scholarly journals Brazilian union actions for workers' health protection

2005 ◽  
Vol 123 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Rodolpho Repullo Junior ◽  
Jorge da Rocha Gomes
Keyword(s):  
Health And Safety ◽  
Health Department ◽  
Sao Paulo ◽  
São Paulo ◽  
Work Processes ◽  
Unified Health System ◽  
Union Action ◽  
Study Setting ◽  
Health Objective ◽  
Work And Health

CONTEXT: Many authors have emphasized the importance of worker strength through unionized organizations, in relation to the improvement of working procedures, and have reported on the decisiveness of labor movement actions in achieving modifications within the field of work and health. OBJECTIVE: To describe the ways in which Brazilian unions have tried to intervene in health-illness and work processes, identifying the existence of commonality in union actions in this field. TYPE OF STUDY: Qualitative study. SETTING: Postgraduate Program, Environmental Health Department, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brazil. METHODS: Union health advisers and directors were interviewed. Documents relating to union action towards protecting workers' health were collected and analyzed. RESULTS: Unions articulate actions regarding workers' health of a technical and political nature that involve many aspects and high complexity. These have been divided into thematic categories for better analysis. DISCUSSION: Union actions regarding workers' health in Brazil are restricted to some unions, located mainly in the southern, southeastern and northeastern regions of the country. Nonetheless, the unions undertaking such actions represent many professions of great economic and political importance. CONCLUSIONS: The recent changes in health and safety at work regulations, recognition of professional diseases, creation of workers' health services and programs within the unified health system, and operational improvements in companies' specialized safety and occupational medicine services, all basically result from union action. There is commonality of union action in this field in its seeking of technical and political strengthening for all workers and their general and local representation. This has the objective of benefiting collective bargaining between employers and workers. Inter-institutional action on behalf of workers' rights guarantees and amplifies the improvement of health and working conditions.

Retrato da judicialização da saúde no munícípio de São Paulo entre 2017 e setembro de 2018 e os principais resultados obtidos pelas ações adotadas

2019 ◽  
Vol 19 (75) ◽  
Author(s):  
Paulo Kron Psanquevich ◽  
Rafael Augusto Galvani Fraga Moreira
Keyword(s):  
Public Health ◽  
Attorney General ◽  
Health Department ◽  
Progressive Increase ◽  
Sao Paulo ◽  
São Paulo ◽  
Health Care Evaluation Mechanisms ◽  
Unified Health System ◽  
Health Care Evaluation ◽  
Judicialization Of Health

A Constituição Federal de 1988, que trouxe a saúde como direito social de todos os brasileiros, dependente de políticas públicas de Estado (art. 196), criou o Sistema Único de Saúde (SUS) para garantia das ações e serviços assistenciais universais, igualitários e integrais (art. 198), acabando por propiciar, em pouco tempo, o aumento progressivo da judicialização da saúde no Brasil, em grandes dimensões, especialmente em razão da geração de significativo impacto orçamentário. Diante desta perspectiva, no Município de São Paulo, nos anos de 2017 e 2018, teve início o reforço da estrutura administrativa da Secretaria Municipal de Saúde no sentido do enfrentamento desta realidade, em especial, com a implementação e incremento do setor técnico e jurídico especializado nesta temática, o que trouxe mais subsídios para a defesa da Prefeitura de São Paulo em Juízo, desempenhada pela Procuradoria Geral do Município (PGM), sendo que as referidas ações adotadas, no presente estudo, guardaram relação com a redução dos gastos de recursos públicos em ações individuais nas situações amostrais analisadas, bem como na redução de gastos totais em compras judiciais para que os mesmos fossem aplicados nos programas de saúde pública do SUS paulistano. Este estudo é um retrato do panorama da Judicialização da Saúde no Município de São Paulo e os principais resultados obtidos por este trabalho.Palavras-chave: Poder judiciário. Saúde pública. Judicialização da Saúde. Mecanismos de avaliação da assistência à saúde. ABSTRACTThe Federal Constitution of 1988, which brought health as a social right for all Brazilians, dependent on state public policies (article 196), created the Unified Health System (SUS) to guarantee universal, egalitarian and (article 198), which in a short time led to the progressive increase of the judicialization of health in Brazil, in large dimensions, especially due to the generation of a significant budgetary impact. In view of this perspective, in the Municipality of São Paulo, in 2017 and 2018, the administrative structure of the Municipal Health Department began to be strengthened in order to address this reality, especially with the implementation and increase of the specialized technical and legal sector in this subject, which brought more subsidies for the defense of the Municipality of São Paulo in Judgment, performed by the Attorney General of the Municipality (PGM), and the actions adopted in this study were related to the reduction of public resources expenditures in individual actions in the analyzed sample situations, as well as in the reduction of total expenditures on judicial purchases so that they could be applied in the public health programs of the São Paulo SUS.This study is a portrait of the panorama of the Judicialization of Health in the Municipality of São Paulo and the main results obtained by this work.Keywords: Judiciary. Public health. Judiacialization of Health. Health care evaluation mechanisms.

scholarly journals Building a "Smiling Brazil"? Implementation of the Brazilian National Oral Health Policy in a health region in the State of São Paulo

2015 ◽  
Vol 31 (1) ◽  
pp. 82-96 ◽  
Author(s):  
Aline Guerra Aquilante ◽  
Geovani Gurgel Aciole
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Oral Health ◽  
Health Care Professionals ◽  
Health Department ◽  
Work Conditions ◽  
Oral Health Care ◽  
Sao Paulo ◽  
São Paulo ◽  
Oral Health Policy

This paper is a case study on the implementation of the Brazilian National Oral Health Policy (PNSB), known as "Smiling Brazil", in the cities of the Regional Health Department of Araraquara (DRS III) in São Paulo State. A structured questionnaire was given to the municipal oral health coordinators, an interview with oral health care professionals and managers was conducted, and the official data provided by the Brazilian Ministry of Health were coded to assess the policy's scope: (i) expansion and qualification of actions; (ii) work conditions; (iii) care; (iv) access; and (v) planning and management. The quantitative and qualitative analyses were linked by methods triangulation. In terms of PNSB implementation, the majority of the cities (52.6%) were classified as "good", with 42.1% classified as "bad". Approximately 10 years after launching the PNSB, despite strides in oral health care and access to different levels of care, the cities still experience difficulties in implementing the policy's principles.

scholarly journals PSY144 - DRUGS INVOLVED IN LAWSUITS FILED AGAINST THE UNIFIED HEALTH SYSTEM (SUS) IN SÃO PAULO - BRAZIL, IN 2017

2018 ◽  
Vol 21 ◽  
pp. S460-S461
Author(s):  
A. Ribeiro ◽  
E. Ribeiro ◽  
M.R. Nobre ◽  
S.R. Secoli
Keyword(s):  
Health System ◽  
Sao Paulo ◽  
São Paulo ◽  
Unified Health System

scholarly journals Changes in eating habits following total and frontolateral laryngectomy

2004 ◽  
Vol 122 (5) ◽  
pp. 195-199 ◽  
Author(s):  
Jackeline Pillon ◽  
Maria Inês Rebelo Gonçalves ◽  
Noemi Grigoletto De Biase
Keyword(s):  
Eating Habits ◽  
Sao Paulo ◽  
Partial Laryngectomy ◽  
São Paulo ◽  
Item Questionnaire ◽  
Swallowing Difficulties ◽  
Continuous Dynamic ◽  
Study Setting ◽  
De Medicina ◽  
Food Consumed

CONTEXT: Swallowing is a continuous dynamic process, characterized by complex stages, that involves structures of the oral cavity, pharynx, larynx and esophagus. It can be divided into three phases: oral, pharyngeal and esophageal. Dysphagia is characterized by difficulty with, or the inability to swallow food of normal consistencies. OBJECTIVE: To investigate the presence of swallowing difficulties and modifications made to the consistency of the food consumed in cases of total and partial laryngectomy, with or without subsequent radiotherapy, among patients who had not been diagnosed as having dysphagia. TYPE OF STUDY: Descriptive study. SETTING: Voice Clinic of São Paulo Hospital, Universidade Federal de São Paulo/Escola Paulista de Medicina, São Paulo, Brazil. METHOD: 36 laryngectomy patients: 25 total and 11 frontolateral cases, were studied. A survey consisting of a 23-item questionnaire was applied by a single professional. RESULTS: Among those interviewed, 44% reported having modified the consistency of the food consumed (56% of the total and 20% of the partial frontolateral laryngectomy cases). It was not possible to investigate the influence of radiotherapy on the groups in this study, because the partial frontolateral laryngectomy cases were not exposed to radiotherapy. There was a higher incidence of complaints of swallowing difficulties in total laryngectomy cases (p < 0.027) than in partial frontolateral cases. However, there was no relationship between the surgery and weight loss. We also noted the patients' other problems regarding the eating process, as well as the compensation that they made for such problems. DISCUSSION: Research has shown an association between laryngectomy and swallowing difficulties, although there have been no reports of associated changes in eating habits among laryngectomized patients. CONCLUSIONS: This study showed that difficulty in swallowing is not rare in total and frontolateral laryngectomy cases. Such patients, even those who did not complain of dysphagia, also had minor difficulties while eating, and had to make some adaptations to their meals.

An ergonomic approach to reorganize parking inspection agents' work productivity, health and safety in São Paulo, Brazil

Work ◽  
2010 ◽  
Vol 36 (3) ◽  
pp. 345-353 ◽  
Author(s):  
R.M.A. Gonçalves ◽  
S. Lancman ◽  
L. Trudel ◽  
T.A. Jardim ◽  
L.I. Sznelwar ◽  
...  
Keyword(s):  
Work Productivity ◽  
Health And Safety ◽  
Sao Paulo ◽  
São Paulo

scholarly journals History of Maternal Mortality in the City of Ribeirão Preto, in its Regional Health Department, and in the State of São Paulo after the Establishment of the Maternal Committees from 1998 to 2017

2021 ◽  
Author(s):  
Aderson Tadeu Berezowski ◽  
Antonio Luiz Rodrigues Júnior
Keyword(s):  
Maternal Mortality ◽  
Maternal Death ◽  
Temporal Distribution ◽  
Health Department ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Regional Health ◽  
Live Births ◽  
The City

Abstract Objective To describe the evolution of maternal mortality right after the establishment of maternal death committees in the region of the city of Ribeirão Preto, state of São Paulo, Brazil. Methods The present study describes the spatial and temporal distribution of maternal mortality frequencies and rates, using data from the state of São Paulo, the municipality of Ribeirão Preto, and its Regional Health Department (DRS-XIII) from 1998 to 2017. The present ecological study considered the maternal mortality and live birth frequencies made available by the Computer Science Department of the Brazilian Unified Health System (Departamento de Informática do Sistema Único de Saúde, DATASUS, in the Portuguese acronym)/Ministry of Health, which were grouped by year and political-administrative division (the state of São Paulo, the DRS-XIII, and the city of Ribeirão Preto). The maternal mortality rate (MMR) was calculated and presented through descriptive measures, graphs, and cartograms. Results The overall MMR observed for the city of Ribeirão Preto was of 39.1; for the DRS-XIII, it was of of 40.4; and for the state of São Paulo, it was of 43.8 for every 100 thousand live birhts. During this period, the MMR for the city of Ribeirão Preto ranged from 0% to 80% of the total maternal mortalities, and from 40.7% to 47.2% of live births in the DRS-XIII. The city of Ribeirao Preto had an MMR of 76.5 in 1998and 1999, which decreased progressively to 12.1 until the years of 2012 and 2013, and increased to 54.3 for every 100 thousand live births over the past 4 years. The state of São Paulo State had an MMR of 54.0 in 1998–1999, which varied throughout the study period, with values of 48.0 in 2008–2009, and 54.1 for every 100 thousand live births in 2016–2017. Several times before 2015, the city of Ribeirão Preto and the DRS-XIII reached the Millennium Goals. Recently, however, the MMR increased, which can be explained by the improvement in the surveillance of maternal mortality. Conclusion The present study describes a sharp decline in maternal death in the region of Ribeirão Preto by the end of 2012–2013, and a subsequent and distressing increase in recent years that needs to be fully faced.

scholarly journals Two hundred days of COVID-19 in São Paulo State, Brazil

2020 ◽  
Vol 148 ◽  
Author(s):  
Gabriel Berg de Almeida ◽  
Micheli Pronunciate ◽  
Rejane Maria Tommasini Grotto ◽  
Edmur Azevedo Pugliesi ◽  
Raul Borges Guimarães ◽  
...  
Keyword(s):  
Reproduction Number ◽  
Health Department ◽  
Sao Paulo ◽  
Distance Measures ◽  
São Paulo ◽  
Health Security ◽  
Slowing Down ◽  
Paulo State ◽  
São Paulo State ◽  
The One

Abstract Two hundred days after the first confirmed case of COVID-19 in Brazil, the epidemic has rapidly spread in metropolitan areas and advanced throughout the countryside. We followed the temporal epidemic pattern at São Paulo State, the most populous of the country, the first to have a confirmed case of COVID-19, and the one with the most significant number of cases until now. We analysed the number of new cases per day in each regional health department and calculated the effective reproduction number (Rt) over time. Social distance measures, along with improvement in testing and isolating positive cases, general population mask-wearing and standard health security protocols for essential and non-essential activities, were adopted and impacted on slowing down epidemic velocity but were insufficient to stop transmission.

scholarly journals Epidemiological profile of pediatric burn victims in the city of São Paulo

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Cintia Rodrigues ◽  
Vitória Westarp ◽  
Adriana Hette ◽  
Tatiana Condo ◽  
Lorena Depieri ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Health Department ◽  
Sao Paulo ◽  
The Body ◽  
Burn Injuries ◽  
Body Region ◽  
Childhood And Adolescence ◽  
São Paulo ◽  
Cross Sectional ◽  
The City

INTRODUCTION: Burns injuries are a significant health problem because they cause permanent or long lasting sequelae. OBJECTIVE: To characterize burn injuries, occurring among children and adolescents living in the city of Sao Paulo, and to identify the profile of pediatric patients treated for burn injuries. METHODS: This is a cross-sectional, quantitative, descriptive and retrospective study. A survey was carried out using data from the Information System for Violence and Accident Surveillance (SIVVA) of the Municipal Health Department of the city of Sao Paulo, where the reports of accidents against children and adolescents (0 to 19-years-old). RESULTS: During the study period, there were 416 burn injuries among children and adolescents living in the city of Sao Paulo. The main lesion diagnoses were: degree II burn (41.6%), the body region being more affected by wrist and hand. CONCLUSION: The results of this study showed that there was a higher frequency of burns among boys, preschoolers and the domestic environment. It emphasizes the importance of epidemiological researches in the subject because they can support preventive strategies, especially in the period of childhood and adolescence.

scholarly journals Childhood tuberculosis incidence in Southeast Brazil, 1996

2004 ◽  
Vol 20 (6) ◽  
pp. 1749-1752 ◽  
Author(s):  
Luiz Fernando C. Nascimento
Keyword(s):  
Health Department ◽  
Sao Paulo ◽  
Childhood Tuberculosis ◽  
São Paulo ◽  
Public Health Services ◽  
Tuberculosis Incidence ◽  
Southeast Brazil ◽  
Pulmonary Manifestations ◽  
And Control

This study aims to describe childhood tuberculosis incidence in Southeast Brazil in 1996. It is a descriptive study based on secondary records from the Tuberculosis Division of the São Paulo State Health Department. The study area includes 40 cities, has some 1,800,000 inhabitants, and is located between São Paulo and Rio de Janeiro, the largest cities in Brazil. The study included cases up to 15 years of age. Independent variables were: sex, age, type of case, clinical presentation, radiology, AFB microscopy, HIV antibody tests, and method of discovery. The incidence rate in this age bracket was 10.4/100,000. Pulmonary manifestations were the most common, and control of contacts was the most common method of case discovery. AFB microscopy was performed in 18.6% of the cases and HIV testing was done in 14.9%. Incidence in this study was higher than for the State of São Paulo as a whole. Poor socioeconomic level, deterioration of public health services, treatment dropout by adults and their persistence as sputum-positive carriers, and flaws in case reporting and follow-up could explain these results.

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