Revista Brasileira de Epidemiologia
Print version ISSN 1415-790X
CAZARIN, Gisele; AUGUSTO, Lia Giraldo da Silva and MELO, Raul Antônio Morais. Hematological diseases and environmental risk: the importance of clinical records to epidemiological surveillance. Rev. bras. epidemiol. [online]. 2007, vol.10, n.3, pp.380-390. ISSN 1415-790X. http://dx.doi.org/10.1590/S1415-790X2007000300009.
The problems of population groups exposed to risk situations that affect the blood system and the seriousness of the damages caused to health make this theme highly relevant in public health. The understanding of the epidemiological behavior of hematological diseases related to the environment/occupation is a priority for the implementation of health protective measures. Epidemiological information depends on reliable data on several conditions. This study investigated patient medical records of a reference center, records of environmental risk, covering a period of ten years. The conditions selected were those that were the most frequently seen in this facility and those that presented the strongest evidence of association with occupational/environmental risks in the specialized literature. These conditions presented high lethality (52% of all cases). For all these diseases, there was significant under-recording of potentially harmful situations and conditions of vulnerability, showing a lack of concern by healthcare professionals with the causes and prevention of new cases. The Ministry of Health has recently acknowledged the relevance of this problem as shown in its standardizations. For this reason, it has now become paramount to improve the recording of risk exposures and their related damages, especially in the healthcare services that can identify sentinel cases, so as to help in the implementation of epidemiological and health surveillance for exposed groups.
Keywords : Hematological diseases; Environmental risk; Medical registiration; Epidemiological and health surveillance.