Doenças do trabalho e benefícios previdenciários relacionados à saúde, Bahia, 2000

Abstract

OBJECTIVE:To estimate the contribution of work-related diseases to sick leaves due to general and occupational health problems. METHODS:Sociodemographic, occupational and health data from 29,658 records of temporary disability benefits, granted on account of health problems by the Instituto Nacional do Seguro Social (National Institute of Social Security) in the state of Bahia (Northeastern Brazil), were analyzed. All constant ICD-10 clinical diagnoses were taken into consideration, except for those referring to external causes and factors that infl uence contact with health services. The link between diagnosis and occupation was based on the ICD-10 code and whether the type of compensation was due to a "work-related accident/disease" or not. RESULTS:From all the benefi ts, 3.1% were granted due to work-related diseases: 70% were musculoskeletal system and connective tissue diseases, while 14.5% were related to the nervous system. In general, benefi ts granted at more than two times the expected frequency were as follows: tenosynovitis in the manufacturing sector (Proportion Ratio-PR=2.70), carpal tunnel syndrome in the fi nancial intermediation sector (PR=2.43), and lumbar disc degeneration in the transportation, postal service and telecommunications sectors (PR=2.17). However, no causal connection could be established for these diseases, in these activity sectors, in a signifi cant percentage of benefi ts. CONCLUSIONS:Results suggest the existence of possible occupational risk factors for diseases in these fi elds of activity, as well as the underreporting of the link between diseases and work, thus disguising the responsibility of companies and the perspective of prevention through work reorganization.

Invalidez por dor nas costas entre segurados da Previdência Social do Brasil

“…Higher rates of lumbar disc conditions were seen among workers in the industries of transport, postal services and telecommunications, but causation was not established in a signifi cant proportion of benefi t cases. 24 In Brazil there are neither studies assessing the rate of disability from back pain in macroregions and states nor economic analyses including direct and indirect costs associated to this condition. Thus, the objective of the present study was to describe disability pension from back pain.…”

Economic incentives and the epidemiological indicators can contribute to the reduction of occupational hazards?

“…The calculation of taxes to the Worker's Compensation Insurance (WCI) is to be based on AIF is built into the rates of frequency of accident benefits set by NTEP. The statistical results of the social security, during 2008 revealed that there was an increase in reporting of MSDs records equivalent to 893% when compared to data recorded between 2006 and 2007 [5] . Economic incentives, represented by strategies such as reduced insurance premiums and lower taxes were identified as the most effective for investments in shares of Occupational Health and Safety (OHS), to generate direct impacts on business budgets.…”

Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016

“…There is scarce evidence regarding productivity losses related to LBP in Brazil. Although previous studies have shown a large number of sickness absence claims [23,24,26,27], to the best of our knowledge, the investigation of productivity losses influenced by LBP remains to be unraveled. Therefore, the aim of the present study is to estimate the healthcare expenditure and productivity losses related to LBP incurred within the Brazilian Public Healthcare System and the National Institute of Social Security, between 2012 and 2016.…”

“…Previous findings showed a LBP prevalence ranging from 10% to 50% in different populations, such as adolescents, adults, and elderly [18][19][20][21][22]. Thus, a large share of the economic active population might be experiencing disability and functional limitations as a consequence of LBP, which leads to negative socioeconomic impacts [23,24]. In a previous study [25], we demonstrated that in 2016 the Brazilian government spent US$ 71.4 million on direct healthcare expenses associated with spinal disorders, with LBP alone accounting for approximately 67% of the costs.…”