Juridical perspectives of interruption of pregnancy with zika virus infection regarding medical, emotional and social consequences

Prata, Ana Rita Souza; Pedroso, Daniela; Menezes, Greice Maria de Souza; Drezett, Jefferson; Torres, José Henrique Rodrigues; Bonfim, José Ruben de Alcântara; Adesse, Leila; Braga, Maria Elisa dos Santos; Kulcsar, Monica; Filho, Roberto Luiz Corcioli; Gollop, Thomaz Rafael; Pestana, Yasmin

doi:10.7322/jhgd.143875

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…The journal JHGD presents the importance of the concept of reproductive planning and preconception planning as a health promotion for children, as well as for the current situation of teenage pregnancy and the association with arterial hypertension 21,22 . Sexual and reproductive rights are considered in the cited article on the repercussions of Zika virus during pregnancy 23 . In the field of public health, the journal discloses the importance of identifying risk to provide quality care for chronic diseases 24 and non-communicable diseases as well as the indiscriminate use of antibiotics 25 .…”

Section: Isabel Cristina Esposito Sorpreso 1 Patricia Jane Kelly 2 mentioning

confidence: 99%

HPV vaccine: knowledge and acceptance to ensure effectiveness

Sorpreso

Kelly

2018

J. Hum. Growth Dev.

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The new Vaccine technologies against transmissible and non-transmissible diseases, such as cancer, have had an impact on international public health. The human papillomavirus (HPV) vaccine is used on a large scale in immunization programs in more than 58 countries, with resultant efficacy and safety for precursor lesions of cervical cancer, in addition to anogenital lesions. After the introduction of quadrivalent HPV vaccine (6,11,16 and 18) in Brazil in 2014, monitoring the vaccination coverage and the development of HPV prevalence incidence of cervical abnormalities and precancerous lesions must be observed, as well as morbidity and mortality trends from in situ and invasive cancer. Encouraging information, counseling and continuing education is recommended as a strategy to broaden vaccine acceptance in order to sediment its implementation and ensure effectiveness in reducing new cases of cervical cancer in the future.

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Section: Isabel Cristina Esposito Sorpreso 1 Patricia Jane Kelly 2 mentioning

confidence: 99%

HPV vaccine: knowledge and acceptance to ensure effectiveness

Sorpreso

Kelly

2018

J. Hum. Growth Dev.

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“…Several critiques of Zika policy responses have focused in on issues of women’s ownership and self-determination of their bodies, based on CEDAW’s General Recommendation (No. 24) [40, 70–72]. The WHO echoed this rights based approach encouraging policies that allow women and girls to make their own decisions about pregnancy and childbirth [48], although constrained by the sovereign legislation in member states.…”

Section: Introductionmentioning

confidence: 99%

Zika, abortion and health emergencies: a review of contemporary debates

et al. 2019

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Background The Zika outbreak provides pertinent case study for considering the impact of health emergencies on abortion decision-making and/or for positioning abortion in global health security debates. Main body This paper provides a baseline of contemporary debates taking place in the intersection of two key health policy areas, and seeks to understand how health emergency preparedness frameworks and the broader global health security infrastructure is prepared to respond to future crises which implicate sexual and reproductive rights. Our paper suggests there are three key themes that emerge from the literature; 1) the lack of consideration of sexual and reproductive health (SRH) services in outbreak response 2) structural inequalities permeate the landscape of health emergencies, epitomised by Zika, and 3) the need for rights based approaches to health. Conclusion Global health security planning and response should specifically include programmatic activity for SRH provision during health emergencies.

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“…In this context, the discussion on the damage caused by congenital infection by Zika virus and its consequences raises a number of issues, including legal ones, such as abortion, in order to better assist the families involved or possibly involved, since measures that involve the population guarantee positive return on health issues. More studies in this sense are needed to support legislation and decisions that guide such controversial issues 47,48 .…”

Section: Discussionmentioning

confidence: 99%

Description of atypical pattern in twins with presumed congenital Zika and without microcephaly - Case Report

Fontes¹,

Bezerra²,

Abreu³

2018

J. Hum. Growth Dev.

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Introduction: Zika virus (ZIKV) infection was a public health emergency of Brazilian national interest until May 2017, due to the sudden increase in newborns with microcephaly and other neurological alterations during the epidemic started in Brazil in November 2015. The manifestations of Intrauterine infections by ZIKV are more severe when they occur in the first and second trimesters of gestation, especially in the first trimester. In this situation, early diagnosis of visual problems is essential for patients to progress in the neurological and motor fields, and there are complications such as refractive errors (myopia, astigmatism and hyperopia), strabismus and hypoactomy. The absence of microcephaly in infants exposed to the zika virus is not indicative of changes in ophthalmology, and it is essential that the ophthalmologist perform the investigations that are relevant to the clinical case. Any and all eye lesions and their consequences are serious. The earlier the diagnosis, the sooner the child can undergo an intervention to enable vision. Objective: To analyze atypical pattern in twins with presumed congenital zika and without microcephaly. Methods: This is a case report, developed in the city of Serra Talhada, in the state of Pernambuco, Northeast Brazil. Report: Case of twins whose mother was exposed to zika virus in the second trimester of gestation (eleventh week). The children were born prematurely and without microcephaly. One of the twins had hydrocephalus requiring surgery. The same child was taken for ophthalmologic examination because of convergent strabismus; and hypocortical optic nerve and chorioretinal scar were found in the macular region in both eyes similar to the lesions described by zika virus. A similar scenario, but with less visual impairment was identified in the second twin. Skull tomography demonstrated bilateral calcification foci in the cerebral hemispheres. Conclusion: There was presence of convergent deviation and nystagmus to lateroversions. In the funduscopy, the optic nerve was pale and with cicatricial chorioretinal lesion with well delimited edges in the macular area of both eyes.

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Juridical perspectives of interruption of pregnancy with zika virus infection regarding medical, emotional and social consequences

Cited by 6 publications

References 11 publications

HPV vaccine: knowledge and acceptance to ensure effectiveness

HPV vaccine: knowledge and acceptance to ensure effectiveness

Zika, abortion and health emergencies: a review of contemporary debates

Description of atypical pattern in twins with presumed congenital Zika and without microcephaly - Case Report

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