Caring for those who care for dependent older adults: for a necessary and urgent policy
Resumo Apresenta-se e discute-se a situa ção das cuidadoras e dos cuidadores familiares de idosos dependentes. Ressaltam-se sua dedicação, seus problemas e os encaminhamentos para valorizá-los. Sabe-se que a tarefa de cuidar é eminentemente feminina, invisível, não remunerada, que afeta a sociedade como um todo. Descrevem-se as pol íticas vigentes em alguns países europeus, no Canadá e nos Estados Unidos a favor das cuidadoras e cuidadores. A maioria dos modelos de suporte existentes apresenta lacunas. Leis e regulações criadas têm sido pouco compreensivas, inorgânicas e a família continua a ser a responsá...
Source: Ciencia e Saude Coletiva - January 25, 2021 Category: Occupational Health Source Type: research

Elderly individuals dependent on caregivers
(Source: Ciencia e Saude Coletiva)
Source: Ciencia e Saude Coletiva - January 25, 2021 Category: Occupational Health Source Type: research

Susceptibility of the Bhopal–methyl isocyanate (MIC)–gas–tragedy survivors and their offspring to COVID-19: What we know, what we don’t and what we should?
This article aims at answering these three questions that emerge in the minds of public health officials concerning prevention strategies against COVID-19 and health promotion in the Bhopal MIC-affected population (BMAP). Our views and opinions presented in this article will draw attention to prevent and reduce the consequences of COVID-19 in BMAP. From the perspective of COVID-19 prophylaxis, the high-risk individuals from BMAP with co-morbidities need to be identified through a door-to-door visit to the severely gas-affected regions and advised to maintain good respiratory hygiene, regular intake of immune-boosting diet,...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Necropolitics and the impact of COVID-19 on the Black community in Brazil: a literature review and a document analysis
This study discusses to what extent the inclusion, or not, of the race/color variable in epidemiological analysis of the COVID-19 pandemic can work as an external manifestation of necropolitics and as a producer of health inequities. We conducted a literature review on 09 articles, and on Scientific Electronic Library, PubMed and Virtual Health Library databases. We also conducted a documental analysis on 27 epidemiological reports from all the federal states and the Federal District of Brazil. We did not see much information regarding race/color, which can be interpreted as an intentional omission in order to hide those w...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Fact or Fake? An analysis of disinformation regarding the Covid-19 pandemic in Brazil
Resumo Este artigo tem como objetivo apresentar uma reflex ão sobre as notícias falsas a respeito do novo coronavírus (Sars-CoV-2) mais disseminadas nas redes sociais e mostrar como podem causar prejuízos à saúde pública. Trata-se de um estudo empírico quantitativo, realizado a partir das notificações recebidas pelo aplicativo brasileiro Eu Fiscal izo. Os resultados da pesquisa mostram que o WhatsApp é o principal canal de compartilhamento de fake news, seguido do Instagram e do Facebook. Conclui-se que a disseminação de conteúdos falsos relacionados a Covid-19 contribui para o descrédito da ciência e das i...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Where does patient autonomy live, in times of crisis in Portugal?
Resumo A pandemia de COVID-19 fez-nos questionar pr áticas diárias até então instituídas, como o simples aperto de mão. Levantou também outras questões, algumas de índole ético-legal. Estarão a ser cumpridos os princípios éticos que devem orientar a prestação de cuidados individualizados? Conseguiremos nós, profissionais de saúde, fo rnecer instrumentos aos doentes para que possam usufruir plenamente do seu direito de autonomia? A garantia de soluções de segurança necessárias, para diminuir o risco de contágio na prestação de cuidados, salvaguarda o princípio da não maleficiência. Todavia, o risc...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Community health workers: reflections on the health work process in Covid-19 pandemic times
This study discusses the reorganization of the Community Health Workers (CHWs) work process as a result of the Covid-19 pandemic, considering its importance as a link between the community and the health services in the field of basic care. The literature review comes from the following databases: Virtual Health Library, Scientific Electronic Library Online, and the Brazilian Scientific Publications Portal databases in open access and document review of technical and normative notes from the Municipal Health Secretariats in Brazil. The analysis was based on the premises of Primary Health Care and on the axes of the CHW wor...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Contributions to address violence against older adults during the Covid-19 pandemic in Brazil
Resumo O distanciamento social tem sido usado pela maioria dos governos estaduais e municipais do Brasil como principal estrat égia para a redução da velocidade de transmissão do novo coronavírus (SARS-CoV-2), agente etiológico da COVID-19. Entretanto, esse isolamento social tem tido várias repercussões negativas, dentre elas o aumento da violência intrafamiliar contra crianças, adolescentes e mulheres. Recentemen te, a violência contra a pessoa idosa (VCPI) durante a pandemia também vem entrando na pauta das preocupações, embora a discussão sobre as possíveis estratégias de enfrentamento da VCPI durante a...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Depending on the income of older adults and the coronavirus: orphans or newly poor?
The objective of this study is to show the impact of the early death of the elderly, especially those who are financially responsible for families, on the income of other family members. It is considered to be premature, because death occurs at an age where life expectancy is positive and different from zero. The concern arises from the finding that 74.7% of the deaths recorded by Covid-19 until 8/13/2020 occurred in individuals aged 60 years or older, of which 56.4% were men. For example, at age 60 a male individual could still expect to live another 18.1 years, given the health conditions prevailing in 2018. (Source: Cie...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Physical activity in periods of social distancing due to COVID-19: a cross-sectional survey
Abstract Physical inactivity and sedentary behavior are associated with poor physical and mental health. The article aims to assess the changes in the habits of the Brazilian participants engaged in physical activities in relation to their practices, due the measures of social distancing during the COVID-19 epidemic in 2020. The secondary objective was to describe their levels of anxiety and depression. The questionnaire used in this online survey included demographic information, questions about self-perceptions of the impact of the COVID-19 in the life routines and the 14-item Hospital Anxiety Depression Scale. A total o...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Lifestyle behaviors changes during the COVID-19 pandemic quarantine among 6,881 Brazilian adults with depression and 35,143 without depression
Abstract Our aim was to analyze the association between previously diagnosed lifetime depression and changes in physical activity (PA), TV-viewing, consumption of fruits and vegetables as well as frequency of ultra-processed food (UPF) consumption. Data of 41,923 Brazilian adults (6,881 with depression and 35,042 without depression) were used. Participants reported PA ( ≥ 150 min/week), TV-viewing ( ≥ 4 h/day), frequency of eating fruits or vegetables ( ≤ 4 days/week) and UPF ( ≥ 5 days/week). For incidence indicators, we only considered participants without the risk behavior before the quarantine. People witho...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Severe Acute Respiratory Syndrome in Pernambuco: comparison of patterns before and during the COVID-19 pandemic
Resumo Foi analisado o padr ão da Síndrome Respiratória Aguda Grave (SRAG) em Pernambuco antes e durante período pandêmico da COVID-19. Estudo ecológico, de janeiro a junho de 2015 a 2019 (período pré-pandemia) e 01 de janeiro a 15 de junho de 2020, período que contempla parte inicial da pandemia. Taxas de detecção por município e Regional de Saúde de residência foram calculadas e, por meio da razão de risco, a dinâmica espacial da SRAG foi estimada. Na pré-pandemia ocorreram 5.617 casos de SRAG, 187 casos/mês e 23,8 casos/100 mil hab. e, na pandemia, 15.100 casos, 2.516 casos/mês e 320,3 casos/100 mil ...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Risk factors associated with delay in diagnosis and mortality in patients with COVID-19 in the city of Rio de Janeiro, Brazil
Abstract We investigated the predictors of delay in the diagnosis and mortality of patients with COVID-19 in Rio de Janeiro, Brazil. A cohort of 3,656 patients were evaluated (Feb-Apr 2020) and patients ’ sociodemographic characteristics, and social development index (SDI) were used as determinant factors of diagnosis delays and mortality. Kaplan-Meier survival analyses, time-dependent Cox regression models, and multivariate logistic regression analyses were conducted. The median time from symptoms onset to diagnosis was eight days (interquartile range [IQR] 7.23-8.99 days). Half of the patients recovered during the eva...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

Factors associated with Severe Acute Respiratory Syndrome in a Brazilian central region
This study aimed to analyze the epidemiological profile and factors associated with SARI-related hospitalization and deaths reported in Goi ás. Retrospective cohort study, with data from the investigation files of the Notifiable Diseases Information System ’ s Influenza Web. Multivariate analysis methods were employed to verify the association between exposure variables with the outcomes of ICU admission and death. A total of 4,832 SARI cases were reported in Goi ás from 2013 to 2018. The primary etiological diagnosis was Influenza A (22.3%) with the predominant subtype A (H1N1pdm09), followed by the Respiratory Syncyt...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research

COVID-19 in Northeast Brazil: achievements and limitations in the responses of the state governments
Resumo No Brasil, a pandemia da COVID-19 tem sido severa nos estados das regi ões mais pobres, como o Nordeste. A falta de políticas nacionais para controle da pandemia levou as autoridades estaduais e municipais a implementarem medidas de saúde pública. O objetivo deste estudo é mostrar o efeito dessas medidas na epidemia. A maior incidência da COVID-19 entre os nove e stados do Nordeste foi registrada em Sergipe, Paraíba e Ceará. O Piauí, a Paraíba e Ceará foram os que mais testaram. Muitos estados apresentavam alta proporção de pessoas em trabalho informal. Estados com aeroportos internacionais tiveram impo...
Source: Ciencia e Saude Coletiva - September 30, 2020 Category: Occupational Health Source Type: research