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GEO Brasil - UNEP

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The state of health and the environment<br />

the state of the environment in Brazil<br />

specially in the South of the country, where they ranked<br />

first They are increasing in large urban areas, where diseases<br />

such as asthma and allergic bronchitis occur due to the<br />

greater exposure to pollution derived from industrial<br />

pollutants, vehicle combustion and the use of pesticides<br />

Next in rank, circulatory diseases accounted for a 847%<br />

national average of all hospitalisations, followed by digestive<br />

diseases, 758%; mental problems, 721% (national average<br />

of 721%, and a very low incidence of 084% in the North);<br />

infectious parasitical diseases (national average of 716%,<br />

registering higher incidences in the North and Northeast<br />

which surpass digestive diseases and mental problems);<br />

urogenital (national average of 615%); external injuries<br />

(national average of 497%); neoplastic diseases (national<br />

average of 281%, endocrinal and metabolic illnesses<br />

(national average of 235%); and perinatal sickness (national<br />

average of 178%) Regarding neoplastic diseases, it is worth<br />

mentioning skin cancer, not melanoma, which tends to be<br />

the most frequent kind (DATASUS, 2002)<br />

The results of globalisation became more evident and<br />

intense in the 1990s These results have been more<br />

precarious work conditions, a decline in the number of formal<br />

jobs and an increasing number of informal jobs Added to<br />

that, changes in labour protection legislation in regard to<br />

dangerous and unhealthy conditions favour a greater variety<br />

and an increase in the number of risk situations at the<br />

workplace These changes also make access to the necessary<br />

means that enable the worker to support himself and his<br />

family more difficult This scenario results in greater<br />

vulnerability towards a large variety of illnesses for the<br />

working population In fact, certain groups, black people<br />

who occupy less qualified and more dangerous work<br />

positions, for instance, are affected by this process and<br />

also register a greater number of children and adolescents<br />

in the job market (IBGE/PNAD, 1999)<br />

Even though not all work related diseases are properly<br />

notified, there has been an increase in the number of<br />

registrations, approximately 35,000 cases registered in 1996<br />

These figures, however, do not represent the complexity of<br />

this problem for they do not include informal workers<br />

Consequently, this limits the analysis to 188 million workers<br />

situated in the Southeast (58%) and South (19%), according<br />

to 1998 data (RIPSA, 1998) From 1990 to 1996, the percentage<br />

of work related diseases rose 8% and their incidence rate in<br />

1998 was 1624 for every 10,000 insured workers, 1852 of<br />

which representing typical work accidents and 192, work<br />

accidents on the way to or from work<br />

204

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