Diagnóstico das condições de saúde de uma comunidade garimpeira na região do Rio Tapajós, Itaituba, Pará, Brasil, 1992
Autor(a) principal: | |
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Data de Publicação: | 1995 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/725 |
Resumo: | The purpose of this article is to describe health conditions in a pan-mining community, in particular the interaction of mercury contamination with other health problems. This study was carried out in a panning mine located on Rato Creek, a tributary of the Tapajós River Basin in the municipality of Itaituba, State of Pará The study population consisted of 223 individuals. An epidemiological questionnaire was applied, medical treatment was given, and biological specimens were collected. Testing of fecal samples showed that 96.1% of the individuals had parasites and 66.4% were anemic. Prevalence of hepatitis B virus was 85.0%, and 11 individuals (6.0%) were virus carriers (HBsAg positive). Of 186 patients tested for malaria, 65 individuals (35.0%) had the infection, of whom 34 (52.3%) were asymptomatic. Prevalence of syphillis was 41.6%. Urine mercury levels were measured in 173 individuals. Some 16 (9.2%) of those tested had mercury levels between 10 and 19 ug/l, while 9 patients (5.2%) had levels above 20 ug/l. An overview of general health conditions showed a combination of problems in individuals, who lacked adequate diagnosis, in addition to a high level ofself-medication, given the absence of health facilities. In addition, these individuals are threatened by critical levels of mercury contamination. In conclusion, this article gives a general overview of health conditions in these pan-mining communities, demonstrating the multicausal nature of health conditions in the Amazon region, a fact which should be considered when planning appropriate strategies for clinical treatment. |
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Diagnóstico das condições de saúde de uma comunidade garimpeira na região do Rio Tapajós, Itaituba, Pará, Brasil, 1992Saúde AmbientalSaúde do TrabalhadorGarimpo de OuroMercúrioThe purpose of this article is to describe health conditions in a pan-mining community, in particular the interaction of mercury contamination with other health problems. This study was carried out in a panning mine located on Rato Creek, a tributary of the Tapajós River Basin in the municipality of Itaituba, State of Pará The study population consisted of 223 individuals. An epidemiological questionnaire was applied, medical treatment was given, and biological specimens were collected. Testing of fecal samples showed that 96.1% of the individuals had parasites and 66.4% were anemic. Prevalence of hepatitis B virus was 85.0%, and 11 individuals (6.0%) were virus carriers (HBsAg positive). Of 186 patients tested for malaria, 65 individuals (35.0%) had the infection, of whom 34 (52.3%) were asymptomatic. Prevalence of syphillis was 41.6%. Urine mercury levels were measured in 173 individuals. Some 16 (9.2%) of those tested had mercury levels between 10 and 19 ug/l, while 9 patients (5.2%) had levels above 20 ug/l. An overview of general health conditions showed a combination of problems in individuals, who lacked adequate diagnosis, in addition to a high level ofself-medication, given the absence of health facilities. In addition, these individuals are threatened by critical levels of mercury contamination. In conclusion, this article gives a general overview of health conditions in these pan-mining communities, demonstrating the multicausal nature of health conditions in the Amazon region, a fact which should be considered when planning appropriate strategies for clinical treatment.O objetivo do trabalho foi conhecer as condições de vida e de saúde de uma comunidade garimpeira e, particularmente, a superposição da contaminação Mércurial com outros agravos. Foi realizada no garimpo do igarapé do Rato, na bacia hidrográfica do rio Tapajós, Itaituba-Pará. A população abrangeu 223 indivíduos aos quais foi aplicado um questionário epidemiológico, e feito atendimento médico e coleta de espécimes biológicos. Na coproscopia, 96,1% indivíduos estavam parasitados e 66,4% anêmicos. A prevalência para o vírus da hepatite B ficou em 85,0%; 11 (6,0%) eram portadores do vírus. Dentre os pacientes investigados para malária, 35,0% (65) estavam com a doença e desses 52,3% (34) eram pacientes assintomáticos. A prevalência para sífilis foi de 41.6%. As dosagens de mercúrio em urina de 173 indivíduos revelaram 16 (9,2%) pacientes com dosagens maiores do que 10 ug/l e até 19 ug/l, enquanto que 9 pacientes (5,2%) do total investigado revelaram teores acima de 20 ug/l. O estudo revela indivíduos com superposição de agravos, sem diagnóstico adequado por falta de atendimento médico, praticando a automedicação, e, agora, vivendo a ameaça da intoxicação por mercúrio. Concluindo, o presente trabalho ofereceu apenas uma visão geral das condições de saúde encontradas na comunidade garimpeira estudada. Impossível, sob pena de alongar demasiadamente o artigo, detalhar todos os diversos aspectos que foram pesquisados, e que serão objeto de publicações futuras. Entretanto, essa visão geral atinge a finalidade de por em evidência a multicausalidade encontrada quando se precisa avaliar as condições de saúde na região amazônica, e que deve ser levada em consideração por ocasião do atendimento clínico e da administração terapêutica.Reports in Public HealthCadernos de Saúde Pública1995-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/725Reports in Public Health; Vol. 11 No. 2 (1995): April/JuneCadernos de Saúde Pública; v. 11 n. 2 (1995): Abril/Junho1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/725/1466https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/725/1467Santos, Elisabeth de O.Loureiro, Edvaldo Carlos B.Jesus, Iracina Maura deBrabo, EdilsonSilva, Rita do S. U. daSoares, Manoel do C. P.Câmara, Volney de M.Souza, Maria dos R. S. deBranches, Fernandoinfo:eu-repo/semantics/openAccess2024-03-06T15:26:02Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/725Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:00:54.893501Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Diagnóstico das condições de saúde de uma comunidade garimpeira na região do Rio Tapajós, Itaituba, Pará, Brasil, 1992 |
title |
Diagnóstico das condições de saúde de uma comunidade garimpeira na região do Rio Tapajós, Itaituba, Pará, Brasil, 1992 |
spellingShingle |
Diagnóstico das condições de saúde de uma comunidade garimpeira na região do Rio Tapajós, Itaituba, Pará, Brasil, 1992 Santos, Elisabeth de O. Saúde Ambiental Saúde do Trabalhador Garimpo de Ouro Mercúrio |
title_short |
Diagnóstico das condições de saúde de uma comunidade garimpeira na região do Rio Tapajós, Itaituba, Pará, Brasil, 1992 |
title_full |
Diagnóstico das condições de saúde de uma comunidade garimpeira na região do Rio Tapajós, Itaituba, Pará, Brasil, 1992 |
title_fullStr |
Diagnóstico das condições de saúde de uma comunidade garimpeira na região do Rio Tapajós, Itaituba, Pará, Brasil, 1992 |
title_full_unstemmed |
Diagnóstico das condições de saúde de uma comunidade garimpeira na região do Rio Tapajós, Itaituba, Pará, Brasil, 1992 |
title_sort |
Diagnóstico das condições de saúde de uma comunidade garimpeira na região do Rio Tapajós, Itaituba, Pará, Brasil, 1992 |
author |
Santos, Elisabeth de O. |
author_facet |
Santos, Elisabeth de O. Loureiro, Edvaldo Carlos B. Jesus, Iracina Maura de Brabo, Edilson Silva, Rita do S. U. da Soares, Manoel do C. P. Câmara, Volney de M. Souza, Maria dos R. S. de Branches, Fernando |
author_role |
author |
author2 |
Loureiro, Edvaldo Carlos B. Jesus, Iracina Maura de Brabo, Edilson Silva, Rita do S. U. da Soares, Manoel do C. P. Câmara, Volney de M. Souza, Maria dos R. S. de Branches, Fernando |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Santos, Elisabeth de O. Loureiro, Edvaldo Carlos B. Jesus, Iracina Maura de Brabo, Edilson Silva, Rita do S. U. da Soares, Manoel do C. P. Câmara, Volney de M. Souza, Maria dos R. S. de Branches, Fernando |
dc.subject.por.fl_str_mv |
Saúde Ambiental Saúde do Trabalhador Garimpo de Ouro Mercúrio |
topic |
Saúde Ambiental Saúde do Trabalhador Garimpo de Ouro Mercúrio |
description |
The purpose of this article is to describe health conditions in a pan-mining community, in particular the interaction of mercury contamination with other health problems. This study was carried out in a panning mine located on Rato Creek, a tributary of the Tapajós River Basin in the municipality of Itaituba, State of Pará The study population consisted of 223 individuals. An epidemiological questionnaire was applied, medical treatment was given, and biological specimens were collected. Testing of fecal samples showed that 96.1% of the individuals had parasites and 66.4% were anemic. Prevalence of hepatitis B virus was 85.0%, and 11 individuals (6.0%) were virus carriers (HBsAg positive). Of 186 patients tested for malaria, 65 individuals (35.0%) had the infection, of whom 34 (52.3%) were asymptomatic. Prevalence of syphillis was 41.6%. Urine mercury levels were measured in 173 individuals. Some 16 (9.2%) of those tested had mercury levels between 10 and 19 ug/l, while 9 patients (5.2%) had levels above 20 ug/l. An overview of general health conditions showed a combination of problems in individuals, who lacked adequate diagnosis, in addition to a high level ofself-medication, given the absence of health facilities. In addition, these individuals are threatened by critical levels of mercury contamination. In conclusion, this article gives a general overview of health conditions in these pan-mining communities, demonstrating the multicausal nature of health conditions in the Amazon region, a fact which should be considered when planning appropriate strategies for clinical treatment. |
publishDate |
1995 |
dc.date.none.fl_str_mv |
1995-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/725 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/725 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/725/1466 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/725/1467 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 11 No. 2 (1995): April/June Cadernos de Saúde Pública; v. 11 n. 2 (1995): Abril/Junho 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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