Avaliação da utilização do protocolo de avaliação das intoxicações crônicas por agrotóxicos (SESA-PARANÁ) para análise de exposição infantil a agrotóxicos em crianças de um assentamento em Cascavel, Paraná

Abstract

Health assessment should be based on the individual’s biopsychosocial development. Children who live in rural areas are more likely to deal with some health problems due to their exposure to pesticides. Models of data collection for the study regarding chronic exposures by pesticides are scarce in children. Objective: analyze the availability of the Protocol of Chronic Intoxication Evaluation by Pesticides (PAICA), established in Paraná state in a child population. Method: A qualitative and quantitative study of PAICA files was carried out, referring to a child population who live in a rural area, attended at the toxicology outpatient clinic of the Toxicological Information and Assistance Center (CIATox) in Cascavel, Paraná state. The items “incompleteness” and “consistency” were evaluated concerning the ignored fields and coherence of information, respectively. Results: Only a quarter of the files were eligible to be evaluated. The quality of the information recorded in PAICA ranged from regular to excellent. Conclusions: Professionals who work in clinical field, not only in Brazil, suffer from precariousness of validated information to ascertain the cause-effect relationships between disease and environmental exposure to pesticides in child population. PAICA applicability in child population should be evaluated using criteria that can result in some reliable information in order to evaluate chronic poisoning by pesticides in this population.