Ramos-Bonilla J. P., Giraldo M., Marsili D., Pasetto R., Terracini B., Mazzeo A., Magnani C., Comba P., Lysaniuk Benjamin, Cely-García M. F., Ascoli V. (2023). An approach to overcome the limitations of surveillance of asbestos related diseases in low- and middle-income countries: what we learned from the Sibate study in Colombia. Annals of Global Health, 89 (1), p. [14 p.]. ISSN 2214-9996.
Titre du document
An approach to overcome the limitations of surveillance of asbestos related diseases in low- and middle-income countries: what we learned from the Sibate study in Colombia
Année de publication
2023
Auteurs
Ramos-Bonilla J. P., Giraldo M., Marsili D., Pasetto R., Terracini B., Mazzeo A., Magnani C., Comba P., Lysaniuk Benjamin, Cely-García M. F., Ascoli V.
Source
Annals of Global Health, 2023,
89 (1), p. [14 p.] ISSN 2214-9996
Introduction: The asbestos industry began its operations in Colombia in 1942 with the establishment of an asbestos-cement facility in Sibate, located in the Department of Cundinamarca. Despite extensive asbestos use and production in Colombia, the country lacks a reliable epidemiological surveillance system to monitor the health effects of asbestos exposure. The Colombian health information system, known as SISPRO, did not report mesothelioma cases diagnosed in the municipality, posing a significant challenge in understanding the health impacts of asbestos exposure on the population of Sibate. Methods: To address this issue, an active surveillance strategy was implemented in Sibate. This strategy involved conducting door-to-door health and socioeconomic structured interviews to identify Asbestos-Related Diseases (ARDs). Validation strategies included a thorough review of medical records by a panel of physicians, and the findings were communicated to local, regional, and national authorities, as well as the general population. Results: The active surveillance strategy successfully identified a mesothelioma cluster in Sibate, revealing the inadequacy of the existing health information system in monitoring asbestos-related diseases. The discovery of this cluster underscores the critical importance of implementing active surveillance strategies in Colombia, where governmental institutions and resources are often limited. Conclusion: The findings of this study emphasize the urgent need for Colombia to establish a reliable epidemiological surveillance system for asbestos-related diseases (ARDs). Active surveillance strategies can play a crucial role in identifying mesothelioma clusters and enhancing our understanding of the health effects of asbestos exposure in low- and middle-income countries.
Plan de classement
Sciences du milieu [021]
;
Santé : généralités [050]
Description Géographique
COLOMBIE
Localisation
Fonds IRD [F B010089636]
Identifiant IRD
fdi:010089636
