Interdisciplinary approach at the primary healthcare level for Bolivian immigrants with Chagas disease in the city of São Paulo

SUMMARY This study aimed at estimating the number of cases of non-negative serological reactions to Chagas disease in blood donors at the Blood Center of Botucatu, São Paulo, Brazil, from 2003 to 2010 and at relating them to their cities of origin. Five hundred and seventy-four non-negative results for Chagas disease were evaluated. Of these, 371 (64.8%) were reagent, and 203 (35.4%) were inconclusive. The prevalence of Chagas disease in blood donors was 0.05%. There were, on average, 72 cases/year, and a prevalence of males was observed (64.8%). Forty-three (7.49%) individuals were 18 to 30 years old; 92 (16.02%) were 31 to 40; 147 (25.61%) 41 to 50, and 292 (50.87%) were older than 50 years. It was observed that 29.3% of females with reagent serology were at their fertile age (18 and 45 years). The majority of donors were originally from cities in the southwestern and central regions of São Paulo, but individuals from other states contributed with 20%. The provenance of most donors was the city of Botucatu/SP, followed by the city of Taquarituba/SP. Therefore, the profile of donors at this blood center favors the occurrence of a larger number of non-negative serological reactions. Although there has been a significant reduction in the number of new cases/year for this disease, it is still a public-health problem, and results suggest the need for new epidemiological assessments in the studied region.

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Urban waters in São Paulo

Journal of Historical Archaeology & Anthropological Sciences ◽

10.15406/jhaas.2019.04.00205 ◽

2019 ◽

Vol 4 (6) ◽

pp. 222-228

Author(s):

Carlos Guilherme Mota ◽

Anne Marie Sumner

Keyword(s):

Interdisciplinary Approach ◽

Sao Paulo ◽

São Paulo ◽

The City

The reflection and projects exposed here can be seen as a catalyst, restricted to our perceptions and traits in order to better understand the city. These are projects for São Paulo’s urban waters that should be developed with an interdisciplinary approach. And assume for Architecture, the understanding of its time and nature that vary so much.

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Registros de violência doméstica de gênero nos prontuários-família na Atenção Primária à Saúde / Occurrences of domestic violence in the records of Primary Healthcare Services

Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo ◽

10.26432/1809-3019.2019.64.1.035 ◽

2019 ◽

Vol 64 (1) ◽

pp. 35

Author(s):

Elise Carmona Darmau ◽

Maria Fernanda Terra

Keyword(s):

Domestic Violence ◽

Primary Healthcare ◽

Family Health ◽

Secondary Data ◽

Healthcare Services ◽

Sao Paulo ◽

São Paulo ◽

Family Health Program ◽

Violencia Domestica ◽

The City

Objetivo: identificar os registros de violência doméstica de gênero nos prontuários-família de Serviço de Atenção Primária à Saúde (APS) das regiões dos Coordenadores Oeste e Sudeste, no Município de São Paulo. Método: Pesquisa descritiva, retrospectiva, com abordagem quantitativa, analítica de dados secundários advindos de 18 prontuários-família das mulheres em situação de violência doméstica de gênero, usuárias de Unidades Básicas de Saúde. Resultados: aumento do registro da violência em prontuário em 9% e a importância da ESF nesse processo de visibilizar o problema na APS. Conclusões: o Agentes Comunitários de Saúde (ACS) é muito importante para dar visibilidade aos casos de violência no território e assim, mesmo com o aumento da violência descrita no território, há pouca informação de como tal problema foi trabalhado nos serviços. Estudo que mostra a necessidade de que essa temática esteja presente nas formações dos profissionais de saúde e compreendida como parte da responsabilidade do profissional de saúde.Descritores: Violência contra as mulheres, Identidade de gênero, Mulheres, Violência doméstica, EnfermagemAbstractAim: Identify the occurrences of domestic violence in the records of Primary Healthcare (PHC) services in both western and southeastern regions of the city of Sao Paulo. Method: Descriptive and retrospective research, with a quantitative approach, analyzing secondary data from 18 records of women in situations of domestic violence, all users of health centers. Results: an increase in the cases of recorded domestic violence by 9% and the importance of the Family Health Program (ESF, in Portuguese) in the process of raising the awareness of the problem at PHC units. Conclusions: Community Health Agents (ACS, in Portuguese) play an important role in raising the awareness of ongoing domestic violence cases and, despite the aforementioned increase of these cases, there is little information on how such a problem has been addressed by Primary Healthcare services. The study shows the necessity for this topic to be part of the formation of healthcare agents and to be understood as part of their very own responsibilities.Key words: Violence against women, Gender identity, Women, Domestic violence, Nursing

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A seroprevalence survey of anti-SARS-CoV-2 antibodies among individuals 18 years of age or older living in a vulnerable region of the city of São Paulo, Brazil

PLoS ONE ◽

10.1371/journal.pone.0255412 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0255412

Author(s):

João Luiz Miraglia ◽

Camila Nascimento Monteiro ◽

Alexandre Giannecchini Romagnolo ◽

Rafaela Xavier Gomes ◽

Cristóvão Pitangueiras Mangueira ◽

...

Keyword(s):

Primary Healthcare ◽

Population Based ◽

Sao Paulo ◽

Urban Setting ◽

Similar Proportion ◽

Cluster Sampling ◽

São Paulo ◽

Cross Sectional ◽

Asymptomatic Individuals ◽

The City

A second wave of COVID-19 has demonstrated how challenging it will be to achieve sustained control of the disease, even with vaccination underway in many countries. Therefore, it remains relevant to keep improving our understanding of the distribution of COVID-19, especially of asymptomatic individuals, among different populations, and particularly in vulnerable regions. Hence, this population-based serosurvey had the objective of estimating the prevalence of individuals 18 years of age or older infected by SARS-CoV-2, and the proportion of asymptomatic individuals, among a vulnerable population living in an urban setting. This was a cross-sectional single-stage cluster sampling serosurvey conducted between September and December of 2019, in a vulnerable region of the city of São Paulo, Brazil. Families covered by three public primary healthcare units represented the selected clusters. After study inclusion, participants were asked about signs and symptoms related to COVID-19, and had collected 10 mL of blood for serology testing. A total of 272 individuals from 185 families were included in the study, out of the 400 eligible individuals for inclusion, resulting in a non-response rate of 32%. The post stratified prevalence of individuals infected by SARS-CoV-2 was 45.2% (95% CI: 39.4–51.0%), with a proportion of asymptomatic cases of 30.2% (95% CI: 23.3–38.0%). This population-based serosurvey identified a greater prevalence of infected individuals by SARS-CoV-2 compared to data from the beginning of the pandemic, and from a recent citywide serosurvey, with a similar proportion of asymptomatic individuals. It demonstrated the value of primary healthcare services for disease surveillance activities, and the importance of more focused serosurveys, especially in vulnerable locations, and the need to evaluate new surveillance strategies to take into account asymptomatic cases.

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Descriptive study of the assessment of congenital transmission of Chagas' disease in three institutions in the city of São Paulo

Revista da Sociedade Brasileira de Medicina Tropical ◽

10.1590/s0037-86821999000100018 ◽

1999 ◽

Vol 32 (1) ◽

pp. 79-80

Author(s):

Isabele Vera Vischr Nisida

Keyword(s):

Chagas Disease ◽

Descriptive Study ◽

Sao Paulo ◽

São Paulo ◽

Congenital Transmission ◽

The City

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Seasonal Variation of Suicide in the City of São Paulo, Brazil, 1996–2010

Crisis ◽

10.1027/0227-5910/a000222 ◽

2014 ◽

Vol 35 (1) ◽

pp. 5-9 ◽

Cited By ~ 10

Author(s):

Daniel Hideki Bando ◽

Fernando Madalena Volpe

Keyword(s):

Seasonal Pattern ◽

Total Sample ◽

Sao Paulo ◽

Seasonal Patterns ◽

São Paulo ◽

Health Statistics ◽

Males And Females ◽

June July ◽

The City ◽

Over Time

Background: In light of the few reports from intertropical latitudes and their conflicting results, we aimed to replicate and update the investigation of seasonal patterns of suicide occurrences in the city of São Paulo, Brazil. Methods: Data relating to male and female suicides were extracted from the Mortality Information Enhancement Program (PRO-AIM), the official health statistics of the municipality of São Paulo. Seasonality was assessed by studying distribution of suicides over time using cosinor analyses. Results: There were 6,916 registered suicides (76.7% men), with an average of 39.0 ± 7.0 observed suicides per month. For the total sample and for both sexes, cosinor analysis estimated a significant seasonal pattern. For the total sample and for males suicide peaked in November (late spring) with a trough in May–June (late autumn). For females, the estimated peak occurred in January, and the trough in June–July. Conclusions: A seasonal pattern of suicides was found for both males and females, peaking in spring/summer and dipping in fall/winter. The scarcity of reports from intertropical latitudes warrants promoting more studies in this area.

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Reaching Out to the Needy? Access to Justice and Public Attorneys’ Role in Right to Health Litigation in the City of Sao Paulo

SSRN Electronic Journal ◽

10.2139/ssrn.2165209 ◽

2012 ◽

Cited By ~ 1

Author(s):

Daniel Wang ◽

Octavio Luiz Motta Ferraz

Keyword(s):

Right To Health ◽

Sao Paulo ◽

Access To Justice ◽

São Paulo ◽

The City ◽

The Needy

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AEROSOLS OBSERVATIONS BY AN ELASTIC LIDAR SYSTEM OVER THE CITY OF SÃO PAULO, BRAZIL

Journal of Aerosol Science ◽

10.1016/s0021-8502(21)00186-5 ◽

2001 ◽

Vol 32 ◽

pp. 407-408

Author(s):

E. LANDULFO ◽

A. PAPAYANNIS ◽

A. ZANARDI DE FREITAS ◽

M.P.P.. M. JORGE ◽

N.D. VIEIRA JÚNIOR

Keyword(s):

Sao Paulo ◽

São Paulo ◽

Lidar System ◽

The City

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The Impact of COVID-19 on Urban Agriculture in São Paulo, Brazil

Sustainability ◽

10.3390/su13116185 ◽

2021 ◽

Vol 13 (11) ◽

pp. 6185

Author(s):

André Ruoppolo Biazoti ◽

Angélica Campos Nakamura ◽

Gustavo Nagib ◽

Vitória Oliveira Pereira de Souza Leão ◽

Giulia Giacchè ◽

...

Keyword(s):

Urban Agriculture ◽

Technical Assistance ◽

Community Gardens ◽

Sao Paulo ◽

Food Chains ◽

São Paulo ◽

Sales Channels ◽

Paulo State ◽

The Impact ◽

The City

During the initial months of the COVID-19 pandemic, farmers worldwide were greatly affected by disruptions in the food chain. In 2020, São Paulo city experienced most of the effects of the pandemic in Brazil, with 15,587 deaths through December 2020. Here, we describe the impacts of COVID-19 on urban agriculture (UA) in São Paulo from April to August 2020. We analyzed two governmental surveys of 2100 farmers from São Paulo state and 148 from São Paulo city and two qualitative surveys of volunteers from ten community gardens and seven urban farmers. Our data showed that 50% of the farmers were impacted by the pandemic with drops in sales, especially those that depended on intermediaries. Some farmers in the city adapted to novel sales channels, but 22% claimed that obtaining inputs became difficult. No municipal support was provided to UA in São Paulo, and pre-existing issues were exacerbated. Work on community gardens decreased, but no garden permanently closed. Post COVID-19, UA will have the challenge of maintaining local food chains established during the pandemic. Due to the increase in the price of inputs and the lack of technical assistance, governmental efforts should be implemented to support UA.

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