Milena Maria Cordeiro de Almeida

0427 Occupational exposures among home-based informal workers in a poor urban area of brazil

Background In Brazil, the National Health System provides primary health care, PHC, in which interdisciplinary teams support community health agents, CHA, responsible for families living in catchment areas. Objectives To describe occupational exposures among informal home-based workers, HBW, in order to integrate occupational health and safety into PHC. Methods Based on PHC families’ files, home-based informal workers were listed and recruited. Trained interviewers and CHAs visited worksites to identify hazards using a checklist, assessing levels of noise and formaldehyde in the air, and other self-reported threats to health. Tablets with ODK Collect software were used. Results There were 450 worksites and 468 invited workers agreed to participate. The majority comprises women (77.1%), of black skin colour (92.5%), 18–50 years of age (54.7%), 6–9 school years (65.4%), and an average US

Perfil epidemiológico dos casos de LER/DORT entre trabalhadores da indústria no Brasil no período de 2007 a 2013

300.00 income per month (75.4%). Prevailing trades were retail (35.3%), food (25.8%) and personal beauty care (17.1%). Almost all workers reported to be self-employed (92.5%), had no resting days (45%) and 45 to 135 work hours per week (48.5%). All worksites had occupational exposures of interest for health. From 19.6 hours continuous assessment, the noise level was 77 dB(A), and formaldehyde exposure over threshold limit value was detected in five beauty salons out of 10 investigated. Conclusions Home-based businesses is a mainly women survivorship strategy, who work for long journeys, in poor urban areas of Brazil. The integration of workers’ health into PHC can identify, in this context, situations of health problems and support planning of preventive measures.

PRÁTICAS CORPORAIS NA ATENÇÃO BÁSICA À SAÚDE: A EXPERIÊNCIA DA INTEGRAÇÃO ENTRE ENSINO DA FISIOTERAPIA EM SAÚDE COLETIVA, SERVIÇO E COMUNIDADE

Objetivo: descrever o perfil epidemiologico dos casos de lesoes por esforco repetitivo (LER/DORT) entre trabalhadores da industria no Brasil, notificados no periodo de 2007 a 2013. Metodos: estudo descritivo com dados secundarios do Sistema de Informacao de Agravos de Notificacao (Sinan). Calcularam-se as proporcoes dos casos de LER/DORT de acordo com as variaveis do estudo, estimou-se o coeficiente de incidencia (CI) das LER/DORT, total e por sexo, e calculou-se a variacao proporcional percentual (VPP) no periodo estudado. Resultados: entre 2007 e 2013 foram notificados 17.537 casos de LER/DORT na Industria, com um CI total de 7,4/100 mil trabalhadores em 2007 e de 16,7/100 mil em 2013, com uma VPP no periodo de 126%. Os tres principais diagnosticos foram: lesoes no ombro (29,3%), transtornos de sinovias e tendoes (14,6%) e dorsalgias (14%). Conclusao: diante do aumento das notificacoes, observa-se a importância do registro e analise dos casos para o planejamento e instituicao de medidas de prevencao e atencao integral a saude dos trabalhadores de acordo com as especificidades da atividade economica desenvolvida por eles. Tambem e fundamental a discussao da responsabilidade das empresas e empregadores sobre o adoecimento dos trabalhadores.