O SANEAMENTO AMBIENTAL INADEQUADO E SUA CORRELAÇÃO COM HOSPITALIZAÇÕES

In Brazil, a significant portion of the population does not have adequate environmental sanitation. This situation results in environmental damage, especially in contamination of water bodies and soil, affecting the environmental balance and compromising human health. This study had as general objective: to analyze the correlation between access to environmental sanitation (water supply and sanitary sewage) and hospitalizations. And as specific objectives: Demonstrate the evolution of access to sanitation services, from 2007 to 2014; Identify whether individual or collective water supply and sewage solutions are appropriate for DRSAI (Diseases Related to Inadequate Environmental Sanitation) prevention and its complications; To compare the occurrence of hospitalizations by DRSAI, according to the etiology. The study population consisted of families living in the state of Paraiba, according to the IBGE, during the years 2007 to 2014. The sample was composed of families enrolled in the Family Health Program, and by users of the Unified Health System (SUS), hospitalized by DRSAI according to SIHSUS (Hospital Information System) records. These data were collected in the DATASUS information portal, between November 2017 and January 2018, where information from the SIAB (Basic Attention Information System) on the sanitation situation; and also the SIHSUS. For statistical analysis of the data, the correlation of Spearman's scores for non-parametric data, with statistical significance of 95% and p value less than 0.05 (p <0.05). In the data analysis, descriptive statistics were used, with the aid of statistical software R. This research identified that access to water in other ways, in addition to public water and wells and springs, has been an excellent strategy to prevent hospitalizations for parasitic diseases. It was also evident the importance of expanding the sewage collection system in reducing DRSAI caused by parasites, bacteria and viruses. We also observed that the septic tanks, as they are being constructed, have not been a safe way to discard waste, since the use of this individual solution showed a positive correlation. This study contributes to an understanding of the relationship between sanitary condition and illness; drawing attention to new ecological niches elected by Aedes Aegypti. and the importance of individual solutions for access to drinking water, as well as the urgent need to implement policies related to environmental preservation.