O Congresso Nacional e as emergências de saúde pública

Abstract

Resumo Analisou-se a resposta do Legislativo Federal Brasileiro frente a quatro emergências de saúde pública recentes, por meio de análise documental de caráter qualiquantitativo, nos bancos de dados de informação legislativa do Congresso Nacional. Observou-se que a resposta se caracterizou por pronunciamentos (de denúncia, de pedidos de providência, de críticas e de elogios à atuação do Poder Executivo) e pela fiscalização dessa atuação por meio de requerimentos de informação, de convocação de autoridades e de audiências públicas. A produção legislativa, no entanto, foi inexpressiva, restrita à aprovação de proposições de suplementação de recursos orçamentários de iniciativa do Poder Executivo. Poucos projetos de lei de iniciativa de parlamentares trataram matérias periféricas ao problema e não prosperaram. Conclui-se que a insuficiência normativa para a atuação das autoridades sanitárias no enfrentamento de emergências de saúde pública não tem sido suprida pelo Poder Legislativo e terá de sê-lo, provavelmente, por iniciativa do Executivo.

A saúde do trabalhador em tempos de COVID-19: reflexões sobre saúde, segurança e terapia ocupacional

“…In Italy, 20% of healthcare professionals were infected after having contact with infected patients. The infection also affected cleaning service workers, and the lack of adequate PPE in hospitals was the most reason for the increase in infection rates (Romero & Delduque, 2017;Leme, 2020;Tavares, 2020; Comitê Científico de Combate ao Coronavírus do Consórcio Nordeste, 2020; Goumenou et al, 2020; The Lancet, 2020).…”

“…However, health professionals, including those who intervene in the occupational health area, face challenges when working in the pandemic, and one of the main challenges is the scarcity of PPE, a reality found in several countries. Understanding working conditions and devising strategies to prepare/train workers to develop their work activities are attitudes that must be taken urgently to decide how resources will be allocated, proposals to organize work and create protective measures that prioritize the health of workers and to face and deal with the pandemic in essential care services (Romero & Delduque, 2017;Brasil, 2018; Comitê Científico de Combate ao Coronavírus do Consórcio Nordeste, 2020).…”

“…However, the lack of investment, its disorganization, and its disruption are more evident in times of crisis. Thus, we can observe the insufficient number of human resources in health; the lack of training of primary care and medium complexity teams to deal with the suspicions and cases of COVID-19; the insufficient number of personal protective equipment (PPE); the lack of professionals specialized in emergency services; the few internal prevention actions in the care spaces, among other actions necessary to face emergency public health situations (Romero & Delduque, 2017;Lacaz et al, 2019;The Lancet, 2020).…”

“…The discussions on the normative production needs that involve the health and safety of workers, when facing public health emergencies -Aedes aegypti, H1N1, zika virusand the health legislation regarding disease control need to be updated. Therefore, the Brazilian State must ensure health and safety during the execution of its productive activities to comply with the National Health Policy for Workers (PNSTT) (Romero & Delduque, 2017;Brasil, 2018;Lacaz et al, 2019).…”

“…Also, the nine states in the Northeast of Brazil created the Scientific Committee to Combat Coronavirus (C4NE) to help governors find the best way to plan the use of resources to fight the proliferation of the virus and structure the health system, associated with the adoption of measures of social isolation little-discussed under the current legislation. These measures recognize SUS workers as the greatest and most powerful force to fight the pandemic (Romero & Delduque, 2017;Lacaz et al, 2019; Comitê Científico de Combate ao Coronavírus do Consórcio Nordeste, 2020).…”