In Moscow, implementation of means of personal mobility became a solution of the last mile problem by reducing costs of transposition. However, their popularity augments traumatism and is accompanied by increasing of traffic accidents. The purpose of the study is to identify medical social characteristics of traumatism at traffic accidents involving means of personal mobility. The means of personal mobility, resolving last mile problem become source of health risk because of lacking of safety culture, corresponding municipal infrastructure and legal gaps. The comprehensive approach to injury prevention is minimizing risks, contributes to increasing of safety of urban mobility.
The purpose of the study was to study the medical and organizational aspects of providing medical care in the field of obstetrics and gynecology at the regional level by conducting a survey of medical staff working in medical organizations in the Tula region. 408 respondents took part in the survey. Of these, 56 heads of structural divisions, 53 secondary medical workers, and 299 specialist doctors. The study of the medical and organizational aspects of providing medical care in the field of obstetrics and gynecology has shown that promising areas for the development of the maternity and childhood care system are the formation of new regional routes for women of fertile age, pregnant women, women in labor and women in labor with the formation of a unified organizational and functional structure for reproductive health. The organization of the coordination centers activities as the main provider of medical and preventive services with an integrated information system for automated support of management decisions using artificial intelligence technologies is aimed at providing affordable and high quality obstetric and gynecological care to the population. Updating route management processes, taking into account the identified aspects of improvement, will increase the efficiency of planning and use of resources in the obstetric care system, will rationalize the use of the bed fund, human resources and technical equipment of medical organizations.
Filipe Melo, Mauro Mota, Margarida Reis Santos
et al.
Introduction: Trauma is a leading cause of death and disability worldwide. In addition to acute pain caused by trauma, victims often face discomforts during pre-hospital care, such as cold, anxiety, and fear, which may worsen their condition and hinder care.
Objective: To identify the types of discomforts reported by trauma victims and map pharmacological and non-pharmacological interventions for relief in pre-hospital settings.
Methods: A review will be conducted using the Joanna Briggs Institute (JBI) methodology. Quantitative and qualitative studies, as well as systematic reviews, will be included, without time restrictions, in Portuguese, English, and Spanish. Databases such as MEDLINE (PubMed), CINAHL (EBSCO), Scopus, Embase, APA PsycINFO (EBSCO), JBI Evidence Synthesis, and Cochrane Database will be used. Unpublished studies will be searched in the Scientific Open Access Repository of Portugal (RCAAP), OpenGrey, and the CAPES Theses Database due to their relevance and study quality. Data extraction will be performed by two independent reviewers.
Results: The study aims to identify common discomforts experienced by trauma victims and the interventions applied to alleviate them, presenting this information systematically.
Conclusion: The results of this study will contribute to a better understanding of the impact of discomforts on pre-hospital care and help guide future practices, reducing knowledge gaps and promoting more effective and humanized care.
Special aspects of education, Public aspects of medicine
Abstract Abortion is the termination of a pregnancy, with safe abortions adhering to World Health Organization standards. Comprehensive abortion care (CAC) includes safe services and post-abortion care, including modern techniques, medications, contraceptive counseling, emotional support, and community connections. Globally, 257 million women lack access to safe contraception, and nearly a quarter face barriers to refusing sex. Systemic pressures on women and girls to become mothers highlight their autonomy and undervaluation. This study aims to evaluate abortion prevalence and factors among married women in rural and urban Tigray, Ethiopia, in 2024. It aims to fill existing gaps and inform policy decisions, particularly in the war-affected region. Methods A community based cross-sectional study was conducted in the South Eastern Zone of Tigray, Northern Ethiopia, targeting married reproductive-age women (15–49 years). A multistage sampling technique was used to select 910 participants from 80 tabiyas across the zone. Data were collected through structured questionnaires. Quantitative data were analyzed using STATA version 17, employing descriptive statistics and logistic regression to identify factors associated with abortion. Ethical approval was obtained from Mekelle University IRB, and verbal informed consent was secured from all participants. Result The overall prevalence of abortion among the study participants was 7.2%. The majority of participants were aged 30–39 years (41.2%), and over half resided in rural areas (57.5%). Most respondents identified as Orthodox Christians (98.8%). Joint decision-making is predominant in family planning, child number, techniques, service accessibility, birth timing, and location, with only 1.8% to 2% of decisions made by the husband. Women aged 20–29 are 4.8 times more likely to have an abortion compared to those aged 15–19, 5.2 times more likely to have an abortion if they experienced an unwanted pregnancy, and 60% less likely to have an abortion using modern family planning methods. Conclusion The study found a high prevalence of abortion among married women of reproductive age in postwar South Eastern Tigray. Abortion was more likely among women aged 20–29 and those with unwanted pregnancies, while modern contraceptive use was linked to a lower risk of abortion. Recommendation Improving access to modern contraception, family planning education, and reproductive health services is vital, requiring coordinated efforts from government, NGOs, and healthcare providers to ensure sustainable and equitable care.
Constantina-Bianca Vulpe, Adina-Daniela Iachimov-Datcu, Andrijana Pujicic
et al.
Triazole fungicides are widely used in agriculture but may pose risks to human health through occupational, accidental, or environmental exposure. This systematic review aimed to evaluate the toxicity of ten European Union-approved triazole fungicides in rodent models and cell lines. A total of 70 studies were included, reporting quantitative in vivo oral, dermal, or inhalation toxicity in mammals or quantitative in vitro cytotoxicity in human or mammalian cell lines; the exclusion criteria comprised publications not in English or not accessible. Literature searches were conducted in Web of Science, Google Scholar, and the Pesticide Properties DataBase (PPDB), and risk of bias in included studies was assessed using ToxRTool. Due to heterogeneity in study designs, reporting formats, and endpoints, data were synthesized descriptively. Quantitative endpoints included LD<sub>50</sub>/LC<sub>50</sub> values for in vivo studies and LOEC, IC<sub>50</sub>, LC<sub>50</sub>, and EC<sub>50</sub> values for in vitro studies, while mechanistic endpoints highlighted apoptosis, oxidative stress, genotoxicity, and endoplasmic reticulum stress. Difenoconazole and tebuconazole were the most extensively studied compounds, whereas several triazoles had limited data. The limitations included heterogeneity of data and incomplete reporting, which restrict cross-study comparisons. Overall, the findings provide a comprehensive overview of potential human health hazards associated with EU-approved triazole fungicides and highlight critical knowledge gaps. The review was registered in Open Science Framework.
Bezabih Fikire, Tagesse Sedoro, Habtamu Hasen
et al.
Abstract Background Globally, the HIV pandemic makes preconception care even more crucial due to the additional risks for sexual and vertical transmission of HIV. However, there is limited evidence on the utilization of preconception care among high-risk women in Ethiopia. The purpose of this research is to assess preconception care utilization and associated factors among HIV-positive women of reproductive age who attend ART clinics in public hospitals in the Hadiya zone of Southern Ethiopia in 2023. Methods A cross-sectional study design employing a mixed methods approach was used among 297 study participants from July 1-Semptember 1, 2022. Data were collected by pretested structured questionnaires. The data were analyzed by SPSS statistical software version 25. Logistic regression, Adjusted Odds Ratio (AOR) with a 95% confidence interval was computed, and variables with a p-value < 0.05 were considered statistically significant. Qualitative data were analyzed using open code version 4.03. Results This study revealed that 19.9% (95%Cl: 15.4, 24.2) of study participants use preconception care. Women’s autonomy (AOR = 3.65; 95% CI: 1.14, 11.68;P = 0.03), knowledge of PCC (AOR = 3.05; 95% CI: 1.13, 8.22; P = 0.001), getting family/husband support (AOR = 4.06; 95% CI: 1.56, 10.53;P = 0.022), discussions with healthcare providers (AOR = 5.60; 95% CI: 2.26, 13.90;P = 0.002), availability of room for PCC (AOR = 3.77; 95% CI: 1.38, 10.31;P = 0.009), getting all laboratory services (AOR = 4.19; 95% CI: 1.61, 10.94; P = 0.002), and history of medical problems (AOR = 2.94; 95% CI: 11.01, 8.62;P = 0.036) were significantly associated with PCC use. Conclusion The level of PCC use in the current study area is low. Women’s autonomy, knowledge of PCC, obtaining support from family or husband, engaging in discussions with healthcare providers, having access to a PCC room, access to all laboratory services, and having a history of medical problems are significantly associated with PCC use. Our findings suggest integrating PCC into routine HIV care, boosting women’s autonomy, and integrating family support with healthcare providers.
Background: Victimization in schools has become one of the most prevalent problems in the worldwide education system. This study explored the dimensions of victimization in sixth-grade male students in Kermanshah City, Iran and its association with subjective well-being in school and school bonding.Methods: The current study was conducted using a descriptive correlational design. The statistical population included all male students in the sixth grade in Kermanshah City, Iran in the academic year 2022-2023. A sample of 374 individuals was selected using the multi-stage cluster random sampling method. To collect information, the Multidimensional Victimization Scale (MPVS), School Bonding Questionnaire (SBQ), and Elementary School Students’ Subjective Well-Being (ESSSWBSS) were administered. Pearson’s correlation coefficient and multiple regression were performed using SPSS version 27 to analyze the data.Results: Pearson correlation analysis revealed a significant inverse association between victimization at school and its dimensions with subjective well-being in school (r=-0.37) and school bonding (r=-0.010). Furthermore, the results of multiple regression showed that school bonding (β=-0.15, P=0.009) and subjective well-being in school (β=-0.33, P=0.031) were significant negative explanatory variables of victimization at school.Conclusions: Risky behaviors such as feeling victimized can hinder students’ educational achievements. Therefore, it is recommended that school counselors identify students who feel victimized by their peers and provide them with appropriate educational interventions and workshops to enhance their subjective well-being in school and school bonding.
Objectives: Women’s health status is better than men but the opposite is true for female smokers who usually have poorer long-health outcomes than male smokers. The objectives of this study were to thoroughly reviewed and analyzed relevant literature and to propose a hypothesis that may explain this paradox phenomenon.Methods: We conducted a search of literature from three English databases (EMBASE, MEDLINE, and Google Scholar) from inception to 13 November 2023. A combination of key words and/or subject headings in English was applied, including relevant terms for cigarette smoking, sex/gender, pregnancy, and health indicators. We then performed analysis of the searched literature.Results: Based on this review/analysis of literature, we proposed a hypothesis that may explain this paradox phenomenon: female smokers have worse long-term health outcomes than male smokers because some of them smoke during pregnancy, and the adverse effects of cigarette smoking during pregnancy is much stronger than cigarette smoking during non-pregnancy periods.Conclusion: Approval of our pregnancy-amplification theory could provide additional evidence on the adverse effect on women’s long-term health outcomes for cigarette smoking during pregnancy.
Betrearon Sileshi, Seifu Gizaw, Belay Merkeb
et al.
<h4>Background</h4>Brucellosis is a neglected zoonotic disease often contracted through contact with animals and consumption of unpasteurized dairy products. Despite being the most common cause of non-malarial acute febrile illness brucellosis is often misdiagnosed in healthcare setups. The global incidence of Brucella infection is reported to be over 2 million cases annually. In Ethiopia, there are varying reports on the prevalence of brucellosis, and just a few researches have been undertaken on the prevalence among febrile patients. Therefore, this study aimed to determine sero-prevalence of human brucellosis and associated factors among febrile patients attending Moyale Primary Hospital in southern Ethiopia.<h4>Methods</h4>Cross-sectional study was conducted on 293 febrile patients attending Moyale Primary Hospital. We used convenience sampling technique. Blood specimen was collected and screened for Brucella antibody using Rose-Bengal plate test and ELISA was used for confirmation of Brucella infection. We used a questionnaire to collect socio-demographic data and to assess associated factors (S1 Table). Bivariate and subsequent multivariable logistic regression was performed to explore associated factors with the prevalence of human brucellosis.<h4>Results</h4>The sero-prevalence of human brucellosis in this study was 13% (95% CI: 9.5, 16.5). Majority of the study participants (58.7%) were rural dwellers; 54.6% were male and the age range was from 5 to 80 years (mean = 24.17, SD = ±15.9). Higher number of sero-prevalence was seen among rural residents (19.8%) and male participants (14.40%). Drinking unpasteurized camel milk (AOR = 11.62, 95% CI: 3.85, 17.13; P = 0.000) and rural residence (AOR = 7.21, 95% CI: 2.48, 15.90; P = 0.000) were significantly associated with brucellosis. Consumption of pasteurized milk was shown to have protective effect (AOR = 6.12, 95% CI: 1.26, 29.76; P = 0.025) against brucellosis.<h4>Conclusion</h4>The current study showed 13% point prevalence of human brucellosis among febrile patients attending Moyale Primary Hospital. Consuming unpasteurized milk, particularly unpasteurized camel milk, and rural residence was significantly associated with Brucella infection. Awareness creation about the zoonotic nature of brucellosis and the role of unpasteurized milk in the transmission of the disease is important to control human brucellosis.
Arctic medicine. Tropical medicine, Public aspects of medicine
Abstract Objective: Industrial disasters can have a myriad of repercussions ranging from deaths, injuries, and long-term adverse health impacts on nearby populations, to political fallout and environmental damage. This is a descriptive epidemiological analysis of industrial disasters occurring between 1995 and 2021 which may provide useful insight for health-care systems and disaster medicine specialists to better prevent and mitigate the effects of future industrial disasters. Methods: Data were collected using a retrospective database search of the Emergency Events Database (EM-DATS) for all industrial disasters occurring between January 1, 1995, and December 31, 2021. Results: A total of 1054 industrial disasters were recorded from 1995 to 2021. Most of these disasters occurred in Asia (720; 68.3%), with 131 (12.4%) in Africa, 107 (10.2%) in Europe, 94 (8.9%) in the Americas, and 2 (0.2%) in Oceania. Half of these disasters were explosions (533; 50.6%), 147 (13.9%) were collapses, 143 (13.6%) were fires, 46 (4.4%) were chemical spills, 41 (3.9%) were gas leaks, and 34 (3.2%) were poisonings. There were 6 (0.6%) oil spills and 3 (0.3%) radiation events. Conclusions: A total of 29,708 deaths and 57,605 injuries were recorded as a result of industrial disasters, and they remain a significant contributor to the health-care risks of both workers and regional communities. The need for specialized emergency response training, the potential devastation of an industrial accident, and the vulnerability of critical infrastructure as terror targets highlight the need to better understand the potential immediate and long-term consequences of such events and to improve health-care responses in the future.
Social and cultural norms and beliefs shape how men, as social actors, perceive and engage in sexual activities. Little is known about risky sexual practices and prevention strategies among older Yoruba men. As a growing concern in Nigeria, this paper explores risky sexual behaviours of older Yoruba men living in Ibadan, a metropolitan city, and their strategies for preventing sexually transmitted infections in old age. We held six focus groups and nine semi-structured interviews, with a total of 65 participants. The findings show that social norms allow older men to engage in multiple sexual relationships, which exposes them to sexually transmitted infections (STIs), and to use potent traditional medical protective and preventive measures to mitigate their vulnerability to sexually transmitted infections and the consequences of having sex with women under “magun.” Such measures include “magun” on men, incisions, amulets, and aseje (a traditionally prepared concoction). Additionally, the findings revealed that protective measures are against serious consequences of risky sexual behaviors, like sexual pleasures and death. The findings point to the need for more inclusive sexual health and HIV campaigns and strategies addressing the sexual health challenges of all men and women and must be culturally sensitive.
Approximately 165 million (25,7%) children globally experience chronic malnutrition or stunting.1 In Indonesia, 29.6% of children under five are recorded as short and very short.2 The stunting prevention framework underlines that stunting prevention needs to be carried out with a comprehensive approach targeting specific nutritional factors such as the adolescents’ and young couples’ health, pregnancy supplements, exclusive breastfeeding, child feeding, as well as sensitive nutritional factors such as food security, mental health during pregnancy, women empowerment, access to clean water and sanitation, and family health services.1
Gabriela Manobanda-Lozada, Martha Ramos, Miriam Razo
et al.
La anemia es el descenso de la concentración de hemoglobina e incapacidad de eritropoyesis para compensar la pérdida excesiva de eritrocitos. La población más vulnerable al síndrome anémico (SA) son personas mayores de 60 años, quienes representan alrededor del 12% del total de la población latinoamericana. El objetivo de esta investigación fue analizar la prevalencia del SA en adultos entre 60 a 75 años en 4 parroquias de la ciudad de Ambato en base a valores de hemoglobina (HGC), eritrocitos (RBC) y hematocritos (HCT), durante un periodo de 8 días (12-20 Jul 2022). Se utilizó un diseño descriptivo, transversal, de campo. Con razón de probabilidades (Odd Ratio) en base al Índice de Masa Corporal (IMC) de los pacientes, y la prevalencia de SA con respecto al número total de pacientes. La muestra de estudio fue de 52 de 100 pacientes geriátricos, y se determinó que, en 2 de los 4 sitios, hubo un paciente con nivel elevado de hematíes (6,06 106/Ul), y otro paciente con niveles superiores de HGB (19 g/dL) y HCT (59%), sin embargo, no se evidenció ningún caso de anemia debido a la ingesta adecuada en los alimentos consumidos por parte de la población establecida. La probabilidad de presentar SA en los cuatro sitios de estudio es de nula a muy baja, con una prevalencia de 0,045% incluyendo todos los pacientes.
Kirsten M. Wright, Janis McFerrin, Armando Alcázar Magaña
et al.
Botanical products are frequently sold as dietary supplements and their use by the public is increasing in popularity. However, scientific evaluation of their medicinal benefits presents unique challenges due to their chemical complexity, inherent variability, and the involvement of multiple active components and biological targets. Translation away from preclinical models, and developing an optimized, reproducible botanical product for use in clinical trials, presents particular challenges for phytotherapeutic agents compared to single chemical entities. Common deficiencies noted in clinical trials of botanical products include limited characterization of the product tested, inadequate placebo control, and lack of rationale for the type of product tested, dose used, outcome measures or even the study population. Our group has focused on the botanical Centella asiatica due to its reputation for enhancing cognition in Eastern traditional medicine systems. Our preclinical studies on a Centella asiatica water extract (CAW) and its bioactive components strongly support its potential as a phytotherapeutic agent for cognitive decline in aging and Alzheimer's disease through influences on antioxidant response, mitochondrial activity, and synaptic density. Here we describe our robust, scientific approach toward developing a rational phytotherapeutic product based on Centella asiatica for human investigation, addressing multiple factors to optimize its valid clinical evaluation. Specific aspects covered include approaches to identifying an optimal dose range for clinical assessment, design and composition of a dosage form and matching placebo, sourcing appropriate botanical raw material for product manufacture (including the evaluation of active compounds and contaminants), and up-scaling of laboratory extraction methods to available current Good Manufacturing Practice (cGMP) certified industrial facilities. We also address the process of obtaining regulatory approvals to proceed with clinical trials. Our study highlights the complexity of translational research on botanicals and the importance of identifying active compounds and developing sound analytical and bioanalytical methods for their determination in botanical materials and biological samples. Recent Phase I pharmacokinetic studies of our Centella asiatica product in humans (NCT03929250, NCT03937908) have highlighted additional challenges associated with designing botanical bioavailability studies, including specific dietary considerations that need to be considered.
A. Mark Clarfield, A. Mark Clarfield, Tzvi Dwolatzky
et al.
The distribution of the SARS-CoV-2 virus has reached pandemic proportions. While COVID-19 can affect anyone, it is particularly hazardous for those with “co-morbidities.” Older age is an especially strong and independent risk factor for hospital and ICU admission, mechanical ventilation and death. Health systems must protect persons at any age while paying particular attention to those with risk factors. However, essential freedoms must be respected and social/psychological needs met for those shielded. The example of the older population in Israel may provide interesting public health lessons. Relatively speaking, Israel is a demographically young country, with only 11.5% of its population 65 years and older as compared with the OECD average of >17%. As well, a lower proportion of older persons is in long-term institutions in Israel than in most other OECD countries. The initiation of a national program to protect older residents of nursing homes and more latterly, a successful vaccine program has resulted in relatively low rates of serious COVID-19 related disease and mortality in Israel. However, the global situation remains unstable and the older population remains at risk. The rollout of efficacious vaccines is in progress but it will probably take years to cover the world's population, especially those living in low- and middle-income countries. Every effort must be made not to leave these poorer countries behind. Marrying the principles of public health (care of the population) with those of geriatric medicine (care of the older individual) offers the best way forward.
Natabhona M. Mabachi, Melinda Brown, Catherine Wexler
et al.
Abstract Background Prevention of mother-to-child HIV transmission (PMTCT) services in Kenya can be strengthened through the delivery of relevant and culturally appropriate SMS messages. Methods This study reports on the results of focus groups conducted with pre and postnatal women living with HIV (5 groups, n = 40) and their male partners (3 groups, n = 33) to elicit feedback and develop messages to support HIV+ women’s adherence to ART medication, ANC appointments and a facility-based birth. The principles of message design informed message development. Results Respondents wanted ART adherence messages that were low in verbal immediacy (ambiguous), came from an anonymous source, and were customized in timing and frequency. Unlike other studies, low message immediacy was prioritized over customization of message content. For retention, participants preferred messages with high verbal immediacy—direct appointment reminders and references to the baby—sent infrequently from a clinical source. Conclusion Overall, participants favored content that was brief, cheerful, and emotionally appealing.
Abstract Background As healthcare becomes increasingly complex, new methods are needed to identify weaknesses in the system that could lead to increased risk. Traditionally, the focus for patient safety is to study incident reports and adverse events, but that starting point has been contested with a new era of safety investigations: the analysis of everyday clinical work, and the resilient healthcare. This study introduces a new approach of system monitoring as a way to strengthen patient safety and has focused on discharge in psychiatry as a risk for adverse outcomes. The aim was to analyse a psychiatric clinic’s everyday ‘normal’ performance variability of discharge from inpatient psychiatric care to outpatient care. Method A retrospective longitudinal correlation study with a strategic selection. Data consist of 70,797 patient visits within one psychiatric clinic, and the visits were compared between 81 different wards in Stockholm County by using a model of time-lapse visualization. Results The time-lapse visualization shows a discrepancy in types of visits and the proportion of cancelled visits to the outward units. 42% of all patients that were scheduled as an outward patient, did not complete this transition, but instead, they revisit the clinics’ emergency ward and did not receive the planned care treatment. The patients who visit the emergency ward instead of their planned outpatient visit did this within 20 days. Conclusions The findings show a potential increased demand for emergency psychiatric care from 2010 to 2018 within the clinic. It also suggests that the healthcare system creates a space of temporal as well as functional variability, and that patients use this space to adapt to their changing conditions. This understanding can assist management in prioritising allocation of resources and thereby strengthen patient safety. Today’s incident reporting systems in healthcare are ineffective in monitoring patterns of more cancelled visits in outward units and sooner visit to the emergency ward. By using time-lapse visualization of patient interactions, stakeholders might analyse current-, and estimate future, stressors within the system to identify and understand potential system migration towards risk in healthcare. This could help healthcare management understand where resources should be prioritized.
Background
Schools have been key settings for health education for over a century 1 . Tobacco use is the leading cause of preventable death in Europe and smoking typically begins during adolescence. Therefore, the school setting is frequently used to provide tobacco-related health education, to educate about risks and to implement tobacco prevention and cessation programmes 2 . Little is known about tobacco-related health education and how key school personnel understand and deliver it. This paper provides a cross-European analysis of tobacco-related health education, and policy recommendations for successful delivery.
Methods
The SILNE-R study was carried out between 2016 and 2018 to evaluate the effectiveness of programmes and strategies to prevent youth smoking in Belgium, Italy, The Netherlands, Portugal, Finland, Ireland, and Germany, and to make policy recommendations. We used secondary data from SILNE-R, including a survey of 12979 students aged 14–16 years in 55 schools in 7 European cities. Content analysis 3 of synthesized findings from 84 interviews among staff members of 28 schools was used to generate broad themes about tobacco-related health education, using an iterative, sequential process that involved organisation, immersion, and the generation of categories and themes through coding 4 .
Findings
Five themes relating to formal tobacco-related health education and its delivery in schools were identified as having policy implications: multiple approaches to curriculum design and content; pedagogy and the need for instructional methods that are student-centred, supportive, dialogical, and age appropriate; the requirement for resources, including materials, personnel, and partnerships; the importance of leadership and whole-school approaches for successful implementation; and inadequacies in teacher education relating to tobacco-related health education.
Conclusion
Recommendations are offered to support tobacco-control and educational policy-makers in developing, implementing, and supporting tobacco-related health education in schools to reduce and prevent youth smoking.
Introdução: No evento de massa Feira da Agricultura Familiar são ofertados queijos e embutidos cárneos processados em agroindústrias familiares do Rio Grande do Sul. Em muitas edições da Feira, os fiscais sanitários encontravam recorrentes inadequações na comercialização desses produtos. Objetivo: Visando inovar a conduta da Vigilância Sanitária em alimentos na redução de riscos, foi criado o instrumento, denominado “comunicação prévia”, para ser aplicado aos expositores e avaliado como recurso de educação em saúde. Método: A “comunicação prévia” foi redigida reafirmando a corresponsabilidade entre a Vigilância Sanitária e expositores para com a saúde dos consumidores, bem como foram listadas as inadequações observadas em edições anteriores. Nas edições 2016 e 2017, três meses antes do evento, esse instrumento foi enviado para as agroindústrias expositoras. Para aferir a influência do instrumento na redução de inadequações foi usada parte do Anexo II da RDC da Anvisa nº 43, de 1º de setembro de 2015. Resultados: Comparamos as inadequações dos anos 2014 e 2015 com as de 2016 e 2017, como exemplos: os itens matérias-primas transportadas, armazenadas e conservadas, incluindo temperatura, de 62,50% dos estandes passou para 5,71% em 2016 e 14,21% em 2017; a temperatura dos alimentos mantidos nos equipamentos para exposição e distribuição de 75,00% dos estandes passou para 60,00% em 2016 e para 3,57% em 2017; o item rotulagem de 62,50% dos estandes passou para 0% em 2016 e 2017. Conclusão: O instrumento exerceu influência na redução de riscos na comercialização dos alimentos.