Vigilância e monitoramento de fluoretos em águas de abastecimento público: uma revisão sistemática

Venturini, Ceci Queluz; Narvai, Paulo Capel; Manfredini, Marco Antonio; Frazão, Paulo

doi:10.4136/ambi-agua.1929

Cited by 17 publications

(27 citation statements)

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“…This normative device is outdated and needs to be revised (Frazão et al, 2011). In addition, because it presents a dichotomous classification, experts have noted that it is an undesirable interpretative reduction (Venturini et al, 2016), and have emphasized that it does not consider the balance between benefits and risks to health (Frazão et al, 2011). Although most of the studies (75%) used the dichotomous (adequate/inadequate) classification criterion, it is acknowledged that these narrow down the options for interpretation and attribution of meaning to the characteristics of the samples (Cecol, 2011;Bergamo et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

“…Systematic assessment revealed a potential discontinuity characterized by concentration values not complying with the legislation and being below the level prescribed to prevent tooth decay, reinforcing the warnings of several researchers regarding the need to expand water fluoridation monitoring systems. While not exposed to the risk of dental fluorosis, the population would be deprived of the maximum benefit provided by an adequate level of fluoride in water (Venturini et al, 2016). Except for a study that found increasing rates of fluoridation standard compliance according to the scale of the supply systems and the values of the HDI (Daré et al, 2009), information on the relationship between the quality level of fluoridation and municipal-level indicators related to sanitation, health, economic and income inequality variables is scarce.…”

Section: Introductionmentioning

confidence: 99%

“…Considering the dissimilarity showed in the scientific literature regarding the interpretation of data on fluoride concentration (Venturini et al, 2016) and the interest in the qualification of fluoridation systems, Brazilian experts have reached a technical consensus (CECOL, 2011) to classify public water supplies according to fluoride contents. Few studies have compared this new criterion with the conventional one (Brasil, 1976), assessing the differences among the results.…”

Section: Introductionmentioning

confidence: 99%

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2018

Rev. ambiente água

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These maps show the variation of EI30 index that was computed as the product of total kinetic rainfall energy (EC) and maximum 30-min precipitation intensity (I30) in Mato Grosso State, Brazil. During the first and second EI30 periods (October-November and December-March, respectively) many agricultural activities occur in the State. The most critical period is October to February when activities such as tilling, sowing, and harvesting are concentrated. The third period (April-September) is the least critical because the majority of the soils are covered by the crop canopy.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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2018

Rev. ambiente água

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“…A systematic review of the scientific literature involving Brazilian studies revealed that most non-conformity situations concerning fluoride concentration did not represent immediate health risk for the population, as they referred to hypo-fluoridation situations -that is, fluoride level below the recommended for preventing dental caries 18 . Despite such evaluation, monthly data obtained when following the Program in each municipality have inestimable value, and should not be discarded or abandoned in database and electronic files of surveillance agencies.…”

Section: The Vigifluor Systemmentioning

confidence: 99%

O modelo de vigilância da água e a divulgação de indicadores de concentração de fluoreto

et al. 2018

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RESUMO A vigilância da água é uma estratégia essencial para assegurar padrões de segurança e qualidade para o consumo humano. Entre os parâmetros de qualidade, destaca-se o fluoreto. O objetivo deste estudo foi descrever o modelo de vigilância da qualidade da água e apresentar uma proposta de indicadores e disseminação das informações à população com relação ao parâmetro fluoreto. Com base nas principais evidências científicas, explica-se a importância de se manter o parâmetro sob controle nos sistemas de abastecimento e apresenta-se uma descrição sumária do modelo de vigilância da água no Brasil, mostrando que o desenho não oferece indicadores para monitorar longitudinalmente o parâmetro nem a visibilidade a todos os que têm direito à informação. Em seguida, apresentam-se as bases técnicas e operacionais do Sistema de Vigilância da Fluoretação da Água de Abastecimento Público, uma proposta para aprimoramento do modelo. Indicadores para disseminação das informações são descritos, argumentando-se que o País dispõe de recursos e condições para superar a precariedade das informações sobre a concentração de fluoreto e sobre a cobertura da fluoretação da água em todas as unidades do território nacional.

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“…Quando esse monitoramento é feito a partir da observação de amostras da água por organismo distinto daquele que é responsável pelo sistema de fluoretação, ele é chamado de heterocontrole (NARVAI, 2000a). Quando o monitoramento é parte da ação permanente do Estado, é chamado de vigilância (VENTURINI et al, 2016).…”

Section: Introductionunclassified

Diferenças inter-regionais na implementação da vigilância da qualidade da água em relação ao fluoreto no Brasil, 2015

Sanchez¹

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Introduction: Water quality surveillance is the main strategy to ensure its potability and to assess the risks that water supply systems and alternative solutions may pose to human health. Among the surveillance parameters, fluorine ion (fluorides) stands out, due to the risks and benefits that its concentration may represent for human health. Objective: Analyze the structure and degree of implementation of public water quality monitoring activities in relation to the fluoride parameter between Brazilian states, including the Federal District. Methods: Twenty-seven questionnaires were applied to the authorities responsible for water surveillance in order to investigate the monitoring activities of the water quality for human consumption. The level of implementation was considered incipient, intermediate or advanced according to criteria/ indicators defined based on a logical model. Results: Only seven federative units were monitoring the fluoride parameter while the others units needed better structuring, implementation of activities, encouragement and/or interaction between government levels, administrative cores and experts. Conclusion: To achieve an advanced grade of implementation of the fluoride surveillance in all units of the federation, coordination mechanisms and the governance process of this policy in this institutional subsector of the health sector should be improved.

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Vigilância e monitoramento de fluoretos em águas de abastecimento público: uma revisão sistemática

Cited by 17 publications

References 11 publications

Untitled

Untitled

O modelo de vigilância da água e a divulgação de indicadores de concentração de fluoreto

Diferenças inter-regionais na implementação da vigilância da qualidade da água em relação ao fluoreto no Brasil, 2015

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