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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Nas \u00faltimas d\u00e9cadas, o Brasil se tornou um dos maiores consumidores de agrot\u00f3xicos do mundo e, al\u00e9m do uso na agricultura, esses compostos s\u00e3o frequentemente usados em a\u00e7\u00f5es de sa\u00fade p\u00fablica para combater vetores de doen\u00e7as end\u00eamicas, por trabalhadores denominados agentes de combate \u00e0s endemias (ACE), tornando o processo de trabalho nocivo \u00e0 sa\u00fade. O objetivo foi caracterizar a exposi\u00e7\u00e3o a agrot\u00f3xicos, identificar sintomas de intoxica\u00e7\u00e3o autorreferidos e a rela\u00e7\u00e3o com as condi\u00e7\u00f5es de trabalho e sa\u00fade dos ACE do Estado do Rio de Janeiro. Estudo transversal com 606 ACE do Estado do Rio de Janeiro. Foi utilizado um question\u00e1rio multidimensional autoaplicado de agosto de 2020 a agosto de 2022, e analisado por meio dos testes qui-quadrado e exato de Fisher. Verificou-se a exposi\u00e7\u00e3o aguda e cr\u00f4nica a m\u00faltiplos agrot\u00f3xicos, incluindo subst\u00e2ncias carcinog\u00eanicas, neurot\u00f3xicas e desreguladores end\u00f3crinos. Em torno de 51% dos respondentes indicaram dois ou mais sintomas t\u00edpicos de intoxica\u00e7\u00e3o ap\u00f3s contato e\/ou manipula\u00e7\u00e3o. As principais queixas e sintomas foram: dor de cabe\u00e7a (45,5%), irrita\u00e7\u00e3o na pele\/alergia (38,1%), ard\u00eancia no nariz e boca, tosse, dificuldades de respirar (33,5%), mal-estar (35,5%), n\u00e1useas, v\u00f4mitos ou diarreia (20%) e fraqueza, tontura ou desmaios (15%). Adicionalmente, foram observados diferentes agravos \u00e0 sa\u00fade dos trabalhadores. Os resultados apontaram para a nocividade das condi\u00e7\u00f5es e do processo de trabalho dos ACE, com agravos \u00e0 sa\u00fade dos trabalhadores, e a presen\u00e7a de efeitos cr\u00f4nicos. \u00c9 imprescind\u00edvel o acompanhamento da sa\u00fade desta categoria, e que se priorize pr\u00e1ticas para o controle vetorial que n\u00e3o sejam dependentes do uso de agrot\u00f3xicos.<\/jats:p>","DOI":"10.1590\/0102-311xpt045025","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T18:21:24Z","timestamp":1776277284000},"source":"Crossref","is-referenced-by-count":0,"title":["Trabalhadores da sa\u00fade expostos a agrot\u00f3xicos: um estudo transversal com agentes de combate \u00e0s endemias do Estado do Rio de Janeiro, Brasil"],"prefix":"10.1590","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3108-1128","authenticated-orcid":false,"given":"Priscila Jeronimo da Silva Rodrigues","family":"Vidal","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2460-0767","authenticated-orcid":false,"given":"Liliane Reis","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2038-0859","authenticated-orcid":false,"given":"Luciana","family":"Gomes","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0942-8225","authenticated-orcid":false,"given":"Ana Paula das Neves","family":"Silva","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7096-5156","authenticated-orcid":false,"given":"Marcus Vinicius Corr\u00eaa dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3090-7477","authenticated-orcid":false,"given":"Leandro Vargas Barreto de","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0547-1138","authenticated-orcid":false,"given":"Ana Cristina Sim\u00f5es","family":"Rosa","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7232-3245","authenticated-orcid":false,"given":"Ariane Leites","family":"Larentis","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.14393\/Hygeia132505","article-title":"Das brigadas sanit\u00e1rias aos agentes de controle de endemias o processo de forma\u00e7\u00e3o e os trabalhos de campo","volume":"13","author":"Bezerra ACV","year":"2017","journal-title":"Hygeia (Uberl\u00e2ndia)"},{"key":"ref2","series-title":"Covid-19: desafios para a organiza\u00e7\u00e3o e repercuss\u00f5es nos sistemas e servi\u00e7os de sa\u00fade.","first-page":"321","volume-title":"Agentes de combate \u00e0s endemias: uma popula\u00e7\u00e3o em risco no enfrentamento da Covid-19.","author":"Meirelles LC","year":"2022","edition":"23\u00aa"},{"key":"ref3","article-title":"Portaria n\u00ba 2.436, de 21 de setembro de 2017. Aprova a Pol\u00edtica Nacional de Aten\u00e7\u00e3o B\u00e1sica, estabelecendo a revis\u00e3o de diretrizes para a organiza\u00e7\u00e3o da Aten\u00e7\u00e3o B\u00e1sica, no \u00e2mbito do Sistema \u00danico de Sa\u00fade (SUS).","year":"2017","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref4","article-title":"Agente de combate \u00e0s endemias constru\u00e7\u00e3o de identidades profissionais no controle da dengue","volume":"17","author":"Evangelista JG","year":"2019","journal-title":"Trab Educ Sa\u00fade"},{"key":"ref5","series-title":"Manual sobre medidas de prote\u00e7\u00e3o \u00e0 sa\u00fade dos agentes de combate \u00e0s endemias.","volume":"1","year":"2019"},{"key":"ref6","series-title":"Saber oper\u00e1rio, constru\u00e7\u00e3o de conhecimento e a luta dos trabalhadores pela sa\u00fade.","first-page":"164","volume-title":"Adoecimento e mortes de agentes de combate \u00e0s endemias no estado do Rio de Janeiro expostos a agrot\u00f3xicos: cr\u00edtica ao processo de trabalho e constru\u00e7\u00e3o coletiva de estrat\u00e9gias de enfrentamento.","author":"Larentis AL","year":"2021"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"5379619","DOI":"10.1155\/2020\/5379619","article-title":"Pesticide poisoning and the use of personal protective equipment (PPE) in Indonesian farmers","volume":"2020","author":"Joko T","year":"2020","journal-title":"J Environ Public Health"},{"key":"ref8","article-title":"Trabalho e sa\u00fade a perspectiva dos agentes de combate a endemias do munic\u00edpio de Belo Horizonte, MG","volume":"45","author":"Matos GCR","year":"2020","journal-title":"Rev Bras Sa\u00fade Ocup"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"096002","DOI":"10.1289\/EHP9934","article-title":"Health effects of pesticide exposure in Latin American and the Caribbean populations a scoping review","volume":"130","author":"Z\u00fa\u00f1iga-Venegas LA","year":"2022","journal-title":"Environ Health Perspect"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1080\/10807039.2015.1133242","article-title":"An international database for pesticide risk assessments and management","volume":"22","author":"Lewis KA","year":"2016","journal-title":"Hum Ecol Risk Assess Int J"},{"key":"ref11","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00061820","article-title":"Situa\u00e7\u00e3o regulat\u00f3ria internacional de agrot\u00f3xicos com uso autorizado no Brasil potencial de danos sobre a sa\u00fade e impactos ambientais","volume":"37","author":"Friedrich K","year":"2021","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref12","doi-asserted-by":"crossref","DOI":"10.1590\/2317-6369\/14624pt2025v50eddsst11","article-title":"O processo de trabalho dos agentes de combate \u00e0s endemias no Brasil em uma perspectiva cr\u00edtica \u00e0 ideologia do desenvolvimento sustent\u00e1vel","volume":"50","author":"Neves AP","year":"2025","journal-title":"Rev Bras Sa\u00fade Ocup"},{"key":"ref13","series-title":"Exposure to hazardous chemicals at work and resulting health impacts: a global review","year":"2021"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"3149","DOI":"10.3390\/ijerph20043149","article-title":"Occupational exposure to pesticides as a risk factor for sleep disorders","volume":"20","author":"Zheng R","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"ref15","first-page":"4508","article-title":"Organophosphate exposure and the chronic effects on farmers a narrative review","volume":"20","author":"Perry J","year":"2020","journal-title":"Rural Remote Health"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"9654","DOI":"10.3390\/ijerph19159654","article-title":"Potential effects on mental health status associated with occupational exposure to pesticides among Thai farmers","volume":"19","author":"Ong-Artborirak P","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref17","series-title":"Sa\u00fade reprodutiva e a nocividade dos agrot\u00f3xicos. 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