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1.
Recurso educacional aberto em Português | CVSP - Brasil | ID: cfc-381181

Assuntos
Malária , Malária , Malária
2.
BMC Infect Dis ; 18(1): 269, 2018 06 08.
Artigo em Inglês | MEDLINE | ID: mdl-29884140

RESUMO

BACKGROUND: Influenza disease burden varies by age and this has important public health implications. We compared the proportional distribution of different influenza virus types within age strata using surveillance data from twenty-nine countries during 1999-2014 (N=358,796 influenza cases). METHODS: For each virus, we calculated a Relative Illness Ratio (defined as the ratio of the percentage of cases in an age group to the percentage of the country population in the same age group) for young children (0-4 years), older children (5-17 years), young adults (18-39 years), older adults (40-64 years), and the elderly (65+ years). We used random-effects meta-analysis models to obtain summary relative illness ratios (sRIRs), and conducted meta-regression and sub-group analyses to explore causes of between-estimates heterogeneity. RESULTS: The influenza virus with highest sRIR was A(H1N1) for young children, B for older children, A(H1N1)pdm2009 for adults, and (A(H3N2) for the elderly. As expected, considering the diverse nature of the national surveillance datasets included in our analysis, between-estimates heterogeneity was high (I2>90%) for most sRIRs. The variations of countries' geographic, demographic and economic characteristics and the proportion of outpatients among reported influenza cases explained only part of the heterogeneity, suggesting that multiple factors were at play. CONCLUSIONS: These results highlight the importance of presenting burden of disease estimates by age group and virus (sub)type.


Assuntos
Vírus da Influenza A Subtipo H1N1/isolamento & purificação , Vírus da Influenza A Subtipo H3N2/isolamento & purificação , Influenza Humana/virologia , Adolescente , Adulto , Fatores Etários , Idoso , Criança , Pré-Escolar , Bases de Dados Factuais , Feminino , Saúde Global , Humanos , Lactente , Recém-Nascido , Influenza Humana/diagnóstico , Masculino , Pessoa de Meia-Idade , Adulto Jovem
3.
RECIIS (Online) ; 12(1): 1-5, jan.-mar. 2018.
Artigo em Português | LILACS | ID: biblio-884962

RESUMO

Esta nota apresenta um breve histórico da origem da febre amarela no Brasil, das medidas de controle e das dificuldades para que orientações de saúde pública cheguem à população. Nela analisam-se alguns episódios de geração de boatos, assim como informações mentirosas e suas consequências muitas vezes danosas.Aponta-se a necessidade de oferecer e divulgar fontes confiáveis para os profissionais e a comunidade, em especial por meio do fortalecimento das instituições e de suas áreas de comunicação social. Assinala-se também a importância do trabalho de campo das equipes de atenção básica, para localizar pessoas expostas a risco, levando-lhes informações e vacinas.(AU)


This paper presents a brief history of yellow fever origin in Brazil, of the control measures and of the difficulties to the public health guidance to reach the population. It analyzes some cases of rumour propagation, as wellas fake information and its often damaging consequences. It points out the need to offer and disseminatereliable sources to professionals and the community, especially through the strengthening of institutions and their areas of social communication. It also highlights the importance of the fieldwork of the primary health care teams, so that they can find people at risk and bring information and vaccines to them.


Esta nota presenta una breve historia del origen de la fiebre amarilla en Brasil, de las medidas de control yde las dificultades de las orientaciones de salud pública para llegar a la población. Analiza algunos casos degeneración de rumores, así como informaciones falsas y sus consecuencias a menudo perjudiciales. Señalala necesidad de ofrecer y difundir fuentes confiables a los profesionales y a la comunidad, en especial a través del fortalecimiento de las instituciones y sus áreas de comunicación social. También destaca la importancia del trabajo de campo de los equipos de atención primaria de salud, para localizar personas expuestas alriesgo y así llevar a ellas informaciones y vacunas.


Assuntos
Humanos , Animais , Fraude/tendências , Comunicação Persuasiva , Febre Amarela/epidemiologia , Febre Amarela/história , Brasil , Surtos de Doenças , Conhecimentos, Atitudes e Prática em Saúde , Insetos Vetores , Vacinação , Febre Amarela/tratamento farmacológico , Febre Amarela/prevenção & controle
4.
Lancet Infect Dis ; 18(3): 328-336, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29242091

RESUMO

BACKGROUND: A Zika virus epidemic emerged in northeast Brazil in 2015 and was followed by a striking increase in congenital microcephaly cases, triggering a declaration of an international public health emergency. This is the final report of the first case-control study evaluating the potential causes of microcephaly: congenital Zika virus infection, vaccines, and larvicides. The published preliminary report suggested a strong association between microcephaly and congenital Zika virus infection. METHODS: We did a case-control study in eight public maternity hospitals in Recife, Brazil. Cases were neonates born with microcephaly, defined as a head circumference of 2 SD below the mean. Two controls without microcephaly were matched to each case by expected date of delivery and area of residence. We tested the serum of cases and controls and the CSF of cases for detection of Zika virus genomes with quantitative RT-PCR and for detection of IgM antibodies with capture-IgM ELISA. We also tested maternal serum with plaque reduction neutralisation assays for Zika and dengue viruses. We estimated matched crude and adjusted odds ratios with exact conditional logistic regression to determine the association between microcephaly and Zika virus infection. FINDINGS: We screened neonates born between Jan 15 and Nov 30, 2016, and prospectively recruited 91 cases and 173 controls. In 32 (35%) cases, congenital Zika virus infection was confirmed by laboratory tests and no controls had confirmed Zika virus infections. 69 (83%) of 83 cases with known birthweight were small for gestational age, compared with eight (5%) of 173 controls. The overall matched odds ratio was 73·1 (95% CI 13·0-∞) for microcephaly and Zika virus infection after adjustments. Neither vaccination during pregnancy or use of the larvicide pyriproxyfen was associated with microcephaly. Results of laboratory tests for Zika virus and brain imaging results were available for 79 (87%) cases; within these cases, ten were positive for Zika virus and had cerebral abnormalities, 13 were positive for Zika infection but had no cerebral abnormalities, and 11 were negative for Zika virus but had cerebral abnormalities. INTERPRETATION: The association between microcephaly and congenital Zika virus infection was confirmed. We provide evidence of the absence of an effect of other potential factors, such as exposure to pyriproxyfen or vaccines (tetanus, diphtheria, and acellular pertussis, measles and rubella, or measles, mumps, and rubella) during pregnancy, confirming the findings of an ecological study of pyriproxyfen in Pernambuco and previous studies on the safety of Tdap vaccine administration during pregnancy. FUNDING: Brazilian Ministry of Health, Pan American Health Organization, and Enhancing Research Activity in Epidemic Situations.


Assuntos
Infecção por Zika virus/complicações , Infecção por Zika virus/epidemiologia , Adolescente , Adulto , Brasil/epidemiologia , Estudos de Casos e Controles , Feminino , Humanos , Recém-Nascido , Masculino , Microcefalia , Mães , Fatores de Risco , Adulto Jovem
5.
PLoS One ; 12(3): e0174592, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28346498

RESUMO

INTRODUCTION: The increased availability of influenza surveillance data in recent years justifies an actual and more complete overview of influenza epidemiology in Latin America. We compared the influenza surveillance systems and assessed the epidemiology of influenza A and B, including the spatio-temporal patterns of influenza epidemics, in ten countries and sub-national regions in Latin America. METHODS: We aggregated the data by year and country and characteristics of eighty-two years were analysed. We calculated the median proportion of laboratory-confirmed influenza cases caused by each virus strain, and compared the timing and amplitude of the primary and secondary peaks between countries. RESULTS: 37,087 influenza cases were reported during 2004-2012. Influenza A and B accounted for a median of 79% and, respectively, 21% of cases in a year. The percentage of influenza A cases that were subtyped was 82.5%; for influenza B, 15.6% of cases were characterized. Influenza A and B were dominant in seventy-five (91%) and seven (9%) years, respectively. In half (51%) of the influenza A years, influenza A(H3N2) was dominant, followed by influenza A(H1N1)pdm2009 (41%) and pre-pandemic A(H1N1) (8%). The primary peak of influenza activity was in June-September in temperate climate countries, with little or no secondary peak. Tropical climate countries had smaller primary peaks taking place in different months and frequently detectable secondary peaks. CONCLUSIONS: We found that good influenza surveillance data exists in Latin America, although improvements can still be made (e.g. a better characterization of influenza B specimens); that influenza B plays a considerable role in the seasonal influenza burden; and that there is substantial heterogeneity of spatio-temporal patterns of influenza epidemics. To improve the effectiveness of influenza control measures in Latin America, tropical climate countries may need to develop innovative prevention strategies specifically tailored to the spatio-temporal patterns of influenza in this region.


Assuntos
Vírus da Influenza A , Vírus da Influenza B , Influenza Humana/epidemiologia , Humanos , Influenza Humana/virologia , América Latina , Vigilância da População , Estações do Ano , Clima Tropical
6.
Epidemiol. serv. saúde ; 25(4): 691-700, out.-dez. 2016. graf
Artigo em Português | LILACS | ID: biblio-828763

RESUMO

OBJETIVO: descrever os primeiros casos de microcefalia possivelmente relacionados ao vírus Zika em nascidos vivos notificados na Região Metropolitana do Recife, Pernambuco, Brasil. MÉTODOS: estudo descritivo de tipo série de casos (notificados de 1º de agosto a 31 de outubro de 2015), com dados obtidos dos registros médicos e de questionário aplicado às mães. RESULTADOS: foram confirmados 40 casos com microcefalia, distribuídos em oito municípios da Região Metropolitana do Recife, com maior concentração no Recife (n=12); a mediana do perímetro cefálico foi de 29 cm, do perímetro torácico, 31 cm, e do peso, 2.628 gramas; 21/25 casos apresentaram calcificação cerebral, ventriculomegalia ou lisencefalia; entre as 40 mães, 27 referiram exantema na gestação, 20 no primeiro trimestre e sete no segundo, além de prurido, cefaleia, mialgia e ausência de febre. CONCLUSÃO: a maioria dos casos apresentou características de infecção congênita; a maioria das mães apresentou quadro sugestivo de infecção pelo vírus Zika na gestação.


OBJETIVO: describir los primeros casos de microcefalia en nacidos vivos reportados al Departamento de Salud del Estado de Pernambuco, en la región metropolitana de Recife, Pernambuco, 2015. MÉTODOS: estudio epidemiológico descriptivo de serie de casos (reportados de 1 de agosto a 31 de octubre de 2015), con datos obtenidos de registros médicos y cuestionarios aplicados a las madres. RESULTADOS: 40 casos fueron confirmados con microcefalia, en ocho municipios de la región metropolitana de Recife, con mayor concentración de casos en Recife (n=12); la circunferencia media de la cabeza fue 29 cm, perímetro torácico 31 cm y peso 2.628 gramos; exámenes revelaron que 21/25 casos mostraron calcificación, dilatación ventricular o lisencefalia; de las 40 madres, 27 (68%) informan exantema durante la gestación, 20 (74%) en el primer trimestre y siete (26%) en la segunda, además de prurito, dolor de cabeza, mialgia y ausencia de fiebre. CONCLUSIÓN: la mayoría de los casos presenta características de infección congénita; la mayoría de las madres mostró características que sugieren infección por el virus Zika en el embarazo.


OBJECTIVE: to describe the first cases of microcephaly possibly related to Zika virus in live born babies reported in the Metropolitan Region of Recife, Pernambuco State, Brazil. METHODS: this was a descriptive case series study (cases reported between August 1st and October 31st 2015), using medical record data and data from a questionnaire answered by the mothers of the babies. RESULTS: 40 microcephaly cases were confirmed, distributed in eight municipalities within the Metropolitan Region, with Recife itself having the highest concentration of cases (n=12); median head circumference was 29 cm, median chest girth was 31 cm and median weight was 2,628 grams; 21/25 cases had brain calcification, ventriculomegaly or lissencephaly; 27 of the 40 mothers reported rash during pregnancy, 20 in the first trimester and 7 in the second trimester, as well as itching, headache, myalgia and absence of fever. CONCLUSION: the majority of the cases bore the characteristics of congenital infection; the clinical condition of the majority of mothers suggested Zika virus infection during pregnancy.


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Anormalidades Congênitas/embriologia , Nascimento Vivo , Infecção por Zika virus/complicações , Microcefalia/virologia , Brasil/epidemiologia , Testes Sorológicos/métodos , Reação em Cadeia da Polimerase/métodos , Epidemiologia Descritiva
8.
Epidemiol Serv Saude ; 25(4): 691-700, 2016.
Artigo em Inglês, Português | MEDLINE | ID: mdl-27869982

RESUMO

OBJECTIVE: to describe the first cases of microcephaly possibly related to Zika virus in live born babies reported in the Metropolitan Region of Recife, Pernambuco State, Brazil. METHODS: this was a descriptive case series study (cases reported between August 1st and October 31st 2015), using medical record data and data from a questionnaire answered by the mothers of the babies. RESULTS: 40 microcephaly cases were confirmed, distributed in eight municipalities within the Metropolitan Region, with Recife itself having the highest concentration of cases (n=12); median head circumference was 29 cm, median chest girth was 31 cm and median weight was 2,628 grams; 21/25 cases had brain calcification, ventriculomegaly or lissencephaly; 27 of the 40 mothers reported rash during pregnancy, 20 in the first trimester and 7 in the second trimester, as well as itching, headache, myalgia and absence of fever. CONCLUSION: the majority of the cases bore the characteristics of congenital infection; the clinical condition of the majority of mothers suggested Zika virus infection during pregnancy.


Assuntos
Microcefalia/epidemiologia , Infecção por Zika virus/epidemiologia , Zika virus , Brasil/epidemiologia , Feminino , Humanos , Recém-Nascido , Masculino , Microcefalia/virologia , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/virologia , Distribuição por Sexo , Infecção por Zika virus/complicações
9.
Lancet Infect Dis ; 16(12): 1356-1363, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27641777

RESUMO

BACKGROUND: The microcephaly epidemic, which started in Brazil in 2015, was declared a Public Health Emergency of International Concern by WHO in 2016. We report the preliminary results of a case-control study investigating the association between microcephaly and Zika virus infection during pregnancy. METHODS: We did this case-control study in eight public hospitals in Recife, Brazil. Cases were neonates with microcephaly. Two controls (neonates without microcephaly), matched by expected date of delivery and area of residence, were selected for each case. Serum samples of cases and controls and cerebrospinal fluid samples of cases were tested for Zika virus-specific IgM and by quantitative RT-PCR. Laboratory-confirmed Zika virus infection during pregnancy was defined as detection of Zika virus-specific IgM or a positive RT-PCR result in neonates. Maternal serum samples were tested by plaque reduction neutralisation assay for Zika virus and dengue virus. We estimated crude odds ratios (ORs) and 95% CIs using a median unbiased estimator for binary data in an unconditional logistic regression model. We estimated ORs separately for cases with and without radiological evidence of brain abnormalities. FINDINGS: Between Jan 15, 2016, and May 2, 2016, we prospectively recruited 32 cases and 62 controls. 24 (80%) of 30 mothers of cases had Zika virus infection compared with 39 (64%) of 61 mothers of controls (p=0·12). 13 (41%) of 32 cases and none of 62 controls had laboratory-confirmed Zika virus infection; crude overall OR 55·5 (95% CI 8·6-∞); OR 113·3 (95% CI 14·5-∞) for seven cases with brain abnormalities; and OR 24·7 (95% CI 2·9-∞) for four cases without brain abnormalities. INTERPRETATION: Our data suggest that the microcephaly epidemic is a result of congenital Zika virus infection. We await further data from this ongoing study to assess other potential risk factors and to confirm the strength of association in a larger sample size. FUNDING: Brazilian Ministry of Health, Pan American Health Organization, and Enhancing Research Activity in Epidemic Situations.


Assuntos
Microcefalia/epidemiologia , Infecção por Zika virus/diagnóstico , Zika virus/isolamento & purificação , Brasil/epidemiologia , Estudos de Casos e Controles , Feminino , Idade Gestacional , Humanos , Microcefalia/patologia , Microcefalia/virologia , Neuroimagem , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/patologia , Complicações Infecciosas na Gravidez/virologia , Estudos Prospectivos , Fatores de Risco , Infecção por Zika virus/congênito , Infecção por Zika virus/epidemiologia , Infecção por Zika virus/patologia
10.
PLoS One ; 11(3): e0152310, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27031105

RESUMO

INTRODUCTION: Determining the optimal time to vaccinate is important for influenza vaccination programmes. Here, we assessed the temporal characteristics of influenza epidemics in the Northern and Southern hemispheres and in the tropics, and discuss their implications for vaccination programmes. METHODS: This was a retrospective analysis of surveillance data between 2000 and 2014 from the Global Influenza B Study database. The seasonal peak of influenza was defined as the week with the most reported cases (overall, A, and B) in the season. The duration of seasonal activity was assessed using the maximum proportion of influenza cases during three consecutive months and the minimum number of months with ≥80% of cases in the season. We also assessed whether co-circulation of A and B virus types affected the duration of influenza epidemics. RESULTS: 212 influenza seasons and 571,907 cases were included from 30 countries. In tropical countries, the seasonal influenza activity lasted longer and the peaks of influenza A and B coincided less frequently than in temperate countries. Temporal characteristics of influenza epidemics were heterogeneous in the tropics, with distinct seasonal epidemics observed only in some countries. Seasons with co-circulation of influenza A and B were longer than influenza A seasons, especially in the tropics. DISCUSSION: Our findings show that influenza seasonality is less well defined in the tropics than in temperate regions. This has important implications for vaccination programmes in these countries. High-quality influenza surveillance systems are needed in the tropics to enable decisions about when to vaccinate.


Assuntos
Vírus da Influenza A/imunologia , Vírus da Influenza B/imunologia , Influenza Humana/prevenção & controle , Vacinação , Humanos , Influenza Humana/epidemiologia , Estudos Retrospectivos , Estações do Ano , Clima Tropical
11.
MMWR Morb Mortal Wkly Rep ; 65(9): 242-7, 2016 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-26963593

RESUMO

Widespread transmission of Zika virus by Aedes mosquitoes has been recognized in Brazil since late 2014, and in October 2015, an increase in the number of reported cases of microcephaly was reported to the Brazil Ministry of Health.* By January 2016, a total of 3,530 suspected microcephaly cases had been reported, many of which occurred in infants born to women who lived in or had visited areas where Zika virus transmission was occurring. Microcephaly surveillance was enhanced in late 2015 by implementing a more sensitive case definition. Based on the peak number of reported cases of microcephaly, and assuming an average estimated pregnancy duration of 38 weeks in Brazil (1), the first trimester of pregnancy coincided with reports of cases of febrile rash illness compatible with Zika virus disease in pregnant women in Bahia, Paraíba, and Pernambuco states, supporting an association between Zika virus infection during early pregnancy and the occurrence of microcephaly. Pregnant women in areas where Zika virus transmission is occurring should take steps to avoid mosquito bites. Additional studies are needed to further elucidate the relationship between Zika virus infection in pregnancy and microcephaly.


Assuntos
Microcefalia/epidemiologia , Complicações Infecciosas na Gravidez/virologia , Primeiro Trimestre da Gravidez , Características de Residência/estatística & dados numéricos , Infecção por Zika virus/transmissão , Brasil/epidemiologia , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Prevalência , Infecção por Zika virus/epidemiologia
13.
Rev. bras. cir. plást ; 24(4): 544-551, out.-dez. 2009. tab, ilus
Artigo em Português | LILACS | ID: lil-545150

RESUMO

As micobactérias de crescimento rápido são patógenos oportunistas geralmente associadoscom infecções pós-operatórias. Diferente de M. tuberculosis, este grupo de micobactériasnão-tuberculosas (Grupo 4 de Runyon) pode crescer em meios bacteriológicos de rotina,entre eles, ágar sangue e MacConkey, assim como, no meio de Lowenstein Jensen, à temperaturade 25°C a 40°C, dentro de 7 dias de incubação. A importância da busca do isolamentoda micobactéria e medidas de intervenção cirúrgica, quando a terapia conservadorafalha, são discutidas. A suspeita clínica é necessária para evitar retardo no diagnóstico eno tratamento. As micobactérias de crescimento rápido são geralmente resistentes aos antimicrobianosusuais, mas sensíveis a uma variedade de outros antimicrobianos, tais comoamicacina e fluorquinolonas. Uma revisão da literatura sobre infecções pós-operatóriaspor micobactéria foi realizada, incluindo epidemiologia, quadro clínico, diagnóstico, tratamentoe medidas preventivas. Essa revisão ressalta o cuidado rigoroso na limpeza e naesterilização do material utilizado nos procedimentos cirúrgicos; além disso, medidas decontrole apropriadas são essenciais para evitar surtos de infecção.


Rapidly growing mycobateria are opportunistic pathogens that are frequently associatedwith infections related to surgical procedures. Unlike M. tuberculosis, this group of nontuberculousmycobacteria (Runyon group 4) can grow on routine bacteriologic media, suchas blood and MacConkey agar, as well as on Lowenstein Jensen medium at temperaturesfrom 25°C to 40°C, within 7 days of incubation. Rapidly growing mycobateria are generallyresistant to conventional antimycobacterial drugs, but are sensitive to a variety of otherantibiotics, such as amikacin and fluoroquinolones. A review of literature about mycobacterialinfection after surgical procedures, including epidemiology, clinical manifestation,diagnosis, treatment options and preventive measures are considered. The importance ofpromptly isolation the pathogen and the operative intervention necessary when conservativetherapy fails are discussed. A high degree of clinical suspicion is necessary to avoiddelays in diagnosis and treatment. This review highlights the necessity of strict monitoringof disinfection and sterilization techniques of medical devices, and appropriate controlmeasures are essential to prevent potential outbreaks.


Assuntos
Humanos , Surtos de Doenças , Controle de Infecções , Mycobacterium , Infecções por Mycobacterium , Complicações Pós-Operatórias , Métodos , Pacientes , Precaução , Técnicas e Procedimentos Diagnósticos
15.
In. Buss, Paulo Marchiori; Temporão, José Gomes; Carvalheiro, José da Rocha. Vacinas, soros & imunizações no Brasil. Rio de Janeiro, Fiocruz, 2005. p.125-130.
Monografia em Português | LILACS | ID: lil-422400
16.
Rev. direito sanit ; 2(1): 113-126, mar. 2001.
Artigo em Português | LILACS | ID: lil-396213

RESUMO

Diversas condições e variáveis interferem na ocorrência de doenças transmissíveis, entre elas o tamanho da população, a aglomeração, a probabilidade de transmissão. A história assistiu à dinâmica das moléstias transmissíveis. O contato com outras populações e o transporte de mercadorias levou à noção de vigilância sanitária de fronteira e a certas práticas sanitárias. O direito que evoluiu com relação a estas práticas é o Direito Sanitário internacional, que lida com interesses de proteção da população e interesses do comércio e intercâmbio. As fontes deste direito são os tratados, as convenções e os atos jurídicos emanados das organizações sanitárias internacionais, é o caso da OMS. O Brasil adotou o regulamento sanitário internacional, o qual deve estar coadunado com os direitos individuais e coletivos. A aplicação deste regulamento tenta coordenar-se com o livre trânsito comercial. Afora as fontes provenientes das organizações sanitárias, temos dispositivos de regulamentação do trabalho, meio ambiente, navegação, cujas competências e responsabilidades variam conforme o enquadramento. O mundo conta hoje com organizações de blocos regionais, a dimensão e a complexidade crescentes exigem uma mudança de enfoque da segurança sanitária no panorama mundial, levando em conta que os países em desenvolvimento merecem atenção especial. Conclui-se que a grande ameaça sanitária é a diferença entre os povos.


Assuntos
Direito Sanitário , Vigilância Sanitária , Direito Internacional
18.
Säo Paulo; Página Aberta; set. 1996. 251 p. ilus, tab.
Monografia em Português | LILACS | ID: lil-189399

RESUMO

Apresenta experiências e reflexöes da equipe que trabalhou na implantaçäo do SUS (Sistema Único de Saúde) em Santos, SP, no período em que a cidade foi governada por prefeitos do PT (Partido dos Trabalhadores).


Assuntos
Sistemas Locais de Saúde/organização & administração , Financiamento da Assistência à Saúde , Planos e Programas de Saúde , Participação da Comunidade
19.
Säo Paulo; Scritta; 1996. 251 p.
Monografia em Português | LILACS | ID: lil-198777

RESUMO

Apresenta experiências e reflexöes da equipe que vem trabalhando na implantaçäo do SUS (Sistema Unico de Saúde) em Santos - desde de 1989 - período em que a cidade teve dois prefeitos do Partido dos Trabalhadores, integrantes de uma coligaçäo de partidos de esquerda, a Unidade Democrática e Popular.


Assuntos
Sistemas Locais de Saúde , Sistema Único de Saúde
20.
In. Centro de Estudos e Pesquisas de Direito Sanitário; Núcleo de Pesquisas de Direito Sanitário. III Seminário Internacional de Direito Sanitário. Washington, D.C, Organizaçäo Pan-Americana da Saúde. Programa Política de Saúde, 1993. p.101-17. (OPAS. Série Informes Técnicos, 26).
Monografia em Português | LILACS | ID: lil-160443

RESUMO

Análise de algumas questöes como: a indefiniçäo do papel do INAMPS em relaçäo ao sistema de saúde, tanto pela Constituiçäo como pela Lei Orgânica de Saúde; a abrangência regional (demanda por outros municípios); o financiamento dos serviços públicos e o repasse das verbas; a gestäo dos recursos humanos; a relaçäo com a iniciativa privada, as açöes de proteçäo à saúde; e as competências e atribuiçöes do Ministério do Trabalho, Ministério da Saúde e Ministério da Previdência Social. Finaliza com respostas a alguns participantes do debate (MLFF)


Assuntos
Legislação como Assunto , Saúde do Trabalhador/legislação & jurisprudência , Cidades , Constituição e Estatutos , Governo , Qualidade de Vida , Sistemas de Saúde , Governo Estadual
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