As mudanças geradas pela COVID-19 em Unidades de Alimentação e Nutrição do interior de São Paulo - Brasil e seus impactos foram avaliadas através do relato das Nutricionistas. Dos 14 questionários enviados por e-mail, 9 foram respondidos. As nutricionistas deste estudo são brancas (100%), do sexo feminino, possuem idade de 33 ± 6,9 anos, e trabalham a 4,0 ± 5,3 anos na UAN atual e a 5,0 ± 4,1 anos com Alimentação Coletiva. As UANs deste estudo eram institucionais (66,7%), de porte médio (55,6%) e de gestão terceirizada (66,7%). 100% das unidades recebem os equipamentos de proteção individual (máscaras e luvas) das instituições responsáveis e, em 77,8%, os colaboradores utilizavam as máscaras durante todo o tempo de trabalho. Houve mudanças na avaliação da saúde do trabalhador e no recebimento, produção, distribuição de alimentos e produtos de higienização. Em algumas Unidades (33,3%), houve mudança de turno e/ou demissão de colaboradores. Em nenhuma UAN houve contratação. As Nutricionistas relataram ansiedade e angústia na gestão. Conclui-se que as Unidades de Alimentação e Nutrição deste estudo realizaram mudanças adequadas às recomendações frente à COVID-19. Visto as mudanças psicológicas relatadas pelas Nutricionistas, são necessários novos estudos para avaliar/melhorar a saúde mental destas profissionais frente às aflições geradas pela COVID-19.
In late 2019, an infectious disease with a high rate of human-to-human transmission was identified in Wuhan, China, which was called Covid-19. In a short time, this disease affected several regions of the world and became a pandemic, with huge impacts on people's lives and the environment. This article aims to investigate the existing relationships between health and the environment, at the moment of confronting Covid-19 in Brazil, focusing on the socioenvironmental issues of sanitation and agglomeration and its consequences/limits for prevention/care in Public Health. For the development of the research, a systematic review was carried out between May and June 2020. The article brings aspects about the industrial revolution and its relationship with life forms; the issue of sanitation, agglomeration as a reflection of geographical inequalities and their impact on combating Covid-19. Thus, there is an urgent need to understand the various health measures that dialogue with environmental, social and political actions that need to be built, in the various dimensions, in order to fight socio-environmental inequalities.
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