Oswaldo Cruz Foundation, Rene Rachou Institute, Public Policies and Human Rights for Health and Sanitation - Belo Horizonte (MG), Brazil.
Oswaldo Cruz Foundation, Rene Rachou Institute, Center for Studies in Public Health and Aging - Belo Horizonte (MG), Brazil.
Rev Bras Epidemiol. 2023 Jan 27;26:e230010. doi: 10.1590/1980-549720230010. eCollection 2023.
To describe, within the Human Rights to Water and Sanitation (HRWS) framework, the access to water supply services and the incidence of waterborne diseases in the communities affected by the dam disaster in Brumadinho (MG), Brazil.
A quantitative and qualitative methodology was used, having as variables information on access to water supply services and waterborne diseases. The primary data were extracted from the "Brumadinho Health Project", using a sample stratum with 981 people interviewed, totaling 92.5% of the eligible population in the affected communities of Córrego do Feijão and Parque da Cachoeira. The secondary data from Brumadinho was extracted from the project "Sanitation conditions and the River Basin of the B1 River Basin of Mineradora Vale between 2017 and 2020", available in public databases between 2017 and 2020, and qualitative data was collected in 2022 through individual interviews with health professional also live in the communities.
With regard to access to water supply services, the results of this combined data analysis indicate that the HRWS is being neglected, especially with regard to availability, accessibility, acceptability and quality of water. The study also shows a significant increase in the incidence of waterborne diseases in the region after the disaster.
It is necessary to use the HRWS as the basis to the implementation of public policies aiming to reduce vulnerability in access to water supply services.
在人权供水与卫生设施框架内，描述巴西布鲁马迪纽大坝灾难影响社区的供水服务获取情况和水传播疾病的发生率。
采用定量和定性方法，将供水服务获取情况和水传播疾病作为变量。原始数据来自“布鲁马迪纽卫生项目”，使用具有 981 名受访者的样本层进行抽样，共计涵盖受影响社区科雷戈多费亚约和帕尔克达卡乔埃拉中 92.5%的合格人口。布鲁马迪纽的二次数据来自“2017 年至 2020 年期间矿业公司瓦尔在 B1 流域的卫生条件和流域”项目，可从 2017 年至 2020 年期间的公共数据库中获取，定性数据于 2022 年通过居住在社区的卫生专业人员的个人访谈收集。
关于供水服务获取情况，综合数据分析结果表明，人权供水与卫生设施被忽视，特别是在供水的可用性、可及性、可接受性和质量方面。该研究还表明，灾难发生后，该地区水传播疾病的发病率显著增加。
有必要将人权供水与卫生设施作为实施旨在减少供水服务获取脆弱性的公共政策的基础。
