<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492019000100019</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2019.junio.19-32</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Implementación de herramienta tecnológica (TIC) para la vigilancia de factores ambientales y posibles afecciones relacionadas a la exposición por uso de plaguicidas agrícolas en Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Implementation of a technological tool (TIC) for the monitoring of environmental factors and possible conditions related to exposure due to the use of agricultural pesticides in Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gamarra]]></surname>
<given-names><![CDATA[María Graciela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tullo]]></surname>
<given-names><![CDATA[Edgar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salinas]]></surname>
<given-names><![CDATA[Zunilda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paredes]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Hebe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espínola-Canata]]></surname>
<given-names><![CDATA[Miriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacios]]></surname>
<given-names><![CDATA[José Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ovando]]></surname>
<given-names><![CDATA[Víctor Díaz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Dirección General de Información Estratégica en Salud (DIGIES) Dirección de Estadísticas en Salud]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Investigación para el Desarrollo &#8220;Vitalitas&#8221;  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Alter Vida  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Instituto Nacional de Salud Dirección de Investigación y Publicaciones]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Consultor Informático  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<fpage>19</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492019000100019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492019000100019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492019000100019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Paraguay, con alto desarrollo de agricultura extensiva, es potencialmente vulnerable a situaciones relacionadas con manejo inadecuado, falta de prevención y riesgos para la salud individual, comunitaria y ambiental, por incumplimiento de buenas prácticas en la selección, manipulación y gestión de plaguicidas.  Objetivo: Diseñar e implementar un método de vigilancia con carga de datos del sistema público para detectar, jerarquizar y mapear eventos relacionados al manejo inadecuado de plaguicidas; establecer posibles asociaciones con causas de morbilidad y mortalidad; y seguimiento para evaluar riesgos relativos.  Métodos:  Con la creación del Sistema de Información Georreferenciado de Evaluación de Casos de afecciones a la Salud (SIGEC), método web que recolecta información del monitoreo comunitario de manejo y posibles efectos de plaguicidas en pequeños productores y empresas agrícolas, y de parcelas de plantaciones en el territorio nacional, se realizó un estudio de vigilancia epidemiológica sobre condiciones de vida, variables ambientales y riesgo de exposición a plaguicidas.  Resultados: Al relacionar datos del egreso hospitalario de enfermedades trazadoras (EH) 2011 - 2015, en mapas por Departamentos, Regiones del Estudio Piloto y por Distritos, se observó una concentración de las mismas en 3 a 4 regiones relacionadas al uso de plaguicidas, repitiéndose dicha situación en patologías con concentraciones altas (color rojo) o intermedias (color amarillo), con posible asociación casual o causal. Los demás distritos de estas regiones observadas que se encuentran coloreadas de verde, no implica ausencia de casos registrados, sino que se encuentran en el tercio inferior del total registrado (tabla a la izquierda de los mapas). La poligonización valora el grado de exposición de personas en riesgo y brinda georreferenciamiento de las variables del Monitoreo Comunitario, además permite seguimiento mediante gráficos de puntos, útiles para los tomadores de decisiones en salud. Las herramientas propuestas son amigables y similares a las del Censo Comunitario realizado por estadígrafos regionales en las USF.  Conclusiones:  La vigilancia epidemiológica basada en el SIGEC complementa la visión parcial de los actuales sistemas de seguimiento del MSP y BS mediante la información en gráficos georreferenciados, visualiza datos del problema de salud planteado, en un territorio específico, utiliza variables ambientales y laborales con posible relación a exposición de plaguicidas, en formato de lectura fácil, convirtiéndola en herramienta útil para el posterior seguimiento a través de investigaciones con diseño pertinente, utilizando modelos estadísticos apropiados, para la posterior aplicación de políticas públicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Paraguay, with high development of extensive agriculture, is potentially vulnerable to situations related to inadequate management, lack of prevention and risks to individual, community and environmental health, due to non-compliance with good practices in the selection, handling and management of pesticides.  Objective:  Design and implement a surveillance method with data loading of the public system to detect, prioritize and map events related to the inadequate handling of pesticides; establish possible associations with causes of morbidity and mortality; and monitoring to assess relative risks.  Methods:  With the creation of the Georeferenced Information System for the Evaluation of Cases of Health Conditions (SIGEC), a web method that collects information on community monitoring of management and possible effects of pesticides on small producers and agricultural companies, and on plantation plots In the national territory, an epidemiological surveillance study was conducted on life conditions, environmental variables and risk of exposure to pesticides.  Results:  When relating hospital discharge data of tracer diseases (EH) 2011 - 2015, in maps by Departments, Regions of the Pilot Study and by Districts, a concentration of them was observed in 3 to 4 regions related to the use of pesticides, repeating this situation in pathologies with high concentrations (red color) or intermediate (yellow color), with possible causal or casual association. The other districts of these observed regions that are colored green, does not imply absence of registered cases, but they are in the lower third of the total registered (table on the left of the maps). Poligonization assesses the degree of exposure of people at risk and provides georeferencing of the Community Monitoring variables, and also allows monitoring through point charts, useful for health decision-makers. The proposed tools are friendly and similar to those of the Community Census conducted by regional statisticians at the USF.  Conclusions:  The epidemiological surveillance based on the SIGEC complements the partial vision of the current monitoring systems of the MSP and BS through the information in georeferenced graphs, visualizes data of the health problem raised, in a specific territory, uses environmental and labor variables with possible relation to exposure of pesticides, in easy reading format, making it a useful tool for subsequent monitoring through relevant design investigations, using appropriate statistical models, for the subsequent application of public policies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Exposición a plaguicidas]]></kwd>
<kwd lng="es"><![CDATA[vigilancia del ambiente del trabajo]]></kwd>
<kwd lng="es"><![CDATA[monitoreo epidemiológico]]></kwd>
<kwd lng="es"><![CDATA[programas informáticos]]></kwd>
<kwd lng="en"><![CDATA[Exposure to pesticides]]></kwd>
<kwd lng="en"><![CDATA[monitoring of the work environment]]></kwd>
<kwd lng="en"><![CDATA[epidemiological monitoring]]></kwd>
<kwd lng="en"><![CDATA[Software]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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