Yukari Figueroa Mise

Envenenamento por serpentes do gênero Bothrops no Estado da Bahia: aspectos epidemiológicos e clínicos

This study describes the clinical and epidemiological characteristics of 655 cases of Bothrops snakebites that were attended by and/or notified to the Bahia Antivenin Information Center, State of Bahia, Brazil, in 2001. The annual incidence in the State was 5.0 cases/100,000 inhabitants and lethality was 1%. The incidence was greatest in the North Coast microregion (21.9/100,000 inhabitants) and the municipality of Itanagra (92.9/100,000 inhabitants). The snakebites occurred predominantly during the day, affecting the lower limbs of men aged 11-30 years who worked in rural areas during the rainy period. Medical care was obtained more than 13 hours after the snakebite in 19% of the cases. Moderate (47.8%) and severe (23.6%) clinical presentations prevailed. The local and systemic clinical manifestations followed the usual pattern for Bothrops snakebites in Brazil. However, a few cases presented neurological manifestations, which are not usually attributed to Bothrops snakebites. The antivenin therapy used (7.7 blisters/patient) reflected the fact that the majority of the cases were moderate. Antivenins other than the univalent type were used in 2.3% of the cases.

0115 Gender and proportionate mortality by acute occupational pesticides poisoning among agricultural workers in brazil

To identify gender-related differences in proportionate mortality estimates of acute occupational pesticides poisoning among farmer workers in Brazil. This is a proportionate mortality study, carried out with work-related injuries deaths, which occurred with farmer workers from 16 to 70 years of age, focusing acute occupational pesticide poisoning. Data were from the Brazilian Mortality Information System (SIM) from 2000 to 2013. Potential associated factors were age group, skin colour, marital status, education and country region. Estimates of proportionate mortality odds ratio of work-related acute pesticide poisoning was association the measure. There were 6754 work-related injuries deaths among agricultural workers, 643 caused by occupational acute pesticide poisoning, a proportionate mortality of 9.5%, higher among women (n=65; 24.9%) compared with men (n=578; 8.9%) in general, and for all categories of potential associated factors. The contribution of work-related fatal pesticide poisoning relative to all occupational injuries among farmer women was higher when they were under 30 years of age, had brown or black skin colour, lived in the poorest regions of the country and the injury occurred during summer. Distinctively, males had relative excess of cases when were older, white, single or married, better education and the death occurred in all seasons but winter. Work-related deaths caused by pesticide poisoning are preventable and should not occur or be a very rare event as described in developing countries. The widespread use of pesticides in agriculture in Brazil warns to implement safer practices for all, targeting the growing number of women labour force, and young workers expressive in rural areas.

0189 Work-related snake bites injuries among farmers in brazil

Objective To estimate annual incidence of work-related snake bites injuries, WSBI, among farmers in Brazil from 2007 to 2015. Methods This study was carried out with data from the Information System for Notifiable Diseases and injuries, SINAN, which includes records of work-related injuries caused by poisonous animals. Population estimates are from the Brazilian Institute of Geography and Statistics, IBGE. Results In 2007 the WSBI incidence was 5.3/100,000 and 5.2/100,000 in 2015, a reduction of −2.4% among farmers in Brazil. The highest WSBI incidence was estimated for Roraima and Espirito Santo, in 2007 (29.5/100,000 and 24.7/100,000, respectively) and 2015 (40.7/100,000 and 16.1/100,000). Over the study time, the WSBI annual incidence increased in the North (52.3%) and Northeast (14.6%). In the remaining regions there was a decrease of −66.8% (Middle West), −40.8% (Southeast) and −32.0% (South). Conclusions There are deep regional disparities in the risk of WSBI among farmers in the country, approximately 15u2009million. Epidemiological data for them are scarce leaving invisible these severe, potentially disabling or fatal preventable work-related injury with simple safe shoes like rubber boots. Financing source Ministry of Science and Technology/Universidade Federal da Bahia

Agriculture and snakebite in Bahia, Brazil: an ecological study.

This study investigated the correlation between the incidence of snakebite and indicators of agricultural development in municipal districts of the State of Bahia, Brazil. An ecological study was conducted with the 27,347 cases of snakebite poisoning reported to the Reportable Diseases National Information System in municipalities from the State of Bahia, Brazil, 2000-2009. The unit of analysis was each one of the 417 State municipalities, and the outcome variable was the average annual incidence of snakebite. Data were analyzed by multiple linear regression technique. The average annual incidence of snakebite ranged from zero to 221.96 per 100,000 inhabitants, according to the municipalities. The incidence of snakebite was positively and strongly associated with municipality characteristics: planted areas of cocoa and coffee, and the size of domestic bred chicken and bovine livestocks. It was concluded that several characteristics related to municipal agricultural profile were strongly associated with the incidence of snakebite.