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DATA : 11/12/2019
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Epidemiological and social-environmental issues of the Scorpionism in the Bahia Far Southern.


Scorpionism; Tytius; Descriptive Epidemiology; Negligent Doenças; Environmental Social Vulnerability.

ÁREA: Ciências Ambientais

Introduction: Scorpionism is a serious public health problem in Brazil and in the world in recent years. Those belonging to the genus Tityus, especially two species: Tityus serrulatus, and Tityus bahiensis, are recognized as scorpions of medical importance in Bahia, and are the first to be responsible for the most serious accidents. Epidemiological studies and indexes of social and environmental vulnerability have been used in order to evaluate urban social and environmental contexts and health threats, aiming at better understanding the health-disease relationship. Objective: The objective of the study is to present an epidemiological analysis and relate it to factors associated with the severity of Scorpionism, as well as to propose and test a Socio-environmental Vulnerability Index (IVSA) to scorpion accidents. Method: An ecological descriptive epidemiological study was performed with calculation of incidence, lethality and Odds ratio for factors associated with gravity, georeferencing and spatial analysis, using data from the IBGE demographic census2010 of the scorpion accidents reported in the Notification Disaster Information System, in the period 2010 a 2017 no Extremo Sul da Bahia. The software TabWin32 3.6b, Microsoft Excel 2010, Excel Calculator for sample and statistical sizes and QGIS software version 2.18 were used for data tabulation and analysis. Result: The highest incidences of scorpion accidents occurred in 2014 and 2017 and in the municipalities of Lajedão and Medeiros Neto. Ten deaths occurred during this period. Highest concentration of accidents in the rural area (62.5%), with the exception of Teixeira de Freitas, the most urbanized city in the region; in men (70.1%), age group 20-49 years (51%), literacy (51.5%), blacks (84%) and with low labor relation (22.6%). The most affected region of the body was the hand (61.9%), with predominance of mild cases (82.8%), local symptoms (92.1%). Severe pictures affect three times more people under 15 years of age (p<0,001). Analyzing the occurrence of urban Scorpions in the city of Teixeira de Freitas, where an index of social and environmental vulnerability was applied, it was evidenced that the vulnerability to accidents is linked to the low socioeconomic condition; and the more vulnerable the population is, the greater the frequency of scorpion accidents. Conclusion: there was an increase in Scorpionism and predominance of cases in rural areas, children and men. The same is a serious public health problem in the Extreme South region of Bahia. They are related to low socioeconomic conditions, both in the urban and rural environment, providing training and surveillance to reduce the epidemic. IVSA could be an useful, versatile and low-cost tool for planning the most effective public policy strategies.

Externo ao Programa - 1212769 - JANE MARY DE MEDEIROS GUIMARAES
Externo ao Programa - 1962065 - LINA RODRIGUES DE FARIA
Presidente - 1189312 - VANNER BOERE SOUZA
Notícia cadastrada em: 02/12/2019 15:44
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