Uso terapêutico de tecidos e órgãos humanos para transplantes: eventos adversos e ações de biovigilância / Uso terapéutico de tejidos y órganos humanos para trasplantes: eventos adversos y acciones de biovigilancia / Therapeutic use of human tissues and organs for transplants: adverse events and biovigilance actions

Objetivo: Identificar evidências na literatura sobre eventos adversos e ações de biovigilância no processo de doação e uso terapêutico de tecidos e órgãos humanos para transplante. Método: Revisão integrativa, utilizando as bases de dados LILACS, MEDLINE e Embase. Critérios de inclusão: estudos primários em inglês, espanhol e português, publicados entre 2015 a 2021, acerca da biovigilância na doação e transplante, riscos e eventos adversos. Resultados: Analisados 10 artigos, identificando a ocorrência de eventos adversos referentes ao processo de doação e transplante e estratégias de biovigilância para reduzir riscos e aumentar a segurança. Conclusão: Riscos e eventos adversos podem ocorrer no processo de doação e transplante. Observaram-se estratégias, para mitigar os riscos e a ocorrência/recorrência de eventos adversos, propiciando maior qualidade assistencial e segurança ao paciente. O enfermeiro tem papel fundamental no que concerne à biovigilância, estando presente em todas as fases do processo de doação e transplante(AU)

Purpose: To identify evidence in the literature regarding adverse events and biovigilance actions in the process of donation and therapeutic use of human tissues and organs for transplantation. Method: An integrative review consulting the following databases: LILACS, MEDLINE, and Embase. Inclusion criteria: Primary studies in English, Spanish and Portuguese, published between 2015 and 2021, about biovigilance in the donation and transplants, risks, and adverse events. Results: 10 articles were analyzed, identifying the occurrence of adverse events related to the process of the donation and transplants, biovigilance strategies aiming to reduce risk and increase safety. Conclusion: Risks and adverse events can occur in the process of donation and transplantation. Estrategies were observed to mitigate the risks and occurrence/recurrence of adverse events, providing assistance with greater quality and patient safety. Nurses have a fundamental role with regard to biosurveillance, as they are present in all stages of the donation and transplants(AU)

Objetivo: Identificar evidencias en la literatura sobre efectos adversos y acciones de biovigilancia en el proceso de donación y uso terapéutico de tejidos y órganos humanos para trasplante. Método: Revisión integradora, utilizando las bases de datos LILACS, MEDLINE y Embase. Criterios de inclusión: estudios primarios en inglés, español y portugués, publicados en 2015-2021, sobre biovigilancia en donación y trasplantes, riesgos y eventos adversos. Resultados: Se analizaron 10 artículos, se identificó la ocurrencia de efectos adversos referentes al proceso de donación y trasplante, estrategias de biovigilancia para reducir riesgos y aumentar la seguridad. Conclusión: Riesgos y efectos adversos pueden ocurrir en el proceso de donación y trasplante. Estrategias para mitigar los riesgos y la ocurrencia/recurrencia de efectos adversos, propician asistencia de mayor calidad y seguridad para el paciente. El enfermero tiene un papel fundamental en la biovigilancia, ya que está presente en todas las etapas del proceso de donación y trasplante(AU)

Enhancing ‘Whole-of-Government’ Response to Biological Events in Korea: Able Response 2014

Since 2011, the Republic of Korea (ROK) and United States (U.S.) have been collaborating to conduct inter- and intra-governmental exercises to jointly respond to biological events in Korea. These exercises highlight U.S. interest in increasing its global biosurveillance capability and the ROK’s interest in improving cooperation among ministries to respond to crises. With Able Response (AR) exercises, the ROK and U.S. have improved coordination among US and ROK government and defense agencies responding to potential bio-threats and identified additional areas on which to apply refinements in policies and practices. In 2014, the AR exercise employed a Biosurveillance Portal (BSP) to facilitate more effective communication among participating agencies and countries including Australia. In the present paper, we seek to provide a comprehensive assessment of the AR 2014 (AR14) exercise and make recommendations for future improvements. Incorporating a more realistic response in future scenarios by integrating a tactical response episode in the exercise is recommended.

Role of the local government in infectious disease-related public health emergency preparedness and response

In public health emergency arising from an infectious disease epidemic, the local government is responsible for protecting the community residents by containing the spread of the disease. Such role requires close collaboration with the central government and health care institutions. Preparedness capabilities of the local government include biosurveillance, community resilience, countermeasures and mitigation, incident management, information management, and surge management. During the epidemic of Middle East respiratory syndrome in Korea, local governments exercised great efforts in contact management, patient identification, and patient management. Korea Ministry of Health and Welfare is promoting for the local governments to prepare the infectious disease emergency preparedness plan by providing a common framework. Community preparedness involves the roles of health care institutions in order to protect the residents' health. Hospitals and primary care clinics need to maintain sufficient levels of preparedness to secure safe environment and to provide sustainable service during the emergency situations.

Nuevas formas de habitar la ciudad: hacia una conceptualización de la ciudadanía biovigilante / New forms to inhabit the city: towards a biowatcher citizenship

Resumen El concepto de ciudadanía es seguramente, uno de los más estudiados en la historia desde una perspectiva social: desde Aristóteles y la polis griega hasta la ciudad liberal del siglo XX. En este sentido, posteriormente han emergido una serie de estudios como los de Nikolas Rose o Kezia Barker donde el énfasis es puesto en la biociencia y la biotecnología para entender al ciudadano y donde el apego a un territorio ya no es una característica importante para la ciudadanía. En este trabajo, nos adherimos a esta línea y presentaremos el concepto de ciudadanía biovigilante para enmarcar una serie de políticas, acciones y acontecimientos que rodean a la ciudad actual en un campo donde los estudios sociales no han llegado con intensidad: la biovigilancia y las prácticas de bioseguridad en nuestra vida cotidiana. Mediante un estudio de caso de material documental sobre biovigilancia, presentaremos la novedad de nuestro trabajo frente a otras propuestas como las ya mencionadas utilizando de soporte teórico el concepto de paraskeue (equipamiento) de Michel Foucault. Finalmente, discutiremos acerca de las implicaciones biopolíticas de este nuevo tipo de ciudadanía y resaltaremos la importancia del concepto de escenario en las políticas de biovigilancia.(AU)

Abstract The citizenship concept is probably, one of the most studied along the History from a social perspective: from Aristoteles and the Greek polis until the liberal city of the 20th Century. In this sense, it has been recently emerged several studies such as the Nikolas Rose or Kezia Barker works highlighting key role of bioscience and biotechnology in order to understand the citizen without pointing out the link with a concrete territory. In this paper, we will be linked with this line and we will present the biowatcher concept in order to frame many politics, actions and events around the contemporary city in a field where the social studies has not arrive deeply: biosurveillance and biosecurity practices in our daily life. Through a study case with documentary material about biosurveillance, we will present the difference in our work with the other mentioned proposals using the paraskeue (equipment) concept given by Michel Foucault. Finally, we will discuss about the biopolitics consequences within this new kind of citizenship and we will put forward the value of the scenario concept in the biosurveillance politics.(AU)