Na pandemia da Covid-19, o Brasil enxerga o SUS

Abstract

AT THE TIME OF WRITING THIS EDITORIAL, 122 days have passed since the first Covid-19 case was registered in Brazil, confirmed in São Paulo, on February 25, 2020 1. 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. Today, we have 928,985 confirmed cases of infected with Sars-CoV-2, although the estimates warn to figures at least 8 to 10 times higher due to the low testing practiced in our territory. In a pace of accelerated growth, more than 20 thousand new diagnosed cases are registered daily, regrettably accumulating 53,895 deaths, of which 1,185 in the last 24 hours 2. With these data, Brazil becomes the second country in number of deaths, surpassed, at the moment, only by the United States. The pandemic has hit the core of society's narcissism, always fueled by satisfaction with the denial of reality. The abysmal social inequality is now wide opened as scandalously exposed as it had previously been denied. The Brazil that will emerge from this health crisis will no longer be able to hide from itself the image that revealed its millions of poor and miserable people without minimum conditions for complying with the sanitary standards recommended for the control of the pandemic: staying at home, maintaining social distance, washing hands, and eating properly. This mirror, if not broken again-and the uncomfortable image, once again forgotten-, will require radical changes in the development model and in economic policy. The transformations involve admitting that a fairer and less unequal country is only possible through the adoption of an unorthodox economic policy that institutionalizes universal social protection mechanisms, guaranteeing a basic citizenship income and promoting an effective increase in public investment to expand the labor market and absorb the Brazilians who are found completely abandoned today 3. The R$ 600 emergency aid, approved by the National Congress, instead of the R$ 200 proposed by the federal government, has already been requested by 43% of the Brazilian population; and of these, only 60% received at least a portion of the money 4. The result is in the 'disobedience' to health recommendations, reflected in the extremely low isolation rates found in large Brazilian cities and states which, even in a lockdown situation, are unable to reach the desirable levels of social distance. Without the support of

Epidemiological Aspects of the Initial Evolution of COVID-19 in Microregion of Uberlândia, Minas Gerais (MG), Brazil

“…The disobedience to the distancing measures, the late implementation of containment decrees and the presence of unfounded flexibilization decrees showed compatibility with the rise of the disease identified from EW 23 by the change point algorithm in our study ( Figure 1 ). This pattern was also identified in studies carried out in other metropolises and states in Brazil [ 65 , 66 ]. Especially in Belém, Brazil, a study emphasized that the influence of the economic needs of the municipality determined the disorganization in the control of the disease, which culminated in the overload of public health systems [ 67 ].…”

Medidas epidemiológicas na contenção da Covid-19: um recorte no Estado de Pernambuco

“…Nesse site, foram divulgadas diversas informações acerca do novo coronavírus, à medida em que novas descobertas eram feitas. As recomendações ao trabalho dos profissionais da saúde são divulgadas em notas técnicas, que cobrem aspectos importante da vigilância ao desenvolvimento das doenças, tais como: orientações sobre coleta de amostras clínicas; notificação de casos; recomendações sobre a codificação das causas de morte para óbitos por Covid-19; planos de contingência para infecção e reinfecção pelo vírus; entre outros protocolos direcionados ao seu manejo (Costa et al, 2020).…”

Vigilância Epidemiológica e a pandemia da Covid-19 no Brasil: elementos para entender a resposta brasileira e a explosão de casos e mortes

“…Na medida em que a sociedade brasileira reconhece o valor do SUS como bem público, em um país desigual, isso pode constituir força política necessária para promover a sua consolidação e financiamento adequado, garantindo o preceito constitucional do direito universal à saúde, como assinalaram Costa e cols. 34 em recente editorial da revista 'Saúde em Debate'. Dessa maneira, superar as suas dificuldades, aprimorar a gestão e afirmar o SUS como um sistema universal e igualitário, como bem se assinala no Plano de Enfrentamento citado 33 , é o que deve nos inspirar e motivar no sentido do seu fortalecimento.…”