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OBJECTIVE: to describe the real-time active surveillance strategy and the profile of health care provided during the 20th FIFA World Cup Brazil 2014 (FWCB), in the host city of Fortaleza, Ceará, Brazil. METHODS: this was a descriptive study with data collected from medical records during the FWCB, between June 8 and July 13, 2014, in pre-selected health care units. RESULTS: there were 2,570 medical assistances related to the FWCB; 56% of the patients were male, 35% were between 20 and 29 years old; 68% were clinical care, and 64% of the individuals were fans/spectators; 94% of the patients were discharged, 3% were referred, 3% were hospitalized and 0.2% died; the advanced medical units were responsible for 79% of the assistances, mainly on game days. CONCLUSION: no public health event of great importance was identified; the active surveillance strategy enabled the monitoring of health situation of those individuals involved in the event.

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OBJETIVO: descrever a estratégia de vigilância ativa em tempo real e o perfil dos atendimentos de saúde realizados no período da 20ª Copa do Mundo da FIFA Brasil 2014 (CMFB), na cidade-sede de Fortaleza, Ceará, Brasil. MÉTODO: estudo descritivo com dados das fichas de atendimento relacionados à Copa, entre 8/6 e 13/7/2014, nas unidades de saúde pré-selecionadas. RESULTADOS: foram 2.570 atendimentos relacionados à CMFB, 56% de indivíduos do sexo masculino, 35% de 20 a 29 anos de idade, 68% foram atendimentos clínicos, 64% de torcedores/espectadores; 94% dos atendidos foram liberados, 3% removidos, 3% internados e 0,2% idos a óbito; os postos médicos avançados responderam por 79% dos atendimentos, principalmente nos dias de jogos. CONCLUSÃO: não foram identificados eventos de Saúde Pública de grande relevância; a estratégia de vigilância ativa possibilitou monitorar a situação de saúde dos envolvidos no evento.

OBJETIVO: describir la estrategia de vigilancia activa en tiempo real y perfil de las atenciones en salud en la 20ª Copa Mundial FIFA Brasil 2014 (CMFB), en la ciudad sede Fortaleza, Ceará, Brasil. MÉTODOS: estudio descriptivo con datos de registros de atenciones relacionadas con la CMFB, entre 8/6 y 13/7/2014, en establecimientos de salud preseleccionados. RESULTADOS: fueron 2.570 consultas relacionadas con la CMFB, 56% hombres; 35% personas entre 20 y 29 años, 68% consultas por patologías clínicas, 64% realizadas en hinchas/espectadores; 94% de los pacientes fueron dados de alta, 3% remitidos, 3% internados y 0,2% fallecieron; los puestos médicos avanzados fueron responsables por 79% de las consultas, principalmente en días de juego en Fortaleza. CONCLUSIÓN: no fueron identificados eventos de salud pública de gran importancia; la estrategia fue eficaz, permitiendo monitorear la situación de salud de los participantes del evento.

OBJECTIVE: to describe the real-time active surveillance strategy and the profile of health care provided during the 20th FIFA World Cup Brazil 2014 (FWCB), in the host city of Fortaleza, Ceará, Brazil. METHODS: this was a descriptive study with data collected from medical records during the FWCB, between June 8 and July 13, 2014, in pre-selected health care units. RESULTS: there were 2,570 medical assistances related to the FWCB; 56% of the patients were male, 35% were between 20 and 29 years old; 68% were clinical care, and 64% of the individuals were fans/spectators; 94% of the patients were discharged, 3% were referred, 3% were hospitalized and 0.2% died; the advanced medical units were responsible for 79% of the assistances, mainly on game days. CONCLUSION: no public health event of great importance was identified; the active surveillance strategy enabled the monitoring of health situation of those individuals involved in the event.

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Analisa-se a implantação da Rede Assistencial de Saúde Mental de Fortaleza, de 2005 a 2009, bem como os resultados obtidos. Em 2005, a Secretaria Municipal de Saúde de Fortaleza fez o redirecionamento político-organizacional, tendo a saúde mental como uma das áreas prioritárias. Os princípios e diretrizes da Política de Saúde Mental foram discutidos e aprovados de forma coletiva, com objetivo de substituir a lógica do modelo hospitalocêntrico por uma Rede de Serviços antimanicomiais. O avanço é evidente e significativo com a criação e ampliação da Rede, mas diversos desafios ainda estão por vir: transformação cultural no que se refere à loucura, construção de novos costumes na cidade quanto à busca de serviços substitutivos e não de hospitais psiquidtricos e a consolidação desta Política.

The implementation of Mental Health Assistance System in Fortaleza (CE, Brazil) from 2005 to 2009 was evaluated, as well as the results obtained. In 2005, the Municipal Health Council of Fortaleza made the political and organizational redirection, giving priority to the field of Mental Health. The principies and guidelines of the Mental Health policy were discussed and approved in collectivity, aiming at replacing the hospital-centered model by a system of anti-manicomial services. With the creation and enlargement of the system, the advances are evident and significant, but many challenges are still to come: cultural transformation with regard to the concept of'madness: construction of new habits in the city concerning the search for substitution services instead of psychiatric hospitais, as well as the consolidation of this policy.

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Proposta de cooperacao tecnica com a organizacao Panamericana de Saude para apoiar o processo de distritalizacao no municipio de Fortaleza - Ceara. Modelo assistencial previsto: principios e caracterizacao da rede de servicos de saude. Estrategias e areas de cooperacao, cronograma de atividades e previsao de custos

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