Exposição ao mercúrio e anemia em crianças e adolescentes de seis comunidades da Amazônia Brasileira

Abstract

Resumo O mercúrio (Hg) é uma substância tóxica, sendo o consumo de pescados uma das principais fontes de exposição da população. Este artigo visa avaliar a associação entre anemia e exposição ao Hg na população infanto-juvenil de seis comunidades ribeirinhas da Amazônia Brasileira. Realizou-se a análise secundária de dados de estudos seccionais, incluindo 1.318 indivíduos, divididos em dois grupos segundo a influência do garimpo (grupo A sob influência, e grupo B sem influência). Métodos de análise multivariada foram realizados para verificar a associação entre variável de exposição (Hg no cabelo) e anemia, estratificando pelos grupos. Foram observados 348 casos de anemia (27,1%), sendo 206 entre o grupo B e 142 no grupo A. Houve diferença na mediana dos níveis de Hg entre os grupos (A = 12,8µg/g e B = 4,3µg/g, p = 0,01). Foi observada associação entre Hg no cabelo ≥ 6,0µg/g e anemia (OR = 1,38; IC95% = 1,02-1,87), fato que foi magnificado para o grupo A quando realizada estratificação (OR = 2,23; IC95% = 1,28-3,90). O estudo mostrou elevados níveis de Hg, principalmente no grupo A, e que essa substância pode ser um possível fator de risco para anemia. Além disso, as áreas geográficas pareceram modificar esse efeito, apontando para influência de outros fatores, fato que deve ser melhor avaliado.

Health and Mining Practices in Indigenous Territories

“…(15) Mining harms the entire riverbed, causing an impact on the entire surrounding ecosystem. (12) With these invaders, our concern is also about sexual exploitation. They can influence drug use, cause deforestation, and pollution.…”

The health Care Management of farmers who use pesticides in Northeast Brazil. Use of pesticides and The Care Management

“…The network of Care Management (CM) for the riverside farmer who uses pesticides is part of the National Health Network (RNS), which incorporated Integral Worker Health Care (RENAST) in 2002 into primary and secondary health care networks, as part of the strategy of organizing actions in Workers' Health at all levels of care. Its integration into the SUS service network was made possible through the Specialized Reference Centers in Workers' Health (CEREST), which have the purpose of expanding and integrating primary health care (PHC) services in communities (Gonçalves et al, 2022;Vianna et al, 2022). This network relates the types of care and the management of this care in the health of farmers in general and in agricultural communities1.…”

“…This network relates the types of care and the management of this care in the health of farmers in general and in agricultural communities1. The vulnerability of riverside communities is due to their complexity in relations with the environment and natural phenomena, as well as other public health hazards, such as river oods and communicable diseases (Vianna et al, 2022). Intoxications, deaths and injuries are frequent in farmers who use pesticides, but the absence of systematization in the recording of these procedures hinders the accuracy of data on their prevalence (Follet et al, 2022).…”

The health Care Management of farmers who use pesticides in Northeast Brazil: use of pesticides and the Care Management

“…The integration of these services into the SUS (Unified Health System) network was made possible through the establishment of Specialized Reference Centers in Workers’ Health (CEREST). These centers aim to expand and integrate primary health care (PHC) services in communities [ 1 , 2 ].…”

“…This network relates the types of care and the management of this care in the health of farmers in general and in agricultural communities1. The vulnerability of riverside communities is due to their complexity in relations with the environment and natural phenomena, as well as other public health hazards, such as river floods and communicable diseases [ 2 ]. Intoxications, deaths and injuries are frequent in farmers who use pesticides, but the absence of systematization in the recording of these procedures hinders the accuracy of data on their prevalence [ 3 ].…”