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

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.

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Brazilian union actions for workers' health protection

Sao Paulo Medical Journal ◽

10.1590/s1516-31802005000100006 ◽

2005 ◽

Vol 123 (1) ◽

pp. 24-29 ◽

Cited By ~ 2

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.

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Environmental and public health effects of vehicle emissions in a large metropolis: Case study of a truck driver strike in Sao Paulo, Brazil

Atmospheric Pollution Research ◽

10.1016/j.apr.2020.02.020 ◽

2020 ◽

Vol 11 (6) ◽

pp. 24-31 ◽

Cited By ~ 5

Author(s):

Luciana Ferreira Leite Leirião ◽

Daniela Debone ◽

Theotonio Pauliquevis ◽

Nilton Manuel Évora do Rosário ◽

Simone Georges El Khouri Miraglia

Keyword(s):

Public Health ◽

Health Effects ◽

Vehicle Emissions ◽

Sao Paulo ◽

Truck Driver ◽

São Paulo

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Building a Place for Counseling of Male Street Sex Workers in a Public Health Service: Sao Paulo, Brazil

AIDS Education ◽

10.1007/978-1-4757-9122-8_23 ◽

1996 ◽

pp. 155-162

Author(s):

João Luiz Grandi ◽

Samuel Goihman

Keyword(s):

Public Health ◽

Health Service ◽

Sex Workers ◽

Public Health Service ◽

Sao Paulo ◽

São Paulo

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Evolution of bacterial meningitis diagnosis in Sao Paulo State-Brazil and future challenges

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20130148 ◽

2013 ◽

Vol 71 (9B) ◽

pp. 672-676 ◽

Cited By ~ 8

Author(s):

Maristela Marques Salgado ◽

Maria Gisele Goncalves ◽

Lucila Okuyama Fukasawa ◽

Fabio Takenori Higa ◽

Juliana Thalita Paulino ◽

...

Keyword(s):

Public Health ◽

Bacterial Meningitis ◽

Public Health Problem ◽

Sao Paulo ◽

Immunological Methods ◽

Haemophilus Influenzae Type ◽

Molecular Technique ◽

São Paulo ◽

Paulo State ◽

São Paulo State

Bacterial meningitis (BM) is a severe disease and still represents a serious public health problem with high rates of morbidity and mortality. The most common cases of BM around the world, mainly in Brazil, have been caused by Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae type b. Bacterial culture is the gold-standard technique for BM confirmation, but approximately 50% of suspected cases are not culture-confirmed, due to problems related to improper transportation and seeding or previous antibiotic treatment. Immunological methods present low sensitivity and have possibility of cross-reactions. Real time PCR (qPCR) is a molecular technique and has been successful used for BM diagnosis at Instituto Adolfo Lutz in São Paulo State, Brazil, since 2007. The incorporation of qPCR in the Public Health surveillance routine in our state resulted in diminishing 50% of undetermined BM cases. Our efforts are focused on qPCR implementation in the BM diagnostic routine throughout Brazil.

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

Cadernos de Saúde Pública ◽

10.1590/0102-311x00193313 ◽

2015 ◽

Vol 31 (1) ◽

pp. 82-96 ◽

Cited By ~ 3

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.

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SEROPREVALENCE OF CHAGASIC INFECTION IN YOUNG INDIVIDUALS IN A BLOOD CENTER IN THE STATE OF SAO PAULO, BRAZIL

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46652013000400005 ◽

2013 ◽

Vol 55 (4) ◽

pp. 245-250 ◽

Cited By ~ 3

Author(s):

Elaine Cristina Navarro ◽

Renata Leme Goto ◽

Isabella Silva Ricoboni ◽

Jose Eduardo Corrente ◽

Rita Maria Saccomano Henriques ◽

...

Keyword(s):

Public Health ◽

Chagas Disease ◽

Blood Donors ◽

Public Health Problem ◽

Sao Paulo ◽

São Paulo ◽

Blood Center ◽

Negative Results ◽

Central Regions ◽

The City

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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Police Case or Public Health Issue? Printed Journalism Frames on Crack Use in São Paulo

Brazilian Journalism Research ◽

10.25200/bjr.v13n3.2017.995 ◽

2017 ◽

Vol 13 (3) ◽

pp. 162

Author(s):

Giulia Sbaraini Fontes ◽

Paulo Ferracioli

Keyword(s):

Public Health ◽

Public Safety ◽

Sao Paulo ◽

Point Of View ◽

Health Issue ◽

Public Health Issue ◽

São Paulo ◽

Safety Aspects ◽

Crack Use ◽

Sobre Todo

Based on Entman’s (1993) and Iyengar’s (1996) concepts , this article intends to identify the frames practiced by O Estado de São Paulo (OESP) and Folha de S. Paulo (FSP) for the crack issue during Gilberto Kassab’s (2009 to 2012) and Fernando Haddad’s administrations (2013 to 2016). For that, 120 texts were analyzed, with the hypothesis that the newspapers’ political positions are also translated in their information material - and, therefore, FSP and OESP would present different coverages. The results confirmed this hypothesis, since OESP addressed the issue from the health point of view in both periods, with emphasis on public safety during the second administration. In addition to the health issue, FSP has focused on public safety aspects in Kassab’s administration and economy in Haddad’s administration. Despite this, newspapers have brought similarities, such as the use of episodic frame in most of the texts.Partindo dos conceitos de Entman (1993) e Iyengar (1996), esse artigo pretende identificar quais os frames praticados por O Estado de S. Paulo (OESP) e Folha de S. Paulo (FSP) para a questão do crack durante as gestões de Gilberto Kassab (2009 a 2012) e de Fernando Haddad (2013 a 2016). Para tanto foram analisados 120 textos, com a hipótese de que as posições políticas dos jornais se traduzem, também, em seu material informativo – e, por isso, FSP e OESP apresentariam coberturas distintas. Os resultados confirmaram tal hipótese, pois OESP abordou o assunto sob a ótica da saúde nos dois períodos, com destaque para a segurança pública durante a segunda gestão. Já FSP enfocou, além da questão de saúde, aspectos de segurança pública na gestão Kassab e de economia na de Haddad. Apesar disso, os jornais trouxeram semelhanças, como o uso do frame episódico na maioria das matérias. Desde los conceptos de Entman (1993) y Iyengar (1996), este artículo tiene como objetivo identificar los enmarcamientos usados por O Estado de S. Paulo (OESP) y Folha de S. Paulo (FSP) para cestión de crack durante las administraciones de Gilberto Kassab (2009-2012) y Fernando Haddad (2013-2016). Por lo tanto, se analizaron 120 textos, con la hipótesis de que las posiciones políticas de los periódicos se traducen también en su material de información - y por lo tanto, FSP y OESP presentarían diferentes coberturas. Los resultados confirmaron esta hipótesis, ya que el OESP se acercó a la cuestión desde la perspectiva de la salud en ambos períodos, sobre todo para la seguridad pública durante el segundo término. Ya el FSP se centró, más allá del tema de la salud, los aspectos de seguridad pública en la gestión Kassab y economía en Haddad. Sin embargo, los periodicos trajeron similitudes, tales como el uso de enmarcamiento episódico en la mayoría de los textos.

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