{"id":9977,"date":"2026-05-05T21:00:26","date_gmt":"2026-05-06T00:00:26","guid":{"rendered":"https:\/\/oexpressobr.com.br\/?p=9977"},"modified":"2026-05-05T21:00:27","modified_gmt":"2026-05-06T00:00:27","slug":"inca-e-ministerio-da-saude-atualizam-diretrizes-para-identificar-cancer-relacionado-ao-trabalho","status":"publish","type":"post","link":"https:\/\/oexpressobr.com.br\/?p=9977","title":{"rendered":"Inca e Minist\u00e9rio da Sa\u00fade atualizam diretrizes para identificar c\u00e2ncer relacionado ao trabalho"},"content":{"rendered":"\n

O Instituto Nacional de C\u00e2ncer (Inca) e o Minist\u00e9rio da Sa\u00fade lan\u00e7aram, nesta ter\u00e7a-feira (5), a segunda edi\u00e7\u00e3o das Diretrizes para a Vigil\u00e2ncia do C\u00e2ncer Relacionado ao Trabalho<\/strong>. O documento atualizado traz avan\u00e7os significativos na identifica\u00e7\u00e3o de riscos ocupacionais e amplia o cat\u00e1logo de patologias que devem ser monitoradas pelos profissionais do Sistema \u00danico de Sa\u00fade (SUS).
A nova vers\u00e3o da diretriz \u00e9 mais objetiva e pr\u00e1tica que a anterior, reduzindo de dez para oito cap\u00edtulos, com foco no suporte direto ao diagn\u00f3stico e \u00e0 notifica\u00e7\u00e3o. Entre as principais novidades est\u00e1 a inclus\u00e3o de categorias profissionais e condi\u00e7\u00f5es de trabalho antes n\u00e3o detalhadas, como a atividade de bombeiros<\/strong> e o trabalho noturno ou em turnos<\/strong>.<\/p>\n\n\n\n

Principais pontos da atualiza\u00e7\u00e3o:<\/h3>\n\n\n\n
    \n
  • Amplia\u00e7\u00e3o de patologias:<\/strong> O documento agora detalha a vigil\u00e2ncia para 50 tipos de c\u00e2ncer associados a exposi\u00e7\u00f5es no ambiente laboral.<\/li>\n\n\n\n
  • Trabalho noturno:<\/strong> Estudos incorporados \u00e0s diretrizes mostram que a desregula\u00e7\u00e3o do ciclo circadiano em trabalhadores noturnos pode elevar o risco de c\u00e2nceres de mama, pr\u00f3stata e colorretal.<\/li>\n\n\n\n
  • Bombeiros:<\/strong> A categoria foi formalmente inclu\u00edda devido \u00e0 exposi\u00e7\u00e3o cont\u00ednua a subst\u00e2ncias t\u00f3xicas e produtos de combust\u00e3o, que aumentam a vulnerabilidade a neoplasias.<\/li>\n\n\n\n
  • Fatores combinados:<\/strong> A diretriz orienta os m\u00e9dicos a investigarem como a combina\u00e7\u00e3o de h\u00e1bitos (como o tabagismo) e agentes qu\u00edmicos (como s\u00edlica e amianto) potencializa o desenvolvimento de doen\u00e7as.<\/li>\n<\/ul>\n\n\n\n

    Impacto na rede de sa\u00fade<\/h3>\n\n\n\n

    Segundo a epidemiologista Ubirani Otero, respons\u00e1vel pela \u00e1rea de Vigil\u00e2ncia do C\u00e2ncer Relacionado ao Trabalho do Inca, a meta \u00e9 tornar o c\u00e2ncer ocupacional “vis\u00edvel”. Muitas vezes, a doen\u00e7a \u00e9 tratada apenas como uma condi\u00e7\u00e3o cl\u00ednica comum, ignorando-se que o agente causador estava no ambiente de trabalho.
    Com as novas diretrizes, o profissional de sa\u00fade \u00e9 incentivado a realizar a anamnese ocupacional<\/strong> (o hist\u00f3rico de trabalho do paciente) de forma mais rigorosa. Isso permite que estados e munic\u00edpios identifiquem clusters de adoecimento \u2014 \u00e1reas onde muitos trabalhadores de um mesmo setor est\u00e3o ficando doentes \u2014 facilitando a cria\u00e7\u00e3o de pol\u00edticas de preven\u00e7\u00e3o e a fiscaliza\u00e7\u00e3o de ambientes insalubres.<\/p>\n\n\n\n

    Preven\u00e7\u00e3o \u00e9 a meta<\/h3>\n\n\n\n

    O Minist\u00e9rio da Sa\u00fade refor\u00e7a que a maioria desses casos \u00e9 totalmente preven\u00edvel. A atualiza\u00e7\u00e3o das diretrizes soma-se \u00e0 revis\u00e3o da Lista de Doen\u00e7as Relacionadas ao Trabalho (LDRT), consolidando o compromisso do Brasil em reduzir a incid\u00eancia de c\u00e2ncer por causas laborais e garantir o direito \u00e0 sa\u00fade e \u00e0 seguran\u00e7a nos postos de trabalho em todo o pa\u00eds.<\/p>\n","protected":false},"excerpt":{"rendered":"

    O Instituto Nacional de C\u00e2ncer (Inca) e o Minist\u00e9rio da Sa\u00fade lan\u00e7aram, nesta ter\u00e7a-feira (5), a segunda edi\u00e7\u00e3o das Diretrizes para a Vigil\u00e2ncia do C\u00e2ncer […]<\/p>\n","protected":false},"author":1,"featured_media":9979,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"{\"document\":\"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\",\"updateId\":170333597}","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[18],"tags":[],"class_list":["post-9977","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/oexpressobr.com.br\/wp-content\/uploads\/2026\/05\/dsc4326.jpg?fit=1170%2C700&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/posts\/9977","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9977"}],"version-history":[{"count":1,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/posts\/9977\/revisions"}],"predecessor-version":[{"id":9980,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/posts\/9977\/revisions\/9980"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=\/wp\/v2\/media\/9979"}],"wp:attachment":[{"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9977"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9977"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/oexpressobr.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9977"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}