Avaliação de estratégia para identificação e mensuração dos acidentes de trabalho fatais

Abstract

In order to evaluate the strategy used by the Municipal Health Department of Belo Horizonte (SMSA/BH) for reducing the under-reporting of deaths from work-related accidents during the years of 2008 to 2010, a deterministic comparison of data on deaths from work-related accidents as reported in SINAN and SIM was conducted. As a complementary strategy to the deterministic comparison, the Investigation Data Sheets and Death Certificates were analyzed, which although not clearly declared, were suspected of involving death by work-related accident. Death from work accident was confirmed when the same victim, same accident, with a temporal connection between accident and death, were matched. The complementary strategy used by SMSA reduced the under-reporting identified by deterministic linking, with an increase of 45 deaths. Higher rates of under-reporting of deaths in the SINAN (n = 117) were found than in the SIM (n = 70). Although data linkage between SIM/SINAN is a necessary strategy to reduce the under-reporting of deaths from accidents, it is still insufficient, considering the limitations still present in both systems. The complementary strategy adopted by SMSA/BH, which is simple and easy to perform, yields good results.

Prevalence study on self-declared work accidents in areas covered by family health strategies: a cross-sectional study

“…It is important to note that underreporting occurs, especially when it comes to workers who are not covered by social security. 9 Most of the time, the reliability of information among government agencies is compromised because of the large numbers of informal workers with no employment relationship. 3 Occupational health surveillance actions are essential for prevention of injuries of this nature.…”

Acidentes de trabalho fatais em Palmas, Tocantins, Brasil: oportunidades perdidas de informação

“…Na Austrália, entre 1989-1992, calculou-se em 34% o sub-registro de ATF em sistemas de compensação e de instituições de saúde e segurança no trabalho 18 . O achado deste estudo, de 28,9% de sub-registro no SIM, também ficou próximo das estimativas de 27,8% em Belo Horizonte, no ano de 2011 19 , porém, menor que 48,9% estimado por outro estudo para o mesmo município, entre 2008 e 2010 20 .…”

“…Neste estudo, o SINAN apresentou sub-registro de ATF de 44,7% em relação à base única, próximo ao achado de 54,6%20 de um estudo conduzido em Belo Horizonte, mas muito maior que 14,8%19 estimado também em Belo Horizonte, entre 2008 e 2010. Essa comparação deve ser vista com cautela porque o subsistema Acidentes de Trabalho Graves do SINAN teve sua implantação iniciada em 2007, apresentando ao longo dos anos seguintes crescimento da cobertura, diferenciado de acordo com a unidade da federação e região24 .…”

Acidentes de trabalho em idosos de Santa Maria, Rio Grande do Sul: tipo de acidente, situação do mercado de trabalho dos idosos e local do acidente

“…Quando comparados com outras faixas etárias, os acidentes de trabalho ocorridos com idosos têm uma baixa incidência, como mostrado nos estudos de Souto, et al (2016) (Drumond, & Silva, 2013).…”