Archives

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  Saúde em Debate

  Vol. 49 No. 146 (2025)
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  Workers’ Health as a Human Right: towards the 5th CNSTT

  Vol. 49 No. especial 2 ago (2025)

  This special issue of the journal ‘Saúde em Debate’ is the result of a collective construction between the Brazilian Association of Public Health (ABRASCO), through its Thematic Group on Workers’ Health (GTSTT), and the Ministry of Health, through the General Coordination of Surveillance in Workers’ Health (CGSAT), in the commitment to contribute to the 5th National Conference on Workers’ Health (5th CNSTT). With the theme ‘Worker’s Health as a Human Right: towards the 5th CNSTT’, this edition aims to provide conference participants with input from the praxis of Workers’ Health (STT), especially on the changes in the world of work in the last decade […] The new ways of working induced by digital platformization have brought other forms of illness, many of them resulting from the intensification of precarious work, aggravated by the loss of social security and labor rights in the last decade, while new challenges are imposed on workers as a result of climate change and the financialization of the capitalist world”.

  Topics covered: Evaluation of the implementation of ‘Qualifica Cerest’ in Porto Alegre; Psychological suffering, work intensification and mental exhaustion in Call Centers; Workplace violence amidst the COVID-19 pandemic in Ceará; Gender as a social determinant of health for motorcycle delivery workers on digital platforms; Social vulnerability from the perspective of workers affected by COVID-19; New work relationships on mental health in Paraíba; Workers’ Health as Human Rights; Neoliberalism is bad for health: New configurations in the world of work; Long working hours, political emancipation, and workers’ health; Care work on the health agenda: Invisibility, overload, and strain on female workers; National Policy on Workers’ Health;  (PNSTT) in Primary Health Care; Representation and performance of Workers’ Health in Health Councils; Health surveillance in contexts of exposure to agrotoxics in Brazil; Workers’ rights in the context of the use of asbestos in Brazil; Migration and precarious work; Health policies for sex workers; Work in Traditional Peoples and Communities: Ecofeminist inspirations; Trans individuals in the workforce; Health, gender, and the invisibility of unpaid domestic work; Workers with disabilities in the face of the capitalist crisis; Workers’ Health as a Human Right: The foundations of the Brazilian Sanitary Reform; The Unified Health System and Workers’ Health in Brazil; The State Reference Center for Workers’ Health at the 5th Conference; The CEREST and the app-based delivery workers; Review of the book ‘História da fadiga: da Idade Média aos nossos dias’, by Georges Vigarello.

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  Technologies for the digital transformation of the Unified Health System

  Vol. 49 No. especial 1 ago (2025)

  The guest editors of the special issue ‘Technologies for the digital transformation of the Unified Health System’ present the journal, highlighting its relevance due to the panel of articles, essays, reviews, and experience reports on the digital transformation of the Unified Health System (SUS). […] given the high level of investment in health technologies, which does not always translate into improved services, especially in a complex scenario such as the SUS. The effective benefits of a technology depend directly on its adoption by users. The fourth industrial revolution, or Industry 4.0, proposes the fusion of technologies – physical, digital, or biological – in favor of innovation to improve society's living conditions, thereby impacting the development of products and services, including healthcare, which are now connected and personalized. […] The SUS can reap significant benefits from the sustainable adoption of new digital technologies, improving adherence, resolution, and responsiveness of services. This challenging environment offers opportunities for the development of the health sector in Brazil, whose vastness and regional differences demand solutions that are both comprehensive and customizable”.

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  Saúde em Debate

  Vol. 49 No. 145 (2025)

  Written by members of the Health-Work-Law Center of the Brazilian Center for Health Studies (Cebes), the editorial in this issue of ‘Saúde em Debate’ draws attention to the 5th National Conference on Worker’s Health, which will be held in August 2025. “Its central theme is to consider health at work as a Human Right. It is expected to be a turning point between what has been done so far and what can be done afterward. [...] The guarantee of this right spans popular participation in the form of the working class taking the lead. Since it is the working class that directly suffers the effects of exploitation and oppression and, therefore, has their human rights violated, the leadership of this debate/struggle cannot be delegated to any other party.”

  Topics covered: Management and prenatal care in small and medium sized municipalities; An instrument to assess Barriers and Facilitators of Collaborative Interprofessional Practice; care of People Living with HIV; The clinical-care resolution capacity of multiprofessional teams in a municipality in the Northeast Region of Brazil; Pregnant women in the COVID-19 pandemic; Pharmaceutical Services in municipalities in Pará; A Critical Discourse Analysis of Brazilian anti-vaccine movements on Facebook; Matrix support in mental health: The perspective of professionals from Psychosocial Care Centers; Job insecurity: The case of nursing in a public hospital in Pernambuco; Nutrition and environmental issue; The transsexualization process from the narrative of trans people, managers and health professionals; Impact of dengue research funded by the Ministry of Health in Brazil; Emergency Care Unit and Primary Health Care; Fires in sugarcane cultivation and associated respiratory diseases in a municipality in Pernambuco; Grand Challenges Brazil: One decade of health research funding; Validation of the Piers-Harris Children Self-Concept Scale in Brazilian Portuguese for adolescents; Primary care workers’ perception of mental healthcare following the implementation of matrix support; Conditional Cash Transfer Programmes in Brazil, Argentina and Scotland; Collective resilience: A glance over the work on Primary Health Care; The qualitative analysis of contributions received in CONITEC’s public consultations: Theoretical and methodological reflections; The medicalization of suffering and the overdiagnosis of depression; the concept of care and the Integrative and Complementary Practices in Health; The developmentalist thought at the root of the Economic-Industrial Health Complex; Educommunication and public health in Brazil; Application of Artificial Intelligence in Primary Health Care; Microplanning in high-quality vaccination.

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  Saúde em Debate

  Vol. 49 No. 144 (2025)

  The editorial of the first edition of 2025 presents the proposals of the new board of the Brazilian Center for Health Studies (Cebes) for the 2025-2026 management: “The following two years will be of intense work. We will pay special attention to the financial sustainability of Cebes, membership expansion, and generational renewal, incorporating new themes into the political and academic debate. We will strengthen our activities as a Study Center, improving our analysis and formulation role while maintaining and expanding our ties with civil society and the population. We continue together. Long live Cebes!”.

  Topics covered: COVID-19 pandemic on Maternal Mortality in the state of Mato Grosso do Sul; Social movements and public policies in the construction of health rights; Sexuality and human rights in a school context; Occupational stress among civil engineering professionals in the Brazilian Amazon; Nutritional care to address obesity in Primary Health Care; Social movements, human rights and the people deprived of liberty in the context of COVID-19; Home nutritional care for children and adolescents followed by the Better at Home Program; Matrix support and maintenance of the link with primary care; Health movement in the 2013-2022 context; Masculinity constructions on the health of homeless men in Florianópolis-SC; Return-to-Work challenges from workers’ perspective after work-related sick leave; The database quality of the National Controlled Products Management System; Knowledge, Attitudes and Practices instrument for coping with epidemics and pandemics; Institutional support in health management: The case of COSEMS-CONASEMS supporters; The federal incentive for Physical Activity in primary care; The Discourse of Collective Affirmation about COVID-19 pandemic life experiences in the São Remo favela; Educational practices on sexually transmitted infections; Protocol for referring patients with cervical cancer to palliative care; The performance of the National Health Council in the National Policy on Pharmaceutical Assistance; Social markers of difference, intersectionality and collective health: Necessary dialogues for health teaching; The One Health approach to face bacterial resistance to antibiotics in livestock production; Chronicity in mental health in Brazilian scientific production; Evaluating policies, programs, and services for sexual violence care; Performance of health consortia in the Brazilian public health system; Pesticides and the development of cancer in farmers; High-cost medicines present in Brazilian scientific and academic literature on health judicialization; Practices and beliefs in childcare relationships in quilombola territories; Coping with syphilis in homeless people.

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  Saúde em Debate

  Vol. 48 No. 143 (2024)

  The editorial in this issue of the journal brings the concept of One Health to the debate: “The discourse instituted by ‘One Health’ places the level of the world of men, animals, plants, and the biological context on a single plane without considering the biopower and biopolitics existing in the relations between society and nature and capital and labor. It seems to us a step backward to replace Public Health policies, guided by the concepts of the field of Collective Health, only by the look of zoonoses control, ‘good laboratory practices,’ the ‘use of drones’ and ‘gadgets,’ dispensing with critical and social epidemiology, social sciences and humanities, political ecology, among other disciplinary fields that have been so well amalgamated in the confrontation of contemporary reality, which, from the middle of the twentieth century onwards, have shown how the harmfulness resulting from social and nature exploitation affects health in an interdependent way and is producing new and increasingly complex health crises. […] CEBES believes that democracy is health and that health and human life on Earth are socio-environmental processes that are historically determined and increasingly mediated by the ways of producing, working, consuming, valuing nature, and relating to the cultural dimensions of subjectivities, politics, culture, and the arts. Therefore, he reaffirms that health is a product of social accumulation and a popular achievement. Acting based on these principles implies intervening in biopower and biopolitics, in the command of institutional public health policies subordinated to the process of social participation and based on the assumptions of collective health based on the economic and social determination of health.”

  Topics covered: Basic sanitation management in Amazonas state; Over-the-counter medicines registered in Brazil; Access barriers: Perception of Street Clinic workers; Mental health care for adolescents in a socio-educational regime; Mental suffering in mental health workers; Social determinants of health in Angola; Morbidity from Extrapulmonary Tuberculosis in Brazil; Integrative and Complementary Practices in Primary Health Care in a northeastern Brazilian capital; Interprofessional Education in Multiprofessional Residency in Primary Health Care; The role of the Network of Women Producers of Pajeú in the construction of agroecological territories in coexistence with the Semi-arid region; Health care for border residents; Racism in healthcare environments and associated factors in black women; Management of Pharmaceutical Services: Qualifica AF results; Interprofessional collaborative attitudes in the Family Health Strategy; Adolescent health indicators in Mercosur countries; Socio-demographic disparities in colorectal cancer in Brazil; The precariousness of work on digital platforms; Oral health care in the SUS during the COVID-19 pandemic; Geography and health: The contemporary production of a diseased spatial theory.

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  Strategies for the qualification of Primary Health Care in the Federal District

  Vol. 48 No. especial 2 out (2024)

  Presentation of this edition: “This special issue of the journal ‘Saúde em Debate’ was designed within the scope of the Primary Health Care Qualification Program of the Federal District (Qualis-APS), implemented in 2019. […] stems from the need to permanently provide critical reflection on the consolidation of Primary Health Care (PHC) in the Federal District (DF) and Brazil. […] aims to inspire the development of innovative and effective practices, supported by investments in valuing work, training workers, improving the structure of health services, and building evaluation processes. These are fundamental for strengthening PHC and an increasingly problem-solving [Unified Health System (SUS)]”.

  Topics covered: Family Health Teams in the Federal District, Brazil; Structure component on the quality of Primary Health Care in the Federal District; Structural of Primary Health Care Units in the Federal District; e-SUS reports for Primary Health Care in the work routine of Family Health teams; Primary Health Care on Twitter amid pandemics; Family Health Strategy dental surgeons’ perception of Integrative and Complementary Practices; Institutionalizing the evaluation and monitoring of Primary Health Care in the SUS; Notion of territory in the field of collective health; Usual Source of Care in the assessment of primary care; Integrative and Complementary Health Practices on the quality of life and symptoms of climacteric women; coproduction of the Qualis-APS program to increase quality in Primary Health Care in Brasília; Specialization course for PHC managers based on Continuous Education in Health; Formative experience using the electronic portfolio; Coordination in Primary Care and integration in the Health Care Network.

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  Saúde em Debate

  Vol. 48 No. 142 jul-set (2024)

  Paragraph concluding the editorial ‘For a SUS career to advance Health Reform’, signed by Ronaldo Teodoro, associate editor of ‘Saúde em Debate’: “In 2024, the year of the 4th National Conference on Labor Management and Health Education, the debate on the career of the SUS will take on a decisive historical power. Many social movements understand this urgency and are formulating an alternative program to the managerial field. In sync with this political temporality, the Brazilian Center for Health Studies (CEBES) held its first Free Labor Conference this year. In its program, it reaffirmed the thesis that the various fronts of the health program require a recomposition of the value of work and that the direction of the SUS is directly associated with the daily challenges its workers face. This editorial is a fraction of the energy and hope gathered at this meeting”.

   

  Topics covered: Quality standards of primary care in the Federal District; Care regulation for the territorial and regionalization sustainability; Health management performance in the oil spill disaster crime on the coast of the state of Pernambuco; Primary Health Care Qualification for laboratory diagnosis of COVID-19 in the Federal District, 2020-2021; Permanent health education in palliative care in primary care; Chronic diseases in the non-village indigenous population; Itineraries of prostate cancer patients; The subjects of Brazilian official discourse on LGBT health; Knowledge, skills and attitudes for public health management; Fourth Generation Evaluation: interventions carried out in mental health crisis care; Heterogeneous pattern of COVID-19 mortality in Brazil; Parents perception regarding children who underwent elective surgery; Multiple myeloma in Brazil: an assessment of Global Burden Disease study 2019; Contingency plans and state coordination in the COVID-19 pandemic; Working in the COVID-19 pandemic; Logical Model for the implementation of pharmacist prescribing in Brazil; Therapeutic itinerary for people with Rheumatoid Arthritis; Accessibility to Primary Health Care services in rural municipalities of Brazil; Analysis of the bills 478/2007 and 882/2015; Profile of preceptors of health residency programs in specialization: cross-sectional study; Intersectionality, human rights and reproductive justice; Paulo Freire’s contributions to improving the doctor-patient relationship; Materialist reading approach to the discourse of health evaluation: criteria and standards; Violent situations in population surveys.

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  Saúde em Debate

  Vol. 48 No. 141 abr-jun (2024)

  Editorial signed by the journal’s scientific editors: “The effects of climate change on the planet, predicted by scientists for the coming decades, have already come. In the first months of 2024, floods occurred in countries in Africa (Kenya) and Asia (Indonesia, Afghanistan), leaving hundreds dead and thousands homeless. In May, in Brazil, rain caused the biggest tragedy in the history of the state of Rio Grande do Sul, and one of the biggest in the country. […] Solidarity, demonstrated from North to South of the country, involved the most diverse sectors of society, artists, influencers, Non-Governmental Organizations (NGOs), social movements, sectors of the economy and media, with donations and direct action in civil defense, which proved fundamental in the first days of the tragedy, when the objective was to save lives, by rescuing stranded people and animals, searching for the missing and sheltering the homeless. However, this solidarity – necessary and fundamental – does not replace the role of the State as neoliberals, defenders of the minimal State, tried to make us believe. Without public investments, there is no way to recover the destroyed infrastructure (roads, bridges, airports, schools, health services etc.) nor to stimulate the recovery of the productive sector (commerce, industry, agriculture, and others), nor to guarantee the transfer of financial resources to the families”.

  Topics covered: People-environmental affectiveness in community gardens; Food environment in a socially vulnerable territory in Piraquara-PR; Environmental and occupational exposure to pesticides that affect cancer patients in Mato Grosso, Brazil;  The battle against hunger during the COVID-19 pandemic: mental health in a favela at São Paulo; Working conditions and health of frontline professionals in the COVID-19 pandemic; Pesticides in Pernambuco sugarcane fields and damage to workers’ health; Front for Life and updating the Brazilian Health Sector Reform Movement; Palliative Care in a referral oncology hospital; Food and nutritional insecurity in adolescents during the COVID-19 pandemic;  Prescription of benzodiazepines in Health Centers;  Work of oral health teams in the COVID-19 pandemic; Atenas Program: Pioneer Brazilian service of outpatient care by telemedicine for women with miscarriage or incomplete abortion; Cross-cultural validation of ImpRes-Tool-BR; Therapeutic itineraries of people hospitalized for COVID-19 in the SUS in the Federal District; The training-work relationship in the SUS; Body Practices and Physical Activities from 2004 to 2023; Palmore-Neri-Cachioni Questionnaire on Basic Knowledge about Old Age; Teaching in Residency in the Professional Health Area in Brazil; Experiences of young people with HIV/AIDS; Financing public mental health in Rio de Janeiro; Assessment of Primary Health Care;  Anxiety and depression in health workers in a COVID-19 ICU; Planning of COVID-19 testing in Amazonas, Brazil; Evangelicals, ‘neoconservative agenda’ and women’s health policy.

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  Sustainable and Healthy Territories

  Vol. 48 No. especial 1 ago (2024)

  Excerpts from the journal's presentation: “This special issue of the journal ‘Saúde em Debate’, entitled ‘Sustainable and Healthy Territories’ [TSS], celebrates the five years of the Institutional Program for Sustainable and Healthy Territories (PITSS) […] of the Oswaldo Cruz Foundation (FIOCRUZ). Through this issue, we intend to give visibility to experiences that sought to promote health and sustainability in the territories, bringing alternatives for emancipatory actions and building futures. […] In total, this issue has brought together 27 published works, including original articles, essays, opinion pieces, and experience reports. They present successful experiences in the field of TSS, such as the implementation of courses and training processes involving communities, the development of social technologies and new forms of governance, the establishment of partnerships and articulations with local managers, and the development of new methodologies and communication strategies. FIOCRUZ plays a crucial role in promoting health and scientific research in Brazil. As an institution that mobilizes science for life, its challenge is to maintain ongoing dialogue with the diverse territories and populations that make up our country, such as urban peripheral populations and indigenous and traditional peoples. […] We hope you enjoy the reading!”.

  Topics covered: Water as a central element for the construction of sustainable and healthy territories in the Middle Jequitinhonha; Territories of social-environmental management and health in the Amazônia; Care network for Homeless Population in the COVID-19 pandemic; Promotion of Healthy and Adequate Food in a rural territory; Reflections of the COVID-19 pandemic on food sales in farmer’s markets in Maciço de Baturité-CE; Emancipatory struggle for life against agribusiness in Chapada do Apodi-CE; Exposure to food deserts and food consumption markers among children; Sustainable maritorios and environmental suffering in Chilean Patagonia; Vulnerabilization of wind enterprises in a peasant community in the Southern Agrest of Pernambuco; Populations exposed to pesticides in Mato Grosso; Socioenvironmental vulnerabilities in small-scale fishing in Pernambuco; Socio-environmental and psychosocial impacts caused by oil spills; Performance of a municipal health secretariat in the face of the oil disaster-crime in Pernambuco; Indigenous representation in higher education: promoting health and sustainability beyond territories; The 2030 Agenda and the Sustainable Development Goals as a strategy for health equity and sustainable and healthy territories; The need to build health care and surveillance in the context of climate change; The territorial approach in Sustainable and Healthy Territories:  a conceptual enlargement from anthropology; Contributions of the concept of body-territory and community feminisms; Producing knowledges ‘together with’ social movements and territories for the paradigmatic transition; Reports from quarantine: what society(ies) will emerge after the coronavirus?; Conceptual notes for the proposal of sustainable and healthy territories; Sustainable and Healthy Territories in the SUS: The intrinsic relationship with the Agenda 2030; Popular Agents in promoting more sustainable and healthy territories; Agroecology and food sovereignty; Technical advice on social housing in Sector 1 of Colônia Juliano Moreira; Territory and lack of water access: an educational experience in disadvantaged neighborhoods in Turbo, Antioquia (Colombia); Territorial and community interventions in mental health of traditional communities in Paraty.

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  Saúde em Debate

  Vol. 48 No. 140 (2024)

  The editorial ‘What do women want? Sexual and reproductive health and rights’, signed by the editors of Saúde em Debate, Ana Maria Costa and Lenaura de Vasconcelos da Costa Lobato, begins the journal with the following question: “Every year, the month of March is an invitation to reflect on the female condition, our achievements and challenges before the State, governments and society. There is no doubt that, from the place where we were thrown and subjected in the hierarchy of power in society, we have come a long way. However, even so, there is still a long way to go that covers the legal, economic, cultural, and many other spheres. In health, and medicine in particular, a woman’s body and identity have never been the subject of the deserved and necessary respect. Since the beginnings of so-called Modern Medicine, textbooks have taught barbaric things about women and guided excessive interventionism, confirming the pattern of patriarchy in the science of caring for the body and soul. From this perspective, the medicalization of the female body is seen as an effect of discomfort and disrespect on women as subjects and citizens”.

  This edition addresses the following themes: Specialization in Popular Health Education in the Promotion of Healthy and Sustainable Territories at Fiocruz; Physiotherapeutic activities in primary care; Doulas in a Brazilian border region; Social and health indicators in municipalities of Minas Gerais according to the rural-urban typology; The Social Determinants of Health inside and outside the household; Health in the Middle Solimões region, state of Amazonas: the centrality of Tefé; Quality dimension of the National Register of Health Establishments; Health care for adolescents who are susceptible to drug use; From the ‘Rede Cegonha’ to ‘RAMI’: tensions between paradigms of maternal and infant health care; Oral Health Promotion at the workplace in rural áreas; Previne Brasil Program; Professional profiles and educational practices of oral health in Primary Health Care; Dental care for pregnant women in Primary Care among municipalities in Bahia; Psychosocial factors and common mental disorders in telework in the labor judiciary during the COVID-19 pandemic; Yoga: a hermeneutic essay on the ontology of the upaniṣad’s; Saúde Única no Pantanal e na fronteira oeste; Access to contraceptives and the right to health in Angola; book critical review ‘Saúde é desenvolvimento: o Complexo Econômico-Industrial da Saúde como opção estratégica nacional’.

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  Human Rights, Justice, and Health: gender and sexuality

  Vol. 47 No. especial 1 dez (2023)

  Excerpt from the presentation of the special issue of Saúde Debate on ‘Human Rights, Justice, and Health: gender and sexuality’, signed by the guest editors of this edition “The intersection between human rights, gender, and sexuality is increasingly recognized as a crucial area of public health research and policy-making. The texts in this thematic issue show how health outcomes are profoundly influenced by the social determinants of health, which must include factors such as gender identity, sexual orientation, and the systemic inequalities that individuals face daily as a consequence of their living conditions”.

  Topics covered: Notifications of violence in the State of Rio de Janeiro; National LGBT Comprehensive Health Policy in the municipality of Resende, Rio de Janeiro; Transvestites and transsexuals accessing hormonal treatment at the AMIG (RJ); Oral health care in the LGBTQIA+ population; Critical Discourse Analysis on ‘gender ideology’; The nursing perspective in the context of health care for the LGBTQIA+ population; Self-harm and interpersonal violence among the LGBT population, state of Rio de Janeiro; Sexual diversity and social stigmas in the SUS for the LGBTQIA+ community; Trans identity and access to health in Macaé (RJ); The impact of COVID-19 pandemic on domestic violence victim’s access to justice; The health of lesbian and bisexual women in Belford Roxo/RJ; itinerary through LGBTQIA+ health in SUS and its meanings in Valença/RJ; Assessment of LGBTQIA+ access by health professionals at a Municipal Health Center of Rio de Janeiro; Mental health: where do gender issues arise? Cisgender women roles; Breaking the cycle of violence among women hosted in the Lilac Room of the Forensic Medical Institute in downtown Rio de Janeiro in the context of the COVID-19 pandemic; Violence against the LGBTQIA+ population from the perspective of ESF/NASF professionals; feminicidal violence against black women’s health; The prison experience of transvestites; Transgender people, transvestites, and transhuman rights: The case of morphological freedom; Praxis for reproductive, erotic and gender justice; Sexual work in Brazil; A queer bioethics: perspectives from the Global South; Programmatic vulnerability from the perspective of LGBTQIA+ professionals and older people; harm reduction aimed at the population of trans women and transvestites; Healthcare for LGBTQIA+ population in Primary Health Care; Primary Health Care in Brazil and the LGBTI+ population; Occupational Health, gender, and race in a postgraduate course; Adolescents’ health: diversity, dignity, and human rights.

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  Saúde em Debate

  Vol. 47 No. 139 (2023)

  The editorial of the last regular issue of ‘Saúde em Debate’ from 2023, ‘Tax reform and health. After all, what do we pay taxes for and who do they serve?’, is signed by Francisco Funcia and José Noronha, who conclude at the end of the manuscript: “[...] it is necessary to forcefully undo the myth that there is no money to finance public policies and ensure constitutional ties to Health and Education. In addition, face the brutal regressiveness of our tax system to, in fact, reduce our cruel inequalities. For this, it is necessary to mobilize society, activate social participation, and increase the various mechanisms of political pressure to, after reconstruction, build a more just and supportive Brazil”.

  Topics covered: Workloads, precariousness and worker health in agribusiness in the semi-arid region of Northeast Brazil; Exogenous intoxication and occupational and environmental exposure of cancer patients in Mato Grosso; Occupational exposure to SARS-CoV-2; Work Ability and neuropsychological effects among workers who have had COVID-19; impact of bolsonarismo on COVID-19 vaccination coverage in Brazilian municipalities; Coping strategies in Primary Health Care in the COVID-19 pandemic in Minas Gerais, Brazil; National Health Council in the COVID-19 pandemic; Emergencies in Public Health, disasters, and risk; Primary Health Care in Remote Rural Municipalities in West Pará; Work and illness risks in Territorial Psychosocial Care; Technical-pedagogical dimension in the performance of Amplified Family Health Nucleus and Primary Care; Interprofessional Education in health courses; Conformation of the ‘modern’ Brazilian nursing and interfaces with Psy Knowledge; women victims of Domestic Violence in the context of Primary Health Care; psychotropic drugs and Mental Health care in Primary Health Care; Health equity for homelessness; Process of organizing the work of the Expanded Family Health and Primary Healthcare Centers during the COVID-19 pandemic in Brazil; Critical review of the book ‘Health promotion in nursing practice’ by Nola Pender, Carolyn Murdaugh and Mary Ann Parsons.

   

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  Saúde em Debate

  Vol. 47 No. 138 jul-set (2023)

  The editorial for this issue of ‘Saúde em Debate’, signed by members of the Cebes team, discusses the 17th National Health Conference (CNS): [...] held from July 2 to 5, 2023, was yet another ‘act of invention of democracy’ in Brazil. The CNS continues to represent the challenges and potential of one of the oldest mottos of the Brazilian Sanitary Reform (RSB), and which permeates the creation of the Brazilian Center for Health Studies (Cebes): Health is Democracy and Democracy is Health.   The National Health Conferences emerged as a State planning instrument in 1941. Then, their composition reflected the technocratic and vertical perspective of the idea of health: a meeting formed essentially by public health specialists, mostly physicians, who would define the guidelines of the major programs of the Brazilian State for the sector, with special focus on the field of infectious and contagious diseases, to which public health was then restricted. [...] The RSB proposal presented in 1979, still in the context of the dictatorship, contributed to the 8th CNS, in which the segment of users of public health services, represented by multiple popular and union organizations, was present and constituted half of the total number of the delegation, whose proposals were systematized in a small and very powerful report with three themes: health as a right, reformulation of the national health system, and financing”.

  Topics presented: Innovation strategies in medicines and vacines; Global pharmaceutical company and public institution of production and innovation in health; COVID-19 pandemic: an analysis of the early response in Colombia; Regional management in the face of the COVID-19 pandemic in São Paulo; Regional and Macroregional Dependency Index in the SUS; Primary Health Care Policy: consensus and disputes in deliberative spaces of the SUS; Patient safety in Primary Health Care; violence against women reported in a Rio de Janeiro hospital in 2020; Prevalence of sexual violence against Brazilian men and factors associated with forced sex; Medical education: movements triggered by the Mais Médicos (More Doctors) Program; Residencies in health: training professionals for the SUS; infant mortality in Rio de Janeiro; Fetal malformations: the use of pesticides in Rio Grande do Sul; Prenatal care in the pandemic of COVID-19; Diabetes Mellitus in Basic Health Units in Brazilian capitals; Sérgio Arouca at the UNICAMP School of Medical Sciences; Funding for research on dengue in Brazil, 2004-2020; Efficiency in public health: a concept from engineering; The conflict mediation potential to control arboviruses vectors in Brazilian slums; Bariatric surgery in the SUS; Mental health of hospital health professionals in the COVID-19 pandemic; Decision of health professionals about their anti-COVID-19 vaccination; Brief Intervention for Psychoactive Substance use in Brazil; risk classification protocol for cancer patients in Home-based Palliative Care.

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  Saúde em Debate

  Vol. 47 No. 137 abr-jun (2023)

  Eli Iola Gurgel Andrade, Ana Maria Costa and Maria Lucia Frizon Rizzotto sign the editorial of Saúde em Debate nº 137. The authors revisit “the concept of Social Security as the central axis for guaranteeing social protection, structured as a responsibility of the State, to be guaranteed to all Brazilians, as expressed in the Federal Constitution of 1988 (CF/88)”. They point out that “More than three decades later, the destruction of rights and setbacks that have taken place in recent years challenge the democratic reconstruction of Brazil. At this moment, therefore, it is essential to resume the debate that originated the notion of Social Security, to which the universal right to health was integrated” and “the challenge remains of rethinking the social security model for the 21st century, considering the issue of population aging, the epidemiological profile and the need for a new social policy of continuous care as one more of the pillars of Social Security”.

  Topics addressed: Changes in the primary care policy and the (un)sustainability of the Family Health Strategy; The health of the black population in Primary Health Care: inequality in times of COVID-19; Residents for the resilience of Primary Care in the context of COVID-19; Ministry of Health and the the COVID-19 pandemic in Brazil; Health Fund and its appropriation by Social Organizations in the municipality of São Paulo; Training process for leprosy control; Detection of breast cancer in primary care; Policy on Integrative Health Practices of Federal District in Brazil; Tensioning in Mental Healthcare related to Psychoactive Substance use; Sociodrama as a qualitative research strategy with Community Health Workers; Production of truths about blood donation: an analysis from the perspective of Foucault; Medical organization doctors and policy communities’ influence over Brazilian Health Workforce Policies; Expansion and privatization of medical courses and teaching-service integration in Pernambuco; Hospitalization and mortality from Parkinson’s Disease in Brazil; Pharmaceutical policies: political facts produced by the Federal Legislative Branch; Edentulism, need for dentures, and self-perception of oral health among institutionalized older people; Politics of identity (dis)affections: psychoanalytic-phenomenological interface of liberal democracy and public policies; Online social Support; Quality assessment of online health information; The national scientific production on complex chronic conditions in pediatrics; Work and health conditions of women rural workers; Health care for homeless persons; Collective construction of mental health indicators in Psychosocial Care Centers; Service-academy integrative action project for STI/HIV testing in mobile units in Niterói, Rio de Janeiro; Book review 'Philosophy of Population Health: Philosophy for a New Public Health Era' by Sean Valles.

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  Saúde em Debate

  Vol. 47 No. 136 jan-mar (2023)

  Excerpts from the editorial of the first issue of ‘Saúde em Debate’ of 2023 – ‘The reconstruction of the SUS and the fight for rights and democracy’: “The Unified Health System (SUS) is going through one of its most serious crises. Since the 2016 coup, several health policies and programs have been insidiously and deliberately disrupted. Both the Brazilian Center for Health Studies (Cebes), through positions and outstanding political action as one of the coordinating entities of the Front for Life (FpV), and the journal ‘Saúde em Debate’, in several editorials and articles published in that period, significantly contributed to the critical analysis and denunciation of the enormous damage to Brazil caused by the Temer and Bolsonaro administrations. [...] . The only reason why the situation was not even more critical is because of the resilience demonstrated by the SUS, to which the responses produced by state and municipal managers and the selflessness and capacity for reinvention of its workers contributed greatly [...]”.

  Brazil’s foreign policy and health (1995-2010); Hospital Component in the Emergency Care Network; HIV self-test among adolescent Men who have Sex with Men, and travestis and transgender women; Descolado Program in preventing drug use in the school contexto; Oral health of homeless women; Schizophrenia, the biomedical model and media coverage; Integrative and Complementary Practices in Health; Accuracy of the information on websites about visceral leishmaniasis; COVID-19 Information Needs; Primary care workers in the face of the COVID-19 pandemic; exclusive beds for COVID-19 in the state of Espírito Santo; violence against Brazilian multiprofessional residents during the pandemic; offer of hospitals and hospital beds in the state of Amazonas in the face of the COVID-19 pandemic; Precarious work in Territorial Psychosocial Care; Primary Health Care as an antidote against de-democratization and neoliberal necropolitics; Practices in primary care: comparative analysis between Brazil and Portugal; Work and suicide risk;  Epidemiology and human emancipation: principles of justice; Cadmium exposure and Hypertensive Disorders of Pregnancy; ‘Street Outreach Teams’: HIV/AIDS, drugs and Harm Reduction.

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  Resilience of National Health Systems

  Vol. 46 No. especial 8 dez (2022)

  The scientific editors of ‘Saúde em Debate’ special issue ‘Resilience of National Health Systems’ present the journal: “[...] The Special Thematic Issue (NTE) offers a comprehensive and diverse panel of articles, essays, digests, and reviews from a domestic and international perspective on resilience, sustainability, and institutional capacity in the health sector. [...] The works point to the construction of a research agenda on the capacity of national systems or health organizations to respond to radical disturbances. It is assumed, in this sense, that the identification of resilience can favor the strengthening of the health system and ensure collective protection. [...] To reflect on these particularities, the NTE brings together several studies and research on the functioning of the SUS, with special emphasis on dilemmas and innovations in Primary Health Care (PHC)”.

  Topics covered: Assessment of Primary Health Care: The ‘Previne Brasil’ Program; International inequality in the fight against COVID-19 and public spending; Health Care Network during disaster situations: a case study of the Kiss Nightclub in Santa Maria-RS; Political epistemes of COVID-19; Health Gym Program in the COVID-19 pandemic; Resilient performance of primary care longitudinality during the COVID-19 pandemic in vulnerable territories in the city of Rio de Janeiro; COVID-19 pandemic and hospitalization in the g100 municipalities; APS Award in the Unified Health System-Brazil; Artificial intelligence and forecasting of death by COVID-19 in Brazil; Resilience in public health: precepts, concepts, challenges, and perspectives; confronting post-COVID-19 health inequalities and vulnerabilities; Health systems resilience: notes for a research agenda for the SUS; Contribution of logistics to the strengthening of national production and universal access in the scope of the Unified Health System; Social technologies for disaster risk management actions; Oil disasters and government actions in the face of social, environmental, and health-related impacts; critical review ‘Health as a human right: The politics and judicialisation of health in Brazil’ by Octávio Luiz M. Ferraz.

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  HIV/AIDS care policies and practices: interdisciplinary dialogues

  Vol. 46 No. especial 7 dez (2022)

  With great pleasure, the journal 'Saúde em Debate' launches its special 'Christmas' issue HIV/AIDS care policies and practices: interdisciplinary dialogues, taking the opportunity to wish its collaborators (reviewers, editors, authors, revisers and translators) a 2023 with renewed hopes and full of Universal, Comprehensive, Equitable and Democratic Health.  And here's to more editorial achievements!

  Excerpts from the Presentation of the special issue signed by the scientific editors: “The publication we have in our hands resulted from the meeting of a group of researchers and health professionals from various teaching and research institutions with the objective of knowing, gathering, and making visible academic research and analysis of experiences on HIV/AIDS care in the current context. [...] we thought of a set of questions that we hoped to address through the publication of this issue: What is care in HIV/AIDS? In what spaces is care produced? Which actors are part of this construct? How has HIV/AIDS care been produced in different Brazilian contexts? How does it relate to people’s access to health networks and services? What social markers and axes of analysis are important in an analysis of care in HIV/AIDS? (Gender? Sexual identity and orientation? Class? Color/race/ethnicity? Religion? Age? Body? Sexuality? Technology? Management? Work processes? Others?) What/how do policies entail HIV/AIDS care? How do the experiences of people/subjects/individuals/users/patients articulate themselves in these threads? [...] It is appropriate to register that we started the production of this thematic issue in a moment of threat to democracy and science, and that this project, with all the developments it has had, including the production of this collection, has fed us and contributed to our daily resistances for many times. We finalize the process after the presidential elections that elected Luiz Inácio Lula da Silva President of the Republic, and in this current conjuncture we place hope and expectations for more investments in the health area, in the resumption of the participation of organized civil society, in the resources for universities, in the production of knowledge driven to the reconstruction and resumption of the sanitary reform project. To publish it in the journal of the Brazilian Center for Health Studies (CEBES) is, for us, a reason for immense joy.”

  Topics addressed: primary and specialized care in a context of decentralization of services for HIV/AIDS; People Living With HIV/AIDS in Primary Health Care in the city of Rio de Janeiro; AIDS and prevention: social projects with young people in Rio de Janeiro; Sexuality, sociability, work, and HIV prevention among vulnerable populations during the COVID-19 pandemic; suffering of women living with HIV; men with homosexual practices and HIV prevention in the Recife Metropolitan Region; sisterhood among travestis e and transgender women in accessing health care and HIV prevention; Sexual politics and HIV/AIDS activism: the experience of Loka de Efavirenz; Young women born with HIV: communication of seropositivity to partners; Frontline health professionals’ perceptions about HIV and youth; : questioning the discourses in the offer of Post-Exposure Prophylaxis (PEP); Post-sexual Exposure Prophylaxis in the Unified Health System: possible cares in HIV prevention; instrument to assess the care for prisoners living with HIV/AIDS; HIV/AIDS care policies and practices; prevention in the 5th decade of the epidemic; Biopolitical government of AIDS: the homosexuality as a social dangerousness; children and young people living with HIV/AIDS; Chronicity of living with HIV/AIDS in childhood, adolescence, and youth; Reports on a book with situations of stigma/discrimination of People Living With HIV/AIDS in Brazil; HIV/AIDS Policies, Activism, and Anthropology: A talk with Richard Parker.

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  Interdisciplinarity in public health

  Vol. 46 No. especial 6 dez (2022)

  This special issue of the journal ‘Saúde em Debate’, dedicated to the theme ‘Interdisciplinarity in public health’, reflects and explores theoretical and methodological aspects, training and research on the theme in the field of public health. [...] This issue of the journal opens with the article by Nísia Trindade, debated by Gulnar Azevedo e Silva and Aurea Ianni, about the challenges in the path of interdisciplinarity and the way in which they have been developing in the field of public health. The text highlights that the COVID-19 pandemic brings a new order of issues, in which it is necessary to rethink the divisions between the natural world and society and the environmental challenges, as well as the current configuration of the field of information and communication. The publication features original and review articles, as well as experience reports. Some texts present practical experiences of research, teaching, extension, management, and health care, and others produce and deepen discussions on interdisciplinarity in terms of its episteme and guiding theories.” (Excerpts from the Presentation signed by the scientific editors).

  Topics covered: Pandemic and interdisciplinarity: challenges for collective health; Interdisciplinary training for medical students; PET-Saúde/Interprofessionality; documentary cinema as an inspiration to decolonize knowledge production; Children with Congenital Zika Syndrome; Child and adolescent mental health and the school; Priority for the elderly in health claims in Rio de Janeiro; Children and teenagers who lived with leprosy; Health Literacy Scale and eHEALS for older person; Social support networks for trans people; Extended Action-Research Communities; Interdisciplinarity, interprofessionality, and racial diversity in the anti-racist training of health professionals; Interprofessionality and interdisciplinarity in health: reflections on resistance from concepts of Institutional Analysis; Relationship between territory and health residence; Interdisciplinarity in health: the experience of conversation circles in the pandemic; Interdisciplinarity in the construction of Permanent Education in Health with management teams; Culture Circle as a strategy to promote health; gender and health in the training of residents of a university hospital; Solidarity economy and mental health; Interdisciplinarity in mental health care practices; Teaching public health in Brazil.

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  Child health: integration between teaching, research, service and management

  Vol. 46 No. especial 5 dez (2022)

  The Presentation of the special issue of Saúde em Debate ‘Child Health: integration between teaching, research, service and management’, signed by the guest scientific editors, begins with the poetry of Gabriela Mistral, ‘Your name is today’:

  “We are guilty of many mistakes and faults
  but our worst crime is the abandonment of children
  denying them the source of life
  Many of the things we need can wait.
  The child cannot
  Now is the time when their bones are forming
  their blood is too
  and their senses are developing
  To them, we cannot answer ‘tomorrow’
  Their name is today."

  The poetry of the 1945 Nobel Prize winner for Literature calls for the emergence of caring for children. It was pressing in the middle of the last century; it is urgent today. No wonder, one of the first measures announced by the transition team of president-elect (in 2022) Luiz Inácio Lula da Silva was the priority in the recovery of children’s vaccination coverage rates – a topic that has been heavily neglected in the last four years in Brazil. [...] The issue of this publication on children’s health meets this process and becomes a voice that responds to the cry: ‘Their name is today’, especially if we highlight children’s health, an area that has gone through many challenges.”

  Topics covered: Child’s Handbook and occupational therapy; Brazilian Amazon Primary Health Care professionals on maternal and child health; Registration of infant feeding and clinical complications in the Children’s Handbook; Health promotion in early childhood: weaving local networks; Vaccination Coverage in children aged zero to 12 months in Piauí, Brazil; Interprofessionality, training, and collaborative work in the context of family health; Family relationships of children in situations of vulnerability and violence; Vulnerability of children with special health needs; Socioeconomic determinants on the motor development of infants in Manaus, Amazonas; Parental practices and knowledge about children's motor skills acquisitions; Frenectomies performed in the context of the SUS after mandatory tongue test; Family-centered home motor intervention on the functioning of individuals with Duchenne; Repercussions of the COVID-19 pandemic on Elementary School children; Sociodemographic and pharmacoepidemiology profile of HIV infected children; Methylphenidate prescriptions in a pediatric neurology outpatient clinic; The child’s body as a receptacle of physical violence; Sexual abuse against children: strategies in Primary Health Care in a municipality in the metropolitan region of Recife; Child care in the prison contexto; Childcare in the SUS; child health training in the Brazilian Amazon; Multicampi Saúde da Criança: extension contributions to medical training in Northern Brazil; healthy complementary feeding in Acre, Brazilian Amazon; integrality in the interprofessional performance in the care of childhood obesity; Breastfeeding promotion actions at daycare centers in the city of São Paulo; Almanac of Emotions for children and adolescents in times of pandemic.

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  Saúde em Debate

  Vol. 46 No. 135 out-dez (2022)

  Editorial of the last regular issue of ‘Saúde em Debate’ of 2022, written by the journal’s scientific editors: ‘Lula for President: the heritage and the challenges for the democratic field’ –  For the past six years, democracy in Brazil has been confronted with the fascism that has settled here along with serious political, economic, health, cultural, and social crises. Until September 2022, the COVID-19 pandemic had killed 685,677 people, proportionately one of the highest mortality rates on the planet (14th place), and the second in the Americas, with 3,214 million inhabitants, lagging behind only Peru. [...] In the context of a society divided and flooded by hatred, Lula’s great task will be to rebuild the country, democracy, unity, and hope, while implementing social policies that reduce the enormous inherited inequalities, particularly the hunger that today reaches 33 million Brazilians. There is great expectation regarding the strengthening of the health sector and the Unified Health System (SUS), which gained visibility and certain popular appreciation in the pandemic, but which, at the same time, is a sector in strong dispute with the private market. The invitation to the leaders of the National Health Council and the Brazilian Center for Health Studies (CEBES) to compose the government’s Transition Commission in the field of health signals the role that organizations and entities of collective health and the Health Reform Movement (MRS) can play in the future government as actors with the capacity and power to influence the direction of health”.

  Topics covered: quality of health information on the Internet; Violence, mental suffering and invisibilities in the favelas of Rio de Janeiro; Humanization of birth and women’s empowerment in Quebec and Chile; Hospital care during childbirth; Judicialization of health as a sustainability strategy for the SUS; Prevention and control of oral câncer in Rio de Janeiro; Dental services in Paraná during the Covid-19 pandemic; The Caps and Winnicottian theory; Work and practices of nursing in Primary Health Care in the state of Paraíba – Brazil; Diagnosis of HIV/AIDS represent after four decades of epidemic; Health care practices from the perspective of People Living With HIV/AIDS;  case study on the living and care of women with HIV; Collective health and social psychology: an interdisciplinary path for meta-formation in graduate studies; Physical education and training in public health; Continuing Health Education: an interprofessional and affective policy; Quality of care and patient safety; Applicability of the Three Delays Model in the context of maternal mortality; Big Data and artificial intelligence for translational research in COVID-19; Planning and Sizing of the Health Workforce in Brazil; Pedagogical experiences for the construction of interdisciplinary in public health; Construction of the Municipal Health Plan from the district perspective.

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  Institutional accreditation in SUS ombudsmen and participation of society

  Vol. 46 No. especial 4 nov (2022)

  The Public Ombudsman’s Offices are essential and innovative bodies [...]. They represent the gateway to individual and collective demands from citizens and beneficiaries of public policies. In the national health sector, there is an evident evolution in its integration into decision-making processes, which reflects its progressive institutionalization. The articles published in this issue reflect on the direct or intertwined connections between the Ombudsman of the Unified Health System (SUS) and decision-making processes on a sectoral scale. Integrated with the theme of governance and the participation of society, these articles provide analyses on these experiences and related topics in the national and international context. [Excerpt from the Presentation of the special issue signed by the scientific editors José Inácio Jardim Motta and José Mendes Ribeiro].

  Topics covered: Health systems, mechanisms of governance, and governmental porosity in a comparative perspective; Participation, representation, and deliberation in the decision-making process of the Municipal Health Council of Marabá-PA; Profile and manifestations of the population aged 15 to 29 years to the SUS General Ombudsman; Society, phobias, and diferences; Governance mechanisms, societal institutions, and State bureaucracy; Civilian health surveillance, population studies and participation; Analysis of the Chilean health system and its structure in social participation; Public participation in health and Covid-19 in Portugal; Participative management in Primary Health Care in a vulnerable urban territory; Institutional Accreditation of SUS Ombudspersons; building the Institutional Accreditation process for SUS ombudpersons; SUS Ombudsman offices and the Brazilian Public Health School Network; SUS Bahia Ombudsman Office’s experience; Interview with Fernando Pigatto – President of National Health Council; From the struggles against dictatorship to the struggles for democracy: the thinking of Antônio Ivo de Carvalho.

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  PSE: 15 years promoting health at school

  Vol. 46 No. especial 3 nov (2022)

  ‘PSE: 15 years promoting health at school’ is the result of the intersectoriality between health and education in the long commitment of those sectors in the implementation of the School Health Program (PSE) in Brazil. […] Its proposal is to disseminate knowledge on the implementation, intersectoral management, and actions of the PSE in health promotion, prevention of diseases and injuries, as well as health care for students in the public Basic Education network. […] In celebration of the 15th anniversary of the PSE, Department of Health Promotion of the Secretariat of Primary Health Care of the Ministry of Health (DEPROS/SAPS/MS), and supported by the United Nations Educational, Scientific, and Cultural Organization (UNESCO)and the Brazilian Center for Health Studies (CEBES), chose to celebrate a feast of scientific knowledge of innovations in the field of intersectoriality between health and education through the publication of this special issue of the journal ‘Saúde em Debate’. (parts from the Presentation of the special number).

  Topics covered: Implementation of the School Health Program (PSE) in Brazil; youth participation in the PSE: the role of federal management; the PSE in the Federal District before and during the COVID-19 pandemic; scope of the PSE in Vitória de Santo Antão-PE; integration of PSE actions among health and education professionals in Belo Horizonte-MG; analysis of the work process of health and education professionals in the PSE; perception of health and education professionals about the PSE; PSE: potentialities and limits of intersectoral articulation for child health promotion; adequate and healthy food under the PSE; educational practices of nutritionists in the PSE; actions of body practices and physical activity in the PSE; PSE: aspects of students’ oral health; PSE: prevent Dengue, Zika and Chikunguny; PSE: intervention against dengue in Matinhos-PR; violence against children and adolescents: multiprofessional interventions in Primary Health Care at school; eye health and PSE; adolescent health in the Brazilian federal education network; PSE: challenges and possibilities to promote health from the perspective of healthy eating.

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  Saúde em Debate

  Vol. 46 No. 134 jul-set (2022)

  Trechos do editorial publicado neste número da ‘Saúde em Debate’ assinado por Lucia Souto, presidenta do Centro Brasileiro de Estudos de Saúde (Cebes), sob o título ‘Conferência Livre, Democrática e Popular lança diretrizes para refundação do Brasil’:

  “Nos aproximamos das eleições mais importante de nossas vidas. Em outubro, o povo brasileiro vai decidir, com o voto eletrônico, se retomaremos os rumos da democracia plena ou se continuará a barbárie de um governo autoritário, excludente, misógino, que aniquilou conquistas históricas do povo na área da saúde, do trabalho, da cultura e das políticas sociais. [...] Durante a Conferência, realizada em 5 de agosto, em São Paulo, foi entregue a Luiz Inácio Lula da Silva, candidato a Presidente da República pela Coligação Brasil da Esperança, o documento ‘Saúde como Direito’, que representa toda a força do movimento sanitário no Brasil. [...] O documento final é uma síntese de políticas de cuidados e direitos universais e foi elaborado em conjunto pelas entidades e movimentos que integram a Frente Pela Vida, entre elas, o Cebes, o Conselho Nacional de Saúde, a Associação Brasileira de Saúde Coletiva (Abrasco), a Rede Unida e a Sociedade Brasileira de Bioética, ampliado com as sugestões acolhidas durante a conferência. O documento foi construído sobre cinco eixos fundamentais: o primeiro é o acesso universal à saúde; o segundo é a articulação das redes, levando em consideração integralidade e equidade; o terceiro é relativo ao Complexo Econômico e Industrial da Saúde (Ceis); o quarto, a gestão compartilhada e o controle social do SUS; e o quinto, a gestão do trabalho e da educação em saúde.”

  Assuntos abordados nos artigos publicados: SUS na mídia em contexto de pandemia; ‘o outro’ da pandemia da Covid-19: ageísmo contra pessoas idosas em jornais do Brasil e do Chile; a Atenção Primária à Saúde e o enfrentamento da Covid-19; a telemedicina no combate à Covid-19 em Vitória/ES, Brasil; testes diagnósticos nacionais e a vigilância sindrômica da Covid-19; Síndrome Inflamatória Multissistêmica e Covid-19 em crianças e adolescentes no Brasil; secretários de saúde: interfaces entre saúde e os processos político-eleitorais; projetos formativos em saúde pública no Brasil; Atenção Primária à Saúde em uma região da Amazônia colombiana; Saúde Socioambiental na Atenção Básica; saúde socioambiental na formação em saúde; Rede de Atenção às Urgências e Emergências; judicialização na saúde suplementar e planos de saúde em Belo Horizonte, Minas Gerais; atuação das autoridades e das comunidades no controle das arboviroses; Política Distrital de Alimentação e Nutrição; internação compulsória decorrentes do uso de drogas; Acidente de Trabalho com Exposição a Material Biológico; conjuntura política brasileira e saúde: do golpe de 2016 à pandemia de Covid-19; individualização e trabalho no contexto da pandemia de Covid-19 no Brasil; medidas de obrigatoriedade da vacina contra a Covid-19 no Brasil; sindemia: tautologia e dicotomia em um novo-velho conceito; políticas farmacêuticas para acesso a medicamentos de alto preço na Inglaterra e no Brasil; o acadêmico de Medicina frente à população em situação de rua.

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  Health, pesticides, and agroecology

  Vol. 46 No. especial 2 jun (2022)

  “This special issue of ‘Saúde em Debate’, whose theme is ‘Health, Pesticides, and Agroecology’ and which was built to contribute to a strategic debate, seeking to deepening the understanding of more critical theoretical, practical, and epistemological approaches aimed at strengthening agroecology and reducing the harmful effects of pesticides on health, the environment, and society. We sought to reflect on the relationship between these elements and the field of public health, with a view to promoting a transition towards food systems that provide socio-environmental justice, food and nutrition security and sovereignty, sustainable territories, and health” (excerpt from the Presentation of the journal signed by the invited scientific editors Guilherme Franco Netto, Aline do Monte Gurgel and André Campos Burigo).

  It gathers manuscripts with the following themes: agribusiness in the Cerrado; indigenous territories and socio-environmental determination of health; exposure to pesticides in municipalities in Mato Grosso; soy production, pesticides and participation in environmental health in Uruguay; consumption and impacts of pesticides in Colombia; women farmers and pesticides in family farming; pesticides and health of rural workers in Pernambuco; empowerment and collective construction in the face of risk situations in the use of pesticides; collective health and agroecology; medicinal plants in agroforestry in the promotion of healthy and sustainable territories; family farming and school meals in Rio Grande do Norte; purchase of food from family farming for school meals in Brazil; child exposure to pesticides in the city of Rio de Janeiro; commercialization of pesticides and the chemical-dependent model of agriculture in Brazil; aerial spraying of pesticides in a rural community in the context of conflict; tax benefits for pesticides, agricultural sustainability, and health in Brazil; Healthy and Sustainable Territories in the Federal District: agroecology and the impact of pesticides; public health and agroecology: sustainable and healthy food systems; voices and actions of the semiarid: invitations to the decolonization of the scientific field; critical toxicology applied to pesticides; food sovereignty, a therapeutic strategy to recover health in the face of the advance of agro-industrial extractivism; mental health, human rights and environmental justice: the ‘chemicalization of life’; health promotion and peasant resistance; agroecology and collective health in the construction of pesticides as a public health problem in Brazil; from pandemic to agroecology; agribusiness productivity and its externalities from the perspective of biopower; pesticides and cancer development in the context of public health; Covid-19 and hunger: agroecological future; agroecology in the Brazilian public policy agenda; socio-environmental and sanitary disasters in agribusiness; pesticides, health outcomes, and agroecology in Brazil; health and sanitation of a quilombola community in the surroundings of the capital of Brazil; Chácara Bindu, an agroecology experience; health surveillance of populations exposed to pesticides; organic street markets as a food supply and health promotion policy; book reviews ‘Agrobiodiversity and farmers’ rights’, by Juliana Santilli, and ‘Health, ecologies and emancipation: alternative knowledge in times of crisis(s)’, by Marcelo Firpo Porto, Diogo Ferreira Rocha and Marina Tarnowiski Fasanello.

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  Saúde em Debate

  Vol. 46 No. 133 abr-jun (2022)

  ‘Defending democracy, the right to health, to life, and the SUS: agenda of the Free, Democratic and Popular Conference’, title of the Editorial of Saúde em Debate Vol. 46, No. 133, signed by the journal’s editors, Maria Lucia Frizon Rizzotto, Ana Maria Costa, Lenaura de Vasconcelos Costa Lobato. The editorial presents and reflects on the creation of the Front for Life which launched the Free, Democratic and Popular National Conference on Health, on April 7, 2022, in preparation for the XVII National Health Conference, which will take place in 2023.

  In this issue, the journal brings together topics such as: Federal funding of the Unified Health System to combat Covid-19; SUS human resources in the pandemic: weaknesses in the Ministry of Health’s initiatives; Impacts of the Covid-19 pandemic in the Canal do Cunha Sub-Basin region, Rio de Janeiro; Mental health of public school students in the Covid-19 pandemic; Gender and vulnerability in public policies for the care of Human Papilloma Virus (HPV) and Cervical Cancer (CC) in Mexico; Barriers for referral to exclusive palliative care: the oncologist’s perception; Ten-year increase in healthcare establishments in Brazil and links with the Unified Health System; The pharmacist in Primary Health Care in Brazil; Macro-regional inequalities in primary care for Diabetes Mellitus; Social vulnerability and ethical-political problems transversal to oral health in Primary Health Care; Primary Health Care professionals and the Overweight and Obesity Care Line in the state of Piauí; SUS Connection: a YouTube channel as an instrument for educational training and strengthening of the Unified Health System; Use of WhatsApp to support health education actions; the pandemic of capital in sanitation; Occupationally exposed workers in a cassiterite ore processing industry; The scientific field of public health; Neo-extractivism, mining, and the vulnerability of indigenous peoples as an expression of persistent colonialism in Brazil; Pharmaceutical Assistance and global health governance in times of Covid-19; Ageism, Covid syndemic, and Intervention Bioethics; Brazilian Sanitary Reform: a review of political subjects and action strategies; Care from the hospital: interdisciplinarity and devices for integrality in the health care network; Management practices in HIV care; Book review ‘Madness and social transformation: an autobiography of the psychiatric reform in Brazil’, by Paulo Amarante.

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  Two years into a pandemic: health challenges of the 21st century

  Vol. 46 No. especial 1 mar (2022)

  The editorial ‘There is still a pandemic, but there is hope’, by Ana Maria Costa, Arthur Chioro, Josué Laguardia and Regina Fernandes Flauzino, opens the journal:

  “Two Years have passed since the beginning of the pandemic and after a year of vaccination of segments of the population, the global situation of COVID-19 still shows no concrete prospects that this disease will be controlled shortly. The expectation that vaccination would change the courses of the infection was confronted with the emergence of a new variant, with vaccine hesitancy in richer countries due to denialism and nationalism of vaccines, and with unequal access to immunizations in poorer countries. […] The challenges for the Brazilian health system are complex, for which five structuring guidelines are presented here, such as objective-images, as a contribution to the national debate on the future of health and the SUS in our country:

  1. Health is the right to live well
  2. Investing in health is essential to national sovereignty and economic development
  3. The SUS is indispensable to care for people and promote citizenship
  4. It is necessary to ensure adequate funding for the SUS
  5. Health is democracy, and there is no health without the facing of inequities and social justice”.

  Topics covered: managing the SUS at the municipal level in the face of COVID-19; Legislative and Executive branches in the COVID-19 pandemic; decisions of the Federal Supreme Court at the beginning of the COVID-19 pandemic; state governments in the fight against COVID-19; conceptions of Brazilian adults and elderly people about the COVID-19 pandemic; work process of journalists during the Covid-19 pandemic; public health in facing the infodemic and fake news; Health Surveillance within the scope of Primary Care to face the COVID-19 pandemic; Family Health Strategy at the forefront of the COVID-19 pandemic; Integrative and Complementary Practices offered by nursing in Primary Health Care; patient perspective on health care in the context of COVID-19; adherence to social isolation in the COVID-19 pandemic among teachers; health / mental health in the production of care in the COVID-19 pandemic; repercussions of COVID-19 on the mental health of higher education students; biosafety standards for COVID-19 among oral health professionals; Long-Term Reversible Contraception (LARC) in the pandemic; vaccine against COVID-19: arena of the Brazilian federative dispute; social distancing during the COVID-19 pandemic and the Federal State crisis; fictionalization in the midst of COVID-19; coronavirus pandemic and women: effects on working conditions and health; vaccine hesitancy and refusal in countries with universal health systems; inequalities in hospital supply in the context of the COVID-19 pandemic in Brazil; COVID-19 in the light of social markers of difference: race, gender, and social class; Open Science: literature review of scientific communication on COVID-19 on the SciELO platform; Community Health Agents in the COVID-19 pandemic; factors associated with burnout in healthcare professionals during the COVID-19 pandemic; continuing education experience in times of COVID-19; Information and Communication Network on Workers’ Exposure to SARS-CoV-2 in Brazil.

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  Saúde em Debate

  Vol. 46 No. 132 jan-mar (2022)

  The editorial of the first issue of Saúde em Debate of 2022 presents the current Thesis of the Brazilian Center for Health Studies (Cebes) ‘Health is Democracy, Democracy is Health’, approved at its General Assembly on December 10, 2021. The Thesis “discusses the current global pattern of universalization of malaise, with the worsening of inequalities and the exponential increase in hunger and misery, demonstrating the incapacity of capitalism, increasingly financialized and concentrated, to provide security and well-being to populations”.

  The volume 46, number 132 of the periodic brings together the following topics: public producers of medicines and strategic actions in the COVID-19 pandemic; quality of information on websites about COVID-19 and the fight against fake news; women health professionals and the COVID-19 pandemic; mortality from violence against women before and during the COVID-19 pandemic in Ceará; women working in the field of health on gender violence; Uber drivers about working and health conditions in the context of COVID-19; decentralization of outpatient regulation in the city of Rio de Janeiro; health of rural families in the sertão of Ceará; care for People Living with HIV/AIDS in Primary Health Care; work in the Family Health Strategy aimed at overweight and obese people in São Paulo; popular education and mental health; rhizomatic communication and resistance movements in times of COVID-19; different perspectives on the Brazilian Sanitary Reform Movement; access to health services by the homeless population; Expanded Community of Research in a virtual environment on teacher work and health.

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  Public health, science, and society

  Vol. 45 No. especial 2 dez (2021)

  The Brazilian Center for Health Studies (Cebes), together with the Sergio Arouca National School of Public Health (Ensp), of the Oswaldo Cruz Foundation (Fiocruz), launch a special thematic issue on the impact of the Covid-19 pandemic on science and society. It brings together original articles, essays, reviews and a book review, which point to the challenge of building a new model of social development and to the urgent expansion of the regulatory and service provision role of the Unified Health System (SUS).

  Topics covered: resilience in Brazilian cities and the COVID-19 pandemic; social inequality and vulnerability of indigenous peoples in the face of COVID-19; COVID-19 and Neglected Diseases in the face of inequalities in Brazil; digital technology to fight COVID-19; chronic diseases in the state of São Paulo during the COVID-19 pandemic; private sanitation concession and the incidence of COVID-19 in the favelas in Rio de Janeiro; from the ‘More Doctors’ Program to the COVID-19 pandemic: double denialism in the performance of the Brazilian medical corporation; COVID-19 in the work environment and the health of workers; monitoring of COVID-19 in the favelas of Rio de Janeiro; fear, risk, and vulnerability in times of COVID-19; stressors and protective factors of the COVID-19 pandemic in mental health; gender and the COVID-19 pandemic; government actions to address the misinformation crisis during the COVID-19 pandemic; book review ‘Fighting the first wave. Why the Coronavirus was tackled so differently across the global’ by Peter Baldwin.

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  Saúde em Debate

  Vol. 45 No. 131 out-dez (2021)

  “Over these last two years, the COVID-19 pandemic in Brazil has translated into a catastrophic event, which, in addition to exposing the emphasis of public policies by the federal government against the citizenship rights conferred by the Federal Constitution of 1988, shows, each increasingly, a political determination to destroy the civilizing role of the State in guaranteeing individual and collective rights. This is a criminal political attitude, which disregards the vulnerability and enormous inequality in the Brazilian population, which are only increasing during this health crisis. Contrary to what should be done, morally and constitutionally, it was necessary to implement policies aimed at controlling, overcoming, and reducing the economic, social, cultural, educational, and science and technology impacts that the pandemic had created. [...] The activities of the Brazilian Center for Health Studies (Cebes) in the struggle for the democratization of society and the defense of social rights, in particular the universal right to health, were intensified by the articulation of partnerships between people and institutions, social movements, committed to reform the Brazilian health in the expectation of strengthening and mobilizing against this current situation of underfunding and dismantling the Unified Health System (SUS) and the rights conquered through the Citizen Constitution!” – Excerpts from the Editorial ‘Cebes in the struggle during the Covid-19 pandemic’ from the latest issue of the journal Saúde em Debate, 2021, by Lucia Souto and Carlos Silva.

  The journal presents: regionalization and federative crisis in the COVID-19 pandemic; care for women in situations of violence; low-risk emergencies: integration between Primary Care and the Emergency Care Unit; work in multidisciplinary teams in Primary Care in Ceará; Organization of Primary Health Care in a rural municipality in Brazil; health care strategies for the black rural population in Caruaru/Pernambuco; public-private conflict in the SUS: specialized outpatient care in Paraná; pharmaceutical care: revolution or paradigmatic twilight?; pay by performance to Primary Care Teams: analysis from the PMAQ-AB cycles; Primary Health Care teams in the rapid test for Sexually Transmitted Infections; assistance and adherence to antiretrovirals in specialized HIV services in Pernambuco/Brazil, 2017-2018; social representations of people living with HIV: self-perception of ego-ecological identity; hospitalization for COVID-19 in the health regions of Brazil; health collapse in Manaus: the burden of not adhering to non-pharmacological measures to reduce the transmission of COVID-19; fulfillment of the goals of the management contracts and quality of health care; More Doctors Program, an attempt to solve the problem of medical distribution in the Brazilian territory; technosociality in the daily life of primary care and health promotion professionals; popular participation and social control in the SUS management.

  Visit Saúde em Debate also on the Cebes website – http://cebes.org.br/publicacao-tipo/revista-saude-em-debate/ and on SciELO – https://www.scielo.br/j/sdeb/

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  Women, Sciences, and Health

  Vol. 45 No. especial 1 out (2021)

  “The special issue ‘Women, Sciences, and Health’ was built from the many views and contributions of authors from different fields of knowledge, which came together to bring new and different perspectives of analysis. The pertinence and social, political, and scientific relevance of this theme have been emphasized in the growing context of debates on the role of women in the production of knowledge, with emphasis on feminist and gender studies, in conjunction with practices and research in health” – Opening of the presentation of the scientific editors invited for the construction of this special issue of ‘Saúde em Debate’.

  It gathers topics such as: black professors in postgraduate courses in health: between structural racism and the feminization of care; epistemological violence to their own epistemologies: narrative experiences with peripheral cis women, trans women, and transvestites; feminist contributions and gender issues in Primary Health Care practices in the SUS; Black Women’s Science; women in medical and health sciences and Brazilian publications on COVID-19; gender differences among speakers at dental congresses in Brazil; gender inequalities by field of ​​knowledge in Brazilian science; presence of women in the patenting activity in Brazil; COVID-19 pandemic narrated by women health professionals; Lygia Clark: breaths to enchant the experience of care; social relations of sex/gender, work, and health: contributions by Helena Hirata; occupational therapy: a feminine or feminist profession; feminist epistemologies for situated obstetric practice; women researchers in the midst of the pandemic; female leadership: report of the first meeting of women Family and Community Physicians in Brazil; women in technology management and clinical engineering: the case of lung ventilators in COVID-19; from social sciences to public health: interview with Maria Andrea Loyola.

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  Saúde em Debate

  Vol. 45 No. 130 jul-set (2021)

  ‘Hunger, unemployment, corruption, and preventable deaths: faces of necropolitics’, title of the Editorial that presents this new issue of Saúde em Debate. Signed by the scientific editors of the journal, Ana Maria Costa, Maria Lucia Frizon Rizzotto and Lenaura de Vasconcelos Costa Lobato, it points out the hardships that the Brazilian people suffer “from the adoption of economic policies practiced by the government, which submits to the interests of the market and the capital to the detriment of the population’s needs and demands”.

  Topics addressed: Brazilian Sanitary Reform; Intersectoral Chamber of Food and Nutrition Security; precariousness of work: Social Organizations in Primary Care in the city of Rio; work of professionals in a university hospital; social networks and teams in a Primary Health Care unit in the city of Rio de Janeiro; lifestyles: the experience of an educational community in Colombia; Expanded Family Health Centers: analysis according to the cycles of the Program for Improving Access and Quality of Primary Care; nurses’ performance in different models of Primary Health Care in Brazil; family history of breast cancer in women in Uberaba (MG); proportional mortality in indigenous peoples in Brazil; health technologies incorporated in the SUS; medical students and their academic career; perspectives of Brazilians during the COVID-19 pandemic: self-care and environmental bioethics; Primary Health Care in the SUS network to combat COVID-19; the voice of the community in the face of COVID-19: propositions to reduce health inequities; COVID-19: primary care in Guatemala; conjuncture analysis in health: conceptual, methodological and technical aspects; judicialization of health: the theses of the Supreme Court; diagnostic error subsidizes reform package that undermines the Family Health Strategy; National Policy for Integral Attention to Women’s Health; disability: words, models, and exclusion; exhibition ‘Zika Lives that Affect’; characteristics of health professionals affected by COVID-19; mental health and COVID-19; reuse regulation policies and implications for public health; evaluation of postpartum care programs in Brazil.

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  Saúde em Debate

  Vol. 45 No. 129 abr-jun (2021)

  “While these lines are being written, Brazil has reached 18 million cases of Covid-19 and has just broken the barrier of 500,000 deaths from the disease. The President of the Republic makes jokes, encourages crowds, discourages vaccination. The year 2020 ended with the country back on the United Nations’ Hunger Map: 60% of Brazilian households in a situation of food insecurity, 15% in a situation of severe food insecurity – hunger itself1. June 2021, almost 15 million unemployed, of which about 3.5 million for more than two years” – opening of the Editorial of the new issue of ‘Saúde em Debate’ signed by José Carvalho de Noronha and Lucia Souto, director and president of the Brazilian Center for Health Studies (Cebes).

  Volume 45, number 129 presents articles on: Regional Intermanagers Commission as a governance mechanism for health policy in Ceará; reflection on the discourse of well-being and development in neoliberalism: the case of the Colombian health system; actors of care regulation in the SUS; performance of SUS health services in Pernambuco; Participatory management in the Family Health Strategy (Paideia Method); coordination of care at the Consultório na Rua (Street Clinic) in the city of Rio de Janeiro; Mother of Paraná Network; National Policy for the Comprehensive Health of the Black Population; Development and validation of an instrument to measure Self-Perception of Health in adults; spending on compulsory hospitalizations for drug use in Espírito Santo; barriers to access for Men who have Sex with Men to HIV testing and treatment in Curitiba; satisfaction and access to oral health for people living with HIV/AIDS in northeastern Brazil; aesthetic and bodily practices: creation and production of subjectivity in psychosocial care; List of Work-Related Illnesses; Afro-Brazilian art as identity strengthening among medical students; health needs: concepts, implications, and challenges for the SUS; Parliamentary Amendments on health in the context of the Federal budget; scientific production on Intermediate Care and Community Hospitals; instruments most used in the assessment of exposure to Adverse Childhood Experiences; Primary Health Care practices in the field of ​​drugs; scientific production on community pharmaceutical services in coping with the coronavirus pandemic; book review ‘Tobacco control policy in Brazil’ by Leonardo Henriques Portes.

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  Saúde em Debate

  Vol. 45 No. 128 jan-mar (2021)

  “The Brazilian Center for Health Studies (Cebes), with the publication of this journal ‘Saúde em Debate’, is part of the struggle to democratize access to the defense of life and health in this conflict environment. It has been struggling to insert COVID-19 as a disease mainly of occupational transmission and lethality in which the illness of the elderly, children and adolescents is a collateral factor. The resources to study, research and publish are scarce and often mean the limit of survival for the Cebes itself, for the poor working class, for migrants and for the peripheries of a country that is reluctant to be thrown into the graveyard and civil war by its own rulers”. [Excerpt from the Editorial ‘Vaccines against Covid-19: the disease and the vaccines as weapons in colonial oppression’ signed by Cebes directors Heleno Rodrigues Corrêa Filho and Alane Andrelino Ribeiro].

  Issue 128 of Saúde em Debate presents the following themes: induction to health research in Brazil to mitigate problems related to extreme poverty; challenges for the regionalization of Health Surveillance in Brazil; bodily practices as devices of biopolitics and biopower in Primary Health Care (PHC); care in psychiatric inpatient services in general hospitals in Argentina; network organization in specialized psychosocial care in Recife; power relations between PHC professionals and users; users who abandon care in Psychosocial Care Centers (Caps-III); Adult Shelter Unit for users of alcohol and other drugs; clinic at Caps Infantojuvenil in adolescence; conducts carried out by Therapeutic Communities; biopsychosociocultural factors related to breastfeeding; oral health care indicators in Primary Care in Recife; bodies as object: a post-colonial reading of the ‘Brazilian Holocaust’; opening up possibilities in mental health care, in moments of crisis; extinction of judicial asylums; Autonomous Medication Management, from Quebec to Brazil; work and illness of bank employees; meanings on mental health care; book review ‘Regionalized health care networks: challenges to care integration and care coordination’.

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  Saúde em Debate

  Vol. 44 No. 127 out-dez (2020)

  “Hope drives, fuels, moves and strengthens utopia”, the Editorial of the latest issue of Saúde em Debate of 2020, signed by Cebes directors, draws attention to the 200,000 deaths resulting from Covid-19, with a clear increase in the number of cases and deaths since October and a dramatic increase forecast for the first months of the coming year due to the typical end-of-year crowds. Amidst the various mobilizations and public positions, the Cebes has articulated with dozens of entities in the field of health to form the Front for Life, which, in the face of the visible absence of a plan to face the pandemic, mobilized scholars from all fields to prepare the National Plan to Combat the Covid-19 Pandemic, offering it to the Federal Government and the governments of subnational bodies as a contribution from the Health Reform entities.

  Themes addressed: federal spending on social policies; commodification of the SUS in the state of São Paulo; praxis developed at the Municipal Health Council in a city of São Paulo; Parental Health Literacy Activities Test (PHLAST) instrument; cancer patients in an area with pesticide use; pesticides and cancer in monoculture regions; serious work accident in the city of Paraná; co-management in a Basic Health Unit; reproductive behavior among riverine women; prisoner health in Maputo; autonomy among beneficiaries of the Volta para Casa Program; institutional violence and mental illness in an asylum in Bahia; analysis of Therapeutic Residential Services; implementation of a Psychosocial Care Center (Caps) in Pernambuco; drugs and care in the Psychosocial Care Network: what those who use it think; psychologies built within the SUS; psychosocial care in children’s mental health; mental health services and teaching-learning actions; satisfaction of blacks and non-blacks assisted in Caps AD; Primary Health Care in a technocratic and disruptive way; Human Right to Adequate Food in Brazil; liquid modernity and social participation in health; Assessment of Health Technologies in Brazilian supplementary health; Permanent Health Education (EPS) within the Caps; instituting movements in the Brazilian Psychiatric Reform; EPS and psychosocial care: the experience of Projeto Rede Sampa.

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  Covid-19: knowing to face future challenges

  Vol. 44 No. especial 4 dez (2020)

  The editorial of this special issue of Saúde em Debate ‘Covid-19: knowing to face future challenges’ opens the journal with the following excerpt, signed by the scientific editors:

  “Since February 25, when the first case of Covid-19 was confirmed in Brazil, we have sadly accumulated 175 thousand deaths and over 6.5 million infected people until the first week of December 2020. Declared by the World Health Organization as a pandemic on March 11, the disease moves from the wealthiest neighborhoods to the peripheries; and from large urban centers to cities in the countryside, spreading throughout the country during these months, drawing a wide curve in which the highest levels of incidence, transmission rate and deaths stand out in the months of June, July and August. Without the control of the disease and still with a significant transmission rate, Covid-19 is growing again in the country, this time having the entire national territory as its epicenter. Brazil currently ranks seventh and ninth among the countries with the highest mortality and lethality rates, but this situation may change in view of the increase in the number of cases of the disease, the extinction of the emergency income and the resumption of the expenditure ceiling law with the risk of a loss of around R$ 40 billion for the Health budget as of 2021. In accentuating the unjust social inequalities that persist in the country, Covid-19 reveals its discriminatory nature in affecting the poorest and most vulnerable, sacrificing invisible subalternized populations – indigenous, black, gypsy, quilombolas, homeless, refugees”.

  It gathers manuscripts with the following themes: multilateralism, world order and COVID-19; BRICS in the context of the pandemic; political management of COVID-19 in Portugal; the SUS in times of COVID-19; social protection in times of COVID-19; COVID-19 and federative coordination in Brazil; SUS funding and COVID-19; Epidemiological Surveillance and COVID-19 in Brazil; hospital care in times of a pandemic; Primary Health Care in the SUS network to face the pandemic; mental health in Brazil during the pandemic; morbidity and mortality from COVID-19 according to race/color/ethnicity; limitation of COVID-19 notification data; COVID-19 in the Baixada Santista Metropolitan Region; public and private offer of beds and access to health care in the pandemic in Brazil; use of private hospital beds by public health systems in Brazil; survival of the SUS in times of a pandemic; the pandemic in the favelas; Niterói’s experience in municipal coordination and articulation during the pandemic; emergency national training in Mental Health and Psychosocial Care in COVID-19; analysis of experiences in the pandemic in vulnerable populations; noise pollution in the urban environment during the pandemic; gender and race inequalities in the pandemic.

   

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  Portraits of the Brazilian Psychiatric Reform

  Vol. 44 No. especial 3 out (2020)

  “This special issue of the journal ‘Saúde em Debate’, entitled Portraits of the Brazilian Psychiatric Reform, is a democratic commitment, historical tribute and sharing of knowledge. In each text, we have a portrait of our time. A clipping of the daily health services and forms of care that reveal a time that demanded social changes. Each composition is a kind of snapshot cut from the flow of productive time of the new paradigms of deinstitutionalization” (excerpt from the Presentation of this issue signed by the scientific editors).

  The edition brings together themes such as: the Psychiatric Reform is possible; political backstage of the Paulo Delgado Law; the future of psychiatry and mental health; deinstitutionalization in debate; mental health and audiovisual production; digital inclusion with users of Psychosocial Care Centers (Caps); voice hearers, social movements, and politics; interprofessionality in mental health; abandonment and non-adherence to treatment in Caps; mental health in primary care in São Paulo; Matrix support in the articulation between primary care and Caps; family members of Capsi autistics patients (Caps Infantojuvenil) in Rio de Janeiro; care for families at Capsi; autonomous medication management in Caps of Curitiba; access to treatment for crack users; care in Caps AD (Alcohol and other Drugs) and Therapeutic Communities from the perspective of users; Permanent Education in Health/mental health/primary care; mental health beds in general hospitals in Rio de Janeiro; struggle for recognition of the Brazilian Psychiatric Reform (RPB); RPB and parliamentary discussion; 'aquilombamento' towards the RPB; the contemporary crisis and challenges to the RPB; senses of the kitchen in the Caps and the inclusion of nutritionists in care; bibliometrics of publications in the journal ‘Saúde em Debate’; psychosocial care and living well: experience of a Singular Therapeutic Project through the dimensions of Gross National Happiness; book review ‘Legal capacity and human rights’.

   

   

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  Saúde em Debate

  Vol. 44 No. 126 jul-set (2020)

  The editorial of this issue of Saúde em Debate presents the document ‘Covid-19 National Pandemic Confrontation Plan’ prepared by collective health entities that are members of the Front for Life. The Plan is the result of participatory planning that recognizes the pandemic as a complex phenomenon that requires actions in several dimensions and in its interfaces with the contribution of scientific knowledge, technical knowledge, practices, and social movement.

  The journal addresses the following themes: indigenous health subsystem; antimicrobial resistance; salaries of doctors hired by the Family Health Strategy; prevention and treatment of Chronic Noncommunicable Diseases; mHealth technology for cardiovascular risk stratification scores; analyzes of Family Health Support Centers; work processes in obesity care; specialized services in cardiology and endocrinology in Primary Health Care; effects of the PMAQ-AB on admissions due to conditions sensitive to Primary Care; oral health services in Primary Care; judicialization of dental demands; Integrative and Complementary Practices in Primary Health Care in Maranhão; the blessing in the territories of the Family Health Strategy; quality of life and stress of Primary Care professionals; congenital malformations and pesticides in Giruá (RS); analysis of leptospirosis in Brazil; specialization in Work Management and Health Education; assistance to the elderly in the Federal District; Integrative and Complementary Practices for the Elderly; management instruments developed by the Municipal Health Departments of Santa Catarina; prevention campaigns against Dengue, Zika, and Chikungunya arboviruses; healthy and sustainable diets; criminal action by the Federal Government in the fight against Covid-19; equitable allocation of financial resources in health; training in work management and health education; Review of the book ‘Mourning: Treatment and Portrait’.

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  Development, disasters, and emergencies in public health

  Vol. 44 No. especial 2 jul (2020)

  “In April 2019, three months after the disaster caused by Vale, which hit Brumadinho with hundreds of deaths and affected dozens of other municipalities with the tailings mud and its contaminants along the Paraopeba River, we began to prepare this special issue of the journal ‘Saúde em Debate’, with the theme: Development, Disasters, and Emergencies in Public Health. Our initial objective was to combine academic research and public debate on different types of disasters and health emergencies, including climate emergencies, in the same number”. This is the Presentation of Health in Debate v. 44, special issue 2 of 2020, signed by the invited scientific editors Carlos Machado de Freitas, Simone Santos Oliveira and Christovam Barcellos, representatives of the Oswaldo Cruz Foundation – Rio de Janeiro.

  Topics addressed: history, concepts and applications of emergencies in public health; lives at risk of disaster; planning of disaster risk management actions; reducing health risks related to climate change, disasters and public health emergencies; public health emergencies and the Zika virus in Brazil; safe hospitals in disasters; Incident Command System and risk communication; assessment of resilience to health disasters; public policies on disaster risk management; Samarco’s disaster and health policies in Espírito Santo; integration of health services in disaster risk management in the case of Blumenau, SC; floods: the role of the Ministry of Health in occurrences in Brazil; vulnerability of the health sector to disasters from the perspective of professionals and managers in Nova Friburgo; recurrent floods in regularized urban areas; Geographic Information Systems in disaster and emergency risk management; mental health of people in a natural disaster situation; dam safety; territory and deterritorialization: social suffering due to environmental disaster; health of civil defense workers in the Fundão dam failure; forest fires in the Amazon; struggle and resistance of an artisanal fishing community; health surveillance and natural disasters; psychosocial aspects in socio-environmental disasters; challenge of mental health care in the Vale disaster; environmental health surveillance in the Brumadinho dam failure; debates on the disaster process in the Brumadinho dam failure.

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  Saúde em Debate

  Vol. 44 No. 125 abr-jun (2020)

  The editorial of Saúde em Debate nº 125, signed by Ana Maria Costa, Maria Lucia Frizon Rizzotto, and Lenaura de Vasconcelos Costa Lobato, opens the journal with an analysis of COVID-19 in Brazil: “The pandemic found the nation with a militarized, ultra-right government, bewildered and submerged in a political crisis, aggravated by a low performance of the economy with growth of the Gross Domestic Product (GDP), in 2019, of only 1.1% and adding up to approximately 13 million unemployed citizens. This combination of factors and crises has deepened political instability and has proved to be tragic from all points of view, making the country seem like a ship with no direction, ready to sink”.

  The periodic presents the following themes: National Program for the Improvement of Access and Quality (PMAQ-AB) in a municipality in Bahia; political dimension of nurses in the implementation of the PMAQ-AB; training process with popular educators from EdPopSUS; residents of an urban occupation about the ‘empowerment’ in health; oncological palliative care; mortality from cervical cancer in Brazil; Family Health Team and care for drug users; Diabetes Mellitus in the More Doctors Program in a city in the metropolitan region of Recife; care for the elderly population in Emergency Care Units in the city of Rio de Janeiro; Pharmaceutical Assistance in Primary Care: The Pharmaceutical Care Gap; Health Surveillance Management Performance; population in situations of social vulnerability accompanied in Belford Roxo (RJ); user satisfaction with oral health care in Paraíba; Dengue and its relationship with socio-environmental factors in the state of Paraíba; Matrix Support in the qualification of Primary Health Care for people with chronic diseases; Primary Care in riverside health; university participation in defense of the Unified Health System; Primary Care and Intermediate Care; human editing using the Crispr-cas9 technique: scientific enthusiasm and ethical concerns; privatization of the Chilean health system; choice of delivery method and women’s autonomy in Brazil; assistance to women in situations of violence; Review of the book ‘Qualitative Data Analysis’ by Graham Gibbs.

   

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  Saúde em Debate

  Vol. 44 No. 124 jan-mar (2020)

  The editorial of the first regular issue of Saúde em Debate of 2020 opens the journal with the title “Lockdown or participatory health surveillance? Lessons from the Covid-19”. It brings contributions to understand the world of public health at the critical moment of the 2020 Coronavirus pandemic. The Brazilian Center for Health Studies (Cebes) has guided its action of studies and translational scientific exchange between the health, economics, law, and popular education sectors, among others, with the interface formalized in the forums of institutions created to fight for health and life.

  This edition brings together articles on the following themes: universality of the VIII National Health Conference; evaluation of the Family Health Support Center; cross-sectional study on Permanent Education in Health and the National Program for Improving Access and Quality in Primary Care; the work of the Community Health Agent and the National Primary Care Policy; evaluation of the Rede Mãe Paranaense Program; medium-complexity hospitals in the Emergency Care Network; care of users with multidrug-resistant tuberculosis in Recife; child health assessment in Primary Care; nutrition of children living in areas of social vulnerability; nurses in nutritional care for children in the Family Health Strategy; oral health of people with orofacial clefts; breast cancer care in a municipality of Bahia; health of the homeless population; sexual and reproductive health in the Xukuru do Ororubá ethnic group; diarrhea in children living in Ilha de Guaratiba (RJ); Brumadinho disaster: public policies and sanitation management; Planning for Sanitary Sewage in Rio de Janeiro; sanitation and environmental health of hydrographic basins; bioethical reflections on protecting the environment and future generations; experience report on the Sanitary Reform and the health of the Potyguara Indians.

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  The Movement for People’s Health: global action in defense of the universal right to health

  Vol. 44 No. 44 especial 1 jan (2020)

  Welcome to this special ‘Saúde em Debate’ supplement, focusing on the work of the Movement for People’s Health (MSP), a global network of health activists and activist organizations working across borders to make the 1978 vision of ‘Health for All’ come true. This special edition is an initiative of the Brazilian Center for Health Studies (Cebes) and the Latin American Association of Social Medicine (Alames) to call for global action for the universal right to health. A wide variety of analyzes and stories of MSP activism are shared in this issue of ‘Saúde em Debate’. These articles illustrate the connections between local health needs and the global political economy, and the ways in which health activists are addressing local needs in ways that contribute to building a global movement.

  Special issue 1 of 2020 features articles on the following themes: what is the Movement for People’s Health (MSP); ‘Buen Vivir’ at MSP: an alternative development path; resistance to privatization and commercialization of healthcare in India, the Philippines, and Europe; right to health in Colombia; the school as a space for social participation and promotion of citizenship; indigenous struggles and the right to health in Colombia; the transformative potential of health as common goods; right to health and anti-extractivism; equity and intersectionality in health; Bhopal gas disaster; Cebes as a movement to defend the right to health; ties between the Alames and the MSP; health crisis in Rio de Janeiro; civil society participation in global health governance; the transformative experience of the Universidad Internacional para la Salud de los Pueblos; interview with Sister Anne Whibey; Global Health Watch 5 book review; tributes to David Sanders and Amit Sengupta; document: The Struggle for Health is the Struggle for a More Equitable, Just and Caring World, by MSP.

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  Other looks at the Brazilian Sanitary Reform

  Vol. 43 No. 43 especial 8 dez (2019)

  The objective of this thematic issue was to bring together contemporary issues that question the path of building a health policy in Brazil that guarantees the dignity and well-being of populations. The invitation for other perspectives on the Brazilian Sanitary Reform to present themselves comes at a time of confusion, with political, economic, and social transformations in all corners of the planet, as well as retrograde movements that call into question the advances made in decades of struggle for the recognition of rights, penalizing once again those who were still seeking to make their voices heard in societies. The Brazilian Center for Health Studies (Cebes) and the periodic ‘Saúde em Debate’ not only welcomed that proposal, but also constituted the best space to provoke such debate.

  Topics addressed: social determinants and populations of occupations; crack in Manguinhos (RJ); analysis of the Family Health Strategy by popular movements in Ceará; rural health: paths of the Landless Rural Workers Movement (MST); mental health of the black population by the Racism and Mental Health Working Group of the Ministry of Health; LGBT people on the streets and health in Florianópolis (SC); transsexuals and the gender transition; care for transvestites and trans women living on the streets in Belo Horizonte (MG); Health Reform Movement and Health Union Movement; the teachings of the Brazilian Sanitary Reform (RSB); indigenism and Sanitary Reform; collective health, coloniality, and subalternities; the Unified Health System (SUS) and liberal necropolitics; body-knowledge and the decolonization of collective health; ‘On the concept of History’ in public health; political determinants of the SUS crisis; RSB and unionism in health; collective health and agroecology; the RSB and the nature of the State: the agrarian question; feminist movements and the Sanitary Reform in Brazil; health and Sanitary Reform in the context of native peoples; LGBT health policy in public health publications; social movements against State racism: health debate; the construction of the SUS based on the work of Community Health Agents; the social movement in the RSB; book review ‘What is a place of speech’; manifesto on health and democracy in the favelas.

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  Ciências sociais e saúde coletiva: diálogos

  Vol. 43 No. especial 7 dez (2019)

  Número temático resultado da parceria entre o Departamento de Ciências Sociais (DCS), da Escola Nacional de Saúde Pública Sergio Arouca (Ensp), da Fundação Oswaldo Cruz (Fiocruz), com o Centro Brasileiro de Estudos de Saúde (Cebes). Explora em perspectiva multiprofissional um leque de temas de interesse do campo das ciências sociais aplicado à área de saúde. Retomando o pressuposto original do projeto da saúde coletiva, os artigos e ensaios reunidos incorporam ‘no seu criar, no seu pensar e no seu fazer’ os diferentes pontos de vista das diversas ciências humanas e sociais e do campo da saúde.

  Assuntos abordados:  Complexo Econômico-Industrial da Saúde e produção de medicamentos; cumprimento dos Objetivos de Desenvolvimento Sustentável (ODS) no Brasil; investimento público em saneamento no Brasil; equipes de Consultório na Rua; saúde mental de adolescentes femininas em Unidades Socioeducativas; gestão municipal do SUS entre 2017-2020; estigma da População em Situação de Rua no Rio de Janeiro; Serviços Residenciais Terapêuticos no Rio de Janeiro; corpo e paradigma da imunização; avaliação da Estratégia Saúde da Família; justiça social como um imperativo ético; saúde pública: biotecnociência, biopolítica e bioética; ciências sociais em saúde: perspectivas e desafios para a saúde coletiva; a ‘Sociologia da Medicina’ de Gilberto Freyre; avaliação de programas, estratégias e ações de saúde; Itinerário Terapêutico no Brasil; gestão de uma comissão da Associação de Saúde Coletiva (Abrasco); resenha da publicação ‘Saneamento como política pública’ de Heller L.

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  Atenção básica e a micropolítica da gestão

  Vol. 43 No. especial 6 dez (2019)

  O Centro Brasileiro de Estudos de Saúde (Cebes) junto à Gerência da Atenção Básica da Universidade Federal Fluminense (UFF) apresentam o número especial da revista ‘Saúde em Debate’ ‘Atenção básica e a micropolítica da gestão’. Estão reunidos artigos que disponibilizam formulações e reflexões, produtos de vários anos de experimentação em encontros proporcionados por Curso direcionado à referida Gerência, que reuniu pessoas que trabalham e estão implicadas no cotidiano das redes de saúde.

  O Curso percorreu todo o território brasileiro, foi invadido pelos vários sotaques, experiências de diferentes realidades, as muitas faces do imenso Sistema Único de Saúde se fizeram presentes. Foi produção de uma multidão, que, na sua multiplicidade, trouxe à cena aquilo que é comum a todas e todos nós: a função de acolher, cuidar, proteger os corpos que chegam para serem cuidados nas redes de serviços de saúde.

  Temas abordados: os Agentes Comunitários de Saúde e os desafios da micropolítica da atenção básica; competências do gestor de Unidades de Saúde da Família: prática do enfermeiro; gestores de Unidades Básicas de Saúde (UBS) de Criciúma; gerenciamento de UBS; Processo Circular: avaliação de UBS; Rede Básica, campo de forças e micropolítica; produção do saber na educação semipresencial; clínica, cuidado e subjetividade; Processo Circular: avaliação da experiência de alunos /gerentes; Fluxograma Descritos para fortalecer a Atenção Primária à Saúde (APS); uso de ferramentas na formação de gerente de UBS; Processo Circular para gestão de conflitos; ferramentas de gestão na micropolítica  do trabalho em saúde; gestão de equipe de Estratégia Saúde da Família  em Pato Branco, PR; qualificação de gerentes de UBS; micropolítica da gestão em curso de Educação a Distância para gerentes da APS.

  O CEBES DESEJA A TODOS BOAS FESTAS E SAÚDE EM 2020!!

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  Sistemas universais de saúde

  Vol. 43 No. especial 5 dez (2019)

  Este número especial da revista ‘Saúde em Debate’, realizado por meio da parceria do Centro Brasileiro de Estudos de Saúde (Cebes) com o Conselho Nacional de Secretários de Saúde (Conass), propôs-se a abordar temas relevantes relacionados com a trajetória e com o futuro dos sistemas universais de saúde, em âmbito nacional e internacional. Os artigos e ensaios publicados certamente contribuirão para aprofundar reflexões, prospecções, análises e debates acerca das perspectivas e da sustentabilidade desses sistemas.

  Temáticas abordadas: Sistemas universais de saúde e o futuro do SUS; sistemas universais de proteção social a Cobertura Universal de Saúde; sistema de saúde brasileiro ante a tipologia internacional; reformas neoliberais na saúde pública; financeirização e limites à universalidade da saúde; Atenção Básica à Saúde (ABS) na consolidação dos sistemas universais; fragmentação dos sistemas universais de saúde e os hospitais; acesso à saúde e discursos bioéticos; produção operária italiana e movimento sanitário brasileiro; pesquisa em saúde no Brasil; financiamento federal da ABS no Brasil; economia política e economia da saúde; macrogestão da Rede de Atenção à  Saúde; participação no SUS: instrumentalidade e interface interestatal; tempo de espera e absenteísmo na atenção especializada; Mais Médicos para o Brasil: gestão do Módulo de Acolhimento e Avaliação; educação ambiental; avaliação de serviços de saúde no Brasil; Planos Nacionais de Saúde do Brasil e do Canadá; ética do cuidado e política; Seguro Popular de Saúde mexicano; acesso a medicamentos em sistemas universais de saúde; instrumentos de avaliação de redes de cuidados primários; formação política na graduação de enfermagem; resenha do livro ‘Saúde global’.

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  Direitos humanos, justiça e saúde

  Vol. 43 No. especial 4 dez (2019)

  Este número temático representa a produção do primeiro Mestrado Profissional Justiça e Saúde para a Escola da Magistratura do Estado do Rio de Janeiro (Emerj), celebrado entre a Escola Nacional de Saúde Pública Sergio Arouca (Ensp), da Fundação Oswaldo Cruz (Fiocruz), e a Emerj.

  A escolha para publicação na revista ‘Saúde em Debate’, por intermédio do Centro Brasileiro de Estudos de Saúde (Cebes), entidade nacional criada em 1976, cuja missão histórica é a luta pela democratização e a defesa dos direitos sociais, em particular o direito universal à saúde’, deve-se à importância e à respeitabilidade acadêmica da referida revista.

  Aborda temas tais como: reflexões e possibilidades sobre direitos humanos, justiça e saúde; Poder Judiciário em tempos de Estado-Empresa e a saúde pública; aborto seguro; acolhimento de crianças e adolescentes, e a adoção como solução; judicialização da saúde; judicialização de medicamentos; sentenças dos Juizados Especiais Fazendários do Rio de Janeiro; medicamentos e impostos sobre circulação de mercadorias e serviços; demandas judiciais de medicamentos; Poder Judiciário e políticas públicas de saneamento; sistema de justiça biologizante-mecanicista; Lei Maria da Penha; violência sexual e ofensas contra mulher com deficiência; pessoa transexual e registros alterados; tratamento da pornografia de vingança; deficiência mental e a Lei Brasileira de Inclusão; razão como instrumento de inclusão da loucura: medida de segurança; tratamento de doenças raras no Brasil e a judicialização; tutelas de urgência com pedidos de saúde em plantão judiciário noturno; sistema educacional inclusivo; financiamento público do setor privado de saúde à luz da Constituição Federal.

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  Saneamento e saúde ambiental

  Vol. 43 No. especial 3 dez (2019)

  Em pleno século XXI, o Brasil ainda apresenta enormes desafios em relação à oferta dos serviços de saneamento. Os dados de 2017 do Sistema Nacional de Informação sobre o Saneamento (SNIS) mostram que 83,5% da população brasileira tem acesso à rede de abastecimento de água, 46,0% são atendidos por coleta e tratamento dos seus esgotos gerados e 98,8% têm coleta regular de resíduos sólidos urbanos. Apesar desses números representarem um avanço em relação aos anos anteriores, ainda temos mais de 30 milhões de brasileiros que não possuem água em qualidade e quantidade adequadas para suas necessidades básicas, e mais de 100 milhões descartam seus esgotos in natura no ambiente.

  Diante desse cenário, foi elaborado este número temático especial, fruto do compromisso institucional do Departamento de Saneamento e Saúde Ambiental (DSSA), da Escola Nacional de Saúde Pública Sergio Arouca (Ensp), da Fundação Oswaldo Cruz (Fiocruz), em parceria com o Centro Brasileiro de Estudos de Saúde (Cebes), visando divulgar o conhecimento científico produzido por pesquisas desenvolvidas nos campos do saneamento e da saúde ambiental, suas interfaces e impactos na qualidade de vida e saúde da população brasileira.

  O número temático apresenta artigos sobre qualidade da água e sua correlação com a diarreia e hepatite A, no Distrito Federal/Brasil; qualidade da água e o acesso à informação; reabilitação de rios; fluoretação da água segundo trabalhadores; gerenciamento de resíduos em laboratórios; descarte de resíduos de serviços de saúde animal; evolução da drenagem urbana; sistemas modulares vegetados para promoção da saúde; saneamento básico e incidência de cólera; moradia em áreas de risco; terrorismo químico; tratamento e reúso de efluentes da indústria de antibióticos; bioterrorismo; desafios na gestão de resíduos; e atenção psicossocial em situação de desastres.

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  Pesquisa translacional em saúde coletiva: da bancada ao SUS

  Vol. 43 No. especial 2 nov (2019)

  “A pesquisa translacional significa coisas diferentes para pessoas diferentes, mas parece importante para quase todas” (Steven Woolf).

  A revista ‘Saúde em Debate’, com o pioneirismo que lhe é característico, acolheu a proposta da edição temática ‘Pesquisa translacional em saúde coletiva: da bancada ao SUS’. Este fascículo, que foi financiado pelo Programa de Pós-Graduação em Saúde Coletiva da Universidade de Brasília, reúne artigos que apresentam investigações interdisciplinares, envolvendo a pesquisa biomédica, tecnológica e clínica, mas também a epidemiológica e a pesquisa sobre programas e políticas de saúde.

  Apresenta temas tais como: Cartão de Evento-Crítico; Pesquisa Translacional em vitamina A; Comitê Gestor da Pesquisa como dispositivo para implementação de pesquisa em saúde mental; Institutos Nacionais de Ciência e Tecnologia na saúde e a Pesquisa Translacional; Programa de Apoio ao Desenvolvimento Institucional do Sistema Único de Saúde (SUS); pesquisa translacional no Brasil e a Agenda do SUS; tecnologia dura para tratamento do pé diabético; pesquisa sobre prevenção e controle da anemia em crianças; sistema brasileiro de inovação em Medicina de Precisão para Câncer; pesquisa translacional e o segmento farmacêutico; Deep Learning para diagnóstico de doenças e identificação de insetos vetores; Parcerias para o Desenvolvimento Produtivo: listas de produtos estratégicos; pesquisa translacional na era pós-genômica; medicamentos e pesquisa translacional: políticas de saúde; Tradução do Conhecimento e desafios contemporâneos na saúde; Parcerias para o Desenvolvimento Produtivo: monitoramento estratégico.

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  Saúde em Debate

  Vol. 43 No. 123 out-dez (2019)

  “A Vigilância em Saúde que hoje reúne a vigilância epidemiológica, sanitária, ambiental e de saúde do trabalhador ainda tem muito que progredir até dar direito pleno de notificação epidemiológica a todos os cidadãos, e não apenas aos profissionais de saúde. Todos os cidadãos notificantes deveriam ter direito às normas de confidencialidade, de saber os resultados da investigação e de partilhar a tomada de decisões em momentos de guerra humana, química, viral ou bacteriológica⁴. A diretriz central do Centro Brasileiro de Estudos de Saúde (Cebes) refletida nas publicações históricas da revista ‘Saúde em Debate’ afirma: sem democracia, não há saúde. O corolário do século XXI é: sem democracia e comitês populares participativos, não há Vigilância em Saúde”. [extraído do editorial do presente número, assinado por Heleno Rodrigues Corrêa Filho].

  O último número regular de 2019 apresenta: análise estratégica do QualiSUS-Rede; indicadores de desempenho de acesso à atenção especializada no SUS; absenteísmo de usuários como fator de desempenho; Hospital Universitário na rede de atenção reumatológica; Programa Seguro-Emprego na indústria automobilística; contexto rural e reabilitação profissional no Vale do Ribeira; autossuficiência alimentar no agronegócio em Mato Grosso; exposição a agrotóxicos e portadores da doença de Parkinson; Medicina Integrativa no Sul do Brasil; autocuidado de portadores de diabetes; maternidade nas histórias contadas por mulheres; mortes maternas por aborto no Piauí; sífilis gestacional e congênita, análise epidemiológica e espacial; acidentes automobilísticos no Brasil em 2017; participação de um conselho municipal de saúde no Sul do Brasil; Complexo Econômico Industrial da Saúde e a Pesquisa Translacional; habitação saudável e biossegurança; Práticas Integrativas e Complementares na atenção básica; povos originários da floresta amazônica na gestação e no puerpério; publicações sobre Residência Multiprofissional em Saúde; georreferenciamento e mapeamento no processo de territorialização na Atenção Primária à Saúde; promoção da saúde no regime semiaberto do sistema penitenciário.