{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T13:28:50Z","timestamp":1786368530003,"version":"build-2736575974"},"reference-count":35,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: O presente estudo comparou os poss\u00edveis impactos causados pelo rompimento da barragem da Samarco (Minas Gerais, Brasil) e munic\u00edpios com perfil semelhante, com o objetivo analisar os padr\u00f5es de morbimortalidade por doen\u00e7as cr\u00f4nicas n\u00e3o transmiss\u00edveis em munic\u00edpios atingidos. Trata-se de um estudo ecol\u00f3gico baseado em dados secund\u00e1rios de acesso p\u00fablico (SIA\/SUS, SIH\/SUS e SIM) entre os anos de 2008 a 2023. As an\u00e1lises foram realizadas por cap\u00edtulos e grupos de doen\u00e7as (circulat\u00f3rio, diabetes, respirat\u00f3rio, neoplasias e transtornos mentais) e estrato populacional. Foram calculadas taxas por 100 mil habitantes, diferen\u00e7as percentuais e risco relativo, todos com intervalos de 95% de confian\u00e7a. O per\u00edodo \u201cp\u00f3s-rompimento\u201d (2016-2019) foi comparado aos per\u00edodos \u201cantes do rompimento\u201d (2008-2015) e \u201cp\u00f3s-COVID-19\u201d (2020-2023). Observou-se aumento nas taxas de atendimentos ambulatoriais nos municipios atingidos em rela\u00e7\u00e3o aos munic\u00edpios de compara\u00e7\u00e3o, com destaque para diabetes (estratos 1, 2, 3 e 5), doen\u00e7as respirat\u00f3rias (estratos 1, 3, 4 e 5), transtornos mentais (estratos 4 e 5) e neoplasias (estratos 1, 2, 3 e 4). Nas interna\u00e7\u00f5es, observaram-se aumentos discretos por problemas respirat\u00f3rios no estrato 4 e neoplasias nos estratos 3, 4 e 5. J\u00e1 em mortalidade, houve eleva\u00e7\u00e3o nas taxas por transtornos mentais nos estratos 2 e 4. Os achados sugerem mudan\u00e7as nos padr\u00f5es assitenciais nos munic\u00edpios atingidos, com poss\u00edvel sobrecarga p\u00f3s-desastre, e refor\u00e7am a import\u00e2ncia da vigil\u00e2ncia e integra\u00e7\u00e3o entre pol\u00edticas de sa\u00fade, ambientais e gest\u00e3o de riscos.<\/jats:p>","DOI":"10.1590\/0102-311xpt193725","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:36:43Z","timestamp":1786365403000},"source":"Crossref","is-referenced-by-count":0,"title":["Vigil\u00e2ncia em sa\u00fade p\u00f3s-desastre da barragem da Samarco: avalia\u00e7\u00e3o dos padr\u00f5es de assist\u00eancia em doen\u00e7as cr\u00f4nicas e transtornos mentais (2008-2023)"],"prefix":"10.1590","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1150-6256","authenticated-orcid":false,"given":"Gederson Santos","family":"Rigoni","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0552-771X","authenticated-orcid":false,"given":"Andrea","family":"Sobral","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8423-8320","authenticated-orcid":false,"given":"Jonas Eduardo Monteiro dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5253-5774","authenticated-orcid":false,"given":"Andre Reynaldo Santos","family":"P\u00e9riss\u00e9","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","series-title":"Report of the Working Group on the issue of human rights and transnational corporations and other business enterprises on its mission to Brazil."},{"key":"ref2","series-title":"Termo de Transa\u00e7\u00e3o e Ajustamento de Conduta - TTAC","year":"2016"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"25","DOI":"10.21800\/2317-66602016000300010","article-title":"O desastre na barragem de minera\u00e7\u00e3o da Samarco - fratura exposta dos limites do Brasil na redu\u00e7\u00e3o de risco de desastres","volume":"68","author":"Freitas CM","year":"2016","journal-title":"Ci\u00eanc Cult"},{"key":"ref4","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00052519","article-title":"Da Samarco em Mariana \u00e0 Vale em Brumadinho desastres em barragens de minera\u00e7\u00e3o e Sa\u00fade Coletiva","volume":"35","author":"Freitas CM","year":"2019","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref5","article-title":"The health burden of natural and technological disasters in Brazil from 2013 to 2021","volume":"39","author":"Freitas AWQ","year":"2023","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref6","series-title":"Diagn\u00f3stico de sa\u00fade para os munic\u00edpios atingidos pelo rompimento da Barragem de Fund\u00e3o. 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