Miriam Ventura

Novos delineamentos da Assistência Farmacêutica frente à regulamentação da Lei Orgânica da Saúde

de 1990, referen-tes a assistencia terapeutica e a incorporacao de tecnologias no SUS, que pretenderiam contribuir para a efetivacao da integralidade. Entretanto, a nova formulacao legal parece perpetuar as dis-cussoes e dissensos sobre conceitos, diretrizes e principios que deveriam guia-la.Os sanitaristas formuladores do SUS suge-riam uma “integralidade regulada”, embasada em postulacoes eticas, cientificas e sociais

Lei de acesso à informação, privacidade e a pesquisa em saúde

. Disponibilidade, autenticidade, integridade sao os principais atributos legais da informacao publica.A informacao em saude abrange dados ad-ministrativos, que dizem respeito a propria Ad-ministracao Publica e a rede assistencial; dados epidemiologicos relativos a populacoes; e dados clinicos, obtidos diretamente do cidadao no âm-bito da assistencia individual a saude. A

Tuberculose nos presídios brasileiros: entre a responsabilização estatal e a dupla penalização dos detentos

, inclusive para aqueles que ainda aguardam julgamento (40% do total), frequentemente encarcerados nas mesmas con-dicoes que os condenados. A incidencia de TB ativa nas prisoes e cerca de vinte vezes superior a da populacao geral (Ministerio da Saude. Sis-tema de Informacao de Agravos de Notificacao. http://dtr2004.saude.gov.br/sinanweb/tabnet/dh?sinannet/tuberculose/bases/tubercbrnet.def, acessado em 27/Fev/2015) e rastreamentos de massa realizados em prisoes das regioes Sul e Sudeste, onde as caracteristicas de encarcera-mento sao semelhantes as da maioria das prisoes do pais, mostraram que 5 a 10% dos detentos apresentam uma TB ativa, including those still awaiting trial (40% of the total), who are often kept in the same conditions as those already convicted. The incidence of active TB in the prison population is about twenty times higher than in the overall population (Brazilian Ministry of Health. Siste-ma de Informacao de Agravos de Notificacao. http://dtr2004.saude.gov.br/sinanweb/tabnet/dh?sinannet/tuberculose/bases/tubercbrnet.def, accessed on 27/Feb/2015), and mass screen -ing carried out in prisons of Southern and South -eastern regions of Brazil, where the characteris-tics of incarceration are similar to most prisons in the country, has shown that 5 to 10% of the inmates present an active TB

Essential medicines and technology incorporation following novel Brazilian Public Health System regulations

of 1990, pertain-ing to patient care and the incorporation of technologies by the Brazilian Unified National Health System (SUS) and intended to contribute to the implementation of comprehensive care. However, the new legislation appears to have perpetuated the discussions and disagreements on the underlying concepts, guidelines, and principles of comprehensiveness.The public health experts that formulated SUS suggested “regulated comprehensiveness” based on ethical, scientific, and social premisesThe year 2012 brought some unpleasant surpri-ses for us Brazilians in drug policy and related issues. Some local governments, the most no-torious example of which is the city of Rio de Janeiro, have been enforcing a policy of compul-sory detention and rehabilitation of drug users, including adults and even children and adoles-cents. A harsher drug policy bill is now under review in the National Congress, including not only compulsory hospitalization but also a ma-jor turn in drug policy concerning sentencing with incarceration, which the existing national policy has at least attempted to avoid, although with limited success

Bioethical perspective of justice in clinical trials

Brazil has a welcoming setting for clinical trials, with national regulations and a well-developed and institutionalized monitoring system. Resolution 466/2012 of the Conselho Nacional de Saúde (Brazilian National Health Council) adopted the principle of justice as a fundamental requirement for ethics in research. The aim of the present study was to investigate the bioethical meanings attributed to this principle in clinical trials with drugs in the country. The study was conducted through a thorough literature review, which was performed in two phases: understanding trial regulations and systematically researching the issue. Discussions regarding the principle of justice vary greatly when addressing the different stages of trials. The authors’ perceptions were organized into three categories, which are interchangeable to a certain degree. Empirical studies and discussions must be conducted in relation to the application of this principle during the ethical analysis of clinical trials, while also addressing the adequacy and effectiveness of this principle in reducing social injustices in the health sector.

Tuberculosis in Brazilian prisons: responsibility of the state and double punishment for the inmates.

, inclusive para aqueles que ainda aguardam julgamento (40% do total), frequentemente encarcerados nas mesmas con-dicoes que os condenados. A incidencia de TB ativa nas prisoes e cerca de vinte vezes superior a da populacao geral (Ministerio da Saude. Sis-tema de Informacao de Agravos de Notificacao. http://dtr2004.saude.gov.br/sinanweb/tabnet/dh?sinannet/tuberculose/bases/tubercbrnet.def, acessado em 27/Fev/2015) e rastreamentos de massa realizados em prisoes das regioes Sul e Sudeste, onde as caracteristicas de encarcera-mento sao semelhantes as da maioria das prisoes do pais, mostraram que 5 a 10% dos detentos apresentam uma TB ativa, including those still awaiting trial (40% of the total), who are often kept in the same conditions as those already convicted. The incidence of active TB in the prison population is about twenty times higher than in the overall population (Brazilian Ministry of Health. Siste-ma de Informacao de Agravos de Notificacao. http://dtr2004.saude.gov.br/sinanweb/tabnet/dh?sinannet/tuberculose/bases/tubercbrnet.def, accessed on 27/Feb/2015), and mass screen -ing carried out in prisons of Southern and South -eastern regions of Brazil, where the characteris-tics of incarceration are similar to most prisons in the country, has shown that 5 to 10% of the inmates present an active TB

O acesso à contracepção de emergência como um direito? Os argumentos do Consórcio Internacional sobre Contracepção de Emergência

O Consorcio Internacional sobre Contracepcao de Emergencia (ICEC) tem sido um dos principais difusores da Contracepcao de Emergencia (CE), um medicamento estrategico para as politicas publicas que envolvem os direitos sexuais e reprodutivos. Ele se constitui em forte interlocutor politico e academico, fomentando o debate entre os varios continentes. Este artigo pretende refletir sobre alguns elementos discursivos apresentados pelo consorcio, em seu website, para expandir o acesso a CE.

¿El acceso a la contracepción de emergencia como un derecho? Los argumentos del Consorcio Internacional sobre Contracepción de Emergencia

O Consorcio Internacional sobre Contracepcao de Emergencia (ICEC) tem sido um dos principais difusores da Contracepcao de Emergencia (CE), um medicamento estrategico para as politicas publicas que envolvem os direitos sexuais e reprodutivos. Ele se constitui em forte interlocutor politico e academico, fomentando o debate entre os varios continentes. Este artigo pretende refletir sobre alguns elementos discursivos apresentados pelo consorcio, em seu website, para expandir o acesso a CE.

Entre a biomedicina, a saúde pública e os direitos: um estudo sobre os argumentos do Consórcio Internacional sobre Contracepção de Emergência para promover o acesso aos contraceptivos de emergência em “países em desenvolvimento”

Esta e uma pesquisa socioantropologica documental sobre os argumentos do Consorcio Internacional sobre Contracepcao de Emergencia (ICEC) para ampliar o acesso das mulheres ao metodo nos “paises em desenvolvimento”. Tres perspectivas teoricas foram identificadas: a sanitaria, a farmaceutica e a dos direitos. O trabalho permite refletir sobre os multiplos sentidos conferidos pelo Consorcio aos contraceptivos de emergencia como dispositivos biomedicos e sanitarios que devem se constituir como um direito para as mulheres, pois possibilitam o exercicio da autonomia reprodutiva.

Perspectivas bioéticas sobre la justicia en los ensayos clínicos

Brazil has a welcoming setting for clinical trials, with national regulations and a well-developed and institutionalized monitoring system. Resolution 466/2012 of the Conselho Nacional de Saúde (Brazilian National Health Council) adopted the principle of justice as a fundamental requirement for ethics in research. The aim of the present study was to investigate the bioethical meanings attributed to this principle in clinical trials with drugs in the country. The study was conducted through a thorough literature review, which was performed in two phases: understanding trial regulations and systematically researching the issue. Discussions regarding the principle of justice vary greatly when addressing the different stages of trials. The authors’ perceptions were organized into three categories, which are interchangeable to a certain degree. Empirical studies and discussions must be conducted in relation to the application of this principle during the ethical analysis of clinical trials, while also addressing the adequacy and effectiveness of this principle in reducing social injustices in the health sector.