Masson Maria Lúcia Vaz, Ferrite Silvia, Pereira Luiz Marcello de Almeida, Ferreira Léslie Piccolotto, Araújo Tânia Maria de
Departamento de Fonoaudiologia, Universidade Federal da Bahia (UFBA). R. Reitor Miguel Calmon s/n, Vale do Canela. 40110-100 Salvador BA Brasil.
Curso de Direito, Centro Universitário Estácio de Sá. Salvador BA Brasil.
Cien Saude Colet. 2019 Mar;24(3):805-816. doi: 10.1590/1413-81232018243.00502017.
The high prevalence of voice disorders among professionals who use their voice as a working tool, signals the existence of a collective illness caused by voice wear through poor working conditions and lack of social protection. This article describes the construction of a political movement seeking recognition of voice disorder as a work-related disease in Brazil. This is a narrative review on the historical processes, including social subjects, production of knowledge and the proposals for a strategic agenda, in view of the urgency of including voice disorder in the Brazilian Ministry of Health's list of work-related diseases. The analysis comprises three strands: a) technical and scientific, on advances in characterization of voice disorder and establishment of its connection with work; b) juridical and institutional, on legal recognition of this linkage; c) political and professional, on mobilization of social actors to advocate recognition of work-related voice disorders (WRVDs). The key role of the Pontifical Catholic University of São Paulo in fomenting discussions about WRVDs over the course of this movement lasting nearly two decades is highlighted, along with the main difficulties in achieving formal recognition of WRVDs .
在将嗓音作为工作工具的专业人员中，嗓音疾病的高患病率表明，恶劣的工作条件和缺乏社会保护导致嗓音损耗，从而引发了一种群体性疾病。本文描述了一场政治运动的构建过程，该运动旨在促使巴西将嗓音疾病认定为与工作相关的疾病。鉴于将嗓音疾病纳入巴西卫生部与工作相关疾病清单的紧迫性，这是一篇关于历史进程的叙述性综述，包括社会主体、知识的产生以及战略议程的提议。分析包括三个方面：a）技术和科学方面，涉及嗓音疾病特征描述的进展及其与工作关系的确立；b）司法和制度方面，关于这种联系的法律认可；c）政治和专业方面，关于社会行为者动员起来倡导认可与工作相关的嗓音疾病（WRVDs）。文中强调了圣保罗天主教大学在这场持续近二十年的运动过程中，对推动关于WRVDs的讨论所起的关键作用，以及在实现对WRVDs的正式认可方面存在的主要困难。
