RESUMO
This article aims to analyze how the indigenous communities of Brazil have organized autonomous actions and strategies to confront the Covid-19 pandemic based on the articulation among their own historical experiences, their health conceptions, partnerships with scientific communities and other segments of society that support the indigenous struggle. The research articulates the political and theoretical modernity/coloniality/decoloniality movement with indigenous experiences and conceptions of health, body/spirituality and territory. For this task, we adopted an undisciplined methodology based on conversation, solidarity and analysis of discussions, sites, lives, bibliographic productions and official documents prepared by indigenous organizations and partner entities. The research has pointed out that the situation of greater vulnerability of indigenous populations is not only due to biological factors. Also, indigenous people have denounced the invasion of their territories, racism, the lack of sanitation policies, food insecurity, the circulation of people not belonging to the community (missionaries, miners, loggers, army), the difficult access to hospitals and the precariousness of the necessary resources for individual and collective asepsis have worsen the spread and lethality of the virus. Likewise the current indigenous struggle in this pandemic scenario, this article is not limited to a health discussion, yet it aims to contribute to think about the relationship between the pandemic and the dissemination of anti-democratic policies that simultaneously affect the right to health and the territory of these populations.
RESUMO
The sanitary surveillance (Visa) performs several practices, on different objects and its actions are guided by principles and guidelines of the SUS. It was done a critical reflection on the interaction conditions of practice in Visa, with a constitutional proposition of the SUS: integral care. The analysis was based on the theory of structuration (Giddens) that considers mobilization of structural resources as dimensions of social interaction, which would justify the legitimacy exercised since the standards. Have been analyzed the following categories: Visa and its insertion within the SUS; the integral care and the Visa; and political impediments. The Visa has been organized by National Health Surveillance Agency. Nowadays it has as sanitary responsibilities, communication with society and health promotion. The proposal of the literature concerning integral care is based on the assistance issue. The organization of the services in the different federative entities is the sense of integral care most adopted by Visa. Political impediments focus on the institutional renewal, on the conflicts of interest arena, on the distance between formulated policies and established practices and gaps concerning work management and the insufficiency of financial support.
Assuntos
Prestação Integrada de Cuidados de Saúde/normas , Política de Saúde , Vigilância da População , Brasil , Atenção à Saúde/organização & administraçãoRESUMO
Samples from 20 lots of diphtheria-tetanus (adult use dT) vaccine and from 20 lots of diphtheria-tetanus-pertussis (DTP) vaccine were used to standardize and validate the in vitro toxin binding inhibition (ToBI) test for the immunogenicity test of the tetanus component. The levels of tetanus antitoxin obtained by ToBI test were compared to those obtained using the toxin neutralization (TN) test in mice routinely employed to perform the quality control of the tetanus component in adsorbed vaccines. The results ranged from 1.8 to 3.5 IU/ml for dT and 2 to 4 IU/ml for DTP by ToBI test and 1.4 to 3 IU/ml for dT and 1.8 to 3.5 IU/ml for DTP by TN in mice. These results were significantly correlated. From this study, it is concluded that the ToBI test is an alternative to the in vivo neutralization procedure in the immunogenicity test of the tetanus component in adsorbed vaccines. A substantial refinement and a reduction in use of animals can be achieved.