[Surveillance experience in the sugarcane sector: challenges in disrupting the perilous "marathon" of the sugarcane plantations].
The sugar-alcohol sector is growing year by year, especially in the state of Sao Paulo where approximately 42.9% of the sugar-ethanol plants are concentrated. The production chain is a subject for concern to public agencies and to civil society by exposing migrant workers to risks arising from the work process. In Sao Paulo, from 2006-2009, Occupational Health Surveillance (VISAT) set up two initiatives to address problems related to the housing and working conditions of sugarcane workers. The objective of this article presented in the form of an essay is to analyze the experiences in their context. The methodology used combines document analysis with the perception of the authors who participated in the actions. The experience led to improvements in these conditions and fostered public debate on the conditions of such physically demanding work. The interventions resulted in a definition of sanitary norms and initiatives at the legislative and judicial level, but even the most successful measures failed to attain the organizational targets, especially a production remuneration structure that challenges the traditional action of surveillance and the impacts were weakened due to the fragility of worker representation for the sector.
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil, ravilela@usp.br.
Rodolfo Andrade de Gouveia
RA
Vilela
SES, São Paulo.
Simone Alves
SA
dos Santos
Centro de Referência em Saúde do Trabalhador.
Alessandro José Nunes
AJ
da Silva
Faculdade de Medicina de Botucatu, Universidade Estadual Paulista.
Ildeberto Muniz
IM
de Almeida
D000383:Agriculture; D001938:Brazil; D005221:Fatigue / Q000401:mortality; D006801:Humans; D009784:Occupational Diseases / Q000401:mortality; D016272:Occupational Health / Q000592:standards; D062486:Public Health Surveillance; D031786:Saccharum; D016526:Workload