Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area

Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the São Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes.Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the São Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions.Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of São Paulo (in 1990, 80% of deliveries and almost all admissions for children less than 1 year versus 32% and 46%, respectively, in 2002). The use of primary care units and 24-hour walk-in clinics also increased. All these changes reflect care provided by public resources. In the private sector, there was a decrease in direct payments and payments through company-paid health insurance and an increase in payments through self-paid health insurance.Conclusions. The major changes observed in the second survey occurred simultaneous to the changes that resulted from the implementation of the SUS. Population-based health surveys are adequate for analyzing and comparing the utilization of health care services at different times.

Homogeneity assessment of a station climate series (1933-2005) in the Metropolitan Area of São Paulo: instruments change and urbanization effects

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Incidence of canine leptospirosis in the metropolitan area of Curitiba, State of Parana, Southern Brazil

Introduction The incidence of canine leptospirosis in Brazil needs to be assessed Methods The same dogs in southern Brazil were sampled over two years to determine the prevalence, incidence and association of canine leptospirosis with various risk factors. Results In 2009, the prevalence was 33 (14.4%) of 228 dogs, with a predominance of serovar Canicola (33.4%). In 2010, 90 dogs were re-evaluated (the remaining dogs were lost to deaths, address changes and donations), and the prevalence was found to be 35 (38.9%) of 90, with the predominant serovar being Icterohaemorrhagiae (51.4%). Moreover, the incidence was 26 of 90 (28.9%), and the disease was statistically associated with age (2009) and street access (2010). Conclusions Our findings revealed instability in the dog population and age to be relevant risk factors for canine leptospirosis.

Phenotypic and genetic features of enteropathogenic Escherichia coli isolates from diarrheal children in the Ribeirao Preto metropolitan area, Sao Paulo State, Brazil

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

Surveillance of canine visceral leishmaniasis in a disease-free area

A leishmaniose é uma importante parasitose re-emergente observada no mundo, particularmente em países tropicais. Não há ainda relatos de casos autóctones no estado do Paraná. Não há até o momento referência de vigilância no reservatório canino, tais como Curitiba e região metropolitana do estado. O objetivo do estudo foi determinar a soroprevalência da leishmaniose visceral em cães entregues ao Centro de Controle de Zoonoses de São José dos Pinhais, Paraná para eutanásia. A detecção sorológica da presença de anticorpos contra Leishmania sp. foi realizada por (ELISA) indireto e pela Reação de Imunofluorescência Indireta (RIFI). Além disso, impressão de linfonodo poplíteo coletadas ao acaso de 50 cães com sinais clínicos suspeitos para leishmaniose visceral e analisados sob microscopia óptica para detecção de formas amastigotas, foram negativas. Amostras de soro de 364 animais foram testadas, e os resultados mostraram somente uma amostra positiva (0,0027%), reagente ao ELISA e negativa à RIFI, entretanto, o cão não apresentava sinais clínicos. A vigilância ao acaso em uma população de vários locais de uma área metropolitana pode ser uma forma de prevenção da disseminação da doença. Com base nos resultados observados, Curitiba e região metropolitana foram consideradas de baixo risco para a leishmaniose visceral.

Rainwater toxicity and contamination study from So Paulo Metropolitan Region, Brazil

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Atributos de qualidade de solos sob dois diferentes tipos de manejo no município de Ibiúna/SP, Brazil

Agricultural activity has direct consequences on the soil and water quality. Thus, assessing environmental impacts of this vital economic activity, through soil attribute analysis, is essential to the proposal of alternatives. The aim of this study was to analyze soil quality under different land management practices, conventional and organic. The study was carried out in a watershed of the Ibiuna municipality, SP, Brazil, an important supplier of agricultural products for the São Paulo metropolitan area. A hundred samples were collected, 20 in each type of land use: reforested areas, native vegetation, pasture, conventional cultivation and organic cultivation. The soil resistance to penetration, its pH (in water and KO), electrical conductivity, bulk density, particle density, porosity, soil color, soil texture and the percentages of carbon and nitrogen were analyzed. The data were statistically analyzed, searching for significant differences. The results of soil analysis showed great similarity between the organic and conventional culture, with no statistical differences. However, organic cultivation showed greater similarity to the soil of native vegetation in the percentage of carbon and nitrogen in soils compared to conventional culture. Thus, the discussion begins on a topic very little explored so far, and the results obtained should be further studied.

Ocorrência da Mosca-negra-dos-citros (Aleurocanthus woglumi ashby) (Hemiptera: aleyrodidae) em Pernâmbuco

This paper aimed to verify the presence of black-fly of citrus in the state of Pernambuco in Brazil and wordwide. The material with symptoms were collected in the metropolitan area of Recife/PE and subsequently led to the identification in the Insect Biology Laboratory of the Federal Rural University of Pernambuco - UFRPE on February 4, 2011. The samples collected from the branches of citrus and bilocular, found the presence of eggs, nymphs, "pupae" and adults of Aleurocanthus woglumi, confirming its occurrence in the state of Pernambuco. The presence of blackfly of citrus had been detected in the city in the state of Pernambuco as Timbauba, Bom Jardim, Macaparana, Axes, Orobo, Sao Vincent Farrer and Itambe in citrus plants. Before that had a suspect in the Valley Siriji/PE, now it is in the metropolitan area of Recife, therefore we can confirm that the material collected and identified in the metropolitan area of Pernambuco is A. woglumi.

Increasing trends of sleep complaints in the city of São Paulo, Brazil

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

De que adoecem e morrem as mulheres em São Paulo

O estudo traça um perfil da morbi-mortalidade feminina no Estado de São Paulo, com enfoque nos problemas reprodutivos. A mortalidade foi estudada nos períodos 1979-81; 1986-88 e 1993-5, a partir do Sistema de Informação em Mortalidade (SIM/DATASUS) e a morbidade de 1996 foi obtida do Sistema de Informações Hospitalares (SIH/DATASUS). O artigo discute as principais causas de internação e morte das mulheres e aponta os desafios para as políticas públicas voltadas a saúde da mulher.

Vacinação contra influenza em idosos por área de residência: prevalência e fatores associados

A vacinação contra influenza é a principal forma de prevenir e reduzir a morbidade e mortalidade associadas à doença entre os idosos e grupos de risco. O objetivo deste estudo é determinar fatores demográficos, socioeconômicos, comportamentais e de saúde associados à vacinação, entre idosos residentes em diferentes áreas do Estado de São Paulo, no período de 2001 a 2002. Trata-se de um delineamento transversal de base populacional que considerou os idosos residentes em duas áreas do Estado: uma composta pelo município de Campinas e distrito do Butantã, na cidade de São Paulo, e outra pelos municípios de Taboão da Serra, Embu e Itapecerica da Serra (região metropolitana do município de São Paulo). A amostra foi composta por 849 e 641 indivíduos com 60 anos ou mais, residentes em tais localidades, respectivamente. Na análise bruta foram utilizadas razões de prevalência e intervalos de confiança de 95% e a análise multivariada foi realizada pela regressão de Poisson. A prevalência de vacinação auto-referida foi de 66,9% entre os residentes em Campinas e no distrito do Butantã e 67,6% naqueles das demais localidades. Após análise ajustada, para os idosos de Campinas e Butantã, apenas menor escolaridade (RP = 1,25; IC 95%: 1,02-1,54) esteve associada à vacinação. Já na área composta pelos municípios menos populosos, idade mais avançada (RP = 1,15; IC 95%: 1,02-1,31), hipertensão arterial (RP = 1,21; IC 95%: 1,02-1,45), diabetes (RP = 1,16; IC 95%: 1,01-1,33) e doença crônica de pulmão (RP = 1,30; IC 95%: 1,03-1,64) referidas, estiveram também associadas. Apesar de a prevalência de vacinação contra influenza entre os idosos das diversas localidades ser praticamente a mesma, pôde-se observar diferenças no perfil do idoso quanto à referência desse procedimento preventivo.

Aplicação da geologia de engenharia na redução de risco geológico urbano em Itapecerica da Serra - SP: estudo de caso

O município de Itapecerica da Serra, Região Metropolitana de São Paulo (RMSP), possui uma população de 162 mil habitantes e cerca de 150 km² de área. As características geológicas e geomorfológicas do seu território e o fato de localizar-se quase inteiramente em área de proteção aos mananciais que abastecem a RMSP implicam restrições ao uso do solo e à expansão da ocupação nos moldes em que vem ocorrendo. O diagnóstico das áreas de risco geológico do município foi uma das atividades implementadas para a execução do Plano Municipal de Redução de Riscos (PMRR) do município. O PMRR tem por objetivo apresentar os resultados da identificação e da análise das situações de risco geológico-geotécnico, criando propostas de intervenções estruturais para a sua eliminação e/ou redução, estimativas de custo e estratégias para a gestão de risco no município. O mapeamento do risco geológico foi realizado em 35 áreas, onde foram identificados 66 setores de risco englobando, 419 moradias, sendo 175 moradias em setores cujo grau de risco foi classificado como alto ou muito alto. As propostas de intervenção estrutural buscaram a aderência entre o processo geodinâmico atuante e a tipologia de intervenção sugerida para estabilização e controle. A definição de critérios para a hierarquização das intervenções propostas contribuiu para a inserção das propostas do PMRR no planejamento plurianual do município de Itapecerica da Serra.

Sewage sludge coke estimation using thermal analysis

The imposition of more stringent legislation by CETESB in the State of So Paulo (Brazil) governing the disposal and utilization of sewage sludge, coupled with the growth in its generation has prompted a drive for alternative uses of sewage sludge. One option that is especially promising, due to its potential to valorize sludge, is its conversion into carbonaceous adsorbents or coke for industrial effluents treatment. Thus, a methodology is presented to estimate the coke produced from the sludge of a sewage treatment station using thermal analysis. The used sewage sludge, which comes from aerobic treatment, was collected in the wastewater treatment station of Barueri, one of the largest of the So Paulo metropolitan area. The sludge samples were collected, dried, ground, and milled until they passed an ABNT 200 sieve. The inert ambient used during its thermal treatment produces inorganic matter and coke as residual materials. Coke formation occurs in the 200-500 A degrees C range and, between 500 and 900 A degrees C, its thermal decomposition occurs. The highest formation of coke occurs at 500 A degrees C.

The use of shallow seismic reflection technique in near surface exploration of urban sites: An evaluation in the city of SãO Paulo, Brazil

In order to evaluate the use of shallow seismic technique to delineate geological and geotechnical features up to 40 meters depth in noisy urban areas covered with asphalt pavement, five survey lines were conducted in the metropolitan area of São Paulo City. The data were acquired using a 24-bit, 24-channel seismograph, 30 and 100 Hz geophones and a sledgehammer-plate system as seismic source. Seismic reflection data were recorded using a CMP (common mid point) acquisition method. The processing routine consisted of: prestack band-pass filtering (90-250 Hz); automatic gain control (AGC); muting (digital zeroin) of dead/noisy traces, ground roll, air-wave and refracted-wave; CMP sorting; velocity analyses; normal move-out corrections; residual static corrections; f-k filtering; CMP stacking. The near surface is geologically characterized by unconsolidated fill materials and Quaternary sediments with organic material overlying Tertiary sediments with the water table 2 to 5 m below the surface. The basement is composed of granite and gneiss. Reflections were observed from 40 milliseconds to 65 ms two-way traveltime and were related to the silt clay layer and fine sand layer contact of the Tertiary sediments and to the weathered basement. The CMP seismic-reflection technique has been shown to be useful for mapping the sedimentary layers and the bedrock of the São Paulo sedimentary basin for the purposes of shallow investigations related to engineering problems. In spite of the strong cultural noise observed in these urban areas and problems with planting geophones we verified that, with the proper equipment, field parameters and particularly great care in data collection and processing, we can overcome the adverse field conditions and to image reflections from layers as shallow as 20 meters.

Avaliação de política ambiental e sustentabilidade: Estudo de caso do município de Santo André - SP

The management of the São Paulo Metropolitan Area has as one of the challenges to bring a sustainable solution for land use in watershed protection areas, aiming at regional water resources protection. This paper has the objective to contribute to the discussion about Sustainable Development Strategy Assessment, from an analisys with focus at the environmental policies of the Santo André City - SP Brazil, in the context of water resources protection. For this, the proposal is to verify, based on the Bellagio Principles, the use of systemic approach, transparency, participatory process and social engagement in its policy formulation and implementation process. It was observed coherence within the policies, programmes and actions analysed, nevertheless, gaps were identified, which, within a strategic approach, means weakness for the construction of the local sustainability, as the lack of a consolidated sustainability indicators system.