Ética, saúde global e a infecção pelo vírus Zika: uma visão a partir do Brasil

Rêgo, Sérgio; Palácios, Marisa

doi:10.1590/1983-80422016243141

Cited by 15 publications

(15 citation statements)

References 7 publications

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“…Our results can be contrasted with ndings by Possas and colleagues in the Brazilian context which have shown the need for greater attention to the Zika epidemic as a public health problem with sensitive approaches to the effects of gender and the environment [19]. Accordingly, it also highlights the need to consider ethical, gender and race implications as dimensions of the Zika epidemic [20]. Nevertheless, there are differences in results since our study calls for an inter-sectional approach between gender, SRH rights and the Zika epidemic.…”

Section: Discussioncontrasting

confidence: 96%

Zika outbreak, resilient health systems, and women’s sexual and reproductive health: a qualitative study in Colombia

Rivillas

Forero-Martínez

Calderón‐Jaramillo

et al. 2020

Preprint

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Background There is substantial evidence of the profound consequences of Zika on women's Sexual and Reproductive Health. Health system resilience begins by measuring critical capacities ahead of a crisis such as Zika outbreak. Even though Zika as vector-borne disease is well documented, there is dearth of studies linking Zika with women's Sexual and Reproductive Health. The main objective of this study was to analyze the national response to the Zika epidemic and its relation to women’s sexual and reproductive health matters through key implementation mechanisms in order to promote resilience of the health system in five cities in Colombia.Methods This study used a qualitative design to enable an in-depth exploration of the national response to the Zika epidemic and sexual and reproductive health matters through key implementation mechanisms (based on facilitators and gaps) within the health system. The overall data set was comprised of 31 semi-structured individual interviews (23 women and 8 men), 25 interviews with key informants responsible for the implementation of the Zika Virus Response Plan; six interviews with pregnant women diagnosed with Zika; and five focus groups discussions with communities (n=122 participants) in five cities in Colombia: Barranquilla, Cucuta, Los Patios, San Andres and Soledad. Results The findings revealed the three major facilitators that promoted the implementation of actions to address the Zika epidemic: i) the role of health care providers; ii) the development of technical equipment capabilities; and iii) inter-institutional coordination. The study also identified implementation gaps: i) absence of a human rights and sexual and reproductive health approach; ii) focus on territorial actions centered on mosquito management; and iii) limited attitudes, behaviors and knowledge at the community level.Conclusion This study provided a comprehensive insight of critical facilitating processes and gaps in the implementation of the government response during the Zika epidemic in Colombia. This study reveals that the lack of understanding of the intersection between gender, the Zika epidemic and Sexual and Reproductive Health limited the adoption, development and implementation of a more comprehensive responses to address the impact on women’s sexual and reproductive health.

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Section: Discussioncontrasting

confidence: 96%

Zika outbreak, resilient health systems, and women’s sexual and reproductive health: a qualitative study in Colombia

Rivillas

Forero-Martínez

Calderón‐Jaramillo

et al. 2020

Preprint

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“…In relation to the zika virus, the right of women to interrupt pregnancy due to fetal malformation has been discussed, with the issue almost causing a diplomatic crisis when a group of international researchers proposed that Brazil postpone the Rio 2016 Olympic Games. SBB made a strong and evidence-based statement against this proposal 27 .…”

Section: Brazilian Society and Bioethics: Mission And National Contextmentioning

confidence: 99%

Sociedade Brasileira de Bioética: uma bioética de compromissos

Parizi¹,

Martins

Greco

2017

Rev. Bioét.

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In order to document two consecutive terms leading the Sociedade Brasileira de Bioética (the Brazilian Society for Bioethics), the authors provide a retrospect of Brazilian bioethics since the inception of the SBB, including the establishment of dedicated ethical journals, national and international events, and of academic programs aimed at qualifying professionals in multidisciplinary fields and to disseminate this knowledge among Brazilian, LatinAmerican and Lusophone societies. They emphasize that since the beginning of the bioethical debate in Brazil there has been a clear focus on human rights protection. During the current board's term, challenges have included population aging in Brazil; the impact of emerging/reemerging illnesses; the increase of urbanization; the impact of technological progress; pressures to lower ethical requirements for human research; economic and communication globalization. This has come amid a severe international economic and political crisis, culminating in Brazil with the impeachment of an elected president and with the succeeding government proposing privatizations and reforms that will negatively affect workers' rights. All these points set the agenda for the new term of office. Keywords: Bioethics-Brazil-Human rights. Decision-Conscience-Information. Social responsibility-EducationCitizen participation. ResumoSociedade Brasileira de Bioética: uma bioética de compromissos Para documentar dois mandatos à frente da Sociedade Brasileira de Bioética, os autores fazem retrospectiva da disciplina no país, com a criação da entidade associativa, de revistas científicas, eventos nacionais e internacionais, bem como programas acadêmicos para formação em campos multidisciplinares e divulgar a bioética para a sociedade brasileira, latino-americana e lusófona. Ressalta que desde o início dos debates a bioética brasileira teve sua atuação relacionada estreitamente com a defesa dos direitos humanos. No período de gestão os desafios se relacionavam ao envelhecimento populacional, ao impacto de doenças emergentes/ reemergentes, ao aumento da urbanização, ao crescimento da tecnologia, às pressões para diminuir os requisitos éticos para pesquisas envolvendo seres humanos, globalização da economia e da comunicação; somados à grave crise econômica e política internacional, que no Brasil culminou com o impeachment da presidente eleita e reformas privatistas que subtraem direitos dos trabalhadores. Isto tudo determina a pauta para o novo mandato. Palavras-chave: Bioética-Brasil-Direitos humanos. Decisões-Consciência-Informação. Responsabilidade Social-Educação-Participação cidadã. Resumen Sociedad Brasileña de Bioética: una bioética de compromisosPara documentar dos mandatos al frente de la Sociedade Brasileira de Bioética (Sociedad Brasileña de Bioética), los autores ofrecen una retrospectiva de la disciplina en el país, con la creación de la entidad asociativa, de revistas científicas, de eventos nacionales e internacionales, así como de programas académicos para la formación en campos m...

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“…In the scenario of international health public emergency (IHPE) regarding the Zika virus, the discussion about the legalization of abortion in cases of congenital Zika virus syndrome (CZS) came to light. 2 In this way, we propose to conduct a review of the literature on abortion and its relationship with the cases of CZS in Brazil.…”

Section: Introductionmentioning

confidence: 99%

Abortion in Cases of Zika Virus Congenital Infection

Mota

Cavalcanti

Delfino

et al. 2018

Rev Bras Ginecol Obstet

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The emergency in international public health caused by the Zika virus gave rise to the discussion about abortion in cases of congenital Zika virus syndrome (CZS). Therefore, we propose to carry out a bibliographic review on abortion in these cases. Five databases were searched using the following terms: abortion, miscarriage, and zika, with the interposition of the Boolean operator "AND." In the selected literature, we found references to the lack of information concerning the risks and severity of CZS, to the great psychological distress suffered by pregnant women, and to the risk of unsafe abortions as a justification for abortion in cases of CZS. However, it is necessary to have available tests that could diagnose, in the first trimester of pregnancy, that the fetus has been affected by the virus, and that it may have important limitations, in order to subsidize the qualified discussion about abortion in these cases. Palavras-chave► infecção pelo zika vírus ► aborto ► bioética ResumoA emergência provocada na saúde pública internacional por causa do vírus Zika trouxe à tona a discussão do aborto em casos de síndrome congênita de Zika. Portanto, propomos a realização de uma revisão bibliográfica sobre o aborto nesses casos. Foram pesquisados cinco bancos de dados utilizando os seguintes termos: aborto, aborto espontâneo, e zika, com interposição do operador booleano "E". Na literatura selecionada, encontramos referências à falta de informações sobre os riscos e a gravidade da síndrome congénita de Zika, bem como ao grande sofrimento psicológico de mulheres grávidas e ao risco de aborto inseguro como justificativa para o aborto em casos de síndrome congênita de Zika. No entanto, é necessário ter testes disponíveis que possam diagnosticar, no primeiro trimestre da gravidez, que o feto foi afetada pelo vírus, e que ele pode ter limitações importantes, para subsidiar a discussão qualificada sobre o aborto nesses casos.

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Ética, saúde global e a infecção pelo vírus Zika: uma visão a partir do Brasil

Cited by 15 publications

References 7 publications

Zika outbreak, resilient health systems, and women’s sexual and reproductive health: a qualitative study in Colombia

Zika outbreak, resilient health systems, and women’s sexual and reproductive health: a qualitative study in Colombia

Sociedade Brasileira de Bioética: uma bioética de compromissos

Abortion in Cases of Zika Virus Congenital Infection

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