Biomass production, metal and nutrient content in sorghum plants grown on soils amended with sewage sludge.

Sludge generation from wastewater treatment plants in Uruguay has increased in recent years. Agricultural soils may be a final destination. A greenhouse experiment was conducted to quantify the effect of this sludge on 1) plant biomass production and nutrient concentration of sorghum (Sorghum bicolor var. vulgare); 2) the chemical properties of amended soils; and 3) assess whether heavy metal concentrations in sludge are appropriate according to environmental regulations. Two soils (S1 and S2) were amended with pure sludge (PS) and limed sludge (LS), with low dose (LD) of 16.0 and 17.3 Mg ha-1 and high dose (HD) of 32.0 and 34.6 Mg ha-1, respectively. Sludge treatments increased plants' nutrient absorption and dry matter production. The LS treatments incremented plant biomass production, depending on soil pH and nutrient availability. The effect of sludge treatments on elemental concentration in aboveground biomass depended on the element, treatments, and soil type. Mineralized nitrogen (N) and plant available phosphorus (P-Bray 1) values increased with sludge addition without exceeding Uruguay's critical soil level of P-Bray 1 for the sorghum crop. The PS did not increase metal concentration in soils. The LS slightly decreased soil Pb and slightly increased Cr and Zn soil concentration; levels were according to Uruguayan environmental guidelines. Therefore, agriculture soils are a viable final destination for PS and LS. Land applied sludge has acceptable levels of metals and promotes crop development.

Integration of municipal state, society and university efforts for sanitary risk prevention associated with Aedes aegypti mosquito in the metropolitan area of Buenos Aires, Argentina.

The sanitary problem of Aedes aegypti mosquito acquires relevance around the world because it is the vector of dengue, zika, chikungunya and yellow fever. The vector is adapting to southern regions faster, and the propagation of these diseases in urban areas is a complex problem for society. We aimed to contribute to the risk prevention of disease transmission in the Metropolitan Area of Buenos Aires, through monitoring Aedes aegypti population levels and developing education campaigns with government agencies and society participation. Monitoring activities aimed to diagnose the presence of the vector and its ecology behaviour, and to generate education and prevention politics to avoid its propagation. The results show that (1) the mosquito is in the territory and it is spreading, (2) prevention activities of the municipalities are insufficient to generate an effective sanitary response and (3) it is necessary to improve the education programmes to the population about the life cycle of the vector. The integration of university, government and society improved the work of the team because it combined knowledge about vector ecology, diseases and territory characteristics.

Does the Introduction of Alien Species Represent a Sanitary Threat for Native Species? The Case of the Eastern Cottontail Sylvilagus floridanus in Italy.

Introduction of alien species is a well-known threat to biodiversity. Where newly introduced, alien species may pose a risk for the local ecological community by competing for resources or by introducing pathogens. Sylvilagus floridanus is an American lagomorph introduced into Europe in the second half of 20th century, for hunting. This study evaluated the structure and epidemiological characteristics of the gastrointestinal parasite community in an introduced population of S. floridanus in the Province of Alessandria (Piedmont Region-Italy). Three alien parasites were reported out of 271 animals: Obeliscoides cuniculi in the stomach, Trichostrongylus calcaratus in the small intestine, and Passarulus nonnanulatus in the large intestine. All these nematodes are commonly reported in S. floridanus in its natural range, but they represent alien species in Europe. The report of these alien parasites is an example of the unexpected consequences caused by the introduction of non-native vertebrates. The documented introduction of new pathogens may alter the parasite community of the native lagomorphs, with possible long-term effects on local ecological dynamics.

[A ethical approach of funerals in pandemic]. / Pour une éthique des funérailles en situation de pandémie.

The sanitary risk prevention associated with the body overtakes nearly all other considerations. The organisation of funerals isn't actually managed by the authorities, and left to the will of funeral officers. How acceptable is this during a pandemic with elevated risks and a hightened awareness of death - not only of people, but also of a society at fault? An ethical approach is the only way to raise to the challenge of organising funerals more responsibly.

Hygiene and humanization: Breaking the traditional view of food safety.

Despite efforts at various levels, foodborne diseases are an extremely relevant global public health issue. This letter emphasizes the differences between the hygienist approach and the concept of sanitary risk in order to stimulate insights for researchers and decision-makers on the necessary changes in the working, training, and education modes of all agents involved in food production in the face of the new and old challenges in the food safety field.

Fates of pathogenic bacteria in time-temperature-abused and Holder-pasteurized human donor-, infant formula-, and full cream cow's milk.

This study was conducted to address the dearth in works that simultaneously compare the growth and inactivation behaviors of selected pathogens in different milk products. In worst-case scenarios where hygienic practices are absent and heavy microbiological contaminations occur, Salmonella enterica, Escherichia coli O157:H7, Listeria monocytogenes, Pseudomonas aeruginosa, and Staphylococcus aureus multiplied in all samples at room temperature (27 °C). Most organisms readily proliferated with growth lag (tlag) values ranging from 0.00 to 5.95 h. Growth rates (KG) ranged from 0.16 to 0.67 log CFU/h. Sanitary risk times (SRTs) for a 1-log population increase ranged from 1.85 to 6.27 h, while 3.69-12.55 h were the SRTs determined for 2-log population increase. Final populations (Popfin) ranged from 7.11 to 9.36 log CFU/mL. Inactivation in heavily contaminated milk during Holder pasteurization revealed biphasic inactivation behavior with total log reduction (TLR) after exposure to 62.5 °C for 30 min ranging from 1.91 (90.8%) to 6.00 (99.9999%). These results emphasize the importance food safety systems in the handling of milk and milk products during manufacture and preparation.

Desenvolvimento de um instrumento quantitativo para inspeção sanitária em serviços de alimentação e nutrição, Brasil / Development of a quantitative health inspection instrument in food and nutrition services, Brazil

Resumo O estudo visou desenvolver um Instrumento Quantitativo para Inspeção Sanitária (IQIS) em serviços de alimentação e nutrição de grande porte no Brasil. Utilizou-se a tecnologia de inspeção, no Modelo de Avaliação do Risco Potencial (MARP) e legislação sanitária brasileira. Estruturaram-se 12 dimensões, 41 módulos, 57 indicadores de controle de riscos (críticos/não críticos), numa escala de 0-5, totalizando 1.512 índices com codificação de respostas fechadas. O IQIS foi validado com o Coeficiente de Kappa, com excelente concordância para atributos de clareza e relevância (k = 0,82 e k = 0,92) e boa concordância para o atributo aplicabilidade (k = 0,78). O teste de Kruskal-Wallis mostrou inexistir diferença significativa entre as avaliações (p = 0,423), o Coeficiente de Correlação Intraclasse foi satisfatório (CCI = 0,53), o Alpha de Cronbach (α = 0,71) aceitável. O resultado final possibilitou classificar o serviço como tendo risco sanitário inaceitável. Considera-se o IQIS com conteúdo validado, tendo confiabilidade e reprodutibilidade para avaliação higiênico-sanitária, sendo uma inovação tecnológica para serviços de alimentação e nutrição e vigilância sanitária, possibilitando inspeção detalhada e rigorosa.

Abstract The study aimed to develop a Quantitative Health Inspection Instrument (IQIS) large-sized Brazilian food and nutrition services. The inspection technology based on the Potential Risk Assessment Model (MARP) and the Brazilian Health Legislation was used. Twelve dimensions, 41 modules, and 57 risk control (critical/non-critical) indicators were structured on a scale of 0-5, totalling 1,512 indices with closed-ended response coding. The IQIS was validated with the Kappa Coefficient, with excellent agreement for the attributes of clarity and relevance (k = 0.82 and k = 0.92) and good agreement for applicability (k = 0.78). The Kruskal-Wallis test showed no statistically significant difference between the assessments (p = 0.423), the Intraclass Correlation Coefficient was satisfactory (ICC = 0.53), and Cronbach's Alpha (α = 0.71) was acceptable. The final result made it possible to classify the service as having an unacceptable health risk. IQIS is considered to have validated content, be reliable and reproducible to assess the hygienic-sanitary conditions, being a technological innovation for food and nutrition services and sanitary, allowing a detailed and rigorous inspection.

How we assess water safety: A critical review of sanitary inspection and water quality analysis.

Sanitary inspection is used in low-, medium- and high-income settings to assess the risk of microbial contamination at water sources. However, the relationship between sanitary inspection and water quality is not well understood. We conducted a critical literature review and synthesized the findings of 25 studies comparing the results of sanitary inspection and microbial water quality analysis. Most studies used sub-standard sanitary inspection and water quality analysis methods, and applied simplistic comparisons that do not characterize the complexity of the relationship. Sanitary risk score was used to represent sanitary inspection results in 21 (84%) studies; of which 12 (57%) found a significant association between score and microbial water quality and nine (43%) did not. Participatory sanitary inspection (12%) and reporting results back to communities (24%) were uncommon. Most studies relied on laboratory-based water quality analysis as an independently sufficient measure of safety, but reported inadequate quality control (52%) and/or sub-standard sample processing methods (66%). We found that sanitary inspections could contribute to improving water safety through four mechanisms: guiding remedial action at individual water sources, allowing operators and external support programs to prioritize repairs, identifying programmatic issues, and contributing to research. The purpose of the sanitary inspection should be considered when planning sanitary inspection execution, data analysis, and reporting to ensure appropriate methods are employed and results are fit for purpose. Further exploration should recognize that sanitary risk factors represent sources of contamination, pathways for contaminants to enter water supplies, and breakdowns in barriers to contamination. These different sanitary risk factor types have different and inter-dependent effects on water quality.

Environmental stability and oral bioaccessibility of synthetic Pb-bearing phases to better evaluate soil health risks.

A large amount of contaminated sites is shown around the world which may induce a health risk due to the presence of contaminants such as metal (loïd)s bearing phases. Health risk assessment is based on contaminant bioaccessibility. However, it is needed to understand every contaminant behavior in physiological matrix to be a realistic way to assess and interpret these sanitary risks. Due to the complexity of contaminated soil matrix, the use of synthetic minerals seems to be the better tool to understand their behavior in physiological matrix. Then, this study aims to highlight the environmental stability and the behavior during bioaccessibility ingestion (UBM) of selected synthetic lead-bearing phases. For this purpose, three Pb phases (galena, beudantite, and anglesite) commonly found in contaminated environments (particularly mining sites) were synthesized and characterized (structurally and morphologically). The sequential BCR extractions have shown that most of the lead is in a stable and non-mobilizable form (up to 93%). The lead present in these phases represents very few risks of migrating into the environment during physicochemical condition changes. The results of the bioaccessibility revealed a relatively high stability of the pure bearing phases in the physiological matrix. Lead is stable for 97.0% to 99.2% during the gastric phase and 97.0% to 99.9% during the gastro-intestinal phase. Moreover, the synthetic mixtures of galena/beudantite and anglesite/beudantite have been realized considering the proportions commonly found in the mining contexts. This has shown a similar behavior compared to pure phases except in the case of the anglesite mixture inducing a clear cocktail effect (drastic increase of Pb amount from gastro-intestinal phases). At last, this study is a first and interesting step to assess the behavior of these bearing phases in heterogeneous and complex medium such as soil.

Fatores de risco associados à infecção viral (BoHV-1 e BVDV) em rebanhos leiteiros mestiços com problemas reprodutivos, no município de Uberlândia, MG / Risk factors associated with viral infections (BoHV-1 and BVDV) in crossbreed dairy herds with reproductive failures, Uberlândia, MG

Com frequência, infecções virais são associadas a problemas da reprodução em rebanhos de bovinos de corte e leite de todo o mundo. Este estudo teve como objetivo avaliar variáveis de manejo que possam constituir fatores de risco da infecção por BoHV-1 e/ou por BVDV em rebanhos leiteiros com histórico de problemas da reprodução em vacas mestiças em manejo extensivo e sem histórico de vacinação prévia para o controle de IBR e BVD. Anticorpos neutralizantes anti-BoHV-1, anti-BVDV e para ambos os vírus simultaneamente foram identificados em 62,5% (165/264), 45,1% (119/264) e 31,4% (83/264), respectivamente, das amostras analisadas. Os fatores de risco associados à infecção por BoHV-1 foram rebanhos com número total de fêmeas superior a 100, presença de ordenha mecânica, não utilização de inseminação artificial na reprodução e a compra infrequente de animais. Para BVDV, os fatores de risco foram aptidão mista (leite/corte) do rebanho, presença de ordenha mecânica, ausência de quarentena para os animais recém-adquiridos, presença de piquete de parição e a não utilização de inseminação artificial. Para a infecção simultânea (BoHV-1/BVDV), a presença de ordenha mecânica aumentou o risco em 3,36 vezes, e o uso de inseminação artificial reduziu em 56% o risco de infecção nos rebanhos avaliados.(AU)

Viral infections are frequently associated with reproductive problems in dairy and beef cattle worldwide. The aim of this study was to verify managerial practices that may constitute risk factors associated with infection by BoHV-1 and/or BVDV in dairy herds with a history of reproductive disease in extensively reared dairy cows without a previous history of vaccination against IBR and BVD. Neutralizing antibodies anti-BoHV-1, anti-BVDV or both were detected in 62.5% (165/264), 45.1% (119/264), and 31.4% (83/264), respectively, in the samples analyzed. The risk factors associated with infection by BoHV-1 were herds with more than 100 cows, the presence of mechanical milking, the non-utilization of artificial insemination, and the infrequent acquisition of animals. Risk factors associated with BVDV were dual-purpose herds (milk and beef), these include the utilization of mechanical milking, absence of quarantine for newly acquired animals, the presence of picket calving, and the absence of artificial insemination. For simultaneous infections by both viruses (BoHV-1 and BVDV) the use of mechanical milking increased the chance of infection 3.36-fold while the use of artificial insemination reduced the risk of infection by 56% in these herds.(AU)

An assessment of the replicability of a standard and modified sanitary risk protocol for groundwater sources in Greater Accra.

Sanitary risk inspection, the systematic observation of contamination hazards, is often used to manage safety of water sources such as wells and boreholes. However, the replicability of sanitary risk inspections undertaken by different observers has not been studied. This study aimed to assess the replicability of sanitary risk inspections by two different observers in urban and peri-urban neighbourhoods of Greater Accra, Ghana. Two observers independently used a standard protocol to record contamination hazards around 62 groundwater sources, additionally recording urban-specific hazards such as damaged sewage pipes via a modified protocol. We calculated risk scores as the proportion of hazards observed at each source, separately for each observer. Linn's concordance correlation coefficient indicated very high agreement between the two observers' risk scores (n = 62; c = 0.949, 95% confidence limits 0.917-0.968). However, risk scores from urban-specific observations were uncorrelated with those from the standard protocol (r = 0.11, p = 0.41 for observer 1; r = 0.16, p = 0.22 for observer 2). Ours is the first study of replicability of sanitary risk observations and suggests high inter-observer agreement. However, urban contamination hazards were not captured using the standard protocol. In the future, assessment of inter-observer agreement and observations of urban-specific hazards could be incorporated into nationwide or regional sanitary risk surveys.

Estudo qualitativo da perspectiva dos consumidores de farinha de mandioca (Manihot esculenta crantz) comercializada na feira livre das Sete Portas, Salvador, BA / A qualitative study of the consumers' perspective of manioc flour (Manihot esculenta crantz) marketed at the fair of the Sete Portas, Salvador, BA

A farinha de mandioca desempenha importante papel na alimentação do brasileiro. Produzida artesanalmente em casas de farinha, pode ser comercializada em feiras livres, porém, estas apresentam condições que podem favorecer a contaminação dos produtos comercializados, ocasionando malefícios para a saúde do consumidor. Este trabalho teve por objetivo identificar as características socioeconômicas, as práticas de aquisição e consumo, e a percepção de higiene e risco de 22 consumidores de farinha da feira das Sete Portas de Salvador, Brasil. É um estudo de caráter transversal, exploratório e descritivo com a aplicação de questionário semiestruturado, contendo 55 perguntas e contemplando 4 categorias: 1. Identificação e características socioeconômicas; 2. Comportamentos; 3. Opinião e conhecimentos e 4. Percepções sobre higiene e risco. A tabulação e o processamento dos dados referentes aos questionários foram realizados através dos Softwares EPIDATA, versão 3.1 e SPSS, versão 17.0, respectivamente. Os resultados mostraram que 54,5% dos entrevistados eram do sexo feminino, com faixa etária entre 25 e 68 anos e renda de um a três salários mínimos. A maioria (68,2%) consumia o produto diariamente, 50% observava o preço e 92,9% a qualidade na hora da aquisição. Observou-se ainda que mais de 70% preferiam farinha branca, fina e que 35,3% preferiam a bem torrada. Todos os entrevistados consumiam a farinha como complemento das refeições e como ingrediente de preparações. Segundo 68,2% dos entrevistados, havia riscos à saúde e de contaminação, principalmente por "sujeira" (66,7%) e poluição (53,3%). O estudo revelou predominância feminina com variação etária e econômica, um elevado consumo de farinha de mandioca e baixa importância dos aspectos higienicossanitários.

A methodology for assessing public health risk associated with groundwater nitrate contamination: a case study in an agricultural setting (southern Spain).

Groundwater nitrate contamination from agriculture is of paramount environmental interest. A continuous consumption of polluted water as drinking water or for culinary purposes is by no means a minor hazard for people's health that must be studied. This research presents a new methodology for the spatial analysis of health risk rate from intake of nitrate-polluted groundwater. The method is illustrated through its application to a water quality sampling campaign performed in the south of Spain in 2003. The probability risk model used by the US Environmental Protection Agency has been applied, considering a residential intake framework and three representative population age groups (10, 40 and 65 years).The method was based upon coupling Monte Carlo simulations and geostatistics, which allowed mapping of the health risk coefficient (RC). The maps obtained were interpreted in the framework of water resources management and user's health protection (municipalities). The results showed waterborne health risk caused by nitrate-polluted water is moderately low for the region. The observed risk was larger for the elderly and children, although no significant differences were found among the three age groups (RC average values of 95th percentile for age of 0.37, 0.33 and 0.37, respectively). Significant risk values of RC > 1 were obtained for 10 % of the surface in the NW site of the study area, where the municipalities with the highest contamination thresholds are located (agricultural activity). Nitrate concentration and intake rate stood out as the main explanatory variables of the RC.

PM10 size distribution of metals and environmental-sanitary risk analysis in the city of Torino.

The mechanisms responsible for negative biological effects due to airborne particulate matter (PM) exposure are still being studied, however the interactions between metals and biologic systems seem to be of primary importance. The aim of the study was to estimate a healthy risk linked to exposure to airborne PM10 metals by means of an environmental-sanitary risk assessment. Metals PM10 size distribution analysis was carried out in a central site of Torino city - Italy, then the Target Hazard Quotient (THQ) and the Cancer Risk (CR) were applied, according to standard EPA methods. All sampled metals were present on the different PM10 fractions, however some metals were distributed in some specific fractions: ANOVA test shows Cr, Cu, Mo and Pb as differently distributed among the eight fractions, rising the hypothesis of potential effects in specific tracts of respiratory system. Regarding the risk assessment, in general the CR was higher for an adult than for a child, conversely the THQ resulted higher for a child. While the concentrations of all the sampled metals appeared to be under control, their presence in the different PM10 fractions and their THQ and CR provided indications related to the body districts potentially in contact with these substances.

Concepções sobre riscos na perspectiva de profissionais de vigilância sanitária / The meaning of risk for the professionals from health surveillance agencies

A Vigilância Sanitária (VISA) é definida como um conjunto de ações capaz de eliminar, diminuir ou prevenir riscos à saúde e de intervir nos problemas sanitários decorrentes do meio ambiente, da produção e circulação de bens e da prestação de serviços de interesse da saúde. Tal definição introduziu o conceito de risco, destacando a função da VISA: controlar o risco no consumo de produtos e tecnologias, na utilização de serviços de saúde e na exposição a condições ambientais. Operando sobre o risco sanitário, além da interação social, o profissional de VISA necessita integrar conhecimento técnico e o arcabouço legal para controlar um objeto que possui múltiplas dimensões e propriedades e que requer diferentes formas de investigação. Porém, existe uma lacuna precariamente explorada no âmbito da VISA no que se refere ao entendimento do risco, sobretudo quando se considera a magnitude deste objeto para suas ações e, os significados atribuídos por seus profissionais não foram estudados. Para compreender os significados atribuídos ao risco nas ações de VISA, foi realizada uma pesquisa qualitativa utilizando o Interacionismo Simbólico como referencial teórico e a Teoria Fundamentada nos Dados como método. Através de entrevistas com gestores e profissionais das vigilâncias sanitárias municipal, estadual e ANVISA foi construída uma estrutura teórica que contém os significados do risco e suas categorias relacionadas. A compreensão dos significados não se restringiu à expressão sendo abordados os contextos, as condições, ações e consequências para compreender como os profissionais interpretam o risco e assumem suas significações nos locais em que atuam. O risco passa pela descrição técnica, no sentido objetivo, e remete tanto aos aspectos formais relativos às questões administrativas, políticas e jurídicas, quanto aos aspectos subjetivos, ligados às representações e sistemas de valores, ultrapassando seu sentido meramente quantitativo...

Health surveillance (HS) is defined as a group of actions capable of eliminating, reducing or preventing health risks and of intervening in sanitary problems resulting from the environment, the production and circulations of goods and the provision of health-care related services. This definition introduced the concept of risk, highlighting the role of HS: to control the risk in the consumption of products and technologies, in the use of health services, and in the exposition to environmental conditions. When intervening in sanitary risk, the HS professional needs to not only interact with others, but also integrate technical knowledge and legal framework in order to control an object which has multiple dimensions and properties and requires various forms of investigation.. However, there is a gap that is precariously explored within the HS regarding the comprehension of risk, especially when the magnitude of this objection to its actions is considered and the meanings of risk assigned by its professionals have not been studied. To understand the meanings attributed to risk in HS actions, a qualitative study was conducted using Symbolic Interactionism as a theoretical background and Grounded Theory as a method. Based on interviews with managers and professionals from local, state and national health surveillance agencies, a theoretical structure that contains the meanings of risk and its related categories was created.Understanding the meanings of risk was not restricted to its expression approaching the contexts, conditions, actions and consequences for understanding how professionals interpret the risk and assume its meanings in places in which they operate. The risk passes through the technical description, in the objective sense that refers to both formal aspects related to administrative, political and legal issues, as to the subjective aspects, linked to representations and value systems, surpassing the merely quantitative sense. These meanings...

Critical analysis of the regulations regarding the disposal of medication waste

Expired or unused medication at people's homes is normally disposed of in normal garbage, sewage system or, in certain cases, returned to the public health system. There is still no specific legislation regarding this leftover medication to regulate and orient the handling and correct disposal of medication waste. However, there is defined regulation regarding health services' solid waste. This article has the objective of discussing management models for the disposal of medication waste and the recommendations made by pertinent national and international legislation. By means of literature reviews, the management structure for medication waste of international legislation and the regulations regarding the environment, as well as the national legislation for the solid waste from health services was analyzed. Through the analysis it was possible to present better clarifications as to the possible impacts to the environment, to the public's health and alternatives in order to obtain the efficient disposal of medication, reducing and/or avoiding sanitary risk, guaranteeing the quality and safety of public health.

As sobras de medicamentos oriundas do desuso ou da expiração do prazo de validade que constam nos domicílios da população, normalmente, são destinadas diretamente para o lixo comum, rede de esgoto ou, em alguns casos, devolvidas para a rede pública. Sobre essas sobras, ainda não há legislação específica que regulamenta e orienta sobre a manipulação e destinação correta do descarte dos resíduos de medicamentos. Entretanto, sobre os resíduos sólidos de serviços de saúde já se possui regulamentações definidas. O presente artigo tem como objetivo discutir modelos de gestão de descarte de resíduos de medicamentos e as recomendações de legislações internacionais e nacionais pertinentes. Por meio de revisão de literatura, analisou-se a estrutura do gerenciamento de resíduos para medicamentos de legislação internacional e as regulamentações relacionadas ao meio ambiente, assim como a legislação nacional de resíduos sólidos de serviços de saúde. Com a análise foi possível apresentar melhores esclarecimentos quanto aos possíveis impactos ao meio ambiente, à saúde da população e alternativas para se obter gestão eficaz de descarte de medicamentos, reduzindo e/ou evitando o risco sanitário, garantindo qualidade e segurança da saúde pública.

Os sentidos de segurança sanitária no discurso da Agência Nacional de Vigilância Sanitária / The senses of sanitary safety in the discourse of the National Health Surveillance Agency

A segurança sanitária (SS) surge no debate internacional sobretudo pelas crises sanitárias emergentes, embora o sentido da expressão ainda não se faça claro. O artigo objetiva analisar a noção de SS incorporada na vigilância sanitária com a criação da Agência Nacional de Vigilância Sanitária. Realizou-se estudo de caso exploratório com análise de documentos técnicos e entrevistas semiestruturadas com participantes do processo de formulação do desenho institucional. Utilizaram-se as categorias: incorporação da expressão SS na missão institucional, noção e mecanismos de SS. Verificou-se que coexistem distintos sentidos atribuídos à SS em face do contexto de uso e diversidade de objetos da vigilância. O estudo enseja a análise da noção de SS em duas dimensões discursivas: institucional e técnica. A primeira revela os sentidos de estratégia, confiança e legitimidade; a segunda, o sentido de relação risco/benefício aceitável na perspectiva da proteção e promoção da saúde individual e coletiva. A noção de SS abrange produtos, tecnologias e serviços de saúde, objetos de preocupações, sobretudo aqueles com finalidade diagnóstica e terapêutica, e pouco incorpora questões ambientais. Constata-se ampliação do escopo da noção para vigilância de infecção hospitalar, fármaco e hemovigilância.

The term sanitary safety (SS) appeared in the international debate mainly due to the emerging sanitary crisis, although its meaning has remained obscure. This paper aims to analyze the concept of SS brought into the Brazilian sanitary surveillance upon the creation of the National Health Surveillance Agency. An exploratory case study was undertaken with technical data analysis and semi-structured interviews with informants who had taken part in the process of formulating the body's institutional design. The following categories were analyzed: incorporation of the SS term into the institutional mission, the SS concept and SS mechanisms. The SS concept was analyzed in both institutional and technical discursive dimensions. The former elicits the sense of strategy, a reliable relationship and legitimacy whereas the latter shows the sense of an acceptable risk-benefit relationship from the perspective of individual and collective health protection and promotion. The SS concept was found to encompass health-related products, technologies and services, especially those designed for medical diagnosis and treatment, but environmental issues received little mention. The scope of the SS concept was shown to be widening to include the surveillance of hospital infection, drugs and blood.

Comportamiento de los indicadores de contaminación fecal en diferente tipo de aguas de la Sabana de Bogotá (Colombia) / Performance of faecal contamination indicators in different type of waters from the Sabana of Bogotá (Colombia)

El crecimiento acelerado de la población a nivel mundial ha generado un aumento en la demanda del recurso hídrico y en los niveles de contaminación del mismo. Los residuos tanto de origen doméstico como industrial generan problemas a nivel ambiental y de salud pública. En el caso específico de la contaminación de origen doméstico, el mayor riesgo se presenta por las altas concentraciones de materia orgánica y microorganismos patógenos que pueden difundirse a través del agua. Determinar la presencia de los patógenos en el agua requiere de laboratorios especializados y técnicas costosas que tardan varios días. Como alternativa, se propone el uso de indicadores de contaminación fecal (bacterias, virus y parásitos), los cuales requieren técnicas más sencillas, rápidas y económicas. Con el objeto de conocer la presencia, concentración y comportamiento de indicadores bacterianos (coliformes fecales), virales (fagos somáticos y F específicos) y parasitarios (huevos de helminto, Giardia spp., y Cryptosporidium spp.) en nuestras condiciones ambientales, se realizaron varios muestreos en aguas superficiales, subterráneas, sistemas de potabilización y depuración en la Sabana de Bogotá (Colombia). Los resultados mostraron la presencia de los indicadores propuestos en todas las muestras de agua y concentraciones similares a las encontradas en otros países con condiciones ambientales diferentes.

The world’s population is growing at such rate that not only the demands for water supply have raised considerably but also its contamination levels. Residues from domestic and industrial origin have generated environmental problems and public health issues. Water contamination coming from domestic origin, shows a higher risk because of the quantity of organic matter and the presence of pathogenic microorganisms. Due to determinations of these pathogens requiressophisticated laboratories and the techniques used for their detection are very costly and time consuming, it is proposed an alternative technique using bacteria, virus and parasites as faecal indicators, since they exhibit similar behaviour, and their determination techniques are a lot simpler, faster and low cost. The objective of the present study is to evaluate the occurrence, concentration and behaviour of indicators from bacterial origin as faecal coliforms, from viral origin as somatic coliphages and F-specific RNA bacteriophages, and from parasite origin such as helminth eggs, Giardia cysts and Cryptosporidium oocysts. A series of samples were taken at surface, groundwater, drinking water and wastewater treatment system in the surrounding area of Bogotá (Colombia). The results show the presence of all microbial indicators in all water samples, in similar concentrations to those found in different countries with different environments.