Departamento de Vigilância em Saúde Ambiental e Saúde do Trabalhador, Ministério da Saúde, Brasil (CGSAT/DSAST/SVS/MS), SRTV 702, Via W5 Norte, Brasília 70723-040, DF, Brazil.
Gerência em Saúde do Trabalhador, Diretoria de Vigilância Sanitária do Estado de Santa Catarina (GESAT/DIVS/SUV/SES), Av. Rio Branco, 152, Centro, Florianópolis 88015-200, SC, Brazil.
Int J Environ Res Public Health. 2023 Feb 28;20(5):4295. doi: 10.3390/ijerph20054295.
The lack of safe levels of asbestos exposure and the long latency of asbestos-related disease (ARD) makes workers' health surveillance challenging, especially in lower-income countries. This paper aims to present the recently developed Brazilian system for monitoring workers and general population exposed to asbestos (Datamianto), and to discuss the main challenges and opportunities for workers' health surveillance.
a descriptive study of the Datamianto development process, examining all the stages of system planning, development, improvement, validation, availability, and training of health services for its use, in addition to presenting the main challenges and opportunities for its implementation.
The system was developed by a group of software developers, workers' health specialists, and practitioners, and it was recently incorporated by the Ministry of Health to be used for workers' health surveillance. It can facilitate the monitoring of exposed individuals, epidemiological data analysis, promote cooperation between health services, and ensure periodical medical screening guaranteed to workers by labor legislation. Moreover, the system has a Business Intelligence (BI) platform to analyze epidemiologic data and produce near real-time reports.
Datamianto can support and qualify the healthcare and surveillance of asbestos-exposed workers and ARD, promoting a better quality of life for workers and improving companies' compliance with legislation. Even so, the system's significance, applicability, and longevity will depend on the efforts aimed at its implementation and improvement.
由于接触石棉的安全水平较低，且与石棉有关的疾病（ARD）潜伏期较长，工人健康监测具有挑战性，尤其是在低收入国家。本文旨在介绍巴西新开发的监测接触石棉的工人和一般人群的系统（Datamianto），并讨论工人健康监测的主要挑战和机遇。
对 Datamianto 开发过程进行描述性研究，考察了系统规划、开发、改进、验证、可用性以及培训卫生服务部门使用该系统的所有阶段，此外还介绍了实施该系统的主要挑战和机遇。
该系统由一群软件开发人员、工人健康专家和从业者开发，最近被卫生部纳入，用于工人健康监测。它可以方便地监测暴露个体、分析流行病学数据、促进卫生服务之间的合作，并确保为工人提供的定期医疗筛查符合劳动法规的要求。此外，该系统还具有一个商业智能（BI）平台，用于分析流行病学数据并生成近乎实时的报告。
Datamianto 可以支持和提高接触石棉的工人和 ARD 的医疗和监测质量，为工人提供更好的生活质量，并提高公司对法规的遵守程度。即便如此，该系统的意义、适用性和寿命将取决于实施和改进系统的努力。
