Contingency plans for health surveillance in the COVID-19 pandemic: analysis of compliance in a network of public teaching hospitals

Introduction: In December 2019, China was plagued by coronavirus disease (COVID-19), a disease caused by the new coronavirus, SARV-CoV-2. Due to the high contagion power, the World Health Organization declared a Public Health Emergency of International Importance on January 30, 2020. In March of the same year, more than 100 countries had registered cases of the new disease;thus, due to geographical spread, the World Health Organization declared COVID-19 pandemic. Objective: To evaluate the adherence of public teaching hospitals to a Contingency Plan Model for Human Infection by the New Coronavirus published by the central management of a public company. Method: Descriptive-analytical study, using the model developed and published as a guiding document for adapting the contingency plan of each of the hospitals in the study Results: After two evaluations of the plans, 36 (94.7%) hospitals showed compliance greater than 70.0%, with four (10.5%) of them showing 100% compliance with the model. Hospitals' average adherence to the model increased from 82.3% in the first evaluation, to 91.3% in the second evaluation, a percentage increase equal to 11.0%. All hospitals in the study maintained or increased their adherence percentages. Conclusions: The research demonstrated the potential of the model to guide institutions in preparing their plans. Considering the positive results of this experience and the historical scarcity of hospital beds, especially those with ventilatory support, it is recommended that Brazilian health authorities can invest time and resources in the preparation of guiding documents that assist managers in reorganizing hospitals and response in crisis situations.

Integration teaching and service in the context of the pandemic of COVID-19: experience report of the praxis of residents of health in epidemiological surveillance

Introduction: Initially identified in the city of Wuhan, China in 2019, Coronavirus Disease 2019 (COVID-19), demonstrated itself with a high dissemination power. Due to the potential for contagion, the World Health Organization recommended isolation measures to countries, avoiding agglomerations, reducing the incidence of cases. Vitoria de Santo Antao, a municipality located near the Metropolitan Region of Recife, required in this context an essential role of epidemiological surveillance to develop contingency strategies and actions in this pandemic health scenario. Objective: To report the experience of health residents working in the epidemiological surveillance sector during the COVID-19 pandemic. Method: Experience report carried out by health residents of the Multiprofessional Residency Program for the Interiorization of Health Care to strengthen epidemiological surveillance in the face of the pandemic in the municipality of Vitoria de Santo Antao. Results: Two forms were created via Google Forms in order to register and monitor cases of influenza syndrome, SRAG and COVID-19 in the municipality. The creation of daily epidemiological bulletins for the dissemination of data was adopted by the health surveillance sector, presenting the most pertinent information obtained from the monitoring of cases of SRAG, COVID-19 and Flu Syndrome of the local population, always comparing with the state and federal scenarios. Conclusions: The pandemic scenario brought about a readjustment of residents' activities, imposing on them the challenge of adapting to a new epidemiological context, envisioning a look at the needs of the territories and their learning process, strengthening the surveillance actions during the scenario of pandemic.

Health surveillance in the COVID-19 pandemic: resumption of elective activities in the network of teaching hospitals

Introduction: The resumption of activities during the COVID-19 pandemic has been a topic of discussion in different countries so that it does not affect the continuity of assistance to urgencies and emergencies currently underway. Objective: To describe strategies for resuming elective activities in a network of public teaching hospitals in Brazil during the COVID-19 pandemic. Method: This is a descriptive study in the form of an experience report that includes a hospital health surveillance process carried out based on observation and discussion from a network perspective. Results: The guide for resuming elective activities was structured into four topics, the second topic being divided into 11 others to detail the recommendations to be followed. The strategies and actions presented in this guide were categorized into project management stages to better visualize the path to be taken: organization, planning, implementation and monitoring. The material was published in September 2020 by the network's central administration and is being implemented by hospitals. Conclusions: The experience report can help other organizations to define strategies for the safe resumption of their activities.