The Brazilian healthcare structure has evolved in recent decades, but there are still shortages of beds in Intensive Care Units, especially in Neonatal Units. In early December 2019 they reported the first cases of a new infectious coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The present work makes an observational assessment of the number of deaths in the year 2020 related to the New Coronavirus Pandemic, the number of births and the panorama of Neonatal Intensive Care Unit (NICU) in the last decade. The results showed an increase in the number of deaths, with a predilection for elderly men; reduction in the number of births evaluated by the civil registry and an increase in NICUs in the last decade. This ratio was 2.6 beds per thousand births in 2010, rising to 2.9 per thousand in 2019 and reaching 3.4 beds per thousand births in 2020. Thus, the forced increase in the number of beds in the therapy unit The intensive care unit approached the proportion recommended by the Brazilian Society of Pediatrics, which is 4 beds for every thousand births.

ResumoA Organização Mundial da Saúde (OMS) refere a automedicação como um dos graves problemas de saúde pública. No Brasil a automedicação tem sido um fator de grande preocupação, pois pode desencadear efeitos indesejáveis e levar o indivíduo a morte. Este trabalho tem por objetivo realizar uma análise do perfil de utilização de medicamentos por funcionários terceirizados de um Centro de Ciências da Saúde de uma Universidade Federal, correlacionando o perfil do usuário com a forma de utilização do(s) medicamento(s). Tratou-se de uma pesquisa quantitativa, que usou como instrumento para coleta de dados um questionário estruturado contendo 22 questões, respondidas após anuência e assinatura do termo de consentimento livre e esclarecido (TCLE). Identificou-se a prevalência de homens (67,2%) com faixa etária de mais de 44 anos (30,8%). Em relação à frequência da automedicação, 89,7% dos entrevistados relatam já terem realizado essa prática. Dentre os motivos que influenciaram na automedicação os mais citados foram a compra na farmácia por conta própria (63,8%) e compra na farmácia por indicação do vendedor (32,8%). Também foi observado que pessoas que possuem planos de saúde (66,7%) fazem automedicação de forma mais significativa do que aquelas que não possuem (26,3%). Os dados coletados são de grande valia na definição de estratégias voltadas à promoção do uso racional de medicamentos. Palavras-chave: uso de medicamentos, automedicação, farmacoepidemiologia. AbstractThe World Health Organization (WHO) refers to self-medication as a serious public health problem. Self-medication in Brazil has been a factor of great concern because it can result in undesirable effects and it can cause death. The objective of this study was to analyze the use of medications for outsourced employees of a Center of Health Sciences of a Grupo de Pesquisa em Avaliação da qualidade de vida e qualidade de vida no trabalho Ponta Grossa -PR -Brasil v. 03, n. 02, jul./dez. 2018, p. 37-48 38Federal University. It compared the user profile in the different form of consumption of the medication. This was a quantitative study, which used was a tool for data collection, a structured questionnaire containing 22 questions. The questionnaire was answered after an approved and signed the Informed Consent Form (ICF). It identifies the prevalence of men (67,2%) who are over 44 years old (30,8%). Regarding the frequency of selfmedication, 89.7 % of respondents reported having already performed this practice. Among the factors influencing self-medication were buying at the pharmacy on their own (63,8%), those who bought at the drugstore seeking details of the seller were 32,8 %. It was also noted that people who have health insurance (66,7%) were self-medicated more significantly than those without them (26,3%). The collected data are of great value in defining strategies for promoting the rational use of medicines.

The Covid-19 pandemic started in December 2019 in China and in March of the same year in Brazil, impacted the healthcare structure which, due to its expansion in recent decades, was able to absorb a large part of the patients of this new disease. Despite the robustness of the Brazilian Unified Health System, the country was among those that had the most deaths related to the new corona virus and its associated diseases. At the same time, for the second consecutive year there was a lower number of births in the country, anticipating an assessment of expected vegetative growth for approximately ten years. In an article published in the same periodical last year, we explored the panorama of deaths and Intensive Care Units, especially children, in Brazil. We found that we could forcibly have an increase in the number of beds and with the decrease in births in the country, we can stay close to the values ​​recommended by the Pediatrics Societies. Here we aim to maintain the pattern of analysis of the dead and the born, with a focus on those under twenty. The methodology used was a systematic review with exploration of related literature and public databases. The data suggest that Brazil is in a process of vegetative growth. This is due to a reduction in the number of births in the last two years compared to 2019 and a significant increase in deaths directly related to the new Corona virus pandemic. An important fact is that Covid-19 affects children and adolescents and that the decrease in cases is associated with intense vaccination in the country.