A2054 Mortality and social security benefits based on Malignant Pleural Mesothelioma in Minas Gerais/Brazil from 2000 to 2009

Tuesday, March 20, 2012
Ground Floor (Cancun Center)
Luciana R Morais, Saúde do Trabalhador, Universidade Federal De Minas Gerais, Belo Horizonte, Brazil
Luciana Morais, Occupational Health Department, Workers Health State Reference Center of Minas Gerais(CEREST/MG), Belo Horizonte, Brazil
Larissa Fiorentini, Occupational Health Department, Workers Health State Reference Center of Minas Gerais(CEREST/MG), Belo Horizonte, Brazil
Francisco Pedra, Occupational Health Department, Oswaldo Cruz Foundation – Brazilian Ministry of Health (FIOCRUZ), São Paulo, Brazil
Ana Paula Scalia, Occupational Health Department, Workers Health State Reference Center of Minas Gerais(CEREST/MG), Belo Horizonte, Brazil
Introduction
Data suggest that mesothelioma mortality has been rising in recent years in the southeast of Brazil, where the state of Minas Gerais (MG) is located. However, occupational and environmental records are poor. The objective of this study is to describe data regarding mortality and social security benefits based on malignant pleural mesothelioma disability in MG from 2000 to 2009.

Methods
This study was based on death records from the Mortality Information database (SIM-DATASUS) and social security benefits records from the National Social Security Institute (INSS). Both databases were analyzed separately.

Results
In SIM-DATASUS, there were 68 mesothelioma deaths, of which 31(46%) were classified as non-specific, 18 (26,5%) as peritoneal mesothelioma, 15 (22%) as pleural mesothelioma, 3 (4%) as mesothelioma of other sites and 1 (1,5%) as pericardial mesothelioma. Male patients proved to be the most affected with 41(60%) cases. The most commonly affected age group ranged from 55 to 64 years of age for males with 14(34%) cases and from 65 to 74 for females with 8(30%) cases. Considering occupation, 38 (56%) were described as ignored or retired. Of the 30 (44%) who had clearer occupational information, 11 (37%) were housewives, 6 (20%) were rural workers, 4 (13%) were vehicle drivers and 9 (30%) were divided into variety of occupations. The standardized mortality rate ranged from 0.7 to 0.66, peaking in 2002. As regards the social security benefits, 35 were granted, but in only one the occupational nexus was established.

Discussion
In addition to being pathology with a difficult diagnosis , the underreporting, the poor quality of death certificates, and the informal work underestimate the importance of the problem and hinder the establishment of an occupational nexus. Consequently, the creation of a national mesothelioma registry, setting up protocols for diagnosis, and a standardized occupational and environmental questionnaire are urgently needed. 

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