Faria Marco Túlio da Silva, Ribeiro Nathalia Roland de Souza, Dias Alexandre Pessoa, Gomes Uende Aparecida Figueiredo, Moura Priscilla Macedo
Universidade Federal de Minas Gerais. Av. Antônio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
Universidade Federal de Juiz de Fora. Juiz de Fora MG Brasil.
Cien Saude Colet. 2023 Jun;28(6):1767-1776. doi: 10.1590/1413-81232023286.07622022. Epub 2022 Nov 10.
Arboviruses, especially those transmitted by the Aedes aegypti mosquito, have become a serious public health problem in Brazil. In order to analyze how sanitation is addressed in the basic guidelines of public policies to control arboviruses in the country, content analysis was performed on eight governmental reference documents. As a result, it was possible to identify that aspects related to communication and social mobilization, vector control, and management are the themes most addressed in the documents analyzed. On the other hand, the components of basic sanitation, especially rainwater management and drainage, and sewage control, are not addressed in the instruments. Intersectorality is mentioned, however, there are no specific proposals to implement the plan and ensure its implementation. The Ministry of Health's National Guidelines for the Prevention and Control of Dengue Epidemics is the most complete document on the subject. The conclusion drawn is that basic sanitation is not sufficiently addressed in the instruments for combatting arboviruses, which can contribute to the low effectiveness of public intervention and, consequently, this discrepancy needs to be focused on by public policies in Brazil.
虫媒病毒，尤其是那些由埃及伊蚊传播的病毒，已成为巴西严重的公共卫生问题。为了分析在该国控制虫媒病毒的公共政策基本指南中如何处理环境卫生问题，对八份政府参考文件进行了内容分析。结果发现，与沟通和社会动员、病媒控制及管理相关的方面是所分析文件中提及最多的主题。另一方面，基本环境卫生的组成部分，特别是雨水管理与排水以及污水控制，在这些文件中未被提及。虽提到了部门间合作，但没有实施该计划并确保其执行的具体提议。卫生部的《登革热疫情预防与控制国家指南》是关于该主题最完整的文件。得出的结论是，在防治虫媒病毒的文件中，基本环境卫生未得到充分关注，这可能导致公共干预效果不佳，因此，巴西的公共政策需要关注这一差异。
