Impact of concurrent epidemics of dengue, chikungunya, zika, and COVID-19

Abstract INTRODUCTION: This study evaluated the epidemiological implications of arbovirus infections and coronavirus disease (COVID-19) co-occurrences in Espírito Santo, Brazil. METHODS: This ecological study of dengue, chikungunya, zika, and COVID-19 was performed from January 1 to July 31, 2020. RESULTS: Espírito Santo registered 44,614, 8,092, 3,138, and 91,483 cases of dengue, chikungunya, zika, and COVID-19, respectively (January-July, 2020). In the 27 and four municipalities with a high incidence of dengue and chikungunya, respectively, the incidence of COVID-19 was 647.0-3,721.7 and 1,787.2-3,403.0 cases per 100,000 inhabitants, respectively. CONCLUSIONS: Espírito Santo experienced an overlap of epidemics, especially in urban areas.

Horta terapêutica e saúde bucal: desafios na utilização de plantas medicinais na promoção da saúde / Therapeutic gardens and oral health: challenges in the use of medicinal plants in health promotion

Resumo A inserção de hortas terapêuticas no SUS fomenta o cuidado compartilhado e incentiva promissoras abordagens terapêuticas para saúde bucal, pois transporta para o centro as práticas populares em saúde. Isso implica reorganizar os serviços adotando como eixo a Clínica Ampliada. Estudos nessa esfera justificam-se pela necessidade de conhecer experiências desenvolvidas nos territórios. Relata-se o trabalho desenvolvido de março a agosto de 2017 numa Unidade Básica de Saúde do município de Vitória-ES. As experiências e efeitos dos processos de trabalho foram cartografados com a equipe de saúde bucal e usuários, a partir da construção de uma horta na Estratégia da Saúde da Família. Adotaram-se como eixos metodológicos: produção de diário de campo e realização de entrevistas semiestruturadas. A investigação produziu dispositivos de análise coletiva dos processos de trabalho e das práticas de formação, que expressam ainda incompatibilidades entre o perfil profissional demandado para estruturação da Clínica Ampliada e os reais processos de trabalho em Odontologia. Assim, compreender a construção da horta como dispositivo de criação de redes de cuidado implica delinear práticas ricas em interlocuções interdisciplinares e elaborar novas concepções de atuação em saúde bucal e possibilidades para a Atenção Primária.

Abstract The insertion of therapeutic gardens in SUS fosters shared care and encourages promising therapeutic approaches to oral health, as it transports popular health practices to the center. This implies reorganizing the services using the Extended Clinic as an axis. Studies in this sphere are justified by the need to know experiences developed in the territories. The work carried out from March to August 2017 in a Basic Health Unit in Vitória-ES is reported. The experiences and effects of the work processes were mapped with the oral health team and users, from the construction of a vegetable garden in the Family Health Strategy. The methodological axes were adopted: production of field diaries and conducting semi-structured interviews. The investigation produced devices for collective analysis of work processes and training practices, which also express incompatibilities between the professional profile required for structuring the Amplified Clinic and the real work processes in Dentistry. Thus, understanding the construction of the garden as a device for creating care networks implies outlining practices rich in interdisciplinary dialogue and developing new concepts of performance in oral health and possibilities for Primary Care.

Factors related to severe dengue during an epidemic in Vitoria, State of Espirito Santo, Brazil, 2011

Introduction The prognosis of dengue depends on early diagnosis and treatment, which can help prevent severe forms whose characteristics were evaluated here. Methods A cross-sectional study was conducted involving dengue cases in Vitória, State of Espírito Santo, Brazil, in 2011. Results Two health regions registered 56.3% of 371 cases of severe dengue. Of these cases, 21.3% presented with dengue hemorrhagic fever. There were associations between dengue hemorrhagic fever with younger ages and a longer time before receiving care. Conclusions There was a greater involvement of dengue hemorrhagic fever in young people. Delay in care, poor urban quality and high endemicity were identified as possible risk factors for dengue severity. .

Alcoolismo parental e fatores de risco associados / Alcoholismo parental y factores de riesgo asociados / Parental alcoholism and associated risk factors

O uso indevido de álcool, de forma precoce torna-se um fator predisponente para problemas de saúde, sociais e econômicos. Face a isso, esta pesquisa buscou identificar condições de risco relacionadas às crianças e adolescentes expostos ao alcoolismo parental. Foi realizada revisão sistemática, por meio dos descritores alcoolismo, fatores de risco e filhos, de artigos publicados nos anos de 2005 a 2009, nas bases de dados LILACS, MEDLINE, SciELO e Adolec. Constataram-se problemas em relação ao uso de álcool pelos filhos, em relação ao comportamento e/ou em relação aos fatores emocionais dos filhos, implicando na necessidade de discussão do tema, a fim de contribuir para a formulação de políticas públicas destinadas a essa população.

El uso indebido de alcohol de forma precoz actúa como un factor predisponente para problemas de salud, sociales y económicos: delante de eso, la finalidad de esta investigación fue identificar condiciones de riesgo relacionadas a los niños y adolescentes expuestos al alcoholismo parental. Fue llevada a cabo una revisión sistemática, mediante los descriptores "alcoholismo, factores de riesgo y hijos", de artículos publicados entre 2005 y 2009, en las bases de datos Lilacs, Medline, Scielo y Adolec. Fueron verificados problemas respecto al uso de alcohol por los hijos; respecto al comportamiento y/o respecto a los factores emocionales de los hijos, implicando la necesidad de discusión del tema, con vistas a contribuir a la formulación de políticas públicas destinadas a esta población.

The abusive use of alcohol at an early age becomes a predisposing factor for health, social and economic problems; thus, this research sought to identify risk conditions related to children and adolescents exposed to parental alcoholism. A systematic review was conducted, using the descriptors "alcoholism, risk factors and children", of papers published between 2005 and 2009 in Lilacs, Medline, Scielo and Adolec databases. Problems were found related to alcohol use by children; in relation to behavior and/or in relation to children's emotional factors, implying the need to discuss the issue in order to contribute to the formulation of public policies aimed at this population.