Banca de DEFESA: TIAGO BAHIA FONTANA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : TIAGO BAHIA FONTANA
DATA : 18/07/2019
HORA: 10:00
LOCAL: Auditório do Instituto de Saúde Coletiva
TÍTULO:

ZIKA VIRUSES IN BRAZIL (2015-2017): Entry into the Government Agenda, Alternatives and Formulation of Public Health Emergency Response.

 

PALAVRAS-CHAVES:

Zika virus; Epidemics; Global Health; Health Policy; Social Determinants in Health.

PÁGINAS: 117
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Issue: Brazil declared Public Health Emergency of International Concern (PHEIC) in November 2015, shortly after being notified about the first cases of microcephaly possibly associated with Zika virus infection. Since the declaration of PHEIC until the end of 2017, the year of its closure, the brazilian Ministry of Health (MoH) received notifications of 15,298 suspected cases of changes in growth and development possibly related to Zika virus infection and other infectious etiologies, of which 3,071 were confirmed, 339 were classified as probable and 230 as inconclusive (BRASIL, 2018).
Objective: This study characterized and analyzed the state responses related to the Brazilian Federal  Government in the context of PHEIC, from 2014 to 2018.
Methodology: This was a case study, with a qualitative approach, based on documentary analysis, focusing on the State responses of the Brazilian Federal Government in the context of PHEIC. The official documents of the MoH and other organizations participating in the political-managerial processes of the Unified Health System (SUS) were investigated, with a theoretical-methodological perspective the Public Policy Analysis (political-national mood, entry on the agenda and alternatives), as well as the Social Determinants of Health.
Results: The congenital syndrome associated with Zika virus infection reached priority in the Government Agenda in Brazil, due to a series of events, where the "Zika virus"problem was identified in April 2015 and the first mention of the problem, in the minutes of the National Health Council, occurred in November of this year, the same period in which the declaration of PHEIC was published. Therefore, between its identification and the entry on the governmental agenda, seven months passed. In the politicalnational mood, it was observed that the agenda put President Dilma Rousseff in a position of leadership with the states and municipalities, a strategic option to sustain their political capital in a period marked by changes in government and political forces with their low governability, which nevertheless did not prevent the process that culminated with its Impeachment in 2016. This study revealed three periods. The first period (2014-2015) was marked by international training in the management of public health events (Ebola and Chikungunya) and preparation for mass events (2014 FIFA World Cup and 2016 Olympic and Paralympic Games). The second period (2015-2017) was characterized by the identification of Zika virus in Brazil; identification of cases of microcephaly and other congenital alterations associated with Zika virus, with subsequent epidemic; and the learning process resulting from the response to ESPIN. The third period (2017-2018) was marked by the incorporation of new references and practices in the scope of the Health Policy, such as the obligatory entomological survey of Aedes aegypti infestation, the maintenance of the actions of the National Coordination and Control Room, and the implementation of actions integrated between Surveillance and Basic Health Care.
Conclusion: Despite this, the adoption of alternatives to address the Social Determinants of Health was not implemented. The appeal to actions to combat Aedes aegypti in the community represents an ineffective effort, since structural aspects of living conditions, including urban planning, are a first condition for confronting this
national problem.

MEMBROS DA BANCA:
Interno - 2778424 - CATHARINA LEITE MATOS SOARES
Interno - 1114664 - SONIA CRISTINA LIMA CHAVES
Externo à Instituição - WANDERSON KLEBER DE OLIVEIRA