A pandemia de COVID-19 no Brasil: crônica de uma crise sanitária anunciada [Originalmente publicado nos Cad. Saúde Pública, vol.36 no.5]

A pandemia da COVID-19 pelo novo coronavírus (SARS-CoV-2) tem se apresentado como um dos maiores desafios sanitários em escala global deste século. De forma bastante esquemática e simplista, a resposta à pandemia da COVID-19 poderia ser subdivida em quatro fases: contenção, mitigação, supressão e recuperação. Read More →

Recomendaciones de la asociacion colombiana de medicina de sueño para el ejercicio de la medicina del sueño en colombia durante la contingencia pandemia COVID-19

En este contexto actual de la pandemia en Colombia la ACMES ha diseñado esta guía para que los somnólogos y las unidades de sueño locales tengan una orientación mínima en su práctica durante este brote y una vez superadas las medidas de salud pública para bajar la velocidad del contagio del virus, reabrir poco a poco la economía y contener la velocidad de la propagación para volver a la normalidad en lo posible. Disponible en español. Read More →

Características clínicas, radiológicas y de laboratorio en niños con diagnóstico de COVID-19: Metaanálisis de proporción única

La presencia de anormalidades radiológicas es mas frecuente que los signos clínicos de tos y fiebre que son los síntomas más comunes. En el hemograma: la leucopenia es mas frecuente. Existe una tendencia de mayor afectación en el sexo masculino. Este metaanálisis servirá de base para futuras comparaciones acerca de las similitudes o diferencias que pueden presentarse ahora que la pandemia está en América. También presenta limitaciones por lo que los resultados deben ser contrastados, con estudios prospectivos controlados, con mayor número de pacientes y un diseño mas estricto. Disponible en español. Read More →

COVID-19 nas prisões: um desafio impossível para a saúde pública? [Originalmente publicado nos Cad. Saúde Pública, vol.36 no.5]

As 748 mil pessoas privadas de liberdade (PPL) no Brasil 1, inclusive as 50 mil no Estado de Rio de Janeiro, estão praticamente ausentes dos debates públicos sobre a COVID-19. Entretanto, pode-se conceber condições mais favoráveis à disseminação do SARS-CoV-2, vírus de transmissão aérea e por contato interpessoal, do que nessa população confinada em celas superlotadas, pouco ventiladas e com acesso limitado à água? Read More →

A pandemia de COVID-19: securitização, crise neoliberal e a vulnerabilização global [Originalmente publicado nos Cad. Saúde Pública, vol.36 no.5]

Neste artigo, situo a pandemia da doença do coronavírus (COVID-19) num cenário de securitização da saúde global. Abordo a pandemia como uma crise do modelo econômico neoliberal e como resultado de um processo de vulnerabilização decorrente do neoliberalismo. Essa pandemia nos convoca a repensar as vulnerabilidades resultantes da interconexão global. Sublinho a importância da saúde pública e participada no contexto de uma reflexão acerca das possibilidades de uma vida solidária e sustentável à escala global. Read More →

Otorhinolaryngologists and Coronavirus Disease 2019 (COVID-19) [Originally published in Int. Arch. Otorhinolaryngol., vol.24 no.2]

The Brazilian Association of Laryngology and Voice (Academia Brasileira de Laringologia e Voz, ABLV, in Portuguese), concerned about the damage caused by COVID-19 and following the same line of warnings issued by other scientific societies around the world, such as the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), made some recommendations related to endoscopic examinations of the upper airways and digestive tract, which include nasal video-endoscopy, video-laryngoscopy, video-laryngostroboscopy, video-nasofibro-laryngoscopy, and swallowing videoendoscopy. Available in English. Read More →

High Risk of COVID-19 Infection for Head and Neck Surgeons [Originally published in Int. Arch. Otorhinolaryngol., vol.24 no.2]

It is mandatory to alert all professionals who need to do head and neck exams (including eye exams) of patients, with or without access to upper aerodigestive pathways (videolaryngoscopy, for example), rehabilitation procedures or even hygiene of this region (tracheostomies, dressings). Given the high professional risk, the Regional Council of Medicine of the State of São Paulo recommends that surgery and elective consultations be suspended, except for those of an oncological nature, in addition to urgencies and emergencies. Available in English. Read More →

COVID-19: General guidelines for cardiovascular surgeons (standard guidelines – subject to change) [Originally published in Braz. J. Cardiovasc. Surg.]

In times of exponential Covid-19 infections and growing demand for health services, the surgeon has an important role in reinforcing the good health practices defined by the Brazilian Ministry of Health to the general population. Available in English. Read More →

Lockdown ou vigilância participativa em saúde? Lições da Covid-19 [Originalmente publicado na Saúde debate, vol 44., no. 124]

Na segunda quinzena do mês de março de 2020, discutia-se no Brasil o fechamento indis-criminado das cidades (Lockdown) em oposição à experiência chinesa e coreana de vigilância epidemiológica pela mobilização popular com organização e informação pela base, fechamen-to seletivo e manutenção dos serviços essenciais de saúde, alimentação e sobrevivência. Read More →

Perceived vulnerability to Coronavirus infection: impact on dental practice [Originally published in Braz. Oral Res., vol. 34]

Our study shows high levels of vulnerability regarding contracting COVID-19 and avoiding dental care as perceived by the population over 60 years old and with a systemic disease. Available in English. Read More →

Biological and social aspects of Coronavirus Disease 2019 (COVID-19) related to oral health [Originally published in Braz. Oral Res., vol. 34]

All elective dental treatments and non-essential procedures should be postponed, keeping only urgent and emergency visits to the dental office. The use of teledentistry (phone calls, text messages) is a very promising tool to keep contact with the patient without being at risk of infection. Available in English. Read More →

Trying to make sense out of chaos: science, politics and the COVID-19 pandemic [Originally published in Cad. Saúde Pública, vol.36 no.5]

This essay discusses the proliferation of discourses about the COVID-19 pandemic, presenting the challenges both to science and public policies that such an information overload present, having Collins’ sociology of expertise as a theoretical framework. Read More →

Clinical trials on drug repositioning for COVID-19 treatment [Originally published in Rev Panam Salud Publica, vol 44]

Although drug repurposing has some limitations, repositioning clinical trials may represent an attractive strategy because they facilitate the discovery of new classes of medicines; they have lower costs and take less time to reach the market; and there are existing pharmaceutical supply chains for formulation and distribution. Available in English. Read More →

No evidence supports the use of ether and chloroform inhalation for treating COVID-19 [Originally published in Rev Panam Salud Publica, vol 44]

In Brazil, fake news about the effectiveness of an ether and chloroform blend known as “lança perfume” or “loló” were spread on social media. There is no evidence supporting claims that ether and chloroform inhalation is useful in the treatment of COVID-19. Authorities should reinforce the need to seek information from government agencies and national and international health organizations. Available in English. Read More →

Recommendations for a safety dental care management during SARS-CoV-2 pandemic [Originally published in Rev Panam Salud Publica, vol 44]

As the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is transmitted mainly through droplets, sneezes and aerosols, there is a high risk of transmission during dental procedures. This report describes measures that can be adopted by oral healthcare personnel to minimize the risk of cross-contamination in clinical practice during the current SARS-CoV-2 pandemic. Available in English. Read More →