Cooperação e apoio técnico entre estado e municípios: a experiência do programa articuladores da atenção básica em São Paulo

Com os processos de regionalização no final dos anos 1990, os estados iniciam um resgate de seu papel político para enfrentamento da fragmentação do sistema público de saúde. Nesse processo, as secretarias estaduais de saúde, representadas pelo Conselho Nacional de Secretários de Saúde, passam a redefinir as funções do Estado junto à Atenção Básica. Na histórica atuação da Secretária de Estado da Saúde de São Paulo (SES-SP) na atenção primária, uma das marcas refere-se à expertise profissional nesse campo, que com o processo de municipalização migrou para os municípios, especialmente os de maior porte, ou redefiniu suas áreas de atuação no interior da própria SES-SP, em áreas como a vigilância epidemiológica e sanitária, a de avaliação e controle, entre outras. Esse capital humano foi em parte resgatado a partir de 2009, com o Programa Articuladores de Atenção Básica. O Programa representa uma política de apoio da SES-SP para os municípios, priorizando aqueles com população inferior a 100 mil habitantes, com o objetivo de auxiliar os gestores municipais na qualificação dos serviços de Atenção Básica e fortalecer esse nível de atenção no sistema público de saúde. Toma como objeto de trabalho o reconhecimento de prioridades de saúde locais e dos obstáculos para a melhoria da atenção à saúde, na construção conjunta de estratégias e alternativas de enfrentamento dos problemas identificados. Este artigo apresenta o processo de implantação desse Programa, bem como alguns resultados referentes às principais frentes de atuação desses profissionais na busca da qualificação da atenção básica no estado.

Epidemiological aspects of enteroparasitosis at daycare centers in the city of Botucatu, State of São Paulo, Brazil

Estimou-se a prevalência e a incidência de parasitas intestinais em crianças e funcionários de 5 creches municipais em Botucatu/SP. Foram realizados dois estudos seccionais em 2002 (N=379) e 2003 (N=397) e um estudo longitudinal observacional, onde as crianças de 2002 e 2003 foram seguidas por um ano. Foram aplicados questionários nos funcionários e nos pais das crianças, onde foram coletadas as seguintes variáveis: nível sócio-econômico, hábitos sanitários, moradia, idade, sexo e presença de animais domésticos. Foram realizados exames coproparasitológicos nas crianças das creches. A prevalência de enteroparasitas em 2002 foi de 76,74% e 34% em 2003. As variáveis associadas à presença de enteroparasitas no ano de 2002 foram: localização das creches (OR=0,27 IC=0,15-0,47), renda familiar (OR=4,38 IC=1,91-10,04), sexo (OR=0,52 IC=0,32-0,85), faixa etária (OR=2,08 IC=1,06-4,08) e presença de animais domésticos na casa (OR=1,85 IC=1,10-3,11); em 2003, as variáveis foram: creche localizada em bairro periférico (OR=0,49 IC=0,31-0,78), renda familiar (OR=3,69 IC=2,19-6,24), nível educacional da mãe (OR=6,19 IC=1,81-21,21), sexo (OR=0,36 IC=0,36-0,93) e presença de animais domésticos (OR=1,68 IC=1,01-2,79). A coorte foi integrada por 253 crianças apresentando incidência de 23,22%. Os dados deste estudo evidenciam situações de risco em populações específicas (creches) e poderiam ser utilizados por Instituições que promovem o cuidado com as crianças.

Giardíase e criptosporidiose em crianças institucionalizadas em creches no estado de São Paulo

Realizou-se dois estudos transversais em 2002 (N=379) e 2003 (N=397) onde estimou-se a prevalência de enteroparasitas em crianças de cinco creches municipais de Botucatu, SP. Coletou-se variáveis socioeconômicas, sanitárias e educacionais e realizou-se exames coproparasitológicos. Giardia duodenalis apresentou prevalência de 23,7% (2002) e 21,4% (2003) seguido por Cryptosporidium sp com 15,5% (2002) e 3,7% (2003).

Neotropical Monogenoidea .25. Anacanthorus penilabiatus n sp (Dadylogyridae, Anacanthorinae) from Piaractus mesopotamicus (Osteichthyes, Serrasalmidae), cultivated in the State of São Paulo, Brazil

Anacanthorus penilabiatus n. sp. is described from the serrasalmid fish, Piaractus mesopotamicus (Holmberg, 1887), cultivated in the Centro de Aquicultura, Universidade Estadual Paulista. The new species is characterized by having a relatively straight copulatory organ with a long ''lip'' on the distal margin and a median longitudinal flap, and a copulatory ligament. The large size of the infrapopulations of this species of parasite indicates that it should be considered a potential agent causing losses in aquaculture of the fish host.

Potential of municipal solid waste (MSW) as a source of energy in São Paulo: Its impact on CO2 balance

Energy generation is needed in São Paulo and MSW represents a promising alternative, although it is more expensive than hydroelectric power. About 14 900 t/day of MSW is generated, of which 8433 t/day is domestic and commercial MSW. From this amount, 1800 t will be destined to generate 30 MW of power. The eco-balance of CO2 has been considered for incineration and recycling. The recycling program of plastics, metals, paper and glass would represent a significant reduction in energy and CO2 emission. The total CO2 released is 3.34 x 10(5) t/yr without recycling. and is 1.25 x 10(5) t/yr with a recycling program. Most of the CO2 comes from plastics and paper production. Economic aspects could probably favor Incineration with energy production as the best option. (C) 1998 Published by Elsevier B.V. Ltd. All rights reserved.

Prevalência de Cryptosporidium sp. em cães de instituições da cidade de São Paulo

Objective Dogs play an important role as infection source of human cryptosporidiosis. The objective of the study was to determine the prevalence of Cryptosporidium sp. in dogs as well as to compare two techniques of fecal analysis.Methods Four-hundred and fifty canine fecal samples from the city of São Paulo were analyzed between 2003 and 2004. Fecal samples were randomly selected from dogs housed in a university veterinary hospital (group 1, n=200) and private kennels (group 2, n=250). The detection of Cryptosporidium was performed using modified Ziehl-Neelsen staining and Polymerase Chain Reaction (PCR) technique. Statistical analysis was performed using the two-tailed test of significance at 5% confidence interval (z critical=+/- 1.645).Results Only Cryptosporidium parvum oocysts were found the prevalences found by light microscopy examination and PCR techniques were 8.8% and 9.5%, respectively. Young animals showed a lower frequency (5.5%) compared to adults (10.1%). There was no statistically significant difference in Cryptosporidium prevalence between males and females.Conclusions the prevalence of C. parvum in the canine population studied was similar to that one found in the literature and affects equally males and females. The use of PCR allowed the detection of more positive cases than light microscopy.

FIRST RECORD of AN EPIBIONT PROTOZOAN EPISTYLIS SP (CILIOPHORA, PERITRICHIA) ATTACHED TO AMPLEXIBRANCHIUS BRYCONIS THATCHER & PAREDES, 1985 (COPEPODA, ERGASILIDAE) FROM PEIXE'S RIVER, STATE of São Paulo, BRAZIL

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Classificação climática para os municípios de Botucatu e São Manuel, SP

Climatic classification defines the geographical limits of different climate types all over the world, and it is considered essential to study similar areas. This work updates the climatic classification of the municipal districts of Botucatu and of São Manuel, State of Sao Paulo, where the experimental farms of the Schools of Agronomical Sciences - UNESP, Campus of Botucatu, State of São Paulo, are located. Koppen's and Thornthwaite's methods were used for the air temperature and precipitation data, in a 36-year period (from 1971 to 2006). For both municipal districts of Botucatu and São Manuel, the climate was characterized as being Cfa, hot climate with rains in the summer and drought in the winter, and the average temperature in the hottest month is above 22 °C. According to Thornthwaite's classification, there was a small difference due to the humidity index, characterized as B2rB′3a′ (humid climate with small hydro deficiency - April, July and August, with annual potential evapotranspiration of 945.15 mm and concentration of the potential evapotranspiration in the summer of 33%) in the district of Botucatu, and as B1rB′3a′ (humid climate with small hidric deficiency - April, July and August, with annual potential evapotranspiration of 994.21 mm and concentration of the potential evapotranspiration in the summer of 33%)in the district of São Manuel.

Absence motivated by illness: A non-concurrent prospective study of physical education teachers in the municipal education system of the city of Campinas, São Paulo, Brazil

The object of this investigation was to identify and analize aspects of the health status related to absenteism in physical education teachers in the municipal education system of the city of Campinas, Brazil, as related to the medical leave program. The non-concurrent prospective study was accomplished by means of a comparison with teachers who work only in the classroom, refering to a three year period. In the variables of greatest interest, the Pearson non-parametric chi-square (X2) statistical test was adopted. Calculations of relative risk and level of confidence were made using the Epi-info computer program. Significant differences were observed in the following diagnostic groups favoring the not exposed group: i) Supplementary Classification of factors that exercise influence over the health status and access to health services and ii) Digestive system illness; while the physical education teachers showed a significant difference in: i) diseases of the musculoskeletal and connective tissue system and ii) Injuries and poisoing. Possible explications for some of the adverse effects as well as the protective ones that were observed include physical activity as a way of life along with being a physical education teacher and on the other side, peculiar behavior of epidemiological descriptive characteristics, like sex and age, within the socio-economic context of the country. © Copyright Moreira Jr. Editora.

Anticorpos anti-Leptospira spp. em animais selvagens do zoológico municipal de Ribeirão Preto, Estado de São Paulo, Brasil

Leptospirosis may affect all domestic and wild animals as well as human beings. Some serological studies have shown the involvement of wild species in the epidemiology of the disease. Once captive wild animals are not much studied, especially in Brazil, the present study aimed to detect anti- Leptospira spp. antibodies in animals from Ribeirão Preto city zoo, in São Paulo state, Brazil. Blood samples were collected from captive birds, fish, reptiles and mammals, sinanthropics and free-living animals and also from employees between March and October, 2006. Four hundred and three blood samples were obtained, 388 animals' samples (110 reptiles, 143 birds, 110 mammals and 25 fish) and 15 humans'. The sera were analysed by Microscopic Agglutination Test using 22 serovars from pathological leptospiras and two from non-pathological serovars. Among the animal samples, 339 were from captive animals, and 49 from free-living ones, captured with traps inside the zoo. One hundred and three (103/388 = 26.5%) samples reacted to leptospirosis, ninety-two (92/339 = 27.1%) samples were from captive animals and eleven (11/49 = 22.4%) from free-living ones. All humans' samples were negative. Serological titles varied from 40 to 5.120, with predominance of titles between 40 and 80 and the most frequent serovars were Patoc, Andamana, Canicola, Icterohaemorrhagiae and Panama.

Henneguya nagelii n. sp. (Myxozoa: Myxobolidae) in Cyphocharax nagelii (Steindachner, 1881) (Teleostei: Characiformes: Curimatidae) from the Peixe's River, São Paulo State, Brazil

A new species of Myxosporea, Henneguya nagelii n. sp., is described parasitizing the gills of Cyphocharax nagelii collected from Peixe's River, São Paulo State, Brazil. Among the fish examined, 16.7 % had gills parasitized by myxosporeans. The plasmodia were white, round, or oval and measured 150-250 μm. The mature spores were fusiform and had smooth wall. The spores measurements were the following: total length, 34.5 ± 4.2 (26.4-39.9) μm; body length, 12.0 ± 0.5 (11.2-11.9) μm; body width, 4.9 ± 0.3 (4.4-5.5) μm; and caudal process length, 22.4 ± 4.0 (14.7-27.3) μm. The polar capsules were elongated and of unequal size, with lengths of 4.9 ± 0.4 (4.0-5.9) μm and 5.2 ± 0.4 (4.6-6.0) μm for the longest and shortest axes, respectively. Capsule width was 1.8 ± 0.2 (1.5-2.2) μm. Each capsule contained a polar filament with six to eight turns. There was no mucous envelope or iodinophilous vacuole. Morphometric differences between this parasite and other species of the genus Henneguya indicated that the parasite observed in C. nagelii is a new species. This is the first species of Myxosporea described in Peixe's River. © 2013 Springer-Verlag Berlin Heidelberg.

O papel dos municípios na segurança pública: relações entre CONSEG e administração municipal (1985-2008)

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

FUNDEF na municipalização do ensino em São Paulo: estudo de caso no município de Junqueirópolis

Pós-graduação em Educação - FFC

Levantamento da fauna de morcegos (Mammalia, Chiroptera) e ocorrência de vírus rábico na Região de Araçatuba - São Paulo, Brasil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Densidade e resistência a antimicrobianos de Enterococcus sp e Escherichia coli isoladas de águas, areias e algas do gênero Sargassum de praias recreacionais do Litoral Norte do Estado de São Paulo

Pós-graduação em Ciências Biológicas (Microbiologia Aplicada) - IBRC