Banca de DEFESA: MARIA CLAUDIA PERES MOURA LUNA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : MARIA CLAUDIA PERES MOURA LUNA
DATE: 18/12/2023
TIME: 09:00
LOCAL: https://us02web.zoom.us/j/83757442413?pwd=UExISjVHcDBiY1F5bWVLV1hsaWhKZz09
TITLE:

Unintentional fatal acute pesticide poisoning in brazil: challenges on notification and recording and implications for mortality indicators.

KEY WORDS:

Acute uninten8onal pesticide poisoning in agriculture, under-registration of acute unintentional pesticide poisoning.

PAGES: 174
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

IntroducQon - Afer World War II, the efficient fight against pests that threatened agriculture became a priority in measures to combat hunger in Europe, Asia and other regions. This is how large investments in chemical research emerged and the produc8on and consump8on of pes8cides (agrotóxicos) intensified. Widespread throughout the world, its acute and chronic toxic effects on living beings can be lethal, cause malforma8ons, cancers and mental, neurological and endocrine disorders. Consequently, pes8cides are responsible for several health problems, including deaths due to acute poisoning (IFA), the object of this study. These IFA may be inten8onal and the result of violence, and will not be included in this study. There are numerous barriers to the diagnosis and registra8on of IFA, and, among them, the different dimensions, or specific layers. They are: 1) diagnoses classified with codes from the Interna8onal Classifica8on of Diseases, 10th Rev. (ICD-10) as basic and contribu8ng causes; 2) the type/group of substance involved; 3) place of occurrence; 4) the rela8onship with work. Around the world, studies demonstrate the great under-iden8fica8on, under-registra8on, underrepor 8ng and possible under-enumera8on of deaths due to IFA, resul8ng in the underes8ma8on of mortality es8mates. However, there are few studies and there are no es8mates of the extent of missing records. Objectives - This research aimed to: 1) iden8fy all IFA death records in the na8onal SIS, public access and individualized data, as well as possible deaths due to IFA(X48.x) with diagnos8c classification error (IFAec) and describe the different characteris8cs required for diagnosis; 2) Estimate mortality coefficients due to IFA(X48.x) and IFAec in agricultural workers; 3) Spatically compare the mortality coefficients due to IFA(X48.x) and IFAec in agricultural workers. Results - 1) Five SIS were iden8fied with records of deaths due to IFA na8onwide with individual and public data and the number of fields with informa8on on diagnoses varied between the SIS. 670 (23.2%) deaths were iden8fied due to IFA(X48.x) and 2,223 (76.8%) due to IFAec. Diagnoses with undetermined intent represented 52.8% and 64.7% iden8fied the pes8cide substance. Only 54 deaths were found in more than one SIS and, of these, 29 had the same diagnosis. IFA under-registration in SIM was es8mated at 33.8% and 90.4% in Sinan-Intox. 2) 806 deaths due to IFA(X48.x) and IFAec in agricultural workers were analyzed and were more frequent in men, aged 25-44 years, living in the Northeast. The diagnosis with the highest number of records was Y19.x (29.6%), followed by X48.x (25.3%) and Y18.x (18.4%). The mortality profile for IFA(X48.x) and IFAec showed differences in the variables analyzed. MP-AT were higher in the IFA(X48.x) group, especially in the South and Southeast regions and workers aged between 55-69 years. 3) 806 records of deaths due to acute poisoning in agriculture were analyzed. Of these, 25.3% were diagnosed with IFA(X48.x) and 74.7% were diagnosed with IFAec. Deaths predominated among men, aged between 25 and 44 years in the Northeast region. CM had a downward trend in both diagnos8c classifica8ons and was higher in the IFAec group throughout the period. The CM by IFA(X48.x) was higher in Tocan8ns, Rio Grande do Norte, Rio Grande do Sul and Mato Grosso do Sul.

COMMITTEE MEMBERS:
Externa à Instituição - ELIANA COSTA GUERRA - UFRN
Externo à Instituição - ADEMARIO GALVAO SPINOLA - UFBA
Interno - 3145830 - CLEBER CREMONESE
Interna - 2058901 - KIONNA OLIVEIRA BERNARDES SANTOS
Presidente - 1323871 - MARCIO SANTOS DA NATIVIDADE
Externo à Instituição - RAFAEL JUNQUEIRA BURALLI - USP