Keeping your friends close: coordination between state attorneys and health authorities in São Paulo State

2021 ◽  
Author(s):  
Maria Clara Morgulis ◽  
Natalia Pires de Vasconcelos
Keyword(s):  
Sao Paulo ◽  
São Paulo ◽  
Paulo State ◽  
Health Authorities ◽  
São Paulo State

scholarly journals Outbreaks of Healthcare-Associated Infections in Sao Paulo State, Brazil: Results From a Statewide Monitoring System

2020 ◽  
Vol 41 (S1) ◽  
pp. s338-s338
Author(s):  
Heloisa de Jesus Marçal ◽  
Geraldine Madalosso ◽  
Denise Assis ◽  
Maria Clara Padoveze
Keyword(s):  
Health Department ◽  
Multidrug Resistant ◽  
Sao Paulo ◽  
Healthcare Associated Infections ◽  
São Paulo ◽  
State Health ◽  
Paulo State ◽  
Health Authorities ◽  
São Paulo State ◽  
Healthcare Associated

Background: Outbreaks of healthcare-associated infections (HAI) are relevant causes of morbidity and mortality. Healthcare-authorities should monitor them to allow prompt interventions, identify tendencies along the time, and develop large scale strategies to avoid new cases and clusters. According to the Brazilian legislation, any outbreak should be reported to health authorities. Sao Paulo State Health Department (Brazil) has a system in place since 2011 to monitor HAI outbreaks. This study aims at describing the 3.5 last year’s results of surveillance system for monitoring HAI outbreaks. Methods:Study design: Quantitative descriptive study. Source of information: Database from HAI outbreak reports, Division of Hospital Infection at Sao Paulo State Health Department. Reports were filled out online by professionals from healthcare settings or regional health authorities according to predefined criteria. Interventions were put in place by the health authorities based on the analysis of each situation in a timely manner. Variables analyzed: Number of reports, local, infection site, type of care unit, causative microorganisms, number of cases, and number of deaths. Results: The number of reports have been stable for 3 years: 2016 (n = 34, 34.7%), 2017 (n = 28, 28.6%), 2018 (n = 25, 25.5%) and the first semester of 2019 (n = 11, 11.2%). These reports encompassed 712 confirmed cases and 123 deaths. The reports were mainly about infection outbreaks; 6 reports were about colonization of multidrug-resistant microorganisms. The bloodstream was the most frequent infection site in the HAI outbreak reports (n = 37, 37.7%), followed by respiratory tract (n = 25, 25.5%), urinary tract (n = 10, 10.2%), and surgical wound (n = 9, 9.2%). HAI outbreaks happened more frequently in intensive care units, including neonatal, pediatric, and adult ICUs (n = 38, 38.8%), followed by clinical and general wards (n = 20, 20.4%), hemodialysis (n = 6, 6.1%), and surgical wards (n = 5, 5.1%). Among reported outbreaks, 62.2% occurred in the capital and the metropolitan region of São Paulo. Microorganisms causing the HAI outbreaks reports were mainly carbapenem resistant, both Klebsiella pneumoniae (n = 28, 28.5%) and Acinetobacter baumannii (n = 12, 12.2%), but carbapenem-susceptible Pseudomonas aeruginosa (n = 7, 7.1%) was also reported. Conclusions: HAI outbreaks reported to health authorities in Sao Paulo may represent only a minute percentage of the total outbreaks, most of which are still not being reported, despite the normative. However, the available data emphasize the importance of developing strategies for intensive care units and hemodialysis units that focus on reducing bloodstream infections caused by multidrug-resistant gram-negative organisms.Funding: NoneDisclosures: None

Implantação da Residência Médica e Multiprofssional em Saúde da Família em um município paulista: percepção de residentes da primeira turma (2014-2016)

2018 ◽  
Vol 19 (2) ◽  
pp. 106-114 ◽  
Author(s):  
Liliane Maria Guimarães de Pinho ◽  
Vera Lúcia Garcia ◽  
Maria Cezira Fantini Nogueira-Martins
Keyword(s):  
Family Health ◽  
Sao Paulo ◽  
São Paulo ◽  
Paulo State ◽  
São Paulo State

Implementation of a multiprofessional residency in family health in a city of São Paulo state: perception of the first residents (2014-2016)

Arsenic in terrestrial invertebrates from riparian areas of the Piracicaba River Basin, São Paulo State, Brazil

2017 ◽  
Vol 314 (3) ◽  
pp. 1675-1681
Author(s):  
Elvis J. França ◽  
Elisabete A. De Nadai Fernandes ◽  
Felipe Y. Fonseca ◽  
Marcelo R. L. Magalhães ◽  
Mariana L. O. Santos
Keyword(s):  
River Basin ◽  
Sao Paulo ◽  
São Paulo ◽  
Riparian Areas ◽  
Terrestrial Invertebrates ◽  
Paulo State ◽  
São Paulo State ◽  
Piracicaba River

Occurrence of caffeine, fluoxetine, bezafibrate and levothyroxine in surface freshwater of São Paulo State (Brazil) and risk assessment for aquatic life protection

2021 ◽  
Author(s):  
Raquel Cardoso de Souza ◽  
Aline Andrade Godoy ◽  
Fábio Kummrow ◽  
Thyago Leandro dos Santos ◽  
Carlos Jesus Brandão ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Sao Paulo ◽  
São Paulo ◽  
Aquatic Life ◽  
Paulo State ◽  
São Paulo State

Perspectives under uncertainties and risk in wind farms investments based on Omega-LCOE approach: An analysis in São Paulo state, Brazil

2021 ◽  
Vol 141 ◽  
pp. 110805
Author(s):  
Giancarlo Aquila ◽  
Wilson Toshiro Nakamura ◽  
Paulo Rotella Junior ◽  
Luiz Celio Souza Rocha ◽  
Edson de Oliveira Pamplona
Keyword(s):  
Wind Farms ◽  
Sao Paulo ◽  
São Paulo ◽  
Paulo State ◽  
São Paulo State

A plant fossil assemblage of Lycopodiopsis cf. derbyi from the Corumbataí Formation, Paraná Basin, São Paulo State, Brazil

2021 ◽  
Author(s):  
Thaís Silvana de Carvalho ◽  
Marcelo Adorna Fernandes ◽  
Frésia Ricardi-Branco ◽  
Aline Marcele Ghilardi ◽  
Bernardo de Campos Pimenta e Marque Peixoto ◽  
...  
Keyword(s):  
Sao Paulo ◽  
São Paulo ◽  
Fossil Assemblage ◽  
Paulo State ◽  
Plant Fossil ◽  
Paraná Basin ◽  
São Paulo State ◽  
Parana Basin

scholarly journals Regional Distance Routes Estimation for Municipal Solid Waste Disposal, Case Study São Paulo State, Brazil

Energies ◽  
2021 ◽  
Vol 14 (13) ◽  
pp. 3964
Author(s):  
Laryssa Morais ◽  
Victor Nascimento ◽  
Silvio Simões ◽  
Jean Ometto
Keyword(s):  
Municipal Solid Waste ◽  
Solid Waste ◽  
Greenhouse Gas Emission ◽  
Regional Scale ◽  
Sao Paulo ◽  
Environmental Cost ◽  
Population Increase ◽  
São Paulo ◽  
Paulo State ◽  
São Paulo State

The urban population increase in the world, the economic expansion, and the rise in living standards associated with society’s habits and lifestyles accelerated the municipal solid waste (MSW) generation in undeveloped countries, such as in Brazil, in which the generation increased by 25% from 2012 to 2017. In the same period, the São Paulo state, the richest Brazilian state, increased its municipal solid waste generation by 51%. All this MSW needed to be collected and transported, and this process has a high economic and environmental cost. Therefore, this study aims to identify, using spatial analysis, the routes used by MSW trucks to estimate the distances traveled to dispose of the MSW on a regional scale considering all municipalities in the São Paulo state. The findings showed that the landfill numbers decrease, mainly individual ones, which receive MSW only from the city where it is located. Otherwise, the consortium landfills number is increasing, as well as the number of municipalities that share the same disposal site. Consequently, the distances to transport MSW from urban areas to final disposal sites increased by about 55% from 2012 to 2017, reaching 613 million kilometers during this period. This total distance is sufficient to make more than 12,806 laps on Earth and contribute to high fuel consumption and greenhouse gas emission.

Factors associated with Diaphorina citri immigration into commercial citrus orchards in São Paulo State, Brazil

2020 ◽  
Author(s):  
Fernando P. F. Zorzenon ◽  
Arthur F. Tomaseto ◽  
Matthew P. Daugherty ◽  
João R. S. Lopes ◽  
Marcelo P. Miranda
Keyword(s):  
Sao Paulo ◽  
São Paulo ◽  
Diaphorina Citri ◽  
Factors Associated ◽  
Paulo State ◽  
São Paulo State ◽  
Citrus Orchards

Anthropogenic Influences on Annual Flux of Cations and Anions at Meio Stream Basin, São Paulo State, Brazil

2009 ◽  
Vol 205 (1-4) ◽  
pp. 79-91 ◽  
Author(s):  
F. T. Conceição ◽  
D. S. Sardinha ◽  
A. D. G. Souza ◽  
G. R. B. Navarro
Keyword(s):  
Sao Paulo ◽  
Anthropogenic Influences ◽  
São Paulo ◽  
Paulo State ◽  
São Paulo State ◽  
Annual Flux
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