Covid-19 and its impact on immunization programs: reflections from Brazil

Autores

  • Camila Carvalho de Souza Amorim Matos Universidade de São Paulo
  • Carolina Luísa Alves Barbieri Universidade Federal de Santa Catarina
  • Marcia Thereza Couto Universidade de São Paulo

DOI:

https://doi.org/10.11606/s1518-8787.2020054003042

Palavras-chave:

Coronavirus Infections, Immunization, Immunization Programs, Unified Health System, Health Care Systems

Resumo

Due to social distancing guidelines and the displacement of both human and material resources to fight the covid-19 pandemic, individuals seeking healthcare services face certain challenges. Immunization programs have already been a worrisome topic for health authorities due to declines in vaccine uptake rates and are now especially affected by the covid-19 pandemic. Disbelief in science, dissemination of fake news about vaccines, socioeconomic vulnerability and social inequality are some of the challenges faced. This commentary article discusses the impacts of the covid-19 pandemic on immunization programs in Brazil. In light of advances (and notability) of Brazil’s national immunization program, established in the 1970s, the programs face challenges, such as the recent drop in vaccine uptake rates. In addition to this health crisis, there is also Brazil’s current political crisis, which will undoubtedly require assistance from researchers, policymakers and society to be fixed.

Biografia do Autor

  • Camila Carvalho de Souza Amorim Matos, Universidade de São Paulo

    Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil

  • Carolina Luísa Alves Barbieri, Universidade Federal de Santa Catarina

    Universidade Federal de Santa Catarina. Departamento de Ciências da Saúde. Araranguá, SC, Brasil

  • Marcia Thereza Couto, Universidade de São Paulo

    Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil

Referências

Pinho SB. A Atenção Primária a Saúde no contexto da COVID19. HU Rev. 2020;46:1- 2. https//doi.org/10.34019/1982-8047.2020.v46.30077

Horton R. Offline: COVID-19 and the NHS - “a national scandal”. Lancet. 2020;395(10229):1022. https://doi.org/10.1016/s0140-6736(20)30727-3

Monié F. A África subsaariana diante da pandemia de Coronavírus/COVID-19: difusão espacial, impactos e desafios. Espaço Econ. 2020;9(18). https://doi.org/10.4000/espacoeconomia.13629

Kenyon C. Flattening-the-curve associated with reduced COVID-19 case fatality rates: an ecological analysis of 65 countries. J Infect. 2020;81(1):e98-9.

https://doi.org/10.1016/j.jinf.2020.04.007

Mendonça CS, Rosset I, Gonçalves MR, Bastos CGM, Medeiros AF, Dias AV, et al. Resposta assistencial de um serviço docente-assistencial de APS à pandemia do COVID-19. APS Rev. 2020;2(1):33-7. https://doi.org/10.14295/aps.v2i1.63

Roberts L. Measles is on the rise –and COVID could make it worse. Nature. 2020 [cited 2020 May 22];580:447-8. Available from: https://media.nature.com/original/magazine-assets/d41586-020-01011-6/d41586-020-01011-6.pdf

World Health Organization. Report of the Sage Working Group on Vaccine Hesitancy. Geneva: WHO; 2014 [cited 2020 May 22]. Available from: https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf

Mello-Théry NA, Théry H. A geopolítica da COVID-19. Espaço Econ. 2020;9(17). https://doi.org/10.4000/espacoeconomia.11224

Ducomble T, Gignoux E. Learning from a massive epidemic: measles in DRC. Lancet Infect Dis. 2020;20(5):542. https://doi.org/10.1016/S1473-3099(20)30265-6

Sun X, Samba TT, Yao J, Yin W, Xiao L, Liu F, et al. Impact of the Ebola outbreak on routine

immunization in western area, Sierra Leone – a field survey from an Ebola epidemic area. BMC Public Health. 2017;17:363. https://doi.org/10.1186/s12889-017-4242-7

Haas ARN. Shaping Africa’s urban areas to withstand future pandemics. The Conversation. 2020 April 1 [cited 2020 May 22]. Available from:

https://theconversation.com/shaping-africas-urban-areas-to-withstand-future-pandemics-135104

Hochman G. Vacinação, varíola e uma cultura da imunização no Brasil. Cienc Saude Coletiva. 2011;16(2):375-86. https://doi.org/10.1590/S1413-81232011000200002

Victora CG, Aquino EML, Leal MC, Monteiro CA, Barros FC, Szwarcwald CL. Maternal and child health in Brazil: progress and challenges. Lancet. 2011;377(9780):1863-76. https://doi.org/10.1016/S0140-6736(11)60138-4

Domingues CMAS, Teixeira AMS. Coberturas vacinais e doenças imunopreveníveis no Brasil no período 1982-2012: avanços e desafios do Programa Nacional de Imunizações. Epidemiol Serv Saude. 2013;22(1):9-27. https://doi.org/10.5123/S1679-49742013000100002

Domingues CMAS, Fantinato FFST, Duarte E, Garcia LP. Vacina Brasil Movement and immunization training and development strategies. Epidemiol Serv Saude.

;28(2):e20190223. https://doi.org/10.5123/s1679-49742019000200024

Organização Pan-Americana da Saúde. Relatório 30 anos de SUS, que SUS para 2030? Brasília, DF: OPAS; 2018 [cited 2020 May 20]. Available from: https://iris.paho.org/handle/10665.2/49663

Brasil. Constituição (1988). Constituição da República Federativa do Brasil. Brasília, DF: Senado Federal; 1988.

Rosa WAG, Labate RC. Programa Saúde da Famílai: a construção de um novo modelo de assistência. Rev Lat Am Enfermagem. 2005;13(6):1027-34. https://doi.org/10.1590/S0104-11692005000600016.

Sato APS. What is the importance of the vaccine hesitancy in the drop of vaccination coverage in Brazil? Rev Saude Publica. 2018;52:96. https://doi.org/10.11606/s1518-8787.2018052001199

Kennedy J. Vaccine hesitancy: a growing concern. Paediatr Drugs. 2020;22:105-11. https://doi.org/10.1007/s40272-020-00385-4

Litvoc MN, Lopes MIBF. From the measles-free status to the current outbreak in Brasil. Rev Assoc Med Bras. 2019;65(10):1229-30. https://doi.org/10.1590/1806-9282.65.10.1129

Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med. 2020;27(2):taaa020. https://doi.org/10.1093/jtm/taaa020

Santoli JM, Lindley MC, DeSilva MB, Kharbanda EO, Daley MF, Galloway L, et al. Effects of COVID-19 pandemic on routine pediatric vaccine ordering and administration – United States, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(19):591-3. https://doi.org/10.15585/mmwr.mm6919e2

Chandir S, Siddiqi DA, Mehmood M, Setayesh H, Siddique M, Mirza A, et al. Impact of COVID-19 pandemic response on uptake of routine immunizations in Sindh, Pakistan: an analysis of provincial electronic immunization registry data. Vaccine. 2020;38(45):7146-55.

https://doi.org/10.1016/j.vaccine.2020.08.019

Ministério da Saúde (BR), Secretaria de Vigilância em Saúde. Doença pelo Coronavirus COVID-19. Bol Epidemiol. 2020 [cited 2020 May 20];(23 Espec). Available from: http://antigo.saude.gov.br/images/pdf/2020/July/22/Boletim-epidemiologico-COVID-23-final.pdf.

World Health Organization. Global measles and rubella monthly update. Geneva: WHO; 2020 [cited 2020 May 20]. Available from: ttps://www.who.int/immunization/monitoring_surveillance/burden/vpd/surveillance_type/active/measles_monthlydata/en/

Cancian N. Sarampo avança no Brasil, e medo de coronavírus dificulta vacinação. Folha de São Paulo. 10 maio 2020 [cited 2020 May 20]. Available from: https://www1.folha.uol.com.br/cotidiano/2020/05/sarampo-avanca-no-brasil-e-medo-de-coronavirus-dificulta-vacinacao.shtml?

Barra RP, Moraes EN, Jardim AA, Oliveira KK, Bonati PCR, Issa AC, et al. A importância da gestão correta da condição crônica na Atenção Primária à Saúde para o enfrentamento do Covid-19 em Uberlândia, Minas Gerais. APS Rev. 2020;2(1):38-43. https://doi.org/10.14295/aps.v2i1.64

COVID-19 in Brazil: “So what?” [editorial]. Lancet. 2020;395(10235):1461. https://doi.org/10.1016/S0140-6736(20)31095-3

Ortega F, Orsini M. Governing COVID-19 without government in Brazil: ignorance,neoliberal authoritarianism, and the collapse of public health leadership. Glob Public Health.2020;15(9):1257-77. https://doi.org/10.1080/17441692.2020.1795223

Buntin MB. Social distancing—What would it mean for it to work? JAMA Health Forum.2020 [cited 2020 May 24];1(4):e200474-e200474. Available from: https://jamanetwork.com/channels/health-forum/fullarticle/2764778

Harrison EA, Wu JW. Vaccine confidence in the time of COVID-19. Eur J Epidemiol.2020;35(4):325‐30. https://doi.org/ 10.1007/s10654-020-00634-3

M’Bembe. Necropolítica. 3. ed. São Paulo: n-1 edições; 2018.

Cojean A, interviewer. L’appel du prix Nobel de la paix Denis Mukwege: en Afrique, “ilfaut agir au plus vite si nous voulons éviter l’hécatombe”. Le Monde Afrique. 2020 March28 [cited 2020 Jun 2]. Available from: https://www.lemonde.fr/afrique/article/2020/03/28/le-nobel-denis-mukwege-en-afrique-il-faut-agir-au-plus-vite-si-nous-voulons-eviter-lhecatombe_6034733_3212.html

Publicado

2020-12-15

Edição

Seção

Comentário

Como Citar

Matos, C. C. de S. A., Barbieri, C. L. A., & Couto, M. T. (2020). Covid-19 and its impact on immunization programs: reflections from Brazil. Revista De Saúde Pública, 54, 114. https://doi.org/10.11606/s1518-8787.2020054003042