A MORTALIDADE POR ACIDENTES DE TRÂNSITO EM GOIÂNIA, 1996 - 2002

Abstract

The morbidity and mortality caused by traffic accidents is related to the process of urbanization and with the natural history of disease supported by multifactorial theory with coorte in reserved prognostics and, for the gravity of the events, determinant of the medical-sanitary, familiar, social and economic variable. Goiânia, from 1996 to 2002, experienced an increase of 36,18% in the number of deaths by traffic accidents. The rate of proportional mortality in the chapter of the external causes presented a median of 38,8% and sex distribution of 84,65% male and 15,35% female. Running overs, cyclists, motorcyclists, events involving cars had presented increases in the period of, respectively, 168,29%, 840%, 1.050% and 450%. This study it demonstrated that, of all the deaths occurred in Goiânia by traffic accidents, approximately, 40% had involved adolescents and adults up to 29 years. The information available through the Mortality Data System, based on death certificates (DC) issued by the Institute of Forensic Medicine (IFM), presents deficiencies caused by bad death notification form fulfilling. Evaluating 527 deaths by traffic accidents, in 2002, 97,53% had no information on the degree of instruction of the victim; 62,04% did not mention the presence of medical assistance; 35,83% classified the events as "other terrestrial transportation accidents", not characterizing the victim and the vehicle; 96,39% were not reported as work accidents; and not a single form had the location of the accident. The objective of obtaining a reliable geographic distribution of deaths, using a Geographical Information System, was compromised because of the impossibility to establish, with statistical significance the location of deaths. The information used was retrieved from the databases of the Criminology Institute (only 16,51% of the total death available) and of the Integrated System of Attendance to the Trauma and Emergencies of Goiás State (only 20,68%of the total death available). Traffic accidents is an event where the human being assumes the condition of both victim and villain of the process, therefore the epidemiologic control of this important cause of death will be possible with an interdisciplinary approach, with professionals from different sectors, through readings involving ethics and citizenship, consolidating efficient measures to develop Public Health in the urban space of Goiânia.