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ABSTRACT Objective To evaluate the temporal trend and magnitude of occupational accident indicators among Social Security beneficiaries in Brazil and its regions from 2009 to 2019. Methods A time series study was conducted on occupational accident indicators in the regions of Brazil, from 2009 to 2019. Data were retrieved from the Statistical Yearbook of Occupational Accidents and the Statistical Yearbook of Social Security. Prais-Winsten generalized linear regression models were used to estimate trends, and annual percentage change and their respective 95% confidence intervals were obtained. Results There were 7,253,923 occupational accidents during the study period. The average incidence rate was 16.3 per 1,000 employment relationships, with a decreasing trend (APC = 4.3%; 95%CI -5.63;-3.26). Conclusion Brazil and its regions showed an overall decreasing trend in indicators representing morbidity burden and the magnitude of occupational accidents.
RESUMEN Objetivo Evaluar las tendencias temporales y la magnitud de los indicadores de accidentes laborales entre los beneficiarios del Sistema de Seguridad Social en Brasil y sus regiones, durante el período de 2009 a 2019. Métodos Estudio de series temporales sobre los indicadores de accidentes de trabajo en las regiones de Brasil, en el período de 2009 a 2019; los datos fueron extraídos de las bases del Anuario Estadístico de Accidentes de Trabajo y del Anuario Estadístico de la Seguridad Social. Se utilizaron modelos de regresión lineal generalizada de Prais-Winsten para estimar las tendencias y los cambios porcentuales anuales y se obtuvieron sus intervalos de confianza del 95%. Resultados Hubo 7.253.923 accidentes laborales en el período analizado; la incidencia media de accidentes de trabajo fue de 16,28 por 1.000 vínculos, con una tendencia decreciente (VPA = 4,3%; IC95% -5,63; -3,26). Hubo desigualdades entre las regiones, pero la tendencia predominante fue de disminución en todo el país. Conclusión Brasil y sus regiones han mostrado una tendencia general decreciente en los indicadores que representan la fuerza de morbilidad y la magnitud de los accidentes de trabajo.
RESUMO Objetivo Avaliar tendência temporal e magnitude dos indicadores de acidentes do trabalho entre segurados da Previdência Social no Brasil e regiões de 2009 a 2019. Métodos Estudo de séries temporais dos indicadores de acidentes do trabalho nas regiões do Brasil, no período de 2009 a 2019. Os dados foram extraídos do Anuário Estatístico de Acidentes do Trabalho e do Anuário Estatístico da Previdência Social. Modelos de regressão linear generalizada de Prais-Winsten foram utilizados para estimar as tendências e obteve-se a variação percentual anual e os respectivos intervalos de confiança de 95%. Resultados Houve 7.253.923 acidentes do trabalho no período. A incidência média de acidentes foi 16,3 por mil vínculos de trabalho, com tendência decrescente (VPA = 4,3%; IC95% -5,63;-3,26). Conclusão O Brasil e suas regiões apresentaram tendência geral decrescente nos indicadores que representam a força de morbidade e a magnitude dos acidentes do trabalho.
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Resumo O objetivo deste artigo é apontar hipóteses de contradições que estariam incubadas historicamente nos sistemas de atividades da Vale, e que podem ter levado ao maior desastre ambiental do Brasil: o rompimento da barragem B I em Brumadinho, bem como à interdição de muitas outras barragens da empresa no estado de Minas Gerais, Brasil. Trata-se de uma análise de caso a partir de dados secundários disponíveis em entrevistas, documentos e textos publicados em diferentes mídias entre 2011 e 2021. Procuramos demonstrar, a partir da Teoria Histórico-Cultural da Atividade, as contradições verificadas em e entre sistemas de atividades da Vale, pois a empresa distribuiu dividendos vultosos aos seus acionistas, remunerou como nunca seus diretores, reduziu os custos em relação às receitas e diminuiu brutalmente a dívida interna, mas manteve investimentos insuficientes na gestão das barragens, culminando no rompimento da B I em 2019 e em 29 barragens interditadas em março de 2021. A financeirização tornou-se central para as operações da empresa. Este estudo aponta para um caminho metodológico do diálogo interdisciplinar que ajuda a esclarecer como as decisões gerenciais estratégicas, especialmente aquelas da gestão financeira, poderiam influenciar a gestão de produção, de manutenção e de segurança das barragens de rejeitos.
Abstract The objective of this article is to point out hypotheses of contradictions historically incubated in Vale's activity systems and that may have led to Brazil's biggest environmental disaster, the B I dam break in Brumadinho, and the interdiction of many other dams owned by Vale in the state of Minas Gerais, Brazil. This is a case analysis from secondary data available in interviews, documents, and texts published in different media between 2011 and 2021. We try to demonstrate, from the Historical-Cultural Theory of Activity, the contradictions verified in and between Vale's activity systems, since the company distributed large dividends to its shareholders, remunerated its directors as never before, reduced costs in relation to incomes, and brutally reduced internal debt, but keeping insufficient investments in dam management, culminating with the break of B I in 2019 and with 29 dams interdicted in March 2021. Financialization has become central to the company's operations. This study points to a methodological path of the interdisciplinary dialogue to help clarify how strategic managerial decisions, especially those of financial management, could influence the production, maintenance, and safety management of tailings dams.
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Brazil , Accidents, Occupational , Costs and Cost AnalysisABSTRACT
In order to promote the development of China's occupational injury surveillance system, this paper presented the legal basis, project overview, reporting procedures, definitions and stati statistical scope, data sources and collection standards, statistical data management and analysis points of the European Statistics on Accidents at Work (ESAW), and combined with existing research and related surveillance management system in China, five key points were proposed for constructing China's occupational injury surveillance system: 1) Establish and improve laws and regulations related to occupational injury surveillance; 2) Promote utilization of nation-level data systems; 3) Establish and optimize a sound national occupational injury surveillance system; 4) Provide standardized protocols for data collection and data application of occupational injury statistics; 5) Strengthen supervision and law enforcement targeting industries and enterprises.
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La exposición a peligros biológicos para la salud y las medidas preventivas implementadas para evitar o minimizar esta exposición, es parcialmente desconocida en Ecuador; particularmente, por los estudiantes de enfermería, los cuales, durante sus prácticas pre-profesionales, están expuestos a factores que pueden afectar negativamente el bienestar en su lugar de trabajo. El riesgo puede ser de origen diversos, físicos, ergonómicos, químicos, psicosociales y biológicos. Entre los biológicos se incluyen pinchazos con agujas, salpicaduras de sangre y otros fluidos corporales, cortes de ampollas de medicamentos, cortes de bisturí, perforación de guantes durante la cirugía, contacto con la sangre de los pacientes con las manos sin guantes y contaminación de heridas abiertas con la sangre de los pacientes. Este estudio tuvo como objetivo establecer la relación entre el cumplimiento de los protocolos y técnicas de enfermería con la exposición accidental a riesgos biológicos en estudiantes. Los resultados demostraron asociación estadísticamente significativa entre las variables en estudios, evidenciándose que, a menor cumplimiento de los protocolos e inexperiencias en las maniobras técnicas de enfermería, mayor era la probabilidad a accidentes por riesgo biológico. Se concluye que el conocimiento de los protocolos de enfermería, la vigilancia sobre la prevención de infecciones, la adherencia a las normas de bioseguridad son algunas de las medidas a seguir para reducir la exposición de los estudiantes de enfermería a los riesgos laborales biológicos. Se recomienda, establecer sistemática para el reporte y abordaje de accidentes por riesgo biológicos que ocurran a los estudiantes de enfermería, durante su proceso formativo(AU)
Exposure to biological health hazards and the preventive measures implemented to avoid or minimize this exposure are partially unknown in Ecuador; particularly by nursing students, who, during their pre-professional practices, are exposed to factors that can negatively affect well-being in their workplace. The risk can be of various physical, ergonomic, chemical, psychosocial and biological origins. Biological include needle sticks, splashes of blood and other body fluids, cuts from medication blisters, scalpel cuts, perforation of gloves during surgery, contact with blood from patients on bare hands, and contamination of wounds opened with the blood of patients. This study aimed to establish the relationship between compliance with nursing protocols techniques and accidental exposure to biological risks in students. The results showed a statistically significant association between the variables in the studies, showing that, the less compliance with the protocols and inexperience in nursing technical maneuvers, the greater the probability of accidents due to biological risk. It is concluded that knowledge of nursing protocols, surveillance of infection prevention, adherence to biosafety standards are some of the measures to be followed to reduce the exposure of nursing students to biological occupational hazards. It is concluded that knowledge of nursing protocols, surveillance of infection prevention, adherence to biosafety standards are some of the measures to be followed to reduce the exposure of nursing students to biological occupational hazards. It is recommended to establish a system for reporting and addressing biological risk accidents that occur to nursing students during their training process(AU)
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Humans , Male , Female , Adult , Students, Nursing , Biological Products , Occupational Risks , Security Measures , Wounds and Injuries , Body Fluids , Occupational Exposure , Containment of Biohazards , InfectionsABSTRACT
We compared the living and working conditions and mental health between miners who worked in Mariana when the Fundão dam broke, to other miners who worked in another city. We based our work on the ecological, social causation, biopsychosocial models, and other contributions. We applied the General Health Questionnaire-12, Rosenberg's self-esteem scale, and the Work-Family Conflict scales to 164 miners, interviewing 25 of them. We observed that the living and working conditions of the miners of Mariana differ unfavorably and are more prone to common mental disorders. The impoverishment of the social environment, the loss of social support, the increasing conflicts in families , the attribution of guilt for the dam collapse, and the economic decline of the city contributed to accentuating feelings of malaise, depression, and anxiety.
Comparamos as condições de vida, de trabalho e a saúde mental dos mineiros que trabalhavam em Mariana quando se rompeu a barragem de Fundão com as de outros que trabalhavam em outra cidade. Baseamo-nos nos modelos: ecológico, de causação social e biopsicossocial. Aplicamos o Questionário de Saúde Geral-12, as escalas de Autoestima de Rosenberg e de Conflito Trabalho-Família a 164 mineiros e entrevistamos 25 deles. Observamos que as condições de vida e de trabalho dos mineiros de Mariana diferem desfavoravelmente e estão mais sujeitos a transtornos mentais comuns. O empobrecimento do meio social, a perda de apoios sociais, os conflitos crescentes na família, a atribuição de culpa pela ruptura da barragem e a decadência econômica da cidade contribuíram para acentuar os sentimentos de mal-estar, depressão e ansiedade.
Comparamos las condiciones de vida y de trabajo y la salud mental de los mineros que trabajaban en Mariana cuando se rompió la presa de Fundão con las de otros que trabajaban en otra ciudad. Para eso, nos basamos en los modelos: ecológico, de causación social y biopsicosocial. Aplicamos el Cuestionario de Salud General (GHQ-12), las escalas de Autoestima de Rosenberg (RSE) y de Conflicto Trabajo-Familia a 164 mineros y entrevistamos 25 de ellos. Observamos que las condiciones de vida y de trabajo de los mineros de Mariana difieren desfavorablemente y que ellos están más susceptibles a trastornos mentales comunes. El empobrecimiento del medio social, la pérdida de apoyos sociales, los crecientes conflictos en la familia, la atribución de culpa por la ruptura de la presa y la decadencia económica de la ciudad contribuyeron para reforzar los sentimientos de malestar, depresión y ansiedad.
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Resumo Objetivo: analisar a tendência temporal da mortalidade por acidentes de trabalho (AT) no Brasil de 2006 a 2015 e investigar desigualdades segundo sexo, raça/cor da pele, faixa etária, escolaridade e macrorregiões. Métodos: estudo ecológico de tendência temporal, com dados do Sistema de Informações sobre Mortalidade (SIM) e do Instituto Brasileiro de Geografia e Estatística (IBGE). Utilizaram-se regressões de Poisson. Resultados: as taxas anuais médias (TAM) de mortalidade por acidente de trabalho mantiveram-se relativamente estáveis no período (variação anual de até 5%), mas alguns grupos e regiões apresentaram tendência de aumento. Mulheres acima de 60 anos da região Centro-Oeste (TAM: 1,21-IC95%: 1,03-1,42) e os trabalhadores pardos de todas as regiões (TAM: 1,03 IC95%: 1,02-1,04) apresentaram aumento significativo na mortalidade. Em 2015, a mortalidade por AT na região Nordeste foi 88% maior entre os pardos (2,45/100 mil) do que entre os brancos (1,30/100 mil), e no Brasil, a mortalidade de trabalhadores com menos de oito anos de estudo foi 15 vezes superior à daqueles com 12 anos de estudo ou mais (4,74/100 mil vs. 0,31/100 mil). Conclusões: embora estável, a taxa de mortalidade por AT no Brasil é elevada, se comparada à dos países de alta renda. Alguns grupos populacionais (homens, pretos, pardos, índios, pessoas com baixa escolaridade) e regiões do país (Norte, Nordeste e Centro-Oeste) apresentam taxas ainda mais elevadas.
Abstract Objective: to analyze the temporal trend of mortality due to occupational accidents (OA) in Brazil from 2006 to 2015 and investigate inequalities related to gender, race/skin color, age group, education level, and macro-regions. Methods: ecological time series study conducted with data from the Mortality Information System (SIM) and the Brazilian Institute of Geography and Statistics (IBGE). Data were analyzed by Poisson regressions. Result: the average annual rate (AAR) for deaths due to OA remained relatively stable over the analyzed period (annual variation of up to 5%), but some groups and regions showed an upward trend. Mortality was significantly higher among women over 60 years old from the Midwest region (AAR: 1.21-95%CI: 1.03-1.42) and brown-skinned people from all regions (AAR: 1.03-95%CI: 1.02-1.04). In 2015, mortality from OA in the Northeast region was 88% higher among brown-skinned people (2.45/100,000) than among white people (1.30/100,000). In Brazil, mortality was 15 times higher among individuals with less than eight school years when compared to those with 12 school years or more (4.74/100,000 vs. 0.31/100,000). Conclusions: although stable, the mortality rate due to OA in Brazil is elevated when compared to high-income countries. These rates are even higher among some population groups (men, Blacks, brown-skinned, indigenous, and lower-educated people) and in certain regions of the country (North, Northeast, and Midwest).
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Introdução: O regime estatutário, que representa 8% da força de trabalho do Brasil, enfrenta problemas quanto à implementação de políticas e registros de saúde, impactando no conhecimento do perfil de saúde dos servidores estatutários. Objetivos: Identificar o perfil do servidor público federal acometido por agravos ocupacionais e relacioná-lo com o diagnóstico registrado na Comunicação de Acidente de Trabalho do Servidor Público (CAT/SP) de uma universidade federal do sul do Brasil. Método: Estudo transversal, retrospectivo, realizado com dados secundários. Amostra censitária com a totalidade de CAT/SP emitida pela universidade. Para análise estatística, foi utilizado o programa Statistical Package for the Social Sciences (SPSS) versão 22. Fez-se apenas análise bivariada por teste χ2 ou por análise de variância (ANOVA), com nível de significância de 95%. Resultados: Foram analisadas 166 CAT/SP, 79,52% corresponderam a mulheres, com idade média de 46,46 (desvio padrão DP=10,06) anos, 21 anos ou mais de atuação no cargo (34,9%), lotadas no hospital universitário (64,46%) e média de tempo de afastamento do trabalho de 11,89 (DP=21,33) dias. Do total, 41,57% das CAT não apresentaram qualquer registro de enfermidades, codificadas ou não pela Classificação Estatística Internacional de Doenças e Problemas Relacionados com a Saúde (CID-10). Das CAT/SP com essa informação, 82,5% apresentaram CID-10 compatível com acidente de trabalho, sendo a ocorrência mais comum o trauma de membros inferiores (31,5%). As demais 17,5% CAT/SP foram compatíveis com doença ocupacional, sendo as ocorrências mais comuns lesão de coluna lombar, doença infecciosa e outros, com prevalência de 17,7% cada uma. Conclusão: Ratifica-se a importância de qualificar o sistema de registros de CAT/SP na administração pública, possibilitando a proposição de estratégias direcionadas e focadas nos principais agravos à saúde dessa população
Background: Work-related disorders have considerable impact on the health of workers at a high cost for national budgets. Yet these conditions are globally underreported, less than 8% in Brazil. Shortcomings in health policies and records hinder attempts at establishing the health profile of civil servants in Brazil, who represent 8% of the local workforce. Objective: To establish the profile of federal civil servants with work-related disorders and relate it to diagnoses recorded in Civil Servant Work Accident Reports (CS/WAR) issued at a federal public university in southern Brazil. Methods: We analyzed 166 CS/WAR; 79.52% corresponded to women, average age 46.46 (SD=10.06), ≥21 years in the job (34.9%), workers at the university hospital (64.46%) and medium- or technical level health care workers (45.78%). Mean duration of sick leave spells was 11.89 (SD=21.33) days. About 41.57% of CS/ WAR did not provide an ICD-10 code; 82.5% of the rest corresponded to work accidents, mainly lower extremity injury (31.5%) and 17.50% to occupational diseases, most commonly low back injury and infectious diseases (17.7% each). Conclusion: The results reinforce the need to improve the record system in public service facilities to enable strategies targeting the main health problems exhibited by this population of workers.
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Resumo Fizemos estudo transversal para iniciar coorte em dois Hospitais Universitários de dois países - Brasil e Colômbia - para avaliar a prevalência de acidentes com material biológico (AT-MB), o nível de adesão às Precauções Padrão (PP) e o conhecimento sobre patógenos transmissíveis pelo sangue e fatores associados entre trabalhadores e estudantes da saúde, no marco da implementação da norma NR-32. Criamos escalas para estimar conhecimento e adesão baseadas em 12 e 11 perguntas respectivamente. Utilizamos Regressão de Poisson-Tweedie para avaliar a associação do conhecimento e da adesão às PP com sofrer AT-MB. Avaliamos 965 indivíduos (348 estudantes e 617 profissionais). O conhecimento teve média de 10,98 com mediana de 11 (10, 12) e α-Cr de 0,625. A média de adesão foi de 30,74 com mediana de 31 (28, 34) e α-Cr de 0,745, associando-se a País, grupo (estudantes) e percepção de risco. Entre os fatores associadas ao relato de AT-MB encontraram-se o conhecimento, a adesão às PP, País de origem e ter tomado o esquema completo de vacinação contra Hepatites B. Concluímos que o nível de conhecimento e adesão foram adequados, ainda melhores entre os participantes do Brasil e associaram-se ao relato AT-MB.
Abstract This was a cross-sectional study to start a cohort in two University Hospitals of two countries - Brazil and Colombia - for assessing the prevalence of needlestick and sharps injuries (NSI), the level of compliance with standard precautions (SPs), and knowledge on blood borne pathogens and associated factors among health students and professionals, within the framework of the implementation of the NR-32 standard. We created compliance scales based on 12 and 10 questions, for assessing knowledge. We used the Multinomial Poisson-Tweedie Regression to evaluate the relationship between knowledge and compliance with SPs within NSI. We evaluated 965 individuals (348 students and 614 professionals). The mean score points for level of knowledge was 10.98, with a median of 11 (10; 12) and α-Cr of 0,625. Compliance with SP had a mean of 30.74 and median of 31 (28; 34), with a α-Cr coefficient of 0.745, associated with country, group (student) and risk perception. Among the factors associated with the report of NSI, we singled out knowledge and compliance, country of origin, and full vaccination scheme against the Hepatitis B virus. We concluded that the level of knowledge and compliance were adequate among participants, but better among Brazilian participants, and it was associated with NSI reporting.
Resumen Hicimos estudio transversal como punto de partida de estudio de cohorte en dos Hospitales Universitarios en dos países - Brasil y Colombia - para evaluar la prevalencia de accidentes con material biológico (AT-MB), el nivel de adhesión a las Precauciones Estándares (PUs) y el conocimiento sobre patógenos transmisibles y factores asociados entre trabajadores y estudiantes de la Salud en el marco de la implementación de la norma NR-32. Creamos escalas para evaluar el conocimiento y la adhesión con base en 12 e 11 preguntas respectivamente. Utilizamos Regresión de Poisson-Tweedie para evaluar asociación entre el conocimiento y la adhesión a las PUs con sufrir AT-MB. Evaluamos 965 individuos (348 estudiantes e 617 profesionales). El puntaje medio de conocimiento fue 10,98 con mediana de 11 (10, 12) y α-Cr de 0,625. La media de adhesión fue de 30,74 con mediana de 31 (28, 34) e α-Cr de 0,745, asociándose a país, grupo (estudiantes) e percepción de riesgo. Entre los factores asociados al relato de AT-MB encontramos conocimiento, adhesión a las PUs, país de origen y tener el esquema completo de vacunación contra Virus da Hepatitis B. Concluimos que el nivel de conocimiento y adhesión fueron adecuados, aunque mejores entre los participantes del Brasil y se asociaron a los AT-MB.
Subject(s)
Humans , Male , Female , Adult , Aged , Young Adult , Health Knowledge, Attitudes, Practice , Needlestick Injuries/prevention & control , Health Personnel/statistics & numerical data , Occupational Diseases/prevention & control , Students, Health Occupations/statistics & numerical data , Brazil , Prevalence , Cross-Sectional Studies , Cohort Studies , Colombia , Blood-Borne Pathogens , Guideline Adherence , Hospitals, University , Middle AgedABSTRACT
BACKGROUND: Increasing the establishment of integrated management systems (IMSs) is done with the purpose of leaving traditional management methods and replacing them with modern management methods. Thus, the present study sought to analyze the events and investigate the impact of IMS on health and safety performance indices in an Iranian combined cycle power plants. METHODS: This case study was conducted in 2012 in all units of the Yazd Combined Cycle Power Plant on accident victims before and after the implementation of IMS. For data analysis and prediction of indices after the implementation of IMS, descriptive statistics and Kolmogorov–Smirnov test, Chi-square, linear regression, and Cubic tests were conducted using SPSS software. RESULTS: The number of people employed in the power plant in an 8-year period (2004–2011) was 1,189, and 287 cases of work-related accidents were recorded. The highest accident frequency rate and accident severity rate were in 2004 (32.65) and 2008 (209), respectively. Safe T-score reached to below −3 during 2010–2011. In addition, given the regression results, the relation between all predictor variables with outcomes was significant (p < 0.05), except for the variable X1 belonging to the accident severity rate index. CONCLUSION: The implementation of safety programs especially that of IMS and its annual audits has had a significant impact on reducing accident indices and improving safety within the study period. Accordingly, health and safety management systems are appropriate tools for reducing accident rate, and the use of regression models and accident indices is also a suitable way for monitoring safety performance.
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Accidents, Occupational , Linear Models , Power Plants , Safety Management , Statistics as TopicABSTRACT
Focaliza-se neste artigo os processos de terceirização e flexibilização das relações trabalhistas, cujas práticas encontram se atreladas ao fenômeno da precarização do trabalho, incidindo de modo perverso sobre os sujeitos, promovendo seu adoecimento e gerando impactos de diversas ordens sobre eles. Como cenário concreto para promover esta reflexão, apresenta-se um caso real, relativo à contaminação de trabalhadores brasileiros por carbonato de níquel, uma substância de elevada toxidade, bem como os desdobramentos desse acidente para os sujeitos envolvidos.
This article discusses the outsourcing processes and flexibility of labor relations, whose practices are linked to the precariousness phenomenon, analyzing how these processes act in a perverse way on the workers, promoting their illness and generating impacts of various orders on them. As a concrete scenario to promote this reflection, the text presents a real case concerning the contamination of Brazilian workers by nickel carbonate, a substance of high toxicity, and the consequences of this accident on the men involved.
Subject(s)
Occupational Health , Outsourced Services , Labor Relations , Accidents, Occupational , Employment , Nickel/adverse effectsABSTRACT
RESUMEN Una de las vías de transmisión del virus del VIH es la sanguínea a través de accidentes cortopunzantes, los trabajadores sanitarios que están expuestos a lesiones por pinchazos con agujas que contienen sangre infectada con el VIH, tienen un riesgo de 0.23 % de ser infectados. El objetivo de este estudio es caracterizar los accidentes de riesgo biológico y el uso de profilaxis post exposición ocupacional en los trabajadores sanitarios que consultaron en el Programa Nacional de Lucha contra el SIDA desde enero a diciembre del año 2013. Material y Método: Diseño observacional, descriptivo, de corte transverso. Fueron incluidos 66 fichas para este estudio. Las variables analizadas fueron: edad, sexo, procedencia, ocupación o puesto de trabajo, hora del accidente, exposición ocupacional, trabajador sanitario, paciente fuente, tipo de accidente laboral o clasificación del accidente según el riesgo, tipo de exposición, indicación de profilaxis post exposición, efectos colaterales de los medicamentos antiretrovirales. Resultados: 85% fueron mujeres y 15% fueron hombres. La edad media fue de 33,1 ± 8,9 (20 a 62) años. En cuanto a la profesión a los trabajadores sanitario los expuestos ocupacionalmente fueron el personal de enfermería en 36,6%; seguido de Personal de limpieza en 24,24%, y personal médicos en 18,8%. El accidente fue clasificado como leve en un 62,1 % y como grave en un 37,8%. El tipo de exposición, en un 65,1% fue de tipo 1 (pinchazos, corte con agujas acanalada o hueca, bisturí), La paciente fuente era conocido en un 54,5% de los casos. De entre los pacientes fuente conocidos, el 62% con serología positiva para el VIH, 77% inició Profilaxis Post Exposición. Solo 6% completó el esquema de tratamiento. De entre los que completaron PPE, uno de ellos presentó efectos colaterales (mareos, náuseas y eritema facial). Conclusión: La precaución universal es la primera línea de defensa para prevenir la exposición ocupacional. El asumir que todos los pacientes están potencialmente infectados constituye la única manera de optimizar las medidas para prevenir la trasmisión de esta patología, con aseguramiento de controles y medidas para completar la profilaxis si fuera necesario
ABSTRACT One of the routes of transmission of the HIV virus is blood through sharps accidents; health workers who are exposed to needle stick injuries that contain HIV-infected blood have a 0.23% risk of being infected. The objective of this study is to characterize the biological hazard accidents and the use of occupational post-exposure prophylaxis in health workers, who consulted in the National Program to Fight AIDS from January to December 2013. Material and Method: Observational, descriptive, cross-sectional design. 66 tokens were included for this study. The variables analyzed were: age, sex, origin, occupation or workplace, time of accident, occupational exposure, health worker, source patient, type of work accident or accident classification according to risk, type of exposure, indication of postprophylaxis exposure, side effects of antiretroviral drugs. Results: 85% were women and 15% were men. The mean age was 33.1 ± 8.9 (20-62) years. Health Workers more exposed were the nursing staff in 36.6%; followed by cleaners 24.24%, and medical personnel 18.8%. The accident was classified as mild in 62.1% and as severe in 37.8%. The type of exposure, in 65.1% was type 1 (punctures, cut with needles grooved or hollow, scalpel), the patient source was known in 54.5% of cases. Among the known source patients, 62% with serology positive for HIV, 77% started Prophylaxis Post Exposure. Only 6% completed the treatment schedule. Among those who completed PPE, one of them presented side effects (dizziness, nausea and facial erythema). Conclusion: Universal precaution is the first line of defense to prevent occupational exposure. Assuming that all patients are potentially infected is the only way to optimize measures to prevent the transmission of this pathology, with assurance of controls and measures to complete prophylaxis if necessary.
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PURPOSE: In this study, we attempted to analyze the occupational accident experience rate by working life cycle of Korean workers considering entrance and turnover in their jobs. The specific goal of this study was to calculate the accident experience rate according to workers' turnover history and previous accident experience. METHODS: We constructed a cumulative data set of 90,338 cases of workers' accident experiences in their jobs from the Fourth Korean Working Conditions Survey. The accident experience rates according to workers' turnover and previous accident experiences were analyzed using descriptive statistics and analysis of variance. RESULTS: In this study, the cumulative accident experience rate of Korean workers was found to be 5.2%. It was confirmed that the accident experience rate of workers increased as the turnover frequencies increased. In addition, we analyzed only the data of the workers who had experienced turnover and found that the accident experience rate after turnover increased about 7.5 times when workers had experienced accidents in the past. CONCLUSION: To prevent occupational accidents in workers, safety strategies should consider a worker's previous job history and injury experiences. It will also be necessary to focus preventive efforts on new and young workers through ongoing monitoring and on-the-job training.
Subject(s)
Accidents, Occupational , Dataset , Inservice Training , Life Cycle StagesABSTRACT
BACKGROUND: Occupational injuries increase burden on society as well as personal health. Low satisfaction with life may not only increases the risk of occupational injuries directly, but also influences other factors that increase the risk of occupational injury. Along with previous studies on the risk of occupational injury, we sought to explore the relationship between satisfaction with life and occupational injury. METHODS: The study participants were 6234workers health screened at a university hospital in Incheon. Information on occupational injury and satisfaction with life scale (SWLS) was obtained in a self-report format. Participants were allocated to one of four SWLS groups; the dissatisfied group, the slightly dissatisfied group, the slightly satisfied group, and the satisfied group. The analysis was performed using the chi-square test primarily and by logistic regression adjusted for potential confounders. RESULTS: In men, the un-adjusted and adjusted odds ratios (ORs) of low satisfaction with life (SWLS< 20) were 1.98(CI1.55–2.53) and 1.81(CI 1.41–2.32), respectively. When the SWLS were divided into four groups, the adjusted ORs of the slightly satisfied (20–25), slightly dissatisfied(15–19), and dissatisfied(≤14) groups were 1.21, 1.72, and 2.70, respectively. That is ORs tended to increase linearly with decreasing SWLS score (p for trend < 0.001). In women, this relation was of borderline significance at best. When subjects were dichotomized based on SWLS scores, for males, the cured and adjusted RRs of occupational injury in the low satisfaction with life group were1.91 (95% CI: 1.50–2.42) and 1.66 (95% CI: 1.30–2.13), and for females, the adjusted-RR was marginally significant (1.67; 95% CI: 0.93–2.99). When subjects were divided into four groups by SWLS scores, adjusted RRs tended to increase linearly with decreasing SWLS score for males (slightly satisfied: 1.18, 95% CI: 0.77–1.82; slightly dissatisfied: 1.65, 95% CI: 1.08–2.52; dissatisfied: 2.22, 95% CI: 1.44–3.42; p for trend < 0.001) and for females (slightly satisfied: 1.17, 95% CI: 0.42–3.30; slightly dissatisfied: 1.56, 95% CI: 0.56–4.36; dissatisfied: 2.38, 95% CI: 0.84–6.74; p for trend = 0.040). CONCLUSIONS: This study suggests that the risk of occupational injury was higher in workers not satisfied with life, and indicates attention to satisfaction with life may promote the health of workers.
Subject(s)
Female , Humans , Male , Accidents, Occupational , Logistic Models , Occupational Injuries , Odds RatioABSTRACT
BACKGROUND: Although one in two firefighters in South Korea have experienced work-related injuries, there are few studies which show the overview description on work-related injuries and its analysis regarding such causes. Therefore, we aimed to show the overview of compensated work-related injuries in order to serve fundamental data for establishing prevention policies on work-related injuries for Korean firefighters. METHODS: We requested the all claimed work-related injury data of Korean firefighters from 2010 to 2015 to the Korean National Fire Agency (NFA). The data from NFA including 2457 claimed cases was analyzed and we confirmed, 2154 approved work-related injuries for the kinds of job activities, cause of accident and type of injuries. Among 2154 approved cases, we analyzed more variables for the sex, age, and job duration of 1344 compensated cases through served text file on summary of accident. RESULTS: The Government Employees Pension Service (GEPS) recognized 2154 (87.7%) approved work-related injuries among 2457 claimed cases. The incidence of work-related injuries per 1000 firefighters was 9.8 persons. By region, the incidence of work-related injuries per 1000 firefighters ranged from a maximum of 14.5 to a minimum of 4.0. The most common job activity caused the accident was fire suppression (18.0%), followed by Emergency medical services (EMS) (17.5%) and training (10.7%). The most common cause of these accident was movement imbalance (30.3%), followed by falls (18.9%) and traffic accident (13.4%). In these work-related injuries, sprains and bruises were the most common type of injury (27.2%), and the most commonly injured body site was the upper and lower back (25.3%). Data from identified 1344 firefighters showed that 1264 (94.0%) were male and 80 (6.0%) were female. Age group was the highest in the 40s with 623 cases (46.4%), and job duration was the highest with 650 cases in 5–10 years (48.4%). CONCLUSION: In this study, we could obtain the preliminary data necessary to establish preventive measures, including the cause of accident and region with high accident rates. However, the number of applications for compensated injuries was very small compared to the frequency of injuries found in previous studies. The lack of appropriate treatment suggested that many firefighter injuries can become chronic. In this study, we suggest that it is necessary to introduce an injury monitoring system and improve the accessibility of compensated injuries. TRIAL REGISTRATION: CR318031. Registered 20 June 2018.
Subject(s)
Female , Humans , Male , Accidental Falls , Accidents, Occupational , Accidents, Traffic , Contusions , Emergency Medical Services , Firefighters , Fires , Incidence , Korea , Occupational Injuries , Pensions , Sprains and StrainsABSTRACT
Contexto: A Norma Regulamentadora 35 (NR-35) define trabalho em altura como "qualquer atividade executada acima de dois metros do nível inferior, onde haja risco de queda", e propõe que sejam realizados exames médicos voltados "a patologias que poderão originar mal súbito e queda de altura". Muitos médicos do trabalho passaram a solicitar o eletroencefalograma (EEG) de rotina para trabalhadores que exercem trabalho em altura. No entanto, a validade desse exame para trabalhadores assintomáticos é discutível. Objetivo: Analisar os acidentes de trabalho relacionados a trabalho em altura ocorridos entre 1º de janeiro de 2000 e 31 de dezembro de 2014 em um hospital universitário, correlacionando-os ao resultado dos EEGs realizados no mesmo período. Métodos: Trata-se de estudo transversal com revisão de EEGs, prontuários clínico-ocupacionais e Comunicações de Acidente do Trabalho (CATs) de todos os trabalhadores que exerceram trabalho em altura entre 1º de janeiro de 2000 e 31 de dezembro de 2014. Foram definidos termos na descrição da CAT para avaliar a relação do acidente com "mal súbito ou queda em altura", como "queda", "perda da consciência", "mal súbito", "vertigem", "tontura" e "síncope". Os EEGs foram classificados em três categorias, de acordo com os resultados: normais, com alterações inespecíficas ou com alterações epileptogênicas. Foram correlacionadas as CATs com os resultados dos respectivos EEGs. Resultados: De 2.464 CATs emitidas no período, 2.228 foram excluídas por não serem de trabalhadores em altura. Das 236 CATs restantes, 61 foram excluídas por não haver pelo menos 1 EEG realizado nos respectivos trabalhadores. Entre os 175 acidentes restantes, observou-se 171 EEGs normais e 4 com alterações inespecíficas; nenhum dos exames apresentou alterações epileptogênicas. Entre esses 175 acidentes, 13 traziam em sua descrição termos como "mal súbito ou queda em altura", como "queda", "perda da consciência", "mal súbito", "vertigem", "tontura" e "síncope". Entre os 13 acidentes, nenhum EEG apresentou alterações. Conclusão: O EEG não foi um exame preditor de risco de acidente envolvendo trabalho em altura entre os trabalhadores avaliados no período. O EEG não deve ser utilizado para trabalhadores assintomáticos, e só deve ser realizado quando houver indicação clínica.
Background: Regulating standard 35 (NR-35) defines work at height as "any activity performed two meters above from ground level and involving risk of falls" and recommends the performance of medical examination to detect "conditions that might cause sudden loss of consciousness and falls from heights". As a result many occupational physicians began to recommend routine electroencephalogram (EEG) to assess employees working at height. However, the validity of EEG for asymptomatic workers is uncertain. Objective: To analyze occupational accidents related to work at height occurring from January 1, 2000 to December 31, 2014, at a university hospital, and to correlate them with the results of EEGs performed along that period. Methods: Cross-sectional study involving review of EEG test,s clinical-occupational records and Work Accident Reports (WAR) of all employees working at height from January 1, 2000 to December 31, 2014. Terms in the WAR descriptions were established to investigate the relationship of accidents with "sudden loss of consciousness and falls from heights", such as "fall from a height", "sudden ill feeling", "loss of consciousness", "vertigo", "dizziness" and "syncope". EEG results were classified in three categories: normal, non-epileptic abnormalities and epileptic patterns. WAR descriptions were correlated with EEG results. Results: From 2,464 WARs issued along the investigated period, 2,228 were excluded because they did not correspond to work at height. From the remaining 236 WARs, 61 were excluded because EEG was not performed, therefore, 175 cases were included for analysis. Among the EEG tests assessed, 171 were normal, 4 exhibited non-epileptic abnormalities and none an epileptic pattern. Among all the analyzed cases, 13 descriptions included terms such as "fall from height", "loss of consciousness", "sudden ill feeling", "vertigo", "dizziness" and "syncope"; all the corresponding cases had normal EEG. Conclusions: EEG was not a good predictor of risk for accidents related with work at height in the analyzed sample. EEG should not be performed for assessment of asymptomatic workers, but only in cases with clinical suspicion of neurological abnormalities.
Subject(s)
Syncope , Occupational Accidents Registry , Accidents, Occupational , Vertigo , Electroencephalography/standards , Cross-Sectional Studies , Risk FactorsABSTRACT
Introduction: Statistical study about the health care provided to seafarers on board their ships by the Spanish Radio Medical Center of the Marine Social Institute (Ministry of Employment and Social Security). Material and results: In 2015, 1658 calls were received requesting medical assistance and 1014 patients were attended (average: 1.64 calls / case). The use of satellite communication was the most common means of communication used (92.2%). The mean age of the patients was 44.51 (standard deviation = 9.892). The average age of Spanish and European Union crew members is higher than those of other origin (p < 0.01). Trawlers account for the 76.4% of the calls asking for medical assistance, merchant ships the 13.2%, travelling ships 1%, yachts 0.5% and others 8.8%. No significant differences were found between the pathology seen and the type of vessel (p> 0.1). 25% of medical consultations were due to trauma conditions and 75% to other diseases. In trauma patients, the affected body regions were: the upper limbs (40.2%), the head (10.8%), the lower limbs (16.7%) and the trunk (12.7%). Isolated eye traumas represented the 11.2% of cases. 81.6% of all the cases were treated on board until port destination. In the 18.4% of the cases, rescue was required (3.2% per helicopter). In the trauma cases, only 61.26% were able to remain on board. Rescue was more frequent in the event of trauma (p < 0.01). Conclusions: Assistances due to diseases are more frequent than those due to trauma. Most patients could be assisted on board. It was observed that seafarer population is becoming older.
Introducción: Estudio estadístico de la atención sanitaria prestada por el Centro Radio Médico Español del Instituto Social de la Marina a los marinos a bordo de sus buques. Material y resultados: Durante un año, se asistieron 1014 pacientes y se recibieron 1658 llamadas demandando consulta médica (media: 1.64 llamadas/caso). El satélite es el medio de comunicación más empleado para la consulta (92.2%). La media de edad de los pacientes fue de 44.51 (desviación estándar = 9.892). La media de edad de los tripulantes españoles y de la Unión Europea es mayor que el resto (p = 0,00). Los pesqueros representan un 76.4% de las asistencias; los mercantes, 13.2%; pasaje, 1%; buques de recreo, 0.5%, y otros, 8.8%. No se han encontrado diferencias significativas entre la afección consultada y el tipo de buque (p > 0.1). El 25% de las atenciones se debieron a accidentes y el 75% a enfermedades. En los accidentes, las regiones corporales afectadas fuern: miembros superiores (10%), cabeza (5.5%), miembros inferiores (4.1%) y tronco (3.2%). Los ojos representan el 2.8% de los casos. El 81.6% de todos los casos fue atendido a bordo hasta la siguiente llegada a puerto. En el 18.4% fue necesaria la evacuación (3.2% por helicóptero). En el caso de los accidentados, sólo el 6.26% pudo permanecer a bordo. La evacuación es más frecuente en caso de accidente (p = 0.00). Conclusiones: Son más frecuentes las asistencias por enfermedad que por accidente. La mayoría de los pacientes pueden permanecer a bordo. Se observa un envejecimiento de la población embarcada.
Subject(s)
Ships , Telemedicine , Remote Consultation , Accidents, OccupationalABSTRACT
O objetivo do estudo foi caracterizar os tipos de benefícios acidentários concedidos aos idosos no Brasil, a partir dos registros de dados contidos no Anuário Estatístico da Previdência Social/Ministério da Previdência Social dos anos de 2011 a 2015. É um estudo retrospectivo com abordagem quantitativa de caráter descritivo. A busca priorizou os registros de benefícios acidentários concedidos aos idosos, ou seja, com 60 anos ou mais de idade registrados. Puderam-se verificar, após a realização desta pesquisa, dados importantes sobre acidentes de trabalho, no Brasil, na faixa etária de 60 anos ou mais de idade. Outro fator relevante a ser considerado é que as informações desta pesquisa pretendem constituir instrumento que se considera relevante para a reflexão do processo de trabalho de pessoas idosas no que diz respeito aos indicadores que a pesquisa aborda, visto que estas taxas estimam o risco de o idoso sofrer acidente do trabalho e consequentemente demandar concessões de benefícios acidentários.
The objective of the study was to characterize the types of accident benefits granted to the elderly in Brazil, based on the data records contained in the Statistical Yearbook of Social Security/Ministry of Social Security, for the years 2011 to 2015. This is a retrospective study, with a quantitative and descriptive approach. The search prioritized the records of accident benefits granted to the elderly, that is, at the age of 60 years or more. This survey allowed observing important data on occupational accidents in Brazil in the age group of 60 years or more. Another important factor to consider is that the information in this research intends to be an important instrument for the reflection of the working process of elderly people in relation to the indicators addressed by the research, since those rates estimate the risk of the elderly to suffer an occupational accident and consequent to the granting of accident benefits.
El objetivo de este estudio fue caracterizar los tipos de beneficios otorgados a personas mayores en Brasil, a partir de los registros de datos contenidos en el Anuario Estadístico de la Seguridad Social / Ministerio de la Seguridad Social, para los años 2011 a 2015. Se trata de un estudio retrospectivo con el enfoque cuantitativo y descriptivo. La búsqueda dio prioridad a los registros de beneficios por accidentes otorgados a las personas mayores, es decir, a la edad de 60 años o más. Otro factor importante a considerar es que la información contenida en esta investigación pretende ser una herramienta que se considere relevante a la reflexión del proceso de trabajo de edad avanzada con respecto a los indicadores que investigan direcciones ya que las tasas estas estiman el riesgo de los mayores sufren accidentes de trabajo y, en consecuencia, la demanda de concesiones de beneficios por accidentes.
Subject(s)
Humans , Middle Aged , Aged , Social Security , Aged , Accidents, Occupational , Insurance BenefitsABSTRACT
OBJETIVO: descrever a evolução da notificação dos acidentes de trabalho graves (AT-Gr) no Brasil, no período 2007-2011, com base nos dados do Sistema de Informação de Agravos de Notificação (Sinan), e verificar se a Estratégia Saúde da Família (ESF) teve impacto nessas notificações. MÉTODOS: estudo ecológico, cujas unidades de análise foram os municípios brasileiros. Os dados são do Sinan, da Coordenação-Geral de Saúde do Trabalhador e do Departamento de Atenção Básica à Saúde, do Ministério da Saúde. A regressão linear múltipla foi empregada. RESULTADOS: em 2007, somente 5,4% dos municípios notificavam AT-Gr no Sinan. Em 2011 esta proporção aumentou para 28,3%. Não foram observadas associações estatisticamente significativas entre a cobertura da ESF e notificações dos AT-Gr no período de 2007-2011 (p>0,05). CONCLUSÃO: o número de municípios que notificam AT-Gr foi maior ao final do período estudado, embora sem associação com a cobertura da ESF, indicando a necessidade de maior envolvimento da atenção básica em saúde na saúde do trabalhador.
OBJECTIVE: to describe the trend of non-fatal occupational injury notification on the Notifiable Diseases Information System (Sinan), in Brazil, from 2007 through 2011, and to verify whether the Family Health Strategy (ESF) has had an impact on notification. METHODS: this is an ecological study taking the Brazilian municipalities as its units of analysis. Data was obtained from the Notifiable Diseases Information System (Sinan) and from the Health Ministry's General Coordination of Workers' Health and Department of Primary Health Care. Multiple linear regression was used. RESULTS: in 2007, only 5.4% of municipalities notified occupational injury, although notification is increasing and reached 28.3% in 2011. No statistically significant association between ESF coverage and occupational injury notification was found during the study period. CONCLUSION: the number of municipalities notifying occupational injury is growing but apparently the Family Health Strategy has not contributed to this increase, suggesting that the engagement of primary health care in workers' health needs to be improved.
OBJETIVO: describir la evolución de las notificaciones por accidentes ocupacionales graves (AT-Gr) en Brasil, 2007-2011, en el Sistema de Información de Enfermedades de Declaración Obligatoria (Sinan) y verificar si la Estrategia de Salud de la Familia (ESF) tiene impacto en este registro. MÉTODOS: estudio ecológico, cuyas unidades de análisis fueron los municipios brasileños. Los datos proceden delSinan, Coordinación General de Salud de los Trabajadores y Departamento de Atención Primaria de Salud. Se utilizó regresión linear múltiple para identificar asociaciones. RESULTADOS: en 2007, sólo el 5,4% de los municipios notificaban AT-Gr. Em 2011 aumentó a 28,3%.No se observaron asociaciones estadísticamente significativas entre la cobertura por ESF y notificaciones de AT-Gr en el período de estudio. CONCLUSIÓN: el número de municipios que notifican a los AT-Gr estaba aumentando, pero parece que la ESF no ha impactado significativamente en este aumento, sugiriendo que la atención primaria en salud se integre con la salud ocupacional.
Subject(s)
Humans , Male , Female , Occupational Accidents Registry , Occupational Health , National Health Strategies , Brazil , Information Systems , Ecological StudiesABSTRACT
A mão é um instrumento intensamente usado nas atividades de vida diária, atividades de vida prática eprofissional, sendo assim, frequentemente lesionada, causando impacto na produtividade e na economia do país,além de afetar a qualidade de vida do indivíduo. Quando a lesão está relacionada ao trabalho deve haver notificaçãoe encaminhamento, por parte da unidade de atendimento, ao Centro de Referência de Saúde do Trabalhador(Cerest). No entanto, ainda são pouco explorados os sistemas de registros dos acidentes de trabalho no Brasil.Assim, o objetivo deste trabalho foi realizar um levantamento retrospectivo de dados sobre lesões traumáticas dasmãos de pacientes atendidos no Cerest de Jundiaí-SP, visando conhecer o perfil dos acidentados. Os dados foramcolhidos dos registros da ficha SINAN Ficha de Investigação Acidente de Trabalho Grave, no ano de 2009.Dos 416 casos registrados na SINAN, 45,2% são de acidentes na mão, notificados em sua maioria por hospitaisparticulares. O acidente ocorreu em 70,7% na cidade de Jundiaí, sendo 88,3% dentro da empresa. Os homens,na faixa etária de 19 a 39 anos, foram os mais acometidos. A função exercida relacionada à maior incidênciade acidentes foi operador de máquina, e a fratura foi o diagnóstico mais frequente. A incapacidade temporáriaatingiu 80,3% dos trabalhadores. 89,3% possuem carteira assinada. Aponta-se a necessidade de investimentonos sistemas de registro de acidentes de trabalho para evitar a subnotificação, aumentar a conscientização dotrabalhador e de órgãos públicos quanto à prevenção e à reabilitação, evitando a incapacidade do trabalhador eprejuízo para empresa e governo.
The hand is an instrument extensively used in daily life activities - practical and professional; and it is, consequently, often injured, causing impact on productivity and on the country?s economy, also affecting the quality of life of individuals. When the lesion is work-related, it should be reported and referred by the service unit to Worker Health Reference Centre (CEREST). However, systems of records of occupational accidents are still little explored in Brazil. The aim of this work was to conduct a retrospective data survey on hand traumatic injuries of patients treated at CEREST in the municipality of Jundiaí, Sao Paulo state, in order to know the profile of these victims. Data were collected from the records of SINAN card - Severe Accident Research Sheet, in 2009. Of the 416 cases reported at SINAN, 45.2% were accidents involving the hand, which were reported mostly by private hospitals. 70.7% of the accidents reported occurred in the city (Jundiai) and 88.3% of them took place within the premises of companies. Men aged between 19 and 39 years old were the most affected. Machine operators presented the highest accident incidence and fracture was the most frequent diagnosis. Temporary disability reached 80.3% of workers. 89.3% worked under formal contracts. Investment in record systems of labor accidents is essential because it would prevent underreporting and improve awareness of employees and public agencies regarding prevention and rehabilitation, thus avoiding inability of workers and damage to businesses and the government.
Subject(s)
Humans , Male , Female , Adult , Accident Prevention , Accidents, Occupational , Hand Injuries , Occupational Accidents Registry , BrazilABSTRACT
Objetivando avaliar a estratégia da Secretaria Municipal de Saúde de Belo Horizonte (SMSA/BH) na redução do sub-registro de mortes por acidentes de trabalho de 2008 a 2010, realizou-se relacionamento determinístico de dados de mortes por acidentes de trabalho notificadas no SINAN e no SIM. Como estratégia complementar ao relacionamento determinístico foram analisadas as Fichas de Investigação e as Declarações de Óbito nas quais se suspeitava tratar-se de mortes por acidentes de trabalho, porém elas não estavam declaradas. O óbito por acidente de trabalho era confirmado quando se tratava do mesmo acidentado, mesmo acidente, com nexo temporal entre o acidente e o óbito. A estratégia complementar utilizada na SMSA permitiu reduzir a sub-registro identificado pelo relacionamento determinístico, com incremento de 45 mortes. Evidenciou-se maior sub-registro de óbitos no SINAN (n = 117) do que no SIM (n = 70). Conclui-se que o relacionamento de dados SIM/SINAN é uma estratégia necessária para redução da sub-registro das mortes por acidentes de trabalho. Porém, consideradas as limitações ainda presentes nos dois sistemas o relacionamento de dados não é suficiente e que a estratégia complementar adotada na SMSA/BH - simples e de fácil execução, tem bons resultados.
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.