Gracia-Socha Martín, Cerón-Arcos Juan C, Nocua-Salazar Alejandro, Vaca-González Juan J
MG: MD. M. Sc. Salud Pública y Desarrollo Social. Esp. Gerencia en Seguridad y Salud en el Trabajo. Esp. Auditoría en Salud. Fundación Universitaria del Área Andina. Bogotá, Colombia.
JC: Enf. M. Sc. Salud Pública y Desarrollo Social. Esp. Gerencia en Seguridad y Salud en el Trabajo. Fundación Universitaria del Área Andina. Bogotá, Colombia.
Rev Salud Publica (Bogota). 2023 Jul 1;25(4):99325. doi: 10.15446/rsap.V25n4.99325. eCollection 2023 Aug.
Through a review of scientific articles, information was identified on the implementation of Epidemiological Surveillance Systems (EVS) managed by employers within the framework of Occupational Health and Safety Management Systems (SG-SST) in Colombia and Latin America between 2010. and 2021. PubMed, Science Direct, SciELO, Scopus, Dialnet, and Gale databases were used to identify research that used employer-implemented EVS data. The topics covered, economic sectors, publication dates, countries of origin, populations studied, scope and quality parameters were described. It was evident that only 3 studies used EVS information derived from SG-SST to monitor workers' exposure to epidemiological risks and prevent occupational diseases and accidents. Of the 24 studies examined, 21 did not use EVS information, being considered negative findings. The lack of adherence to standards, the lack of EVS, the lack of knowledge of different instances of EVS and the absence of adequate studies result in poor coverage of workers exposed to occupational risks. Most studies highlight the need for EVS in the workplace. They also highlight the importance of generating massive, systematic, reliable and comparable data from primary sources such as companies and productive units to support public policies that guarantee the social security and health of workers. Given this reality and the few studies cited, it is concluded that the situation of workers in the region is neither known nor adequately supported.
通过对科学文章的回顾,确定了2010年至2021年间哥伦比亚和拉丁美洲雇主在职业健康与安全管理系统(SG-SST)框架内实施的流行病学监测系统(EVS)的相关信息。使用PubMed、Science Direct、SciELO、Scopus、Dialnet和Gale数据库来识别使用雇主实施的EVS数据的研究。描述了所涵盖的主题、经济部门、出版日期、原产国、研究人群、范围和质量参数。很明显,只有3项研究使用了源自SG-SST的EVS信息来监测工人接触流行病学风险以及预防职业病和事故。在审查的24项研究中,有21项未使用EVS信息,被视为阴性结果。不遵守标准、缺乏EVS、对EVS的不同情况缺乏了解以及缺乏充分的研究导致接触职业风险的工人覆盖率较低。大多数研究强调工作场所需要EVS。它们还强调了从公司和生产单位等主要来源生成大量、系统、可靠和可比数据以支持保障工人社会保障和健康的公共政策的重要性。鉴于这一现实以及引用的研究较少,可以得出结论,该地区工人的状况既不为人所知,也没有得到充分支持。