Objective: to characterize cases of congenital syndrome associated with Zika virus infection (CZS) and other infectious etiologies, resident in the state of São Paulo, Brazil, from October 30, 2015, to June 30, 2017. Methods: this was a descriptive study of suspected cases of CZS and other infectious etiologies notified on the Public Health Events Registry. Results: 960 cases were investigated up to epidemiological week 26/2017, and 146 were confirmed for congenital infection; of these, 59 (40.4%) were confirmed for congenital infection without etiological identification and 87 (59.6%) with laboratory confirmation, of which 55 were congenital syndrome associated with Zika virus and 32 were congenital syndrome associated with other infectious agents. Conclusion: this study enabled the detection of 23.9% CZS cases among suspected cases of infectious etiology.

in these PHC, cold chain utilization was close to its maximum capacity; many health workers did not have basic knowledge about vaccine conservation.

O sucesso da erradicação da transmissão autóctone do vírus da poliomielite nas Américas, levou os Ministros da Saúde dos países membros da Organização Pan-Americana da Saúde -OPAS a assumirem, em 1994, a meta de eliminação do sarampo até o ano 2000. O Plano de Eliminação do Sarampo inclui as estratégias: imunização das crianças de 9 meses a 14 anos de uma só vez e a manutenção de altas coberturas vacinais em menores de 1 ano; campanhas periódicas a cada 2 a 4 anos para menores de 4 anos; a implementação dos sistemas de vigilância epidemiológica, para detectar casos suspeitos de sarampo. O impacto das ações adotadas em vários países da América caracterizou-se pela drástica redução da incidência da doença, estimulando a OPAS a realizar uma avaliação, visando conhecer a verdadeira situação epidemiológica da doença e a capacidade dos sistemas de vigilância epidemiológica em detectar casos/surtos oportunamente e aplicar as medidas de controle de forma ágil. A metodologia, desenvolvida pela OPAS, é de caráter qualitativo com componentes quantitativos. Apresenta-se neste trabalho a avaliação realizada no Brasil nos Estados de São Paulo e Bahia. Os resultados apontam para um sistema de vigilância moroso, que não permite a detecção oportuna de casos ou surtos e que o Plano de Eliminação não representava prioridade política nos anos posteriores a sua implementação em 1992.Palavras-Chave: Vigilância Epidemiológica; Sarampo; Plano de Eliminação do Sarampo. SummaryThe successful eradication of the transmission of autochthonous wild poliomyelitis virus in the Americas, encouraged the Ministers of Health of the members States of the Pan-American Health Organization -PAHO -in 1994 to adopt the goal of eliminating measles in the Region by the year 2000. The Measles Elimination Plan consist of four basic strategies: a one time vaccination of all children between 9 months and 14 years in national campaign; maintenance of high vaccination coverages in children less than 1 year; periodic vaccination campaigns, every 2/4 years to detect suspected cases of measles in children less than 4 years and the implementation and strengthening of epidemiological surveillance system. A drastic reduction in the incidence of the disease was observed in the Americas which stimulated PAHO, to carry out an evaluation of the measles epidemiological surveillance system with the objective to determine the true epidemiological situation and the systems capacity in to detect suspected cases of measles or outbreaks and implement control measures in a timely fashion. The methodology was developed by PAHO, and consists mainly on qualitative attributes with quantitative components. The evaluation was realized in the Brazilian States of Bahia and São Paulo and revealed that the measles surveillance system is slow, not allowing the timely detection of cases or outbreaks and that the Elimination Plan was not considered a political priority in the years following its implementation in 1992.

Heart failure is a progressive condition with a high burden of symptoms and clinical decompensations that causes psychological and social suffering, poor quality of life, and limited life expectancy. Therefore, it requires palliative care to control symptoms and signs, but integrating it with clinical care is complicated. We aimed to discuss the limits and possibilities of integrating palliative care in heart failure. This was a qualitative descriptive study. Semi-structured qualitative interviews were carried out between July 2020 and July 2021. We applied the thematic content analysis and the SWOT matrix. Ethical principles were respected. Ten professionals from an Institute specializing in cardiovascular diseases in Rio de Janeiro, Brazil, participated in the study, including physicians, nurses, psychologist, and occupational therapist. We identified 4 categories related to intervening factors: the patient’s profile, the emotional aspects of professionals facing these patients, the challenges to integrating and sustaining palliative care in practice, and the ways for assistance planning in this context. The existence of a specialized team, the palliative care commission, and the institutional palliative care protocol, aligned with the realistic perception of the assistance, organizational, political, and social problems, may promote the advancement of palliative care in heart failure.

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