Acidentes escorpiônicos e tentativas de suicídio: Avaliação através da análise espacial

Abstract

The poisoning are considered a public health problem due to the accurate investigation of impossibility of its magnitude and consequences not very clear and little known, discriminating as a subjective issue. Being poisoning and Scorpion stings a social nature of problem, they should be studied under a micro-regional vision, and focal spot, according to the approach of the spatial distribution. Information about the spatial and temporal distribution of these diseases allow us to understand the occurrence of events in the territory. Objective: To evaluate scorpion accidents and suicide attempts in the city of Campina Grande, between 2010 and 2013, using GIS technique and then, spatial analysis of neighborhoods from socioeconomic indicators. Methodology: it is a study of the ecological and exploratory, in which it is used spatial analysis techniques of data area. The survey was conducted at the Service Center for Poison Control Campina Grande (Ceatox-CG). Results: were notified and attended by Ceatox CG-1466 Scorpion stings. The highest incidence occurred in females (n = 908, 61.9%), aged between 13:28 years (n = 428, 29.2%), which clinically showed a lightweight frame (n = 1401 , 95.6%), and pain (n = 1393, 95.0%) the most frequent local manifestation. The south of the city in the study had the highest number of registered cases (n = 548, 37.4%), followed by the West Zone (n = 510, 34.8%). A total of 446 suicide attempts were georeferenced, indicating an incidence of 120 cases per 100,000 inhabitants. The sample was predominantly female (66.4%). In terms of age, 62.3% had up to 30 years. Kernel map showed areas of hot spots. Populations within the hot spots had a risk 38% higher (RR = 1.38; p = 0.0029) to commit suicide when compared to populations living in areas outside the hot spots. Also, the spatial high risk area averaged estimate 165 suicide attempts per 100,000 inhabitants. Final thoughts: so, from the characterization of the spatial risk, the Scorpion stings and suicide attempts may be reduced in number and morbidity, through education and adoption of the population prevention measures as well as through the guidance to patients for immediate health service demand for quick realization of appropriate clinical management.