SUS lacks plans and proposals to deal with new health epidemics – Jornal da USP

Lorena Barberia and Tatiane Moraes de Sousa comment on the technical note drawn up by the 43rd Bulletin of the Solidarity Research Network, which details the proposals of the presidential candidates and the two candidates for the government of the State of São Paulo

There was a lack of technical notes regarding epidemiological surveillance and the national vaccination program – Photo: Reproduction/Pixabay
Lorena Barberia – Photo: Angico/USP

O 43rd Bulletin of the Solidarity Research Network analyzes the government plans of the candidates in the final stretch of the 2022 elections and brings the covid-19 pandemic and its impact on the unified health system (SUS) into the debate. Researchers Tatiane Moraes de Sousa, from Fiocruz, and also professor in the Department of Political Science of the Faculty of Philosophy, Letters and Human Sciences of USP, Lorena Barberia, explain the methodology and analyzes carried out by the research, which aims to understand how the process of continuing the Brazilian response to the pandemic will unfold.

The balance sheet of the pandemic has been the need to prepare a structure that would be activated in the event of a health crisis, as in the case of epidemics, in addition to advances in the preparation of the health system for possible future health emergencies in Brazil . From a research on public policies, based on the government programs of the candidates for the government of the State of São Paulo and the federal government, it was verified the absence of technical notes relating to epidemiological surveillance and the program vaccination, sequelae of covid-19 and access to medicines and treatments.

Professor Lorena Barberia comments that these points find, in “the absence of specificity and in the very vague position on the critical situation”, the leaves for the country to remain vulnerable to health crises, both in federal and state spheres. . The problem is more evident with the overloading of hospitals and the containment of elective treatments and surgeries during the covid-19 pandemic in the country, in addition to the helplessness of the Ministry of Health, which should have been an “articulator , with municipalities and states, emergency policies” during this period, adds Tatiane.

The researcher also mentions the absence of a government program for candidates aimed at preparing the system for future epidemics: “With the increased frequency of emerging diseases in recent decades, the pandemic should serve as a lesson to show that we are not ready. for a new health emergency.” She also stresses the need to strengthen the unified health system and the vaccination of children.

Epidemiological surveillance

Tatiane Moraes Sousa – Photo: Sandra Sedini/IEA-USP

None of the presidential candidates came to frame a structure to deal with health crises in their government plan. Overall, “with regard to the control of the pandemic, such as certain points that impact the health system, we see that the plan of the current president and candidate Jair Bolsonaro does not present any proposal that mentions it. Lula has at least three, out of a total of six verified points,” explains Tatiane.

Data collected from specific survey points on presidential candidate proposals revealed that neither Bolsonaro nor Lula have actions to improve the epidemiological surveillance structure. In the case of access to vaccinations, candidate Jair Bolsonaro’s plan does not mention a possible plan, while Lula presents a national vaccination plan.

In general, for the government of the State of São Paulo, the survey revealed that, among the subjects sought by the Network to compose the analysis of government programs, the candidate Tarcísio focuses on the management of data from the systems of epidemiological surveillance, to support aid and decision-making policies to combat covid-19 in the state, and, like Bolsonaro, he does not mention a vaccination plan.

Fernando Haddad, on the other hand, puts in his plan a priority program in the vaccination of preventable diseases in a broad way and focuses his campaign on the surveillance of infectious diseases, such as the case of the pandemic and assistance to people with sequelae. of the disease. In this scenario, the balance was the discovery of two proposals aimed at the pandemic in the state by Tarcísio, against five by Haddad.

past and future

Lorena mentions the flaws in the way the fight against the pandemic has been carried out in the country, based on data on the overload of the unified health system. She also draws attention to the important role played by municipalities and states during the pandemic, and stresses: “When deciding, we must look carefully, at the national and state levels, because this is a very important position for differentiate the type of response that the State will have in the face of threats”.

Tatiane shows that the lack of preparation for the pandemic is an aggravating factor for possible future illnesses. For her, investment in research and development in science is essential: “We can only prepare for a health emergency when we invest in research and prepare the health system”, she concludes.

USP newspaper in the air
Jornal da USP no Ar is a partnership between Rádio USP and the Escola Politécnica and the Institute for Advanced Studies. Nopeair, by Rede USP de Rádio, Monday to Friday: 1st edition from 7:30 a.m. to 9:00 a.m., with a presentation by Roxane Ré, and other editions at 2:00 p.m., 3:00 p.m. and 4:45 p.m. In Ribeirão Preto, the regional edition airs from noon to 12:30 p.m., with a presentation by Mel Vieira and Ferraz Junior. You can tune to Rádio USP at São Paulo FM 93.7, at Ribeirão Preto FM 107.9, through the Internet at or through the Jornal da USP app on your mobile phone.

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