated with dissatisfaction with life in both sexes in civil servants. Functional level stood out as an effect modifier for women, which may be related to the search for schooling and qualification of women to enter the labor market, in addition to the effort to reduce gender inequality at work

Leukemia is defined as a type of cancer that affects the initial cells located inside the bone marrow, having occupational exposure to pesticides and other agents as an important risk factor. In turn, rural work, an important occupation in the state of Bahia, makes intensive use of pesticides and other agents, exposing workers in this category to diseases and injuries, including Leukemia. Thus, this study aims to investigate the association between leukemia and rural work in Social Security insured persons, from 2014 to 2018. This is a case-control study based on the registration of social security benefits (sickness allowance), which covered the entire geographic area of the state of Bahia, forming a census. All cases of leukemia were selected, including all subcategories in individuals who received the social security benefit of sick pay from January 2014 to December 2018. The results showed a positive association between rural work and the onset of Leukemia (OR= 2.80), residents of the Central North mesoregion of the state of Bahia (OR= 2.0), aged ≥56 years (OR=5.16). This finding corroborates the literature that already widely discusses the relationship between occupation as a rural worker and the involvement of lymphohematopoietic cancers.

Introduction: A major oil spill in 2019 off the Brazilian coast caused major environmental and socioeconomic impact, especially affecting artisanal fishermen and shellfish gatherers. The reduction in fish sales had instant effects on this community, reducing the purchasing power of basic foodstuffs. In March 2020, the WHO declared the COVID-19 pandemic. The artisanal fishing sector, still recovering from the effects of the oil spill, was significantly impacted by the pandemic. The social isolation generated, added to the challenges already faced by the fishing community, added social instability and food insecurity to this group of workers. In this work, we present a literature review and a scientific article. Objective: The present study aims to identify factors associated with the anthropometric status of artisanal fishermen/shellfish gatherers residing in areas affected by the oil spill and during the first wave of the COVID-19 pandemic in Brazil. Methods:. Cross-sectional study carried out with 898 adult artisanal fishermen/shellfish gatherers. A validated questionnaire was used to collect general information on oil exposure, lifestyle and health, COVID-19. The data were analyzed stratified by sex and the prevalence of excess weight and high waist circumference was calculated. Adjusted PRs were calculated using the logistic regression model and confidence intervals (95%) were obtained using the delta method. Results: Excess weight was observed in 74.2% of fisherwomen/shellfish gatherers and 88.4% of them were overweight of abdominal fat; in males, 47.3% were overweight and 33.4% had high waist circumference. After adjusted analysis, AC remained in both models, female [RP = 9.24; 95%CI(4.04; 21.13)] and male [PR = 4.79 (3.35; 6.86)]. In addition to abdominal obesity, higher prevalences of excess weight were observed in women with high BP [PR = 1.69; 95%CI(1.10; 2.59)], who had COVID-19 [PR = 2.09 95%CI(1.01; 4.30)]. Among men, in addition to abdominal obesity, a higher prevalence of excess weight was observed among those with a monthly income greater than R$1,000.00 [RP = 1.77; 95%CI (1.17; 2.66)] and who reported diabetes [PR 2.43 (1.23; 4.74)]. Conclusion: The results obtained indicate frequencies of excess weight among fisherwomen/shellfish gatherers that are higher than the frequencies observed in the Brazilian population in general, highlighting an alert regarding the need for more effective care, through public policies aimed at nutritional education and health of this population.

The present work consists of qualitative historical research based on a literature review on topics linked to workers' right to health, neoliberalism and the struggles of workers in the chemical sector in Bahia. The first part of the analysis finds that workers live in a constant struggle to guarantee their rights, and capitalist logic deprives them of health, safety and protection conditions in the act of labor production. Initially, in the work, it can be seen that contemporaneously with the rise of neoliberalism, a petrochemical complex was installed in Camaçari specifically in Bahia, which made illnesses and accidents at work an issue for the wall movements. The second stage consists of analyzing documents in Sindiquimica that dealt with the issue of worker health, such as strike bulletins, newspaper reports, communications to the press and the category, where the main illnesses were sought, how the union reacted and what the gains were. the category got. In conclusion, the category's predilection for direct confrontation was noted to the detriment of seeking control bodies, which had little oversight. Furthermore, it is clear that the movement therefore plays a significant role in guaranteeing the right to health of workers in the chemical sector in Bahia. impact on health.

Introduction: The intensive voice use under high noise levels and inadequate acoustics are risk factors for dysphonia. However, the safe limits for prevention are still unknown and the proposals for collective intervention are limited. Objective: verify the effects of vocal load in a large capacity classroom on the vocal quality of university professors. Method: exploratory, observational, longitudinal study, with a single group of subjects and primary vocal monitoring data for two weeks. Acoustic characterization of the classroom, auditoryperceptual and acoustic evaluation of voice samples before and after and vocal dosimetry during classes were performed. The statistical treatment of the data consisted of descriptive analysis and randomization method, adopting the level of statistical significance of p<0.05. Results: the prevalence of voice disorders was 20%. All participants reported speaking loudly in class and the majority (80%) reported voice alterations in the last six months and voicerelated health problems. The unoccupied classroom presented equivalent sound pressure levels, varying between 55 dB and 57.3 dB. The reverberation times ranged from 1.12 s to 3.24 s (at frequencies from 250 Hz to 8000 Hz) and the speech transmission indices ranged from 0.31 to 0.38. The professors presented high vocal doses in the classroom with the use of high vocal intensity, ranging from 108.66 dB to 118.97 dB. In the descriptive analysis, there was an increase in the average, after classes, in the two weeks of the general CAPE-V score (4.6mm and 11mm), of jitter (0.08% and 0.01%), of the fundamental frequency of the vowel (7.2 Hz and 15.35 Hz) and connected speech (17.42 Hz and 8.7 Hz) and of the average (2.40 dB and 1.73 dB) and maximum intensity (1.79 dB and 1.59 dB). The averages of the Vocal Fatigue Indexes were outside the normal range, increasing in the second week (18 and 22.6). Significant differences were found in noise variables (before class between weeks, pseudo pvalue = 0.02) and maximum intensity (after class between weeks and between the beginning and end of the study, pseudo p-value = 0, for both). There was a significant correlation between phonation time and overall CAPE-V grade (pseudo p-value=0.02) and between distance dose and maximum intensity (pseudo p-value=0.02). Conclusions: the doses and the Vocal Fatigue Indexes were shown to be high, possibly impacted by the vocal demand in the classroom. The increase in the mean Vocal Fatigue Index in the second week may be due to the increase in the sensation of cumulative fatigue. CAPE-V can assist in the longitudinal monitoring of teachers in the work environment, helping to monitor the installation of a possible DVRT. The distance dose can be useful in vocal monitoring, and further studies based on it may provide data for the establishment of safe vocal doses for teachers. Further studies with larger samples and in an acoustically conditioned classroom are suggested, aiming to investigate possible relationships between demand, demand response, effort and vocal fatigue in different occupational contexts and provide data for collective interventions.

Musculoskeletal Disorders (MSD) cause physical and psychological suffering in workers due to a set of symptoms that can affect one or more body segments, so interventions can be a strategy to avoid these effects. Interventions to prevent work-related MSDs can be carried out in the work environment in different ways: on the physical work environment with adjustments or adaptations to the physical structure of work; on the individual through bodily activities such as physical exercises or interventions focusing on behavioral aspects based on the worker's needs; on the organizational aspects of work that include the pace of work and the organization of tasks, for example. It is, therefore, a systematic review (SR) of the literature that aimed to analyze the effects of intervention studies in the work environment for the prevention of MSD; the specific objectives were: to describe the main preventive DME interventions applied to occupational categories; identify and describe the countries of origin of the studies and the populations addressed; classify studies according to methodological quality criteria. The following databases were consulted: Pubmed, Lilacs, PEDro and Web of Science, from 2015 to 2020 (publications until October 31, 2020). Articles whose study designs were randomized clinical trials and community trials published in English, Portuguese and Spanish that aimed to prevent MSDs through interventions at work, provided that it was not from the perspective of clinical care, were eligible. The search strategy was designed taking into account the specifics of each database and the search resulted in 1354 recovered files. The files were stored in the Mendeley Desktop software, from which duplicates and files that were not articles (with invalid metadata) were removed. According to the eligibility criteria, the selection resulted in 58 published studies that were organized in spreadsheets and whose data were extracted for analysis and synthesis of evidence. Of these studies, 38 were randomized controlled trials and 20 were community trials; 37 addressed interventions on the individual, 03 on the physical work environment, 04 studies carried out interventions on aspects of work organization; 14 studies investigated multidimensional interventions, that is, approaches in more than one sphere in the same intervention program. Most of the studies (28 studies) were published in European countries, in particular, in the Nordic and Scandinavian countries in diverse populations. The methodological quality of the studies was evaluated according to the CASP tool and only 15 studies satisfactorily met the CASP requirements. The studies showed heterogeneity in terms of characteristics and analysis methods, which made the construction of a meta-analysis unfeasible. The studies showed positive results with improvement of musculoskeletal pain, reduction of absenteeism related to MSD, however, the findings are not conclusive about what is effective and effective to prevent MSD in workers.

The work has different roles in man's life, a means of support, insertion and social visibility, promoting the individual's belonging and recognition in the family environment and in society. Several changes have been employed to carry out the work, directly impacting their conditions, the health and lives of workers. More flexible contracts and insecuritycause a greater fragility and insecurity of these weakened union workers, which added to the new demands, competences, intense rhythms and changes in dynamism and variability of risks, result in a series of effects of labor relations on the worker and his health, aggravating the disease and disabling accident risks. The incapacity for work or inadequate capacity as we have adopted in this work, is the inability to continue or return to work due to an injury or illness, being derived from complex interactions between the individual, his health-disease state, his environment and physical, political and social context. Represents a public health problem impactingeveryone involved: the social security and health system, workers and their families, as well as organizations. Identifying the determinants and interactions of disability in all spheres of life of the individual enables greater effectiveness of actions in rehabilitation, return and maintenance to work. The Family Health Strategy (FHS), guiding element of Primary Health Care (ABS) is a favorable scenario for the knowledge ofliving conditions and health of populations and provides a better understanding of the health-disease process and the need for interventions that go beyond curative practices. Allows you to trace themorbidity and mortality profile of workers and the situational health diagnosis of individuals in the area entered, detect the risks inherent in situations of socio-environmental vulnerability resulting from these activities, plan and execute health actionspriorities targeted at groups defined based on national guidelines. This dissertation consists of an articledescriptive study carried out with paid workers, aged 18 or over, residing in a micro area covered by a team from the Federation's Family Health Unit, in the city of Salvador, Bahia, in order to characterize workers with inadequate capacity to work in area assigned to the Family Health Strategy. It made it possible to qualify the population with inadequate capacity in terms of socio-demographic aspects, lifestyle, health care and self-reported health and occupational andhealth risks present at work. The results reiterate the complexity involved in maintaining inadequate work capacity.New research should focus on the early identification of workers at risk, the use of more innovative and flexible strategies, combined with specific functional losses, the stronger integration of the workplace and rehabilitation, and a better understanding of stigma and other social factors at work , particularly among informal workers.

Communities residing close to industrial establishments complain about health problems and environmental damage caused by polluting gases emitted by these establishments. The lack of access to data on the concentration of these pollutants in their territories is a limiting factor, which makes it impossible for these communities to prove the burden of exposure to pollution they are subjected to. Objective: This work seeks to carry out, the monitoring of atmospheric emissions from chemical industries installed near a resident community close to the industrial port of Aratu, Ilha de Maré, Baía de Todos os Santos (BTS), Bahia, as well as to carry out a comparative analysis between laws that deal with on air quality standards adopted in several countries around the world with the current norm in Brazil. Method: For the monitoring of atmospheric pollution, portable monitors of low cost and good performance were used. The values of the concentrations obtained, for each pollutant, were compared with the standards established by national and international technical standards for environmental monitoring. A comparative study was also carried out between the values of air quality standards defined by standards in different countries around the world. Results / Discussion: The comparative analysis of air quality standards has shown that Brazilian legislation, currently, is more permissive than the laws in force in other countries, with regard to limit values of air quality standards. Regarding the monitoring of air pollutants, the monitors showed a satisfactory performance to monitor the particulate materials present in the air: PM1, PM2.5 and PM10. Although pollutant concentration values above air quality standards, as defined by Brazilian and international technical standards, were not found, there were acute exposures, that is, releases of a large concentration of air pollutants in short periods of time, which can be highly dangerous to human health.

The issue of radioactivity involves risks and is immersed in uncertainty and misinformation. In Bahia, in Caetité, between 2000 and 2013 with the implementation Uranifer of the Nuclear Industries of Brazil, workers and the community experienced recurrent accidents in the mining area, with consequences for health and the environment, which mobilized social subjects. to complaints. This study aims to build the institutional map of public institutions for the control of radioactive risk in the southwestern municipalities of Bahia. The adopted methodology was a qualitative documentary, multiple-case analytical and descriptive study, by an approach to hermeneutics, having as theoretical reference the model of the Center for Disease Control of the United States of America, for the analysis of the Essential Functions in Health Public 68 documents produced by public institutions, civil society organizations and periodicals from the main newspapers in the state of Bahia and São Paulo were analyzed in the period between 2004 and 2015. It is concluded that the mapping indicated the absence of effective institutional actions aimed at control radioactive risk, demonstrating low institutional capacity focused on the issue of radioactivity and conforming differentiated management models. Agendas proposed by civil society organizations and social movements that mobilized social actors around institutional actions were identified; studies and surveys by independent national and international organizations on radioactive risk. It proposes a research agenda on the participation of social movements in the production of public policies, aimed at controlling the radioactive risk in mining territories. It also produced the elaboration of 2 articles. Mapping of Institutional Actions for Radioactive Risk Control in the Triangle of Uranium Mining in Bahia, Brazil and Social Movements and the Agenda of Uranium Mining in southwestern Bahia, Brazil.

BACKGROUND: Temporomandibular disorder (TMD) is a group of musculoskeletal disorders of multifactorial origin that affects the temporomandibular joint. Knowing the occurrence of TMD in workers and investigating the occupational factors associated with this condition can be relevant in workers in the safety area, who are supposedly more exposed to psychosocial stressors at work. OBJECTIVE: To investigate the prevalence of TMD in correctional officers (CO) and its association with psychosocial aspects of work, in general, and related to work in prison, in particular, besides with sociodemographic characteristics and lifestyle. METHODS: Cross-sectional study with 401 correctional officers from Salvador, Bahia, Brazil, who answered a self-administered questionnaire. The outcome variable was TMD, assessed by the Fonseca Anamnesis Index. Psychosocial aspects were measured using the Job Content Questionnaire (JCQ) and specific questions about the work of COs. Cox's multivariate regression provided adjusted prevalence ratios. The independent variables inserted in the blocks were the dimensions psychological demand and job control, sociodemographic and lifestyle characteristics, psychosocial aspects of COs work and social support, from colleagues and supervisors. RESULTS: The prevalence of TMD was 35.4%. After multivariate analysis, the variables associated with TMD were: high psychological demand (PR Adjust = 1.37), female gender (PR Adjust = 2.17), not practicing leisure activity (PR Adjust = 2.77), having another occupation (PR Adjust = 1.60), experiencing a situation of fear due to contact with factions in the workplace (PR Adjust = 1.59) and low social support from co-workers (PR Adjust = 1.42) and supervisor (PR Adjust = 1.45). CONCLUSION: Psychosocial aspects at work, including high psychological demand and low social support from colleagues and supervisor, in addition to fear of contact with factions, were independently associated with TMD. Work interventions should be implemented that expand the support of supervisors and promote networks of solidarity among co-workers. In addition, fostering leisure practices can contribute to the protection of workers' health. Work management in the prison complex and preventive interventions must be sensitive to the gender inequalities at work.

Fishing is a labor activity widely practiced in Brazil and encompasses large populations of workers in a state of poverty and vulnerability. The studies state that, especially in the case of female fishers, the working conditions expose them to occupational risks and diseases related to work. This study aims to understand the meanings of health and the SUS for artisanal fisherwomen in Brazil. The adopted methodology was a qualitative study, with a secondary data collection from the analysis of interviews of fisherwomen participating in the project “Health Education of Artisanal Fisheries Worker and Training of Multiplier Agents in Participation in the Management of SUS", which took place from July 2015 to February 2018, with the participation of 417 fisherwomen from 117 municipalities in 16 states. It was observed that the concept of health for fisherwomen is related to the balance between physical and psychological health, in addition, they seek quality of life through healthy eating and a work routine that is not harmful to health. It is concluded that fishing communities present conditions of social and economic vulnerability and fishermen end up being exposed to serious risks of illnesses and work accidents. In the same way as the process of humanization of health services and assistance to artisanal fishermen is still insufficient.

INTRODUCTION: stricto sensu graduate programs have the mission of training personnel with professional, technical and scientific competence to work in the areas of teaching and research. One of the ways to investigate whether a program is fulfilling its mission is to carry out an evaluation study of its graduates. OBJECTIVES: Identify the socioeconomic and demographic profile of professionals, specialists and scientific and technological production of graduates of the Postgraduate Program in Health and Work (PPGSAT/UFBA) Course, according to graduates. METHODS: Evaluative, epidemiological, descriptive research, conducted in two stages. The first was carried out between March and April 2020, by consulting the CVs on the CNPq Lattes Platform for graduates, and the second between May and August 2020 through an electronic questionnaire. Initially, descriptive and exploratory statistical analysis of the data for both stages was performed. In addition, in the first stage, the Randomization test was performed considering sub-samples, since the data were composed by the population. To verify the existence of an association between the variables, the chi-square test was performed and, in the second stage, the randomization test was performed to adjust the logistic regression model considering only one independent variable. Exploratory Factor Analysis of some data was also performed, followed by Word Cloud for open-ended questions. RESULTS: In the first stage, 163 curricula were analyzed, representing 98.8% of the population. There was a predominance of females 78.5% and graduates in the health field 74.2%, in which 60.1% published at least one article in journals and/or book/chapter, with a total of 196 articles published in journals scientific. Of the 51.5% graduates who carried out at least one publication of a scientific article, 62.0% did it with their respective advisor. After performing the Randomization test, it was found that in 50% of the sub-samples, Journal publication influences the Doctorate. In the second stage of the study, the population consisted of 90 graduates, most of them work in the labor market, 85.7% and 51.1% are professors at HEIs and 36.7% have their Doctorate in progress. Only 24.4% have leadership/direction or coordination positions. Regarding open questions, 43.3% of the graduates explained their reasons for not having published, of these, 17.9% cited the refusal of journals; 43.3% declared having had difficulty during the course, of which 28.2% mentioned reconciling work with a master's degree. Factor analysis showed that graduates are well divided in terms of satisfaction with the two factors, the first relating to new learning and relationships at work and the second to professional success. The results also showed the variables that influence the financial, professional and knowledge of graduates. Male graduates have an 86.6% chance of having professional advancement and female graduates only 64.0%. The probability of taking a Doctorate degree increases when the graduate comes from a public institution, going from 22.0% to 49.1%. The majority declared an increase in income after the master's degree and a high degree of impact of the master's in their professional life, 65.6% and 62.2%, respectively. CONCLUSION: The results showed that the Program needs to adopt measures to provide some improvements and evolution of the course, in order to generate an increasing impact on the professional life of its graduates. It was also possible to observe a lack of publications, emphasizing that this is one of the main items that needs attention from the Program. Therefore, the results of this study can encourage discussions about the achievement of objectives and goals established by the Program and generate initiatives that will enable improvements in training, adoption of appropriate measures to strengthen the Course, providing greater development of their social inclusion. In addition, the results will help PPGSAT/UFBA in its self-assessment process with CAPES.

ABSTRACT Dental surgeons (DS) and Oral Health Assistants (OHA) of the Oral Health Teams (OHT) working in Primary Health Care (PHC) of the Unified Health System (SUS) are exposed to occupational risks, inadequate working conditions and harmful to their physical and mental health, and quality of life. The present study aimed to estimate the prevalence of Common Mental Disorders (CMD), evaluate the Mental Health-related Quality of Life, and describe the sociodemographic and occupational profile of OHT workers who work in the Primary Health Care of SUS. This is a cross-sectional, descriptive study with 185 workers from the OHT of the PHC from municipalities of the metropolitan region, Salvador-Bahia. A self-administered and structured questionnaire comprising sociodemographic, occupational, and lifestyle characteristics, the Self-Reporting Questionnaire (SRQ-20), and 36-Item Short-Form Health Survey questionnaire (SF36v2) was used to estimate CMD and to assess the mental healthrelated quality of life. We included 161 professionals, 96 (59.6%) Dental Surgeons (DS), and 65 (40.4%) Oral Health Assistants (OHA). There was a predominance of female professionals, with stable relationships, auto declared black/brown, non-smokers, with the frequent practice of physical exercise, with temporary work based on the Brazilian Law (CLT), working ≤ 40 hours. The average of the total SRQ-20 score was higher in the DS when compared to the OHA (P = 0.032). All domains of mental health-related quality of life, and the mental health component were systematically lower in DS compared to OHA, being statistically significant (P <0.05). The SRQ-20 domains (Depressed / anxious mood, Somatic symptoms, and Vital energy decrease), showed a high negative correlation with the mental health domains of the SF36v2 and with the Mental Component. The presence of CMD was strongly associated with mental health-related quality of life domains. The results obtained in this study showed that the presence of CMD negatively affects the mental health-related quality of life. This important variable can compromise the professional performance and social relationships of OHT. There is a need to outline strategies to promote mental health and quality of life for OHT workers.

Introduction work disability is a multidimensional phenomenon that is growing worldwide, with a negative impact on the life of the worker and on society. It is configured by the interaction between physical and psychosocial aspects of the worker with contextual factors, involving the health, compensation and work systems. The Family Health strategy has an important role in preventing injuries to the user-worker and in managing cases of absence from work, however, actions in the field of Occupational Health are still incipient. Objective to understand the experience of Prolonged Work Disability (WD) of users working in the territory assigned to the Family Health Unit (FHU). Methodology Qualitative exploratory study with analytical-descriptive orientation, based on the Schutz Social Phenomenology framework, in the ecological model of case management of the Arena of Disability for Work and Transdisciplinarity. In-depth interviews were carried out with eight worker-users with incapacity for work domiciled in the USF's territory. The data were submitted to thematic analysis based on Braun and Clark. Results It became evident that, in the experiences described, there are different dimensions of the systems that involve the worker and which cause as a determinant of the IPT. Child labor situations and difficulty in schooling, precarious forms of insertion in the labor market, illness processes, difficulties in carrying out work activities, their impacts and coping strategies, as well as barriers in the search for health care were reported and social protection. The situation of social vulnerability of user-workers favors the process of incapacitation and the inability to work deepens the vulnerability. The lack of communication and cooperation between the key actors, the lack of social protection and gaps in public policies influence IPT Final considerations WD is a Public Health problem that needs to be further explored in future studies, and should be addressed in its multidimensionality, involving the different key actors. The initial reason for leaving work is not always illness or accident, it also occurs due to social situations such as motherhood and the condition of becoming a caregiver. The Family Health Strategy, with its limitations, but with technical backing support, is able to resolve the production of care for user-workers, however, there is a need to strengthen the bond. The condition of WD prevails under social determinants, produces biographical ruptures and intensifies the social vulnerability of user-workers. Thus disorganizing the daily life and weakening the few resources of these subjects for the permanence in the job market or its fringes.

When studying and analyzing waste, it is possible to directly relate occupational, environmental and health aspects. Used waste classified as hazardous, such as waste material used, proven to be harmful to health, is a clear example of this relationship because it is a mineral extracted from nature, which was easily used in the manufacture of various materials, contaminating workers and culminating in a public health issue. This study, carried out through qualitative research, aims to analyze how perspectives of desaniantization and management of fiber-cement tiles, including changes in the facilities of the Federal University of Bahia in Salvador / BA, comprising as perceptions of risk of exposure and tests and techniques of test for technology tests handling fiber cement tiles based on current legislation, standards and technical manuals. The study data were monitored through semi-structured interviews with roofing workers, servers, students and teachers, as well as the search for current laws related to the topic. Data analysis used a categorization technique for content analysis. The results revealed that there are no prospects for desalination at the University, the invisible risk of exposure and the need for an investment institution in guidelines and protective measures for the manufacture of material.

Work plays a root role in the construction of subjectivity and the social identity of individuals.
There have been many changes in labor relations throughout the history of society, under the
aegis of capital, where these changes are perceived in the bodies of workers, according to date
from the Observatory on Accidents at Work and applications for accidental benefits. The
Social Security with the social and protective function in relation to the insured, through the
investigation, determines the occurrences and recognizes the benefit or not. The current
expertise has led to an increase in the number of discharges and suspensions of benefits,
causing anguish and insecurities, conditioning the worker to seek through justice for the
recognition of his grievance, as well as repair and guardianship. Legal actions are indicated to
insured persons who feel injured in the face of administrative decisions of the INSS, including
for the purpose of recognition of causal link and incapacity for work. The jurisdiction
established for the trial of social security actions is of the State Justice. The objective: To
analyze the guarantee of the recognition of the benefit of the insured victim of incapacity for
work through the accident actions in the Court of Accidents of Work in Salvador, of the Court
of Justice of the State of Bahia. The qualitative method was adopted, through the
documentary analysis of the actions of the Occupational Accident Bar in Salvador, public
access, transits sentences in the year 2018. Result: The study of the sentences allows to
understand the effects of the lack of recognition of the nexus and of the INSS's incapacity for
work in the life of the worker. The research presented significant findings for the subject /
insured, and for the health protection of workers, in compliance with the social factor of the
sentence and the exercise of recognition of the right.

Objective: To investigate the validity of the hearing screening with smartphone app to identify the hearing loss in workers exposed to noise. Methods: This is a validation study of hearing screening using the hearTest smartphone app in comparison with pure tone audiometry. The population of study included all workers who attended the Social Service of Industry to do the periodic examination. Sensitivity, specificity, Youden index, positive and negative predictive values of the hearing screening with a smartphone app were estimated considering three definitions of hearing loss: any threshold worse than 25dBHL, mean hearing thresholds from 500 to 4000Hz worse than 25dBHL, and average thresholds of 3000, 4000 and 6000Hz worse than 25dBHL. The 95% confidence intervals were calculated for all measurements. Results: 232 workers participated in the study. The hearTest application presented good values of sensitivity (93.8%), specificity (83.9) and Youden index (77.7%) and negative and predictive values (97.2%), except for positive predictive values (69.0) for the identification of hearing loss defined as any hearing threshold worse than 25 dBNA. Similar findings were found for the identification of noise-induced hearing loss (NIHL) using the same definition of hearing loss (91.6%, 83.9% and 75.5%, 97.9% and 54.6%, respectively). For the other definitions of hearing loss analyzed, high specificity and positive and negative predictive values were observed, as well as low sensitivity and Youden index both to identify any hearing loss and specifically hearing loss with NIHL configuration. Conclusion: Hearing screening with the hearTest smartphone app is a good tool to identify hearing loss in workers exposed to noise, including those with NIHL configuration, but it does not replace pure tone audiometry.

Inequalities derive from unjust and avoidable social mechanisms. The race/color of individuals, understood as a construct that encompasses social, economics, and cultural relations is a marker of inequalities. Blacks and indigenous people are subject to more precarious living conditions, revealed by worse income, schooling and employment, influencing an insertion in the job market and occupational exposures. This paper aims to analyze the association between worker’s race/color with exposure to psychosocial stressors and physical demand at work. It is a cross-sectional study involving 1070 workers from an urban cleaning company (n = 624) and two shoes manufactures (n = 446) carried out in epidemiological surveys in 2010 and 2012 in state of Bahia. Interviews were administered in work places. The questionnaire included sociodemographic and occupational variables; the Job Content Questionnaire for measuring psychosocial stressors according to Demand, Control and Social Support Model, as well as a questionnaire on work physical demand containing questions about general postures and body segments, material handling and mechanical grip force on the object of work. The main independent variable, denominated "race / skin color", was obtained through workers self-report, from the categories “white”, “black”, “pardo”, “asiatic” and “indigenous”. Then it was recategorized in “white”, including also asians, “black”, which in addition to blacks incorporated indigenous, and “pardo”. Cox Regression for cross-sectional studies was applied in analysis of the association between race/color (main independent variable) with psychosocial stressors and physical demand at work (dependent variables), including sex, age and schooling analysis as potential confounders. Black workers had greater exposure to psychosocial stressors, evidenced by low control (PR=1.48), high job strain (PR=1.49), high demands (PR=1.09) and low social support (PR=1.13). Pardos were exposed to low control (PR=1.28). Regarding physical demand, associations of greater magnitude occurred in the work with arms above shoulder height (RP=1.99), squatting (RP=1.59) and in material handling components, mainly pushing (PR=1.64) in blacks. Psychosocial and physical work demand were more prevalent among black and brown workers when compared to whites, thus forming an iniquity at work.

Depression is a recurring and disabling nature that is characterized by depressed mood and loss of pleasure or interest in everyday activities. The teaching work in children's education has characteristics that can lead to mental illness of the worker, such as intensification of work, overload of activities and responsibilities and double journey. In view of the literature gap regarding this subject, in addition to the invisibility of the population in question, this study proposes to investigate the health and work situation of teachers and auxiliary class of children's education, seeking to answer the following research question: which the factors associated with the symptoms of major depression in children's education workers in the municipality of Feira de Santana? Objective: to estimate the prevalence of symptoms of major depression (positive screening) and its associated factors in teachers and assistants of the kindergarten class in the city of Feira de Santana, Bahia. Method: This is a cross-sectional, census-based study carried out in day-care centers and Municipal Infant Education Centers in Feira de Santana. The Patient Health Questionnaire (PHQ) was used to screen for symptoms of major depression. Results: A prevalence of symptoms of depression greater than 21.2% was associated with: age group over 32 years (RP = 0.54, 95% CI 0.35-0.82), activity (RP = 1.70, 95% CI: 1.17-2.45), presence of noise (RP = 2.00, 95% CI: 1.25-3.21), alcoholism (RP = 1.60; (95% CI: 1.23-2.72) and self-evaluation of the regular health status (PR = 2.29, 95% CI: 95% CI: 1.11-2.29), job dissatisfaction : 1.49-3.51) and poor / very poor (PR = 4.67, 95% CI: 2.62-8.32). The results obtained in the study show that early childhood workers are exposed to factors that may contribute to the occurrence of symptoms of major depression.

This dissertation presents the result of an investigation about the ethical dilemmas faced by the community health agents in a health unit of the Salvador family. The work of the Community Health Agent (CHA) and its ethical problems, conflicts and dilemmas is related to the particularity of this professional category. Part of the health team of primary health care (PHC). The CHA guides families and the community about health care. However, in the daily life of their activities, the CHA suffer numerous situations of tension.They usually reside in the areas where they work and thus experience the daily life of the community, in its positive or negative aspects, with more intensity than the other members of the team. In its general objective, it analyzed the problems, conflicts and ethical dilemmas faced / experienced by the Community Health Agent (CHA) in its work process in the unit and the territory of a family health unit in Salvador in Bahia and as specific: sought to identify the ethical dilemmas; understand the work process of the Community Health Agent (CHA), its ethical aspects, in the unity and territory of the family health strategy and the repercussions on their health; knowing the skills of these professionals in dealing with conflicts and ethical dilemmas. A comprehensive perspective was used and for the construction of the empirical data of this research, the theoretical methodological framework of content analysis was used, based on the interview narratives and the use of the field diary. Fifteen CHA from the USF Federation were interviewed between May and November of 2018. This dissertation was organized in three articles. The first article consists of an integrative review whose objective was to analyze the current state of knowledge about ethical problems experienced within the scope of family health strategy in PHC. The analysis of the findings of this study was guided by the PICO strategy that guides the elaboration of the research question and the bibliographic search, allowing the researcher to obtain with accuracy, the best scientific information available and got as main results the urgent need to enable the teams of the FHS in handling the ethical problems that occur under the PHC and the the need to create interdisciplinary instruments that bring the active subjects closer to an autonomous work process and to foster dialogue among them, so as to contribute decisively to the know-how of these professionals. The second article had as objective to know the competences of these professionals in dealing with the ethical dilemmas experienced in their daily practice analyzing these identified dilemmas. The results pointed to the need to instrumentalize CHA in ways that, due to the absence of an ethical approach, would have disastrous consequences for individual users, for families, for their relationships with the health team and for the affiliated community. The dilemmas related to CHA behaviors lead to domestic and intrafamily violence, the silencing and sharing of information, as well as religious beliefs. They are complex dilemmas, but they need support from an ethics committee in the field of basic care, for example, that analyzes, in the light of bioethics, possible ways to solve them.The third article had as objective to understand the work process of the CHA, its ethical aspects and the repercussions for their health related to its work in the unit and the health territory of the family of a health unit of Salvador, Bahia. And the results have favored the perception that CHA, in addition to addressing complex health and disease issues, become accomplices in classified information that could put them at risk of death and coexist with organized and gang violence and workloads. These represent imponderances to your physical and / or mental integrity. It was concluded, therefore, that the dilemmas and ethical problems faced by the ACS interfere greatly in their performance in their work activities due to the lack of technical support to deal with them, and, at the same time, it is necessary to review this work process by evaluating their burdens, as they have repercussions on their health. There is an urgent need to recognize the ethical responsibility of the health manager, or to enable professionals to take a bioethical approach to the conflicts that exist in their daily work, and to provide technical and assistance support through support networks and formation of ethics committees. to revise this process of painful work and health risk.

INTRODUCTION: Low back pain is a public health problem with high economic impact in the world, affecting the quality of life and work performance of individuals. Artisanal fishing is one of the still little studied occupations regarding low back pain. The objective of this research was to estimate the prevalence of nonspecific and severe low back pain in artisanal fishermen and fisherwomen and to verify factors associated with this symptom. METHODS: A cross - sectional study with a random sample stratified by sex, composed of 79 men and 169 women, artisanal fishermen, living in the extractive reserve (RESEX) in Bahia do Iguape, Bahia. RESULTS: High prevalence of nonspecific low back pain (85.8% women and 79.8% men) and severe (66.2% women and 51.9% men) were found with a difference of proportions between the sexes and statistical significance for the severe low back pain. Early work was positively associated with nonspecific and severe low back pain in women. The physical demands of labor were associated with low back pain in men. CONCLUSION: Differences in prevalence between men and women identified allow the elaboration of differentiated interventions regarding the adequacy of working conditions in artisanal fisheries.

The goal of this dissertation was to identify the socioeconomic and occupational profile of the government employees with disabilities attached to the indirect public administration of the states of the Northeast Region of Brazil in the year 2017 and to compare it with that of the non-disabled government employees. The database used comes from the Annual Report of Social Information, which is under the responsibility of the Coordination of Labor Statistics currently attached to the Ministry of Economy. Initially, a review of the literature on the disabled person (DP) and labor market issues was carried out.  Different concepts on DP, landmarks on the recognition of the right to inclusion in DP, number of DP in the world and in Brazil, a brief description of indirect public administration, current legislation on quotas in the formal market, dynamics of the employment sector and the Brazilian labor market Information System were reviewed. In sequence the article entitled "Government Employeeswith disabilities of the indirect public administration in the Northeast of Brazil" is presented. In this article, from the RAIS database for the year 2017, made available in October 2018 by the now extinct Ministry of Labor and Employment, a profile of the DP was drawn up, specifically in the public sector in Northeast of  Brazil (NE). Frequencies of the variables sex, age, education, occupation and employment relationship by state of the NE region were calculated. The descriptive statistics of the variables employment time, remuneration, hourly wage, and number of weekly hours by employment relationship and indicator of disability for each state of the NE were also calculated. Regarding to the profile of the government employees with disabilities, it was observed a male majority (75.8%), with a mean age of 44.2 years (sd = 10.4 years), scholarity greater than or equal to the complete fundamental and with a contractual employment. Regarding to the government employees non-disabled person (NDP), the profile was mostly male (60.9%), with a mean age of 44.8 years (sd = 12.3 years), scholarity higher or equal to high school and with a statutory relationship. When the employment relationship was fixed, it was noticed that the government employeeNDP has a higher average time of employment, a higher average hourly wage and a lower average number of hours contracted per week for both the contractual and statutory groups of employees. In addition, the average salaries of the DP government employees are lower than those of the (NDP), even when fixed the employment relationship, education and length of employment. The results highlight the need for adequate public policies to include women with disabilities in the public sector. In addition, further studies are needed to investigate in greater depth the causes for the lower perceived earnings in the DP government employees group.

Introduction: Work plays a central role in people's lives and is considered a relevant
factor in the formation of personal identity and social insertion, essential in the course
of individual's life. Prison officers (PA) perform the difficult task of maintaining, under
custodians, individuals deprived of their liberty, perform activities that require great
preparation and, involve different types of workloads, especially psychic ones. The
prison camp is a work environment with high exposure to psychosocial risks, making
workers, are exposed to work-related health problems. Among the factors that produce
these loads, the psychosocial characteristics of the job. Objective: To investigate
factors associated with the mental health of correctional officers of the main Prison
Complex of the State of Bahia in the Metropolitan Region of Salvador (RMS), Bahia,
Brazil. Methods: Cross-sectional study based on a PA census of the Mata Escura prison
complex in the Metropolitan Region of Salvador, Bahia, Brazil. O collection instrument
was a self-administered questionnaire with sociodemographic information and work
characteristics. The outcome variable - TDM - was assessed by Patient Health
Questionnaire-9 (PHQ-9) and classified by the cutoff method ≥10 and by the method
algorithm. The Prevalence Ratio (PR) was the measure of association used. Using Cox
multivariate regression, variables were inserted in two blocks: characteristics
sociodemographic and work aspects, in that order. Only variables with Adjusted
prevalence (RPaj) ≥ 1.30 were selected to compose the final models. Results: It was
possible to measure the frequency of major depressive disorder in correctional officers,
identify the work characteristics and mental health of the prison workers, their
associations with the psychosocial aspects of work and the repercussions on mental
health. Final considerations: This work allowed to identify high prevalence of major
depressive disorder in prison workers compared to the general population. Prison work
goes beyond the internal context, because fear and exposure experienced inside and
outside prison walls are conditions that can affect mental health of these workers.

Introduction: Teachers are exposed to factors that can trigger or aggravate voice disorders in their work setting. Thus, they can be affected by Work-Related Voice Disorder (WRVD). WRVD is characterized by any form of vocal deviation that restricts or impedes worker performance, even in the absence of organic alterations in the larynx. Researches have shown a high prevalence of voice disorder and withdrawal due to vocal alteration in this category, causing social and financial impacts on the country. Therefore, this problem emphasizes the importance of developing strategies that protect the voice of these workers. Purpose: To verify the effects of phonation in commercial straw on teachers’ voice. Methods: Quasi-experimental study, pre- and posttest design with a single group of subjects, blind to the evaluator with teachers from a secondary public school in the city of Salvador, Bahia. Teachers answered a questionnaire and were submitted to voice recording before and after a 4-week intervention with commercial straw phonation for approximately three minutes, in all shifts at the school. A multidimensional voice assessment was conducted considering the global severity grade (CAPE-V) for auditory-perceptual evaluation; f0, jitter, shimmer, noise, and GNE (Voxmetria) for acoustical analysis; screening index for voice disorder (SIVD) for self-reported evaluation. Pre- and posttest comparison was performed by the nonparametric Wilcoxon Signs test, considering p<0.05 as statistically significant. Results: Twenty-four teachers of both sexes (45.8% men, 54.2% women), 49.13 years old, 22.3 years of working time as a teacher, and 35.8 hours of teaching time per week have participated in this research. Pre- and posttest comparison showed a significant reduction in SIVD (p=0.03). In the other analyzes, no significant results were found. Conclusion: Intervention with semi-occluded vocal tract exercise (SOVTE) in commercial straw with teachers demonstrated a reduction in self-reported vocal symptoms, which may be beneficial for their vocal health. Further studies should be conducted with a control group to verify the effects of SOVTE as a protective strategy of teachers’ voices.

Tobacco use is a public health problem, since it is the main preventable cause of death in the world. Smoking causes premature morbidity and mortality due to its negative effects on the respiratory and cardiovascular systems. Until 2030, eight million people will die in consequence of tobbacco exposure. Brazil is globally recognized as a reference in the implementation of public policies towards tobacco use cessation. The low prevalence of smokers (14.7%) in the country is relted to the Tobacco  Cessation National Program that uses the strategies of cognitive-behavioral therapy and anti- tobacco drugs support. Health action aimed to quit tobacco use in the Basic Health Units are important since these equipments are the main gateway to the Unified Health System in Brazil. This study aimed to identify and to evaluate performance indicators (tobacco use cessation incidence rate, risk factors for smoking cessation, and risk factors for Program dropout)  of participants in the Tobacco Cessation Program in the Basic Health Unit of Candeal Pequeno, Brotas Health District, Salvador City, Brazil. We analyzed data collected in electronic spreadsheets produced and provided by the Municipal Health Secretary, containing information about the 170 participants in the Program, from January, 2015 to June, 2017. Binary logistic regression models were used to identify risk factors for tobacco use cessation and dropout rates. Data were analyzed by using SPSS. The cumulative incidence rate for tobacco use cessation after 12 weeks in the program for the 170 participants was high: 57,1%. No predictor of smoking cessation in that period was identified. The cumulative incidence rate for tobacco use cessation after 4 weeks was associated to non-use of bupropion (P<0,004), adjusting by age, sex, nicotine dependence (Fargerström's test), arterial hypertension and diabetes mellitus. Dropout rate after 12 weeks in the Program was 26,4% and it was not associated to any of the variables investigated. It was estimated that, during the last

29 months, the Program has covered 67% of the eligible smoking clientele, considered as a satisfactory coverage. Low quality and quantity of information available about the evolution of patients in the Program have limited the study analyses. The Program showed satisfactory coverage, of the eligible clientele: 67%.

The health practices closest to everyday life and work of communities are related to Primary Care. Resident and nonresident workers in the Family Health Strategy (FHS) territory carry out productive activities which include informal and family services with precarious work conditions, reinforcing the need of approximation between FHS and territory workers. Among these activities, the automotive repair workshops present in great quantity and involve exposure to several harmful elements to health. Objective: Understanding work conditions and health care demands of automotive repair workshop workers within a health district of FHS territory, in Salvador – Bahia/Brazil. Method: Descriptive and exploratory research with socio-anthropological perspective and ethnographic approaches, using Ergonomic Analysis of Work elements. The workshops were selected to ensure representation of the diversity of services and job settings, through recognition with community health agents and key informants identification. Systematic observations, records in field diary and semistructured interviews were performed. For informations analysis, Content Analysis qualitative procedure was used, applying thematic analysis modality, as well as elements of Ergonomic Analysis of Work. Result: Forty-five workshops with staffs of 1 to 9 workers were identified and visited in the territory, with exclusively male workforce and ages between 17 and 80 years old. Many have a family organization with informal work and flexible work hours; low and variable remuneration; vacation and social security planning inconstancy/absence; and unhealthy working environments. The main risks identified were: manipulation of chemicals, physical arrangements, inadequate tools and postures, unprotected use of machinery and equipment, handling of flammable products, and pieces and particles projection on the body. Although there is little to no demand for care at Primary Care level, spine and upper limbs pain, dental, respiratory and systemic problems have been reported — as well as the need of the vaccination card update. Workers believe they are in good health, neglecting symptoms that are considered common, and do not show a bond and care relationship in their territory family health unit, although relatives attend or are visited by unit professionals, reporting a direct search for specialized and emergency services. Conclusion: The conditions of a traditionally precarious work that is degraded due to relations precariousness were evidenced, presenting characteristics responsible for the transformation of work into a generator of inequality in health. The present study demonstrates the need to adopt measures in the field of these workers health protection, with emphasis on vigilance and comprehensive care promotion. Therefore, an approximation between the health teams and these workers is essential in order to contribute to National Health Policy of Worker implementation in AB. Further research is needed to support the development of specific health protection policies for the informal and self-employed worker, considering their inclusion in FHS territory.

The understanding of disabled people (PcD in Portuguese) has gone through many changes along history- these changes had been caused by social, of value and organizational changes in society, such as capitalism, technological transformation, big wars and changes in the legislation. In changing this paradigm, society started a process of political organization and the building of a legislation that would make it possible the equalization of opportunities and equities for people with physical, sensorial and cognitive limitations, this way contribution for their insertion in the labor context. However, it is observed that just only facilitating this process of insertion, without the enabling of politics and institutional actions that favor their appropriate endurance is an obstacle for their effective inclusion, and it can collaborate to produce stigma, prejudice and stereotypes that are related to disability. So, the importance of this study is due to the need of more studies on what is happening to the inclusion of disabled federal public servants in a Federal Institution of Superior Teaching (IFES, in Portuguese), which is sited in the state of Bahia , in the Northeastern region of the country, a region which is marked by notorious pictures of inequalities, and where it is the highest percentage of disabled people (26,3%). Considering the importance of investigating the institutional context, this study aims to describe the strategies of implementation of the policy of inclusion of disabled public servants at IFES, as well as the used actions and technologies. It is an exploratory study, of qualitative approach and it has as its methodology the case only study. Participants in the study are managers and public servants that work in different classes in the institution that contribute for the implementation of the policy. As a resource for it, it is highlighted the creation of a sector especially for the inclusion of disabled people, capabilities, group works, among others. It is observed that IFES has been improving in this regard, but, yet, very slowly with moments of advance and setbacks. Programmatic, attitudinal and budgetary barriers make it difficult the operationalization of the policy, but the inclusive view of the university, of reception of diversity is a leverage for the tenure of inclusion.

ABSTRACT
Home work is a modality of work that grows more and more and presents itself as
one of the various forms of precariousness of work present in society. In this modality
of work, there is no frontier between the home and the work space executed,
merging in the same environment. As a result, the whole family is exposed to the
same occupational hazards of the activity developed by the worker. Workers who
carry out some economic activity at home constitute a part of the population that is
not well investigated for their health needs and for vulnerability and health risks. The
growth of informal, family and home-based work reinforces the role of basic care in
bringing health care as close as possible to where people live and work. Basic Health
Care presents great potential to break with the invisibility of the health and working
conditions of informal workers who carry out some type of work at home. A literature
review was conducted which pointed to the low production of studies that address the
Worker Health actions in basic care directed to the home work, which can make this
research relevant and original, justifying its accomplishment. The purpose of this
study is to understand the configurations of home work in the territory of the Family
Health Strategy. This is a qualitative research, of a descriptive and exploratory
character, from a socio-anthropological perspective. During the exploration of the
field, several household activities were found. However, to perform in in-depth
conversation, this study focused on the in-home work of dressmakers. A total of
07semistructured interviews were carried out from August 2017 to March 2018.
Ethnographic resources were used to construct an interpretation, supported by the
hermeneutic method. With the results, it is hoped to contribute to the recognition of
the demands health of workers performing productive activities within the household,
characterize under what circumstances it happens and open debate on issues
identified as precarious for workers' health.

The research, cross-sectional epidemiological study, aims to identify the factors associated
with the use of medications to deal with work routine in early childhood education. The
population selected was teachers and auxiliary teachers of childhood education from
municipal public schools in the southern region of the state of Rio Grande do Sul, totaling 16
cities. It is a cut of the research “Trabalho e saúde das professoras de educação infantil das
escolas públicas municipais da região Sul do Rio Grande do Sul” (in english"Work and health
of teachers of education of municipal public schools in the southern region of Rio Grande do
Sul”) https://issuu.com/trabalhodocenteesaude. All teachers and assistants who were in
effective professional practice at the time of application of the questionnaire were
considered eligible for the study. 622 female workers were interviewed, of whom 396
(63.9%) were teachers and 224 (36.1%) were auxiliary teachers. Two respondents did not
inform the type of work, therefore they were not considered in the study.
For the data collection, a self-administered instrument was used, containing four blocks of
questions: (I) general identification information, (II) psychosocial aspects of the work, using
the Job Content Questionnaire (JCQ), (III) work activity information and (IV) health
information. The variable outcome of the study, the use of medications as a strategy to deal
with the work routine was obtained by answering the following question: "Am i taking some
medication to deal with the work routine am i taking some medication?" categorized into
yes and no. The results showed a high prevalence of medication use to deal with the work
routine between teachers and auxiliaries teachers. The result shows the use of analgesic
drugs, anti-inflammatories, antibiotics and antidepressants. Latent illness were observed and
worsening of clinical status by the use of drugs to withstand the difficulties imposed by the
profession. In this present situation, teachers and assistants work with symptoms of
headache and backache, anxiety, nervousness, coughing and hoarseness, tiredness and
fatigue.

Objectives: To describe risk factors for absenteeism due to musculoskeletal disorders (MSD) in workers in the judicial sector. Methodology: A descriptive study was carried out to estimate the incidence of absenteeism by MSD and to describe the duration and frequency of absenteeism-disease; an analytical study of the retrospective cohort aimed to identify the risk factors associated with absenteeism by MSD. Both studies were based on the follow-up of 2662 workers from the judicial sector in the state of Bahia, from January 1, 2011 to December 31, 2016. Secondary data related to the sociodemographic and occupational aspects, and on sick leave of the workers were used. The multivariate analysis of data was performed using the survival analysis technique and the risk factors for MSD´s absenteeism were identified by Cox regression. Results: 594 workers (22.3%) presented medical licenses for MSD in the period. There was a higher incidence of the diagnosis of back pain (38.5%), followed by shoulder injuries (11.7%), synovitis and tenosynovitis (8.8%). There were 3.5 episodes of sick leave per employee with an average duration of 49 days. The highest incidence of absenteeism occurred among women (24.6%), aged over 50 (31.3%), lower educational level (42.6%), technician (25.2%), working in the administrative area (24.2%) and with service time over 30 years (34.5%). Kaplan-Meier estimator showed that in the 730 days (2 years) there was no difference in the probability of survival by sex (88%). At the end of the follow-up, it was noted that survival during follow-up was higher among men (79%). The probability of absenteeism due to MSD in workers during the first two years of follow-up of the study (2011-2012) was 12%. At the end of the study, it was observed that the probability of the worker in the judicial sector has a sick leave due to MSD in the period from 2011 to 2016 was 23%. After adjustment in the multivariate analysis, the risk factors for MSD´s absenteeism were: female sex (HR 1.39, 95% CI 1.18, 1.63), age over 40 years (HR 2, 57, 95% CI 1.90, 3.48), technical position (HR 1.48, IC 95% 1.21, 1.73) and those in the administrative area (HR 1.30, 95% CI 1.10, 1.53). Conclusion: The risk of absenteeism by MSD was greater in women, people over 40, individuals who perform technical tasks and work in the administrative area. The results may contribute to the planning of actions aimed to prevent musculoskeletal disorders and disability due to them and to promote health at work.

Prostitution is an activity that involves sex trade and the exercise of several dimensions of human sexuality. The first reports on the activity date back to ancient Greece and Rome and society’s and the State’s relationship with prostitution varied throughout history. The social representation of female prostitutes is built from elements of the culture, the economic basis, and the material that produces ideology and normalizes sexual behavior. Religious discourses, at first, and medical discourses, at a later moment, instituted a place of marginality for female prostitutes, a place of rejection for exercising a form of sexuality that deviates from social norm, from that which was established for women. Since they occupy a marginalized and stigmatized space, these women are exposed to several forms of violence and the risks related to prostitution are insufficiently addressed by public policies. This study aims to understand the discourses of prostitutes working the Historical Center of Salvador on their work, their perception of risks and vulnerability related to the occupation, and the strategies of risk reduction and health production developed by the professionals. This research project is a qualitative, exploratory study. 14 in-depth interviews were conducted as well as visitations to prostitution points assisted by the Consultório de Rua team from November 2017 to March 2018 using an ethnographic approach. Dialectic hermeneutics were used for analysis referential, since we understand that it is paramount to interpret the context in which the subject is inserted and explore the similarities, differences, and contradictions to understand their social reality.  2 modalities of this work were identified in this territory: closed work, which happens in brothels, and and open work, offers happen on the streets, bars and squares, with different work processes. Regardless of the kind of work they do, women with less social vulnerability have a more organized work process, report not being victims of violence, and use protection with almost every client. Poorer women are more exposed to aggressions and default and eventually had unprotected sex with clients, since this means better payment. They also used psychoactive substances in excess. Prostitution in this territory is marked by social determinants, meaning women of better social status do not face the traditional risks and vulnerabilities associated with this occupation. Prostitution is marked by unequal gender relations, but also allows women access to a higher income and more autonomy in the context of female underemployment. The insertion and discourses on female prostitution are many, making it impossible to talk about only one identity that encompasses all workers. However, all of them elaborate knowledge and resist during their work routine and any policy created to face the problems of prostitution requires the participation and protagonism of these workers. 

This dissertation analyses the changes promoted in the standardization on the organization of the work process carried out in basic health care (Unified Health System - SUS), based on the restructuring promoted by the implementation and nationalization of the Family Health Strategy (ESF) and the National Program Improving Access and Quality (PMAQ). Methodologically, the research is based on two integrative syntheses, the first of which results from a literature review that sought to establish the "state of the art" of the discussion about basic health care in Brazil, and the second constructed an approximation between the product of the first revision with Marx's social value-time-of-work theory (2013) and the theoretical-logical model proposed by João Bernardo, Portuguese Marxist historian. This second synthesis delimited, as object of study, the relation between the FHS, the productive restructuring imposed by the change of the capitalist regime of accumulation and the social precarization of the work. In order to approximate the existing and current legislation on work in the Family Health Strategy, from January 17 to February 12, 2018, a meeting of 1,683 public and work on primary care / family health strategy on the website of the Brazilian Ministry of Health, defined as the only interlocutor of interest for the study. After cataloging and defining the inclusion and exclusion criteria, 13 documents were selected for the PNAB versions of 2006, 2011 and 2017; ordinances 1,654 / 2011 and 1,645 / 2015 of the Ministry of Health, which have on PMAQ; and the SelfAssessment Manuals for Improving Access and Quality (AMAQ) for the years 2012, 2013 and 2017. From the analytical category "Organization and Management of the Work Process", each document was evaluated, seeking to identify elements and characteristics of management and work organization suggestive of Taylorism-Fordism and / or Toyotism. As a result, the survey delimited an approximation of the Ministry of Health regulations, starting in 2011, of a business standard for managing work organization and production in basic public health services. It was evidenced that a metamorphosis of an essentially Taylorist-Fordist public service structure in a hybrid model of labor and production management, marked by structuring elements of the Japanese model and the managed attention: job flexibility, demand-driven production, teamwork, adaptation of quality control circles, accountability of workers for process and product quality, performance pay, and goal achievement. However, it is understood that this study presents, in fact, an exploratory and inaugural character, opening and, at the same time, demanding new investigative inroads as a necessary step towards the understanding of the process of reorganization of work management and health production in AB promoted through the ESF and the PMAQ-AB.

In the work process of fishermen and artisanal fishermen, there are risks inherent to their nature, among which is the work accident involving the Niquim (Thalassophryne nattereri). The venom of this fish is injected from pressure, usually plantar or palmar, with immediate interference in the cellular regeneration mechanism due to ischemia, late healing, renal failure, cyclic pain, irradiation and possibility of necrosis. Even with a large Brazilian coastline, until then the mentioned aggravation is little registered with the competent bodies, a fact that makes the problem invisible to the Unified System of Health and Social Welfare, therefore, deprives the worker of his entitlement. This study proposes to know the meanings of the risks and therapeutic itineraries resulting from this accident in two locations: Salinas da Margarida and Santiago do Iguape. With a qualitative approach, the present research used the exploratory study, participant observation and notes in field notebook. The in-depth interviews took place between 2015 and 2016, with male and female individuals, always preceded by interaction between the interviewer and the interviewer, as well as reading the "informed consent form" approved by the Ethics Committee in The guidelines in the Heilsinque Declaration. The narratives were analyzed through the apprehension of the meanings, meanings and symbols that led to the encounter of five categories. Of these, three gave substance to the first article that addresses the meanings of risk in the work accident with the Niquim, while the second one emerged from two other thematic dimensions and discusses the meanings of the accident in the therapeutic itinerary. Significance was found related to the ecological and socio-demographic risk, the popular, biomedical and folk therapeutic models were revealed, as well as the naturalization of the grievance by the fishermen and lack of knowledge on the part of the health professionals. It is considered that there is a need to strengthen health education for health professionals with local information about the world of fishing work and due notification of the respective accidents, as well as for the population in order to strengthen the control Social.

Teachers are the most studied voice professionals in the area of Worker Health, mainly due to the high prevalence of vocal disorders. From this, it is necessary to understand the aspects involved in vocal sickness, as well as to analyze the teachers' understanding of interventions in favor of health. PURPOSE: to analyze the teachers' perception about the voice in their work context and the use of a speech - language exercise as a voice protection strategy. METHODS: This is a qualitative study carried out with 14 teachers from the state public education system in Bahia. The participants were invited to compose two focus groups, in which they discussed the themes voice in the context of teaching work and perceptions about the use of the technique of the vocal tract semi-fluid as a protective strategy of the voice. A transcript of the teachers' statements was carried out, and the analysis following the perspective of the thematic content analysis of Bardin. RESULTS: From the reading and interpretation of the corpus of the research, the following categories emerged: "voice from the perspective of teachers"; "Tired voice" and "exercise of the semi-ocluid vocal tract: protective strategy of the voice?". In the foreground, in the subjects' speech, the social role of the teacher emerged with a focus on the student's teaching-learning process, to the detriment of self-care and prevention of disease / vocal health promotion. The teachers considered the voice as an essential instrument for the teaching work, but they presented negative vocal self-image and devaluation of their aesthetic aspects. The speech was marked by the sickness of the voice, related to vocal overload, aspects of the environment, structure and work organization. Teachers experience the intensification and precariousness of work, which trigger teacher malaise. Therefore, despite having perceived positive effects with the technique of the semi-ocluid vocal tract, the teachers were unable to maintain their execution on a daily basis, as a protective strategy of the voice. CONCLUSION: There is a precarious work scenario, which compulsorily promotes the teachers' vocal illness. These workers are in the process of suffering, and there is no motivation or feasibility for the implementation of protective strategies for voice, such as the technique of the vocal tract semi-fluid.

In Brazil, the hospital facility is considered a working environment favorable to numerous health damages. The nursing team is the group of workers that more expose themselves daily, firstly because it is among the most active categories in this sector and because it has characteristics in their work that generate physical and psychological exhaustion, which influence their performance. The working conditions that these professionals face today are described in the literature as inadequate and precarious and negatively influence the Quality of Life at Work (QLW). Thus, this study aims to identify the working conditions according to aspects that contribute to the quality of life of the nursing work environment in hospital care, by scaling and comparing the quality of life at work of nursing assistants and technicians with that of nurses. This is an exploratory cross-sectional epidemiological study. The research site was a medium-sized public hospital in the city of Salvador and the population comprised 93 nurses, technicians and nursing assistant from this institution. Data collection was performed through the application of two instruments: a questionnaire that addresses individual personal issues and working factors and the Total Quality of Life at Work questionnaire (TQWL-42). Calculations of proportions of qualitative variables and measures of central tendency were done and dispersion were performed for quantitative variables. The five spheres, aspects and overall score of the QLW instrument were analyzed descriptively. The study found out that the working conditions in which the nursing team is immersed reveal several situations of precariousness, related to physical structure, health of the workers and the organizational issues of the working environment: workplace hygiene, disposal of cleaning materials, inadequate temperature and lighting, a lack of material resources mainly related to workplaces and resting places, and numerous cases of departure for health problems, respectively, identifying the main pathologies: musculoskeletal disorders, psychological disorders and mental diseases, cardiovascular and circulatory diseases and respiratory system pathologies. Among the aspects analyzed were identified those that positively contribute to QLW: task meaning, job security, task identity, work ability, self-esteem, interpersonal relations, feedback and task variety, and those which contribute negatively to the QLW: poor working conditions, the absence of health care and social assistance, insufficient financial resources, lack of extra benefits and opportunity for growth. The overall QLW score was 55% for all workers, varying with 53% for nurses and 56% for assistants and technicians, an intermediate level of satisfaction with quality of life at work. It is necessary to implement new organizational strategies and programs aimed at promoting health and improving working conditions.

The theorists studied during the process of construction of this work show that people with disabilities have always encountered difficulties of insertion in social environment, suffering the stigma of disability, prejudice and marginalization. The deaf person, in particular, had to transcend the biomedical vision - which conceives his/her condition as pathological, a prism still adopted today by a large part of society - in order to be recognized as someone endowed with a distinct culture and language, and not as a sick person, unsuccessful and / or inferior to the listener. In the professional scope, the deaf / hearing impaired, besides being dependent on the ergonomic conditions of the work environment, which can promote their health or make them sick, still has to deal with the inclusive process, aimed at people with a disability, inclusion that doesn't materialize as the legislation determines and provides. The objective of this work was to understand how the inclusion of the deaf / hearing disabled people as public servants at the Federal University of Bahia - UFBA has been done. The present dissertation, based on the qualitative methodology of research, analyzed, using the phenomenologicalhermeneutic approach, from the perspective of Paul Ricoeur's interpretive theory, the narratives of deaf / hearing impaired people who occupy public positions in UFBA, entity of the Federal Public Administration, located in Salvador-Ba, using or not the inclusion devices, such as the Quotas Law. With the understanding and interpretation of the meanings attributed to the theme by the interlocutors, we must be attentive to their statements, so that the work environment becomes more humanized and the notions of care with the other can be exercised, especially in the professional context, to avoid the occurrence of abuse of authority and discrimination against the deaf / hearing impaired in their work environment within the University chosen as a field of research, but not restricted to it. It is hoped that public policies may also reflect in order to recover care with the other, with the common good. To improve people's reception and provide their development in decent and fair working conditions, which can value this deaf / hearing disabled person. It is also expected that, from the results of this research, more possibilities for intervention in the area may open up, so that the demands of the deaf community gain more visibility and can be met, as well as the inclusive process of this population is better perfected, so to become increasingly effective and comprehensive.