Evaluation Of Monitoring Protocol Implementation And Attention To Population Health Exposed To Lead, Cadmium, Copper And Zinc In Santo Amaro, Bahia.

Abstract

The industrial activity performed Companhia Brasileira de Lead (COBRAC) / Pumblum metallurgical and mining work, between 1960 and 1993 in the city of Santo Amaro purification, without any pollution control air, water and soil and caused serious damage to health and the environment, such as the contamination of the river Subaé. The various surveys conducted for decades indicated high levels of lead in the blood of workers, fishermen and children of the region, requiring urgent action the government. The Bahia state government launches in 2010, 17 years after the closure of the company, "Monitoring Protocol and Health Care for the population exposed to lead, cadmium, copper and zinc in Santo Amaro," which is intended to guide the health teams acting for development assistance and follow-up actions, with the introduction of routines, forms, training teams, to promote the recovery, rehabilitation health of the exposed population to contaminants and allow the collection of information about health thereof. This study aims to evaluate the implementation process of this Protocol. Methodology: epidemiological study using the Cross Cutting Sheets evaluation of Exposed Population Health Conditions applied in Basic Health Units and qualitative study of interviews with professionals and health managers from different levels of government who participated in the implementation and protocol development. Results: Four years of the Protocol's implementation, qualitative data indicate several difficulties such as incomplete charts, unreached goals, important tests not performed. Discussion: Research indicates non-conformity of actions with the established by the Protocol, which requires a positioning of the bodies of municipal, state and federal aimed at ensuring the care and health surveillance referred to in the document under consideration.