DPSEEA Model and Environmental Health Surveillance in Portugal: Oncological Diseases
PDF (Português (Portugal))

Keywords

cancer
DPSEEA
indicators
public health
environmental health
health surveillance

How to Cite

da Silva Nunes, R. P., & Pires Justo, C. (2021). DPSEEA Model and Environmental Health Surveillance in Portugal: Oncological Diseases. Spanish Journal of Environmental Health, 21(1), 23–36. Retrieved from https://ojs.diffundit.com/index.php/rsa/article/view/1050

Abstract

In Portugal cancer is the main cause of premature death and the second main cause of death for all age groups. It is estimated that, globally, the proportion of cases of cancer due to modifiable risk factors exceeds one third of the total number of cases.


Through an applied, descriptive and documental research, an indicators dashboard was prepared based on the DPSEEA model, optimizing the use of available information for obtaining a snapshot of the situation and evolution of environmental health in Portugal having an impact on oncological diseases.


41 websites belonging to public bodies were consulted, resulting in the selection of 81 potential indicators. The most adequate indicators–3 for each dimension of the model–was selected by a panel of 21 experts. These indicators were classified in terms of validity, solidity, relevance, sensitivity and statistical quality.


The differences observed in the scores for the different indicators in all dimensions are of statistical significance, and the chosen set of 3 indicators for each dimension is likewise relevant in 95 % thereof (p < 0.05).


The country’s performance was evaluated on a 0-100 scale by calculating 3 index numbers: performance, dimension, and overall.


Portugal has action programmes for current environmental domains that are in need of a review so as to optimize them and carry out an effective intersectoral intervention on environmental health from which a decrease in the exposure to oncologically determinant environmental aspects results.

PDF (Português (Portugal))

References

Freitas C, Sobral A, Barcellos C, Gurgel H, Pedroso M. Saúde Ambiental: Guia Básico para a Construção de Indicadores. Brasília: Ministério da Saúde. 2011.

Vickers A, Lease C. Developing Local Government Environmental Health Indicators for South Australia. Government of South Australia. 2008.

Araújo-Pinto M, Peres F, Moreira J. Utilização do modelo FPEEEA (OMS) para a análise dos riscos relacionados ao uso de agrotóxicos em atividades agrícolas do estado do Rio de Janeiro. Ciênc. saúde coletiva. 2012; 17:1543-55.

OMS. Global health risks: mortality and burden of disease attributable to selected major risks. França: OMS; 2009.

Pärt P, Hoogeveen Y, editors. Environment and human health. Luxemburgo: European Environment Agency. 2013.

Prüss-Üstün A, Corvalán C. Preventing disease through healthy environments: Towards an estimate of the environmental burden of disease. França: OMS. 2006.

OMS. Country profiles of Environmental Burden of Disease: Portugal. Geneva: OMS. 2009.

OMS. Environmental and occupational determinants of cancer: Interventions for primary prevention. Asturias: OMS. 2011.

Pordata. Pordata [Online] [atualizado em 2015; citado em 26 de junho de 2015]. Disponível em: http://www.pordata.pt/Portugal/ Ambiente+de+Consulta/Gr%C3%A1fico.

Programa Nacional para as Doenças Oncológicas. Portugal – Doenças Oncológicas em números – 2015. Lisboa: Direção-Geral da Saúde. 2016.

IARC. GLOBOCAN [Online] [atualizado em 201; citado em 15 de janeiro de 2016]. Disponível em: http://globocan.iarc.fr.

Instituto Nacional de Estatística. Projeções de população residente 2012-2060. Lisboa. 2014.

Gomes A, Costa J. Cancro: Uma prioridade para os portugueses. Lisboa. 2014.

Belpomme D, Irigaray P, Hardell L, Clapp R, Montagnier L, Epstein S, et al. The multitude and diversity of environmental carcinogens. Environ Res. 2007: 414-29.

Doll R, Peto R.. Journal of the National Cancer Institute. J Natl Cancer Inst. 1981: 1193-308.

White M. The Causes of Cancer: What Has Happened Since Doll and Peto’s Landmark Paper? Epidemiology. 2008; 19:226.

President’s Cancer Panel. Reducing Environmental Cancer Risk: What We Can Do Now. EUA. 2010.

IARC. Press Telease n.o 231. [Online]; [atualizado em 2015; cited em 24 de junho de 2015]. Disponível em: http://www.iarc.fr/en/ media-centre/pr/2015/pdfs/pr231_E.pdf.

Prüss-Üstün A, Corvalán C, Neira M, Wolf J, Bos R. Preventing disease through healthy environments: a global assessment of the burden of disease from environmental risks. França: OMS. 2016.

Prodanov CC, Freitas EC. Metodologia do Trabalho Científico: Métodos e Técnicas da Pesquisa e do Trabalho Acadêmico. 2nd ed. Novo Hamburgo: Universidade Feevale. 2013.

Sobral A, Freitas C. Modelo de Organização de Indicadores para Operacionalização dos Determinantes Socioambientais da Saúde. Saúde e Sociedade. 2010:35-47.

Niemeijer D, Groot R. A conceptual framework for selecting environmental indicator sets. Ecological Indicators. 2008: 14-25.

Douglas BR, editor. Indicadores de Salud Ocupacional y Ambiental em América Central. Heredia: SALTRA. 2014.

EFA. Towards Healthy Air in Dwellings in Europe: The THADE Report. Bruxelas: EFA. 2004.

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