Câncer infantojuvenil: relação com os polos de irrigação no estado do Ceará

• Autor(a) principal: Barbosa, Isadora Marques
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal do Ceará (UFC)
• Texto Completo: http://www.repositorio.ufc.br/handle/riufc/18748
• topic: Neoplasias; Criança; Adolescente; Agroquímicos

To evaluate the magnitude, spatial-temporal trend, and risk factors related to child and adolescent cancer and its association with the irrigation poles in the Ceará state from 2010 to 2012. METHODS – The study was developed in two steps. In the first step, we carried out an analytical research with ecological design of historical series of information about morbidity and mortality indicators of the Ceará state from 2010 to 2012. Our study population was made up of children and adolescents aged between 0 and 19 years diagnosed with cancer. Information was collected in the Hospital Cancer Registry and in the Mortality Information System. The relationships of children and adolescents with cancer, originating from the Baixo Jaguaribe, were obtained in the Haroldo Juaçaba Hospital, in the Integrated Center for Oncology and in the Albert Sabin Children’s Hospital. In the second step, we carried out an exploratory research typified as a case study. We applied a questionnaire to evaluate risk factors and exposure to the development of cancer. RESULTS – In the period from 2000 to 2011, 3,274 cancer cases were recorded in people under 19 years of age, with 55.2% in males, and 26.3% of these cases involved people aged from 15 to 19 years. Data showed that 2,080 deaths were recorded by neoplasms, and 58.2% of these cases occurred in males. The average mortality rates for the period from 2000 to 2012 for the population aged between 0 and 19 years was 48 deaths for every 100,000 inhabitants. When analyzing the temporal trend of mortality rates for child and adolescent cancer, we found that Camocim/Acaraú, Baixo Jaguaribe and Cariri showed an increase in the yearly average in the surveyed period. In the spatial correlation of the cancer cases with the irrigation poles, we realized that the higher concentrations of cases are located in the regions containing irrigation poles. Lastly, we have found in the case reports of children and adolescents from the Baixo Jaguaribe that the most common risk factor for this cancer was the exposure to agrochemicals. CONCLUSION – Through the analysis of the irrigation poles, we conclude that, although the evidence of an association between exposure to agrochemicals and child and adolescent cancer is limited, preventive public health policies should be encouraged with the purpose of minimizing this exposure, based on the precautionary principle.