Panorama of congenital syphilis in school hospital of the hospital of the South region of city of São Paulo

Introduction: Congenital syphilis is an infectious disease that has the etiological agent Treponema pallidum. Its transmission is vertical hematogenous, transplacental, of infected pregnant untreated or inadequately treated for its concept. It divides into two periods: early to the second year of life, and after the second year of life, late. Detection during prenatal care is performed by screening the third trimester of pregnancy with preterm labor, as early as in the maternity ward. The detection of Treponema pallidum through non-treponemal test (VDRL), presents little specificity, high sensitivity, low cost and fast negativation in response to the treatment avoiding that the concept is born with sequels. Thus, prenatal care is an important tool in the control of the disease, and it is necessary to improve care quality, since 70% of the mothers in Brazil are prenatal, not all of them are diagnosed or have the appropriate treatment of syphilis. Objective: To establish an epidemiological panorama of the incidence of Congenital Syphilis in the socioeconomic and cultural context in which the School Hospital of the Southern Region of the city of São Paulo is inserted. Patients and Methods: This is an individualized, observational, cross-sectional study carried out by means of a medical records survey of the Hospital Infection Control Service of Hospital Escola da Região Sul in the city of São Paulo. The survey of data referring to the form with questions of interest to the mother and the newborns diagnosed with Congenital Syphilis in the period from 2012 to 2016 was developed. This project was submitted and approved by the Ethics Committee of the Santo Amaro University - SP (Plataforma Brasil - CAAE: 68103317.6.3001.5447). Results: A total of 183 cases of Congenital Syphilis were registered in the Hospital Infection Control Service of the São Paulo School Hospital from 2012 to 2016, and among these, 126 medical records were reinforced. Prenatal performance (p = 0.0060), schooling (p = 0.5107) and schooling (p = 0.8603) did not influence disease screening by showing insignificant statistical data. Success occurred with companion treatment (p = 0.0451), which showed the highest incidence in 2014 (48.1%) and 2016 (58.3) when compared to the others. Conclusion: In the presented scenario, it was verified that although prenatal and maternal treatment were performed, they were inefficient to prevent pregnant women from transmitting the disease. This is probably related to the inefficiency of the treatment of the companions, who although in the year 2014 and 2016 presented a higher incidence of accomplishment, coincided with the increase of notifications in those same years. There were no statistically significant differences in relation to other factores, a fact that causes concern in the field of Public Health.

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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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Hospital Preparedness for a Community Measles Outbreak in Ribeirao Preto, Brazil

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.814 ◽

2020 ◽

Vol 41 (S1) ◽

pp. s253-s253

Author(s):

Silvia Fonseca ◽

Ivana Lucca ◽

Franceliana Sgobi ◽

Andre Fioravante ◽

Alexandre Celia ◽

...

Keyword(s):

Tertiary Care ◽

Maculopapular Rash ◽

Sao Paulo ◽

Suspected Case ◽

Care Hospital ◽

São Paulo ◽

Measles Outbreak ◽

Hospital Infection Control ◽

Hospital Preparedness ◽

Measles Vaccination

Background: Measles was considered eradicated in Brazil in 2016, but the virus reemerged in the country in 2018, causing large outbreaks. Ribeirao Preto has been measles free since 1997, but the outbreak in Sao Paulo City, 180 miles away in June 2019, alerted us to the possibility of measles patients coming to our emergency room (ER). The preparedness challenge was considerable: most healthcare workers (HCWs) had never seen a measles case before, and confirmatory measles laboratory tests were not readily available to us. Objective: To describe the hospital preparedness for the coming community measles outbreak. Methods: Hospital So Francisco is a 170-bed, general, tertiary-care hospital with 10,000 ER visits monthly. Measles preparedness consisted of measles training classes for HCWs, and flow charts with pictures and measles information in every ER office, also sent to HCW cell phones. We also designated areas for suspected measles patients for prompt medical evaluation; and we implemented mass measles vaccination for all hospital HCWs regardless of vaccination status, excluding pregnant or immunosuppressed HCWs. We considered a measles suspected case any person with fever, 1 of 3 symptoms (cough, coryza or conjunctivitis), and a generalized maculopapular rash with head-to-toe distribution. All contacts for suspected cases were recommended to obtain a measles vaccination. Detection of viral RNA in a biological sample and or a positive IgM result in serum was used to confirm a clinically suspected case. The study period spanned July 2019 to September 2019. Results: Measles training occurred for 3 weeks in July–August and reached 200 HCWs. The measles vaccination was offered July 23 to August 15; 1,362 HCWs were already vaccinated (93% of target population). In total, 35 clinical suspected measles cases were seen in the ER, and 3 of these were HCWs who had received the measles vaccine in their incubation period. Also, 3 patients were admitted to the hospital and 1 to the intensive care unit; there were no deaths. Overall, 8 patients had laboratory-confirmed measles, and 1,343 community contacts of these patients were vaccinated. We did not detect measles transmission to inpatients or to other HCWs after mass vaccination began. In the same period, Sao Paulo state had >7,000 laboratory-confirmed measles cases and 12 deaths. Conclusions: Community measles outbreaks are a challenge for the hospital infection control team, and they can potentially disrupt the daily activities in the hospital. We were able to adequately prepare for the largest state outbreak in 20 years without secondary cases or deaths.Funding: NoneDisclosures: None

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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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