Exposição ocupacional e ocorrência de pneumoconioses na região de Campinas (SP) Brasil, 1978-2003

Abstract

Objective: To develop and consolidate a comprehensive database on the occurrence of pneumoconioses in an industrialized region of Brazil, with a special focus on the activities most frequently related to these diseases. Methods: A retrospective, observational study was conducted in order to gather data on cases of pneumoconioses treated at the outpatient clinic of the State University at Campinas Hospital das Clínicas between 1978 and 2003. Individuals diagnosed with pneumoconiosis, based on their occupational history and on chest X-ray findings of abnormalities consistent with interstitial lung disease involving the parenchyma, in accordance with the 1980 and 2000 recommendations of the International Labour Organization, were included in the study. Results: A total of 1147 cases of pneumoconiosis were identified (1075 in males and 72 in females): 1061 cases of silicosis (92.5%); 51 cases of mixed-dust pneumoconiosis (4.45%); 15 cases of asbestosis (1.31%); 13 cases of phosphate rock-related pneumoconiosis (1.13%); and 7 cases of other types of pneumoconiosis (0.6%), including those related to exposure to coal, graphite and hard metals. The most common chest X-ray findings were 1/0, 1/1 or 1/2 profusion and small regular opacities (p, q or r), although 192 patients (16.74%) presented large opacities. There has been a substantial decline in the occurrence of the disease since the 1990s, and the duration of exposure was typically shorter than that observed in a study conducted in the United States. Conclusions: Our findings have been compiled into a comprehensive database for the investigation of pneumoconiosis in an industrialized area of Brazil. These data make it possible to conduct follow-up studies and develop health policies related to occupational respiratory disorders.Keywords: Occupational medicine; Respiratory tract diseases/epidemiology; Pneumoconiosis; Epidemiology. ResumoObjetivo: Desenvolver e consolidar uma ampla base de dados acerca da ocorrência das pneumoconioses numa região industrializada do Brasil, com especial referência às atividades mais freqüentemente relacionadas a essas doenças. Métodos: Numa avaliação retrospectiva observacional, coletaram-se dados referentes à casuística ambulatorial das pneumoconioses no Hospital das Clínicas da Universidade Estadual de Campinas, entre o período de 1978 e 2003. Incluíram-se os indivíduos com diagnóstico de pneumoconiose, com base no histórico ocupacional e no radiograma do tórax, segundo recomendações da Organização Internacional do Trabalho, de 1980 e 2000, com anormalidades compatíveis com comprometimento intersticial do parênquima pulmonar. Resultados: Foram identificados 1.147 casos de pneumoconiose (1.075 homens e 72 mulheres), sendo 1.061 casos (92,5%) de silicose, 51 (4,45%) de pneumoconiose por poeira mista, 15 (1,31%) de asbestose, 13 (1,13%) de pneumoconiose por rocha fosfática e 7 (0,61%) de outras pneumoconioses (por carvão, grafite e metais duros). As alterações radiológicas com profusão 1/0, 1/1 e 1/2 e as pequenas opacidades reg...

Pneumoconioses: estudo descritivo de aspectos epidemiológicos nas notificações registradas no Sistema de Informação de Agravos de Notificação (SINAN), no Estado de São Paulo, no período 2017-2019

“…Outro estudo 14 fez um levantamento de casos de pneumoconioses em pacientes atendidos nos ambulatórios do Hospital das Clínicas da Universidade Estadual de Campinas entre os anos de 1978 a 2003 14 . Foram identificados 1.147 casos de pneumoconiose, sendo 1.075 em homens e 72 em mulheres.…”

“…Lido et al 14 corroboram os dados de outros autores já citados de que a silicose é a doença mais incidente. Em seu estudo, a sílica livre cristalina correspondeu a 1.061 dos casos (92,5%); a poeira mista, a 51 casos (4,5%) e o asbesto, a 15 (1,3%).…”

Analysis of the profile of pneumoconiosis hospitalizations from 2010 to 2020 in the Midwest Region of Brazil

“…This higher number is mainly due to the greater exposure of this portion to studies that pose a risk for the development of pneumoconiosis. 19,20,21 Region economically active population (15 to 65 years), cases in this range correspond to approximately 55% (n=455) of the total number of hospitalizations in the OC (=825), which justifies pneumoconiosis as a work-related disease. It is worth noting that among these numbers, most cases correspond to the age group of 60 to 69 years (n=125), evidencing the chronic aspect, of slow and progressive onset of the disease 1,2,3,22 .…”

The local health impacts of natural resource booms

“…Gastrointestinal lesions on animals. No clear effects on development and children CDC ( 2021 ) Graphite Graphite pneumoconiosis (respiratory disease) in adults (similar to asbestos effects from dust) Uragoda ( 1997 ), Lido ( 2008 ) Gypsum Damage to lungs from repeated or extended exposure CDC ( 2021 ), Integrated Laboratory systems, Inc. ( 2006 ) Air pollution due to cement plants affect pre‐term delivery Yang et al. ( 2003 ) Feldspar Can contain Uranium, exposure to radiation.…”