Avaliação do processo de fluoretação da água de abastecimento público nos municípios pertencentes ao Grupo de Vigilância Sanitária XV-Bauru, no período de 2002 a 2011

Stancari, Regina Célia Arantes; Júnior, Francisco Lopes Dias; Freddi, Felipe Guerra

doi:10.5123/s1679-49742014000200005

Cited by 11 publications

(10 citation statements)

References 13 publications

(19 reference statements)

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“…Despite the discrepancies of the results in some municipalities in the month of July, there was a satisfactory recovery of the quality levels of fluoridation in the following months. This may show that monitoring has, indeed, fulfilled its role through enforcement actions and adoption of measures to guarantee access to high quality of treated and fluoridated water (Stancari et al, 2014). However, a study conducted in municipalities in Brazil with more than 50,000 inhabitants evidenced the need to formulate strategies for monitoring fluoridation in the country, because only 53.0% of fluoridated municipalities conducted monitoring based on external control data .…”

Section: Resultsmentioning

confidence: 99%

Quality of the water fluoridation and municipal-level indicators in a Brazilian metropolitan region

Belotti¹,

Frazão²,

Esposti³

et al. 2018

Rev. ambiente água

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This study explored the relationship between water fluoridation quality and development indicators at municipal level. In addition, fluoride concentrations found were classified based on two criteria for interpreting the samples. A cross-sectional ecological exploratory study was carried out including all municipalities of the metropolitan region of Great Vitória, ES, Brazil. From May to October 2016, 648 samples of water were collected covering water treatment plants responsible for more than 80% of the population of each municipality. The fluoride concentration of each sample was determined using ion-specific electrode and the results were classified according to the federal act and the criterion proposed by the Collaborating Center of the Brazilian Ministry of Health for Oral Health Surveillance. The outcome was the rate of values included in the optimal concentration interval and the independent variables were municipal-level indicators related to demographics, economics, sanitation, health conditions and human development characteristics. The Spearman test and Kappa statistic were used in the analysis. The percentage of samples presenting optimal fluoride concentration ranged from 68.1 to 81.4%, considering the two criteria used. The Kappa statistic between the criteria was 0.671 (p-value = 0.001). Human development, average coverage of supervised toothbrushing, and total population showed a strong positive correlation with the quality of fluoridation while infant mortality and tooth-extraction/dental procedures ratio showed a strong negative correlation. The plausibility of observed correlations encourages further investigations of potential causes.

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Section: Resultsmentioning

confidence: 99%

Quality of the water fluoridation and municipal-level indicators in a Brazilian metropolitan region

Belotti¹,

Frazão²,

Esposti³

et al. 2018

Rev. ambiente água

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show abstract

Section: Resultsmentioning

confidence: 99%

“…Queiroz et al (2012) also pointed out that small municipalities have difficulties in developing any corrective action based on the results of the analyses of water monitoring reports. In smaller municipalities, the lack of specialized manpower and the lack of training for the professionals that operate water treatment plants, and the lack of inspection structure and experience in controlling the fluoridation process are possible causes for difficulties in maintaining the appropriate concentrations of fluoride in public utilities' water supplies (Stancari et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

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2018

Rev. ambiente água

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These maps show the variation of EI30 index that was computed as the product of total kinetic rainfall energy (EC) and maximum 30-min precipitation intensity (I30) in Mato Grosso State, Brazil. During the first and second EI30 periods (October-November and December-March, respectively) many agricultural activities occur in the State. The most critical period is October to February when activities such as tilling, sowing, and harvesting are concentrated. The third period (April-September) is the least critical because the majority of the soils are covered by the crop canopy.

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“…O heterocontrole tem sido motivado para garantir a eficácia e a segurança da fluoretação 24 , e vários estudos trazem resultados do heterocontrole mostrando variações significativas na concentração de fluoreto em algumas localidades brasileiras [25][26][27][28] . Diante da importância da fluoretação para a saúde pública e da importância do monitoramento das concentrações adequadas de fluoreto na água de abastecimento público, este trabalho teve por objetivo analisar o heterocontrole da fluoretação de municípios com população acima de 50 mil habitantes da Região Metropolitana de Curitiba, no Paraná, nos anos de 2014 e 2015.…”

Section: ▄ Introduçãounclassified

Heterocontrole da fluoretação nos municípios da Região Metropolitana de Curitiba nos anos de 2014 e 2015

2017

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Cad. Saúde Colet., 2017, Rio de Janeiro, 25 (4) ResumoIntrodução: O heterocontrole, que é o monitoramento da concentração de fluoreto na água de abastecimento, deve ser feito por instituições do Estado e tem sido motivado para garantir a eficácia e a segurança da fluoretação. Este estudo teve como objetivo analisar o heterocontrole de municípios com população acima de 50 mil habitantes da Região Metropolitana de Curitiba nos anos de 2014 e 2015. Metodologia: Dados sobre o heterocontrole foram fornecidos pelos serviços de Vigilância em Saúde dos municípios do estudo e analisados de acordo com o critério técnico do CECOL para a concentração de fluoreto. Resultados: Em alguns municípios e meses, houve falha na realização das coletas de amostras de água em relação ao número adequado para o parâmetro fluoreto. Do total de amostras analisadas, somente 51,5% estavam na faixa de melhor benefício-risco para a concentração de fluoreto, com 8% de benefício e risco insignificantes e 0,1% das amostras com concentração de fluoreto de alto risco, sem nenhum benefício. Conclusão: Os municípios analisados realizaram o heterocontrole, com períodos em que o número de coletas não foi adequado. As concentrações de fluoreto na água de abastecimento dos municípios do estudo apresentaram resultado pouco satisfatório. O heterocontrole é fundamental para manter os teores de fluoreto em níveis adequados. Palavras-chave: fluoretação da água; controle da qualidade da água; abastecimento de água; saúde bucal; cárie dentária. AbstractIntroduction: External control is the monitoring of fluoride concentration in the water supply that must be done by state institutions, and has been motivated to ensure the efficacy and safety of fluoridation. This study aimed to analyze the external control of municipalities with more than 50.000 inhabitants in the metropolitan region of Curitiba in the years 2014 and 2015. Methodology: Health surveillance services of the studied municipalities provided external control data, which were analyzed according to the technical criterion of the CECOL for fluoride content. Results: Collection of water samples failed in some municipalities and months for an adequate number for the fluoride parameter. From the total samples analyzed, only 51.5% were in the best benefit-risk range for the fluoride concentration. Eight percent of the samples presented insignificant benefit and risk and 0.1% showed a high-risk fluoride concentration, without any benefit. Conclusion: the analyzed municipalities performed the external control, with periods of inadequate sample collections. Fluoride concentrations in the supply water of the study municipalities presented an unsatisfactory result. The main goal of external control is to maintain fluoride levels at adequate levels.

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Avaliação do processo de fluoretação da água de abastecimento público nos municípios pertencentes ao Grupo de Vigilância Sanitária XV-Bauru, no período de 2002 a 2011

Cited by 11 publications

References 13 publications

Quality of the water fluoridation and municipal-level indicators in a Brazilian metropolitan region

Quality of the water fluoridation and municipal-level indicators in a Brazilian metropolitan region

Untitled

Heterocontrole da fluoretação nos municípios da Região Metropolitana de Curitiba nos anos de 2014 e 2015

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