A descentralização da Vigilância em Saúde em Minas Gerais: caracterização dos serviços municipais, 2014

Brazilian public health surveillance evolution: conceptual, historical, and institutional aspects

“…Given the conceptual complexity of PHS, thisdespite not being a scientific consensus (VILELA; SANTOS; KEMP, 2017)is articulated in four fields so-called epidemiological surveillance (SEpi), sanitary surveillance (SSan), environmental health surveillance (SEnv), and occupational health surveillance (SOcc). Several authors ASSIS et al, 2017;DONATELI, 2017;FRANCO NETTO et al, 2017;LIMONGI et al, 2017; OLIVEIRA; CRUZ, 2015; PINTO JUNIOR; CERBINO NETO; PENNA, 2014; RECKTENWALDT; JUNGES, 2017; SILVA; CARVALHO, 2017; OKUMOTO; BRITO; GARCIA, 2018) support such an approach, and, therefore, NHSP defines them as: X -Environmental health surveillance: the set of actions and services that provide knowledge and detection of changes in the determining and conditioning factors of the environment that interfere with human health, to recommend and adopt measures to promote health, prevention, and monitoring of risk factors related to diseases or health conditions. XI -Occupational health surveillance: the set of actions for promoting health, preventing morbidity and mortality, and reducing risks and vulnerabilities in workers by integrating solutions to prevent diseases and their determinants derived from development models, production processes, and work.…”

“…Even with limited financial resources, the Brazilian PHS is implemented throughout the country, having the competence to adequately monitor events at an international level, such as the football world cup (OLIVEIRA; GARCIA; DUARTE, 2014). However, this implementation is not homogeneous, being the larger municipalities are better structured than smaller onesas concluded by Assis et al (2017) when evaluating PHS in cities from the state of Minas Geraisprobably a reflection of the adopted financing policy.…”