{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:00:20Z","timestamp":1790838020800,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Occupational injuries remain a major public health problem in Brazil, and underreporting limits the capacity of surveillance systems to support prevention and response. This study aimed to identify spatial discrepancies between health reports and social security reports of occupational injuries in Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross\u2010sectional ecological study uses municipality\u2010level aggregated data for all 5570 Brazilian municipalities. Occupational injury records from health reports (Sinan system) and social security reports (CAT system) were analysed for 2022 and 2023. Spatial distribution was described, and spatial autocorrelation was assessed using global Moran's\n                      <jats:italic>I<\/jats:italic>\n                      and local indicators of spatial association. A municipality\u2010specific log\u2010ratio between health reports and social security reports was used to identify relative discrepancies between the two systems.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 745,840 injury records from the health sector and 949,466 from the social security sector. Health reports were made in 5466 (98.1%) municipalities, whereas social security reports were present in 4509 (80.9%). A total of 3998 (71.7%) municipalities recorded more health reports than social security reports, whereas 1418 (25.4%) recorded more social security reports than health reports. Low\u2013low log\u2010ratio clusters, corresponding to areas where social security reports consistently exceeded health reports, were concentrated in the central\u2010west and southeast regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The spatial comparison identified marked territorial discrepancies between health reports and social security reports in Brazil. Clusters where social security reports exceeded health reports may serve as operational markers of potential underreporting in workers\u2019 health surveillance that may help guide geographically targeted surveillance strengthening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/puh2.70400","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:44:56Z","timestamp":1790837096000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spatial Discrepancies Between Health and Social Security Reports as Markers of Potential Underreporting of Occupational Injuries in Brazil, 2022\u20132023"],"prefix":"10.1002","volume":"5","author":[{"given":"Luiza Maria Parise","family":"Morales","sequence":"first","affiliation":[{"name":"Secretariat for Health and Environmental Surveillance Ministry of Health  Bras\u00edlia Federal District Brazil"},{"name":"Centre for Tropical Medicine University of Bras\u00edlia  Bras\u00edlia Federal District Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samara Carolina","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Secretariat for Health and Environmental Surveillance Ministry of Health  Bras\u00edlia Federal District Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta Souza","family":"Freitas","sequence":"additional","affiliation":[{"name":"Secretariat of Science Technology and Innovation and the Economic\u2010Industrial Complex of Health Ministry of Health  Bras\u00edlia Federal District Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8219-2613","authenticated-orcid":false,"given":"Cristiano Barreto","family":"de Miranda","sequence":"additional","affiliation":[{"name":"Sergio Arouca National School of Public Health Oswaldo Cruz Foundation  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2268-8742","authenticated-orcid":false,"given":"Klauss K. S.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Epidemiology and International Health Faculty of Epidemiology and Population Health The London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201010706\u2010y"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinsp.2025.100798"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0103-73312007000100006"},{"key":"e_1_2_12_5_1","volume-title":"Doen\u00e7as Relacionadas Ao Trabalho: Manual de Procedimentos para os Servi\u00e7os de Sa\u00fade","author":"Brasil. Minist\u00e9rio da Sa\u00fade, Organiza\u00e7\u00e3o Pan\u2010Americana da Sa\u00fade no Brasil","year":"2001"},{"key":"e_1_2_12_6_1","unstructured":"International Labour Organization A Call for Safer and Healthier Working Environments(International Labour Organization 2023) https:\/\/doi.org\/10.54394\/HQBQ8592 https:\/\/www.ilo.org\/sites\/default\/files\/wcmsp5\/groups\/public\/%40ed_protect\/%40protrav\/%40safework\/documents\/publication\/wcms_903140.pdf."},{"key":"e_1_2_12_7_1","volume-title":"Seguran\u00e7a e Sa\u00fade no Centro do Futuro do Trabalho: Tirando Partido de 100 Anos de Experi\u00eancia","author":"International Labour Organization","year":"2019"},{"key":"e_1_2_12_8_1","unstructured":"Brasil. Minist\u00e9rio P\u00fablico do Trabalho Organiza\u00e7\u00e3o Internacional do Trabalho Brasil Iniciativa SmartLab(Minist\u00e9rio P\u00fablico do Trabalho 2024) https:\/\/smartlabbr.org\/."},{"key":"e_1_2_12_9_1","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade Portaria GM\/MS n\u00b0 5201 de 15 de agosto de(Minist\u00e9rio da Sa\u00fade 2024)."},{"key":"e_1_2_12_10_1","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Vigil\u00e2ncia em Sa\u00fade. Departamento de Articula\u00e7\u00e3o Estrat\u00e9gica de Vigil\u00e2ncia em Sa\u00fade Guia de Vigil\u00e2ncia em Sa\u00fade 6a ed. rev. e atual.(Minist\u00e9rio da Sa\u00fade 2023). GVS 2023. 2023."},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.5123\/S1679\u201049742016000100009"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.47626\/1679\u20104435\u20102024\u20101275"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980\u2010549720240067"},{"key":"e_1_2_12_14_1","volume-title":"Abre a CAT? Nexo Causal No Acidente Do Trabalho e Doen\u00e7a Ocupacional","author":"Cabral L. A. A.","year":"2021"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413\u2010812320242911.14452023"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0016\u20107363.2005.00671.x"},{"key":"e_1_2_12_17_1","unstructured":"R Core Team R: A Language and Environment for Statistical Computing (Version 41)[Computer Software] (R Core Team 2025)."},{"key":"e_1_2_12_18_1","unstructured":"Brazilian Institute of Geography and Statistics (IBGE) SIDRA: Table 10262\u2014Persons Aged 14 Years or Older Employed in the Reference Week by Employment Status Category of Employment in the Main Job and Section of Activity of the Main Job(Brazilian Institute of Geography and Statistics (IBGE) SIDRA 2025) https:\/\/sidra.ibge.gov.br\/tabela\/10262."},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010023\u201015487\u20100"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1590\/s2237\u201096222023000300013.pt"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.9.1421"},{"key":"e_1_2_12_22_1","unstructured":"Brasil. Instituto Brasileiro de Geografia e Estat\u00edstica. Sistema IBGE de Recupera\u00e7\u00e3o Autom\u00e1tica \u201cCenso Demogr\u00e1fico 2022\u2014Resultados preliminares 2024 \u201dInstituto Brasileiro de Geografia e Estat\u00edstica accessed March 24 2026 https:\/\/www.ibge.gov.br\/estatisticas\/sociais\/saude\/22827\u2010censo\u2010demografico\u20102022.html."},{"key":"e_1_2_12_23_1","unstructured":"Instituto Brasileiro de Geografia e Estat\u00edstica. Sistema IBGE de Recupera\u00e7\u00e3o Autom\u00e1tica PNAD Cont\u00ednua Anual: Pesquisa Nacional por Amostra de Domic\u00edlios Cont\u00ednua(Instituto Brasileiro de Geografia e Estat\u00edstica 2023) https:\/\/www.ibge.gov.br\/estatisticas\/sociais\/saude\/17270\u2010pnad\u2010continua.html."},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1061\/(ASCE)NH.1527\u20106996.0000566"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413\u201081232021266.1.43532020"},{"key":"e_1_2_12_26_1","unstructured":"Brasil\u2014Minist\u00e9rio da Sa\u00fade Portaria GM\/MS No 10175 de 23 de janeiro de 2026(Minist\u00e9rio da Sa\u00fade 2026) https:\/\/pncq.org.br\/wp\u2010content\/uploads\/2026\/01\/PORTARIA\u2010GM_MS\u2010No\u201010.175\u2010DE\u201023\u2010DE\u2010JANEIRO\u2010DE\u20102026\u2010DOU.pdf."},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1590\/s2237\u2010962220230004000014.en"},{"key":"e_1_2_12_28_1","unstructured":"Minist\u00e9rio da Sa\u00fade Rede Nacional de Aten\u00e7\u00e3o Integral \u00e0 Sa\u00fade do Trabalhador e da Trabalhadora (Cerest)(Minist\u00e9rio da Sa\u00fade) https:\/\/www.gov.br\/saude\/pt\u2010br\/composicao\/svsa\/saude\u2010do\u2010trabalhador\/renast."},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.47626\/1679\u20104435\u20102021\u2010565"},{"key":"e_1_2_12_30_1","unstructured":"Brasil\u2014Minist\u00e9rio da Sa\u00fade Portaria 1823 DE 23 DE AGOSTO DE 2012(Minist\u00e9rio da Sa\u00fade 2012) https:\/\/bvsms.saude.gov.br\/bvs\/saudelegis\/gm\/2012\/prt1823_23_08_2012.html."},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsoc.2023.1266141"}],"container-title":["Public Health Challenges"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/puh2.70400","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/puh2.70400","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/puh2.70400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:45:03Z","timestamp":1790837103000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/puh2.70400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["10.1002\/puh2.70400"],"URL":"https:\/\/doi.org\/10.1002\/puh2.70400","archive":["Portico"],"relation":{},"ISSN":["2769-2450","2769-2450"],"issn-type":[{"value":"2769-2450","type":"print"},{"value":"2769-2450","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"assertion":[{"value":"2026-06-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70400"}}