2020
DOI: 10.1590/0103-11042020e205i
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Abstract: RESUMO A mudança no padrão de ocorrência da microcefalia associada à infecção pelo Zika Vírus em gestantes no Brasil resultou na decretação de emergência em saúde pública de importância nacional e internacional. Esforços coordenados e multisetoriais foram demandados, mas nem sempre houve respostas efetivas ou preparação das populações afetadas. A epidemia de Zika repercutiu nas políticas públicas, incluindo a de saúde, seja na investigação científica, seja na proposição de medidas de controle, diagnóstico, pre… Show more

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“…In May 2017, the Brazilian government announced the end of the national Zika virus emergency, due to the decrease in the number of new cases of the disease (Brasil, 2017c). The announcement came months after the World Health Organization (WHO) declared the end of the global Zika virus emergency (WHO, 2016a;Pepe et al, 2020). These declarations may have dampened the sense of urgency towards the disease, decreasing investments and government support for research and development for technological solutions and formulation and implementation of long-term policies in health care and educational support for affected children.. Impediments to care and difficulties in obtaining income, especially for vulnerable and poor families, can be decisive factors for catastrophic expenditures (Batista et al, 2020;Kuper et al, 2018).…”
Section: Discussionmentioning
confidence: 99%
“…In May 2017, the Brazilian government announced the end of the national Zika virus emergency, due to the decrease in the number of new cases of the disease (Brasil, 2017c). The announcement came months after the World Health Organization (WHO) declared the end of the global Zika virus emergency (WHO, 2016a;Pepe et al, 2020). These declarations may have dampened the sense of urgency towards the disease, decreasing investments and government support for research and development for technological solutions and formulation and implementation of long-term policies in health care and educational support for affected children.. Impediments to care and difficulties in obtaining income, especially for vulnerable and poor families, can be decisive factors for catastrophic expenditures (Batista et al, 2020;Kuper et al, 2018).…”
Section: Discussionmentioning
confidence: 99%
“…Specifically, we constructed this database—the largest known database on Brazilian municipalities’ democratic governance, administrative capacity, and public health performance [ 7 , 8 , 9 ]—to better understand how local participatory policymaking institutions, local state capacity, and expert-designed social policies affect responses to public health challenges. Next, we used freedom of information requests in Brazil to compile and clean data on the universe of confirmed Zika cases for 2016 and 2017 in Brazil (280,000 cases in all [ 10 , 11 , 12 , 13 ]. These data are technically public, but completely inaccessible from a practical perspective and have not been used in published, peer-reviewed scholarship.…”
Section: Introductionmentioning
confidence: 99%