克服中低收入国家石棉相关疾病监测局限性的方法:我们从哥伦比亚的Sibaté研究中学到的东西。

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Annals of Global Health Pub Date : 2023-10-04 eCollection Date: 2023-01-01 DOI:10.5334/aogh.4166
Juan Pablo Ramos-Bonilla, Margarita Giraldo, Daniela Marsili, Roberto Pasetto, Benedetto Terracini, Agata Mazzeo, Corrado Magnani, Pietro Comba, Benjamin Lysaniuk, María Fernanda Cely-García, Valeria Ascoli
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引用次数: 0

摘要

简介:石棉行业于1942年在哥伦比亚开始运营,在位于Cundinamarca省的Sibaté建立了一个石棉水泥厂。尽管哥伦比亚广泛使用和生产石棉,但该国缺乏可靠的流行病学监测系统来监测石棉暴露对健康的影响。哥伦比亚卫生信息系统SISPRO没有报告该市诊断出的间皮瘤病例,这对了解石棉暴露对西巴特居民健康的影响构成了重大挑战。该策略包括挨家挨户进行健康和社会经济结构访谈,以确定石棉相关疾病(ARD)。验证策略包括由一个医生小组对医疗记录进行彻底审查,并将调查结果传达给地方、地区和国家当局以及普通民众。结果:积极监测战略成功确定了西巴特的间皮瘤集群,揭示了现有卫生信息系统在监测石棉相关疾病方面的不足。这一集群的发现突显了在哥伦比亚实施积极监测战略的至关重要性,因为哥伦比亚的政府机构和资源往往有限。结论:这项研究的结果强调了哥伦比亚迫切需要建立一个可靠的石棉相关疾病(ARDs)流行病学监测系统。积极的监测策略可以在识别间皮瘤集群和增强我们对中低收入国家石棉暴露对健康影响的了解方面发挥关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

An Approach to Overcome the Limitations of Surveillance of Asbestos Related Diseases in Low- and Middle-Income Countries: What We Learned from the Sibaté Study in Colombia.

An Approach to Overcome the Limitations of Surveillance of Asbestos Related Diseases in Low- and Middle-Income Countries: What We Learned from the Sibaté Study in Colombia.

Introduction: The asbestos industry began its operations in Colombia in 1942 with the establishment of an asbestos-cement facility in Sibaté, located in the Department of Cundinamarca. Despite extensive asbestos use and production in Colombia, the country lacks a reliable epidemiological surveillance system to monitor the health effects of asbestos exposure. The Colombian health information system, known as SISPRO, did not report mesothelioma cases diagnosed in the municipality, posing a significant challenge in understanding the health impacts of asbestos exposure on the population of Sibaté.

Methods: To address this issue, an active surveillance strategy was implemented in Sibaté. This strategy involved conducting door-to-door health and socioeconomic structured interviews to identify Asbestos-Related Diseases (ARDs). Validation strategies included a thorough review of medical records by a panel of physicians, and the findings were communicated to local, regional, and national authorities, as well as the general population.

Results: The active surveillance strategy successfully identified a mesothelioma cluster in Sibaté, revealing the inadequacy of the existing health information system in monitoring asbestos-related diseases. The discovery of this cluster underscores the critical importance of implementing active surveillance strategies in Colombia, where governmental institutions and resources are often limited.

Conclusion: The findings of this study emphasize the urgent need for Colombia to establish a reliable epidemiological surveillance system for asbestos-related diseases (ARDs). Active surveillance strategies can play a crucial role in identifying mesothelioma clusters and enhancing our understanding of the health effects of asbestos exposure in low- and middle-income countries.

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来源期刊
Annals of Global Health
Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.30
自引率
3.40%
发文量
95
审稿时长
11 weeks
期刊介绍: ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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