Apontamentos sobre saneamento e saúde nos municípios paraenses com mais de 200 mil habitantes durante a década de 2010 a 2020

Abstract

The present study aims to analyze the relationship between hospital morbidity due to Diseases Related to Inadequate Environmental Sanitation (DRSAI) and the conditions of the sanitation, water supply and sewage systems in municipalities with more than 200,000 inhabitants in the state of Pará, in the period from 2010 to 2020. The analysis of sanitation conditions and hospital morbidity took place through a descriptive case study with a quantitative approach based on data from the Department of Informatics of the Unified Health System (DATASUS) and the National Information System on the Sanitation (SNIS). The conditions of the sanitation system services are related to the amount of morbidity by DRSAI, the greater the attendance of the sanitation services, the lower the number of hospitalizations registered. The DRSAI registered a total of 90,731 hospitalizations by Hospitalization Authorization (AIH), which generated expenses in the total amount of BRL 34,005,260.96 for the SUS. Disease, diarrhea and gastroenteritis of presumed infectious origin was the SARD with the highest incidence, recording 43,185 or 47.60% of hospitalizations. Mortality from DRSAI was 495 or 0.55% of deaths. The existing sanitation services in the municipalities do not meet the needs of the population. The total population served with water supply in the municipalities in descending order in 2020 is: Parauapebas 85.82%; Belém 73.41%; Santarém 50.90%; Ananindeua 33.80%; Marabá 33.36% and Castanhal 21.60%. The total population served with sewage in descending order in 2020 is: Ananindeua 30.18%; Belém 17.14%; Parauapebas 15.40%; Santarém 4.14%; Marabá 0.74% and Castanhal 0.73%. The municipalities received a total of R$ 1,167,104,343.02 invested in the sanitation system, despite the investments, no municipality fully serves its population. Thus enabling the occurrence of diseases such as DRSAI, which are preventable diseases. Importantly, actions such as education, basic health care, investments in sanitation and universalization of services. So that these diseases do not occur.