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[2000 - 2009年巴西职业性农药中毒死亡率]

[Occupational pesticide poisoning mortality, 2000-2009, Brazil].

作者信息

Santana Vilma Sousa, Moura Maria Claudia Peres, Ferreira e Nogueira Flávia

出版信息

Rev Saude Publica. 2013 Jun;47(3):598-606. doi: 10.1590/s0034-8910.2013047004306.


DOI:10.1590/s0034-8910.2013047004306
PMID:24346573
Abstract

OBJECTIVE: To estimate the mortality rate due to occupational pesticide poisoning in Brazil. METHODS: Data on diagnoses of death from pesticide poisoning between 2000 and 2009 were obtained from the Mortality Information System. ICD-10 codes T60.0-T60.4, T60.8 and T60.9, Y18, X487 and Z578 as the main or secondary cause of death; data on work-related deaths were obtained from the death certificate, from the fields , and whether cases were agricultural workers. Homicides and suicides were excluded. To calculate mortality, the number of agricultural workers was obtained from the Brazilian Institute of Geography and Statistics, National System of Accounts estimates. RESULTS: There were 2,052 deaths recorded as caused by pesticide poisoning in Brazil, between 2000 and 2009, of which 36.2% (n = 743) had no occupation data. Of the remaining 1,309, 679 (51.9%) were agricultural workers. Mortality from occupational pesticide poisoning declined from 0.56/100.000 (2000-2001) to 0.39/100.000 (2008-2009) workers during the study period, and there was a larger decrease among men compared with women. Males had a higher mortality from this type of poisoning than women in all study years. Most deaths were caused by organophosphates and carbamate pesticides poisoning. During the study period the number of cases declined in all regions, except for the Northeast. CONCLUSIONS: Improvement in the quality of Death Certificate records is needed, particularly for occupation and the assessment of causes of death as work related, crucial for work injuries control and prevention programs. Special attention is required in the Northeast region.

摘要

目的:估算巴西职业性农药中毒的死亡率。 方法:2000年至2009年间农药中毒死亡诊断数据来自死亡信息系统。国际疾病分类第十版(ICD - 10)编码T60.0 - T60.4、T60.8和T60.9、Y18、X487及Z578作为主要或次要死亡原因;与工作相关的死亡数据来自死亡证明,从<与工作相关事故>、<死亡情况>字段获取,以及病例是否为农业工人。排除他杀和自杀情况。为计算死亡率,农业工人数量来自巴西地理与统计研究所国民账户系统估计数据。 结果:2000年至2009年间巴西有2052例记录为农药中毒导致的死亡,其中36.2%(n = 743)无职业数据。其余1309例中,679例(51.9%)为农业工人。研究期间,职业性农药中毒死亡率从0.56/100,000(2000 - 2001年)降至0.39/100,000(2008 - 2009年)工人,男性下降幅度大于女性。在所有研究年份中,男性因这类中毒的死亡率高于女性。多数死亡由有机磷和氨基甲酸酯类农药中毒导致。研究期间,除东北部外所有地区病例数均下降。 结论:需要提高死亡证明记录质量,特别是职业信息以及与工作相关死亡原因的评估,这对工伤控制和预防项目至关重要。东北部地区需特别关注。

相似文献

[1]
[Occupational pesticide poisoning mortality, 2000-2009, Brazil].

Rev Saude Publica. 2013-6

[2]
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[2]
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Rev Saude Publica. 2024

[3]
Acute Kidney Failure among Brazilian Agricultural Workers: A Death-Certificate Case-Control Study.

Int J Environ Res Public Health. 2022-5-27

[4]
The global distribution of acute unintentional pesticide poisoning: estimations based on a systematic review.

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[5]
Assessment of Primary Health Care for rural workers exposed to pesticides.

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