Sistema de Informação em Saúde do Trabalhador: desafios e perspectivas para o SUS Occupational Health Information System: challenges and perspectives in the Brazilian Unified Health System (SUS)

O presente artigo identifica e discute alguns desafios e perspectivas relativos à implantação de um Sistema de Informações em Saúde do Trabalhador (SIST) no âmbito do Sistema Único de Saúde (SUS). Os desafios para a coleta, produção e a análise de dados e a disseminação continuada de informações sobre o estado de saúde dos trabalhadores e seus determinantes são revisados. Há destaque para a necessidade de investimentos em capacitação de recursos humanos, articulação e harmonização das bases de dados de interesse à saúde do trabalhador, implantação de infra-estrutura de informática nos níveis locais e da coleta das informações na rede de serviços do SUS, e integração e articulação interministerial. A realização da 3ª Conferência Nacional de Saúde do Trabalhador e a recém aprovada Política Nacional de Segurança e Saúde do Trabalhador representam reforços importantes para o debate sobre a implantação do SIST e sua prioridade na agenda do SUS. A relativa sintonia entre as agendas de técnicos, pesquisadores, trabalhadores e lideranças sindicais na defesa comum de um sistema de informações também é vista como um apoio à implantação do SIST e seu efetivo controle social.<br>This paper presents a review of challenges and perspectives regarding the development of an occupational health information system in the Brazilian Unified Health System (SUS). It stress the need to set up a process of continuous data collection, processing, analyzing and communication of information on worker’s health and its determinants, emphasizing occupational risks. The paper also address the need to support the training of health workers. It is also recommended to take into consideration the feasibility of database standardization that allows linkage and, improvement in the information technologies utilized in health services, especially in community health centers, following a coordinated state action. Both, the 3rd National Conference on the Worker’s Health, and the federal policy on worker’s safety and health have been promoting a debate on the occupational health information system and the need to give priority in the SUS national planning. The proximity of the academic and labor union agendas are pointed as a relevant support to an occupational health information system, that need to be able to strengthen health promotion and prevention and an effective social participation in the SUS management organization

Association between atopy and recurrent vaginal candidiasis

To determine whether there is an association between atopy and recurrent vaginal candidiasis (RVC) and to evaluate the type-2 immune response in patients with RVC. Evaluation of immediate hypersensitivity skin tests to aeroallergens, measurement of total IgE and Candida albicans specific IgE and levels of IL-5 in 44 women with RVC and 26 with sporadic vaginal candidiasis (SVC). Statistical analyses were performed by Mann–Whitney test and χ(2) test with Yates correction. History of atopy (68%) and positive skin test (42%) were higher (P < 0·05) in RVC than in patients with SVC. No significant difference was found in total IgE, C. albicans specific IgE and IL-5 levels. There was a strong association between atopy and RVC, but type-2 immune response to C. albicans antigen was absent or similar in the two groups of patients