Cabral Lenz Alberto Alves, Soler Zaida Aurora Sperli Geraldes, Lopes José Carlos
Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil,
Cien Saude Colet. 2014 Dec;19(12):4699-708. doi: 10.1590/1413-812320141912.07722013.
The scope of this study is to contribute to the improvement of Occupational Health Surveillance in the Unified Health System (UHS), through the recognition and inclusion of a third type of work-related accident in the current Brazilian legislation classification: the dual causation accident. This classification aims at facilitating the establishment of a causal connection, thus broadening the understanding of the relationship between work process and the production of diseases. It also aims at improving legal rules to protect the health of workers. This approach, besides enabling the identification of sentinel events (starting point of surveillance activities), might contribute not only to a decrease in underreporting of work-related accidents, but also to the uniformity of concepts and the implementation of integrated actions of the National Social Security Institute (NISS), the UHS, the Ministry of Labor (MLE) and the Judiciary for the protection of workers. To propose a third type of occupational accident, a study of occupational accidents and causes of underreporting was conducted, with reference to the Brazilian labor legislation in the context of the National Policy on Occupational Health and the UHS.
双重因果关系事故，来促进统一卫生系统（UHS）职业健康监测的改善。这种分类旨在便于建立因果联系，从而拓宽对工作过程与疾病产生之间关系的理解。它还旨在完善保护工人健康的法律规则。这种方法除了能够识别哨点事件（监测活动的起点）外，不仅可能有助于减少与工作相关事故的漏报情况，还能促进国家社会保障局（NISS）、统一卫生系统、劳动部（MLE）和司法机构在保护工人方面的概念统一和综合行动的实施。为了提出第三种职业事故类型，参考了国家职业健康政策和统一卫生系统背景下的巴西劳动立法，对职业事故及漏报原因进行了研究。
