Lia Giraldo da Silva Augusto

Aedes aegypti control in Brazil

www.thelancet.com Published online March 1, 2016 http://dx.doi.org/10.1016/S0140-6736(16)00626-7 1 Submissions should be made via our electronic submission system at http://ees.elsevier.com/ thelancet/ sanitation, with a stable supply of potable water. Relying on a chemical war against the vector tends to pacify the population with false security, while a broad programme for better sanitary urban conditions could generate social mobilisation and co-responsibility of the population. Improvement of sanitary conditions is a long-term investment in population health, while pesticide use will have to be repeated. The Brazilian Association of Collective Health calls to stop the use of chemical products against A aegypti, especially in household water reservoirs, and prioritise sanitary measures.Liberado em acesso aberto como parte do acordo para tornar publico todos os dados produzidos sobre o virus zika - Compartilhamento de dados em emergencias de saude publica - http://www.wellcome.ac.uk/News/Media-office/Press-releases/2016/WTP060169.htm

Health information systems and pesticide poisoning at Pernambuco

INTRODUCTION Understanding the epidemiologic profile of a particular disease is key to undertake health actions. To that end, information systems that present quality data help in the decision-making process and demonstrate the impact of the problems. OBJECTIVE To analyze the contribution of health information systems for the characterization of pesticide poisoning through SINAN, CEATOX and SIM in the State of Pernambuco. METHOD In this study, the completeness and consistency of the data were assessed, as well as the epidemiological profile of pesticide poisoning in Pernambuco in the period from 2008 to 2012, based on the following Health Information Systems: Center for Toxicological Assistance of Pernambuco (CEATOX), Notifiable Diseases Information System (SINAN) and Mortality Information System (SIM). RESULTS The data revealed incompleteness and inconsistencies in information. Regarding the profile, females are more affected in the morbidity profile, and men have a higher mortality rate. Poisoning was more frequent in young adults with low educational level. With regard to the circumstances, most of the cases were suicide attempts, unique acute cases and not related to work. Despite suggesting underreporting, the data showed that persons engaged in agriculture are most commonly affected. CONCLUSION The strengthening of these systems is necessary for the generation of consistent information that support health policies for the population groups involved.

Dengue in Brazil and Colombia: a study of knowledge, attitudes, and practices

Introduction This study was conducted in Brazil and Colombia,where dengue is endemic and vector control programs use chemical insecticides. Methods We identified knowledge, attitudes, and practices about dengue and determined the infestation levels of Aedes aegypti in one Brazilian and four Colombian communities. Results The surveys show knowledge of the vector, but little knowledge about diagnosis, prognosis, and treatment. Vector infestation indices show Brazil to have good relative control, while Colombia presents a high transmission risk. Conclusions Given the multidimensionality of dengue control, vertical control strategies are inadequate because they deny contextualized methods, alternative solutions, and local empowerment.

Documentário e cinedebate como estratégia de pesquisa-ação em saúde: comunicando perigos, construindo saberes, promovendo saúde

Documentary and cinemadebate as strategy of action research in health: communicating dangers, building knowledge, promoting health

Linha de base da leucemia linfocítica aguda para a vigilância da saúde ambiental no território de abrangência da refinaria de petróleo do Estado de Pernambuco, Brasil, 2004 a 2008

Objective: to describe the occurrence of Acute Lymphocytic Leukemia (ALL) in the state of Pernambuco, Brazil, where a petroleum refinery will be installed. Methods: descriptive study of ALL in minors under age 15 assisted at two referral centers for childhood cancer – Centro de Oncohematologia Pediatrico/Hospital Oswaldo Cruz; and Instituto de Medicina Integral Professor Fernando Figueira [Instituto Materno-Infantil de Pernambuco (IMIP)] – in the period 2004-2008, from the municipalities of Cabo de Santo Agostinho, Escada, Ipojuca, Jaboatao dos Guararapes and Moreno. Results: the authors identified, in both referral centers, 18 cases of ALL in minors under 15 living in these municipalities; the highest frequency occurred in the group with children under 4, with male predominance. Conclusion: it is necessary to organize the surveillance system on childrens environmental health in the region, with the participation of the Primary Health Care.