Análise da vigilância da fluoretação da água de abastecimento público no estado do Espírito Santo, Brasil

• Ano de defesa: 2019
• Autor(a) principal: Mendonça, Ariane
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Espírito Santo; BR; Mestrado Profissional em Clínica Odontológica; Centro de Ciências da Saúde; UFES; Programa de Pós-Graduação em Clínica Odontológica
• Palavras-chave em Português: Fluoretação da água; Vigilância Sanitária Ambiental; Indicadores de desenvolvimento; Water fluoridation; Environmental Health Surveillance; Development indicators; subject.br-rjbn; Odontologia
• Link de acesso: http://repositorio.ufes.br/handle/10/13572

The purpose of this study was analyzing the data generated by the surveillance of fluoridation of the water from public provision within the counties of Espírito Santo (ES) between the years of 2014 and 2017. It is a descriptive and analytic study on the basis of the figures provided regarding water fluoridation and public water supply in the surveillance system (Sisagua) and demographic, socioeconomic and county health indicators, in the state of ES. According to Cecol/UPS (2011) criteria, the concentration of fluorine in the water was considered adequate from 0.55 mg/L to 0.84 mg/L (maximum benefit to prevent caries and minimum risk of dental fluorosis). The proportion of appropriate samples indicator was calculated to assess the quality of the samples, being established that adequacy indexes ≥ 80% represented a high level of water fluoretation quality. The data was stored on the Statistical Package for the Social Sciences (SPSS), version 20.0. The descriptive analysis were made by the calculation of absolute and relative frequencies for the qualitative variables, and the median and interquartile range for the quantitative variables. The non-parametric Mann-Whitney’ test was applied to compare the county indicators of counties that had water fluoridation information and the ones that did not have them. The nonparametric Spearman’s test was used to analyze the correlation between the adequacy percentage of the samples with fluorine (IPAA) and the county indicators. From the 78 state counties, only 49 had registered information in 2014, and only 13 had made tests on the proper amount of fluorine. In 2017, 72 counties had available information, however, only 16 had made the analysis on fluorine concentration. The quality of fluoridation kept high in almost every researched year, except for the year of 2014.The coverage of the oral health team was the only county indicator statistically significant for data availability. The children mortality rate had a strong negative correlation to the quality of the fluoridation, being the only municipal indicator with a statistically significant result. The results reinforced the need of more studies on heterocontrol of water fluoridation not only in the county but in the whole country as a means to contibute on the diagnosis about the monitoring and adequate control of fluorine concentration in public water supply, ensuring the implementation of preventive and corrective actions by the responsible entities, and universal and equal access