news_id
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12
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sequence | sentence
stringlengths 304
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stringclasses 19
values | labels
int64 0
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float64 0
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] | Preso no final de maio sob suspeita de desvio de recursos públicos, o ex-presidente do PSDB de Minas Gerais Nárcio Rodrigues está internado desde quinta-feira (16) em um hospital particular da área nobre de Belo Horizonte. A informação foi confirmada pela Seds (Secretaria Estadual de Defesa Social), que não informou os motivos da internação no hospital, nem o quadro de saúde de Rodrigues. Ele está sob escolta. A reportagem procurou a defesa do ex-líder tucano, que não atendeu o telefone nem retornou as mensagens. Rodrigues estava preso preventivamente no Complexo Penitenciário Nelson Hungria, em Contagem, na Grande Belo Horizonte. No local, há um centro médico. No entanto, ele foi internado no hospital "Life Center", em um bairro nobre da capital mineira. Em reservado, os adversários políticos de Rodrigues têm dito que ele "saiu da cadeia e foi para um hotel". Em nota, a Seds disse que Rodrigues está sob custódia no hospital e não irá comentar "eventual avaliação médica e profilaxia adotada". "O mandado de prisão não suspende direitos do preso além de ir e vir", diz o órgão em nota. "Não há na decisão judicial referida (o mandado de prisão preventiva) obrigação para a Seds de custear eventuais despesas do preso com tratamento médico na rede particular", acrescenta. 'AEQUALIS' O tucano foi o principal alvo da Operação "Aequalis", que investiga suposto contrato superfaturado de venda de equipamentos para o centro de pesquisa mineiro "Cidade das Águas". Parte do dinheiro foi remetido para o paraíso fiscal de Hong Kong em 2014. Na época, Rodrigues ocupava o cargo de secretário estadual de Ciência e Tecnologia do governo do hoje senador Antonio Anastasia (PSDB). Em delação premiada assinada com a Promotoria de Minas Gerais, o executivo português Firmino Rocha afirmou que a empresa em que trabalhava pagou propina a Rodrigues, que foi por cinco vezes deputado federal e foi um dos coordenadores políticos das campanhas eleitorais estaduais de Anastasia em 2010 e do tucano Pimenta da Veiga, derrotado no pleito de 2014. A defesa de Rodrigues tem dito que a prisão preventiva foi "absolutamente desnecessária". | poder | 1 | 1 |
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] | A Ajufe (Associação dos Juízes Federais do Brasil) anuncia que o presidente da entidade, Antônio César Bochenek, se reunirá nesta terça-feira (24) com o ministro da Justiça, José Eduardo Cardozo, "para tratar de questões institucionais relacionadas à independência do Poder ... Leia post completo no blog | poder | 0 | 1 |
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] | Na tentativa de evitar um desembarque do PSDB ao governo federal, o presidente Michel Temer se reunirá nesta segunda-feira (12) com o governador de São Paulo, Geraldo Alckmin, para discutir o espaço do partido na Esplanada dos Ministérios. Com o agravamento da crise política e a piora na avaliação do governo federal, o grupo do governador de São Paulo tem defendido a necessidade de um distanciamento do Palácio do Planalto. O receio é que o aprofundamento de uma aliança federal possa desgastar também a imagem do partido para a disputa presidencial de 2018. Na conversa, marcada para o Palácio dos Bandeirantes, o peemedebista pretende consultar o tucano sobre o apoio dele à indicação do deputado federal Antônio Imbassahy (PSDB-BA) para a Secretaria de Governo e tratar da pauta governista no Congresso Nacional. No esforço de manter o apoio do PSDB, considerado o fiel da balança da gestão federal, o presidente tomou café da manhã nesta segunda-feira (12) com os senadores Aécio Neves (PSDB-MG) e Aloysio Nunes Ferreira (PSDB-SP). Na conversa, na qual foi acertada a indicação de Imbassahy para a pasta, os dois tucanos reafirmaram o apoio do partido ao governo federal e deixaram claro que a permanência da sigla na Esplanada dos Ministérios não passa pela nomeação do deputado federal para a Secretaria de Governo. A tendência é que a nomeação de Imbassahy seja feita nesta semana. Com um receio de uma retaliação dos partidos do chamado centrão, o presidente quer, no entanto, efetivá-la após a votação final do orçamento do ano que vem, programada para quarta-feira (14). Na semana passada, o presidente adiou o anúncio por pressão de partidos como PSD, PP, PR e PTB, que reivindicavam o posto e continuam fazendo ameaças de não votar pautas governistas caso a nomeação ocorra antes da sucessão do comando da Câmara dos Deputados, eleição marcada para fevereiro. | poder | 1 | 1 |
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] | * Jornais nacionais Folha de S.Paulo Dilma faz novo arrocho para equilibrar contas Agora S.Paulo Corte na pensão e no auxílio do INSS começa a partir de domingo O Estado de S.Paulo Governo limita gastos a R$ 75 bi até abril e inclui PAC nos cortes O Globo Ajuste pode cortar 22% do Orçamento até fim do ano Valor Econômico Governo faz ajuste com corte de investimento Correio Braziliense Voo da alegria é tapa na cara do brasileiro Estado de Minas Risco a bordo - Morte de passageiro durante voo alerta para cuidados com a saúde Zero Hora Governo reage a bloqueios com cobrança de multas * Jornais internacionais The New York Times (EUA) ISIS ataca assírios e destrói obras de arte The Washington Post (EUA) FCC aprova leis de neutralidade para a internet The Guardian (Reino Unido) Assassino do ISIS é de Londres e está no radar do MI5 desde 2009 El País (Espanha) Reunião de Zapatero e Castro provoca crise com o Governo Clarín (Argentina) Denúncia de Nisman contra Cristina é negada | poder | 2 | 1 |
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] | * Jornais nacionais Folha de S.Paulo Procuradoria cobra R$ 4,5 bi de 6 empresas Lava Jato Agora S.Paulo Atestado médico particular dá aposentadoria por invalidez O Estado de S.Paulo MPF cobra R$ 4,5 bi de empreiteiras por desvios na Petrobrás O Globo Petrobras adia mais de R$ 11 bi em projetos Correio Braziliense Agnelo tem conta, carro e imóveis bloqueados Estado de Minas Cerveja cada vez mais suada Zero Hora MPF cobra R$ 4,47 bilhões de empreiteiras da Lava-Jato * Veja Os segredos do empreiteiro Época Mulheres que bebem demais IstoÉ Cadê a 'pátria educadora'? Carta Capital O triunfo dos extremismos * Jornais internacionais The New York Times (EUA) Quão ruim é a dívida grega? A resposta pode surpreender The Washington Post (EUA) Ex-primeira-dama da Virgínia recebe pena de um ano e um dia Le Monde (França) Charlie: o quebra-cabeça da reconstrução El País (Espanha) Alemanha impõe suas regras e Grécia recebe ajuda por quatro meses | poder | 2 | 0.866685 |
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] | O ministro da Aviação Civil, Eliseu Padilha (PMDB), comunicou a líderes partidários nesta quarta-feira (24), durante reunião no Palácio do Jaburu, que criou um grupo de assessores da Secretaria de Relações Institucionais para cobrar nomeações paradas em ministérios. Na presença dos ministro Aloizio Mercadante (Casa Civil), Ricardo Berzoini (Comunicações), e do vice-presidente da República, Michel Temer, Padilha pediu paciência aos parlamentares e que, se for o caso, ele ligará pessoalmente aos ministros pedindo as liberação dos cargos. Os deputados da base aliada se queixam da demora em serem atendidos pelo governo federal em cargos. Eles cobram indicações para votar o projeto que reduz a desoneração da folha de pagamento de vários setores. Nos bastidores, entretanto, peemedebistas atribuem à Casa Civil a demora nas indicações. Eles enxergam ''sabotagem'' do ministro Mercadante a nomes já acordados entre partidos da base aliada com a Secretaria de Relações Institucionais, mas que continuam travados mesmo após triagem e aval da Casa Civil. | poder | 1 | 1 |
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] | Deputados do PSOL e da Rede ingressaram nesta quarta-feira com uma representação pedindo que a Procuradoria-Geral da República envie uma ação cautelar ao Supremo Tribunal Federal com o objetivo de afastar do cargo o presidente da Câmara, Eduardo Cunha (PMDB-RJ). A atitude dos partidos tem o objetivo de barrar a mais nova manobra de bastidor patrocinada por aliados de Cunha para tentar enterrar o processo de cassação do peemedebista no Conselho de Ética da Câmara. Aliados vão recorrer à Mesa da Câmara, presidida pelo próprio Cunha e composta por aliados, contra a decisão do Conselho de negar a troca do relator do processo, Fausto Pinato (PRB-SP), que deu parecer favorável à continuidade do processo de cassação. Cunha argumenta que Pinato não pode relatar o caso porque estaria impedido: no início do ano o seu partido, o PRB, fez parte do bloco que o elegeu presidente da Casa. Esse bloco, entretanto, foi desfeito ainda no início do ano. No entorno de Cunha, a informação é a de que ele irá se declarar impedido para decidir sobre o recurso e repassará a decisão ao vice-presidente, Waldir Maranhão (PP-MA), que é seu aliado. "As suas manipulações e manobras não têm limite", afirmou o líder da bancada do PSOL, Chico Alencar (RJ), segundo quem a vice-procuradora-geral da República, Ela Wiecko, prometeu dar uma resposta à representação antes do recesso de fim de ano do Judiciário. "O Brasil não merece que um processo dessa gravidade [o impeachment de Dilma Rousseff] seja conduzido por uma pessoa sob a qual recaem as maiores suspeitas de cometimento de crime. Se não formos socorridos pela PGR e pelo Supremo, o Congresso continuará sob o tacão de Cunha", disse Alessandro Molon (RJ), líder da Rede. | poder | 1 | 1 |
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] | Em reunião com membros da bancada ruralista do Congresso, o presidente Jair Bolsonaro defendeu o marco temporal de 1988 para a demarcação de terras indígenas e sugeriu que, se reeleito, conseguirá fazer indicações suficientes para ter um STF (Supremo Tribunal Federal) alinhado ao governo.O encontro do presidente com os ruralistas ocorreu no Palácio do Planalto, na manhã desta quarta-feira (6). Em sua fala aos parlamentares, Bolsonaro disse que o presidente eleito em 2022 poderá, logo no início do seu mandato, designar mais dois juízes para o Supremo.Em seguida, afirmou que, se forem alinhados com as pautas do governo, serão "quatro [ministros] garantidos lá dentro"."Além de outros que já —não é que votam com a gente— votam com as pautas que tem que se votadas do nosso lado. Então vamos ter tranquilidade por parte do Judiciário." Mais Bolsonaro fez até o momento duas indicações para o STF: o ministro Kassio Nunes Marques e o ex-advogado-geral da União André Mendonça.A indicação de Mendonça, no entanto, vive um impasse. O presidente da CCJ (Comissão de Constituição e Justiça) do Senado, Davi Alcolumbre (DEM-AP), ainda não pautou a sabatina, o que na prática trava a tramitação da indicação do ministro "terrivelmente evangélico" de Bolsonaro.A nomeação de um ministro do STF ligado à bancada evangélica é uma demanda de lideranças de grupos religiosos, que têm cobrado tanto o governo como o Senado pelo desbloqueio da análise do nome de Mendonça.Nesta terça-feira (5), Bolsonaro compareceu a um ato que reuniu pastores em Brasília. O evento foi uma demonstração de apoio dos evangélicos em favor de Mendonça.O presidente citou Mendonça nesta quarta e disse que ele "vai na mesma linha", referindo-se a pautas caras ao governo que tramitam na corte, entre elas o marco temporal. O julgamento está em análise pelo STF. A medida é criticada por ambientalistas e líderes indígenas.O presidente destacou ainda que uma "pessoa alinhada a nós" tem que estar sentada na cadeira presidencial a partir de 2023. Por fim, ele argumentou que a eventual indicação de mais dois nomes para o Supremo deve resultar num "outro Poder [Judiciário] completamente alinhado com Legislativo com e ao Executivo". Mais Após o encontro com os parlamentares, o presidente da Frente Parlamentar da Agropecuária, deputado Sergio Souza (MDB-PR), disse que Bolsonaro defendeu o marco temporal em sua fala."A mensagem do presidente da República é que as pautas do agro são pautas do Brasil e é pauta também do governo federal", disse.Souza negou que segmentos do agronegócio tenham retirado apoio de Bolsonaro."Ninguém do agro retirou apoio ao presidente. Isso é uma interpretação feita por aqueles que querem difundir uma intriga interna. O agro está extremamente alinhado com o presidente Jair Bolsonaro, com as suas pautas —como o presidente está alinhado com as pautas do agro."No final de agosto, um grupo de sete entidades ligadas ao agronegócio decidiu publicar o seu próprio manifesto em defesa das instituições e do equilíbrio entre os Poderes da República.A divulgação do documento ocorreu em meio a uma série de ataques de Bolsonaro contra o Judiciário e nos dias que antecederam a manifestação de raiz golpista do 7 de Setembro. GOVERNO 2023-2026 GOVERNO 2027-2030 GOVERNO 2031-2034 GOVERNO 2039-2042 GOVERNO 2043-2046 GOVERNO 2047-2050 Mais | poder | 1 | 1 |
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] | A composição do principal grupo de tucanos que votará nas prévias presidenciais do PSDB abriu uma disputa entre as campanhas dos governadores João Doria (SP) e Eduardo Leite (RS). Com a eleição interna marcada para o próximo domingo (21), a escolha do nome da sigla ainda está em aberto.O ex-prefeito de Manaus Arthur Virgílio também concorre, mas sem chances de vencer.Ao entrarem na lista de prováveis votantes nas prévias nos últimos dias, o ex-governador Geraldo Alckmin (de saída do PSDB), que deve votar em Leite, e o deputado federal Miguel Haddad (SP), que deve votar em Doria, provocaram reclamações dos adversários.Ambos fazem parte do grupo que tem maior peso na votação indireta das prévias. Representando 25% da pontuação que cada candidato pode obter, esse grupo é formado por cerca de 50 pessoas: deputados federais, senadores, governadores e vices, além dos ex-presidentes do PSDB e do presidente atual, Bruno Araújo.Outros 25% serão dados pelos votos de cerca de mil prefeitos e vices; 12,5% por cerca de 70 deputados estaduais; 12,5% por cerca de 4.300 vereadores e os demais 25% cabem aos filiados de um modo geral. Portanto, pelo peso maior de cada voto, o grupo principal de mandatários, onde Leite atualmente tem vantagem, é especialmente estratégico.Alckmin participa do grupo principal como ex-presidente do PSDB. No sábado (13), ele se cadastrou no aplicativo das prévias do PSDB —etapa necessária para a votação. No partido, a leitura foi de que o gesto indica que o ex-governador deve dar seu voto no dia 21.Atualmente desafeto de Doria, Alckmin decidiu deixar o PSDB depois que o governador paulista impossibilitou sua candidatura ao Governo de São Paulo em 2022. Doria escolheu seu vice, Rodrigo Garcia (PSDB), como sucessor e, para isso, bancou sua migração do DEM para o PSDB. Mais Em São Paulo, os apoiadores de Leite são ligados a Alckmin. O ex-governador, no entanto, já admitiu que sairá do PSDB e tem conversas com PSD, PSB e União Brasil (partido que nascerá da fusão de PSL com DEM).Aliados de Doria questionam a participação de Alckmin numa decisão sobre o futuro do PSDB, dado que o ex-governador está de saída."Geraldo Alckmin escolherá seu candidato à presidência no PSDB [em 2022] ou sairá antes das prévias. É isso que orienta a ética na política", disse ao Painel Orlando Morando, prefeito tucano de São Bernardo do Campo e aliado de Doria. Para o entorno de Alckmin, no entanto, o ex-governador, por ter sido um dos fundadores do partido, tem o direito de opinar nas prévias e de sair do partido quando quiser. Apoiadores de Leite contam com o voto de Alckmin dado o cenário apertado da disputa.O ex-governador não respondeu à reportagem.O outro ponto de conflito, que deverá ter deliberação do presidente da sigla nos próximos dias, é o voto de Miguel Haddad na condição de deputado federal. Haddad é suplente, mas assumiu o mandato na Câmara na última quinta (11), no lugar de David Soares (DEM-SP), deputado próximo de Garcia.Nos bastidores, tucanos afirmam que houve um acordo para que Haddad assumisse. A reportagem não conseguiu contato com Soares.Em outubro, as campanhas de Leite e Doria tiveram uma reunião com dirigentes do PSDB para definir as regras de participação dos suplentes. Ficou acertado que somente titulares do mandato, mesmo que fora do exercício, votariam como deputados.Mas os suplentes do PSDB que assumissem a vaga de deputados de outros partidos, caso de Haddad, teriam direito de voto como titulares e não apenas como filiados.Na ocasião da reunião, em 20 de outubro, Haddad não era deputado, mas a campanha de Doria pediu que ele fosse considerado um deputado votante, já que assumiria a cadeira de Guilherme Mussi (PP-SP) nos próximos dias. A campanha de Leite concordou.À época, tucanos afirmaram que havia um acordo costurado com Mussi nesse sentido. Contudo, o deputado do PP acabou não se afastando como previsto e, na quarta (10), o PSDB tirou o nome de Haddad da lista de deputados, colocando-o na condição de filiado na votação.Já no dia seguinte, Haddad assumiu no lugar de Soares e voltou a reivindicar seu voto dentro do colegiado principal dos tucanos. Para a campanha de Leite, houve uma manobra de última hora para que Doria garantisse o voto de mais um deputado federal.O ex-deputado João Almeida (BA), coordenador da campanha de Leite, apresentou uma impugnação, pedindo que Haddad vote apenas como filiado. Caberá a Araújo decidir. Mais Na peça, Almeida afirma que a assunção de Haddad se deu fora dos termos acordados e é "inaceitável". O ex-deputado afirma que, na reunião, os aliados de Doria disseram que Haddad assumiria em breve e porque Mussi, "como era sabido e certo", "se desinteressara do exercício da função parlamentar" —o que não aconteceu.Procurado pela Folha, Haddad, que assume uma cadeira na Câmara pela terceira vez nesta legislatura, afirmou que de fato pediu para ser considerado no grupo de votantes qualificado, mas disse não saber se poderá votar como deputado ou não."Não sei quais foram as tratativas nesse sentido. Se estiver irregular, eles têm que entrar com pedido para anular o voto", disse.O deputado também afirmou desconhecer acordos com Mussi ou Soares para que assumisse uma vaga ou os motivos do afastamento do deputado do DEM.O presidente do PSDB de São Paulo, Marco Vinholi, afirmou que não tinha conhecimento do que chamou de "tentativa de diminuir o eleitorado de São Paulo"."Tenho a confiança de que o deputado Miguel Haddad poderá votar [na condição de deputado], assim como todos os outros casos iguais no Brasil. A regra é para todos, não posso acreditar que será diferente com ele. Se confirmada, essa ação já está beirando o desespero eleitoral", disse. Mais | poder | 1 | 1 |
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] | Após a divulgação da pesquisa Datafolha neste domingo (15), líderes petistas reafirmaram o plano de manter a candidatura do ex-presidente Luiz Inácio Lula da Silva a presidente, enquanto tucanos disseram ver um cenário de "completa indefinição" e Marina Silva (Rede) recebeu o resultado com cautela.Lula lidera com até 31% nos cenários em que seu nome foi incluído. Sem ele, Marina apareceu empatada à frente com Jair Bolsonaro (PSL). Geraldo Alckmin alcança no máximo 8% das intenções de voto. A margem de erro da pesquisa é de 2 pontos percentuais, para mais ou para menos."Para nós o resultado é excelente, pois só mostra consolidação e confiança", afirma Paulo Pimenta, líder do PT na Câmara dos Deputados.Ele disse que Lula será inscrito na eleição presidencial no dia 15 de agosto. "Não vamos ter um plano B. Vamos eleger o Lula em primeiro turno e queremos que, quando o TSE [Tribunal Superior Eleitoral] se debruçar sobre essa matéria, já não seja mais o candidato, mas o presidente."Petistas criticaram o fato de Lula ter sido incluído em três dos nove cenários pesquisados, e não em todos. O instituto também pesquisou como seria a eleição com nomes cogitados para substituí-lo, como Fernando Haddad e Jaques Wagner.Marina disse ver o resultado com tranquilidade e que a pesquisa apenas retrata um momento em que o eleitor está fazendo escolhas. Ela critica o risco de polarização do debate político e se declarou "comprometida com o debate e não com o embate".A campanha de Alckmin afirmou que o eleitor começará a definir o voto em agosto, quando iniciará oficialmente a campanha. "Candidaturas seguras misturam-se a meras possibilidades, criando cenários e números de relevância questionável."O presidente do PSB, Carlos Siqueira, entende que o resultado da pesquisa Datafolha mostra o potencial da candidatura do ex-ministro do STF (Supremo Tribunal Federal) Joaquim Barbosa à Presidência da República.De acordo com a pesquisa, a depender de quem são seus concorrentes, o ex-ministro do STF"detém de 8% a 10% das intenções de voto."A candidatura dele tem potencial muito grande. Inclusive, muito maior se considerarmos que a população ainda não está bem informada sobre candidatura", afirmou Siqueira à Folha. | poder | 1 | 1 |
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] | O ex-presidente Luiz Inácio Lula da Silva disse a aliados que a prisão dos presidentes da Odebrecht e da Andrade Guiterrez é uma demonstração de que ele será o próximo alvo da operação Lava Jato. Lula também reclamou nesta sexta-feira (19) do que chamou de inércia da presidente Dilma Rousseff para contenção dos danos causados pela investigação. Ainda segundo seus interlocutores, Lula se queixa da atuação do ministro-chefe da Casa Civil, Aloizio Mercadante, que teria convencido Dilma a minimizar o impacto político da operação. Nas conversas, ele se mostra preocupado pelo fato de não ter foro privilegiado, podendo ser chamado a depor a qualquer momento. Por isso, expressa insatisfação que o caso ainda esteja sob condução do juiz Sérgio Moro. Para petistas, os desdobramentos podem afetar o caixa do partido e por em xeque a prestação de contas da campanha da presidente. A detenção de Marcelo Odebrecht e Otávio Azevedo colocou a cúpula do PT em "estado de alerta" e preocupa o Palácio do Planalto pelos efeitos negativos na economia. Para assessores do ministro Joaquim Levy (Fazenda), o "ritmo da economia, que já está fraco, ficará mais lento". No entanto, a estratégia adotada pelo partido e pelo governo foi a de afirmar que, dada influência das duas empreiteiras, a investigação atingirá as demais siglas, incluindo o PSDB. Nessa linha, um ministro citou o nome da operação "Erga Omnes" (expressão em latim que significa "para todos") para afirmar que não só o PT será afetado. Durante a campanha presidencial de 2014, segundo esses interlocutores do governo, ambos executivos fizeram chegar reservadamente ao Planalto a sua intenção de votar na oposição. Nesta sexta, Lula manteve sua agenda: um almoço com o ministro da Educação, Renato Janine, e o prefeito de São Paulo, Fernando Haddad, além do secretário municipal de Educação, Gabriel Chalita. Segundo participantes, ele exibia bom humor. Apesar do argumento de que outros partidos serão afetados, a tensão é maior entre petistas. Desde o fim de 2014, a informação, que circulava no meio empresarial e político, era de que Marcelo Odebrecht não "cairia sozinho" caso fosse preso. A empresa sempre negou ameaças. Entre executivos e políticos, contudo, as supostas ameaças eram vistas como um recado ao PT dada a proximidade entre a Odebrecht e Lula –a empresa patrocinou viagens do ex-presidente ao exterior, para tentar fomentar negócios na África e América Latina. Um dos presos é Alexandrino Alencar, diretor da Odebrecht que acompanhava Lula nessas viagens patrocinadas pela empreiteira. Integrantes dizem que "querem pegar Lula". Lula também se encontrou com executivos da Odebrecht no exterior. | poder | 1 | 1 |
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] | CAROLINA LINHARES GIBA BERGAMIN JR. WÁLTER NUNE DE SÃO PAULO À margem da campanha eleitoral, a crise política nacional e o governo Michel Temer (PMDB) surgiram com força no segundo debate entre os candidatos a prefeito de São Paulo, promovido nesta sexta (2), pela Rede TV! Líder na mais recente pesquisa do Datafolha, com 31% das intenções de voto, Celso Russomanno (PRB) novamente foi pouco questionado por seus adversários durante o encontro. Pela primeira vez em um debate, já que no primeiro encontro, promovido pela TV Bandeirantes, teve sua participação vetada por adversários, Luiza Erundina (PSOL) trouxe o impeachment para a pauta em duas ocasiões. Criticou Marta Suplicy (PMDB), que está em segundo lugar no Datafolha, com 16%, por apoiar Temer e a questionou como ela se sente "como feminista" ao apoiar o presidente, que não nomeou nenhuma mulher para seu ministério. A peemedebista disse que a adversária não pode dar atestados de feminismo. Marta, em outra ocasião, disse ainda que Temer está dando a esperança de o país sair da crise, "que foi gerada pelo governo anterior". Erundina questionou o prefeito Fernando Haddad (PT) por ter afirmado em entrevista que "golpe" era uma "palavra um pouco dura" para classificar o afastamento da petista Dilma Rousseff. O prefeito rebateu atacando Erundina e Marta por terem mudado de partido –as duas foram prefeitas pelo PT. Ele disse ainda que a peemedebista está agora com "algozes" dos mais humildes e que a candidata do PSOL, com a crítica, desune a esquerda. "O Senado assumiu que não houve crime por parte da presidenta", disse o prefeito, ao falar sobre a decisão de não cassar direitos dela de exercer funções públicas. O candidato Major Olímpio (SD) disse que o Senado deu uma "demonstração nefasta para 'quebrar o galho de bandoleiros". Haddad foi questionado ainda por um jornalista sobre a Operação Lava Jato, inclusive por delações que citam dinheiro em sua campanha de 2012. Disse que a operação não pode ser "seletiva" e citou que nomes da cúpula do PMDB e PSDB também serão investigados Ao falar de educação, disse que o governo do Estado, do tucano Geraldo Alckmin, é investigado por suspeitas em contratos de merenda. BATE-BOCA Em um dos blocos, em que os candidatos precisaram responder perguntas de jornalistas, Marta foi questionada sobre quando usou a rede pública de saúde. João Doria (PSDB) foi indagado sobre tributos e disse que os "ricos já pagam mais impostos" do que os pobres. O tucano também falou na oportunidade que Marta "adora uma taxazinha" e disse que ela deixou o município "quebrado" ao sair do cargo. Marta pediu formalmente um direito de reposta e afirmou: "Se ele quer ser prefeito, deveria ter mais compostura ao falar comigo". Doria disse que não desrespeitou a adversária. Olímpio chamou Marta e Erundina de "duas senhoras" e ironizou Russomanno e Doria ao classificá-los como "dois artistas" –os dois foram apresentadores de TV. Olímpio disse ainda que prefere ser considerado da "bancada da bala" a ser da "bancada da mala". O candidato do PRB, ao falar de transporte público, disse que "nem pensa" em aumentar o preço da tarifa de ônibus e prometeu combater fraudes com o Bilhete Único. Marta voltou a criticar políticas de Haddad, ao chamar, por exemplo, ciclovias de "ciclotintas". O prefeito também foi um dos principais alvos de Doria, que questionou a atual política para moradores de rua na cidade. Ela atacou o PSDB ao falar que a gestão estadual da saúde pública é "tão ruim" quanto a municipal. Em uma pergunta sobre segurança, o petista perguntou "em que mundo vive" Russomanno por ter sugerido parcerias com o Estado. O candidato do PRB também falou de questões nacionais ao dizer que não apoiará mudanças na Previdência que prejudiquem aposentados. Criticou ainda o Uber, pela "concorrência predatória" e defendeu a regulamentação do serviço. | poder | 1 | 1 |
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] | * Jornais nacionais Folha de S.Paulo Caminhoneiros travam rodovias em sete Estados Agora S.Paulo Tribunal aumenta o valor dos atrasados de ações trabalhistas O Estado de S.Paulo Governo age para evitar novas derrotas na Câmara O Globo Dilma recorre ao PMDB para sair do isolamento Correio Braziliense GDF vai à Justiça contra paralisação de professor Estado de Minas Atentado expõe ameaças à Justiça Zero Hora Produção de grãos deve injetar R$ 122 bilhões na economia gaúcha * Jornais internacionais The New York Times (EUA) Grupos palestinos são considerados culpados em julgamento The Washington Post (EUA) CIA planeja expandir espionagem cibernética The Guardian (Reino Unido) Dados secretos mostram espiões de Israel em desacordo com Netanyahu sobre Irã Le Monde (França) A nova face da censura El País (Espanha) Judiciário irá investigar pagamento a juízes de Madrid Clarín (Argentina) 'O único partido é a constituição', dizem juízes para Cristina | poder | 2 | 0.950739 |
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] | Após conseguir, com apoio do PT e da sua tropa de choque, suspender a reunião do Conselho de Ética que analisaria o parecer preliminar pela admissibilidade do pedido de cassação do mandato do presidente da Câmara, Eduardo Cunha (PMDB-RJ), o peemedebista manobrou mais uma vez e cancelou, já no plenário, a sessão ocorrida na manhã desta quinta-feira (19). Após uma guerra de questões de ordem, o segundo secretário, Felipe Bornier (PSD-RJ), para quem Cunha passou a presidência, acatou os argumentos dos aliados do peemedebista assim que começaram as discussões acerca do Conselho. As alegações giraram em torno de descumprimentos de questões regimentais, todas já alegadas durante a reunião da comissão julgadora. Mesmo sem integrar a comissão julgadora, a tropa de choque do peemedebista compareceu em peso à sessão para derrubar a sessão. Sem registrar presença, um dos mais fieis escudeiros de Cunha, André Moura (PSC-SE), pediu o encerramento da sessão antes mesmo que ela fosse aberta alegando falta de quórum. Com base no artigo 79 do Regimento Interno, alegou que, passados 30 minutos do horário marcado para o início dos trabalhos do Conselho, o presidente deveria declarar que não haveria quórum suficiente. Agendada para 9h30, às 10h apenas oito membros já haviam registrado presença. André Moura pediu a palavra às 10h20. Às 10h23 o quórum foi atingido, com 11 integrantes da comissão presentes. Além do presidente e do relator, estavam: Arnaldo Faria de Sá (PTB-SP), Betinho Gomes (PSDB-PE), Júlio Delgado (PSB-MG), Nelson Marchezan (PSDB-RS), Paulo Azi (DEM-BA), Sandro Alex (PPS-PR), além dos suplentes Onyx Lorenzoni (DEM-RS), Capitão Augusto (PR-SP) e Jorginho Mello (PR-SC). Outro aliado de Cunha, Manoel Júnior (PMDB-PB) também apelou ao Regimento Interno, pedindo a leitura da ata da reunião anterior do Conselho, baseado no artigo 50 da norma da Casa. O presidente do Conselho afirmou não ter o documento pronto. Foi interrompido pelo aliado de Cunha que afirmou que a sessão estava impedida de continuar por ferir o regimento. "O presidente do Conselho de Ética é José Carlos Araújo e não Vossa Excelência", respondeu. Como informou a Folha, a sessão desta quinta serviu como um teste de fidelidade dos membros do Conselho que os aliados de Cunha acreditam estar ao lado dele no caso. A orientação era esvaziar a reunião, o que ocorreu. Em um acordo de bastidor que envolve o congelamento dos pedidos de impeachment da presidente Dilma Rousseff, o PT cumpriu com a sinalização dada na quarta (18) de que ajudaria Cunha a protelar seu processo de cassação. Na sessão desta manhã, nenhum petista registrou presença até a abertura dos trabalhos. Em seguida, chegaram Assis Carvalho (PT-PI), que é suplente, e Zé Geraldo (PT-PA). Eles, contudo, acompanharam a reunião em silêncio. | poder | 1 | 1 |
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] | Nada provocou mais polêmica nessas eleições do que o atentado a faca contra o líder nas pesquisas, Jair Bolsonaro (PSL), em Juiz de Fora (MG).O caso polarizou ainda mais a campanha, que se tornou um confronto entre um candidato que levou uma facada e outro que está na cadeia —o ex-presidente Lula, preso em Curitiba, impedido de concorrer pelo TSE (Tribunal Superior Eleitoral) e substituído por Fernando Haddad (PT).Em um ambiente tão emotivo e com programas de governo propositadamente evasivos, sobrou pouco espaço para discussões aprofundadas. Ainda assim, alguns assuntos provocaram vai e vem nos comitês dos candidatos. Mais O mais controverso foi a proposta de Paulo Guedes, guru econômico de Bolsonaro, de criar um imposto sobre transações financeiras aos moldes da extinta CPMF. Revelado por Mônica Bergamo, colunista da Folha, o caso levou Bolsonaro e seus assessores a uma corrida para conter o estrago e afastou Guedes de eventos públicos.Os candidatos a vice-presidente também deram trabalho aos cabeças de chapa, particularmente o general Hamilton Mourão. Vice de Bolsonaro, Mourão criticou o 13º salário, propôs uma assembleia de "notáveis" para fazer nova Constituição e disse que famílias chefiadas por mães e avós são "fábricas de desajustados".Fernando Haddad foi outro que teve que se explicar por causa das declarações de correligionários. Condenado no mensalão e no petrolão, o ex-ministro José Dirceu disse que era “uma questão de tempo para o PT tomar o poder, o que é diferente de ganhar as eleições".Já Fernando Pimentel, candidato à reeleição em Minas Gerais, garantiu que Haddad daria um indulto a Lula, tirando o ex-presidente da cadeia.Entre os próprios candidatos, o mais polêmico foi Ciro Gomes (PDT), já fiel ao seu estilo. Começou a campanha eleitoral prometendo à população endividada “tirar seu nome do SPC”, o que lhe valeu nas redes sociais a alcunha de “pai Ciro”, em referência aos pais de santo do candomblé.O que foi Em uma reunião restrita com investidores, o economista Paulo Guedes, que deve comandar o Ministério da Fazenda caso Jair Bolsonaro (PSL) seja eleito, disse que vai recriar um imposto nos moldes da CPMF, que incide sobre transações financeiras.Como ficou Quando a Folha noticiou a proposta, Bolsonaro e seus aliados tiveram que explicar que sua meta é reduzir a carga tributária. Guedes cancelou participação em uma série de eventos, mas Bolsonaro afirmou que ele “continua firme” na campanha. O que foi Em evento em São Paulo, Mourão afirmou que famílias chefiadas por mães e avós são “fábricas de desajustados” que fornecem mão de obra para o narcotráfico.Como ficou Aliados de Bolsonaro pediram a Mourão para reduzir a agenda pública. O general diria mais tarde que fez uma “constatação” e que a imprensa “pega no seu pé”.O que foi Em palestra em Uruguaiana, no Rio Grande do Sul, o general da reserva Hamilton Mourão, candidato a vice-presidente na chapa de Bolsonaro, disse que o 13° salário é uma “jabuticaba brasileira” e uma “mochila nas costas dos empresários”.Como ficou Assim que a notícia foi publicada, Bolsonaro o desautorizou pelas redes sociais, dizendo que criticar o 13º é uma “ofensa a quem trabalha” e uma prova de “desconhecimento da Constituição”. Na semana seguinte, Mourão voltou a carga e disse que o 13º “prejudicava a todos”.O que foi Questionado pelo jornal El País se havia chance de o PT “ganhar, mas não levar as eleições”, o ex-ministro José Dirceu disse que era “improvável”, mas que, se ocorresse, “seria uma questão de tempo para a gente tomar o poder, o que é diferente de ganhar as eleições”.Como ficou Depois da polêmica, Dirceu recuou e afirmou que sua fala foi “infeliz”.O que foi Candidato à reeleição em Minas Gerais, Fernando Pimentel (PT) afirmou a líderes políticos na cidade de Teófilo Otoni que, se eleito, “Haddad assinará um indulto a Lula em seu primeiro dia de governo”.Como ficou Haddad negou e afirmou que o ex-presidente “é o primeiro a dizer que quer o reconhecimento do Judiciário”. Gleisi Hoffmann, presidente do PT, disse que não via “problema nenhum” no indulto, mas que “respeitava a decisão” de LulaO que foi Em seu programa de governo, o PT propôs a instalação de uma Assembleia Nacional Constituinte. Mourão, vice de Bolsonaro, também falou em uma nova Constituição, mas por meio de uma “assembleia de notáveis”.Como ficou Haddad baixou o tom e disse que seu programa cogita “criar condições” para uma Constituinte, “se o Congresso assim o desejar”. Mourão disse que “era sua posição pessoal, mas não refletia as ideias de Bolsonaro”.O que foi No primeiro debate entre os candidatos, realizado pela TV Bandeirantes, Ciro Gomes (PDT) prometeu que “iria ajudar os 63 milhões de brasileiros endividados” a “tirar o seu nome do SPC” (Serviço de Proteção ao Crédito).Como ficou Manteve a proposta e foi detalhando aos poucos. Disse que estimularia Banco do Brasil e a Caixa Econômica Federal a refinanciar as dívidas, mas que só valeria para quem estivesse endividado até o momento em que falou sobre o assunto pela primeira vez.O que foi Kátia Abreu, candidata a vice-presidente de Ciro Gomes, disse que é “mito” que Ciro seja contra a reforma trabalhista aprovada no governo Michel Temer e que “ninguém vai desmanchar e destruir uma lei”.Como ficou Ciro contradisse sua vice e disse que quer “revogar” a reforma trabalhista.O que foi Os candidatos Geraldo Alckmin (PSDB) e Ciro Gomes (PDT) prometeram zerar o déficit das contas públicas em dois anos. Jair Bolsonaro disse que resolveria o problema em um ano.Como ficou As propostas foram consideradas pouco factíveis. Segundo a Instituição Fiscal Independente, órgão do Senado que monitora as contas públicas, é muito difícil acabar com o déficit público até 2022. Porte de armaO que foi Geraldo Alckmin, do PSDB, passou a defender o porte de arma no campo. Ele disse que “se você mora isolado, vira alvo fácil”.Como ficou Foi tentativa do candidato de manter o apoio da bancada ruralista, todavia, não adiantou. No fim da campanha, eles acabaram apoiando Bolsonaro.O que foi Em seu programa de governo, a candidata Marina Silva (Rede), disse que o direito ao casamento homoafetivo deve ser defendido por lei.Como ficou Questionada sobre o assunto, a candidata, que é evangélica, esclareceu que não apresentaria uma lei para legalizar o casamento gay, mas apenas endossaria se os deputados a aprovassem.O que foi Eduardo Jorge, candidato a vice-presidente na chapa de Marina, defendeu a promoção da alimentação vegetariana como uma “escolha ética, saudável e sustentável”Como ficou A posição causou controvérsia entre os ruralistas. | poder | 1 | 1 |
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] | Abandonada pelo próprio partido na disputa pela presidência do Senado, Simone Tebet (MDB-MS) criticou nesta sexta-feira (29) alguns dos seus companheiros de bancada, afirmando que parte do MDB cedeu à “tentação do fisiologismo, do toma lá dá cá”.A senadora também fez duas críticas ao governo do presidente Jair Bolsonaro (sem partido), afirmando que busca desestabilizar as instituições e que tem um projeto de perpetuação no poder.Tebet também disse que a política armamentista de Bolsonaro é para dar “suporte a uma estrutura de confronto”.A senadora participou na manhã desta sexta-feira de evento virtual com lideranças femininas. Participaram personalidades políticas, do Judiciário e militantes. Mais “Eu, como qualquer mulher brasileira, não me curvo fácil. Não foi fácil receber essa missão [a candidatura pela bancada do MDB]”, afirmou a senadora.“Mas mais difícil do que receber essa missão foi saber que, no meio do caminho, uma parte do meu partido cedeu à tentação do fisiologismo, do toma lá dá cá dos cargos, e optaram por espaços na Mesa [Diretora do Senado] ao invés de espaço de luta, da luta história do MDB."As declarações foram dadas um dia após ter anunciado sua candidatura independente à presidência do Senado.Tebet era a candidata do MDB, mas sua bancada rachou após uma ofensiva do grupo do DEM que ofereceu cargos em troca do apoio a Rodrigo Pacheco (DEM-MG).Pacheco é o candidato do atual presidente da Casa, Davi Alcolumbre (DEM-AP), e de Bolsonaro. O senador mineiro já conta com apoio de 10 bancadas, que garantem votos suficientes para vencer a disputa —desconsiderando possíveis traições.Alcolumbre se reuniu nesta semana com o líder da bancada do MDB, Eduardo Braga (MDB-AM), e ofereceu ao partido a vice-presidência do Senado, a segunda secretaria da Mesa Diretora e o comando de duas comissões —entre elas a importante CCJ (Comissão de Constituição e Justiça), hoje presidida por Tebet.Com a dificuldade da senadora em obter apoio, membros da bancada já vinham pressionando pela desistência e uma composição com o grupo de Pacheco. Após reunião da bancada na quarta-feira (27), houve sinalização de que o acordo avançaria. Por isso Tebet decidiu se lançar como independente.Durante o evento virtual, várias militantes fizeram críticas ao governo Jair Bolsonaro, que estaria representando uma ameaça à democracia. Tebet concordou com as falas.“Vocês falaram muito bem. É um governo que aos poucos desestabiliza as instituições, descredencia a imprensa livre, organismos da sociedade civil, como o nosso, organismos internacionais para poder ocupar espaço e aos poucos tenta, em um processo que está relacionado a uma perpetuação no poder. O problema não é 2022. O problema é o que eles farão em 2021”, completou.A senadora em seguida afirmou que as mulheres podem justamente ser a fonte da resistência ao atual governo. E pediu atenção aos movimentos sociais para monitorarem a atuação do Congresso após as eleições para as presidências da Câmara e do Senado.“Vocês precisam ficar atentas ao que vai acontecer a partir do dia 2 no Senado. Essa pauta armamentista, que não é para dar segurança para a família. É para dar suporte a uma estrutura de confronto, porque é isso que eles querem. Qualquer coisa vai ser motivo para colocar arma na rua, para decretar estado de defesa”, afirmou.“Ao ouvir falar essa palavra [estado de defesa], porque quem é advogada como eu, eu cheguei a falar ‘não é possível que eu estou voltando a ouvir isso’. Estado de defesa é a antessala. É a porta de entrada para algo muito mais grave." Mais Também nesta sexta-feira, a equipe do senador Jorge Kajuru (Cidadania-GO) entrou com um mandado de segurança contra Alcolumbre e a Mesa Diretora do Senado para que seja respeitada a regra da proporcionalidade na eleição que será realizada na próxima segunda-feira (1º).A regra, prevista no regimento da Casa e na Constituição, argumenta o senador na ação, prevê que a presidência do Senado caberia à maior bancada. No caso, a do MDB, que conta com 15 senadores.“Assim como a vitaliciedade, inamovibilidade e irredutibilidade garante a independência do Poder Judiciário, a representação proporcional dos partidos na constituição da Mesa Diretora, que é a responsável pela organização da agenda do Legislativo e das pautas de votação, garante que este Poder não estará sujeito a controle e interferências externas (pelo menos em tese)”, afirma Kajuru na petição.No documento, ele argumenta que há desrespeito à independência entre os Poderes, uma vez que o governo Bolsonaro estaria oferecendo cargos e verbas em troca de votos.“Para garantir a eleição do seu escolhido, o chefe do Poder Executivo tem feito inúmeras intervenções e cooptações (como se referiu o senador Tasso Jereissati), o que inclui distribuição de cargos e liberação de emendas." | poder | 1 | 1 |
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] | CATIA SEABRA DE SÃO PAULO O prefeito de São Paulo e candidato à reeleição, Fernando Haddad (PT), acusou a adversária Marta Suplicy (PMDB) de "oportunismo barato" por apresentar em seu programa obras que, segundo o petista, foram paralisadas em decorrência da desistência de empreiteiras responsáveis por sua execução. Segundo ele, "Marta sabe que as obras de uma empresa que quebrou tem problemas" porque sua substituição requer um ritual. "Isso é oportunismo barato", disse o prefeito. Embora condene a nacionalização do debate municipal, o prefeito apoiou candidatos a vereador que, antes de sua chegada ao bairro do Grajaú, afirmaram em seus discursos que o governo Temer retirará direito dos trabalhadores e afetará a receita dos municípios. Segundo ele, a população tem que ser alertada de que a proposta de reforma de Temer é injusta. | poder | 1 | 1 |
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] | José de Abreu avisou a seus seguidores nesta semana que estava a caminho de Paris, depois de passar por Holanda, Suécia e Dinamarca.Para o TJ-SP (Tribunal de Justiça de São Paulo), no entanto, o ator "se encontra em local incerto e não sabido".Desde outubro de 2017, quando a então primeira-dama da capital paulista, Bia Doria —hoje primeira-dama do estado—, entrou com uma ação contra ele, a Justiça nunca conseguiu citá-lo para responder ao processo.A mulher do governador João Doria (PSDB), que na época ainda era prefeito de São Paulo, acionou Abreu judicialmente, pedindo R$ 100 mil de indenização por dano moral.Ela alegou que o ator da TV Globo, que é apoiador do PT e detrator do tucano, ofendeu "sua honra e reputação ao compará-la a um animal".Em 9 de outubro de 2016, um ano antes de Bia entrar com o processo, ele escreveu no Twitter: "STF proíbe vaquejada mas permite que a Bia Doria dê entrevista? é um crime contra os animais...".Naquele dia, a Folha havia publicado entrevista com ela sobre a eleição de Doria para a prefeitura. A repercussão foi catastrófica, a ponto de Bia ser, desde então, blindada de contato com a imprensa.Em um dos trechos da entrevista, destacado por Abreu em outro tuíte, a artista plástica dizia se orgulhar de ter transformado a vida dos assistentes de seu ateliê."Todos moravam em barracos e nem tinham dentes. Consegui casa para todos eles, dei dentes para eles, dei um plano de saúde bom", afirmou.O ator, na rede social, enfatizou: "Bia Doria deu dentes para seus empregados".Mas o problema mesmo foi a postagem que associou o nome dela à liberação, pelo STF (Supremo Tribunal Federal), da vaquejada —corrida entre dois vaqueiros montados a cavalo que têm o objetivo de derrubar um boi."Para um cidadão médio, ao ler o termo vaquejada, no seu sentido literal, inconscientemente e imediatamente é remetido ao termo 'vaca'", escreveram os advogados de Bia.A artista afirmou que se sentiu ofendida e pediu à Justiça que o Twitter fosse obrigado a apagar o post, no que foi atendida.Começou, então, a saga para intimar o ator, que até hoje não tem advogado constituído para representá-lo na causa.Como ele mora no Rio de Janeiro e o processo corre em São Paulo, a praxe é o tribunal do estado de origem expedir uma carta precatória para a outra jurisdição localizar a parte.Em julho de 2018, a Justiça autorizou buscas sobre os endereços de Abreu em dois sistemas, um que rastreia dados da Receita Federal e outro que faz cruzamento com registros do Departamento Nacional de Trânsito.O ator foi procurado por oficiais de Justiça nos locais relacionados a seu nome, mas não foi encontrado.Em outra tentativa, foram enviadas correspondências a quatro operadoras telefônicas com a solicitação de compartilhamento de endereços ligados a Abreu. Sem sucesso.A Globo, onde ele trabalha, também foi acionada para fornecer o endereço de seu funcionário. A emissora atendeu à demanda e compartilhou a informação, mas no local apontado a resposta foi: "Mudou-se".Em maio deste ano, Abreu entrou no ar na novela das nove "A Dona do Pedaço". Em 13 de novembro, o juiz despachou: "O réu é ator conhecido e atualmente está no elenco da novela da Globo. Portanto, a citação pode se dar no local das gravações". Só que a trama acabou nove dias depois, sem que o ator fosse contatado.Encerrado o trabalho, Abreu tirou férias. Como contou na rede social, está viajando pelo mundo e acaba de desembarcar na capital francesa, onde comprou em 2014 um apartamento, hoje alugado.Na decisão mais recente da ação aberta por Bia, o magistrado Douglas Iecco Ravacci decidiu na terça-feira (10) que a citação poderá ser feita por edital, "tendo em vista que restam exauridos todos os meios disponíveis para localização do requerido".À Folha Abreu diz estranhar que a Justiça não consiga achá-lo, já que gravou duas novelas na Globo desde o início do processo. "O que eu vou fazer? Isso não é problema meu. Eu não sei [o que aconteceu]."Ele afirma que desistiu de manter casa no Rio "há uns cinco anos" e, desde então, mora em locais alugados via Airbnb. "Eu não tenho endereço fixo. Não moro em lugar nenhum. Eu moro onde me dá na telha."Abreu diz ainda que seu post sobre a mulher de Doria era uma piada e que, se for preciso, está disposto a ir até o STF (Supremo Tribunal Federal) para garantir seu direito à liberdade de expressão."Sou um comediante, eu faço piada. Eu tenho direito de me expressar. Não vou perder uma piada por medo de processo. Esses caras estão malucos."Nessa toada, ironiza: "Eu devo ter uma importância jurídica imensa, né? Para o cara [juiz] mandar me citar por edital"."A Justiça tem mais o que fazer do que ficar perseguindo ator. Não sei que prejuízo moral eu dei à dona Bia Doria. Eu não vou parar de falar.""Vejam até onde vai a covardia do Zé de Abreu", publicou Doria em sua conta no Twitter neste sábado (14) sobre não conseguirem localizar o ator."Um notório ativista da esquerda e defensor do Lula. Que desrespeita mulheres, cospe na cara das pessoas e, após condenado, foge covardemente da justiça", escreveu o governador.José de Abreu respondeu ao tweet de Doria. "O governador é tão covarde que nao cita minha @. A cara mostra o caráter", escreveu em seu perfil na rede social.Para o advogado de Bia no caso, Jacomo Andreucci Filho, o ator "não atualiza seus endereços nos cadastros justamente para ocultar-se de citações".Abreu contesta a fala e diz que seus dados estão em dia na Globo, no banco onde tem conta e na Receita Federal.Andreucci afirma que tanto a defesa da primeira-dama quanto a "de todos aqueles que são injustamente ofendidos" pelo ator esperam que o processo termine em condenação."Que faça a retratação pelo mesmos meios utilizados para realizar as ofensas e também que seja condenado ao pagamento dos danos morais requeridos", diz o advogado. A primeira-dama, que é presidente do conselho do Fundo Social de São Paulo (braço do governo para programas sociais), pretende doar o dinheiro da indenização, caso vença a causa.Segundo seu defensor, os recursos iriam para as Obras Sociais Irmã Dulce. Procurada via assessoria de imprensa, Bia não quis se pronunciar sobre o caso.Em outro conflito, Abreu foi condenado em julho a pagar R$ 20 mil de indenização ao hospital Albert Einstein por ter escrito no Twitter que a instituição apoiou o atentado a faca contra o hoje presidente Jair Bolsonaro.O ator criou uma vaquinha virtual e arrecadou o valor em menos de 24 horas. Nesse processo, ele foi formalmente citado e apresentou defesa. | poder | 1 | 1 |
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] | A campanha do governador de Minas Gerais, Fernando Pimentel (PT), pagou R$ 440 mil a uma empresa que é citada na operação Lava Jato como suspeita de repassar propina ao ex-deputado André Vargas (sem partido-PR). A gráfica MPV7 caiu na investigação sobre o esquema de corrupção na Petrobras por ter feito diversos depósitos na conta de uma empresa fantasma mantida pelo paranaense, entre 2011 e 2014. O dinheiro era pago por indicação da agência de publicidade Borghi/Lowe. Ela subcontratava firmas para executar serviços e, em troca, pedia que essas entidades repassassem parte dos ganhos à conta da LSI, empresa de fachada do ex-deputado. Vargas se desfiliou do PT em 2014, quando o escândalo na Petrobras já havia estourado. Ele foi preso em abril passado, denunciado por corrupção e lavagem de dinheiro. A MPV7 foi a quarta maior fornecedora de material de propaganda da campanha de Pimentel ao governo mineiro, em 2014. Segundo a prestação de contas entregue pelo comitê do petista, a empresa foi contratada para fornecer folhetos, placas e faixas. Ao todo, a campanha de Pimentel pagou R$ 439,7 mil à MPV7. O montante está distribuído em 72 notas fiscais, com datas que vão de julho a setembro. Os registros mostram que a campanha petista chegou a fazer até 30 pagamentos em um só dia, descritos em notas separadas. Dos 72 recibos, 71 são sequenciais. REPROVADAS Em novembro de 2014, a equipe que fiscaliza a prestação de contas dos candidatos no TRE (Tribunal Regional Eleitoral) de Minas achou irregularidades no caixa do petista. Entre elas estava a "omissão" de despesas com gráficas que trabalharam para Pimentel, como a MPV7. Na checagem dos dados, o controle interno do TRE encontrou ao menos 13 peças publicitárias produzidas pela MPV7 que não tinham sido declaradas à Justiça. Pimentel retificou essas informações, mas não conseguiu esclarecer todas as pendências. Suas contas de campanha foram reprovadas. O petista foi condenado a uma multa de R$ 52 milhões e recorreu ao TSE (Tribunal Superior Eleitoral) para reverter a decisão. O processo ainda não foi julgado. Os auditores do TRE também flagraram peças produzidas pela Gráfica Editora Brasil, de Benedito Oliveira, fora da prestação de contas de Pimentel. Conhecido como Bené, o empresário foi preso pela Polícia Federal na semana passada acusado de comandar um esquema de lavagem de dinheiro. | poder | 1 | 1 |
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] | Cobrado por senadores da oposição sobre declaração em que dá a entender que o processo de impeachment de Dilma Rousseff é um golpe, o presidente do Senado, Renan Calheiros (PMDB-AL), complementou sua fala e, em discurso no plenário da Casa nesta quarta-feira (23), defendeu que haja investigações sobre quaisquer excessos cometidos pelo poder Judiciário. "Quando criamos o CNJ, foi para que o conselho, diante de qualquer excesso, tome providências. O país está aguardando as providências do Conselho Nacional de Justiça com relação a eventuais excessos que possam ter havido no Judiciário, se é que houve esses excessos. Mas essa palavra é a palavra que caberá ao CNJ e não ao Senado". Questionado, Renan negou ter se referido ao juiz Sergio Moro, responsável pela Operação Lava Jato em Curitiba. Na terça (22), um grupo de senadores aliados à presidente Dilma pediu ao CNJ (Conselho Nacional de Justiça) a abertura de um processo disciplinar contra o magistrado. O assunto foi debatido no plenário e virou polêmica ao lado da declaração dada ontem por Renan, quando afirmou que, sem a caracterização de crime de responsabilidade, o impeachment tem outro nome. Aos jornalistas, Renan disse que a menção ao CNJ não se trata de recado, apenas de resposta às discussões no plenário. "É evidente que as instituições no Brasil estão funcionando. Ontem disse que tinha preocupação a mais. Em momento de crise, quando instituição se preocupa em grilar função de outra instituição, acaba colaborando para agravamento da crise", disse. Ele voltou a dizer, contudo, não poder afirmar se há algum tipo de conduta a ser investigada. "Se há excesso, e eu não sei se há, porque não cabe ao Senado constatá-lo, cabe ao Conselho dizer e sobre ele decidir". E repetiu: "O processo [de impeachment] é constitucional, se estiver caracterizado. Sem dúvida deve prosseguir. Tenho preocupação com a caracterização. Levar adiante um processo de impeachment que não tenha a caracterização do crime de responsabilidade é muito ruim". Nesta terça, em entrevista à imprensa, Renan afirmou que, como presidente do Congresso, precisa manter a isenção e imparcialidade sobre o caso. A declaração ocorreu após encontro do senador com o ex-presidente Luiz Inácio Lula da Silva, escalado por Dilma para tomar conta da articulação política e aposta do governo para barrar o processo de impeachment. Renan, contudo, tem se reunido também com oposicionistas. Nessas circunstâncias e entre aliados, tem avaliado que não há mais jeito para a situação da presidente Dilma e que, se o processo de impeachment passar na Câmara, será difícil barrá-lo no Senado. | poder | 1 | 1 |
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] | O procurador-geral da República, Rodrigo Janot, pediu ao STF (Supremo Tribunal Federal) o prosseguimento de investigação sobre uma denúncia de suposto crime eleitoral durante a campanha de 2012 na Paraíba. Um dos investigados é o ministro do TCU (Tribunal de Contas da União) Vital do Rêgo Filho (PMDB-PB). Naquela campanha, segundo inquérito aberto pela Polícia Federal da Paraíba, Vital participou de uma reunião com 150 servidores da Prefeitura de Campina Grande (PB), então comandada pelo seu irmão, atual deputado federal Veneziano Vital do Rego (PMDB-PB), na qual teria sido pedido "empenho" de um grupo de 150 servidores municipais na campanha da aliada da família Rego, Tatiana Medeiros (PMDB-PB), para que seus empregos fossem preservados. Segundo a manifestação de Janot, protocolada no STF no último dia 10, a Polícia Federal deverá receber as explicações por escrito do ministro e de seu irmão, o deputado federal Veneziano Vital do Rego (PMDB-PB) –dessa forma, Janot dispensou a tomada de depoimentos de ambos, ao contrário do que vem ocorrendo com outros parlamentares nos inquéritos abertos em desdobramento da Operação Lava Jato. "Alguns depoimentos colhidos no inquérito policial confirmam, em certa medida, os fatos narrados na notícia-crime que deu origem à investigação", escreveu Janot em sua manifestação ao ministro do STF relator do processo, Luís Barroso. A apuração vai averiguar eventual crime previsto no artigo 299 do Código Eleitoral, que prevê pena de prisão de até quatro anos para quem oferece aos eleitores vantagens em troca de votos, "ainda que a oferta não seja aceita". A investigação começou ainda durante a campanha eleitoral de 2012, quando a Justiça Eleitoral recebeu um e-mail do funcionário público Josimar Reis de Mendonça, que também foi chamado à reunião mas se recusou a comparecer. Ele disse à PF que "a reunião tinha como objetivo pressionar os funcionários da prefeitura de Campina Grande, principalmente os terceirizados, a votarem na candidata Tatiana". A Justiça conseguiu enviar ao evento dois oficiais de Justiça de propaganda eleitoral. A reunião ocorreu no comitê de campanha de Tatiana em 1º de agosto de 2012. Os fiscais confirmaram a presença do ministro do TCU, então senador pela Paraíba, e de seu irmão Veneziano. De acordo com os fiscais, as pessoas que chegavam à reunião "assinavam uma lista de presença". Segundo os fiscais, durante a reunião Vital do Rego e seu irmão pediram aos servidores "que participassem da campanha da candidata" e que "contavam com o empenho dos mesmos". No inquérito, a PF tomou o depoimento de servidores que participaram da reunião. A funcionária Alana Suênia Guimarães Oliveira Gomes disse que "durante a reunião, o prefeito Veneziano solicitou que todos ajudassem na campanha de Tatiana, pois, se ela vencesse, todos continuariam nos seus empregos". Outra servidora, Maria Auxiliadora Silveira Santos, disse ter ouvido do prefeito que a vitória da candidata "era uma forma de cada um dos comissionados se manterem nos seus cargos, como também dar continuidade ao projeto administrativo que vinha sendo implantado". Embora os fiscais tenham fotografado a fila de pessoa assinando uma lista de presença, o comitê de campanha de Tatiana, quando questionado pela PF, disse que tal lista não existia. OUTRO LADO Em nota enviada à Folha, o ministro afirmou que não tinha conhecimento sobre o inquérito nem "nunca" havia sido "instado a prestar quaisquer esclarecimentos relacionados" ao assunto. Ele qualificou o trabalho da Folha de obter seus esclarecimentos como "'cruzada' jornalístico-investigativa". Sobre o assunto investigado pela PF, Vital do Rêgo afirmou que "reuniões políticas são parte do exercício do mandato de todo parlamentar, sendo um dos direitos fundamentais garantidos pela Constituição Federal em seu artigo 5º. Todas as reuniões de campanhas políticas do PMDB de Campina Grande eram realizadas com respeito às leis, às instituições e às pessoas; tendo como objetivo óbvio a manifestação de nossos candidatos, e a exposição das inúmeras ações de nosso partido no exercício do poder municipal". O deputado Veneziano afirmou à Folha, por telefone, que não havia sido notificado a respeito do inquérito e disse desconhecer a sua existência, não podendo fazer comentários sobre assunto de que não tem conhecimento. | poder | 1 | 1 |
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] | O secretário-executivo de Coordenação de Governo do Rio, Pedro Paulo Carvalho (PMDB-RJ), disse há sete dias, em entrevista à Folha, que a agressão praticada contra a sua ex-mulher Alexandra Mendes Marcondes "foi uma briga de casal que fugiu do controle. Na ocasião, Pedro Paulo contou que essa foi a única briga do casal. O depoimento de Alexandra em uma delegacia de São Paulo, em 2008, entretanto, o contradiz. Em 2008, à 1h30 da madrugada do dia 26 de dezembro, o secretário teria agredido a ex-mulher diante da filha, então com dois anos de idade, quando retornavam para o apartamento onde estavam hospedados. O caso foi registrado na 43ª DP (Cidade Ademar), em São Paulo. A notícia foi divulgada no site da revista "Época". Em seu relato ao delegado Milton Toschi Júnior, Alexandra disse que estava no carro do casal no momento em que começaram a discutir. Na ocasião, o secretário chamou a mulher de "vagabunda", "piranha", "filha da puta" e depois iniciou a agressão física "desferindo socos em seu corpo e rosto", segundo consta no documento. A ex-mulher de Pedro Paulo foi encaminhada ao IML (Instituto Médico Legal) para ser atendida. Na época desta agressão em São Paulo, Pedro Paulo e Alexandra já estavam casados havia sete anos. Para preservar o casamento, ela deixou o caso de lado. A Lei Maria da Penha ainda não estava regulamentada, fato que aconteceu após a decisão de 2012, do STF (Supremo Tribunal Federal). Até então, o caso só poderia seguir com a vontade da vítima. Atualmente, o Ministério Público segue com o processo independentemente da decisão da mulher agredida. Em 6 de fevereiro de 2010, Alexandra voltou a ser vítima de agressão de Pedro Paulo, desta vez no Rio. Nas duas vezes, ele já trabalhava na cúpula do governo Paes. Por causa da agressão em 2010 contra a ex-mulher, o secretário é alvo de um inquérito a ser enviado para a Procuradoria-Geral da República –deputado licenciado, ele tem foro privilegiado Ao retornar de viagem, Alexandra Marcondes encontrou marca de batom na taça de vinho, fios de cabelo na cama e no ralo do banheiro, além de um sutiã jogado debaixo da mesa da cozinha. As imagens do circuito interno do condomínio revelaram que outra pessoa estivera com Pedro Paulo na noite anterior. Pedro Paulo então iniciou a briga com Alexandra. Além das ofensas verbais, ela conta que o secretário derrubou-a no chão, chutou suas pernas e deu socos em seu rosto, segundo o depoimento da ex. As agressões de 2010 tiveram como resultados hematomas e um dente quebrado. "É importante a gente distinguir um descontrole em um episódio, uma briga de casal, uma discussão de casal, do que é um episódio deliberado de violência doméstica. [...] A lei Maria da Penha é clara nesse sentido. Ela distingue o que são episódios de briga de casal, que acontecem no cotidiano da famílias, do que é um ato de violência familiar", disse à Folha na quinta (5). Ao ser questionado sobre a agressão em 2008, a assessoria de Pedro Paulo informou que não se pronunciaria sobre o assunto naquele momento. A Lei Maria da Penha considera violência física doméstica familiar contra mulher "qualquer conduta que ofenda sua integridade ou saúde corporal". A legislação não fala sobre necessidade de ataques físicos continuados para definir o enquadramento. | poder | 1 | 1 |
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] | O presidente afastado da Câmara, Eduardo Cunha (PMDB-RJ), disse à Folha na tarde desta quarta-feira (6) que o relatório de Ronaldo Fonseca (Pros-DF) que o beneficia tem "colocações corretas", mas "algumas conclusões indevidas". "O relatório tem colocações corretas, mas algumas conclusões indevidas, especialmente no caso do relator do Conselho e do aditamento. Não concordo com as conclusões. Embora ele tenha concordado com os argumentos. Óbvio que é uma nulidade absoluta e independente de comprovação de prejuízo." Fonseca apresentou esta manhã na CCJ (Comissão de Constituição e Justiça) seu parecer que vinha mantendo sob sigilo. Nele, defendeu a anulação da sessão do Conselho de Ética que, em 14 de junho, aprovou a cassação do mandato do peemedebista. Dos 16 questionamentos apresentados por Cunha sobre a tramitação de seu processo de cassação no Conselho de Ética, Fonseca acolheu apenas um, o que trata da forma da votação, por chamada nominal. Disse em seu parecer que houve uma "emenda regimental". Deixou de acolher, contudo, os argumentos de Cunha sobre a suspeição do relator no conselho, deputado Marcos Rogério (DEM-RR), e sobre a nulidade a partir de aditamentos feitos ao processo já em andamento. Em sua conta no Twitter minutos antes de a sessão desta manhã começar, Cunha descartou a possibilidade de comparecer à CCJ nesta quarta, embora tenha comunicado ao Supremo Tribunal Federal que pretendia fazê-lo. Disse, contudo, que estará na Câmara na próxima sessão para exercer seu direito de defesa. Questionado sobre outras possibilidades de recursos, afirmou a necessidade de "aguardar" a votação na CCJ. Aliados, contudo, não descartam que ele, num último momento, recorra mais uma vez ao STF antes de seu caso ser levado ao plenário. Há solicitações diversas de parlamentares para que a Câmara não entre em recesso branco nas duas quinzenas finais de julho. O presidente interino da Casa, Waldir Maranhão (PP-MA), já comunicou, contudo, que haverá o descanso. Batalha final | poder | 1 | 1 |
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] | A politização do debate sobre a pandemia do novo coronavírus tem gerado ruído em diferentes esferas da vida cotidiana, em especial no Brasil, onde a Presidência da República mantém discurso polêmico que por vezes contradiz recomendações de autoridades sanitárias de seu próprio governo.A mensagem que relativiza a ciência e suas instituições, por exemplo, remete à religião papel determinante na busca por soluções sobrenaturais e cura para parcela considerável da opinião pública.A pesquisa Datafolha realizada de 1º a 3 de abril, com amostra de 1.511 brasileiros adultos de todas as regiões do país, permite comparar avaliações e comportamentos diante da pandemia assumidos por católicos e evangélicos, que juntos somam a esmagadora maioria da população brasileira.Quando se pergunta se haverá muitas mortes ou poucas mortes, respondem que serão muitas mortes 50% dos católicos e 53% dos evangélicos. Diferença pouco significativa. O mesmo se dá quando dizem que os brasileiros estão se preocupando com a epidemia mais do que deveriam (20% e 19%, respectivamente).Essa proximidade de posicionamento muda quando questionados sobre o temor de serem infectados —por alguma razão, os evangélicos se sentem mais protegidos do que os católicos, com uma diferença de 11 pontos percentuais.Mais próximos do pensamento de Bolsonaro, os evangélicos concordam em 44% dos casos que as pessoas que não pertencem ao grupo de risco (idosos e doentes) deveriam sair para trabalhar e não ficar em casa, número que, para os católicos, é de 33%.Opinam que as escolas devem permanecer fechadas 90% dos católicos e 84% dos evangélicos. Apoiam que o comércio não essencial se mantenha fechado 68% dos católicos contra 59% dos evangélicos.Essa maior proximidade entre evangélicos e o presidente se reafirma quando 49% deles estão de acordo que Bolsonaro mais ajuda que atrapalha, contrastando com os 37% dos católicos.Para a maioria dos católicos, o governador de São Paulo, João Doria, está certo no combate à Covid-19 e os brasileiros não devem seguir as orientações do presidente. Para os evangélicos, essa taxa é inferior em 13 pontos percentuais.Afirmar que há visível afinidade entre evangélicos e Bolsonaro não contempla toda a realidade. Muitos evangélicos não votaram no presidente eleito e pensam de outra forma. A pesquisa nos permite separar católicos e evangélicos em dois grupos: os que votaram em Jair Bolsonaro e os que votaram em Fernando Haddad no segundo turno. As diferenças apontadas, com isso, ganham maior magnitude.Os evangélicos bolsonaristas são os que mais afirmam não ter medo do contágio (32%), os que mais acreditam que as pessoas fora do grupo de risco devem sair para trabalhar (57%), os que menos querem ver fechados as escolas (79%) e o comércio (47%).Em maior número acham que Bolsonaro mais ajuda que atrapalha (67%) e são os que menos aceitam que se deve seguir orientações do governador Doria e não as do presidente (31%).Os evangélicos eleitores de Haddad têm taxas bem diferentes, sua posição é outra. Por sua vez, entre os católicos, ser bolsonarista ou não é igualmente um divisor de águas. De todo modo, a identidade religiosa tem um peso inegável na avaliação da pandemia.Ao avaliar as medidas tomadas pelas autoridades, os evangélicos que votaram em Bolsonaro se destacam no apoio ao presidente, mas não na ação de seus ministros da Saúde e da Economia e governadores de estado, mais apoiados pelos bolsonaristas católicos.Outro dado que corrobora os contrastes é a diferença de 10 pontos percentuais na taxa dos que se se dizem arrependidos por terem votado em Bolsonaro na última eleição presidencial —12% dos evangélicos contra 22% dos católicos.Os resultados no geral refletem o alinhamento do presidente com a posição de algumas correntes evangélicas que defendiam, especialmente na fase inicial da epidemia no país, a abertura dos templos e no máximo, isolamento vertical.Católicos, mesmo os que optaram por Bolsonaro na última eleição, mostram-se proporcionalmente mais alinhados com o discurso atual do vaticano e da CNBB que prega o isolamento total, com igrejas fechadas e transmissão de missas principalmente por plataformas digitais. | poder | 1 | 1 |
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] | Em meio a repetidos ataques do presidente Jair Bolsonaro contra o STF (Supremo Tribunal Federal), o procurador-geral da República, Augusto Aras, e o presidente da Câmara, Arthur Lira (PP-AL), resistem a endossar o Supremo.Bolsonaro tem feito ameaças golpistas reiteradas contra a eleição de 2022 e atacado os ministros Luís Roberto Barroso e Alexandre de Moraes, do STF e do TSE (Tribunal Superior Eleitoral).Lira e Aras mantiveram o silêncio em relação aos ataques disparados pelo presidente nesta sexta-feira (6). Nenhum dos dois repreendeu Bolsonaro, que voltou a xingar Barroso durante um evento em Joinville (SC).Na última quinta-feira (5), o presidente do Supremo, ministro Luiz Fux, cancelou uma reunião dos chefes dos Três Poderes que serviria para baixar a tensão na crise institucional. Segundo Fux, Bolsonaro não cumpre a própria palavra. Para o magistrado, é "certo que, quando se atinge um dos integrantes do tribunal, se atinge a corte por inteiro".Para chamar à discussão o procurador-geral da República, que foi indicado à recondução no órgão por decisão de Bolsonaro e aguarda sabatina e votação no Senado, Fux marcou uma reunião nesta sexta. O encontro durou 50 minutos.Aras e Fux soltaram notas para falar do encontro e, nos textos, não há menção aos ataques de Bolsonaro ao sistema eleitoral nem às ofensas feitas a Barroso e Moraes.A PGR se limitou a afirmar que as duas autoridades "renovaram o compromisso da manutenção de um diálogo permanente entre o Ministério Público e o Judiciário para aperfeiçoar o sistema de Justiça a serviço da democracia e da República".Já o STF explicou que convite de Fux a Aras ocorreu por causa do "contexto atual", sem mencionar a tensão vivida entre a corte e o presidente da República. "Ambos reconheceram a importância do diálogo permanente entre as duas instituições", disse o texto.A interlocutores Fux disse que convocou a reunião para dizer a Aras que ele deve cumprir o seu papel, assim como o STF. O procurador-geral afirmou ao ministro que irá cumprir seus deveres.No entanto, no Supremo há uma desconfiança em relação à postura de Aras. Isso porque, o PGR tem adotado uma posição alinhada a Bolsonaro desde o início da gestão e tem evitado atritos com o presidente.Bolsonaro, por exemplo, chegou a afirmar que o TSE frauda as eleições, mas Aras nunca se manifestou sobre o tema tampouco comentou as ofensas de Bolsonaro a ministros do STF.Integrantes da cúpula da PGR não alinhados a Aras cobraram um posicionamento do chefe do MPF (Ministério Público Federal) sobre os ataques de Bolsonaro ao sistema eleitoral.Em carta divulgada na tarde desta sexta-feira, 29 dos 74 subprocuradores-gerais da República declararam que Aras não pode ser passivo diante das investidas do presidente e precisa defender o STF e o TSE. Mais Nesta semana, diante da omissão da Procuradoria em relação à conduta de Bolsonaro, o TSE agiu de ofício, ou seja, sem provocação do Ministério Público, como ocorre geralmente, e abriu um inquérito para investigar o presidente por acusar, sem provas, o sistema eleitoral de fraude.Além disso, a corte enviou uma notícia-crime ao Supremo por causa da live do dia 29 de julho em que o chefe do Executivo fez uma série de acusações falsas contra as urnas e, dois dias depois, Moraes decidiu incluir Bolsonaro como investigado no inquérito das fake news.Os dois movimentos ocorreram sem a participação de Aras.Em pronunciamento à tarde, Lira que seguirá cumprindo a Constituição. Em nenhum momento de sua declaração, o presidente da Câmara defendeu os ministros do STF e do TSE das investidas de Bolsonaro."Repito, não contem comigo com qualquer movimento que rompa ou macule a independência e a harmonia entre os Poderes, ainda mais como chefe do Poder que mais representa a vontade do povo brasileiro", afirmou, sem permitir que perguntas fossem feitas por jornalistas.O presidente da Câmara disse ainda que seguirá pregando a harmonia entre os Poderes e fez uma referência velada à sua prerrogativa de dar início a um processo de impeachment contra o presidente da República. "O botão amarelo continua apertado. Segue com a pressão do meu dedo. Estou atento, 24 horas atento. Todo tempo é tempo."Lira afirmou que, para quem fala que a democracia está em risco, não há nada mais livre, amplo e representativo do que deixar o plenário da Câmara se manifestar sobre o voto impresso, por exemplo.Ele decidiu levar a PEC do voto impresso, derrotada em comissão especial da Câmara, ao plenário da Casa. Conforme antecipou a coluna Mônica Bergamo, Lira mandou recado ao TSE de que a proposta de emenda à Constituição será derrotada pelos deputados.A interlocutores, nos bastidores, o presidente da Câmara disse que cobrou de Bolsonaro respeito ao resultado do plenário e espera que ele encerre as ameaças com o voto impresso. Lira teria dito que respeitará a decisão dos deputados. Mais Bolsonaro tem travado uma cruzada contra as urnas eletrônicas, levantando suspeitas infundadas contra o sistema eleitoral brasileiro e a Justiça Eleitoral e disseminando mentiras sobre os pleitos.Ainda nesta sexta, mais cedo, em entrevista à Globonews, o presidente do Senado, Rodrigo Pacheco (DEM-MG), repetiu que qualquer um que pregar que não haverá eleições em 2022, como tem feito Bolsonaro repetidamente, "será apontado como inimigo da nação".Ele reafirmou confiança no sistema eleitoral brasileiro e se solidarizou com os que são alvos de ataque do presidente."Eu reafirmo a minha confiança no TSE e na Justiça Eleitoral, mas nunca deixei de considerar a possibilidade de discutir esse tema. Agora o Congresso vai se pronunciar, e começou ontem numa comissão da Câmara dos Deputados dizendo que não se deve alterar o sistema eleitoral eletrônico no Brasil. E esse é o papel do Congresso, afirmar suas posições legislativas", disse o senador.A declaração foi feita antes de Lira dizer que o tema, mesmo derrotado na comissão especial, seria avaliado pelo plenário da Câmara.Em defesa do STF e TSE sairam entidades de representação da magistratura. Em nota, a Ajufe (Associação dos Juízes Federais) repudiou "a escalada de desrespeito" a integrantes do Supremo protagonizada por Bolsonaro.A associação prestou apoio a Fux, que, segundo ela, "tem se dedicado na busca pelo diálogo equilibrado e transparente entre as autoridades constituídas".A Anamatra (Associação Nacional dos Magistrados da Justiça do Trabalho) pediu respeito à democracia, à Constituição Federal e aos ministros do STF "diante das graves ameaças e agressões proferidas" pelo presidente da República e aliados."Quaisquer investidas contra a democracia e a Constituição Federal devem ser repudiadas com veemência e forças necessárias, a fim de coibi-las definitivamente", afirmou a entidade em nota. | poder | 1 | 1 |
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] | O presidente da Associação Nacional dos Magistrados Estaduais (Anamages), Juiz de Direito Antonio Sbano, e dirigentes da associação participaram de reunião na última segunda-feira (23), em Brasília, com representantes da Associação Nacional dos Delegados de Polícia Federal (ADPF), da Associação ... Leia post completo no blog | poder | 0 | 1 |
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] | Uma ala do MDB que tenta viabilizar o apoio do partido à candidatura de Luiz Inácio Lula da Silva (PT) à Presidência já no primeiro turno conseguiu nesta terça (19) o apoio do ex-presidente Michel Temer para tentar adiar em oito dias a convenção do partido, que definirá o rumo da sigla na eleição presidencial.A convenção nacional do MDB, que está programada para oficializar o nome da senadora Simone Tebet (MS) na corrida pelo Palácio do Planalto, será virtual no próximo dia 27. Hoje, a maioria dos delegados do partido tende a apoiar a candidatura própria.Em caso de retirada da candidatura Tebet, a hipótese que conta com maior simpatia das diferentes correntes é o de liberação.Em minoria entre os delegados emedebistas, o grupo da sigla que apoia Lula articula mais tempo para convencer dirigentes a respaldar a candidatura petista e propõe realizar a convenção no dia 5 de agosto, data-limite para realização desse tipo de ato, de forma presencial.O tema foi discutido em reunião nesta terça-feira (19) no escritório do ex-presidente.O apoio de Temer, um dos principais cardeais do MDB, à empreitada foi lida por emedebistas como gesto importante em direção à campanha petista.De acordo com presentes à reunião, o argumento que convenceu o ex-presidente foi o de que em 42 anos de fundação, o partido nunca teve uma convenção virtual.Contrariado, o presidente nacional do MDB, Baleia Rossi (SP), foi às redes sociais informar que a data está mantida. Em letras maiúsculas, Baleia afirmou que a coligação em torno do nome de Tebet atende pelo nome de centro democrático. Ele encerrou as postagens com "#SimoneSIM".Pouco tempo depois, a senadora publicou foto ao lado do emedebista para informar que deu consentimento para o lançamento de seu nome como candidata à Presidência na convenção do partido, "que acontecerá no próximo dia 27".Temer, segundo aliados, se comprometeu a trabalhar junto a Baleia para convencê-lo da necessidade de mudar a data.Em entrevista à CNN, Temer afirmou que o apoio a Lula não foi debatido na reunião. Segundo ele, Tebet está em viagem a São Paulo para discutir a mudança da data."[Os líderes vieram aqui para] quem sabe ajudar num entendimento interno do partido para eventualmente prorrogar o momento da convenção e não fazer ela virtualmente, mas presencialmente, que tem sido a tradição do MDB", disse o ex-presidente.Em seguida, Temer defendeu a jornalistas a necessidade de diálogo no partido."Eles querem discutir a possibilidade de uma convenção presencial e nela todos terão a palavra. Eu não vejo nenhuma oposição radical a Simone Tebet, pelo contrário. Só palavras de elogios. O que há, e é natural, é a preocupação política em relação ao que possa acontecer na eleição. Mas isso, pelo diálogo se resolve, e é o que eu vou propor", disse Temer.O ex-presidente ainda afirmou que, como emedebista, apoia Tebet, mas como há diretórios que preferem apoiar Lula, é necessário haver mais conversas internas."Acho que ela está decidida, trabalhando muito, de igual maneira Baleia e membros dos diretórios. [Mas] há cerca de 11 com dificuldades seria bom dialogar e conversar."Questionado sobre se a terceira via fracassou e se é possível apoiar o PT, Temer, que capitaneou o impeachment da ex-presidente Dilma Rousseff (PT) respondeu: "Não sei dizer. É preciso dar tempo ao tempo. O tempo é que resolve essas coisas".Temer ainda disse que um eventual encontro com Lula não está "na pauta", mas não rechaçou a ideia.O líder do MDB, Eduardo Braga (AM), disse que a ideia de adiar a convenção tem como objetivo manter a tradição do partido e debater o rumo da legenda com líderes."O que está posto está posto. Onze estados declararam apoio ao presidente Lula no primeiro turno. É óbvio que queremos ter um dialogo com o partido para que esta seja uma convergência interna do partido diante da realidade política que se põe no pais", afirmou Braga.O senador Renan Calheiros (MDB-AL) afirmou que a sigla não "tem dono" e ainda argumentou que o partido diminuiu com a candidatura de Henrique Meirelles (MDB) na última eleição presidencial e disse que a legenda não pode ter uma candidatura de "faz de conta"."Não é com esse nível de pragmatismo que nós devemos fazer política", afirmou Renan.Hoje, a proposta que poderia unir diferentes alas do MDB é não ter candidato algum. De acordo com emedebistas, há chances de o partido crescer nesse cenário. Em 2006, quando a sigla resolveu não apoiar Lula mas também não lançar o ex-governador Anthony Garotinho ao Planalto, o MDB elegeu 89 deputados federais.Participaram do encontro nesta terça os senadores emedebistas Renan Calheiros (AL), Marcelo Castro (PI), Rose de Freitas (ES), Eduardo Braga (AM), líder da legenda no Senado, além do ex-ministro Moreira Franco (RJ), do deputado Isnaldo Bulhões (AL), líder do MDB na Câmara, e do ex-deputado Leonardo Picciani (RJ).O ex-deputado Lúcio Vieira Lima (MDB-BA) e o ex-governador Edison Lobão (MA), que estiveram na reunião com Lula segunda, não participaram do encontro com Temer.Antes de a reunião começar, Isnaldo afirmou à imprensa que não há discussão sobre a legitimidade da pré-candidatura de Tebet e que "não há racha no partido"."Estamos afunilando o diálogo, porque a convenção do partido acontecerá nos próximos dias", diz. Ele também afirmou que manifesto divulgado mais cedo por lideranças do MDB "é natural"."Houve uma nota de vários estados em apoio à candidatura da senadora Simone, que é natural. Outros estados já manifestaram o apoio a Lula. Isso é uma posição independente da consolidação, da confirmação da candidatura da Simone ou não", afirmou.Previamente consultado sobre a reunião desta terça, Temer concordou em recebê-los, mas lembrou aos emedebistas das críticas feitas por Lula à reforma trabalhista encampada em seu governo, além de ser constantemente chamado de golpista pelos integrantes do PT.Sem esse endosso de Temer, restaria como estratégia para apoiadores de Lula a desidratação da pré-candidatura da senadora Simone Tebet (MDB) para que ela mesma desista, o que abriria espaço para uma articulação com com o petista.Os aliados de Lula, porém, ainda reconhecem nos bastidores a dificuldade de rifar a pré-candidatura de Tebet.Nessa segunda-feira (18), os emedebistas informaram a Lula que seriam derrotados caso levassem a disputa a voto durante a convenção. Segundo eles, não houve tempo para articulação de um acordo em prol do ex-presidente.Um dos participantes do encontro chegou a afirmar que essa derrota recairia nos ombros de Lula caso eles insistissem no embate interno. A avaliação é a de que, excluídos os defensores da candidatura de Tebet, a ala bolsonarista poderia ser até maior na correlação de forças internas do MDB.Nesta semana, emedebistas alinhados a Lula estão buscando conversas com outras lideranças do MDB na tentativa de reverter esse quadro.Na segunda (18), o líder do MDB no Senado, o senador Eduardo Braga (AM), anunciou que 11 diretórios estaduais já estarão com o petista no primeiro turno das eleições: Alagoas, Amazonas, Espírito Santo, Paraíba, Pará, Piauí, Maranhão, Ceará, Bahia, Rio Grande do Norte e Rio de Janeiro.Dirigentes do MDB ressaltaram que o encontro desta segunda-feira reúne lideranças estaduais, sem significar apoio dos diretórios com o ex-presidente. Mais Em resposta à reunião da segunda, dirigentes e representantes do MDB em 19 estados divulgaram uma nota oficial, nesta terça, reforçando o apoio ao nome de Tebet na corrida eleitoral.O texto é assinado por nomes como o presidente nacional da legenda, Baleia Rossi, os ex-senadores Romero Jucá e Pedro Simon e o senador Jarbas Vasconcelos.Um dos signatários do texto, Romero Jucá é ligado a Temer. Ele concorrerá ao Senado por Roraima, estado de forte presença do bolsonarismo. Outro aliado de Temer, é Moreira Franco, ex-governador do Rio, onde o MDB compõe a base do PL."Em respeito ao povo brasileiro e aos filiados do MDB, nós - defensores de uma alternativa à polarização e ao populismo –ratificamos nosso compromisso de lutar pela eleição de Simone Tebet à Presidência da República", diz a nota. | poder | 1 | 1 |
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] | Quando Guilherme Boulos (PSOL) é questionado sobre a inexperiência na gestão pública e apresenta sua candidata a vice, Luiza Erundina (PSOL), como credencial, não é apenas retórica. De fato, seu programa de governo pretende reeditar a gestão da ex-petista na Prefeitura de São Paulo, de 1989 a 1992.O problema é que, na época, Erundina conduziu um mandato turbulento e deixou a prefeitura aprovada por 29% dos moradores da capital, segundo o Datafolha. Seu índice de rejeição era de 38%, enquanto 33% consideravam seu mandato regular.Seu candidato à sucessão, Eduardo Suplicy (PT), perdeu para Paulo Maluf (então no PDS) na eleição de 1992.A atual deputada federal tentou se eleger para a prefeitura outras quatro vezes (1996, 2000, 2004 e 2016), mas não obteve sucesso.Na cadeira de prefeita, com minoria na Câmara Municipal, viu suas principais propostas —como o IPTU progressivo e a tarifa zero no transporte— serem travadas.Enfrentou greves e protestos com depredação, desentendeu-se com o próprio partido. Sofreu oposição do establishment político e jurídico, travou embates com o governo federal, teve contas reprovadas e o mandato, ameaçado.A experiência de sair da oposição, com seu discurso inflamado e ora agressivo, para governar pela primeira vez uma grande cidade, o que exige negociação, pode ser para o PSOL de Boulos uma situação comparával à vivida pelo PT de Erundina naquele tempo.Se eleito, Boulos também terá minoria na Câmara –são 14 eleitos de PT e PSOL, num total de 55. Os outros partidos que o apoiam no segundo turno não elegeram vereadores.Assim como a candidata a vice em sua gestão, ele rechaça a ideia de lotear a prefeitura para obter apoio parlamentar. O candidato diz que vai aprovar seus projetos por meio de pressão e participação popular.A própria Erundina, porém, em seu último ano de gestão, reconheceu que essa ideia é falha.“A gente constatou que nem sempre aquilo que propõe como oposição é viável no governo. […] Na relação com o Legislativo, imaginávamos que, mesmo sendo minoria, conseguiríamos alterar as decisões dos vereadores a partir da pressão popular, e isso não é tão garantido”, disse ao jornal O Estado de S. Paulo em 1992.Em 1990, a Câmara barrou uma proposta de aumento do IPTU para bancar a gratuidade do transporte público a partir de 1991. O Orçamento aprovado pelos vereadores (de 125%, e não de 577% no reajuste do imposto) inviabilizou a arrecadação pretendida por ela.Os partidos de esquerda somavam 19 de 53 cadeiras. Manifestações de rua e apoio público de personalidades, porém, dobraram os vereadores em outro episódio, o da análise das contas da gestão pelo Tribunal de Contas do Município (TCM) em 1990. O parecer que reprovava as finanças acabou rejeitado pelos vereadores por 41 a 9.Ao falar sobre essa época, Erundina afirma ter sido vítima de perseguição e preconceito por ser uma prefeita mulher, de esquerda, solteira e nordestina. Além da oposição na Câmara, diz, outras instituições, como o TCM, o governo federal, a imprensa e a Justiça lhe impuseram obstáculos.Ela chegou a ser alvo de 33 ações judiciais em 1992, ano eleitoral. Um ato com 200 mulheres na prefeitura foi realizado em sua defesa.Para o jornalista Chico Malfitani, que cuidou da comunicação da campanha de Erundina em 1988, foi secretário da gestão dela nessa área e hoje é marqueteiro de Boulos, ela "foi a melhor prefeita de São Paulo", mesmo com toda a dificuldade."Sem ter maioria na Câmara, sem fazer trocas, sem ceder às empreiteiras, sem recuar um milímetro na questão ética, ela conseguiu fazer um governo que construiu muita coisa, casas populares, seis hospitais, trouxe a Fórmula 1", afirma."O governo dela foi um exemplo de como governar sem ceder aos centrões da vida e à política pragmática de toma lá, dá cá", completa.A maior polêmica dela na gestão foi a proposta do IPTU progressivo, que derrubou sua aprovação em meados de 1992. A ideia de cobrar mais de comércio, indústria e terrenos vazios sofreu rejeição popular e acabou derrubada pelo Tribunal de Justiça de São Paulo.Erundina recorreu ao STF (Supremo Tribunal Federal), que manteve a liminar. Somente em julgamento de 2010, o Supremo passou a admitir a constitucionalidade do IPTU progressivo para leis feitas após 2000.O baque na arrecadação, de cerca de US$ 400 milhões em valores da época, obrigou a suspensão de obras de pavimentação, construção de escolas e hospitais e canalização de córregos.A gestão de Erundina e o programa de Boulos têm ainda outros pontos de contato, desde a busca de receitas em cobrança mais incisiva da dívida ativa até o uso exaustivo da expressão “inversão de prioridades” e a defesa de maior participação popular nas decisões.Segundo a equipe de Erundina à época, ela terminou o mandato investindo em média 48% na área social. Sua gestão tem marcas fortes na periferia, como os mutirões de habitação, a implantação de sacolões, a ampliação da rede de creches e hospitais e a merenda reforçada.Por outro lado, interrompeu obras viárias como os túneis sob o rio Pinheiros e o parque Ibirapuera. Ela preferiu usar os recursos em questões que considerava mais urgentes.A inauguração do sambódromo do Anhembi, a reforma no autódromo de Interlagos para a realização da Fórmula 1 e a entrega do governo com as contas públicas em ordem são tidos como pontos fortes de sua passagem pela prefeitura. Mais Assim como Boulos, Erundina era vista como uma militante radical de esquerda, ligada a movimentos sociais e a assentamentos de sem-teto. Ela própria, em entrevista na década de 1990, afirmou que tinha imagem de “subversiva, agitadora, que estimula invasão de terra, que faz greve por fazer”.Se Boulos hoje adota um discurso de moderação, comparado ao "Lula paz e amor" que pavimentou a vitória do ex-presidente em 2002, a Folha registrava, na edição do último dia do mandato de Erundina, em 31 de dezembro de 1992, uma transformação dela após a passagem pela prefeitura.“A vereadora que participava da organização dos movimentos de invasão de terra tem agora uma visão mais moderada", dizia a reportagem, que continha esta declaração da então prefeita: "O poder temperou a radicalidade e minha própria estrutura pessoal".Após enfrentar uma greve de motoristas e cobradores, Erundina deixou o governo com ressalvas a esse tipo de protesto, dizendo que eles tinham que ser revistos, embora fossem um direito constitucional.Em maio de 1990, ela acabou com a greve de dois dias no transporte público concedendo aumento menor do que o reivindicado e após demitir membros do movimento.“Os direitos dos motoristas e cobradores vão até onde há um choque com os direitos do resto da população. […] O patrimônio público não vai ser destruído”, disse na época.O transporte foi ainda alvo de outras manifestações. Em fevereiro de 1990, foram cinco dias seguidos de depredações de ônibus.Antes disso, em 1989, Erundina defendeu a greve geral contra o governo do presidente José Sarney (PMDB). Pelo uso de verba pública para bancar anúncios de jornal a respeito da mobilização, ela foi condenada, em 2008, a ressarcir os cofres municipais em R$ 353 mil.Sem patrimônio, a deputada chegou a ter seu apartamento e carro penhorados. Um jantar de arrecadação com políticos e aliados foi a solução para levantar a verba. Hoje adversário na disputa eleitoral, o prefeito Bruno Covas (PSDB), à época deputado estadual, foi um dos organizadores do evento. Mais Erundina teve reveses ainda com líderes e dirigentes do PT. Nas prévias da campanha de 1988, a direção do PT apoiava outro nome, o de Plínio de Arruda Sampaio, mas ela saiu vencedora.No início da gestão, desentendimentos com o partido, por exemplo a respeito de aumentar a tarifa de ônibus, resultaram na criação de um conselho político com as instâncias nacional, estadual e municipal da sigla.Na campanha de 1992, Erundina passou a acusar o PT de ignorar suas realizações e priorizar o debate nacional, que se impunha com o impeachment de Fernando Collor. Para ela, o partido não entendeu o significado de ter ganhado a Prefeitura de São Paulo.Malfitani afirma que a guerra interna no PT que desaguou na campanha de Suplicy —da qual ele também foi marqueteiro— teve início na candidatura de Erundina de 1988."Ela não era a candidatura preferida da direção do partido. Havia uma resistência a ela", relata.Com a campanha de Suplicy, os atritos se acirraram. Malfitani deixou o posto de marqueteiro depois de se desentender com a cúpula petista. O jornalista rebate a crítica que circulou na época, de que ele escondia a gestão de Erundina da propaganda, e justifica que sua intenção era destacar a honestidade da então prefeita e de Suplicy.Erundina venceu em 1988 com 29,9%, à frente de Maluf, que teve 24,4%. Sua eleição foi inesperada, ocorrida num contexto de grave crise econômica e deu esperança para a esquerda, representando um teste desse campo no poder. A mesma situação de Boulos, caso supere o favoritismo de Covas.Para Malfitani, comparações entre o que foi o governo da ex-petista e sobre o que pode ser uma gestão Boulos, caso ele se eleja, precisam ser feitas com cautela, pois há diferenças."Ele tem ao lado dele a Erundina. Ela já passou por tudo isso, já sabe o caminho das pedras. A Luiza vai dar rumos, conselhos. Talvez, num primeiro momento, ele vai ter dificuldades, como todo governo tem. Mas vai superá-las."Sobre a imagem negativa que tanto ele quanto Erundina dizem ter relação com a cobertura crítica da mídia, Malfitani considera que Boulos tende a sofrer menos, já que hoje as redes sociais, inexistentes à época, têm peso no debate público."Vai ser uma batalha, não há dúvida. Mas governar São Paulo sempre é."Nível de ótimo/bom, segundo DatafolhaEducação Paulo Freire (depois Mário Sérgio Cortella)Cultura Marilena ChauíNegócios Jurídicos Hélio Bicudo (depois Dalmo Dallari)Saúde Eduardo JorgeTransportes Tereza LajoloServiços e Obras Lúcio GregoriNegócios Extraordinários Luiz Eduardo GreenhalghPlanejamento Paul SingerAdministrações Regionais Aldaíza SposatiGoverno José Eduardo CardozoAdministração Fermino FecchioFinanças Amir KhairComunicação Perseu Abramo | poder | 1 | 1 |
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] | No primeiro ato de campanha após o ataque ao candidato à Presidência Jair Bolsonaro (PSL), Flavio Bolsonaro afirmou que seu pai “não vai ser eleito por causa de uma facada. Ele tomou a facada porque já estava eleito. Essa é a realidade, doa a quem doer”.O deputado estadual do Rio de Janeiro deu a declaração ao ser questionado sobre a fala do comandante do Exército, Eduardo Villas Bôas. O general disse que o atentado pode fazer com que o próximo governo tenha sua legitimidade contestada.“Por exemplo, com relação a Bolsonaro, ele não sendo eleito, ele pode dizer que prejudicaram a campanha dele. E, ele sendo eleito, provavelmente será dito que ele foi beneficiado pelo atentado, porque gerou comoção. Daí, altera o ritmo normal das coisas e isso é preocupante”, afirmou Villas Bôas em entrevista ao jornal O Estado de S. Paulo.Neste domingo (9), Flavio também afirmou que não acha que o país esteja dividido, como indicou o general. “Está mais do que nunca unido em torno do Bolsonaro e vai ser no primeiro turno. Eles queriam matar o meu pai para tirá-lo da disputa”, declarou, com a voz rouca.O candidato a vice general Hamilton Mourão (PRTB) se limitou a dizer que “essa é a opinião dele [general Villas Bôas]”.O comício acontece em Copacabana, na zona sul do Rio de Janeiro, e reúne centenas de apoiadores do candidato, vítima de um ataque a faca na última quinta (6) em Juiz de Fora (MG). Em volta de um carro de som que leva a placa “eu repudio esse ato covarde”, eles dividem espaço com banhistas e ciclistas na avenida em frente à praia, normalmente fechada para carros aos domingos.Com a impossibilidade de Bolsonaro sair do hospital Albert Einstein, para onde foi transferido nesta sexta (7), os filhos e Hamilton Mourão assumirão a campanha nas ruas. Flavio diz que deve se concentrar no Rio, e Eduardo, em São Paulo. Em discurso aos apoiadores, o deputado afirmou que foram dias difíceis, mas que seu pai está se recuperando bem e está andando. “Nosso capitão está dando ordens de dentro do hospital, diferente daqueles que dão ordens de dentro da prisão”, disse, em referência a Lula.Também criticou a mídia por tratar Adélio Bispo de Oliveira, o agressor, como “maluco” e o chamou de “terrorista”. Lideranças ligadas a Bolsonaro têm tentado frisar publicamente que o ataque foi premeditado por um grupo de pessoas e associar o episódio ao PSOL, partido ao qual Oliveira foi filiado de 2007 a 2014 em Uberaba (MG). O partido repudia as ligações e diz que não tem nenhuma relação com o caso. A Polícia Federal investiga o ataque. | poder | 1 | 1 |
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] | * Jornais nacionais Folha de S.Paulo Seca atinge metade das maiores regiões metropolitanas Agora S.Paulo Saiba quanto vai ganhar se pedir aposentadoria em até três anos O Estado de S.Paulo Estoque de água na Grande SP cai 74% em um ano O Globo Falta de água já afeta 46 milhões de brasileiros Correio Braziliense Tragédia na estrada: pai e 4 filhos mortos Zero Hora Santa Maria, dois anos depois Brasil Econômico Governo limita uso de água em SP e MG * Jornais internacionais The New York Times (EUA) Governadores republicanos resistem a recomendação do partido sobre aumento de impostos The Washington Post (EUA) Aliança entre Estados Unidos e Arábia Saudita é testada em um tempo de instabilidade El País (Espanha) A esquerda, favorita na Grécia com o futuro da Europa em jogo | poder | 2 | 0.983224 |
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] | * Jornais nacionais Folha de S.Paulo Graça deixa a Petrobras; nome do substituto divide governo Agora S.Paulo Decisão de ministro facilita troca de aposentadoria do INSS no juizado O Estado de S.Paulo Cúpula da Petrobrás renuncia e faz Dilma acelerar escolha O Globo Rebelião de diretores antecipa saída de Graça Correio Braziliense Reajuste de servidores do GDF está ameaçado Estado de Minas Graça se foi... Zero Hora Com saída anunciada, Graça e cinco diretores renunciam * Jornais internacionais The Guardian (Reino Unido) Deputados dizem que a luta contra o EI deve ser intensificada El País (Espanha) Banco Central Europeu corta financiamento à Grécia para forçar um novo resgate | poder | 2 | 0.906381 |
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] | * Jornais nacionais Folha de S.Paulo Levy critica gestão econômica e acena com alta de tributos Agora S.Paulo INSS vai cortar as pensões de 55 mil viúvas-brotinho O Estado de S.Paulo Levy diz que ajuste começou e cogita mexer em tributos O Globo Levy anuncia reequilíbrio fiscal e 'ajuste de impostos' Valor Econômico Levy assume e prevê o fim do patrimonialismo Correio Braziliense Plano de saúde no DF é o mais caro do país Estado de Minas À espera de justiça - Parentes das vítimas de queda de viaduto e de estouro de barragem cobram punição dos culpados Zero Hora O aperto começou * Jornais internacionais The New York Times (EUA) Número de prisões cai pela segunda semana em NY The Washington Post (EUA) Casais gays se casam em Miami The Guardian (Reino Unido) Trabalhistas indicam pressão sobre os salários do setor público Le Monde (França) Grécia: Merkel e Hollande definem as regras do jogo antes das eleições El País (Espanha) Promotor quer mais dados sobre finanças de partidos | poder | 2 | 1 |
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] | O presidente Lula (PT) oficializou em sessão extra do Diário Oficial desta sexta-feira (14) a exoneração de Daniela Carneiro do Ministério do Turismo e a nomeação do deputado Celso Sabino (União Brasil-PA) para comandar a pasta.Esta é a segunda troca no primeiro escalão de Lula com 194 dias de seu terceiro mandato. A mudança faz parte da estratégia do mandatário para melhorar sua relação com a União Brasil e garantir os votos do partido na Câmara dos Deputados.Na quinta-feira (13), Lula havia se reunido com Sabino e confirmado a troca, que, segundo nota do Planalto, deveria ocorrer "nos próximos dias".A novela da mudança no Turismo durou mais de um mês e chegou até mesmo a ameaçar a votação da Reforma Tributária na Câmara, quando se esperava a saída de Daniela, mas o governo optou por mantê-la temporariamente enquanto negociava as condições das mudanças.Sabino divulgou um vídeo na quinta para agradecer o convite de Lula. Nesta sexta, ele esteve no Palácio do Planalto para reunião com o ministro da Casa Civil, Rui Costa."Celso Sabino afirmou que está disposto a colaborar com o governo e com muita vontade de trabalhar", diz a nota da Casa Civil.Na tarde desta sexta, Daniela afirmou em vídeo nas redes sociais que deixa o ministério "de cabeça erguida"."Encerro hoje a honrosa missão à frente do Ministério do Turismo. Saio como entrei, com a cabeça erguida. Sabendo que apesar do cenário adverso, um ministério sucateado com a menor estrutura e o menor orçamento desde a sua criação, consegui juntamente com uma equipe técnica comprometida e aguerrida, realizar entregas importantes para o turismo brasileiro", disse.No vídeo, a agora ex-ministra cita iniciativas realizadas em sua gestão e diz que voltará à Câmara "pronta para lutar pela aprovação de projetos importantes para o Brasil e para apoiar o governo do presidente Lula". Daniela foi a deputada federal eleita com mais votos no Rio de Janeiro em 2022.A primeira troca no primeiro escalão de Lula ocorreu em abril, com o pedido de demissão do general Gonçalves Dias, que ocupava o GSI (Gabinete de Segurança Institucional). A situação do militar no cargo ficou insustentável após vídeos colocarem em xeque a atuação do então ministro em 8 de janeiro deste ano, quando houve ataques às sedes dos três Poderes.Com a saída de Daniela, a representatividade feminina no ministério de Lula cai para 10 mulheres titulares (em vez de 11), dentre as 37 pastas. Mais | poder | 1 | 1 |
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] | Em entrevista à Folha na segunda (17), o ex-prefeito de São Paulo Fernando Haddad falou sobre orçamento que legou ao sucessor e mencionou o tamanho derrota do PT na eleição de 2016 * * EXAGERADO O relatório de fiscalização das contas de 2016 diz que o caixa bruto da Prefeitura no fim do ano passado realmente era de R$ 5,34 bilhões. Porém, depois de descontadas as despesas que deveriam ser quitadas no curto prazo, o saldo restante era de R$ 3,15 bi. No documento, foi descrito que "as disponibilidades financeiras da Prefeitura em 31.12.16 eram suficientes para saldar as obrigações de curto prazo. Se todas essas obrigações fossem pagas, restaria um saldo da ordem de R$ 3 bilhões". Portanto, um superavit. Mas o TCM-SP ressaltou que, desse montante, apenas R$ 305,7 milhões seriam recursos livres, ou seja, aqueles que poderiam ser usados para pagamento de qualquer despesa. Em comparação, Gilberto Kassab deixou a Prefeitura de São Paulo em 2012 com mais verba livre: R$ 494,9 milhões. Haddad informou por sua assessoria que deixou R$ 5,5 bilhões em caixa e que o dinheiro era mais do que o suficiente para pagar as despesas de curto prazo. Segundo ele, até dentro das verbas vinculadas seria possível fazer investimentos na operação urbana. * VERDADEIRO De acordo com o Tribunal Superior Eleitoral, o PT obteve 17,2 milhões de votos em todos os municípios do país no primeiro turno de 2012. Já no ano passado, o partido recebeu 6,8 milhões na disputa municipal. Os dados, portanto, mostram uma queda de 60%, como mencionado por Fernando Haddad. A redução se traduziu também na diminuição do número de candidatos e de eleitos pelo partido. Em 2012, o PT lançou 1.779 candidatos a diversas prefeituras pelo país -630 foram eleitos. Quatro anos depois, o número de candidatos petistas caiu para 981 e, o número de eleitos, para 225. * VERDADEIRO Na cidade de São Paulo, em 2012, o PT teve no primeiro turno 1.776.317 votos para prefeito. Naquele pleito, os vereadores petistas alcançaram ainda 1.122.486 votos. Assim, o total foi de 2.898.803. Os números caíram vertiginosamente em 2016. Haddad, que perdeu a reeleição, recebeu 967.190 votos. E os vereadores, 853.808 -total de 1.814.998. A redução, como mencionado pelo ex-prefeito, foi de 37,3%. * EXAGERADO Haddad criticou a imprensa em diferentes oportunidades. Em meados de 2016, disse em entrevistas que foi feita uma campanha contra o programa Paulista Aberta, que sua gestão "apanhou" devido ao programa de redução de velocidade das marginais e que reportagens eram "partidarizadas". Na mesma época, Haddad postou no Facebook um texto intitulado "Mentira e Hiprocrisia" onde se queixava de reportagens publicadas sobre a atuação da prefeitura em meio a mortes de moradores de rua. Haddad escreveu, na ocasião, que "a grande imprensa foi tomada por uma inédita preocupação com higienismo e moradores em situação de rua". O ex-prefeito também se envolveu em discussões com o historiador Marco Antônio Villa, comentarista da Rádio Jovem Pan, devido à divulgação de sua agenda. Por meio de sua assessoria, Haddad disse que estava se referindo "ao que o Doria fez no Facebook nominando um jornalista [da Folha] especificamente. Uma coisa é eu criticar um jornal, mas aquilo eu nunca fiz." Com relação a Villa, o ex-prefeito de São Paulo afirmou que não o qualifica como jornalista e que o historiador responde a um processo por calúnia. | poder | 1 | 1 |
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] | A Associação Nacional dos Magistrados Estaduais (Anamages) divulgou nota pública em que manifesta preocupação com a "adoção imediata" da Audiência de Custódia. Assinada pelo presidente da entidade, Antônio Sbano, a nota não menciona o lançamento, nesta sexta-feira, do Projeto Audiência ... Leia post completo no blog | poder | 0 | 1 |
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] | Com a decisão de não repetir uma dobradinha com Hamilton Mourão (PRTB) em 2022, o presidente Jair Bolsonaro (sem partido) começou a avaliar nomes que substituam o general da reserva em sua chapa à reeleição.O nome do ministro da Infraestrutura, Tarcísio de Freitas, tornou-se o favorito, segundo auxiliares do presidente.Em conversas recentes com deputados e ministros, Bolsonaro disse que não pode errar novamente na escolha de um nome e traçou um perfil do candidato a vice-presidente que considera adequado para o posto.Além de requisitos básicos como confiança e discrição, Bolsonaro tem afirmado que busca alguém que não tenha exercido mandato parlamentar e que não tenha uma base de apoio no Poder Legislativo, critérios que aliados do presidente avaliam que o ministro preenche.Pressionado por mais de 60 pedidos de impeachment ingressados na Câmara dos Deputados, o presidente, caso seja reeleito, quer evitar colocar na linha de sucessão um nome que conte com respaldo político para estimular o avanço de um processo de impedimento.Apesar de Mourão não ter sido a primeira opção de Bolsonaro em 2018 —ele acabou escolhido por causa da dificuldade de encontrar outro nome—, o presidente avalia que a falta de respaldo congressual do militar é um fator que desestimula um movimento para tirá-lo do cargo.Por isso, Bolsonaro quer um neófito na política, mas, desta vez, um nome que não lhe desperte desconfiança e que tenha uma postura mais comedida, sobretudo na relação com os veículos de imprensa, tratados pelo presidente como inimigos do governo.A disposição de Mourão em responder quase que diariamente a perguntas de veículos de comunicação, o que lhe rende espaço junto à opinião pública, irrita Bolsonaro desde o início do governo.Como retaliação, o presidente passou a evitar recebê-lo em audiências privadas e a consultá-lo sobre temas do governo.Na última terça-feira (9), Bolsonaro excluiu Mourão até mesmo de reunião ministerial, encontro do qual o general costumava participar. Em caráter reservado, o presidente alegou que desconfiava que o general vazasse assuntos tratados à imprensa. Mais Bolsonaro já disse que deve definir em março a que partido irá se filiar. Hoje, a tendência é que ele ingresse no Patriota, legenda pequena de direita que foi criada em 2012.O presidente pretende levar à sigla, na próxima janela partidária, pelo menos 20 deputados bolsonaristas.O presidente nacional do PTB, Roberto Jefferson, já disse a deputados e senadores que, para integrar a chapa eleitoral, está disposto a filiar em seu partido o nome escolhido por Bolsonaro para o posto de vice-presidente.Segundo relato feito à Folha, a sinalização foi feita por Jefferson a Bolsonaro no mês passado.Hoje, segundo assessores palacianos, o nome favorito do presidente para o posto é o do ministro da Infraestrutura. O militar da reserva é um dos auxiliares mais populares do presidente, como já mostrou pesquisa Datafolha, e é conhecido pela discrição.O ministro é servidor de carreira vinculado à Consultoria Legislativa da Câmara dos Deputados, mas nunca exerceu mandato parlamentar, requisito buscado pelo presidente.Antes de ser ministro, foi diretor-geral do Dnit (Departamento Nacional de Infraestrutura de Transportes), durante governo petista.Para aliados do presidente, Bolsonaro não esconde a preferência pelo militar e tem feito com Tarcísio movimento semelhante ao realizado, em 2009, pelo ex-presidente Luiz Inácio Lula da Silva (PT) com a sua sucessora, Dilma Rousseff (PT).Como Lula fez com Dilma, Bolsonaro tem levado Tarcísio a tiracolo. Na semana passada, por exemplo, fez questão de o ministro estar ao seu lado em entrevista à TV Bandeirantes e, em evento na Bahia em janeiro, com a participação do ministro, salientou que Tarcísio é hoje a "a figura mais importante" da Esplanada.Tarcísio também costuma ser citado por Bolsonaro em discursos oficiais, sempre com elogios, e já participou diversas vezes da live semanal do presidente. Iniciativas de sua pasta são compartilhadas com frequência pelo perfil oficial de Bolsonaro nas redes sociais. Mais O ministro da Infraestrutura também caiu na graça dos apoiadores do presidente. O perfil "Tarcisão do Asfalto" no Instagram, por exemplo, já tem 78,9 mil seguidores. O perfil oficial do ministro tem 978 mil.Mesmo em conversas reservadas, Tarcísio procura manter a sobriedade sobre o assunto, dizendo que não tem nenhuma pretensão política e que pretende continuar como um técnico, discurso que agrada a Bolsonaro.Apesar da preferência do presidente, deputados e senadores alinhados ao governo defendem que, mesmo que a escolha seja por um neófito, o ideal seria que Bolsonaro optasse por alguém do Nordeste, região onde ele apresenta os maiores índices de rejeição.A mais recente pesquisa Datafolha, divulgada no fim de janeiro, mostrou um aumento da rejeição ao presidente de 34% para 43% no Nordeste. O maior nível até então havia sido registrado em junho de 2020, com 52% de avaliações de que o governo é ruim ou péssimo.Nesse caso, o nome mais citado no Palácio do Planalto, que corresponde ao perfil de neófito, é o do ministro do Turismo, Gilson Machado.Pernambucano, o empresário foi durante mais de um ano diretor-presidente da Embratur e é um dos ministros favoritos do presidente, com presença constante também em lives e viagens, acompanhado de sua sanfona.Nas últimas semanas, com a posição de independência do DEM na disputa ao comando da Câmara, integrantes do Poder Legislativo começaram a defender uma dobradinha com o presidente nacional da sigla, ACM Neto.O ex-prefeito de Salvador, no entanto, já descartou a hipótese. E ministros do governo avaliam que uma indicação do cacique do DEM para a chapa presidencial corre o risco de deixar o presidente durante os próximos quatro anos em uma posição de refém do partido.Descartado da chapa eleitoral, Mourão avalia concorrer ao cargo de senador pelo Rio Grande do Sul. Para militares do governo, uma candidatura dele no estado poderia até mesmo, se bem articulada, ter o apoio de Bolsonaro, que contaria com um palanque forte em um importante colégio eleitoral. Mais | poder | 1 | 1 |
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] | As suspeitas de corrupção no contrato bilionário entre Ministério da Saúde e Precisa Medicamentos, representante da indiana Bharat Biotech, inauguraram uma nova fase da CPI da Covid e devem ocupar boa parte dos trabalhos da comissão a partir de agosto, na volta do recesso parlamentar.A revelação de irregularidades num contrato de R$ 1,61 bilhão, destinado à compra da Covaxin, imunizante mais caro dentre os adquiridos pelo Ministério da Saúde, colocou o governo de Jair Bolsonaro na berlinda. Trouxe à tona ainda a existência de um verdadeiro balcão paralelo de vacinas no militarizado ministério.A Folha detalha aqui o que se sabe até agora: como tudo começou; as principais suspeitas; quem são os personagens dessa história; as múltiplas frentes de investigação abertas; e quais são as perguntas cujas respostas podem deixar Bolsonaro ainda mais acuado. O Ministério da Saúde e a Precisa Medicamentos, intermediadora e representante da fabricante indiana Bharat Biotech, assinaram em 25 de fevereiro um contrato para compra de 20 milhões de doses da vacina Covaxin.Cada dose saiu por US$ 15 (R$ 80,70), a mais cara dentre todos os imunizantes comprados pela pasta. O valor total do contrato é de US$ 300 milhões (R$ 1,61 bilhão).Uma nota de empenho reservou o valor total, R$ 1,61 bilhão, em 22 de fevereiro, três dias antes da assinatura do contrato. A nota segue valendo, e o dinheiro não pode ser gasto de outra forma senão com a Precisa Medicamentos e a Bharat Biotech.No dia 29 de junho, após a revelação das suspeitas, o contrato foi suspenso pelo governo. Apesar de haver recomendação técnica para, inclusive, rescisão do acerto, isso não foi feito pela gestão Bolsonaro.Um inquérito civil público foi instaurado pelo MPF (Ministério Público Federal) em Brasília em 19 de fevereiro para investigar as ações do Ministério da Saúde na distribuição de cloroquina, uma droga propagandeada pela gestão Bolsonaro mas sem eficácia para Covid-19.Uma reportagem da Folha sobre a mobilização de cinco ministérios, estatal, conselhos, Exército e Aeronáutica para distribuir o medicamento foi usada no embasamento da abertura desse inquérito do MPF e na definição das primeiras diligências.Com o tempo, o escopo das investigações se ampliou. A procuradora da República Luciana Loureiro detectou irregularidades no contrato para a compra da Covaxin, como pressão interna por aprovação e desrespeito de prazos contratuais.Luciana Loureiro ouviu, no curso desse inquérito, o chefe de importação do ministério, Luis Ricardo Miranda, que relatou pressão atípica para liberar um primeiro lote de doses. O depoimento, prestado em 31 de março, foi mantido em segredo.Uma reportagem da Folha publicada em 28 de abril revelou as primeiras suspeitas do MPF sobre a Covaxin, mas sem o depoimento de Miranda.Em 18 de junho, nova reportagem da Folha revelou a existência e o teor do conteúdo do depoimento do servidor do ministério. A reportagem fez a CPI da Covid no Senado entrar em uma nova fase, com investigações sobre suspeitas de corrução nas negociações de vacina pelo governo de Jair Bolsonaro.A partir da revelação do depoimento, a CPI passou a fazer diversas oitivas, e vários personagens relacionados a negociações paralelas por imunizantes inexistentes surgiram no curso das investigações.Um deles é o PM de Minas Gerais Luiz Dominghetti, que denunciou à Folha ter ouvido um pedido de propina de US$ 1 por dose, formulado segundo ele pelo diretor Roberto Ferreira Dias, em negócio de doses inexistentes da AstraZeneca.Nas últimas semanas, seguiram surgindo evidências de novos intermediários, com propostas, empresas e atravessadores que estiveram no ministério para vender vacinas que não existem. 1) Descumprimento do prazo contratual: Os 20 milhões de doses deveriam estar no Brasil entre 17 de março e 6 de maio. Nenhuma dose chegou ao país.2) Preço elevado: O valor cobrado por dose, US$ 15, é o maior dentre os imunizantes comprados pelo governo Bolsonaro. Em novembro, na primeira reunião no ministério, o preço mencionado foi US$ 10.3) Pressão a técnicos para liberação do imunizante: Militares e dirigentes ligados ao centrão pressionaram, de forma atípica, pela liberação da vacina, mesmo inexistindo documentos básicos tanto sobre a eficácia do imunizante quanto sobre os procedimentos de importação.4) Temeridade e omissão: O MPF identificou risco temerário e ausência de correção de irregularidades no contrato, indícios de crime que passaram a ser investigados a partir de desmembramento do inquérito civil público.5) Histórico de calote pela empresa responsável: A Global Gestão em Saúde, sócia da Precisa Medicamentos e dos mesmos donos, foi acionada na Justiça Federal em Brasília em 2018 por ter dado um calote de R$ 20 milhões no Ministério da Saúde, na gestão de Ricardo Barros (PP-PR), hoje líder do governo Bolsonaro na Câmara.A empresa recebeu o dinheiro antecipadamente e não entregou medicamentos para doenças raras. Catorze pacientes morreram, em razão da postura da empresa, segundo o MPF. Barros é um dos réus na ação de improbidade administrativa.6) Duas tentativas de pagamentos antecipados, sem previsão contratual: Por duas vezes, a Precisa Medicamentos tentou garantir pagamentos antecipados de US$ 45 milhões por um primeiro lote de vacinas. Para isso, apresentou “invoices” (faturas internacionais) no início de um processo de importação, o que acabou não ocorrendo por falta de documentos básicos e pela ação de servidores que identificaram o problema.7) Envolvimento de empresa em Singapura para os recebimentos: A emissora das “invoices” foi uma empresa em Singapura, a Madison Biotech, a quem caberia fazer a exportação das doses. A existência de uma empresa não prevista em contrato foi considerada pelos técnicos do ministério como pouquíssimo usual.8) Dinheiro reservado há mais de 4 meses: O valor total do contrato, R$ 1,61 bilhão, está reservado desde 22 de fevereiro e não pode ser mexido. A nota de empenho garante que o Orçamento destine a quantia à Precisa Medicamentos e à Bharat Biotech, o que já representa um dano à saúde pública, segundo o MPF.9) Alerta de inadimplência e validade perto de expirar: O governo manteve o contrato mesmo após um alerta da fiscal do contrato sobre a inadimplência na entrega e sobre o prazo de validade “exíguo” de um primeiro lote.10) Recomendações da consultoria jurídica atropeladas: O Ministério da Saúde atropelou um conjunto de dez recomendações feitas pela consultoria jurídica que atua no órgão. O contrato foi assinado a toque de caixa no dia seguinte à conclusão do parecer jurídico pelos advogados da União.11) Empresa dos Emirados Árabes na intermediação: A intermediação da vacina no Brasil contou ainda com uma empresa dos Emirados Árabes Unidos, a Envixia Pharmaceuticals, além da intermediária brasileira, a Precisa Medicamentos.12) Mudança a jato na forma de pagamentos: Um ofício ao coronel do Exército Élcio Franco, então secretário-executivo do ministério, levou a uma mudança a jato na forma de pagamento pela vacina, com previsão de que houvesse uma transação internacional, via “invoices”, para isso. O ofício foi enviado pela diretora técnica da Precisa, Emanuela Medrades.13) Garantia irregular: A garantia dada pela Precisa, uma “carta de fiança” fidejussória (pessoal, não emitida por um banco ou uma seguradora), é irregular, por não estar prevista no contrato.A emissora da carta é a FIB Bank Garantias, que não é um banco e que já teve garantia negada na Justiça por falta de segurança jurídica. O ministério chegou a prever a dispensa de garantia para a compra da Covaxin. Jair Bolsonaro Em 8 de janeiro, o presidente mandou uma carta ao primeiro-ministro da Índia, Narendra Modi, afirmando contar com a Covaxin no programa de imunização.Bolsonaro, em 20 de março, recebeu no Palácio da Alvorada os irmãos Luis Ricardo Miranda, chefe de importação do ministério, e Luis Miranda, deputado federal pelo DEM do DF.Ouviu dos dois que havia irregularidades no contrato da Covaxin, disse que acionaria a PF e não o fez. O presidente afirma que pediu a Pazuello para tratar do assunto.Eduardo Pazuello Ministro da Saúde até 23 de março, o general da ativa delegou a seu braço-direito, coronel Élcio Franco, a negociação de todas as vacinas adquiridas para o combate à Covid-19.Élcio Franco Filho Foi secretário-executivo do Ministério da Saúde, conduziu as negociações da Covaxin, mudou a forma de pagamento e chegou a pedir 50 milhões de doses extras, num momento em que não existia nenhuma entrega prevista no contrato.Roberto Ferreira Dias Foi diretor do Departamento de Logística em Saúde do ministério. Aprovou e autorizou a reserva de R$ 1,61 bilhão para pagar a compra dos 20 milhões de doses, ainda em fevereiro. É ele que assina o contrato pelo ministério. Pressionou pela liberação da importação das doses.Onyx Lorenzoni Ministro da Secretaria-Geral da Presidência, mentiu em comunicado no Palácio do Planalto após a denúncia dos irmãos Miranda. Lorenzoni disse que havia fraude em “invoices” que constavam do próprio sistema do Ministério da Saúde.Wagner Rosário Ministro da CGU (Controladoria-Geral da União), também apresentou informações distorcidas e falsas sobre investigações internas do órgão a respeito do contrato, com o propósito de blindar o governo e o presidente.Luis Miranda Deputado federal pelo DEM do DF, recebeu do irmão, o chefe de importação do ministério, os relatos sobre irregularidades no contrato. Foi ao Palácio da Alvorada com o irmão e fez a denúncia ao presidente da República.Luis Ricardo Miranda Chefe de importação do Ministério da Saúde, afirmou ao MPF e à CPI da Covid ter sofrido pressão atípica para liberar um primeiro lote de doses da Covaxin. Esteve com o irmão no Palácio da Alvorada.Ricardo Barros Líder do governo Bolsonaro na Câmara, foi citado pelo próprio presidente como um dos responsáveis pelas suspeitas, conforme o relato do deputado Miranda.Alex Lial Marinho Tenente-coronel do Exército, foi coordenador-geral de Logística de Insumos Estratégicos para Saúde no ministério. Foi um dos que pressionaram pela liberação da Covaxin, segundo o chefe de importação.Marcelo Bento Pires Coronel do Exército, foi diretor de Programa do Ministério da Saúde. Também teria sido um dos responsáveis pela pressão sobre o chefe de importação da pasta.Regina Célia Silva Oliveira Fiscal do contrato da Covaxin. Em depoimento à CPI, admitiu que o contrato ficou sem fiscal por quase um mês e disse que não cabia a ela corrigir falhas nas “invoices”.Francisco Emerson Maximiano Dono da Precisa Medicamentos e da Global Gestão em Saúde. Esteve na Índia para tratar da Covaxin e representou interesses de clínicas privadas de vacinação. O negócio bilionário é um feito do empresário.Emanuela Medrades Diretora técnica da Precisa Medicamentos. Conduziu boa parte das tratativas com o Ministério da Saúde para garantir o contrato e para tentar garantir as primeiras importações e pagamentos.Túlio Belchior Mano da Silveira Advogado da Precisa Medicamentos, também participou de tratativas no ministério. Por email, pressionou a pasta a agilizar a assinatura do contrato. CPI da Covid no Senado: As investigações seguem em curso e devem dominar boa parte dos trabalhos da comissão na segunda metade dos trabalhos.MPF em Brasília: Um procedimento criminal foi instaurado diante dos indícios de corrupção.PF: São dois os inquéritos abertos: um para investigar o contrato e outro para apurar a suspeita de prevaricação pelo presidente da República.PGR: A Procuradoria-Geral da República onduz o inquérito da prevaricação, a partir de decisão do STF pela abertura do procedimento.TCU: O Tribunal de Contas da União abriu um procedimento para apurar as suspeitas de irregularidades.CGU: Está em curso um procedimento chamado IPS (investigação preliminar sumária), com duração prevista de até 180 dias. Foi no âmbito desse procedimento que houve a determinação de suspensão do contrato, a partir de decisão da Corregedoria-Geral da União. | poder | 1 | 1 |
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] | A Petrobras contratou dois renomados consultores internacionais para calcular as perdas com as refinarias de Abreu e Lima (PE) e do Comperj (RJ). Os projetos foram alvo de desvios do esquema de corrupção descoberto pela Operação Lava Jato. A Folha apurou que a estatal optou pela Deloitte e pelo BNP Paribas para fazer os cálculos. Os números devem ser conhecidos quando a Petrobras divulgar seu balanço no próximo dia 27. As demonstrações financeiras da companhia do terceiro trimestre estão atrasadas desde dezembro por falta de aval do auditor independente, a PwC. "Não interessa quanto roubaram, mas sim quanto custa construir a preço real cada refinaria e o quanto elas vão gerar de receita", diz um funcionário graduado da estatal: "Assim será feito o ajuste". Com a explosão de gastos, é provável que as receitas a serem geradas pelas duas refinarias sejam insuficientes para cobrir custos e remunerar o investimento, o que significa perda para a Petrobras e uma baixa nos seus ativos. Reportagem da Folha de domingo (18) mostrou que uma auditoria interna da Petrobras apontou, em novembro de 2012, prejuízo de US$ 3,2 bilhões com a construção de Abreu e Lima. Com custo inicial de US$ 2,5 bilhões, orçados em 2007, a refinaria será concluída em abril ao custo de US$ 18,5 bilhões. Já o Comperj está orçado hoje em US$ 13,6 bilhões. São as obras mais caras em curso no país. As unidades começaram a ser erguidas na gestão de Paulo Roberto Costa, diretor da estatal entre 2004 e 2012. Foram construídas por empreiteiras participantes do suposto esquema de corrupção revelado por Costa à Justiça. Para descontar dos investimentos o que foi pago em corrupção, cada refinaria passa a ser contabilizada individualmente. Até o balanço do segundo trimestre, a Petrobras vinha avaliando suas 15 refinarias conjuntamente –o que permitia camuflar a baixa rentabilidade das que foram construídas com custos acima do valor de mercado. Membros independentes do conselho de administração da Petrobras vinham criticando essa metodologia. Em outubro, após o depoimento de Costa, a PwC avisou à Petrobras ser "absolutamente necessário" investigar o impacto da corrupção nos ativos da empresa e ameaçou não assinar o balanço. A Petrobras decidiu então contratar a Deloitte e o BNP. A Deloitte disse que não confirma as informações. O BNP disse que "não faz comentário sobre serviços prestados ou não a seus clientes". A Petrobras não comentou. | poder | 1 | 1 |
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] | A Guarda Municipal e o setor de fiscalização urbana da Prefeitura de Belo Horizonte retiraram na manhã desta sexta-feira (6) a estrutura de um acampamento montado por apoiadores do ex-presidente Jair Bolsonaro (PL) em frente a um quartel do Exército da capital mineira. Eles pediam um golpe militar no país.A justificativa para o desmonte foi a falta de licenciamento para a estrutura —o acampamento estava montado havia cerca de 50 dias.Nesta quinta (5), um repórter fotográfico do Jornal Hoje em Dia foi agredido por participantes do ato enquanto produzia uma reportagem no local. Jornalistas voltaram a ser hostilizados nesta sexta durante a retirada da estrutura.Uma equipe de O Tempo foi agredida após discussão com manifestantes. Um dos bolsonaristas empurrou o cinegrafista, tentando jogar sua câmera no chão. O repórter foi empurrado e recebeu um tapa na nuca, conforme imagens divulgadas pelo jornal. Em seguida é possível ver o repórter da 98 FM também sendo empurrado e jogado no chão. Segundo a Polícia Civil, até o final da tarde as vítimas não haviam registrado boletim de ocorrência.Manifestantes tentaram impedir a retirada de barracas, lonas, hastes de bandeiras e estruturas utilizadas para alimentação. Um banheiro químico também foi levado. A prefeitura precisou de três caminhões para transportar o material.O Exército acompanhou o trabalho da Guarda Municipal com um representante no local.No momento da saída dos caminhões, manifestantes sentaram na avenida que passa em frente ao quartel e que seria utilizada na passagem dos veículos. Ainda que sem uso de gás lacrimogêneo ou cassetetes, todos eles foram retirados para a saída dos caminhões.Alguns manifestantes, mais exaltados, caíram no chão ao tentarem confrontar os guardas municipais para se aproximar dos caminhões. Enquanto isso, um grupo dos participantes do ato cantava o hino nacional.Conforme informações da prefeitura, a estrutura era ilegal porque não passou por licenciamento do município. Havia também, segundo o governo municipal, reclamações diárias de moradores do entorno, pedestres e motoristas sobre transtornos como som alto, sujeira, bloqueio do passeio e da via."O que se fez foi a retirada desses equipamentos sem a necessidade de recorrer à Justiça", afirma a prefeitura, em nota.O representante do Exército que acompanhou a retirada do acampamento, tenente Chagas, afirmou aos manifestantes que poderiam continuar no local, mas que a estrutura não poderia permanecer por causa da decisão da prefeitura.Depois da saída dos caminhões e da partida da Guarda Municipal da frente do quartel, parte dos manifestantes continuou no local. Mais O prefeito de Belo Horizonte, Fuad Noman (PSD), em conversa com jornalistas na sede do município depois da retirada da estrutura, afirmou que até um gato —ligação clandestina de energia— foi feito pelos bolsonaristas no acampamento.O prefeito disse ainda que decidiu realizar a operação de retirada da estrutura após a agressão ao repórter fotográfico. Noman classificou o ataque como intolerável."Na operação foi encontrada ligação de luz clandestina e barracas de comida e bebida sem o devido licenciamento urbanístico", disse o prefeito.O chefe do Executivo municipal afirmou ainda não ter havido nenhuma negociação com o Exército para a operação, e que a instituição foi apenas comunicada da retirada, já que se tratava de decisão da alçada do município. | poder | 1 | 1 |
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] | O ministro do TCU (Tribunal de Contas da União) Augusto Nardes se retratou nesta segunda-feira (21) de declaração em que afirmou que "está acontecendo um movimento muito forte nas casernas brasileiras".Por meio de nota divulgada pela assessoria de imprensa do órgão, Nardes disse que "lamenta profundamente a interpretação que foi dada sobre um áudio despretensioso gravado apressadamente e dirigido a um grupo de amigos".E acrescentou, "para que não pairem dúvidas", segundo o ministro, "que repudia peremptoriamente manifestações de natureza antidemocrática e golpistas, e reitera sua defesa da legalidade e das Instituições republicanas".A presidente do PT e deputada federal, Gleisi Hoffmann (PR), disse que pedirá apuração sobre a fala de Nardes para a corregedoria do TCU e ao STF (Supremo Tribunal Federal).A fala repercutiu mal entre ministros do Supremo e do TCU, que condenaram a atitude e cobraram satisfação do ministro, inclusive por telefone. Porém, o clima acalmou depois da divulgação da nota de retratação.O PT e partidos da base de Lula devem assinar a ação que será apresentada ao STF. A ideia é pedir para o tribunal se debruçar sobre a fala dentro do inquérito dos atos antidemocráticos, disse Gleisi."Ministro do TCU não pode ter ação política", disse a presidente do PT."As pessoas têm que ter muita responsabilidade com o cargo que estão e com o que falam, com o que fazem, principalmente estimulando os movimentos que nós estamos vendo. Continuam na frente dos quartéis, movimentos que continuam ainda paralisando algumas rodovias", afirmou ainda Gleisi.Uma pessoa do TCU próxima a Nardes disse à Folha que quem conhece o ministro sabe que foi uma fala sem lastro fático, que chamou de fanfarronice.Já o senador Randolfe Rodrigues (Rede-AP) anunciou que entrará com pedido no TCU solicitando a aposentadoria compulsória de Nardes ou a sua disponibilidade, por violação disciplinar.Ele afirmou que também pedirá ao STF a instauração de um inquérito policial contra o ministro por possível crime contra a ordem democrática e o denunciará por crime de responsabilidade. Entre os pedidos, estão a perda de cargo e a suspensão dos direitos políticos.A corregedoria no TCU deve analisar os pedidos feitos à corte, mas nos bastidores ministros avaliam que, depois da retratação, perde-se a disposição para alguma punição ao ministro.Pessoas ligadas à corte disseram reservadamente que Nardes chegou a pedir licença médica. Procurados pela Folha, ele e o TCU não responderam.Em um áudio enviado a amigos do agronegócio pelo WhatsApp, revelado pela colunista Mônica Bergamo, da Folha, Nardes disse que "é questão de horas, dias, no máximo, uma semana, duas, talvez menos do que isso", para um "desenlace bastante forte na nação, [de consequências] imprevisíveis, imprevisíveis".Ele afirmou também não poder falar tudo o que sabe sobre o "desenlace" para os amigos."Eu não posso falar muito. Sim, tenho muitas informações, queria passar para ti, para o teu time do agro, que eu conheço todos os líderes", diz Nardes.Em outro momento do áudio para os amigos, ele afirma que conversou "longamente com o time do [Jair] Bolsonaro essa semana".O presidente estaria tratando de uma doença de pele, mas logo estaria recuperado para "enfrentar o que vai acontecer no país"."Ele [Bolsonaro] não está bem, está com um ferimento na perna, uma doença de pele bastante significativa. Mas tem esperança de poder se recuperar e poder melhorar sua condição física. E certamente terá condições de enfrentar o que vai acontecer no país".O ministro foi o relator das contas presidenciais de Dilma Rousseff em 2015, que foram rejeitadas e causaram o impeachment da então presidente da República. Mais A Atricon (Associação dos Membros dos Tribunais de Contas do Brasil), o CNPTC (Conselho Nacional de Presidentes dos Tribunais de Contas) e o Instituto Rui Barbosa ( IRB) divulgaram nota de repúdio sobre a fala de Nardes.Segundo o texto, a retratação do ministro "coloca a matéria em novos termos", "entretanto, estava-se diante de sério agravo à legitimidade democrática e ao ordenamento jurídico, em contexto também incompatível com a atuação da magistratura de Contas".Em 2018, Nardes foi alvo de um pedido de busca e apreensão da Polícia Federal, autorizada pelo ministro Dias Toffoli, do STF. A polícia apreendeu documentos e celulares na casa do ministro do TCU, depois de ele ter sido citado na delação premiada de Luiz Carlos Velloso, ex-subsecretário de Transportes do Rio.Também houve menções a ele em outros depoimentos de colaboradores da Lava Jato, que até hoje não se tornaram públicos, como o do ex-deputado federal Pedro Corrêa e o ex-diretor da Petrobras Renato Duque. Fora da Lava Jato, Nardes foi investigado na Operação Zelotes, sobre suposto esquema de corrupção no Conselho Administrativo de Recursos Fiscais (Carf). O caso ficou sob relatoria do ministro Ricardo Lewandowski no STF, que arquivou inquérito em 2019.O procurador-geral da República, Augusto Aras, afirmou nesta segunda-feira que articula junto ao Ministério da Justiça e Segurança Pública o uso da Força Nacional para auxiliar na desmobilização de interdições nas estradas.Os protestos antidemocráticos promovidos por apoiadores do presidente pedem a intervenção das Forças Armadas contra o resultado das eleições de 2022.Aras disse que entrará em contato com o Governo de Mato Grosso para que o Executivo estadual requisite ao governo federal o auxílio da corporação, segundo prevê a legislação que a rege. | poder | 1 | 1 |
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] | * Jornais nacionais Folha de S.Paulo Chuvas levam SP a adiar decisão sobre rodízio Agora S.Paulo Sabesp multa moradores que sofrem com a falta de água O Estado de S.Paulo Câmara aprova PEC que obriga o governo a pagar emendas O Globo Dilma enfrenta dia de derrotas na Câmara Correio Braziliense Projeto do IPTU dobrará o valor venal dos imóveis Zero Hora Planalto terá de pagar emendas parlamentares * Jornais internacionais The Guardian (Reino Unido) Arquivos do HSBC: Em 2003, um acordo destinado aos cidadãos da União Europeia com bilhões escondidos em contas suíças tiveram que desembolsar algum imposto. Então o HSBC iniciou uma agressiva campanha de marketing sobre uma maneira de contornar o caso El País (Espanha) Desconforto com Montoro pelo uso político de dados fiscais | poder | 2 | 0.831242 |
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] | * Jornais nacionais Folha de S.Paulo Investidor já paga mais por seguro contra 'risco Brasil' Agora S.Paulo Sabesp amplia o racionamento; corte de água começa amanhã O Estado de S.Paulo Denúncia de promotor morto é usada para indiciar Cristina O Globo Folia com 344 blocos arrastará 5 milhões Estado de Minas Até que enfim! - Após duas semanas de promessas, vereadores de BH aprovam a extinção da verba indenizatória * Veja Para abrir só depois do carnaval - Aproveite o Carnaval para consumir menos ou nenhuma informação Época Use a internet para escrever melhor IstoÉ O verão do crossfit Carta Capital Brasil, quarta de cinzas - A crise analisada * Jornais internacionais The New York Times (EUA) EUA culpa Rússia por conflito que cresce no leste da Ucrânia The Washington Post (EUA) Governador do Oregon deixa o cargo The Guardian (Reino Unido) Arquivos HSBC: trilha leva para o topo do BBC Trust El País (Espanha) PP valenciano é acusado de financiamento ilegal nas campanhas de 2007 e 2008 Clarín (Argentina) Cristina é acusada de 'ações criminosas' | poder | 2 | 0.982627 |
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] | A Ajuferjes (Associação dos Juízes Federais do Rio de Janeiro e Espírito Santo) distribuiu mensagem aos associados sobre sindicância na Corregedoria Regional e procedimento interno na entidade envolvendo o juiz Flávio Roberto de Souza. O magistrado foi afastado nesta quinta-feira ... Leia post completo no blog | poder | 0 | 0.978319 |
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] | O governador de São Paulo, Geraldo Alckmin, negocia cargos em sua gestão para garantir apoios à campanha de João Doria à Prefeitura de São Paulo pelo PSDB. De acordo com diferentes interlocutores, Alckmin manifestou que daria uma secretaria para o PV, uma para o PP e outra possivelmente para o PHS, que contemplaria diferentes partidos menores como o PMB, o qual inclusive teria sido sondado para indicar um secretário-adjunto de alguma pasta. Contando PPS e PSB, aliados ao governo estadual, Alckmin fechou uma coligação que garantirá pelo menos 20 minutos de tempo de TV a Doria. O PSDB ainda negocia com o PSC e o DEM. A campanha à reeleição do prefeito Fernando Haddad (PT) calcula ter cerca de 21 minutos de tempo de TV no horário eleitoral gratuito. Ele deve formalizar até o fim do mês os apoios de PDT, PC do B, PR e Pros. Com suas negociações, Alckmin evitou que PMB ou PV ficassem com o PSD do vereador Andrea Matarazzo ou com o PMDB da senadora Marta Suplicy, ambos pré-candidatos à prefeitura. No cálculo de pessoas próximas a Alckmin, a polarização é vista como positiva para o governador. Ao tornar Doria, nome antes dado como fraco, um candidato forte, não apenas Alckmin demonstra força dentro do PSDB, como começa a desenhar a coligação de sua provável candidatura à Presidência em 2018. Ao mesmo tempo, o governador mantém em sua gestão o Solidariedade e o PTB de Campos Machado, que negocia com outras candidaturas, no intuito de mantê-los aliados em 2018. O governo e Doria negam trocar cargos por alianças. O pré-candidato diz que se coliga por questão "programática". Alckmin, em nota, disse que "não existe qualquer relação entre a administração pública e a lógica eleitoral. A escolha de secretários obedece única e exclusivamente a critérios técnicos voltados ao interesse público". NEGOCIAÇÕES Alckmin sinalizou que o presidente nacional do PV, José Luiz Penna, assumiria a Cultura, o presidente estadual do PHS, Laércio Benko, ficaria com Turismo e Ricardo Salles, seu ex-secretário particular, com o Meio Ambiente pelo PP. Há ainda expectativa de que a legenda fique com o Detran. O presidente estadual do PMB, Jaime Fusco, poderia ser o adjunto no Turismo. Pesa contra ele o fato de ter atuação no Rio, advogado de traficantes como Antonio Francisco Bonfim Lopes, o Nem da Rocinha, e ser um homem representando o Partido da Mulher Brasileira. Como todas as movimentações do governo geraram barulho, é possível que Alckmin reformule a distribuição. HADDAD A coligação de Haddad na eleição é a mesma de seu governo atualmente. A sinalização é de que ele deve manter o espaço dos aliados em eventual nova gestão. Deve, porém, rever casos como o do PC do B, que tem hoje a vice-prefeitura, duas secretarias e duas subprefeituras. Possui, no entanto, apenas um vereador. A vice ficaria com Gabriel Chalita, que deixou o PMDB para manter a aliança com Haddad pelo PDT. Já o PR, que tem quatro vereadores, chefia as secretarias de Esportes e Verde, além de uma subprefeitura. O presidente nacional do partido, Antonio Carlos Rodrigues, ex-ministro de Dilma Rousseff (PT), disse que o PSDB sondou o PR, mas ele recusou a oferta. | poder | 1 | 1 |
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] | O presidente Jair Bolsonaro (PSL) afirmou nesta quarta (2) que as Forças Armadas do Brasil são obstáculo para quem quer usurpar o poder no país. A declaração foi feita na transmissão de cargo para o novo ministro da Defesa, a única prestigiada pelo mandatário, capitão reformado do Exército, além da posse dos novos ministros que atuam no Palácio do Planalto.O evento em que o general de quatro estrelas (topo da hierarquia) da reserva Fernando Azevedo e Silva virou ministro foi um dos mais concorridos do dia de posses em Brasília, dado simbólico em um governo fortemente marcado pela presença de militares de alta patente em seu núcleo decisório. “A situação em que o Brasil chegou é prova inconteste de que o povo, em sua grande maioria, quer respeito, quer ordem, quer progresso”, afirmou.Disse que os militares, que comandaram uma ditadura de 1964 a 1985, foram esquecidos. “Esquecidos por quê? Porque as Forças Armadas, senhor ministro [Dias] Toffoli [presidente do Supremo, presente], senhora [procuradora-geral da República, também no evento] Raquel Dodge, são na verdade um obstáculo para aqueles que querem usurpar o poder”, disse.“O tempo passou, as Forças Armadas sofreram um brutal desgaste perante a classe política, mas não junto ao povo, que continua acreditando em nós”, disse. A frase vai contra tudo o que as Forças Armadas desejam neste momento, que é a identificação política com o novo governo, embora o próprio comandante do Exército já tenha dito em entrevista recente à Folha que isso acaba sendo inevitável na retórica ao menos.Ao longo da campanha eleitoral, Bolsonaro cercou-se de militares da reserva, que comandaram a confecção de seus planos de governo. Em mais de um momento foi levantado o temor de que isso significasse uma tutela de farda sobre o poder civil, algo de resto diferente da ideia clássica de um golpe.Bolsonaro, que não discursou na posse pela manhã no Planalto, fez uma fala considerada algo deselegante por alguns dos generais presentes no evento. Nela, criticou de forma indireta Fernando Henrique Cardoso, a quem já disse que teria mandado fuzilar na ditadura —os militares de forma geral têm os anos FHC no poder (1995-2002) no poder como um dos piores momentos do pós-redemocratização. Falando que irá recompor a carreira militar, ainda dependente de regulamentação, o presidente fez uma retrospectiva. Falou de José Sarney (1985-1990), Fernando Collor de Mello (1990-92), hoje senador e que estava presente, e Itamara Franco (1992-94). Elogiou os esforços deles sobre a carreira, mas quando foi falar de FHC disse que “depois tivemos outro governo, o senhor [o ministro Azevedo e Silva] sabe qual foi”. Falou que a categoria teve problemas, “em especial comigo, mas seguimos a nossa jornada”.A plateia riu, mas houve censura velada em rodas de conversa após o fim da solenidade. Os governos petistas subsequentes e o mandato de Michel Temer não foram nem citados, ainda que o presidente tenha se apressado em agradecer a presença de Raul Jungmann, civil que ocupou a pasta de 2016 a 2018. Bolsonaro lembrou que foi um dos três deputados a votar contra a criação do Ministério da Defesa, em 1999 sob FHC, por considerar que ele não atendia naquele momento as demandas militares.Azevedo e Silva será o segundo militar a chefiar a pasta, substituindo o também general da reserva de quatro estrelas Joaquim Luna e Silva. Entre os vários elogios dispensados, Bolsonaro dedicou uma fala especial ao comandante do Exército que deixará o cargo, general Eduardo Villas Boas.Considerado um grande fiador de moderação nos turbulentos dois anos do governo Temer, ele disse que o general é “um dos responsáveis por eu estar aqui”, citando uma conversa que ambos tiveram entre os dois turnos da eleição. “O que já conversamos fica entre nós”, disse. Oficiais, questionados sobre o real significado da fala enigmática de Bolsonaro, apenas disseram que ele queria se dizer agradecido pelo papel de Villas Bôas, recusado a ideia de tutela militar sobre o novo governo.Já Azevedo e Silva também citou o balanço institucional da nova conjuntura em sua fala. Elogiou em seu discurso o papel do Judiciário e do Ministério Público Federal em prol da "estabilidade nacional”. Disse a Toffoli e a Dodge que eles são “catalisadores da estabilidade nacional”.Ambos estavam presentes à posse do general. Azevedo e Silva foi chamado por Toffoli quando ele assumiu a presidência do Supremo, em setembro de 2018, para o assessorar e sempre foi visto como uma ponte de ligação entre as Forças Armadas e o Judiciário para garantir interlocução nas eventuais turbulências do governo Bolsonaro. Agora, seu peso político multiplicou-se —não menos porque generais como o novo chefe do Gabinete de Segurança Institucional, Augusto Heleno, deixaram seu papel de consultores de campanha e agora estão no próprio governo, reforçando a teoria da tutela militar.Heleno seria o vice de Bolsonaro, mas uma questão eleitoral acabou tirando o seu PRP da coligação do agora presidente. O cargo acabou com o polêmico general Hamilton Mourão, que em 2017 defendeu a intervenção militar em caso de caos civil e deixou a ativa no começo de 2018. Sobre a frase de Bolsonaro acerca de Villas Bôas, Heleno desconversou.O novo ministro da Defesa fez uma deferência à mídia, agradecendo sua presença na cerimônia e o papel de cobrança de autoridades —uma postura bem diferente da de Bolsonaro e de seus entorno, hostis à imprensa. Ele ressaltou que as Forças Armadas irão agir apenas dentro do que estabelece a Constituição, inclusive em questões de segurança pública.De saída do cargo, o também general Joaquim Silva e Luna despediu-se com um discurso no qual defendeu o trabalho de sua pasta. Elogiou sua equipe, "uma seleção da Copa de 1970 de amigos", e citou valores caros ao bolsonarismo. "Nesse mundo volátil, é preciso ter valores sólidos. Vemos instituições destruídas pela falta de Deus", disse.Bolsonaro o elogiou bastante e disse que, no que depender dele, o general “não vai botar o pijama, não”. Há especulação de que ele poderá ser aproveitado em algum cargo no Planalto. | poder | 1 | 1 |
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] | O advogado Hélio Bicudo, que morreu nesta terça-feira (31), aos 96 anos, será lembrado pelo colega de profissão Miguel Reale Jr. como símbolo de ética, coragem cívica e espírito público."Ele foi um militante contra a ditadura do governo militar e no fim da vida veio a tomar uma posição firme contra uma outra forma de ditadura, que foi o descalabro do governo Dilma Rousseff", diz Reale Jr.Ao lado de Bicudo e da advogada Janaina Paschoal, Reale Jr. foi autor do pedido de impeachment da então presidente, em 2015. Para ele, a morte do colega encerra uma história de coerência, de alguém que ajudou a fundar o PT (Partido dos Trabalhadores), mas depois "se viu eticamente impossibilitado de permanecer em um partido que estava imerso na corrupção". Bicudo deixou a legenda em 2005, na época do escândalo do mensalão.Ex-membro do PT e hoje filiado ao PSOL, o professor Gilberto Maringoni escreveu em uma rede social que o advogado teve um "ocaso lamentável" por causa de sua participação na derrubada de Dilma."Não resisto. Foram dois, um a cada tempo. Foi bicudo na corajosa denúncia do Esquadrão da Morte, nos anos 1970-80, e foi bicudo como parlamentar. Mas sua biografia some como gás hélio, solto no ar, depois [de] se somar ao golpe de 2016. Que ocaso lamentável", afirmou.Maringoni foi candidato a governador de São Paulo em 2014.A direção nacional do PT não se pronunciou sobre a morte. A assessoria de imprensa da presidente nacional da sigla, Gleisi Hoffmann (PR), disse que a senadora enviou um telegrama de condolências a um dos filhos de Bicudo.Outras pessoas do universo político, movimentos e entidades ligadas à advocacia e aos direitos humanos se manifestaram sobre a morte do advogado. "O Brasil perdeu hoje Hélio Bicudo, um homem notável. Ao longo de sua vida, pudemos conhecer toda sua trajetória de defesa dos valores democráticos. Minhas sinceras condolências aos seus familiares."Michel Temer (MDB), presidente da República “Minhas condolências e sentimento à família de Hélio Bicudo pela perda de um brasileiro democrata e grande defensor dos direitos humanos.”Senadora Marta Suplicy (MDB-SP), que teve Bicudo como vice dela na Prefeitura de São Paulo (2001-2004) "Sempre tive um relacionamento de respeito e de amizade com o Hélio Bicudo. Foram muitas as situações em que estivemos juntos desde a fundação do PT, em campanhas eleitorais e outras jornadas. Em muitos episódios relativos a direitos humanos nós agimos juntos. Nunca tivemos qualquer desavença. Ele exerceu um papel importante na defesa dos direitos humanos e foi muito corajoso ao enfrentar o Esquadrão da Morte. Quando ele acabou saindo do PT, discordei de sua decisão, mas a respeitei. Eu tinha claro, uma posição diferente da dele em relação ao impeachment, porque avalio que a presidenta Dilma não cometeu qualquer crime."Vereador Eduardo Suplicy (PT-SP) "Parte um Herói brasileiro! Meus agradecimentos ao nosso Grande Hélio Bicudo! Todo meu amor! Toda minha admiração! Toda minha gratidão! Sem ele, eu não teria conseguido. Que Dona Déa [sua mulher] o receba com flores. Peço a cada um uma oração, conforme a respectiva religião, em sua intenção. [...] Ele era muito amado e me sinto abençoada por ter tido a honra de o conhecer e conviver esses anos com ele. Uma perda para a vida terrena, um ganho para a espiritual."Advogada Janaina Paschoal, autora ao lado de Bicudo do pedido de impeachment de Dilma Rousseff (PT) "Homem de coragem, de fortes convicções e que sempre se pautou pela ética na sua dedicada trajetória de busca pela boa administração da Justiça, sempre será uma referência para todos os que militam no sistema de Justiça."Marcos da Costa, presidente da OAB-SP "Foi o maior modelo de coragem que tive na minha vida toda. Um homem que teve coragem de assumir suas posições e também de revê-las. A coragem máxima foi enfrentar o Esquadrão da Morte. Foi talvez a única pessoa a levar adiante esse gesto de revolta e de resistência aos crimes que foram cometidos. Teve também coerência quando se desligou do PT porque o partido não correspondia mais às suas aspirações e ideais. E, por fim, demonstrou sua independência quando fez o pedido de impeachment de Dilma. Foi um grande combatente, de conduta irrepreensível."Modesto Carvalhosa, advogado e professor aposentado da Faculdade de Direito da USP "Hoje o Brasil ficou menor com o falecimento do jurista Hélio Bicudo. Em nome de todos os brasileiros, o Vem pra Rua lamenta a perda do brasileiro de estatura moral incomparável e gigante como poucos que conhecemos. O movimento lembra que o dr. Bicudo fez parte de um seleto grupo de brasileiras e brasileiros que defendem a democracia no Brasil acima dos interesses pessoais. Um homem simples, de olhar brilhante e sorriso doce, lúcido, corajoso e tremendo conhecedor das leis e do direito. O Brasil deve muito ao trabalho do jurista. Obrigado, dr. Hélio Bicudo, pelo seu legado que mudou o Brasil."Movimento Vem pra Rua, um dos apoiadores dos protestos de rua em favor do impeachment de Dilma Rousseff (PT) "Nossa convivência com Hélio foi curta, porém profícua; a despeito de divergências ideológicas claras para todos nós, deixamos diferenças de lado e conduzimos em conjunto uma construção democrática que viabilizou um processo de impeachment íntegro e célere."MBL (Movimento Brasil Livre), um dos apoiadores dos protestos de rua em favor do impeachment de Dilma Rousseff (PT) "Recebi com muita tristeza a notícia do falecimento do dr. Hélio Bicudo, que, ao final da vida, reviu com honestidade e franqueza seus posicionamentos ideológicos para se juntar a milhões de brasileiros, pedindo o fim de um regime corrupto e nefasto. Me impressionava a enorme disposição do dr. Hélio para estar junto com o povo naquele momento difícil, apesar da idade avançada."Fernando Holiday (DEM-SP), vereador paulistano e membro do MBL (Movimento Brasil Livre) "Jurista de primeira grandeza e um intenso lutador pelos direitos humanos, ideal que sempre comungamos, tive nele sempre um mestre no tema e um exemplo de vida neste combate. Divergimos na questão do impeachment e na avaliação dos governos do PT, o que é normal da vida intelectual, mas sempre mantive e manterei por ele intensa admiração, carinho e amizade."Pedro Estevam Serrano, advogado e professor de direito constitucional da PUC-SP "Seu físico pequeno escondia um gigante moral, um gigante humano, de infinito destemor, que enfrentou sem medo o Esquadrão da Morte em plena ditadura militar. [...] Foi um dos nomes mais importantes do país na luta contra a pena de morte, tornando-se referência internacional na defesa dos direitos humanos."Roberto Livianu, promotor de Justiça e presidente do Instituto Não Aceito Corrupção "O Brasil se despede, hoje, de Hélio Bicudo, que dedicou a vida à luta em defesa da justiça e dos direitos humanos. Jurista e político atuante, integrou a Fundação Interamericana de Defesa dos Direitos Humanos, em que atuou ativamente no Brasil. Meus sentimentos a todos os familiares e amigos."Márcio França (PSB), governador de São Paulo "A Prefeitura de São Paulo manifesta grande pesar pelo falecimento de Hélio Bicudo, jurista de relevante contribuição para a sociedade brasileira e para a cidade de São Paulo, à qual serviu também como vice-prefeito e secretário municipal dos Negócios Jurídicos. Político e ativista dos direitos humanos, sempre se manteve coerente aos princípios do respeito à democracia e às leis."Prefeitura de São Paulo "Com pesar recebi a notícia do falecimento de Hélio Bicudo, um jurista que sempre se posicionou com coragem em defesa dos direitos humanos e da democracia no nosso país. Minha solidariedade aos familiares e amigos."Rodrigo Maia (DEM-RJ), presidente da Câmara dos Deputados "Hélio Bicudo foi um grande brasileiro. Tive a oportunidade de conviver com ele no período em que ambos fomos deputados federais —e também em outras ocasiões. Sua coragem, coerência e retidão serão sempre inspiração para os mais jovens. À família e aos amigos deixo meus sentimentos. Desejo que seu trabalho e sua vida sejam exemplo nesta hora em que buscamos um novo rumo para o Brasil."Geraldo Alckmin (PSDB), pré-candidato à Presidência da República e ex-governador de São Paulo "Hoje Hélio Bicudo nos deixa e seu legado de homem probo é uma contribuição de grande valor para nosso país. Que Deus console seus familiares e amigos pela irreparável perda."Marina Silva (Rede), pré-candidata à Presidência da República e ex-senadora pelo PT "Nossas homenagens a Hélio Bicudo, este grande jurista e democrata brasileiro. [...] Nossos agradecimentos e gratidão por tudo que Hélio Bicudo fez pelo Brasil, e nossa solidariedade à família e amigos."Senador Alvaro Dias (Pode-PR), pré-candidato à Presidência da República e ex-filiado ao PSDB | poder | 1 | 1 |
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] | * Jornais nacionais Folha de S.Paulo Chuva de fevereiro supera média do mês no Cantareira Agora S.Paulo Veja o que a Justiça decidirá na revisão da poupança O Estado de S.Paulo Delator repetiu esquema de Dirceu para abrir offshores O Globo O voo surreal da Portela Estado de Minas Ninguém segura! Zero Hora Morte de torcedor já levou 4 PMs à cadeia * Jornais internacionais The New York Times (EUA) Egito lança ataque contra ramificação do Estado Islâmico na Líbia The Washington Post (EUA) Rebeldes do Iêmen estão de olho em região produtora de petróleo The Guardian (Reino Unido) Reunião sobre resgate grego azeda El País (Espanha) Ultimato para a Grécia aceitar as condições da Europa | poder | 2 | 0.975516 |
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] | * Jornais nacionais Folha de S.Paulo Petrobras quer que empreiteiras entreguem bens Agora S.Paulo Confira como ganhar mais com benefício por idade O Estado de S.Paulo Ajuste reduz gastos do PAC em 31,8% em 12 meses O Globo Professor já ganha mais em escolas públicas Valor Econômico Veto de Levy deve barrar concessões de ferrovias Correio Braziliense 1,2 milhão vai perder o emprego até o fim do ano Estado de Minas Arrocho paralisa obras Zero Hora TCE questiona R$ 11 milhões em diárias a servidores Brasil Econômico 'O ajuste chama à responsabilidade também o andar de cima" * Jornais internacionais The New York Times (EUA) Irã recua em detalhe importante de acordo nuclear The Washington Post (EUA) Nações árabes vão criar força conjunta The Guardian (Reino Unido) Referendo da União Europeia vai destruir os negócios, alerta Miliband El País (Espanha) Dirigentes do PP criticam a política de comunicação de Rajoy | poder | 2 | 1 |
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] | Pessoas idosas com fatores de risco para demência, como diabetes e hipertensão, apresentaram uma redução de cerca de 48% no ritmo do declínio cognitivo após três anos de uso de aparelho auditivo, segundo os resultados de um estudo publicado na The Lancet.A perda auditiva é um dos problemas crônicos mais frequentemente encontrados na população idosa; estima-se que, em 2050, 60% dos idosos relatarão algum tipo de alteração auditiva.O estudo Achieve recrutou 977 idosos com idades entre 70 e 84 anos que vivem nos Estados Unidos: uma parte era composta por adultos mais velhos que participavam de outro estudo observacional sobre saúde cardiovascular (chamado Aric), e a outra parte era formada por idosos saudáveis da comunidade.Todos tinham o diagnóstico de perda auditiva e não haviam recebido tratamento para essa condição. Os participantes possuíam perfis auditivos semelhantes, e nenhum deles apresentava comprometimento cognitivo significativo.Os participantes foram divididos aleatoriamente em dois grupos: o primeiro grupo recebeu intervenção auditiva, incluindo o fornecimento de aparelhos auditivos, sessões regulares com fonoaudiólogo e orientações sobre o uso dos dispositivos, bem como estratégias de reabilitação auditiva.O segundo grupo (controle) participou de encontros individuais com um educador em saúde, abordando tópicos relacionados à prevenção de doenças crônicas, e também realizou um curso interativo sobre envelhecimento saudável.Para obter os resultados, os idosos foram submetidos a uma bateria de testes neurocognitivos que englobavam evocação tardia de palavras, substituição de símbolos por dígitos, memória lógica, teste de fluência verbal (com nomeação de animais), entre outros.De acordo com os cientistas, embora não tenha havido uma diferença significativa no declínio cognitivo global entre os dois grupos avaliados, os resultados mostraram variações entre as duas populações que constituíam o estudo.Em outras palavras, ocorreu uma redução significativa de 48% no declínio cognitivo entre os idosos com maior risco (aqueles do estudo ARIC) que utilizaram aparelhos auditivos, quando comparados ao grupo de controle.Segundo os pesquisadores, essas descobertas corroboram com evidências prévias que demonstraram a importância de incorporar o tratamento da perda auditiva em idosos como parte das estratégias disponíveis para a diminuição do risco de demência.Segundo a fonoaudióloga Cristiana Corrêa de Almeida, do setor de audiologia do Hospital Israelita Albert Einstein e coordenadora do curso de pós-graduação em Audiologia Clínica do hospital, o controle da audição em idosos é um fator importante para evitar a demência devido à forte relação existente entre a audição e a saúde cognitiva."Vários estudos têm demonstrado a associação entre a perda auditiva não tratada e um risco aumentado de desenvolvimento de distúrbios cognitivos, incluindo a demência", disse.Segundo a fonoaudióloga, a audição desempenha um papel fundamental no fornecimento de estímulos sensoriais ao cérebro.Assim, uma perda auditiva não tratada pode levar a uma redução na quantidade e na qualidade dos estímulos sensoriais que chegam ao cérebro, resultando em menor estimulação cognitiva."Consequentemente, a falta de estímulos sensoriais pode contribuir para a degeneração neuronal e a diminuição das funções cognitivas", explicou.Ciência, hábitos e prevenção numa newsletter para a sua saúde e bem-estarCarregando...Além disso, ressalta a especialista, a perda auditiva não tratada pode levar ao isolamento social, uma vez que os idosos podem ter dificuldade em se comunicar e participar de atividades sociais. Esse isolamento social está associado a um aumento do risco de depressão e ansiedade, que, por sua vez, também podem contribuir para a deterioração cognitiva."Muitas vezes estes indivíduos precisam fazer um esforço cognitivo extra para entender a fala e processar informações auditivas. Esse esforço adicional pode sobrecarregar o cérebro e afetar negativamente suas funções cognitivas, aumentando o risco de declínio cognitivo", explicou a fonoaudióloga, que acrescentou que a perda auditiva e a demência compartilham alguns mecanismos neurológicos subjacentes, como inflamação crônica, estresse oxidativo e danos nos vasos sanguíneos.Segundo Almeida, tratar a perda auditiva em estágios iniciais pode ajudar a reduzir a carga cognitiva e manter uma estimulação sensorial adequada para o cérebro, o que pode potencialmente retardar ou minimizar o risco de desenvolvimento de demência."Portanto, a intervenção adequada para tratar a perda auditiva em idosos não apenas melhora sua qualidade de vida e interação social, mas também pode ter um impacto positivo na saúde cognitiva e na prevenção da demência. É fundamental que os idosos passem por avaliações auditivas regulares e recebam tratamento adequado, caso seja identificada a perda auditiva", ressaltou a especialista.Também é possível prevenir a perda auditiva com atitudes simples que incluem evitar a exposição a ruídos de forte intensidade, evitar o uso excessivo de fones de ouvido, fazer pausas auditivas, adotar hábitos de vida saudáveis, não fumar e monitorar pressão arterial e glicemia. A fonoaudióloga avisa, no entanto, que embora essas medidas possam ajudar a proteger a audição, é importante destacar que a perda auditiva é uma parte natural do envelhecimento para muitas pessoas. "Por isso, manter um estilo de vida saudável e tomar precauções adequadas podem contribuir para uma melhor saúde auditiva ao longo do tempo", disse. Mais De acordo com Almeida, o processo de envelhecimento do sistema auditivo pode iniciar por volta dos 35 anos e variar consideravelmente entre os indivíduos. Surgem mudanças na acuidade auditiva, que está ligada à capacidade de perceber os sons, e alterações nas habilidades auditivas do processamento auditivo central, que dizem respeito à maneira como uma pessoa escuta e processa informações auditivas.O recomendável seria realizar exames auditivos assim que se detectar qualquer sintoma, como dificuldade de compreensão, audição sem compreensão, sensação de ouvidos entupidos, zumbidos, tontura, entre outros."A partir do momento de detecção da perda auditiva, seria importante um controle anual da audição para acompanhamento, mas, caso o paciente apresente qualquer sintoma auditivo diferente, deve-se procurar um médico otorrinolaringologista que realizará o encaminhamento para exames diagnósticos imediatamente", explica a fonoaudióloga.Um novo estudo de acompanhamento, vinculado à população original do Achieve, está em andamento para analisar os efeitos de longo prazo da intervenção auditiva sobre a cognição e em outros desfechos. | equilibrio-e-saude | 0 | 1 |
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] | Dentro de cada tumor canceroso há moléculas que estimulam o crescimento mortal e incontrolável. E se os cientistas pudessem ligar essas moléculas a outras para fazer as células se destruírem? Poderiam os próprios motores da sobrevivência de um câncer ativar, em vez disso, o programa de sua destruição?Essa ideia chegou como revelação ao biólogo do desenvolvimento Gerald Crabtree, da Universidade Stanford, alguns anos atrás, quando ele estava caminhando entre sequoias perto de sua casa nos montes Santa Cruz."Voltei para casa correndo", ele contou, empolgado com a ideia e pensando em maneiras de colocá-la em prática.Agora, em artigo publicado em 26 de julho na revista Nature, Crabtree —fundador da Shenandoah Therapeutics, que está desenvolvendo medicamentos contra o câncer—, juntamente com Nathanael Gray, professor de bioquímica e biologia de sistemas em Stanford, e seus colegas, informam que realizaram o que Crabtree idealizou durante aquela caminhada. Embora o conceito ainda esteja longe de ser um medicamento que possa ser dado a pacientes com câncer, pode ser um objetivo para desenvolvedores de medicamentos no futuro."É muito bacana", comentou Jason Gestwicki, professor de química farmacêutica na Universidade da Califórnia em San Francisco. "A ideia é converter algo que a célula cancerosa necessita para continuar viva em algo que a mata. Seria como converter sua vitamina em um veneno."Louis Staudt, diretor do Centro de Genômica Oncológica do Instituto Nacional do Câncer, disse: "Esta é uma maneira potencialmente nova de fazer o câncer se voltar contra ele mesmo". Staudt escreveu um editorial para acompanhar o artigo de Crabtree.Ele disse que depois que o tratamento tiver sido desenvolvido, "vou gostar muito de poder experimentá-lo em um ensaio clínico com nossos pacientes que já esgotaram todas as outras opções".Em experimentos laboratoriais com células de um tipo de câncer do sangue, o linforma difuso de células B grandes, pesquisadores desenharam e construíram moléculas que ligaram duas proteínas: a BCL6, uma proteína que passou por mutação e da qual o câncer depende para crescer agressivamente e sobreviver, e uma proteína celular normal que ativa quaisquer genes dos quais se aproxima.A nova construção, uma molécula em formato de haltere, difere de qualquer coisa vista na natureza. A NCL6, em uma extremidade do haltere, conduz a molécula na direção dos genes de morte celular que fazem parte do DNA de toda célula e são usados para eliminar células que não são mais necessárias. Mas quando uma pessoa tem linforma difuso de células B grandes, a BCL6 desativou esses genes de morte celular, essencialmente tornando as células imortais.Quando o altere, guiado pelo BCL6, se aproxima dos genes de morte celular, a proteína normal presente na outra ponta do altere ativa esses genes de morte. Diferentemente de outros processos celulares que podem ser revertidos, a ativação dos genes de morte celular é irreversível.A nova abordagem poderia representar uma melhora em relação à tarefa difícil de usar drogas para bloquear todas as moléculas de BCL6. Com as moléculas em formato de halter, basta religar apenas uma parcela das moléculas de BCL6 para matar células.O conceito tem o potencial de funcionar em metade de todos os tipos de câncer, os que possuem mutações conhecidas que geram proteínas que promovem o crescimento, disse Crabtree. E, pelo fato de o tratamento depender das proteínas que passaram por mutação produzida pelas células cancerosas, ele pode ser extremamente específico, poupando as células sadias.Crabtree explicou as duas áreas de descoberta que possibilitaram o trabalho. Uma delas é a descoberta dos chamados "genes condutores" —várias centenas de genes que, quando passam por mutação, impulsionam o alastramento do câncer. Mais A segunda área é a descoberta dos caminhos de morte nas células. Esses caminhos, disse Crabtree, "são usados para eliminar células que por um motivo ou outro começaram a agir descontroladamente" —caso de 60 bilhões de células por dia em cada indivíduo.A questão foi fazer os caminhos que promovem o crescimento das células cancerosas comunicar-se com os caminhos silenciados que impulsionam a morte de células, algo que normalmente não ocorreria.Quando a molécula híbrida chegou ao DNA das células, ela não apenas ativou os genes de morte celular como fez mais. A BCL6 conduziu a molécula híbrida a outros genes que o câncer havia silenciado. A molécula híbrida reativou esses genes, criando caos interno na célula."A célula nunca passou por isso", disse Staudt."A BCL6 é o princípio organizador dessas células cancerosas", ele explicou. Quando sua função é totalmente atrapalhada, "a célula perde sua identidade e diz ‘alguma coisa de muito errado está acontecendo aqui. O melhor que tenho a fazer é morrer.’"Receba no seu email reportagens e análises sobre medicina e saúde; exclusiva para assinantes.Carregando...Mas, disse Crabtree, o efeito principal do tratamento experimental foi ativar os genes de morte celular. "Esse é o efeito terapêutico", ele disse.O grupo testou sua molécula híbrida em camundongos, com os quais ela pareceu segura. Mas Staudt destacou que "os humanos são muito diferentes dos camundongos".Stuart Schreiber, professor de química e bioquímica na Universidade Harvard e colaborador de Crabtree em trabalhos anteriores, descreveu o trabalho como "empolgante", mas fez uma ressalva.O que Crabtree criou, ele disse, "não é um medicamento. Ainda tem um longo caminho a percorrer para sê-lo."Tradução de Clara Allain | equilibrio-e-saude | 0 | 1 |
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] | O Brasil atingiu apenas 1 das 3 metas globais propostas pelo Unaids (Programa Conjunto das Nações Unidas sobre HIV/Aids) para que a Aids deixe de ser uma ameaça à saúde pública até 2030 e ainda patina na redução das várias desigualdades que marcam a epidemia.Até o momento, 88% dos 990 mil brasileiros vivendo com HIV no país conhecem seu diagnóstico. Desses, 83% estão em tratamento e, entre eles, 95% estão com a carga viral suprimida. A meta do Unaids é de 95% para cada uma das situações até 2025. Em 2022, o país registrou 51 mil novos casos de HIV e 13 mil mortes.Os dados constam em um novo relatório global sobre Aids divulgado pelo Unaids nesta quinta (13), em Genebra, Suíça.Segundo Winnie Byanyima, diretora-executiva do Unaids, as respostas ao HIV têm sucesso quando estão baseadas em uma liderança política que segue as evidências, enfrenta as desigualdades, fortalece organizações da sociedade civil e garante financiamento suficiente e sustentável.Países como Botsuana, Essuatíni, Ruanda, República Unida da Tanzânia e Zimbábue já alcançaram as metas de 95-95-95, e pelo menos outros 16 países (incluindo oito na África subsaariana) estão próximos de fazê-lo, de acordo com o documento.No mundo, a Aids ceifou uma vida por minuto em 2022. As novas infecções por HIV não estão diminuindo rápido o suficiente, e milhões de pessoas ainda são privadas de tratamento, incluindo 43% das crianças. Hoje, há 39 milhões de pessoas vivendo com HIV —cerca de 9,2 milhões ainda sem tratamento e 2,1 milhões em tratamento, mas sem carga viral suprimida."O caminho que põe fim à Aids requer colaboração entre o Sul e o Norte globais, governos e comunidades, ONU e estados-membros atuando conjuntamente. Exige uma liderança corajosa. O mapa apresentado neste relatório mostra como o sucesso é possível nesta década, mas apenas se avançarmos juntos e com sentido de urgência", reforçou Winnie.De acordo com Ariadne Ribeiro Ferreira, oficial de igualdades e direitos do Unaids no Brasil, para avançar no cumprimento da primeira meta, do diagnóstico, a testagem do HIV precisa estar na rotina dos serviços de saúde e da população. "É preciso superar as desigualdades, o estigma e a discriminação que muitas vezes são barreiras para as pessoas acessarem esses serviços."Já no caso dos 19% que sabem do diagnóstico, mas que não estão em tratamento, ela defende que os serviços de saúde façam seguimento desses pacientes e criem estratégias de retenção. "Tem que ligar, perguntar por que não foi buscar a medicação. Tem que ter uma aproximação maior com as pessoas vivendo com HIV/Aids."Os dados também mostram que o Brasil, pelo segundo ano consecutivo, registra uma estabilidade da epidemia. "É um indício de que alguma coisa não está bem, um certo número de infecções estão acontecendo, e pessoas estão sendo deixadas para trás."Segundo Dráurio Barreira, diretor do departamento de HIV/Aids, tuberculose, hepatites virais e infecções sexualmente transmissíveis do Ministério da Saúde, há uma diminuição da infecção não só do HIV mas de outras ISTs entre as pessoas de classe média, brancas e mais esclarecidas e, ao mesmo tempo, um aumento entre populações mais vulneráveis, como as pobres e negras, que vivem nas periferias dos grandes centros urbanos.Ele afirma que o esforço para retomar a queda dos indicadores do HIV não é só do Ministério da Saúde. Em abril deste ano, foi formado um comitê interministerial que envolve nove pastas para o enfrentamento de 14 doenças determinadas socialmente. Além do HIV, estão incluídas tuberculose, hepatites, sífilis, doença de Chagas, malária, hanseníase, entre outras."São doenças que a gente espera eliminar como problema de saúde pública até 2030. Essa proposta se inspira totalmente nos Objetivos do Desenvolvimento Sustentável [da ONU]. A minha avaliação é que até de 2025 a gente vai atingir as três metas de 95%. A gente está no caminho mesmo tendo tido um governo passado que não priorizou isso", afirma Barreira.De acordo com o relatório do Unaids, a maior prevalência das infecções no Brasil está entre as pessoas transgênero (30%), homens que fazem sexo com homens (18%) e trabalhadores do sexo (5,3%)."No Brasil, a população trans tem sido usada politicamente para causar pânico na sociedade. A gente vê projetos de lei propondo criminalização do cuidado, da aceitação dos pais. Esses projetos causam uma barreira de acesso ainda mais forte do que todas as outras barreiras estruturais", afirma Ariadne.Dráurio Barreira diz que o ministério estuda parcerias com a sociedade civil, especialmente com os grupos de homens que fazem sexo com homens, de pessoas trans e profissionais do sexo, para que as novas ferramentas de prevenção, detecção e tratamento do HIV cheguem nessas populações mais vulneráveis.O relatório do Unaids também traz um posicionamento contrário às leis que criminalizam pessoas de populações-chave, ou seus comportamentos. Em 145 países, é crime o uso ou posse de pequenas quantidades de drogas. Cento e sessenta e oito países criminalizam algum aspecto do trabalho sexual, 67, a relação sexual consensual entre pessoas do mesmo sexo, e 20, entre pessoas transgênero.Segundo Ariadne, algumas pesquisas já demonstraram que o estigma e a discriminação estão presentes em quase todas as áreas da vida dessas populações mais afetadas pelo HIV. Um trabalho de 2019 apontou, por exemplo, que 6% da pessoas trans foram discriminadas dentro dos próprios serviços de saúde no Brasil. Mais Para Alexandre Granjeiro, pesquisador da Faculdade de Medicina da USP, as desigualdades sociais, raciais, de gênero, de idade, entre outras são hoje os principais obstáculos no enfrentamento da epidemia de Aids no Brasil.Ele afirma que as tecnologias novas de prevenção, de diagnóstico e de tratamento também tendem a ser menos acessadas por aqueles sem proteção social. "Há estratégias para enfrentar esse contexto e, se não fizermos isso agora, não vamos alcançar as metas nesses grupos."Segundo o pesquisador, há muita diferença na capacidade de resposta de estados e municípios a esses problemas. "Muitos municípios têm deixado [o tema HIV/Aids] em segundo plano e também não estão sendo cobrados pela gestão federal."Para Ariadne, do Unaids, há estados, especialmente os da região Norte, que precisam não só de um trabalho mais profundo de estruturação dos serviços de saúde, mas também de trabalhar aspectos culturais que fazem com que as populações mais afetadas pelo HIV tenham dificuldades de acessar as políticas públicas de saúde, de educação, de trabalho."Sem essas garantias, fica muito mais difícil que essas pessoas consigam manter o tratamento com antirretrovirais, que é contínuo e exige uma alimentação regrada."Dráurio Barreira diz que o Ministério da Saúde está fazendo uma análise estratificada a partir dessas desigualdades e vai colocar essas populações mais atingidas como prioridade na agenda de enfrentamento do HIV.Granjeiro também aponta o desfinanciamento do programa DST/Aids ao longo dos anos e a redução do ativismo em torno do tema como fatores que têm contribuído para o não avanço no cumprimento das metas das Nações Unidas.O governo Jair Bolsonaro (PL) retirou R$ 407 milhões destinados à prevenção, controle e tratamento de Aids/HIV do Orçamento de 2023 em relação ao que foi destinado em 2022.Segundo Dráurio Barreira, na atual gestão federal, o departamento conseguiu recompor o orçamento originalmente previsto para 2023. "O que ainda é insuficiente", afirma. O orçamento de 2024 começa a ser discutido no próximo dia 24. | equilibrio-e-saude | 0 | 1 |
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] | A chance de engravidar naturalmente após ter um bebê de fertilização in vitro é bastante alta, cerca de uma em cinco —algo que os casais devem estar cientes, dizem os pesquisadores.São notícias que podem dar uma nova esperança em relação ao planejamento de uma família, dizem eles, ou informações importantes sobre contracepção.Eles analisaram dados de mais de 5 mil mulheres para julgar o quão comum era essa relação. As revelações são médias aritméticas, então as chances são diferentes entre as pessoas.De acordo com o NHS, o serviço público de saúde britânico, a chance de qualquer casal conceber naturalmente no ano seguinte, se já estiver tentando há alguns, é de uma em quatro, ou menos.Mas, como a fertilidade feminina diminui com a idade, as mulheres com mais de 35 anos e qualquer pessoa que já saiba que pode ter problemas de fertilidade devem consultar seu médico de família mais cedo.Os problemas de fertilidade podem ser permanentes ou ir e vir e podem afetar qualquer um dos parceiros. Existem muitas razões tratáveis, mas um em cada quatro casais pode não encontrar uma possível causa.Tratamentos de fertilidade, como fertilização in vitro, nem sempre são gratuitos no NHS.Um ciclo de tratamento de fertilização in vitro pode custar até 5 mil libras esterlinas (cerca de R$ 30 mil) ou mais.Shema Tariq, de Londres, foi diagnosticada com "baixa reserva ovariana", o que significa que ela tinha menos óvulos restantes e disse que suas chances de conceber sem uma fertilização in vitro eram quase zero.Foram necessárias seis rodadas de fertilização in vitro para conceber o filho dela, que nasceu em 2018."Meu médico mencionou brevemente a contracepção para mim depois que ele nasceu —mas nós dois rimos e concordamos que não era relevante", diz Shema."Nunca me ocorreu que poderia engravidar, apesar de ser uma médica especialista em saúde sexual. Eu tinha 43 anos e me disseram que minhas chances de engravidar naturalmente eram de menos de 1%. Oito meses depois, eu estava inesperadamente e naturalmente grávida de nossa filha", conta."Ela foi a surpresa mais maravilhosa —mas, quando descobrimos, me senti sobrecarregada e despreparada para outra gravidez."Se eu soubesse que uma em cada cinco mulheres engravida naturalmente após a fertilização in vitro, eu teria usado contraceptivos até estar pronta novamente, tanto emocional quanto fisicamente."A principal autora da nova pesquisa, publicada na revista Human Reproduction, Annette Thwaites, da University College London, disse: "Nossas descobertas sugerem que a gravidez natural após ter um bebê por fertilização in vitro está longe de ser rara."Isso contrasta com as opiniões amplamente difundidas —por mulheres e profissionais de saúde— e aquelas comumente ditas pela imprensa de que é um evento altamente improvável". Mais Os 11 estudos internacionais que a equipe analisou descobriram que pelo menos uma em cada cinco mulheres concebeu naturalmente depois de ter um bebê usando tratamento de fertilidade, principalmente dentro de três anos. E isso se aplica a diferentes tipos e resultados de tratamento de fertilidade.A embriologista clínica Marta Jansa Perez, da British Fertility Society, disse: "Este estudo destaca a importância de fornecer aos pacientes informações precisas sobre suas chances de concepção em qualquer momento, principalmente após o parto de um bebê de fertilização in vitro."É uma boa notícia que uma proporção tão alta de pacientes seja capaz de conceber naturalmente após a fertilização in vitro. Mas as pessoas devem estar cientes de que, nos casos em que a idade da mulher é um fator para a falha inicial na concepção ou há infertilidade masculina grave, seria aconselhável procurar tratamento para um segundo filho mais cedo ou mais tarde."Este texto foi publicado originalmente aqui. | equilibrio-e-saude | 0 | 1 |
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] | O Ministério da Saúde confirmou na noite desta quarta-feira (17) a investigação de um caso suspeito de gripe aviária (H5N1) em humano no país. Se confirmado, este será o primeiro.Segundo comunicado da pasta, o paciente é um homem de 61 anos, funcionário de um parque de Vitória, Espírito Santo, onde foi encontrada uma ave com resultado positivo para a doença. Ele apresenta sintomas gripais leves e, conforme protocolo de vigilância sanitária, está em isolamento e monitorado por equipes de saúde do município."A amostra do paciente suspeito e de outras 32 pessoas que também trabalham no parque estão em análise pelo Laboratório Central de Saúde Pública (Lacen) do Espírito Santo. Após a análise, as amostras também serão enviadas para a Fiocruz, que é o laboratório de referência para o estado", informou a nota.A pasta destaca que a transmissão da doença ocorre por meio de contato com aves doentes, vivas ou mortas. E, de acordo com o que foi observado no mundo, "o vírus não infecta humanos com facilidade e, quando isso ocorre, geralmente a transmissão de pessoa para pessoa não é sustentada".Na última segunda-feira (15), os dois primeiros casos positivos de aves contaminadas pela H5N1 foram confirmados no Espírito Santo. No entanto, eram duas aves marinhas, o que não traz problemas para a produção nas granjas, embora o país perca o status de jamais ter registrado um caso da doença.Após esses casos, o Ministério da Saúde reforçou as orientações para vigilância diante de possíveis casos suspeitos de influenza aviária em humanos. Mais | equilibrio-e-saude | 0 | 1 |
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] | Uma média de 73 mil pacientes com câncer não têm acesso à radioterapia no SUS a cada ano. De 2008 a 2022, a soma chega a 1,1 milhão, o que pode ter sido causa direta de mais de 110 mil mortes, revela documento da SBRT (Sociedade Brasileira de Radioterapia) entregue ao Ministério da Saúde.Nesse período, a incidência acumulada de câncer no Brasil foi de 6,2 milhões de casos novos. Em alguma fase da doença, cerca de 60% dos pacientes vão precisar de radioterapia, que é um dos pilares do tratamento oncológico, ao lado das cirurgias, da quimioterapia e, mais recentemente, da imunoterapia.O relatório, feito em parceria com a Fundação Dom Cabral, mostra que, nesses 15 anos, 1,7 milhão de pacientes receberam tratamento nos serviços públicos ante uma demanda estimada de 2,8 milhões. Cerca de 75% dos pacientes dependem exclusivamente do SUS. Outros estudos já demonstraram a desigualdade no acesso a diagnóstico e tratamento oncológico no país."Não ter acesso à radioterapia é um problema gravíssimo, tanto para o paciente, que vai sofrer sem um tratamento adequado e a doença vai progredir, quanto para o país, que terá custos maiores para tratar a doença avançada", diz médico radio-oncologista Marcus Simões Castilho, presidente da SBRT.Os gargalos são vários, entre os quais o número insuficiente de aparelhos de radioterapia no SUS, muitos dos quais já obsoletos, e a defasagem da tabela SUS para pagamento dos tratamentos. Em última instância, além da falta de acesso, isso resulta em terapias ultrapassadas e menos eficazes.Em 2012, eram pagos pelo Ministério da Saúde US$ 1.567 (R$ 7.960) por tratamento. Em 2022, foram US$ 831 (R$ 4.221). Em uma década, houve 80% de inflação acumulada e 150% de desvalorização do câmbio."Faltam recursos financeiros na quantidade adequada para que as instituições possam se sustentar, manter atualizados os seus parques tecnológicos e entregar um tratamento de qualidade", reforça Castilho.O Ministério da Saúde lançou em 2012 um plano de expansão em radioterapia do SUS, mas, dez anos depois, só conseguiu instalar pouco mais da metade do total de aceleradores lineares proposto no projeto.Das 91 novas instalações previstas, foram concluídas 58. Dessas, 53 estão com licença de operação e cinco aguardam a tramitação de documentos e licença da CNEN (Comissão Nacional de Energia Nuclear)."Além de a gente não conseguido colocar aqueles equipamentos em funcionamento, os que estão aí já precisam ser repostos, tanto em tecnologia quanto para substituir os velhos, que não têm mais condição."Segundo o relatório, na última década, o crescimento de aceleradores nucleares foi de 17%, enquanto a alta da incidência de câncer foi 32%, ou seja, quase o dobro. A projeção é que, para 2030, o país vá precisar de 230 novos equipamentos. Castilho defende que haja mais parcerias com a iniciativa privada."Uma radioterapia para [câncer] de mama já pode ser feita em cinco sessões. No passado, precisávamos de 25 a 30 sessões", explica rádio-oncologista Renato Pierre Lima, do Hospital Haroldo Juaçaba, de Fortaleza (CE), ligado ao Instituto do Câncer, uma das referências oncológicas no Norte-Nordeste.O médico se refere à radioterapia hipofracionada, que reduz muito o tempo do tratamento. De acordo com o relatório, ela está presente em 67% dos serviços radioterápicos que atendem exclusivamente pacientes do SUS e em 88% daqueles exclusivos da saúde suplementar. Mais Segundo Lima, seus pacientes do SUS só têm acesso a essa tecnologia porque o hospital investe recursos próprios na atualização das máquinas. Muitos dos doentes vêm de longe. É o caso do aposentado Francisco Nascimento Silva, 73, de Ibicuitinga (CE), cidade que fica a três horas da capital cearense.Silva está em tratamento de um tumor de próstata e passou por cinco sessões seguidas de radioterapia. "Ajuda muito o tratamento ser mais curto. Essas viagens são muito cansativas para o meu pai, que já está debilitado pela doença", diz a filha Almerinda, 37."Não precisa ser muito inteligente para perceber quanto isso impacta na redução de custos e também na acessibilidade aos serviços. Radioterapia com alta tecnologia está relacionada a tratamentos com menor toxicidade e, em algumas vezes, com melhores desfechos clínicos", diz Gustavo Nader Marta, rádio-oncologista do Hospital Sírio-Libanês (SP).A radioterapia de intensidade modulada (IMRT), que gera maiores doses de radiação no tumor e menores nos tecidos sadios, está em 21% dos serviços do SUS e em 77% dos que atendem só planos de saúde.Outra técnica que permite mais precisão do feixe, com menor irradiação dos tecidos sadios, a radioterapia guiada por imagem (IGRT) é oferecida em 14% dos serviços do SUS e em 57% dos da rede suplementar.Outro problema, segundo Marta, é que os tratamentos do SUS são pagos em pacotes preestabelecidos, sem levar em conta se uma instituição oferece ou não uma técnica mais adequada que a outra."Em vez de empacotar, o governo deveria hierarquizar os procedimentos, reconhecendo as diferentes tecnologias. Paga-se exatamente igual aos serviços que têm as tecnologias mais rudimentares e os que tentam oferecer uma radioterapia de qualidade." Na saúde suplementar, existe essa hierarquização.No relatório, a SBRT sugere mudanças nesse modelo, iniciado em 2019, além de reajuste do financiamento do setor, congelado desde 2010.Segundo Castilho, o documento já foi apresentado e discutido em várias reuniões no conselho do Inca (Instituto Nacional do Câncer) em 2022, e o relatório final foi apresentado no fim do ano ao ministério.Helvécio Magalhães Júnior, secretário da Atenção Especializada do Ministério da Saúde, diz que a atual gestão está discutindo vários pontos que constam no relatório da SBRT.Um dos autores do plano de expansão da radioterapia, em 2012, ele diz que não houve avanço porque a área oncológica não foi prioridade do governo federal nos últimos anos. "Ninguém tomou conta."O secretário afirma que sua equipe tem analisado cada um dos contratos dos cerca de 460 prestadores na área oncológica e que haverá um "grande investimento" (não especificou valores) para atualizar os aparelhos de radioterapia, uma vez que na última década a tecnologia foi muito aprimorada.Sobre a desatualização da tabela SUS, ele diz que essa é uma queixa é histórica, mas que não há previsão de rever esses valores por enquanto. "Vamos sim colocar recursos federais para equilibrar os contratos com os prestadores, especialmente os filantrópicos."Outra proposta é individualizar dentro das Apacs (autorização de procedimentos ambulatoriais) e das AIHs (autorização de internações hospitalares) os valores dos produtos que serão utilizados, remunerando de forma diferenciada a instituição que trabalha com tecnologias mais atualizadas. | equilibrio-e-saude | 0 | 1 |
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] | Entidades que representam a classe médica criticaram o anúncio do governo federal da volta do programa Mais Médicos. Segundo essas instituições, é essencial que médicos com formação feita fora do Brasil tenham suas competências revalidadas no país –no Mais Médicos, isso não é uma exigência.O assunto voltou à discussão nesta segunda-feira (20), quando o governo Lula anunciou a abertura de 15 mil vagas pelo programa. No total, só em 2023, serão investidos R$ 712 milhões.O programa foi criado em 2013, no primeiro mandato de Dilma Rousseff (PT), mas foi abandonado durante o governo de Jair Bolsonaro (PL). No primeiro ano de mandato, em 2019, o ex-presidente lançou o Médicos pelo Brasil, modelo que tentou substituir o Mais Médicos. Os primeiros participantes do programa de Bolsonaro, no entanto, só foram convocados em 2022.No caso do Mais Médicos, existem cerca de 13 mil profissionais que ainda atuam pelo programa. Com as novas contratações previstas, o total deve saltar para 28 mil.Com a retomada, segundo o Ministério da Saúde, 96 milhões de brasileiros terão garantia de atendimento médico na atenção primária, porta de entrada do SUS. A volta do programa conta com algumas alterações para aumentar a permanência dos médicos nas localidades em que são alocados.A iniciativa, no entanto, é criticada por entidades médicas. Para o presidente da AMB (Associação Médica Brasileira), César Eduardo Fernandes, o Mais Médicos tem problemas em sua formulação. Ele afirma que, em algumas localidades, é difícil prover as necessidades médicas. No entanto, contratar profissionais sem registros brasileiros não seria a solução adequada."Nós entendemos que qualquer solução para provimento de médicos [...] deve ser feita com médicos que estejam registrados nos seus respectivos conselhos estaduais de medicina", afirma Fernandes. No caso dos Mais Médicos, não é necessário a revalidação no Brasil de diploma de medicina emitido por uma instituição internacional. Mais "Nós queremos contribuir, apenas não podemos dar guarida à solução de trazer médicos sem a necessária comprovação de suas competências", continua.O presidente da AMB também diz que existem outras alternativas para superar o problema de fixação de médicos em localidades remotas sem adotar profissionais que não têm a comprovação de suas competências no Brasil.Um caso seria projetar programas de residências médicas que aloquem os residentes, juntamente com seus orientadores, em localidades que enfrentam uma maior carência de serviços de saúde. Ao fazer isso, continua Fernandes, seria possível providenciar serviços médicos de qualidade para essas regiões ao mesmo tempo que colabora com a formação de médicos no Brasil.O CFM (Conselho Federal de Medicina) foi outra instância que teceu críticas ao programa, especialmente no que diz respeito à falta de exigência de revalidação do diploma. "Programas de alocação de profissionais em áreas de difícil provimento devem observar essa exigência legal para reduzir os riscos de exposição da população a pessoas com formação inconsistente", informou em nota.A entidade assume que existem impasses para alocar médicos em certas localidades, mas que a melhoria na distribuição dos profissionais "depende de oferta de remuneração adequada, de programas de educação continuada e de infraestrutura para o atendimento [...] e de possibilidade de progressão funcional".A ministra da Saúde, Nísia Trindade, afirmou que já estava ciente das críticas. "Nós temos tido um diálogo intenso com as entidades representativas dos médicos, como a AMB e, na verdade, o grande ponto é médico sem registro no Brasil."Vice-presidente do Conass (Conselho Nacional de Secretário de Saúde), Fabio Bacchretti afirma que o mais importante de se considerar sobre o Mais Médicos é a capacidade de proporcionar um atendimento básico para a população. "Em um primeiro momento, o programa Mais Médicos tem esse papel muito importante, garantido o acesso a saúde", afirma Bacchretti, que também é secretário de saúde de Minas gerais. Mais Ele explica que melhorar o atendimento básico colabora tanto para a saúde em geral da população brasileira como diminui a pressão na alta complexidade. "Hoje nós vemos uma demanda muito grande nos atendimentos de maior complexidade por falta de um médico atendendo o que é básico."Para Ricardo Dantas, pesquisador do Instituto de Comunicação e Informação em Saúde (Icict) da Fiocruz, o Mais Médicos teve impacto positivo para a saúde pública em locais remotos do Brasil. Dantas fala isso com base na participação em uma pesquisa sobre os efeitos do programa entre os anos de 2013 e 2017.A conclusão do estudo foi de que a iniciativa ocasionou a melhoria de diferentes indicadores de saúde, como redução de mortalidade e melhoria no pré-natal. "Para muitos lugares no Brasil a fora, especialmente municípios pequenos e remotos, foi a primeira vez que tiveram acesso a cuidados, com um médico presente e disponível", diz.Dantas também afirma que o programa proporcionou a aprimoramento de outras frentes de saúde, como provimento de enfermeiros e equipamentos. "Eu entendo o programa como bem-sucedido de propiciar acesso aos médicos e aos outros profissionais", conclui. | equilibrio-e-saude | 0 | 1 |
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] | Nós todos (ou quase todos) queremos nos apaixonar, certo? E os aplicativos de namoro estão aí para nos ajudar.Na nova série da BBC Three, Planet Sex, a modelo Cara Delevingne investigou o que acontece com nossos cérebros quando vemos imagens de pessoas que achamos atraentes.Em um dos episódios, ela mesma foi examinada.Seu cérebro foi monitorado enquanto ele via imagens de pessoas que reconhecia, de conhecidos que achava atraentes a pessoas com quem teve relacionamentos de longo prazo.As funções cerebrais de Cara se iluminaram mais quando imagens de seus amores sérios do passado apareceram, e os resultados, disse a Dra. Bianca Acevedo, que conduziu sua varredura cerebral, prova que "o amor é um impulso realmente forte.""Mesmo quando o relacionamento do casal não é bom, ainda há uma forte conexão - você vê intensa atividade de recompensa em seus cérebros.""O amor é basicamente uma droga", concordou Cara.Não é nenhuma surpresa que os aplicativos de namoro, uma tecnologia que nos ajuda a encontrar o amor, sejam tão populares.Em 2022, ano em que o pioneiro Tinder comemorou 10 anos de existência, 323 milhões de pessoas ao redor do mundo estavam usando esse e outros aplicativos semelhantes, segundo um estudo recente.E é que são "incrivelmente viciantes", segundo a psicóloga e consultora cultural Zoe Mallett. Mais "Eles dão a você a chance de conhecer pessoas que você não conheceria de outra forma", diz ele, mas acrescenta que nem tudo são coisas positivas.Embora possam ajudá-lo a encontrar o amor, já que há muito tempo envolvido na tela, "eles podem mudar a maneira como você se comporta quando conhece pessoas na vida real", diz ela.Eles são baseados em reforço intermitente, algo que Mallett define como a "entrega de recompensas em intervalos irregulares"."Os cientistas relacionam isso com jogos de azar. É a sensação viciante de nem sempre ganhar ", detalha.Isso porque se você encontrar alguém por quem se sente atraído e escolher essa pessoa, nada garante que a mesma coisa acontecerá com essa pessoa, então, quando ocorre o match, a recompensa parece maior."A incerteza faz com que você invista mais", explica ela, observando que, mesmo que você não consiga nenhuma correspondência, desejará "voltar para ter mais"."Tem a ver com os níveis de dopamina em seu cérebro", diz a psicóloga.Descrita em um estudo da University College London como um mensageiro químico que nos ajuda a sentir prazer, a dopamina é liberada em seu cérebro quando você "dá um match" em um aplicativo de namoro, ou seja, quando encontra um par que também gostou de você."É a mesma substância química liberada quando você faz sexo ou ganha alguma coisa. Pode fazer você se sentir relaxado e animado", diz Mallett."Você fica feliz quando usa, mas a onda de dopamina dura pouco, você está constantemente querendo senti-la novamente ""Para envolver o usuário, os aplicativos de namoro são projetados para serem emocionantes e divertidos", diz ele.Semelhante à forma como usamos a mídia social, os designers de serviços de namoro querem que você volte sempre."Ambos têm como alvo a memória muscular do seu cérebro, então é a primeira coisa que você procura quando pega o telefone. Seu cérebro irá naturalmente para um lugar que sabe que pode fazer você se sentir bem."E, assim como a mídia social, os aplicativos de namoro são cuidadosamente projetados para "apagar você do resto do mundo"."Eles querem que você esteja 'de óculos' quando usar o aplicativo", diz ele.Usando cores, fontes e linguagem cuidadosamente projetadas, eles também se concentram no seu lado emocional."Quando você vê alguém de quem gosta em um aplicativo, pode começar a imaginar um futuro com essa pessoa. Não se trata apenas da aparência, mas também da narrativa que ela pode criar", acrescenta. Mais Os humanos estão constantemente procurando por validação, diz Mallett, e é isso que os aplicativos de namoro também atraem."Quando você encontra um par em um aplicativo de namoro, por um breve segundo, todas as suas dúvidas podem desaparecer."Além disso, a sensação de "desconhecido" mantém os usuários viciados. "Você nunca sabe quem será o próximo e isso é muito emocionante."Mas essa emoção pode se transformar em amor?De acordo com um estudo da YouGov, 16% dos consumidores globais entre 25 e 34 anos conheceram seu parceiro por meio de um aplicativo.Para a psicóloga, ganhar aquele prêmio é resultado de uma mistura de "sorte" e "esforço"."Se você passa muito tempo procurando por amor em um aplicativo de namoro, é mais provável que encontre alguém de quem goste."Mas também é uma questão de sorte. Você pode não gostar de ninguém na área em que mora."A mídia social e os aplicativos de namoro também mudaram a maneira como nos comunicamos na vida real, argumenta Mallett."Nossa dependência da tecnologia fez com que algumas pessoas achassem difícil ter uma conversa cara a cara", diz ela."Agora as pessoas podem pensar que não precisam se expor ou se aproximar das pessoas que veem por aí se puderem simplesmente ir para casa e usar o aplicativo, o que é muito menos intimidador."Então é bom usá-los?"Tudo tem partes boas e ruins", considera Zoe. "Se você quer conhecer seu parceiro, eles são uma ótima maneira de descobrir o que você pode ou não querer dele.""Eles também podem aumentar sua confiança, mas eu não recomendaria confiar neles como sua única maneira de conhecer pessoas ."Além disso, ela diz, a maneira como usamos aplicativos de namoro está começando a mudar."Aplicativos como Bumble e Thursday começaram a hospedar eventos presenciais, o que é interessante porque leva os usuários para fora do aplicativo e para um ambiente da vida real"."(Os criadores dos) aplicativos estão percebendo que ainda queremos conhecer pessoas na vida real", diz Zoe.Mas nossa obsessão por eles não deve diminuir."Os seres humanos gostam naturalmente de coisas que facilitam nossas vidas."Os aplicativos de namoro nos ajudam, facilitam nossa vida. Eles são uma solução. É difícil conhecer pessoas, então não é surpresa que gostemos tanto deles ." | equilibrio-e-saude | 0 | 1 |
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] | O número de casos de Covid-19 voltou a aumentar na população adulta dos estados de São Paulo, Amazonas, Rio de Janeiro e Rio Grande do Sul, informou nesta quinta-feira (10) o novo boletim InfoGripe, da Fiocruz.Segundo o coordenador do levantamento, Marcelo Gomes, ainda não é possível afirmar que esse crescimento esteja relacionado especificamente com a recente identificação de novas sublinhagens da ômicron em alguns locais do país. O relatório informa que o aumento dos casos é mais perceptível na faixa etária a partir dos 18 anos. A exceção é o Rio Grande do Sul, que apresenta essa tendência apenas a partir de 60 anos. "Como os dados laboratoriais demoram mais a entrar no sistema, é esperado que os números de casos das semanas recentes sejam maiores do que o observado nesta atualização, podendo inclusive aumentar o número de estados em tal situação", explica o pesquisador da Fiocruz.Gomes destaca a possibilidade de a Covid-19 ter dois picos de casos durante o ano, diferentemente de outras doenças respiratórias."Diferentemente do influenza [vírus da gripe] e de outros vírus respiratórios com tipicamente um pico por ano, a Covid-19 pode estar se encaminhando para uma realidade na qual a gente tenha que conviver com dois momentos do aumento da sua circulação", reforça Gomes.Nas últimas quatro semanas epidemiológicas, o levantamento mostra que o resultado positivo para vírus respiratórios foi de 14,8% para influenza A; 0,5% para influenza B; 26,1% para vírus sincicial respiratório (VSR); e 36,9% para Sars-CoV-2 (Covid-19).Entre os óbitos, a presença desses mesmos vírus entre os positivos foi de 10,4% para influenza A; 0,0% para influenza B; 0,0% para VSR; e 74,6% Sars-CoV-2 (Covid-19).Outro ponto do boletim destaca que o aumento dos casos de Covid-19 provocaram uma queda na incidência de gripe em São Paulo. Distrito Federal e Mato Grosso do Sul, que também haviam apresentado aumento de influenza, mantêm redução desse vírus sem que tenha gerado impacto significativo nas SRAG (Síndrome Respiratória Aguda Grave). Mais Dez das 27 unidades federativas apresentam crescimento moderado de SRAG na tendência de longo prazo: Alagoas, Amazonas, Bahia, Ceará, Goiás, Paraíba, Pernambuco, Piauí, Rio Grande do Norte e Rio de Janeiro. Na maioria desses estados, o crescimento se concentra fundamentalmente entre crianças e adolescentes.Nos estados do Alagoas, Amazonas, Rio de Janeiro e Pernambuco, no entanto, o crescimento ocorreu também na população adulta e nas faixas etárias acima dos 60 anos. No Amazonas e no Rio de Janeiro, é possível observar aumento nos casos positivos para Covid-19 na população adulta, sugerindo associação com o aumento de casos de SRAG indicado.Nos outros estados, os dados laboratoriais ainda não permitem inferir se há predomínio de um vírus específico nessa tendência de aumento recente. No Rio Grande do Sul e São Paulo, também se observa aumento de casos positivos para Covid-19 na população adulta, porém sem refletir em aumento de casos de SRAG no agregado estadual até a presente atualização. | equilibrio-e-saude | 0 | 1 |
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] | Estados e municípios estão adotando estratégias para se adaptarem à redução no repasse de doses da vacina BCG, aplicada idealmente nos primeiros dias de vida e fundamental na prevenção de casos graves de tuberculose em crianças.O Ministério da Saúde diz que a readequação do número de doses repassadas aos governos locais ocorreu por causa da tramitação do processo de aquisição antes da distribuição aos estados.Esse processo envolve compra, desembaraço alfandegário, autorização da Anvisa (Agência Nacional de Vigilância Sanitária) para a entrada do produto no país e envio para análise no INCQS (Instituto Nacional de Controle de Qualidade em Saúde).A pasta afirma que não há desabastecimento, que as doses distribuídas mensalmente variam de acordo com a demanda das secretarias de saúde e que a situação deve ser normalizada até setembro.Em Cuiabá, onde a imunização ficou interrompida de 19 de junho a 7 de agosto devido à falta de doses, a vacinação foi retomada com dias e horários limitados. A cidade recebeu 40 frascos, o equivalente a 800 doses, e distribuiu os imunizantes em quatro unidades básicas de saúde. Na última terça (16), um dos postos já não tinha mais vacina e outros locais contavam com dois, cinco e sete frascos, cenário bem diferente de alguns meses atrás.Até o fim de junho, crianças nascidas no Hospital Geral e Maternidade de Cuiabá recebiam a BCG antes da alta, conforme o esquema sugerido na portaria nº 1.533/2016 do Ministério da Saúde. Agora, a instituição orienta os pais a procurarem os postos de saúde. A mesma recomendação é dada no Hospital Santa Helena. Juntos, os dois hospitais efetuam cerca de mil partos por mês, número superior às doses recebidas pelo município.No Rio de Janeiro, a Secretaria de Estado de Saúde tem reforçado o pedido para que os municípios organizem a logística de forma a evitar a perda de doses.No Espírito Santo, onde a cota foi reduzida para 60% (8.630 doses mensais), uma das orientações repassadas às cidades é a vacinação dos recém-nascidos em dias alternados nas maternidades.Cidades na Bahia também sentiram a redução. De acordo com a Secretaria da Saúde estadual, desde maio o repasse mensal é de 45 mil doses, abaixo da necessidade de 150 mil a 200 mil doses."Em 29 de abril, o Ministério da Saúde emitiu, por ofício, a informação de que a partir de maio, e por 9 meses, iria reduzir a quantidade de doses de vacina BCG aos estados e que estes deveriam fazer uso racional das quantidades enviadas", afirma a pasta.Para gerenciar a situação, a secretaria tem orientado os municípios a otimizarem a abertura das ampolas, uma vez que cada frasco de BCG tem validade de seis horas após aberto.Essa também é a sugestão que o Conselho Nacional de Secretarias Municipais de Saúde (Conasems) dá aos gestores. "É claro que com isso acabamos perdendo algumas janelas de oportunidade para vacinar. Se em um momento eu tinha essa vacina à vontade, sem risco de desabastecimento, eu abria o frasco quando a mãe procurava. Quando há esse risco, não faço mais isso. Começo a organizar por dia, fazer agendamento e pode ser que no dia agendado a população não procure", afirma Hisham Hamida, diretor da entidade.O risco de os pais desistirem de vacinar os filhos depois de irem aos postos e não encontrarem o imunizante é uma preocupação compartilhada por médicos ouvidos pela reportagem, ainda mais considerando a queda geral na cobertura vacinal."Meu maior receio é perderem a oportunidade de vacinar e não conseguirem ir atrás dessas crianças depois, não haver uma estratégia de busca ativada daquelas que não receberam a vacina", diz Mônica Levi, diretora da SBIm (Sociedade Brasileira de Imunizações).Ela e o pediatra Renato Kfouri, também diretor da SBIm, explicam que o propósito da vacina é proteger as crianças antes da exposição ao bacilo de Koch, evitando tipos graves como a tuberculose miliar, em que a doença se dissemina pelo corpo, e a meníngea, com comprometimento cerebral."Sem a vacinação, podemos voltar a ter casos que há anos não vemos nos consultórios", afirma Kfouri.Por isso, os dois recomendam aos pais que procurem as unidades de saúde para a aplicação da BCG o quanto antes."Se ainda não vacinou, é preciso ir ao posto e perguntar sobre a abertura do próximo frasco. Não há uma comunicação efetiva do Ministério da Saúde, então os pais têm de se informar por conta própria", diz Kfouri. Mais Até 2016, as doses de BCG distribuídas pelo Ministério da Saúde eram provenientes da FAP (Fundação Ataulpho de Paiva), no Rio de Janeiro. De lá para cá, porém, a produção na unidade de São Cristóvão foi interrompida algumas vezes após inspeções da Anvisa (Agência Nacional de Vigilância Sanitária), e a nova planta fabril, em Duque de Caxias, continuou atrasada.Por conta disso, o governo recorreu ao Fundo Rotatório da Opas/OMS (Organização Pan-Americana da Saúde) para adquirir o imunizante, ficando sujeito a variações da oferta internacional."Passamos por isso na pandemia com outros insumos, com medicamentos, e agora estamos vivendo isso com vacinas. Enquanto não estruturarmos o complexo industrial da saúde, fortalecendo a produção nacional, vamos sempre correr risco de desabastecimento", argumenta o diretor do Conasems.A instabilidade na oferta da BCG também é sentida por pacientes com câncer na bexiga, que utilizam a Onco BCG em seu tratamento. A ONG Oncoguia, de apoio a pacientes com câncer, afirma que começou a receber relatos de falta do produto em fevereiro, dois meses após uma nova inspeção da Anvisa na FAP determinar a suspensão da produção. A entidade procurou o Ministério Público de São Paulo para informar sobre o problema e aguarda a tramitação do processo.Em posicionamento sobre o desabastecimento de BCG, a SBOC (Sociedade Brasileira de Oncologia Clínica) oferece algumas alternativas, como a importação direta de países como Índia e Alemanha, mas ressalta o alto custo dessa opção.Questionado se está investindo na FAP ou na abertura de uma nova fábrica para voltar a contar com a produção nacional da vacina, o Ministério da Saúde não se posicionou. Procurada por telefone e email, a Fundação Ataulpho de Paiva não respondeu aos contatos da reportagem. | equilibrio-e-saude | 0 | 1 |
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] | Se você não tem vontade de fazer nada para proteger a saúde, pense pelo menos em tirar uma medida honesta da sua cintura. Fique de pé, expire (não vale encolher a barriga!) e, com uma fita métrica, meça sua circunferência de 2,5 a 5 cm acima dos ossos do quadril.O resultado tem implicações muito maiores do que qualquer preocupação que você tenha a respeito da aparência e do caimento das roupas. Em geral, se a cintura mede mais de 89 cm para mulheres e 1 m para os homens, há grandes chances de você estar armazenando uma quantidade perigosa de gordura abdominal.A adiposidade subcutânea, aquela que toma a forma dos famosos "pneuzinhos" ou se esconde sob a pele das coxas, nádegas ou parte superior dos braços, pode ser um problema estético, mas é inofensiva.Já a da barriga, mais profunda – visceral, que se acumula em volta dos órgãos abdominais – é ativa metabolicamente e está intrinsecamente ligada a uma série de riscos de problemas graves, incluindo doenças cardíacas, câncer e demência.A pessoa não precisa ter sobrepeso ou ser obesa para correr esse risco se tiver excesso de gordura no abdome; quem tem peso normal também pode acumular quantidades perigosas de tecido adiposo sob a parede abdominal.Além disso, esse não é o tipo de gordura de que pode se livrar apenas tonificando os músculos, com malhação. O emagrecimento com uma dieta saudável e exercícios como caminhada e musculação são as únicas maneiras infalíveis de se livrar dela. Mais Até a meia-idade, os homens geralmente possuem uma porcentagem maior de gordura visceral do que as mulheres, mas o padrão geralmente se inverte quando elas passam pela menopausa.Poucas parecem escapar do aumento da cintura nesse período porque a gordura do corpo se redistribui, e a visceral acaba se depositando na barriga.E as células de gordura visceral são muito importantes para nosso bem-estar. Ao contrário das de gordura subcutânea, elas formam basicamente um órgão endócrino que secreta hormônios e várias outras substâncias químicas ligadas a doenças que, em geral, afligem os mais velhos.Em uma pesquisa feita com enfermeiras durante 16 anos, os pesquisadores descobriram que uma dessas substâncias, a chamada proteína transportadora de retinol 4 (RBP4), aumenta o risco do surgimento de doenças coronárias.Esse perigo provavelmente resulta dos efeitos prejudiciais dessa proteína sobre a resistência à insulina, a precursora da diabete tipo 2, e do desenvolvimento da síndrome metabólica, um complexo de fatores de risco para o coração.O Estudo com Um Milhão de Mulheres, realizado no Reino Unido, demonstrou uma ligação direta entre as doenças cardíacas e o aumento da circunferência da cintura ao longo de um período de 20 anos. Mesmo quando outros fatores de risco coronários foram levados em conta, as chances de se desenvolver males do coração eram o dobro entre as mulheres com as cinturas mais largas: cada 2,5 cm a mais aumentava o risco em 10%.O perigo de câncer também aumenta com o acúmulo de gordura na cintura: as chances de desenvolver câncer colorretal quase dobraram entre as mulheres na pós-menopausa que acumularam adiposidade visceral, segundo uma pesquisa coreana. O de câncer de mama também aumentou.Em um estudo com mais de três mil mulheres na pré e na pós-menopausa em Mumbai, na Índia, as que tinham a cintura e o quadril mais ou menos do mesmo tamanho possuíam de três a quatro vezes mais riscos de ter um diagnóstico de câncer de mama do que as com peso normal.Um estudo holandês publicado em 2017 relacionou tanto o total de gordura corporal como a abdominal a um risco maior de câncer de mama. Quando as mulheres do estudo perderam peso – cerca de 5,5 kgs em média – as mudanças nos biomarcadores como o estrogênio, a leptina e as proteínas inflamatórias indicaram uma redução desse risco.Considerando-se que dois terços das norte-americanas estão acima do peso ou são obesas, emagrecer pode muito bem ser a melhor arma para reduzir a alta incidência de câncer de mama nos EUA.Talvez o mais importante no que diz respeito ao custo para os indivíduos, as famílias e o sistema de saúde seja a ligação entre a obesidade abdominal e o risco de desenvolver demência décadas depois.Um estudo com 6.583 membros da organização Kaiser Permanente, no norte da Califórnia, acompanhados por uma média de 36 anos, descobriu que aqueles com maior obesidade abdominal na meia-idade tinham quase três vezes mais chances de desenvolver demência três décadas depois do que os com menos gordura na cintura.Ter um abdome maior aumentou o risco de demência nas mulheres mesmo que elas sempre tenham tido peso normal e não apresentassem outros riscos para a saúde relacionados com demência, como doenças cardíacas, acidentes vasculares e diabete.Entre outros problemas médicos ligados à gordura abdominal estão a resistência à insulina e o risco da diabete tipo 2, comprometimento da função pulmonar e enxaqueca. Até mesmo o risco de asma aumenta com o excesso de peso e especialmente com a obesidade abdominal, segundo um estudo com 88 mil professores da Califórnia.No geral, de acordo com as descobertas de um estudo com mais de 350 mil europeus de ambos os sexos publicado no New England Journal of Medicine, ter uma cintura mais ampla pode quase dobrar o risco de morte prematura, mesmo se o peso da pessoa for normal.Todas essas informações geram uma dúvida: qual é a melhor maneira de se livrar da gordura abdominal e, mais importante ainda, como evitar seu acúmulo na cintura?É bem provável que você já tenha visto na internet anúncios miraculosos para acabar com ela. Antes de jogar dinheiro fora, saiba que não existe nenhuma pílula ou poção cientificamente conhecida para dissolvê-la. É preciso esforço para obter resultados, o que significa evitar ou limitar drasticamente o consumo de certas substâncias, controlar a ingestão calórica geral e fazer exercícios que queimem calorias.Talvez o pior agressor seja o açúcar, em todos os formatos, especialmente a frutose, que constitui metade da sacarose e 55% do xarope de milho.Uma das melhores maneiras de diminuir sua ingestão é parando de tomar refrigerante e outras bebidas adoçadas, entre elas os sucos de fruta, e limitando a ingestão de álcool, que pode suprimir a queima de gordura e somar calorias nutricionalmente vazias. Evitar carboidratos refinados como pão e arroz brancos também ajuda.Certifique-se de que sua dieta contém quantidades adequadas de proteína e fibras, incluindo vegetais, feijões, ervilhas e grãos integrais.Durma o suficiente, pelo menos sete horas por noite. Em um estudo com 68 mil mulheres acompanhadas por 16 anos, aquelas que dormiam menos de cinco horas tinham 30% mais chances de engordar cerca de 15 kgs.Por fim, movimente-se mais. Um grande estudo nacional mostrou que o ganho de peso e a obesidade abdominal estão mais ligados à falta de atividade do que à ingestão de calorias. | equilibrio-e-saude | 0 | 0.89503 |
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] | Os cogumelos alucinógenos são uma promessa de benefícios para a medicina, mas só agora estamos começando a entender como eles poderão ajudar no tratamento da depressão.Até 30% das pessoas com depressão não reagem ao tratamento com antidepressivos. Isso pode ocorrer devido a diferenças biológicas entre os pacientes e porque, muitas vezes, a reação às drogas demora muito tempo - o que leva algumas pessoas a desistir do tratamento.Por isso, é urgente a necessidade de ampliar o conjunto de drogas disponíveis para tratar as pessoas com depressão.Nos últimos anos, a atenção voltou-se aos psicodélicos, como a psilocibina - composto ativo dos "cogumelos mágicos".Apesar de uma série de exames clínicos ter demonstrado que a psilocibina pode tratar rapidamente a depressão, incluindo em pacientes com câncer, pouco se sabe sobre como essa substância age diretamente no cérebro.Mas dois estudos recentes, publicados nas revistas científicas The New England Journal of Medicine e na Nature Medicine, esclareceram um pouco sobre esse misterioso processo.A psilocibina é um alucinógeno que altera a reação do cérebro a uma substância chamada serotonina. Quando decomposta pelo fígado (em "psilocina"), ela causa um estado alterado de consciência e percepção nos usuários.Estudos anteriores, usando imagens por ressonância magnética funcional (RMF) do cérebro, demonstraram que a psilocibina aparentemente reduz a atividade do córtex pré-frontal medial, uma área do cérebro que ajuda a regular uma série de funções cognitivas, incluindo a atenção, o controle da inibição, os hábitos e a memória. O composto também reduz as conexões entre essa região e o córtex cingulado posterior, que pode participar da regulagem da memória e das emoções.A conexão ativa entre essas duas regiões do cérebro normalmente é uma característica da "rede de modo padrão" do cérebro. Essa rede fica ativa quando repousamos e nos concentramos internamente, talvez relembrando o passado, idealizando o futuro ou pensando sobre nós mesmos ou sobre outras pessoas.Ao reduzir a atividade da rede, a psilocibina pode muito bem estar removendo as restrições do "eu" interno. Existem usuários que relatam terem ficado com a "mente aberta", com maior percepção do mundo à sua volta.É interessante observar que a ruminação mental - o estado de ficar "preso" em pensamentos negativos, especialmente sobre si próprio - é um marco característico da depressão. E sabemos que pacientes com níveis mais altos de ruminação negativa tendem a exibir maior atividade da rede de modo padrão (RMP, do inglês Default Mode Network), em comparação com outras redes em repouso. Eles passam literalmente a reagir menos ao mundo à sua volta.Mas ainda é preciso observar se são os sintomas da depressão que causam essa alteração da atividade ou se as pessoas com rede de modo padrão mais ativa são mais propensas à depressão.A evidência mais convincente de como funciona a psilocibina vem de um estudo aleatorizado duplo-cego (o padrão-ouro dos estudos clínicos), que comparou um grupo de pessoas com depressão tratadas com psilocibina com outro que recebeu o antidepressivo existente escitalopram - algo que nunca havia sido tentado antes.O exame foi ainda analisado utilizando imagens de RMF do cérebro e os resultados foram comparados com as conclusões de RMF de outro exame clínico recente.Apenas um dia depois da primeira dose de psilocibina, as medições de RMF revelaram um aumento geral da conectividade entre as diversas redes cerebrais, que são tipicamente reduzidas nas pessoas com depressão profunda. E a rede de modo padrão foi simultaneamente reduzida, enquanto a conectividade entre ela e as outras redes aumentou, confirmando estudos menores anteriores.A substância causou maior aumento da conectividade em algumas pessoas do que em outras. Mas os estudos demonstraram que as pessoas com maior aumento da conexão entre as redes também apresentaram uma melhoria significativa dos sintomas seis meses depois.Já o cérebro das pessoas que tomaram escitalopram não exibiu alteração da conectividade entre o modo padrão e as outras redes cerebrais seis semanas após o início do tratamento. É possível que esse medicamento possa trazer alterações mais tarde, mas o rápido início dos efeitos antidepressivos da psilocibina significa que ela pode ser ideal para as pessoas que não reagem aos antidepressivos existentes.O estudo propõe que o efeito observado possa ocorrer porque a psilocibina apresenta ação mais concentrada que escitalopram sobre os receptores do cérebro conhecidos como "receptores de 5-HT2A serotonérgicos". Esses receptores são ativados pela serotonina e são ativos ao longo de todas as regiões cerebrais em rede, incluindo a rede de modo padrão.Já sabemos que o nível de ligação desses receptores à psilocibina causa efeitos psicodélicos, mas a forma exata em que essa ativação gera mudanças da conectividade de rede ainda aguarda ser explorada.Essas conclusões levantam a questão se a alteração da atividade das redes cerebrais é necessária para o tratamento da depressão.Muitas pessoas que tomam antidepressivos tradicionais ainda relatam melhora dos seus sintomas sem ela. E, de fato, o estudo demonstrou que, seis semanas após o início do tratamento, os dois grupos manifestaram redução dos sintomas.Segundo algumas escalas de avaliação da depressão, a psilocibina apresentou maior efeito sobre o bem-estar mental geral. E uma maior parcela dos pacientes tratados com psilocibina exibiu reação clínica, em comparação com os tratados com escitalopram (70% contra 48%).Além disso, mais pacientes no grupo de psilocibina ainda apresentaram redução dos sintomas após seis semanas (57% contra 28%). O fato de alguns pacientes não responderam à psilocibina ou terem tido recaída após o tratamento apenas demonstra como pode ser difícil o tratamento da depressão.Outro ponto importante é que profissionais de saúde mental assistiram os dois grupos de tratamento durante e após o estudo. O sucesso da psilocibina depende muito do ambiente em que ela é administrada. Ou seja, usá-la para automedicação é uma má ideia.Além disso, os pacientes para a terapia assistida por psilocibina foram cuidadosamente selecionados com base no seu histórico, para evitar o risco de psicose e outros efeitos prejudiciais.Independentemente das ressalvas, esses estudos são incrivelmente promissores e podem ampliar as opções de tratamento disponíveis para pacientes com depressão. E os processos de pensamento negativo internalizados não são específicos da depressão. No devido tempo, outros distúrbios, como o vício e a ansiedade, podem também beneficiar-se da terapia assistida por psilocibina.*Clare Tweedy é professora de neurociências da Universidade de Leeds, no Reino Unido.Este artigo foi publicado originalmente no site de notícias acadêmicas The Conversation e republicado sob licença Creative Commons. Leia aqui a versão original (em inglês).'Este texto foi originalmente publicado em aqui | equilibrio-e-saude | 0 | 1 |
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] | O Ministério da Saúde anunciou nesta segunda-feira (17) antecipação da entrega do terceiro lote de vacinas da Pfizer contra a Covid para crianças de 5 a 11 anos.O secretário-executivo da pasta, Rodrigo Cruz, afirmou nas redes sociais que no dia 24 de janeiro chega ao Brasil 1,8 milhão de doses pediátricas.Esse lote estava previsto para ser recebido pelo governo no dia 27. No total, a Saúde prevê a entrega de 4,3 milhões de vacinas desse tipo em janeiro.O primeiro lote desses imunizantes chegou ao Brasil na madrugada do dia 13, enquanto o segundo desembarcou no domingo (16).A previsão é de que 7,3 milhões de vacinas pediátricas da Pfizer sejam entregues em fevereiro. Em março, a Pfizer prevê enviar outros 8,4 milhões de unidades.Além desses 20 milhões de vacinas, o governo espera receber outros 10 milhões de doses da Pfizer para crianças no primeiro trimestre. Esse lote, porém, não tem cronograma de entrega definido pela farmacêutica.As vacinas pediátricas da Pfizer são destinadas a crianças de 5 a 11 anos. A orientação do Ministério da Saúde é começar imunização por grupos com comorbidade, deficiência permanente, indígenas e quilombolas. Em seguida, as crianças que vivem com pessoas dos grupos de risco.Depois disso, haverá um escalonamento por faixa etária, começando pelos mais velhos.Umas das principais diferenças das vacinas para crianças daquelas que são aplicadas em adultos é a cor das tampas —enquanto as pediátricas são laranjas, as dos maiores de 12 anos são roxas.O objetivo é facilitar a identificação pelas equipes de vacinação e pelos responsáveis que acompanharão os pequenos nos postos de saúde. Mais Outro ponto é a dosagem. Enquanto para os maiores de 12 anos as doses da Pfizer são de 0,3 ml, para os mais novos a dosagem é inferior, de 0,2 ml. Nos outros produtos aprovados para adultos, como Coronavac e AstraZeneca, a dose é de 0,5 ml.A diretoria da Anvisa (Agência Nacional Nacional de Vigilância Sanitária) deve decidir nesta semana se libera o uso da Coronavac ao público de 3 a 17 anos.Técnicos da agência trabalham para entregar pareceres sobre a vacina no começo da semana. Em cenário otimista, a ideia é reunir a cúpula do órgão para votar o pedido do Instituto Butantan na quarta-feira (19).Integrantes da Anvisa afirmam que a tendência é liberar a aplicação da Coronavac em crianças e adolescentes, mas colocar algumas condições. Entre elas, que o laboratório paulista se comprometa a gerar dados sobre o uso das doses no Brasil, além de apresentar o desfecho de estudo global que está sendo conduzido na China, África do Sul, Chile, Malásia e Filipinas.A vacinação de crianças e adolescentes é tema sensível no governo Jair Bolsonaro (PL), pois o mandatário distorce dados e desestimula a imunização dos mais jovens.O presidente ainda é vetor de desinformação sobre a Coronavac, vacina impulsionada no Brasil pelo governador paulista João Doria (PSDB), inimigo político e potencial adversário do mandatário na disputa ao Planalto neste ano.Bolsonaro chegou a ameaçar expor nomes de servidores da Anvisa que aprovaram o uso de vacinas da Pfizer em crianças. Em resposta, o presidente da agência, Barra Torres, disse à Folha que as falas do chefe do Executivo estimulavam crimes de ameaça contra o órgão regulador.Em nota divulgada no último dia 8, Barra Torres ainda rebateu insinuações de supostos interesses escusos da Anvisa na vacinação de crianças, e cobrou retratação do presidente. | equilibrio-e-saude | 0 | 1 |
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] | O ministro da Saúde, Marcelo Queiroga, acusou o governador de São Paulo, João Doria (PSDB), de "fazer palanque" com o início da vacinação infantil contra Covid-19 no país.Doria participou nesta sexta-feira (14) do começo da campanha estadual de imunização de crianças de 5 a 11 anos, no Hospital das Clínicas, na capital paulista.O governador, que é pré-candidato ao Palácio do Planalto, esteve ao lado do menino indígena Davi Seremramiwe Xavante, 8, a primeira criança vacinada contra o coronavírus no Brasil."O político João Doria subestima a população. Está com as vacinas do governo do Brasil e do povo brasileiro em mãos fazendo palanque. Acha que isso vai tirá-lo dos 3% [de intenção de voto]. Desista! Seu marketing não vai mudar a face da sua gestão. Os paulistas merecem alguém melhor", escreveu Queiroga no Twitter."As vacinas pediátricas chegaram ao Brasil em tempo recorde! Logo após autorização da agência reguladora a farmacêutica começou a produzir as doses e garantiu que esse era o melhor cronograma possível. O Ministério da Saúde garante que todos os pais que quiserem vacinar terão vacinas!"O presidente Jair Bolsonaro (PL) se opõe à vacinação de crianças. Além de questionar a eficácia de vacinas, ele garante que sua filha menor de idade não se imunizará.Apesar da fala do ministro, ele foi acusado de adotar medidas para retardar o início da imunização infantil e de defender medidas que, na prática, desestimulam a vacinação. Mais A Anvisa (Agência Nacional de Vigilância Sanitária) autorizou, em 16 de dezembro do ano passado, o uso do imunizante da Pfizer no público infantil.Dois dias depois, Queiroga afirmou que o começo da vacinação infantil no Brasil precisava de "uma análise mais aprofundada".O ministério da Saúde abriu ainda uma consulta pública sobre o tema. A medida foi classificada por especialistas em saúde pública como "idiotice", "procrastinação", "absurdo" e "coisa da idade da pedra".A maioria dos que participaram da consulta foi contrária à prescrição médica para a vacinação de crianças.Queiroga havia recomendado que a imunização do público infantil ocorresse mediante apresentação de prescrição médica. | equilibrio-e-saude | 0 | 1 |
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] | Nas mãos do Palácio do Planalto desde 12 de novembro, o pedido da Anvisa (Agência Nacional de Vigilância Sanitária) de cobrar o certificado de vacinação para liberar a entrada no Brasil esbarrou na postura negacionista do presidente Jair Bolsonaro (PL).Aliados do presidente não querem tomar decisão que desagrade a militância bolsonarista. Ainda avaliam que o STF (Supremo Tribunal Federal) acabará decidindo sobre o controle das fronteiras.A corte recebeu, no dia 26 de novembro, uma ação do partido Rede Sustentabilidade com pedido para adotar o chamado passaporte da vacina sugerido pela Anvisa. A legenda acusa Bolsonaro de omissão. O processo é relatado pelo ministro Luís Roberto Barroso."A inércia trata-se, em verdade, de mais uma postura adotada pelo negacionismo e pela postura antivacina do governo do presidente Jair Messias Bolsonaro", afirma o partido no pedido.A tese da legenda é que, apesar de a Anvisa ser um órgão opinativo e os ministérios terem o poder de decidir, o governo tem sido omisso e o presidente, negacionista.A expectativa de advogados da Rede é de uma movimentação do ministro no processo na próxima semana, seja para pedir mais informações, seja para colocar no plenário, seja para decidir liminarmente.Ainda que o presidente seja frontalmente contrário ao passaporte da vacina, essa não é uma unanimidade no governo.Representantes do Ministério da Saúde tentam convencer os interlocutores de Bolsonaro de que é vantajoso pedir o comprovante de vacinação.A pasta comandada por Marcelo Queiroga deve propor seguir as recomendações da Anvisa em reunião interministerial na segunda-feira (6), marcada para decidir o controle sanitário nas fronteiras.Parte da equipe do presidente e dos ministérios ainda teme ser criticada e até responder na Justiça por omissão, pois aumentou a pressão para adotar o passaporte vacinal após a descoberta da variante ômicron. Mais Além da Anvisa, TCU (Tribunal de Contas da União), DPU (Defensoria Pública da União) e Fiocruz pediram a cobrança do certificado de imunização de viajantes.Bolsonaro, que distorce dados e promove desinformação sobre as vacinas, tem repetido que não vai endurecer as regras."Você nunca viu o governo federal obrigar a tomar vacina. E nem vai ver o governo federal exigir passaporte vacinal", afirmou o presidente na quinta-feira (2), em transmissão nas redes sociais.Mais cedo, ele havia dito que quem pede a comprovação da vacina está extrapolando.No Brasil, desde 6 de outubro, está permitida a entrada de estrangeiros por voos internacionais sem a necessidade de apresentar documento que comprove a imunização contra o coronavírus. Não há também exigência de quarentena. Para ingressar, o viajante só precisa apresentar um teste negativo para Covid.Na leitura de auxiliares de Bolsonaro, o presidente quer se distanciar de qualquer manifestação de apoio ao passaporte vacinal e terceirizar a decisão, esperando que o STF determine a ação para conter o avanço do novo coronavírus.O mandatário foi aconselhado a manter, nos diálogos com apoiadores, o discurso de que não tem mais poder de definir as regras sobre a resposta à pandemia, sob justificativa distorcida de que teve a caneta esvaziada pelo Supremo.Mesmo auxiliares presidenciais não negacionistas veem com descrença a possibilidade de o pedido da Anvisa avançar no governo. Bolsonaro não admitiria a discussão, dizem.Um dos argumentos pró-passaporte da vacina apresentado em reuniões interministeriais é que as restrições de entrada no Brasil por terra ficariam menos duras ao liberar quem está imunizado.Hoje essas fronteiras estão praticamente fechadas, ou seja, um cenário ainda mais restritivo do que propõe a Anvisa. Essa ala do governo também afirma que o Brasil pode sofrer restrições de outros países, caso mantenha as fronteiras e aeroportos desprotegidos.A sugestão da Anvisa é que o Brasil só aceite viajantes sem vacina que fizerem quarentena de cinco dias ao desembarcar.O ministro Tarcísio de Freitas (Infraestrutura) foi alvo de críticas de militantes bolsonaristas por defender o passaporte vacinal. O episódio aumentou o receio de auxiliares do presidente."Dei apenas uma sugestão para não fechar a fronteira. Estrangeiros vacinados poderiam entrar sem restrição, não vacinados deveriam se submeter a teste ou a outra medida sanitária", escreveu Tarcísio, no Twitter, no dia 28, a um seguidor.Há ainda tentativas de chegar a um meio-termo. Por exemplo, aceitar abrir trechos específicos da fronteira terrestre, sem cobrar o passaporte da imunização.Além de reduzir infecções, casos graves e transmissão, a ideia da agência é impedir que o Brasil vire foco do turismo antivacina. Mais As portarias sobre o controle de fronteiras são assinadas pelos ministros da Casa Civil, Saúde, Infraestrutura e Justiça. A agência apenas faz sugestões, mas não tem poder decisório.Representantes das pastas comandadas por Queiroga e Tarcísio defenderam cobrar o comprovante da vacinação em reuniões recentes do governo.Já o ministro Anderson Torres (Justiça) disse ser contra a restrição e repetiu o discurso negacionista de Bolsonaro. "Não precisa. Ela [a vacina] não impede a transmissão da doença", afirmou na semana passada.A Anvisa também sugeriu ampliar a lista de países sob restrição por causa da ômicron. A ideia é barrar a entrada de viajantes de dez nações da África ao inserir Angola, Maláui, Moçambique e Zâmbia.Auxiliares do presidente dizem que podem aceitar novas restrições, mas que precisam ser convencidos. Eles questionam por qual razão a agência pede restrições a países sem casos confirmados da ômicron. A agência argumenta, porém, que são locais com baixa cobertura vacinal, dados escassos sobre a pandemia e que fazem fronteira com países onde há transmissão sustentada da variante.Integrantes do governo também querem medidas mais leves para Angola. Eles argumentam, entre outros pontos, que foi inaugurado nesta semana um voo direto de Luanda para São Paulo após esforço diplomático.O impasse sobre o passaporte da vacina e a discussão para ampliar a relação de países sob restrição criou mal-estar entre o Planalto e a Anvisa.A agência reiterou os pedidos na noite de quarta-feira (1º). Em documento de 21 páginas, a Anvisa aponta que o governo Bolsonaro está isolado na decisão de não adotar o passaporte da vacina, quarentena dos viajantes, entre outras medidas."O governo federal impôs medidas mais brandas a esse modal [aéreo] quando comparado às adotadas mundialmente pelos países que tiveram maior sucesso na contenção da pandemia", afirmou a nota direcionada à Casa Civil. | equilibrio-e-saude | 0 | 1 |
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] | O anúncio da aplicação da segunda dose e a dose de reforço da vacina da Janssen para a Covid-19 feito pelo Ministério da Saúde nesta terça-feira (16) pegou gestores de saúde, a Anvisa (Agência Nacional de Vigilância Sanitária) e até o laboratório produtor da vacina de surpresa.Segundo anúncio da pasta, o imunizante, que vinha sendo usado em dose única, agora passará para o regime de duas aplicações, como já acontece com as injeções da Pfizer, AstraZ eneca e Coronavac.A segunda dose deve ser aplicada dois meses após a primeira na população adulta. Já a dose de reforço deve ser usada após cinco meses do esquema primário completo. A recomendação é que seja com imunizante diferente, preferencialmente da Pfizer.Apesar de ainda não existir um pedido formal à Anvisa do laboratório sobre aplicar a segunda dose e a dose de reforço, o Ministério da Saúde pode fazer esse tipo de definição.Isso porque a legislação deixa margem para o ministro "determinar a realização de ações previstas nas competências" da Anvisa, como decidir sobre a aplicação das vacinas.Mas o ministro só pode tomar este tipo de iniciativa em casos "que impliquem risco à saúde da população" ou em cenários de inação da Anvisa, ainda de acordo com as regras vigentes.Na leitura de técnicos da agência, o ministério deveria formalizar que agiu no lugar do órgão regulador, em publicação no Diário Oficial da União, por exemplo, além de explicar as razões para essa iniciativa.Técnicos da Anvisa também foram pegos de surpresa pela decisão de estender a dose de reforço para todos os adultos. Antes a aplicação estava restrita a pessoas com mais de 60 anos ou de grupos de risco.Os membros da agência haviam se manifestado nas primeiras discussões sobre a dose de reforço. Eles estranharam que não foram chamados agora.Apesar do mal-estar, a Anvisa não quer entrar em conflito com o ministério. O temor é de que os questionamentos alimentem discursos antivacina.Ainda não há estratégia fechada entre os membros da agência, mas a ideia preliminar é cobrar do ministério os dados que embasaram a decisão sobre a Janssen, além daqueles sobre a ampliar o grupo apto a receber dose de reforço.Um ponto que preocupa a Anvisa é sobre como organizar o monitoramento das reações adversas das vacinas. Na leitura da agência, este é um dos temas que deveria ter sido previamente debatido com o ministério.Os anúncios desta terça também pegaram de surpresa parte da equipe do ministro Marcelo Queiroga. As decisões sobre a Covid-19 têm sido tomadas em grupos restritos e o PNI (Programa Nacional de Imunizações) está sem comando desde o fim de junho. Mais O argumento de auxiliares de Queiroga é de que tanto a mudança sobre a aplicação da dose da Janssen e a ampliação do público da vacina de reforço seguem experiências internacionais.Em nota, porém, a Anvisa disse que iniciativas deste tipo foram previamente discutidas com as agências reguladoras em diversos países."Antes de incorporar a dose de reforço das vacinas, países como Estados Unidos, Canadá, Indonésia, Grã-Bretanha, Israel, membros da Comunidade Europeia e outros submeteram a estratégia à avaliação prévia das suas autoridades reguladoras. Primariamente, a terceira ou dose de reforço foi indicada para pessoas com sistema imunológico enfraquecido, idosos e profissionais de saúde", disse a agência brasileira.No mesmo texto, a Anvisa afirma que é importante diferenciar o esquema vacinal previsto em bula e estratégia de vacinação e reforço.O esquema previsto em bula e aprovado pela Anvisa, quantidade de doses e intervalos, indica a forma de uso da vacina que, segundo os estudos, produzem os melhores resultados de imunização. Mais Já a estratégia de vacinação e reforço é uma decisão da autoridade de saúde sobre como determinado imunizante será aplicado na população de forma a se obter a melhor cobertura vacinal, e as estratégias de monitoramento das reações adversas.A agência reguladora disse ainda que a decisão sobre dose de reforço deve considerar o cenário epidemiológico, os estudos de efetividades, a circulação das cepas variantes e a segurança das vacinas, bem como uma efetiva estratégia de monitoramento das reações adversas e captação de sinais de interesse para a farmacovigilância.De acordo com a Anvisa, a previsão é que até a próxima semana a Janssen entregue os estudos sobre a eficácia e segurança da dose reforço da sua vacina.Segundo o Ministério da Saúde, a orientação segue tendência mundial. No entanto, a decisão da agência reguladora americana considerou a segunda dose como reforço. Todos os adultos que receberam a Janssen, de dose única, há mais de dois meses são elegíveis para o reforço."Quem tomou a Janssen completará o esquema vacinal. Embora seja de dose única, compete a nós [Ministério da Saúde] as definições. A pessoa tomará duas doses, em um intervalo de dois meses", disse a Secretária Extraordinária de Enfrentamento à Covid-19, Rosana Leite de Melo.O anúncio foi feito em entrevista coletiva do Ministério da Saúde nesta terça, quando a pasta informou que a dose de reforço contra Covid estava liberada para toda a população adulta do país.Após o questionamento de quando as pessoas poderão procurar os postos de saúde, Melo disse que o Ministério da Saúde deve liberar as vacinas a partir de sexta (19) para estados e municípios."Nós distribuímos ordinariamente duas pautas [por semana]. Essa da Janssen é a partir de sexta-feira se forem todas liberadas. Elas chegaram ontem e vão ser distribuídas com todas as informações", disse.A Janssen, braço farmacêutico da Johnson & Johnson, declarou que uma segunda dose de sua vacina contra Covid-19, aplicada cerca de dois meses depois da primeira, aumentou a eficácia para 94% nos Estados Unidos contra formas moderadas ou graves da doença.A proteção com uma dose única da vacina, que é usada em diversos países, inclusive no Brasil, é de 70%. Mais A farmacêutica acrescentou que a segunda dose aumentou os níveis de anticorpos de quatro a seis vezes. Quando dada seis meses depois da primeira, os níveis de anticorpos aumentaram 12 vezes.A Janssen disse, em nota, que o laboratório vai apresentar para a Anvisa novos dados que comprova a eficácia da dose única e que apresenta informações sobre a resposta imunológica do reforço dado após dois meses e após seis meses."Os dados da vacina de dose única da Janssen possibilitam um regime de imunização capaz de proporcionar benefícios para cada indivíduo, seja quando administrada em dose única com resposta eficiente para o combate à pandemia ou como dose de reforço depois de pelo menos dois meses – com o objetivo de maximizar a proteção contra casos sintomáticos de Covid-19", disse. | equilibrio-e-saude | 0 | 1 |
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] | A flexibilização do uso de máscaras contra a Covid em São Paulo e no Rio de Janeiro, que está em meio a discussões entre políticos, é vista com temor e ressalvas por Denise Garrett, epidemiologista e vice-presidente do Instituto Sabin (EUA).O governador de São Paulo, João Doria (PSDB), afirmou nesta quinta-feira (6) que a decisão sobre a obrigatoriedade do uso de máscaras deve ocorrer nesta quinta (7) durante uma reunião com membros do PEI (Programa Estadual de Imunização), do Comitê Científico e o secretário municipal de Saúde de São Paulo, Edson Aparecido.“Não sou contra a flexibilização, desde que seja feita da maneira correta, usando os indicadores corretos e na hora correta”, diz Garrett. Ela indica que, em algumas ocasiões, o uso da máscara não é necessário, como em lugares abertos em que não há interação com outras pessoas.Porém, ela diz, é preciso bom senso. Caso a pessoa esteja ao ar livre, porém, aglomerando de alguma forma, a máscara é essencial.Ela cita como exemplo a rua 25 de Março, do centro de São Paulo. Lá, apesar de o comércio acontecer ao ar livre, há um fluxo intenso de comerciantes e compradores. A mesma recomendação vale para lugares fechados.“Chega em um ponto da pandemia em que temos que focar naquilo que é essencial”, afirma a médica, que avalia que o fundamental, neste momento, é evitar compartilhar o ar com outras pessoas.A possível flexibilização do uso de máscaras acontece em meio à queda no número de óbitos por Covid-19 e ao avanço na vacinação (veja como está a imunização no Brasil). Nesta quarta-feira (6), o estado de São Paulo superou os Estados Unidos e a Europa ao chegar a 60% da população totalmente vacinada contra o coronavírus. Mais Garrett diz, no entanto, que é errado avaliar apenas a taxa de cobertura vacinal para discutir o fim da obrigatoriedade no uso das máscaras. Segundo ela, o indicador principal para essa tomada de decisão deve ser a circulação viral, ou seja, o número que resulta em novos casos e, consequentemente, em novos óbitos.“De certa forma, a taxa de cobertura vacinal influencia na circulação, mas, com as novas variantes, nada é garantia”, explica Garrett que cita a situação de Singapura.O pequeno país, localizado no sudeste asiático, até há pouco era referência no controle de pandemia, com mais de 80% da população totalmente vacinada. A ilha, porém, passou a registrar uma alta de novos casos no final de setembro.No caso de Singapura, ela analisa que há um problema de controle em decorrência da variante delta. “Trata-se de uma variante muito transmissível”, relembra a especialista, que afirma que é preciso analisar a taxa de cobertura vacinal de outra forma.“Lá, ainda há 20% da população que não está vacinada. Quando a variante encontra esses 20% é a mesma coisa que colocar fogo em uma floresta seca. A variante não vai 'parar de queimar esse galho seco' até que haja uma medida de prevenção", exemplifica. Mais Por isso, segundo ela, não há como, neste momento da pandemia, estabelecer um número e resolver abolir o uso de máscara quando atingir esse alvo. “Estamos com uma média de 500 mortes por dia. Isso é muita coisa”, relembra.A médica também ressalta que nenhuma dessas decisões que estão sendo tomadas são de nível nacional, mas, sim, estadual, caso das discussões de São Paulo e Rio de Janeiro. Ou ainda municipal, como ocorreu na cidade de Duque de Caxias (RJ), onde desde esta quarta (6) foi abolido o uso obrigatório de máscaras em locais abertos e fechados.“As bordas são porosas. Não tem como isolar uma cidade ou um estado que tem 90% de vacinação, afinal pessoas de outros estados vão continuar visitando esses lugares.”Além da discussão sobre o uso obrigatório de máscaras, nesta quarta-feira (6) o governo federal eliminou a proibição de voos que tenham origem em Reino Unido, África do Sul e Índia e segue sem incluir a exigência de comprovante de vacinação para ingresso de estrangeiros em território brasileiro. Mais Hoje, um ano e meio após o início da pandemia, Garrett analisa que é mais eficaz monitorar e acompanhar os turistas que vêm ao Brasil do que proibir voos. “É uma medida facilmente burlável, vimos que os Estados Unidos fecharam as fronteiras para o Brasil e os brasileiros começaram a fazer quarentena no México”, diz ela, que é brasileira, mas vive nos EUA.Ela afirma que, além da necessidade de comprovação de um teste negativo para o vírus na entrada do país, seria necessário acompanhar, fazer rastreamento e impor quarentena àqueles que chegam.A epidemiologista analisa ainda que é preocupante o governo não exigir a vacinação daqueles que ingressam no Brasil.“A vacina é uma política de saúde pública. Não existe liberdade individual quando se infringem a liberdade e a saúde de outras pessoas”, conclui. | equilibrio-e-saude | 0 | 1 |
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] | O ministro da Saúde, Marcelo Queiroga, disse que é preciso haver critérios para a intercambialidade da segunda dose da vacina contra a Covid-19. Ele criticou que ela ocorra quando há a falta do imunizante por um período curto.Segundo o ministro, a intercambialidade, que é a aplicação da segunda dose da vacina diferente da primeira, poderia ocorrer na falta da AstraZeneca quando começar a antecipação da segunda dose no país. O ministro anunciou no mês passado que a partir do dia 15 de setembro o intervalo entre as doses das vacinas da Pfizer e da AstraZeneca, hoje de 12 semanas, cairá para 8 semanas.“Se por ventura a AstraZeneca, por contas operacionais, faltar eventualmente, se usa a intercambialidade. Mas o critério não pode ser faltou um dia já troca senão a gente não consegue avançar [no plano de vacinação].”A fala foi uma crítica aos estados que decidiram aplicar a segunda dose da vacina diferente da primeira. A Prefeitura de São Paulo começa a vacinar nesta segunda-feira (13) com imunizante da Pfizer as pessoas que não conseguiram tomar a segunda dose da vacina AstraZeneca contra a Covid-19.Ao ser questionado sobre qual o recado o ministro daria às pessoas que chegassem nos postos e não encontrassem a segunda dose do mesmo imunizante, ele disse que o recado seria para os gestores.“Eu falo para os gestores de Saúde que eles sigam o PNI (Plano Nacional de Imunizações) e nós juntos vamos conseguir fazer uma campanha mais eficiente.”Em nota, o Ministério da Saúde reforçou que as alterações feitas por estados e municípios no plano de vacinação, como descumprir o que foi pactuado em reunião com representantes da União, estados, municípios e DF, acarretam na falta de doses para completar o esquema vacinal da população brasileira.Na última semana, o Ministério da Saúde afirmou que não deve vacinas da AstraZeneca para serem aplicadas como segunda dose na campanha de imunização contra a Covid em São Paulo.Segundo a pasta, se as pessoas não encontram o imunizante nos postos de saúde do estado, é porque o governo de João Doria (PSDB) aplicou na primeira dose injeções que deveriam ter sido reservadas para a segunda.A afirmação foi feita após o governo de São Paulo dizer que os municípios paulistas estão impossibilitados de aplicar a segunda dose da AstraZeneca porque o governo federal deixou de enviar o imunizante. O Conass (Conselho Nacional de Secretários de Saúde) enviou um ofício ao ministro da Saúde, Marcelo Queiroga, nesta segunda-feira (13), pedindo que ele autorize a intercambialidade de vacinas já na segunda dose quando houver indisponibilidade da vacina utilizada na primeira dose.No documento, o presidente do Conass, Carlos Lula, argumenta que a solicitação ocorre tendo em vista as recentes dificuldades observadas de disponibilidade da vacina AstraZeneca para a realização da segunda dose.O presidente do conselho diz ainda que, com o aumento da notificação de casos graves na população com 60 anos ou mais, sejam priorizados de imediato todos os idosos com a terceira dose. Em especial os institucionalizados, bem como as pessoas com comprometimento da resposta imune.A preferência é que a dose de reforço seja aplicada com o imunizante diferente em relação às duas primeiras doses. | equilibrio-e-saude | 0 | 1 |
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] | Capital do Maranhão, São Luís iniciou nesta quinta-feira (26) a aplicação da terceira dose da vacina contra Covid-19 para idosos residentes em instituições de longa permanência. A partir desta sexta-feira (27), pessoas com mais de 90 anos são elegíveis para tomar a dose adicional.A ação começou dois dias após Marcelo Queiroga, ministro da Saúde, anunciar na terça-feira (24) que a terceira dose será aplicada a partir de 15 de setembro para pessoas com mais de 70 anos que tenham completado o ciclo vacinal há mais de seis meses e para imunossuprimidos que o tenham concluído há 28 dias. “Em São Luís, completamos o ciclo de aplicação da primeira dose tanto da população adulta quanto de adolescentes de 12 a 17 anos. Isso nos permitiu a aplicação da terceira a partir de hoje, porque nós temos o imunizante em nossa rede de frios e aguardávamos tão somente a autorização do Ministério da Saúde”, afirma Eduardo Braide, prefeito da capital.Braide disse que dois pontos explicam a velocidade na aplicação da vacina em São Luís. O primeiro é a utilização de centros de vacinação exclusivos e independentes para a Covid-19. Segundo ele, alguns desses centros têm capacidade de vacinar 5.000 pessoas em um único dia e permitem que a aplicação da segunda e agora da terceira dose seja feita ao mesmo tempo.O outro foi o envio de 300 mil doses para a capital maranhense em maio deste ano, por causa de um navio que aportou na cidade com casos da variante delta. Segundo Braide, esse número extra de doses foi importante para avançar na vacinação de toda a população da cidade.Em paralelo à aplicação da terceira dose, São Luís continua o ciclo da segunda dose para adultos e adolescentes. | equilibrio-e-saude | 0 | 1 |
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] | O secretário-executivo do Ministério da Saúde, Rodrigo Cruz, disse nesta segunda-feira (26) que a decisão de reduzir o intervalo recomendado da aplicação da segunda dose da Pfizer já é dada como certa e que a pasta avalia apenas qual o momento de orientar a mudança. Com a medida, o intervalo deve passar de cerca de três meses para 21 dias."Estamos só estudando para ver qual o melhor 'timing' disso, mas que vai diminuir, vai", afirmou Cruz. Segundo ele, a pasta deve ouvir agora a Pfizer e representantes de secretários de saúde para decidir em que data isso deve ocorrer."Vamos conversar com o laboratório para ver qual o cenário do próximo mês de entrega das doses. Além da questão da epidemia, precisamos verificar o cenário de abastecimento", disse.Mais tarde nesta segunda, o ministro da Saúde, Marcelo Queiroga, confirmou a intenção de reduzir o intervalo entre as doses da Pfizer, conforme havia adiantado à coluna Mônica Bergamo. O ministro afirmou que inicialmente optou-se por um intervalo mais espaçado, pois havia o desejo de ampliar a aplicação da primeira dose.Com o maior número de doses da Pfizer chegando ao país, foi então possível reduzir esse intervalo para 21 dias, o que está estabelecido na bula da imunização.Por outro lado, o ministro disse que ainda não é possível reduzir o intervalo da vacina AstraZeneca, atualmente em 90 dias, porque não há “segurança de evidência científica” de que trará maior eficácia no programa de vacinação.Queiroga também afirmou que o ministério começou a trabalhar com a hipótese de reforço de doses.“Já estamos trabalhando com a possibilidade de um reforço, mas ainda não temos quais as evidências científicas de como deve ser feito esse reforço, por isso que eu não me adianto. Mas estamos trabalhando com pesquisas para trazermos essas respostas para a sociedade brasileira”, afirmou.O ministro também disse que “logo, logo”, o brasileiro não vai mais precisar usar máscaras.“À medida que o número de óbitos diminui e a gente avança na campanha de vacinação, logo, logo não precisaremos mais de máscara”, disse.Segundo Cruz, enquanto não for feita a mudança, a recomendação da câmara técnica que assessora o Programa Nacional de Imunizações é de avançar na imunização com a primeira dose.O prazo de 21 dias de intervalo entre as doses da Pfizer corresponde ao previsto em bula. O ministério, no entanto, decidiu ampliar esse prazo em maio na tentativa de acelerar a vacinação. A medida seguiu experiência adotada também em outros países."A câmara técnica já sinalizou que é interessante avançar em imunização em primeira dose, e só então, quando tiver um cenário mais tranquilo de imunizados com a primeira, reduzir o prazo para completar a imunização. Em termos de pandemia, se mostrou interessante imunizar um maior número de pessoas com a primeira dose, porque com isso diminuiria a transmissibilidade do vírus.""Vamos conversar então com o laboratório, com Conass e Conasems, e quando tivermos uma garantia e um cenário um pouco mais claro do cumprimento de doses do mês de agosto vamos informar a decisão", completou.Segundo ele, a previsão da pasta é que haja cerca de 63 milhões de doses disponíveis de vacinas em agosto —destas, 33 milhões seriam da Pfizer, 20 milhões da Coronavac e 10 milhões da AstraZeneca/Fiocruz.Mais cedo, a secretária de enfrentamento à Covid, Rosana Leite de Melo, afirmou que a previsão é que uma decisão seja tomada no próximo mês."Hoje o que nos preocupa é a variante delta. Já temos mais de 98 países na qual ela se encontra, e estudos mostram que qualquer vacina protege contra as formas graves da Covid. Então o norteador nosso é vacinar o máximo possível com a D1 [dose 1]. Provavelmente no próximo mês, com as perspectivas de vacinas que chegarão, teremos muitas vacinas, e então pensaremos em reduzir esse intervalo [da Pfizer]."Ela descarta avaliar medida semelhante para a AstraZeneca, cujo prazo em bula hoje é de 4 a 12 semanas. "A AstraZeneca têm mostrado que quanto maior o intervalo de D1 e D2, melhor a formação de anticorpos neutralizantes. Por isso a única seria a Pfizer, onde inclusive isso [prazo de 21 dias] consta em bula", diz. Ao comentar sobre a preocupação em relação à variante delta, Melo afirmou ainda que a pasta deve disponibilizar doses extras de vacinas para cidades que ficam nas "faixas de fronteira", ou seja, próximas a outros países, mas não na divisa direta.Recentemente, segundo a pasta, já foram enviadas doses para 120 municípios que ficam na fronteira propriamente dita."Por que definimos vacinar linha de fronteira e faixa de fronteira? Por conta das variantes, para poder formar um cinturão", disse Melo. Segundo ela, a pasta também avalia a possibilidade de enviar doses extras para locais com maior número de casos já identificados da delta.O ministro Queiroga também disse nesta terça que o ministério promoveu uma alteração em relação à vacinação para gestantes, para permitir que aquelas que foram imunizadas com a AstraZeneca na primeira dose possam receber a segunda dose da Pfizer.“Hoje mesmo, no Ministério da Saúde, nós fizemos uma pequena alteração em relação à vacina da gestante, para permitir que aquelas gestantes que usaram a AstraZeneca possam fazer a aplicação da segunda dose com a da Pfizer. Essa decisão foi tomada com o suporte da Câmara técnica de especialistas que apoia o PNI”, disse.A medida foi antecipada na sexta-feira (23) pelo Painel.O encontro do ministro com o presidente Bolsonaro se deu para tratar da sanção do projeto que permite o uso de fábricas de vacinas para animais para a produção de imunizações para humanos. A proposta foi sancionada no dia 16 deste mês, mas não houve cerimônia, segundo o ministro, por causa da internação do presidente da República.Houve apenas um veto, que oferecia isenção tributária para essas fábricas.Queiroga afirmou que será possível até o fim do ano que essas fábricas já sejam utilizadas para o envase de vacinas contra a Covid-19 - que é a transferência dos graneis para as ampolas. Ele levantou como possibilidade a produção da AstraZeneca nesses locais.Também presente na reunião, o senador Wellington Fagundes (PL-MT), disse que em até 90 dias será possível que esses parques de produção possam produzir até 400 milhões de doses. | equilibrio-e-saude | 0 | 1 |
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] | A Prefeitura de São Paulo confirmou que a variante delta da Covid-19 já circula na capital paulista. A transmissão comunitária do coronavírus foi atestada após o rastreamento de ao menos 40 pessoas que tiveram contato com o primeiro paciente infectado, um homem de 45 anos morador da zona leste da cidade.O paciente, atendido na UBS Belenzinho, teve o diagnóstico de Covid-19 confirmado em 21 de junho, dois dias após procurar a unidade de saúde com sintomas gripais. A confirmação de que se trava da cepa indiana só veio em 5 de julho, já que o teste do paciente estava entre as amostras enviadas semanalmente pela prefeitura aos institutos Adolfo Lutz e de Medicina Tropical da USP, que fazem o levantamento de quais variantes circulam pelo município.Após a confirmação, a Covisa (Coordenadoria de Vigilância em Saúde) começou a rastrear todas as pessoas que tinham tido contato com o paciente e colocou a família em isolamento. A mulher dele, de 43 anos, também foi infectada pela Covid. Além dos dois, o enteado de 26 anos e o filho do casal, de 9 anos, ficaram em quarentena.Como o paciente informou que não havia viajado nem tido contato com pessoas que viajaram, a Covisa começou a trabalhar com a hipótese de transmissão comunitária da variante delta. Segundo a Secretaria da Saúde, o paciente está em home office, mas, como a sua esposa trabalha com atendimento ao público, foi necessário investigar os contatos de muitas pessoas para descartar a possibilidade de contato com viajantes."Foram identificados casos secundários do mesmo núcleo familiar que estão em investigação. Contudo, todos os casos relacionados evoluíram com manifestações clinicas leves, não sendo necessária internação. Não houve viabilidade para análise das amostras colhidas do núcleo familiar, também foram investigados locais de trabalho e outros contatos próximos do caso. Após a investigação epidemiológica, não foi possível identificar a origem da infecção. Dessa forma, pode-se considerar a possibilidade de transmissão comunitária da variante delta no Município de São Paulo", diz nota da secretaria enviada à Folha. Mesmo antes da confirmação da presença da cepa identificada primeiramente na Índia na cidade, a prefeitura passou a monitorar passageiros que desembarcam nos terminais rodoviários da capital e, também, no aeroporto de Congonhas. “Até o momento, foram abordados 215.343 passageiros, com 125 testes realizados (8 casos positivos). Esses passageiros foram orientados a fazer o isolamento social”, informou em nota a Secretaria Municipal de Saúde.Segundo a Opas (Organização Pan-Americana da Saúde), braço da OMS (Organização Mundial da Saúde) nas Américas, além do Brasil outros 13 países do continente americano já registram a circulação da cepa delta. Pesquisadores apontam que essa variante possivelmente apresenta um nível de transmissibilidade cerca de 50% maior do que linhagens anteriores do vírus.Em nota, o Ministério da Saúde afirma que até o momento são 20 casos notificados da variante delta no Brasil. Os seis primeiros foram confirmados entre a tripulação de um navio oriundo da Malásia ancorado na costa maranhense, em maio. Há ainda três casos no Rio de Janeiro, um em Minas Gerais, sete no Paraná, dois em Goiás e um em São Paulo.Foram quatro mortes confirmadas, segundo o Ministério da Saúde, sendo uma no Maranhão e três no Paraná. “Os dados coletados até o momento não demonstram circulação comunitária; no entanto, é importante ressaltar que as investigações estão em andamento”, diz a pasta.Um estudo recente, publicado em artigo na revista científica Nature no início deste mês, mostrou que a variante delta consegue escapar parcialmente dos anticorpos de pessoas vacinadas ou já curadas da Covid-19.A mesma pesquisa mostrou que apenas uma dose das vacinas da Pfizer/BioNTech ou da AstraZeneca/Oxford não são suficientes para proteger contra infecção por essa linhagem. A proteção após a segunda dose, porém, ficou acima de 60% —o que reforça a necessidade de um ciclo de vacinação completo.Segundo especialistas, as medidas de proteção básicas, como uso correto de máscaras, distanciamento social, boa ventilação dos ambientes e higiene das mãos, seguem sendo essenciais para evitar que a variante delta se espalhe ainda mais. | equilibrio-e-saude | 0 | 1 |
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] | O ministro da Saúde, Marcelo Queiroga, disse nesta quarta-feira (14) que o Ministério da Saúde não conta, para o Programa Nacional de Imunizações e campanha contra a Covid, com doses da vacina Covaxin. O imunizante, fabricado pela empresa Bharat Biotech, é atualmente alvo de investigação na CPI da Covid.O mesmo valeria para a vacina Sputnik V, do Instituto Gamaleya, da Rússia. O motivo alegado pelo ministro seria a falta de registro ou aval para uso emergencial dos dois imunizantes, que possuem apenas autorização na Anvisa (Agência Nacional de Vigilância Sanitária) para importação mediante condições."O Ministério da Saúde já adquiriu 600 milhões de doses de vacinas, e não temos necessidade dessas doses adicionais desses dois imunizantes que obtiveram essas licenças de importação", disse o ministro, que frisou em seguida a situação da Covaxin.“A vacina produzida pela Bharat Biotech, Covaxin, tem sido alvo de discussões. O Ministério da Saúde, através de sua diretoria de integridade, de integrantes da CGU e da nossa assessoria jurídica, orientou a suspensão desse contrato por questão de conveniência e oportunidade", disse o ministro."Portanto, o Ministério da Saúde não conta, dentro do PNI, com agentes imunizantes que não tenham obtido aval da Anvisa de maneira definitiva ou emergencial, porque entendemos que o que temos de doses já é o suficiente para imunizar a população brasileira até o final do ano”, completou.Recentemente, a pasta suspendeu um contrato que havia sido firmado em fevereiro com a Precisa Medicamentos, que representa a empresa Bharat Biotech, para obter 20 milhões de doses da Covaxin.O ministério, no entanto, ainda avalia a possibilidade de cancelamento definitivo do acordo. A medida ocorre em meio ao avanço nas investigações em torno dos contratos sobre a vacina indiana.A existência de denúncias de irregularidades foi revelada pela Folha com a divulgação do depoimento sigiloso de Luís Ricardo Miranda, chefe da divisão de importação da Saúde. Ele disse ao Ministério Público Federal em Brasília que recebeu uma "pressão atípica" para agilizar a liberação da vacina.As declarações do ministro ocorreram em audiência na comissão de seguridade social da Câmara dos Deputados.No encontro, Queiroga comentou ainda a decisão de exonerar o diretor de logística, Roberto Ferreira Dias, envolvido em denúncias sobre a Covaxin e suposta cobrança de propina em outras negociações de vacinas —o que ele nega. "Todos que tenham seu nome envolvido em situações que não fiquem claras serão afastados", disse.Segundo o ministro, o aval limitado à licença de importação se coloca como dificuldade tanto para a Covaxin quanto para a Sputnik V, na comparação com as demais vacinas."É apenas uma licença para importação, condicionada a 21 itens, e um deles é uma população de 1% do estado que pleiteou, controlado por estudos de efetividade", disse. Questionado sobre a importação de doses da Sputnik V que vem sendo negociada pelos estados, os quais obtiveram o aval excepcional da Anvisa, Queiroga disse que deve apoiar a medida. Mas afirmou ver como baixo o impacto da inclusão da vacina no Programa de Imunizações."Se for interesse do fórum de governadores ter esse quantitativo pequeno de Sputnik V, o ministério vai apoiar. Mas, sinceramente, esse tipo de imunizante, nessa quantia muito reduzida, não alterará a nossa campanha de imunização. O que precisamos é buscar antecipação das doses já contratadas", disse.De acordo com Queiroga, a previsão é que haja oferta de 60 milhões de doses de vacinas em agosto —número que, segundo ele, permitiria acelerar a campanha de vacinação.Na audiência, o ministro também voltou a criticar estados que tomaram decisões por antecipar a segunda dose de vacinas contra Covid, em especial a da AstraZeneca."Muito se escuta acerca de modificações nos esquemas que são propostos pelo plano de imunização, com redução do intervalo de doses e inclusão de grupos que não foram pactuados. Embora existam dados que defendam esse tipo de conduta, para mim o que deve prevalecer é o que foi definido na tripartite [comissão com União, estados e municípios]", disse."Se há sugestões para fazer alteração, devem ser submetidas ao PNI e comitê tripartite para que possamos fazer de forma homogênea passando uma mensagem única para os brasileiros", afirmou.Para ele, a proposta de reduzir o intervalo da AstraZeneca não tem consenso científico."Não há evidências de que se encurtar vai promover mais eficiência contra variantes. Não há consenso na ciência sobre isso, pelo contrário, o que tenho visto é que o espaçamento garante maior eficácia", disse. Situação diferente ocorre para doses da Pfizer, afirma. "A bula da Pfizer prevê 21 dias, e no momento que chegou ao país, o objetivo era avançar na primeira dose [daí a extensão do intervalo a três meses]. Mas se decidir encurtar para 21 dias, isso tem respaldo", disse o ministro, segundo quem a avaliação dependerá ainda do total de doses disponíveis.Na audiência, Queiroga também reconheceu que há necessidade de mais recursos no orçamento da Saúde para medidas contra Covid. Segundo ele, a pasta conta com R$ 131 bilhões de orçamento, somado a R$ 38 bilhões em créditos extraordinários."Temos uma expectativa de termos um orçamento que é talvez o maior que o ministério dispõe nos últimos anos, mas creio que ainda é pouco para o que temos que enfrentar", afirmou .Questionado no encontro sobre o impacto da realização da Copa América, o ministro disse avaliar que o evento foi feito com sucesso, mesmo com o registro de casos de Covid e possibilidade de entrada de nova variante no país."Tivemos sim uma prova de que é possível compatibilizar, mesmo dentro de um ambiente pandêmico, a prática de outras atividades que são importantes, porque o país não pode ficar o tempo inteiro parado", afirmou.“Através de um protocolo rigoroso conseguimos realizar o evento com sucesso. Ao contrário do que se dizia, que a pandemia seria descontrolada por conta da Copa América, o que assistimos foi uma melhora dos indicadores econômicos”, disse ele, segundo quem o evento pode ser um modelo para outros cenários, como a retomada das aulas presenciais. Parlamentares também aproveitaram a audiência para questionar o ministro sobre o pedido do presidente Jair Bolsonaro por um parecer para desobrigar o uso de máscaras, proposta que foi alvo de críticas de especialistas.Segundo o ministro, ainda não há um parecer sobre o tema. Ele justificou o pedido afirmando que o presidente está satisfeito com a campanha de imunização, mas "não gosta de máscara".“Eu já falei, o presidente está muito satisfeito com o ritmo da campanha de imunização. Ele me cobra: ‘Como é que está a vacina? Nós precisamos antecipar a vacinação‘. Porque o presidente não gosta de máscara, todo mundo sabe. Ele anda sem máscara. E me perguntou a partir de que momento a população já podia ficar sem máscara. E eu disse que temos que fazer estudos. Depois que estiverem concluídos, podemos emitir um parecer”, disse. "Todos nós queremos tirar essas máscaras, mas dentro de um contexto que seja seguro."À tarde, Queiroga foi a um posto de saúde vacinar os ministros Fábio Faria (Comunicações), Wagner Rosário (Controladoria-Geral da União) e Luiz Eduardo Ramos (Casa Civil), que havia tomado a primeira dose escondido da imprensa, como revelou em uma reunião que, sem saber, estava sendo transmitida pela internet.No posto de saúde, Queiroga reiterou a meta de vacinar quem tem mais de 18 anos até setembro, mas, desta vez, especificou que o prazo é para aplicar as duas doses em apenas metade dos adultos, e não todos."Em setembro, o objetivo é ter pelo menos 50% dos acima de 18 anos vacinados com duas doses. Os resultados vocês já veem: tem redução no número de casos, menor pressão sobre o SUS hospitalar e a redução dos óbitos", afirmou Queiroga.Após a vacinação dos ministros, uma profissional de saúde que trabalha na campanha de imunização no posto de saúde gritou "fora, Bolsonaro" diante dos auxiliares do presidente. | equilibrio-e-saude | 0 | 1 |
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] | Após a Conitec, comissão que avalia medicamentos no SUS, aprovar um parecer que contraindica o uso de hidroxicloroquina em pacientes internados com Covid, o Ministério da Saúde decidiu convocar audiência pública para levantar novos "subsídios" para a decisão.O encontro, que não é comum em decisões sobre temas que já passaram pelo órgão técnico, está marcado para esta quinta-feira (8).A medida pegou servidores da Saúde de surpresa, já que a proposta, que compõe diretrizes para tratamento hospitalar da Covid, já havia passado por consulta pública e tramitado na comissão, com parecer final para aprovação.Em geral, após esse processo, cabe à Secretaria de Ciência e Tecnologia chancelar ou reprovar as decisões e enviá-las para publicação no Diário Oficial da União.Agora, a audiência pode abrir nova análise do tema, diferentemente do que ocorreu com outras propostas recentes de diretrizes e protocolos sobre a Covid que foram aprovadas pela Saúde após análise do órgão. A decisão de convocar audiência foi do secretário de Ciência e Tecnologia, Helio Angotti Neto, conhecido por ser alinhado ao presidente Jair Bolsonaro.O secretário é também seguidor do escritor Olavo de Carvalho, tido como guru ideológico do governo.No último ano, Angotti ficou conhecido por adotar uma postura entusiasta do chamado "tratamento precoce". Em coletivas à época, ele também já fez críticas a estudos que apontavam ineficácia da cloroquina e costumava dar números sobre a distribuição do remédio pela pasta para uso na Covid.Internamente, segundo a Folha apurou, o secretário disse que o parecer da Conitec seria baseado em evidências antigas e muito parecido com protocolos internacionais.Angotti teria justificado a necessidade de promover audiência para atualizar o documento à luz de novas informações. A reportagem procurou Angotti para comentar o processo, mas não teve retorno até o momento.Em nota, o ministério diz que a iniciativa por chamar a audiência pública pode ocorrer sempre que a pasta decidir que é preciso "levantar mais subsídios" para uma decisão.Essa será a segunda audiência pública já feita na Conitec. A primeira ocorreu neste ano, sobre um medicamento para atrofia muscular espinhal alvo de ações judiciais. Orientações divulgadas pela Saúde dizem que a audiência será aberta a todos os interessados, desde que inscritos previamente.A pedido do ministro Marcelo Queiroga, um grupo técnico e coordenado pelo professor Carlos Carvalho, da USP, com apoio de sociedades de especialistas, elaborou o que será chamado "Diretrizes Brasileiras para Tratamento Hospitalar do Paciente com Covid-19".O texto passou por consulta pública e foi chancelado pela Conitec.Na prática, o documento não recomenda o uso de medicamentos como a hidroxicloroquina, cloroquina, azitromicina, ivermectina e outros, como o remdesivir, para tratamento de pacientes hospitalizados com Covid-19. A posição ocorre após revisão de estudos e diretrizes de diferentes países.Por outro lado, o parecer abre espaço para uso de um grupo restrito de medicamentos, como corticoesteroides (caso da dexametasona) e anticoagulantes, mas em casos específicos e conforme orientações. Questionado pela reportagem, o ministro da Saúde, Marcelo Queiroga, nega que tenha havido pressão para postergar a decisão devido ao fato da diretriz envolver parecer sobre a cloroquina.Segundo ele, a ideia da pasta é aumentar a frequência das audiências públicas na comissão."A Conitec tem dez anos, e nunca fez uma audiência pública. Vai ter para todos os assuntos que tiveram relevância", diz ele, segundo quem a comissão pode ser consultada novamente após a audiência. "Encontramos o caminho certo para discutir essas questões técnicas".Apesar da declaração do ministro, diferentemente do que houve com o caso dos medicamentos, Angotti assinou o primeiro capítulo das diretrizes, o qual trata do “uso de oxigênio, intubação orotraqueal e ventilação mecânica”, sem convocar audiência. A proposta que aborda os medicamentos, cuja oitiva foi chamada, será o segundo capítulo.Outros documentos ligados à Covid, como a incorporação de vacinas no SUS, também tiveram decisões finais publicadas.Nos últimos meses, o uso de medicamentos sem eficácia comprovada, como a cloroquina, tem sido defendido publicamente por Bolsonaro, na contramão de estudos que apontam ineficácia para a Covid.Em 2020, em meio a pressão do presidente, o Ministério da Saúde elaborou um documento com "orientações" sobre uso desse e outros remédios para a doença. O texto, porém, não passou pela análise da Conitec.Na prática, essa foi a primeira vez que a comissão deu parecer sobre a cloroquina no âmbito da Covid. Uma eventual chancela da medida, assim, indicaria uma nova postura da Saúde sobre o medicamento, ainda que concentrada apenas na questão hospitalar.O documento diz que "não há evidência de benefício" da cloroquina para pacientes com Covid "seja no seu uso de forma isolada ou em associação com outros medicamentos." A recomendação vale independentemente da via de administração (oral, inalatória ou outras).A previsão é que diretrizes para tratamento pré-hospitalar sejam elaboradas nas próximas semanas. | equilibrio-e-saude | 0 | 1 |
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] | Ao receber 2 milhões de doses de vacina contra a Covid do consórcio internacional Covax Facility neste domingo (2), o ministro Marcelo Queiroga (Saúde) aproveitou a ocasião para defender a importância da volta às aulas.No Aeroporto Internacional de Guarulhos, durante pronunciamento à imprensa, Queiroga, em cumprimentos à Unicef pelas ações na área de educação, disse que as atividades escolares precisam ser retomadas."Um tema importante é o retorno às atividades letivas, os alunos que precisam retornar às aulas. Temos ação conjunta com a Unicef, e é fundamental que os alunos voltem às aulas não só para aprender, mas também [porque] nas aulas eles recebem alimentos, e sabemos que os nossos programas de segurança alimentar na educação são importantes."Os imunizantes chegaram a São Paulo neste sábado (1º) e domingo. Ao todo, foram 4 milhões de doses entregues neste fim de semana.Queiroga estava acompanhado de Florence Bauer, da Unicef, da representante da Opas (Organização Panamericana de Saúde) no Brasil, Socorro Gross, e de congressistas, como a deputada federal Carla Zambelli (PSL-SP).Para Bauer, embora não sejam alvo da vacinação, crianças e adolescentes podem ser beneficiados pelo aumento na imunização de parentes e professores."É um grande momento de esperança no Brasil a chegada de vacinas, e um momento de esperança para crianças e adolescentes, porque, embora não sejam vacinadas diretamente, são elas que mais sofrem com impactos indiretos da pandemia, como o fechamento das escolas, que faz com que crianças e adolescentes não estejam tendo seu direito a aulas presenciais garantido", disse.A vacinação de trabalhadores da educação está prevista para ocorrer de junho a setembro em todo o país, dentro do PNI (Programa Nacional de Imunizações). No entanto, há estados que já iniciaram a vacinação desse grupo."As vacinas representam um momento de esperança de crianças e adolescentes terem suas famílias e professores protegidos, e poderem reimaginar um futuro melhor para todos eles", disse Bauer.Foram três remessas recebidas da vacina Covishield, desenvolvida pela Universidade de Oxford e pela farmacêutica AstraZeneca. No Brasil, o imunizante é produzido em parceria com a Fiocruz (Fundação Oswaldo Cruz).Os imunizantes foram fabricados na Coreia do Sul. O primeiro carregamento trouxe ao país mais de 220 mil doses; o segundo, mais de 1,7 milhão; o último, 2 milhões.Queiroga afirmou ainda que a entrega será imediata. "Estas doses já começam a ser distribuídas. Em no máximo 48 horas serão distribuídas a todos os estados do Brasil."O consórcio global é uma iniciativa da OMS (Organização Mundial da Saúde). O ministro lembrou que o acordo do Brasil com a iniciativa, o qual prevê 42,5 milhões de doses até o fim deste ano, foi fechado em outubro de 2020, no valor de US$ 150 milhões.As entregas da Covax ao Brasil enfrentam atrasos. Inicialmente, a previsão era que o consórcio enviasse ao país até 9,1 milhões de doses até maio. No entanto, o país havia recebido apenas um lote, com apenas 1 milhão de doses."Já deveríamos ter recebido essas doses desde janeiro, todavia em função da dificuldade com vacinas em todo o mundo, só estamos recebendo agora", disse.Ele também voltou a citar a meta de vacinar toda a população até o fim de 2021. "Teremos 4 milhões de doses e esperança. Sabemos que a vacina é o caminho para derrotar nosso único inimigo, que é o coronavírus."Segundo Queiroga, o Brasil recebeu desde quinta-feira (29) mais 17 milhões de doses de vacinas contra a Covid. "É mais que a população de Portugal, da Grécia, de Israel."A Covax prevê ainda entregas da Pfizer, cujo calendário precisa ser confirmado. A princípio, deve ocorrer até junho. Mais | equilibrio-e-saude | 0 | 1 |
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] | A Agência Reguladora de Medicamentos e Produtos de Saúde do Reino Unido (MHRA) divulgou que foram relatados no país até 21 de março 22 casos de trombose do seio venoso cerebral (CVST) e 8 de trombose com plaquetas baixas entre 18,1 milhões de doses da vacina de Oxford/AstraZeneca administradas até aquela data.Segundo a agência, a incidência dos acidentes vasculares não é maior que o esperado, com base nas informações disponíveis até agora, "os benefícios das vacinas contra Covid-19 continuam a superar quaisquer riscos", por evitar doenças graves e mortes provocadas pelo coronavírus.A Covid-19 já causou mais de 126 mil mortes no Reino Unido, e as taxas de infecção e hospitalização ainda são consideradas altas. Mais A MHRA não recebeu relatos de casos dessa trombose rara entre vacinados com o imunizante da Pfizer/BioNTech —aplicada em cerca de 12 milhões de pessoas—, mas investigou reações alérgicas graves após o uso dessa vacina. A conclusão foi a de que elas eram muito raras e semelhantes às encontradas em relação a qualquer imunizante."Pessoas com histórico anterior de reações alérgicas graves a qualquer ingrediente da vacina não devem recebê-la, e as pessoas que recebem a vacina devem ser monitoradas por pelo menos 15 minutos depois", diz a orientação da MHRA.Ambos os produtos continuam a ser recomendados para adultos de qualquer faixa etária. Na Europa, onde foram relatados 44 casos de acidente vascular entre 9,2 milhões de pessoas vacinadas com o imunizante da AstraZeneca, países como Suécia, Alemanha e França determinaram que ela seja usada apenas em idosos.Nesta sexta (2), a Holanda também anunciou que limitaria o uso a pessoas com até 59 anos, cancelando mais de 10 mil aplicações já agendadas.Segundo a agência regulatória europeia, porém, não há evidências de que os acidentes vasculares graves sejam causados pela vacina nem de que idade ou sexo sejam fatores de risco. O órgão também manteve a recomendação de uso em todos os adultos. Mais No Reino Unido, até 21 de março a MHRA havia recebido 40.883 "cartões amarelos" (aviso de suspeita de efeito colateral) para a Pfizer/BioNTech e 99.817 para Oxford/AstraZeneca, o que equivale a 3 e 6 cartões por 1.000 doses administradas, respectivamente."O número e a natureza das suspeitas de reações adversas notificadas até agora não são incomuns em comparação com outros tipos de vacinas usadas rotineiramente", afirmou o órgão britânico.A vacina Pfizer/BioNTech foi avaliada em ensaios clínicos com mais de 44.000 participantes, nos quais as reações adversas mais frequentes foram dor no local da injeção, fadiga, dor de cabeça, mialgia (dores musculares), calafrios, artralgia (dores nas articulações) e febre; cada um deles foi relatado em mais de 1 em cada 10 pessoas, segundo a MHRA.As reações adversas foram notificadas com menos frequência em adultos mais velhos (com mais de 55 anos) do que em pessoas mais jovens.A vacina de Oxford/AstraZeneca foi avaliada em ensaios clínicos com mais de 23.000 participantes, e as reações adversas notificadas com mais frequência foram sensibilidade no local da injeção, dor no local da injeção, cefaleia, fadiga, mialgia, mal-estar, febre, arrepios, artralgia e náuseas; cada um deles foi relatado em mais de 1 em cada 10 pessoas.Foram mais ligeiras e menos frequentes entre os que tinham 65 anos ou mais, e as reações após a segunda dose foram mais leves e menos frequentes do que após a primeira dose.Em ambos os casos, a maioria das reações adversas foram de gravidade ligeira a moderada e geralmente resolvidas alguns dias após a vacinação. Mais No Brasil, onde a vacina da AstraZeneca é o principal imunizante do governo federal, não há até o momento relatos de acidentes vasculares semelhantes em pessoas vacinadas.Os eventos adversos considerados graves registrados no Brasil no primeiro mês de campanha de vacinação contra o coronavírus representam 0,007% das doses aplicadas no período, mostra um relatório divulgado pelo Ministério da Saúde. Até agora não há confirmação de que eles tenham relação com os imunizantes.A grande maioria dos efeitos adversos suspeitos notificados até aqui não são graves. Os casos mais frequentes são de dor de cabeça, dor em geral e dor muscular (mialgia), além de febre, náusea e diarreia.por Ana Bottallo, de São PauloA vacina é segura?Sim. Houve relatos de efeitos colaterais que poderiam estar ligados ao uso desse imunizante na população, mas a relação não foi comprovada.No Brasil, a ocorrência de efeitos adversos graves nos vacinados corresponde a 0,007%, segundo dados do Ministério da Saúde, considerando ainda as duas vacinas aplicadas, a Coronavac e a Oxford/AstraZeneca. A vacina tem se mostrado segura e os efeitos mais comuns reportados são dores de cabeça e no corpo e fadiga.Em comparação com outras vacinas com tecnologias mais modernas contra Covid-19, como as da Pfizer/BioNTech e da Moderna, a vacina da Oxford apresentou uma alta incidência de efeitos colaterais nos ensaios clínicos (mais de 70% no grupo vacinado), embora nenhum efeito adverso grave tenha sido notado.O uso de um adenovírus modificado de chimpanzé como vetor viral para levar ao corpo a proteína S do Spike (a espícula usada pelo vírus para entrar nas células) do coronavírus pode estar associado a essa maior incidência de efeitos colaterais.Em março, o comitê científico de monitoramento da vacina da União Europeia reportou casos de trombose venosa profunda em indivíduos vacinados com o imunizante da Oxford em diversos países europeus. O número de casos era muito pequeno para comprovar uma associação clara com a vacina, mas as autoridades de saúde de 21 países decidiram suspender temporariamente o uso até que esses dados fossem estudados, mesmo com a contraindicação da OMS (Organização Mundial da Saúde) e da agência regulatória europeia (EMA) de suspender o uso.A trombose é uma doença que leva à formação de coágulos geralmente nas veias das pernas ou da pelve. A incidência na população geral, de acordo com dados dos EUA, é de 1 a 2 pessoas em cada 1.000. Em cerca de 20 milhões de vacinados com a vacina da Oxford na Europa, foram notificados sete casos de coágulos em vasos sanguíneos e 18 casos de coágulos nos vasos do cérebro.Assim, concluiu-se que o imunizante não está associado a um aumento do risco geral de coágulos sanguíneos nas pessoas vacinadas, e tampouco foi possível comprovar que a vacina tenha provocado os casos. A aplicação da vacina foi retomada em 19 dos 21 países europeus na última semana.Na última terça-feira (30), a Alemanha suspendeu o uso da vacina da Oxford em pessoas com até 59 anos devido aos novos relatos de acidentes vasculares "raros, mas graves".Quão eficaz é a vacina?Em novembro de 2020, a AstraZeneca divulgou uma eficácia de até 90% de seu imunizante. No entanto, a análise esmiuçada dos dados da vacina mostrava que a taxa de 90% foi atingida em um esquema de uma dose inicial mais baixa (correspondendo à metade da dose total), seguida por uma segunda dose completa 30 dias depois.Já nos participantes que receberam o esquema normal da vacina —ou seja, duas doses completas, com 30 dias de diferença—, a taxa verificada era de 62%. Assim, de acordo com a empresa, a eficácia correta seria uma "média" desses dois valores, de 70%.Após questionamentos, a farmacêutica admitiu que houve um erro na dosagem de alguns participantes e que a eficácia verificada de 90% correspondia a um subgrupo de 1.300 participantes no Reino Unido.Um artigo publicado em dezembro na revista científica The Lancet confirmou a eficácia de 70% da vacina, mas apenas em indivíduos com menos de 55 anos. Os dados para pessoas acima dessa idade não eram suficientes para calcular uma eficácia. Apesar disso, o imunizante apresentou uma boa resposta imune, inclusive celular, era seguro e induzia resposta imune em todas as faixas etárias.Especialistas criticaram a divulgação de uma eficácia considerando estudos feitos em diferentes países, e a Oxford reconduziu os testes da vacina Covishield, desenvolvida em parceria com o Instituto Serum na Índia, confirmando não só a proteção de quase 70% da vacina contra a infecção mas também eficácia próxima a 82% quando o intervalo entre as duas doses era ampliado para 12 semanas, e não quatro como inicialmente proposto.Na segunda-feira (22), a farmacêutica divulgou uma nova taxa de eficácia de 79% a partir de estudos feitos nos EUA, Peru e Chile. No dia seguinte ao anúncio, porém, um comitê externo de monitoramento de dados (DSMB, na sigla em inglês) norte-americano questionou o valor encontrado e se disse preocupado com o o fato de o laboratório escolher dados desatualizados de casos para apresentar o melhor resultado de eficácia. Em uma análise interna do comitê, a eficácia da vacina era de 76%.A AstraZeneca admitiu ter usado dados só até o dia 17 de fevereiro e confirmou a eficácia menor dois dias depois, mas reforçou a proteção do imunizante de 100% para prevenir casos graves e internação.O que se sabe sobre o uso da vacina em idosos?Nos primeiros estudos de fase 3 conduzidos, o número de participantes com idade acima de 65 anos era muito baixo, o que não permitia aferir sua eficácia nessa faixa etária.Com o início da vacinação no mundo e com poucas vacinas chegando ao final de seus ensaios clínicos, o imunizante da Oxford passou a ser usado amplamente na população, inclusive naquela acima de 65 anos. Mas, diante da falta de dados, alguns países europeus decidiram suspender o seu uso nessa faixa etária.Cientistas e autoridades de saúde de todo o mundo disseram que os problemas de não aplicar a vacina, com o recrudescimento da Covid-19 e as novas variantes mais transmissíveis surgindo no Brasil e no mundo, seriam maiores do que eventuais faltas de dados da vacina nessa população e que os ensaios clínicos mostraram que a vacina é segura.Nos novos estudos conduzidos nos EUA, Peru e Chile, os resultados preliminares indicaram uma proteção acima de 80% contra casos sintomáticos da Covid-19 em pessoas com mais de 65 anos.Entre os países europeus que ainda não retomaram o uso da vacina em idosos estão a Bélgica e Portugal. A França voltou atrás e aprovou o uso em pessoas acima de 65 anos.Quais países já autorizaram o uso da vacina?A vacina da Oxford recebeu, em dezembro de 2020, autorização para uso emergencial no Reino Unido e, em janeiro, a Anvisa aprovou o uso do imunizante no Brasil. Alguns dias depois, a agência regulatória europeia também aprovou seu uso emergencial na União Europeia.A Índia aprovou o uso da Covishield, vacina da AstraZeneca e do Instituto Serum indiano, no início do ano. África do Sul, Canadá, e a própria OMS também aprovaram a vacina da Oxford. A FDA, agência regulatória norte-americana, deve concluir a análise dos dados dos testes e aprovar o uso emergencial do imunizante no país nas próximas semanas.E como a vacina se comporta contra as novas variantes?Com os novos estudos reconduzidos pela Oxford/AstraZeneca no Reino Unido e na África do Sul, a vacina se mostrou eficaz contra a variante do Reino Unido (a B.1.1.7), mas, na África do Sul, um ensaio clínico com poucos participantes, a maioria infectado com a variante sul-africana B.1.351, mostrou que a vacina não teve eficácia contra a nova cepa.Dados ainda preliminares de um estudo feito pela Fiocruz em laboratório com soros de indivíduos vacinados mostram que há potencial da vacina de proteção contra a variante P.1, mas ainda é preciso fazer testes na população.Como esses episódios afetam a confiança na vacina?Na Europa, os episódios de interrupções e retomadas da aplicação da vacina prejudicaram a confiança no imunizante. Segundo uma pesquisa conduzida pelo instituto YouGov, com 8.000 pessoas dos principais países do bloco europeu entre os dias 12 e 18 de março, 61% dos franceses e 55% dos alemães consideram a vacina não segura e 27% dos portugueses e italianos não confiam na vacina da Oxford.Para a epidemiologista e vice-presidente do Instituto Sabin, Denise Garrett, as falhas na comunicação dos resultados podem ser atribuídas tanto a erros de condução de ensaios clínicos, em relação à análise combinada de estudos em diferentes países e à escolha de dados mais favoráveis, quanto ao amadorismo na comunicação por parte da empresa.A médica ressalta, no entanto, o papel dos comitês de avaliação externos. "Temis a confiança em um comitê de especialistas externo, autônomo e sem conflito de interesses com a companhia, para a supervisão dos dados e justamente apontar essas falhas."Ainda em relação aos eventos tromboembólicos, Garrett diz que o papel das agências regulatórias, que investigaram o problema, é fundamental para garantir a credibilidade das vacinas. "É importante fazer a análise profunda de qualquer caso e monitorar os eventos, mas os eventos continuam, como tem pessoas que vão sofrer ataques cardíacos, há aqueles que vão desenvolver trombose. E não houve comprovação que foi ligada com a vacina", diz.Qual a relevância da vacina da Oxford para a imunização em todo o mundo?Apesar de todos os percalços, a vacina da Oxford/AstraZeneca continua sendo a melhor opção para países de baixa e média renda, por dois motivos principais: seu baixo custo (preço unitário da dose entre US$ 3 e US$ 4, cerca de R$ 17 a R$ 23, bem menos do que o preço de US$ 20 da Pfizer ou US$ 37 da Moderna, ou R$ 112 e R$ 214, respectivamente) e o seu armazenamento a temperaturas de 2˚ a 8˚C, de refrigerador comum.Já foram aplicados pelo menos 20 milhões de doses da AstraZeneca no Reino Unido e União Europeia, e mais de 27 milhões na Índia da Covishield. No Brasil, o governo federal prevê a entrega de 100,4 milhões de doses da vacina até o final do primeiro semestre e mais 100 milhões até o final do ano.A Oxford/AstraZeneca também é uma parte importante das vacinas oferecidas pelo consórcio Covax Facility, da OMS, e deve impulsionar a vacinação em países africanos, asiáticos e da América Latina dependentes das doses do consórcio. | equilibrio-e-saude | 0 | 1 |
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] | O presidente da Câmara, Arthur Lira (PP-AL), questionou nesta quarta-feira (31) a disparidade entre o número de doses enviadas a estados e municípios e a quantidade de imunizados no país, embora tenha ressaltado não suspeitar de má fé no descompasso.Lira falou ao final de reunião do comitê nacional anunciado na semana passada pelo presidente Jair Bolsonaro (sem partido), que não participou do encontro desta quarta. Também estiveram presente no pronunciamento o presidente do Senado, Rodrigo Pacheco (DEM-MG), e o ministro Marcelo Queiroga (Saúde).Em seu discurso, o presidente da Câmara chamou atenção para a divergência entre doses distribuídas e vacinadas.“Por que o Brasil distribuiu 34 milhões de doses de vacina e nós só temos 18 milhões de doses aplicadas?”, disse. “Eu não acredito, não acho que seja possível que nenhum governador e nenhum prefeito não esteja vacinando. Nós estamos com um déficit aí de quase 14 milhões de vacinas nos gráficos iniciais.” Lira ressaltou que isso impacta na informação passada aos brasileiros e pediu que o Ministério da Saúde forme “urgentemente” um grupo ainda mais rígido de controle desses dados.Ele citou o caso de um estado que recebeu 3 milhões de doses e só repassou a informação de que vacinou 1,5 milhão de pessoas.“O ministério pode entender que ele tem um estoque de 1,5 milhão e que ele não tem necessidade de vacina e que essa vacina pode ser transferida para outro estado que tenha mais necessidade, ou o ministério pode entender que está havendo atraso na informação de vacinação, que prejudica também nossa avaliação nacional de para onde há necessidade de se enviar vacinas?”Apesar disso, disse não acreditar “em hipótese alguma que tenha nenhum tipo de má vontade ou má fé nisso, pelo contrário.”“É um controle importante sanitariamente, é um controle importante para que a população saiba o nível de vacinação em que o Brasil se encontra”, afirmou. “Informação neste período é tudo.”O ministro da Saúde fez um aceno à demanda de Lira por avanços no registro de doses aplicadas."Precisamos melhorar o nosso sistema de informação para que ele consiga colher os dados dos municípios e o Datasus seja abastecido, e os brasileiros tenham dados concretos sobre a vacinação", disse.Em geral, secretários de saúde têm apontado que houve dificuldade inicial no uso do sistema de registro feito pelo Ministério da Saúde, o que tem sido regularizado.Outro fator que pode impactar o volume já aplicado é o fato de que, até recentemente, estados ainda tinham que reservar a segunda dose da Coronavac para aplicação, devido à dificuldade de garantia de novas entregas de vacinas no prazo previsto para essa nova oferta.Em uma cobrança mais velada ao governo e particularmente ao presidente Jair Bolsonaro (sem partido), Pacheco pediu um alinhamento da comunicação social do governo para não haver ruídos nas informações passadas para a população.Um dos pontos de crítica ao governo do presidente Jair Bolsonaro é que o Ministério da Saúde mantém uma política para incentivar a vacinação, para o uso de máscaras e também para evitar aglomeração, mas Bolsonaro costuma ignorá-las frequentemente e mesmo criticá-las.“É muito importante a comunicação, que haja um alinhamento da comunicação social do governo, da assessoria de imprensa do presidente da República, no sentido de haver uma uniformização do discurso, de que é necessário se vacinar, usar máscara, higienizar as mãos, distanciamento social, de modo a prevenirmos o aumento da doença no nosso país”, afirmou o presidente do Senado.Pacheco voltou a repetir uma frase bastante usada nos últimos dias, de que o Brasil tem dois caminhos para escolher: da união ou do caos.O presidente do Senado também afirmou que foram tratadas na reunião do comitê questões relativas às decisões judiciais sobre a pandemia, que estariam provocando insegurança jurídica.Criticou decisões de juízes, como as que liberam a compra de vacinas e a imunização por algumas categorias profissionais, quando a legislação aprovada no Congresso Nacional e sancionada pelo presidente impõem restrições. | equilibrio-e-saude | 0 | 1 |
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] | À frente de um grupo de lideranças da saúde privada que negocia com deputados federais o aumento da oferta de leitos ao SUS e incentivos ao setor para enfrentar a crise provocada pela pandemia de Covid-19, o médico Cláudio Lottenberg diz que existe uma falsa impressão de que está sobrando leitos nos hospitais particulares.“Os hospitais da Anahp [Associação Nacional de Hospitais Privados] estão lotados, com mais de 95% de ocupação. Pode ser que outros tenham outra perspectiva”, afirma Lottenberg, que preside o Instituto Coalizão Saúde e o Conselho da Sociedade Beneficente Israelita Albert Einstein.Segundo ele, adiar novamente procedimentos eletivos para abrir mais leitos Covid não é uma alternativa e poderia provocar uma quebradeira no setor: “Com pacientes Covid, a estrutura hospitalar não se mostra sustentável. Pacientes Covid exigem uma mão de obra intensa, é um paciente caro, que precisa de muita gente, fisioterapeuta, enfermeira, médico intensivista, mas [a operadora] remunera mal”.Uma das propostas discutidas pelos deputados com o setor da saúde privada é um projeto de lei que cria o Programa Pró-Leitos, que incentiva pessoas físicas e jurídicas a contratar leitos clínicos e de UTI da rede privada para o SUS. O valor investido poderá ser deduzido do Imposto de Renda.O texto principal do projeto foi aprovado em votação simbólica na quarta (24). O projeto seguiu para o Senado.Para Lottenberg, essa lotação dos hospitais representa uma falha do sistema de saúde, que não adotou ações preventivas e não se planejou para a vacinação contra a Covid-19. Como está a situação do oxigênio e de outros insumos nos hospitais privados?O Einstein está consumindo quatro vezes mais oxigênio do que consumia antes devido à natureza dos pacientes internados [com Covid].O problema é a mecânica de entrega dos chamados bujões de oxigênio. São Paulo está conseguindo se virar, mas não sei se isso acontece em outros estados. Fora isso, começaram a faltar outros insumos importantes, como kits de anestesia e drogas normais.O setor privado também está enfrentando essa falta de medicamentos e insumos? Ainda não porque tem em estoque. Acontece que, em um certo momento, o Ministério da Saúde quis centralizar a distribuição disso e chegou a ameaçar a confiscar algumas entregas.Além de não ter informação adequada no país para fazer essa distribuição, essa medida prejudica sistemas de saúde e hospitais que haviam comprado. É o pior dos mundos.Conversamos com os deputados doutor Luizinho [PP-RJ], Hiran Gonçalves [PP-RR], com objetivo de encontrar o caminho para uma certa flexibilização junto à Anvisa [Agência Nacional de Vigilância Sanitária] e ao Ministério da Saúde.Outro tema em discussão é a oferta de leitos privados ao SUS em troca de isenção de imposto de renda. Como funcionaria isso? O presidente da Câmara Arthur Lira [PP-AL] e outros deputados têm a impressão que está sobrando leito [no setor privado] para transformar em leito Covid, mas não está. Os hospitais da Anahp estão lotados, com mais de 95% de ocupação. Talvez os outros hospitais tenham outra perspectiva, precisamos levantar isso.Não é o caso de suspender novamente os procedimentos eletivos? O problema é que os pacientes Covid têm uma margem de contribuição muito menor, muito ruim, você não consegue manter uma estrutura hospitalar baseado num aporte maior só de pacientes Covid. Você vai transformar as UTIs de pacientes eletivos e postergar cirurgias por mais seis meses? Você cria uma quebradeira enorme no setor privado. É o tipo da coisa que não dá para imaginar de ser feita dessa forma. Mas não há possibilidade de reservar apenas uma parte dos leitos de cirurgias eletivas? É uma possibilidade, mas, com pacientes Covid, a estrutura hospitalar não se mostra sustentável. Você precisa de produção de pacientes não-Covid, procedimentos mais complexos, tempo médio de recuperação mais curto porque é isso que viabiliza a sustentação dos hospitais.Você não pode quebrar os hospitais. Pacientes Covid exigem uma mão de obra intensa, é um paciente caro, que precisa de muita gente, fisioterapeutas, enfermagem, médicos intensivistas, mas [a operadora] remunera mal. Porque habitualmente as diárias têm valores fixos. E existe uma carência de mão de obra profissional, que está mais onerosa. Precisa ter uma compensação financeira.Não é o caso de rever essa diária Covid paga pelos planos? Estamos tentando, mas as operadoras não têm como pagar a mais.Qual a proposta então?O deputado [Luizinho] colocou que uma possibilidade é encontrar uma diária [hospitalar] que passasse a ser interessante para o prestador de serviço e montar um projeto de lei que possibilitasse doações do setor privado, estimular esse tipo de doação, que retornaria em forma de dedução do Imposto de Renda.Não sei se será esse o projeto, mas é essa a possibilidade. Os hospitais representam hoje uma falha do sistema de saúde que não se planejou e não cuidou de ações preventivas e nem de vacinação. | equilibrio-e-saude | 0 | 1 |
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] | A história parece se repetir: um confronto aberto entre aqueles que defendem os direitos de propriedade intelectual em medicamentos e aqueles que exigem acesso a medicamentos mais baratos para salvar vidas.Já aconteceu em 1998, quando a África foi gravemente atingida pela epidemia de HIV e vários governos do continente pediam a retirada de patentes de empresas farmacêuticas para obter os medicamentos que poderiam prevenir a AIDS e evitar mortes.Os países ricos, onde estão localizadas as empresas farmacêuticas que produzem esses medicamentos, recusaram.Disponíveis nos países desenvolvidos desde 1996, os medicamentos antirretrovirais caros levaram 10 anos para chegar aos países de baixa renda a um preço acessível para todos. Em 2007, durante o governo de Luís Inácio Lula da Silva, o Brasil declarou que a patente do efavirenz, um remédio utilizado no tratamento contra a Aids, era de interesse público e que iria licenciá-la compulsoriamente. O governo alegava que o valor cobrado pelo laboratório americano Merck Sharp & Dohme era maior do que o praticado em outros países, aumentando os gastos do SUS (Sistema Único de Saúde).Agora, com a pandemia da Covid-19, um debate parecido volta à tona.Vários países de baixa e média renda estão pedindo à OMC (Organização Mundial do Comércio) —o órgão que rege os acordos de direitos de propriedade intelectual relacionados ao comércio— que estabeleça uma suspensão desses direitos para que se possa produzir de forma acessível vacinas contra o coronavírus.Países ricos, incluindo Reino Unido, Estados Unidos, Suíça e nações europeias, se opõem à proposta, apresentada pela África do Sul e Índia e apoiada por dezenas de países em desenvolvimento.O Brasil não defende essa proposta.O argumento do grupo de países desenvolvidos é que essas patentes seriam necessárias para incentivar a pesquisa e o desenvolvimento de medicamentos.De todo modo, muitos especialistas acreditam que licenciar as vacinas não resolveria a escassez de doses no Brasil nem em outros países em desenvolvimento, pelo menos não a curto prazo. Isso ocorreria por defasagem tecnológica e de insumos, muitos deles importados da China e da Índia.Até agora, apenas alguns países de alta renda parecem ter amplo acesso a vacinas.A OMS (Organização Mundial da Saúde) disse no início de fevereiro que cerca de 200 milhões de vacinas contra Covid-19 foram administradas. Mas 75% dessas vacinas, afirma a organização, foram administradas em apenas 10 países ricos.Gavin Yamey, professor de Saúde Global e Políticas Públicas da Universidade Duke, nos Estados Unidos, diz que em quase 130 países, onde vivem mais de 2,5 bilhões de pessoas, praticamente nenhuma vacina foi recebida."Tem sido extremamente deprimente ver como as nações ricas esvaziaram as prateleiras. As vacinas têm sido pegas basicamente dizendo 'eu primeiro' e 'só eu' e isso não é apenas muito injusto como também uma atitude de saúde pública terrível", disse o especialista à BBC.De fato, os especialistas garantem que, para interromper essa pandemia global, é necessária uma resposta global, porque a crise não pode ser encerrada se apenas alguns países tiverem sua população vacinada em massa.É por isso que propostas têm sido feitas para que as empresas farmacêuticas suspendam temporariamente as patentes de suas vacinas e compartilhem seus conhecimentos tecnológicos, a fim de acabar com o que os especialistas chamam de "apartheid de vacinas".Patentes protegem a propriedade intelectual de um produto para que não possa ser copiado. Na indústria farmacêutica, quando um medicamento é descoberto e desenvolvido, a empresa patenteia sua descoberta para que ninguém mais possa fabricá-la sem sua autorização.Isso permite controlar o preço e a produção, o que, por sua vez, pode levar em alguns casos a preços altos e medicamentos inacessíveis aos mais pobres.Uma das propostas para acelerar a produção de vacinas, idealizada pela OMS, é o chamado C-TAP (Acesso Conjunto a Tecnologias contra a Covid-19, em tradução livre).Este é um mecanismo global para compartilhar voluntariamente conhecimento, dados e propriedade intelectual de tecnologias em saúde para a luta contra a doença.O C-Tap foi criado pela OMS em junho de 2020 e quase 40 países são signatários, mas Raquel González, chefe de relações externas da organização Médicos Sem Fronteiras, explica que nenhuma tecnologia foi compartilhada até agora."Foi uma iniciativa que indiretamente permitiria um aumento da produção, principalmente nos países em desenvolvimento, mas não teve resposta da indústria farmacêutica, que neste caso é a detentora das patentes", disse González à BBC News Mundo, o serviço em espanhol da BBC.A outra forma de fazer com que as empresas farmacêuticas compartilhem suas tecnologias é aquela apresentada pela África do Sul e pela Índia à Organização Mundial do Comércio para suspender os direitos de propriedade intelectual das vacinas durante a pandemia.O objetivo, explica González, é facilitar a transferência de tecnologia e conhecimento científico para que os países em desenvolvimento possam aumentar a produção de vacinas e torná-las acessíveis às suas populações."O que a Índia e a África do Sul estão argumentando é que laboratórios farmacêuticos e fábricas poderiam estar em funcionamento se o conhecimento fosse compartilhado. Se o conhecimento não for compartilhado agora, as únicas empresas que podem fazer a vacina são as que têm o patente", diz.Mas os países mais ricos se opõem à proposta, argumentando que a suspensão das patentes obstruirá a inovação científica ao desencorajar investidores privados de se envolverem nesse segmento.Eles afirmam ainda que os regulamentos atuais que permitem que os fabricantes de medicamentos estabeleçam acordos bilaterais com produtores de medicamentos genéricos e "flexíveis o suficiente quando se trata de lidar com uma emergência de saúde pública"."A propriedade intelectual é uma parte fundamental do nosso setor", disse Pascal Soriot, CEO da empresa AstraZeneca, em maio, durante entrevista coletiva para discutir a criação da C-Tap. "E se você não protege a propriedade intelectual, essencialmente não há incentivo para ninguém inovar."Os críticos apontam, porém, que as farmacêuticas têm recebido bilhões de recursos públicos, principalmente dos EUA e da Europa, para o desenvolvimento de vacinas cobiçadas, por isso devem compartilhar sua tecnologia.Um relatório publicado em fevereiro na revista médica The Lancet mostra que os produtores de vacinas receberam cerca de US$ 10 bilhões (quase R$ 56 bilhões) de fundos públicos ou sem fins lucrativos para financiar suas vacinas.E o número, diz o relatório, talvez seja apenas uma parte do montante, já que muitos dos dados sobre esses projetos não são públicos.Há sinais de que as cinco maiores empresas farmacêuticas receberam cada uma entre R$ 5 bilhões e R$ 12 bilhões.E em troca desse financiamento, diz o relatório, os países mais ricos conseguiram fechar contratos para receber doses suficientes para vacinar toda a sua população antes.No entanto, a indústria farmacêutica ressalta que não são as patentes que estão causando a escassez de vacinas em países de baixa e média renda."Os direitos de propriedade intelectual não são o problema", diz Thomas Cueni, diretor da IFPMA (Federação Internacional de Associações e Produtores Farmacêuticos), que representa os principais produtores de vacinas."Os gargalos [na produção de vacinas] são a capacidade, a escassez de matéria-prima, a escassez de ingredientes. E tem a ver com o conhecimento", declarou durante conferência organizada há poucos dias pela OMS sobre a distribuição de vacinas.De acordo com a IFPMA, "o aumento sem precedentes na fabricação de vacinas, de zero a bilhões de doses em tempo recorde, levou a uma escassez que afetou toda a cadeia de abastecimento da vacina".Especialistas apontam que, mesmo que os países cheguem a um acordo, uma suspensão temporária de patentes não seria suficiente para acelerar o acesso global às vacinas."Não acho que a suspensão de patentes seja a resposta", disse à BBC Rory Horner, professor do Instituto de Desenvolvimento Global da Universidade de Manchester, na Inglaterra, que pesquisa a indústria farmacêutica na Índia e na África Subsaariana."As vacinas são produtos muito mais complexos de serem fabricados do que outros medicamentos", explica. "Na década de 1980, antes que as proteções de patente estivessem em vigor, os laboratórios podiam copiar um medicamento e vendê-lo por uma fração do preço na Índia. Era um processo relativamente simples.""Mas para produzir uma vacina é preciso a colaboração da empresa que a inventou e informações sobre os diversos processos e etapas que envolvem a fabricação do produto", explica o especialista.Isso se aplica principalmente à produção das novas vacinas "complexas" de RNA mensageiro aprovadas que estão sendo produzidas pela Pfizer/BioNTech e pela Moderna.Para que os laboratórios em países de baixa e média renda produzam vacinas cobiçadas, eles precisam de conhecimento técnico, que muitas vezes é mantido como segredos comerciais de empresas farmacêuticas, e acesso a informações de segurança que muitas vezes são protegidas pela empresa que detém a patente."Estamos falando de barreiras técnicas, além das barreiras legais, para aumentar a produção de vacinas", diz Horner.Mas autoridades e especialistas que defendem a suspensão das patentes afirmam que há países de baixa e média renda com laboratórios e empresas capazes de produzir essas vacinas, a exemplo da Índia, do Paquistão e do Brasil."Digamos que se tivermos a receita de como fazer uma vacina, logicamente vai demorar um pouco até que uma fábrica de produção seja feita e a matéria-prima, obtida. Se a tecnologia e o conhecimento forem compartilhados, talvez em cinco meses teríamos 15 unidades de produção", estima Raquel González, do Médico Sem Fronteiras.A transferência de tecnologia levaria tempo, e tempo é algo que ninguém tem numa pandemia como essa.Alguns especialistas acreditam que uma solução seja estabelecer mais acordos bilaterais —como aqueles que a Novavax e a AstraZeneca-Oxford fez com o Instituto Serum da Índia e a Johnson & Johnson com Aspen Pharmacare na África do Sul— para produzir suas vacinas e distribuí-las para países de renda baixa e média.No caso do Brasil, por exemplo, a Fiocruz (Fundação Oswaldo Cruz) firmou um contrato de transferência de tecnologia com a AstraZeneca-Oxford e passará a produzir a matéria-prima nos próximos meses, o que garantirá independência de importações.Horner, da Universidade de Manchester, acredita que é preciso mais do que apenas acordos bilaterais para acelerar o acesso às vacinas contra Covid-19. "Em termos de produção, esses acordos ajudariam, mas também se trata de melhorar aquisição, compra e distribuição de vacinas", diz o especialista à BBC News Mundo."O fato de as vacinas serem distribuídas de forma tão desigual não é resultado da capacidade de fabricação no mundo, mas sim de como alguns países foram capazes de comprar e acessar essas vacinas primeiro."Horner acredita que a solução está no Covax, o mecanismo criado pela OMS em 2020 para acesso global a vacinas e melhoria da distribuição em países de baixa renda.Mas o projeto tem enfrentado dificuldades porque, embora os países desenvolvidos tenham doado dinheiro para a Covax, eles também compraram todas as doses de vacinas e o mecanismo não conseguiu cumprir sua meta de distribuir vacinas para países de baixa renda."Idealmente, a Covax não teria apenas o dinheiro dos países ricos, mas também as doses, direitos e acesso prioritário às doses que os países ricos acumularam", diz o especialista da Universidade de Manchester."Covax é um programa extraordinário que teve que evoluir em um contexto muito difícil, então se conseguir avançar será algo realmente benéfico", acrescenta.Gavin Yamey, da Universidade Duke, concorda: "Esta é uma pandemia global e precisamos de uma resposta global que inclua a vacinação em todo o planeta e a Covax é um mecanismo essencial para isso"."Mas temos que fazer muito mais para resolver esse apartheid de vacina." | equilibrio-e-saude | 0 | 1 |
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] | Funcionários da UPA (Unidade de Pronto Atendimento) Ermelino Matarazzo, na zona leste de São Paulo, afirmam que faltou oxigênio na unidade por pelo menos 30 minutos, na noite de sexta-feira (19).Isso levou à morte de três pacientes internados com Covid-19, afirmaram profissionais de saúde da unidade à Folha em caráter reservado.Segundo eles, a falta de oxigênio levou à morte de um paciente que estava na emergência, outra na observação e um terceiro enquanto era transferido para outra unidade.No total, dez pacientes precisaram ser transferidos às pressas para outros hospitais, oficialmente como medida preventiva.Relatos feitos à reportagem, no entanto, afirmam que houve na verdade uma situação de emergência.“Pacientes não foram removidos por precaução não. Foram pq realmente acabou [o oxigênio]. Só queria que investigassem melhor. Só tô indignada pq o que está divulgando não é a verdade. Foi uma situação catastrófica”, diz o texto de uma das mensagens enviadas por uma funcionária da UPA à reportagem via WhatsApp.O secretário municipal da Saúde de São Paulo, Edson Aparecido, afirmou em entrevista à TV Globo no sábado (20) que, como a fornecedora White Martins não conseguia fazer a entrega de oxigênio a tempo, os profissionais da UPA decidiram pela transferência dos pacientes ."O problema não é o oxigênio; é o esgotamento logístico da entrega do produto que está causando a demora. Numa UPA como essa nós enchíamos o tambor de oxigênio uma vez por semana; agora, chega a três vezes por dia e não está dando conta. Nós conseguimos avaliar o caso e tomar a decisão adequada e rápida para a transferência dos pacientes", declarou Aparecido.Funcionários dizem que o temor dos funcionários pela falta do oxigênio começou perto de 17h45, porque o estoque estava chegando ao fim. Às 20h15, foi dado um alerta aos médicos para economizarem o produto, pois o caminhão da White Martins ainda não havia chegado com nova carga.Logo em seguida, começaram os procedimentos de transferência. Às 20h40, o oxigênio acabou, e um caminhão com suprimento da White Martins só chegou às 21h12.Neste meio tempo, médicos e enfermeiros tiveram de recorrer a um equipamento de ventilação manual conhecido como Ambu (da sigla em inglês Artificial Manual Breathing Unit).Eles realizaram um procedimento conhecido informalmente como “ambuzar” os pacientes, ou seja, usar manualmente o equipamento, que lembra um fole. Por volta de 20h45, os sete primeiros pacientes foram levados ao hospital municipal Prof. Dr. Waldomiro de Paula, em Itaquera (zona leste). Outros três foram removidos ao AME Luiz Roberto Barradas Barata, na região do Sacomã (zona sul).Além das mortes, muitos pacientes que estavam usando máscara de oxigênio tiveram uma piora em seu estado, porque ficaram muito tempo sem o insumo, e precisaram ser intubados depois.As chances de sobrevivência dos pacientes com Covid-19 caem acentuadamente após entrarem em ventilação mecânica. Um dos pacientes que morreram piorou repentinamente após a falta de oxigênio e acabou não resistindo depois de uma tentativa de intubação. Outro, que estava em situação crítica, não pôde ser intubado, porque estavam sujos todos os tubos orotraqueais (usados para intubação).Acabaram também os cateteres venosos centrais, usados para infundir medicações. No desespero, profissionais da UPA tiveram que recorrer a cateteres normalmente usados em alimentação parenteral (soro).Funcionários do local relataram estar com muito medo de trabalhar nessa situação de falta de insumos e de oxigênio, que descreveram como “uma guerra”.A UPA é gerenciada pela prefeitura em parceria com a OSS (Organização Social de Saúde) SAS – Seconci. Ela precisou passar por uma adaptação para atender aos casos de Covid. No local onde ficam os consultórios, em que não havia nenhum leito, foram montados 15, com pacientes usando máscara ou cateter nasal de oxigênio.Somando as áreas de emergência, observação e porta (consultórios), a UPA chegou a ter 58 pacientes. Originalmente, tinha 30 leitos.Profissionais relatam que pacientes têm ficado até três dias sentados em cadeiras com máscaras de oxigênio ou cânula nasal à espera de vaga na emergência, ou em algum hospital, já inseridos no sistema Cross, que define a alocação de leitos.Também já estão faltando neurobloqueadores, que são medicamentos que paralisam os músculos e facilitam a intubação. Alguns pacientes tiveram de ser intubados apenas com sedativos, o que dificulta o procedimento.Em nota enviada no sábado (20), a White Martins afirmou que a UPA Ermelino Matarazzo foi notificada formalmente sobre a necessidade de informar previamente qualquer incremento de consumo do produto à fornecedora, para avaliação e adequação dos seus equipamentos instalados e malha logística.Segundo a White Martins, a UPA Ermelino Matarazzo multiplicou o consumo do produto na unidade por 16—de 89 metros cúbicos por dia em dezembro de 2020 para 1.453 metros cúbicos por dia no dia 18 de março (última atualização).Leia a nota enviada pela Secretaria Municipal da Saúde à Folha:A direção da Unidade de Pronto Atendimento (UPA) Ermelino Matarazzo, da Secretaria Municipal de Saúde, informa que em nenhum momento a UPA ficou sem fornecimento de oxigênio na última sexta-feira (19). Nessa data, em todo o dia, foram registrados dois óbitos, nenhum deles devido à falta de oxigênio.A UPA conta com um reservatório principal de oxigênio e outro reserva, para diminuir a possibilidade de uma possível falta do insumo. Na sexta-feira, quando o reservatório principal apresentou baixo nível, o reserva foi acionado e cumpriu a sua função. Por precaução, dez pacientes foram transferidos da unidade até que a situação voltasse ao normal.A Secretaria ainda esclarece que a Prefeitura de São Paulo estruturou todas as Unidades de Pronto Atendimento (UPAs) para que as suas emergências se transformassem em UTIs, para suportar a alta demanda de pacientes com Covid-19.As Organizações Sociais (OSs) que administram as UPAS foram autorizadas a adquirir mais equipamentos e aumentar os recursos humanos com especificidade em Unidade de Terapia Intensiva, justamente para permitir que o paciente internado tenha o atendimento adequado, com oxigênio, medicação, e suporte ventilatório, o mesmo oferecido em uma UTI hospitalar.A UPA Ermelino Matarazzo é administrada sob contrato de gestão pela SAS Seconci. | equilibrio-e-saude | 0 | 1 |
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] | “Isso é a retórica do ódio. Não trata do assunto mas desqualifica o interlocutor”, diz padre Júlio Lancellotti, 72, coordenador da Pastoral do Povo de Rua em São Paulo, sobre as críticas feitas, neste domingo (7), pelo ministro das Relações Exteriores do Brasil, Ernesto Araújo, e o deputado Eduardo Bolsonaro (PSL-SP), à “Carta aberta à Humanidade”, divulgada por religiosos e intelectuais.“Até parece que só eu assino”, afirma padre Júlio.A carta já tem quase 100 mil assinaturas desde que foi tornada pública no sábado (6) e afirma, em seu conteúdo, que o Brasil se transformou em uma câmara de gás como resultado da "política genocida" do presidente Jair Bolsonaro (sem partido).Neste domingo, em visita a Israel, o ministro das Relações Exteriores do Brasil, Ernesto Araújo, e o deputado Eduardo Bolsonaro (PSL-SP) criticaram duramente o conteúdo da carta. Segundo o chanceler trata-se de "colocação totalmente absurda e ofensiva para a comunidade judaica". O filho do presidente endereçou suas críticas a padre Júlio. Segundo ele, o religioso "fez ataque vil", em momento em que uma comitiva brasileira, da qual ele e Araújo fazem parte, está em Israel "buscando levar para o Brasil medicamentos para combater a Covid”.Padre Júlio afirma que não há qualquer polêmica em relação à comunidade judaica e a afirmação do chanceler é apenas uma forma de evitar o debate do problema. "A carta é, inclusive, assinada por judeus como Silvio Tendler”, afirma.Além de Tendler, que é um dos criadores da carta, ao lado do professor da PUC e UERJ Adair Rocha, o rabino Nilton Bonder também assina o documento.Para Rocha, a comparação é clara. “A morte se transformou numa estratégia governamental. O que são 10 mil mortes em uma semana?”, diz. “É, de fato, uma situação genocida, como uma máquina de morte instalada.”Neste domingo, o Brasil registrou 1.054 novas mortes pela Covid-19 e manteve, pelo nono dia seguido, recorde de média móvel de óbitos, com 1.497. O recorde anterior era de 1.455.Dessa forma, o país completa 46 dias com média móvel acima de 1.000. O número de casos nas últimas 24 horas foi de 79.237.Com isso, o total de mortes no país chegou a 265.500 e o de casos a 11.018.557 desde o início da pandemia.Além de religiosos e intelectuais, centrais sindicais e lideranças comunitárias das favelas como a do Jacarezinho, Alemão, Santa Marta e Rocinha apoiaram o movimento.Alguns dos nomes que assinaram são:Itamar Silva, Grupo ECO, Santa MartaRumba Gabriel, Jacarezinho, TV Portal de FavelasÁlvaro Maciel e André Constantini, Chapéu Mangueira e Babilônia,Dom Mauro Morelli, bispo emérito de CaxiasNilton Bonder, rabinoFrei Betto, frade dominicano e escritorCelso Amorim, diplomata, ex-chancelerMilton Hatoum, escritorEric Nepomuceno, jornalista, escritor Marieta Severo, atriz Edu Lobo, compositor, músico Camila Pitanga, atriz Paulinho da Viola, cantor, compositor Ivan Lins, compositor, músicoRicardo Coutinho – Ex-governador da Paraíba Chico Buarque, músicoGisele Cittadino, jurista, ABJD Marta Skinner, economista Murilo Salles cineastaMarcelo Barros, teólogo Maria Victoria de Mesquita Benevides, cientista políticaJoão Bosco, compositor, músico José Luis Fiori, cientista político Patricia Pillar, atrizA carta, disponível em https://docs.google.com/forms/d/e/1FAIpQLSeAUTbllrhdBSuBMceaIxrzcSHff70-5uLxVM7LCIhlXWV9ig/viewform, já foi traduzida para inglês, espanhol, francês e alemão e deve rodar o mundo recolhendo assinaturas a partir de agora. | equilibrio-e-saude | 0 | 1 |
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] | O governador de São Paulo, João Doria (PSDB), rebateu nesta sexta (19) as críticas do governo federal de que o Instituto Butantan tem atrasado a entrega de vacinas e afirmou que o Ministério da Saúde quer “repassar a incompetência” da pasta.Dirigindo-se diretamente a Elcio Franco, secretário-executivo do Ministério da Saúde, Doria afirmou que “é inacreditável que o Ministério da Saúde queira atribuir ao Butantan a responsabilidade pela sua incompetência, sua ineficiência e sua incapacidade, que está acarretando a falta de vacinas nas cidades, nos estados e no país”, disse.Na quinta (18), o Butantan e o Ministério da Saúde trocaram acusações em relação aos prazos de entrega da vacina Coronavac. O ministério afirmou que a dificuldade em manter o cronograma inicial "está em o Butantan conseguir cumprir as entregas das doses previstas em contrato". Em vídeo, Elcio Franco afirmou que “fica muito difícil planejar sem ter a confirmação de que vamos receber"Nesta sexta, o governo paulista reagiu. Afirmou que Franco, “de saúde, não entende. Pode entender de outra coisa. De saúde, não tem competência nem habilitação para falar”.O diretor do Instituto Butantan, Dimas Covas, afirmou que "causa espécie" a fala do ministério. Segundo ele, a importação da China de insumos para a produção de novas doses que ocorreu no começo de fevereiro deveria ter sido feita na primeira quinzena de janeiro, e creditou o atraso ao desgaste diplomático entre o Brasil e a China. Familiares e partidários do presidente Jair Bolsonaro protagonizaram atritos com o maior parceiro comercial do país desde o começo da atual gestão. Covas afirmou que até 31 de março o Butantan terá entregado 27,1 milhões de doses ao governo federal. Em abril, serão mais 18,9 milhões, a depender da chegada de novos lotes de matéria prima, somando as 46 milhões de doses acordadas inicialmente.De maio a agosto, a previsão é entregar mais 54 milhões de doses, mas isso também depende da chegada de insumos."Vamos colocar a responsabilidade em quem tem responsabilidade", afirmou Covas, apresentando uma série de ofícios enviados ao governo federal desde julho do ano passado com ofertas de venda da Coronavac, que não foram respondidos."Ofertamos nessa oportunidade [em julho] 60 milhões de doses da vacina prontas para entrega ainda em 2020 e 100 milhões para serem entregues em 2021. Não tivemos resposta", disse. "Fizemos novos ofícios com o mesmo teor em agosto, outubro e dezembro. A resposta saiu com a assinatura do contrato, no dia 7 de janeiro, um mês e pouco atrás", afirmou.Covas disse ainda que o Instituto e o governo estão analisando a nova proposta de compra de mais 30 milhões de doses pelo Ministério da Saúde.Nesta sexta, em reunião com prefeitos, o ministro da Saúde, Eduardo Pazuello, orientou que os municípios não reservem mais metade das doses da vacina para a segunda aplicação (os imunizantes precisam de duas doses para serem efetivos).Em entrevista à imprensa, o governo paulista afirmou que, caso a medida seja oficializada em documentos, pretende adotá-la.Regiane de Paula, coordenadora de Controle de Doenças da Secretaria da Saúde, afirmou que, se confirmado, "a partir de amanhã nós já iniciaremos uma nova estratégia de vacinação", avançando para outras faixas etárias.Segundo o coordenador do Centro de Contingência da Covid-19, Paulo Menezes, se a vacinação chegar aos idosos com mais de 75, a redução de mortes pela doença pode chegar a 40%. Se todas as pessoas com até 60 anos forem vacinadas, a redução em internações e UTIs chega a 50%. "O centro de contingência recebe com muita satisfação essa notícia", afirmou.A decisão, no entanto, não é consenso entre cientistas, que temem que a segunda dose seja postergada caso não haja vacinas suficientes, e os testes clínicos foram feitos com intervalos específicos.João Gabbardo, também do centro de contingência, diz que "não há unanimidade nem mesmo dentro da equipe", mas que defende "que devemos vacinar o mais rapidamente todas as pessoas com mais de 60 anos de idade". "Julgo que o risco de atrasar algumas semanas a segunda dose é muito menos prejudicial do que ficarmos com as vacinas guardadas e as pessoas morrendo por Covid."O estado regrediu as regiões de Barretos e Presidente Prudente para a fase vermelha do Plano São Paulo, a mais restritiva, que demanda fechamento de atividades não essenciais. Por outro lado, avançaram as regiões de Franca, para a fase laranja, e Sorocaba, para a fase amarela.Na fase amarela, o governo paulista vai permitir que restaurantes sirvam bebidas alcoólicas até as 22h, e não mais até as 20h, desde que os clientes estejam sentados e a lotação seja restrita a 40% da capacidade.Segundo o governo, a ocupação de UTIs está em 66,7% no estado. Hoje, há 6.147 pessoas internadas em UTIs, segundo o governo, número próximo ao recorde já registrado na pandemia, de 6.250, no ano passado.Ao todo, 1.932.017 pessoas já foram vacinas no estaxdo de São Paulo. 1.585.212 receberam apenas a primeira dose´e 346.805 receberam as duas doses. | equilibrio-e-saude | 0 | 1 |
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] | O Brasil aplicou 5.034.147 primeiras doses da vacina contra Covid-19 e 190.274 segundas doses até este sábado (13), segundo dados levantados por veículos de imprensa junto às secretarias estaduais de saúde.O consórcio, formado pelos veículos Folha, UOL, O Estado de S. Paulo, Extra, O Globo e G1, atualizou informações repassadas sobre a vacinação contra a Covid-19 por 15 estados.Segundo o levantamento, neste sábado, 124.896 receberam a primeira dose e 34.622, a segunda. Por enquanto, as vacinas disponíveis no Brasil são a Coronavac, vacina do Butantan em parceria com a farmacêutica Sinovac, e o imunizante da Fiocruz, desenvolvido pela parceria entre a Universidade de Oxford e a AstraZeneca.O total de pessoas imunizadas pelo menos com a primeira dose da vacina representa 2,38% da população acima de 18 anos no Brasil. 1ª dose: 17.542 2ª dose: 2.8141ª dose: 90.108 2ª dose: 5.3801ª dose: 222.068 2ª dose: 29.7191ª dose: 24.150 2ª dose: 1.6821ª dose:: 417.396 2ª dose: 69.964 1ª dose: 264.251 2ª dose: 54.4751ª dose: 116.995 2ª dose: 28.2401ª dose: 111.041 2ª dose: 13.6371ª dose: 187.456 2ª dose: 27.1101ª dose: 130.996 2ª dose: 36.6731ª dose: 523.505 2ª dose: 206.1361ª dose: 107.975 2ª dose: 40.3651ª dose: 82.435 2ª dose: 25.9091ª dose: 125.145 2ª dose: 25.4101ª dose: 103.312 2ª dose: 19.6911ª dose: 268.846 2ª dose: 85.2861ª dose: 65.529 2ª dose: 6.8801ª dose: 286.837 2ª dose: 77.7961ª dose: 430.751 2ª dose: 82.4671ª dose: 83.265 2ª dose: 25.9971ª dose: 43.939 2ª dose: 4.4441ª dose: 25.167 2ª dose: 6.3241ª dose: 425.597 2ª dose: 50.7431ª dose: 156.827 2ª dose: 47.3051ª dose: 44.264 2ª dose: 20.9791ª dose: 1.695.285 2ª dose: 430.2461ª dose: 37.129 2ª dose: 3.946A iniciativa do consórcio de veículos de imprensa ocorre em resposta às atitudes do governo Jair Bolsonaro (sem partido), que ameaçou sonegar dados, atrasou boletins sobre a doença e tirou informações do ar, com a interrupção da divulgação dos totais de casos e mortes. Além disso, o governo divulgou dados conflitantes. | equilibrio-e-saude | 1 | 0.679351 |
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] | O Brasil aplicou 4.584.338 primeiras doses da vacina contra Covid-19 e 108.735 segundas doses. Nesta quinta-feira (11), 262.660 receberam a primeira dose e 28.228, a segunda.O consórcio, formado pelos veículos Folha, UOL, O Estado de S. Paulo, Extra, O Globo e G1, atualizou informações repassadas sobre a vacinação contra a Covid-19 por 25 estados, além do Distrito Federal.Por enquanto, as vacinas disponíveis no Brasil são a Coronavac, vacina do Butantan em parceria com a farmacêutica Sinovac, e o imunizante da Fiocruz, desenvolvido pela parceria entre a Universidade de Oxford e a AstraZeneca.O total representa 2,85% da população acima de 18 anos no Brasil. 1ª dose: 17.542 2ª dose: 2.8141ª dose: 90.108 2ª dose: 5.3801ª dose: 222.068 2ª dose: 29.7191ª dose: 24.150 2ª dose: 1.6821ª dose:: 417.396 2ª dose: 69.964 1ª dose: 264.251 2ª dose: 54.4751ª dose: 116.995 2ª dose: 28.2401ª dose: 111.041 2ª dose: 13.6371ª dose: 187.456 2ª dose: 27.1101ª dose: 130.996 2ª dose: 36.6731ª dose: 523.505 2ª dose: 206.1361ª dose: 107.975 2ª dose: 40.3651ª dose: 82.435 2ª dose: 25.9091ª dose: 125.145 2ª dose: 25.4101ª dose: 103.312 2ª dose: 19.6911ª dose: 268.846 2ª dose: 85.2861ª dose: 65.529 2ª dose: 6.8801ª dose: 286.837 2ª dose: 77.7961ª dose: 430.751 2ª dose: 82.4671ª dose: 83.265 2ª dose: 25.9971ª dose: 43.939 2ª dose: 4.4441ª dose: 25.167 2ª dose: 6.3241ª dose: 425.597 2ª dose: 50.7431ª dose: 156.827 2ª dose: 47.3051ª dose: 44.264 2ª dose: 20.9791ª dose: 1.695.285 2ª dose: 430.2461ª dose: 37.129 2ª dose: 3.946O consórcio foi formado em junho de 2020 em resposta à decisão do governo Jair Bolsonaro de restringir o acesso a dados sobre a pandemia de Covid-19. Os veículos decidiram, então, formar uma parceria e trabalhar de forma colaborativa para buscar as informações necessárias nos 26 estados e no Distrito Federal. | equilibrio-e-saude | 1 | 0.987611 |
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] | O Brasil já aplicou 3.531.334 primeiras doses e 20.277 segundas doses até o momento. Neste sábado (6), foram aplicadas 166.590 primeiras doses e 18.315 segundas.O consórcio, formado pelos veículos Folha, UOL, O Estado de S. Paulo, Extra, O Globo e G1, atualizou informações repassadas sobre a vacinação contra a Covid-19 por 23 estados, além do Distrito Federal.Por enquanto, as vacinas disponíveis no Brasil são a Coronavac, vacina do Butantan em parceria com a farmacêutica Sinovac, e o imunizante da Fiocruz, desenvolvido pela parceria entre a Universidade de Oxford e a AstraZeneca.O total representa 2,19% da população acima de 18 anos no Brasil. 1ª dose: 17.542 2ª dose: 2.8141ª dose: 90.108 2ª dose: 5.3801ª dose: 222.068 2ª dose: 29.7191ª dose: 24.150 2ª dose: 1.6821ª dose:: 417.396 2ª dose: 69.964 1ª dose: 264.251 2ª dose: 54.4751ª dose: 116.995 2ª dose: 28.2401ª dose: 111.041 2ª dose: 13.6371ª dose: 187.456 2ª dose: 27.1101ª dose: 130.996 2ª dose: 36.6731ª dose: 523.505 2ª dose: 206.1361ª dose: 107.975 2ª dose: 40.3651ª dose: 82.435 2ª dose: 25.9091ª dose: 125.145 2ª dose: 25.4101ª dose: 103.312 2ª dose: 19.6911ª dose: 268.846 2ª dose: 85.2861ª dose: 65.529 2ª dose: 6.8801ª dose: 286.837 2ª dose: 77.7961ª dose: 430.751 2ª dose: 82.4671ª dose: 83.265 2ª dose: 25.9971ª dose: 43.939 2ª dose: 4.4441ª dose: 25.167 2ª dose: 6.3241ª dose: 425.597 2ª dose: 50.7431ª dose: 156.827 2ª dose: 47.3051ª dose: 44.264 2ª dose: 20.9791ª dose: 1.695.285 2ª dose: 430.2461ª dose: 37.129 2ª dose: 3.946O consórcio foi formado em junho de 2020 em resposta à decisão do governo Jair Bolsonaro de restringir o acesso a dados sobre a pandemia de Covid-19. Os veículos decidiram, então, formar uma parceria e trabalhar de forma colaborativa para buscar as informações necessárias nos 26 estados e no Distrito Federal. | equilibrio-e-saude | 1 | 0.929526 |
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] | No Brasil, 3.364.744 pessoas já receberam uma dose da vacina contra a Covid-19. Só nesta sexta-feira (5), foram aplicadas 321.636 primeiras doses e 1.962 segundas doses (todas em Pernambuco) .O consórcio, formado pelos veículos Folha, UOL, O Estado de S. Paulo, Extra, O Globo e G1, atualizou informações repassadas sobre a vacinação contra a Covid-19 por 23 estados, além do Distrito Federal.Por enquanto, as vacinas disponíveis no Brasil são a Coronavac, vacina do Butantan em parceria com a farmacêutica Sinovac, e o imunizante da Fiocruz, desenvolvido pela parceria entre a Universidade de Oxford e a AstraZeneca.O total representa 2,09% da população acima de 18 anos no Brasil. 1ª dose: 17.542 2ª dose: 2.8141ª dose: 90.108 2ª dose: 5.3801ª dose: 222.068 2ª dose: 29.7191ª dose: 24.150 2ª dose: 1.6821ª dose:: 417.396 2ª dose: 69.964 1ª dose: 264.251 2ª dose: 54.4751ª dose: 116.995 2ª dose: 28.2401ª dose: 111.041 2ª dose: 13.6371ª dose: 187.456 2ª dose: 27.1101ª dose: 130.996 2ª dose: 36.6731ª dose: 523.505 2ª dose: 206.1361ª dose: 107.975 2ª dose: 40.3651ª dose: 82.435 2ª dose: 25.9091ª dose: 125.145 2ª dose: 25.4101ª dose: 103.312 2ª dose: 19.6911ª dose: 268.846 2ª dose: 85.2861ª dose: 65.529 2ª dose: 6.8801ª dose: 286.837 2ª dose: 77.7961ª dose: 430.751 2ª dose: 82.4671ª dose: 83.265 2ª dose: 25.9971ª dose: 43.939 2ª dose: 4.4441ª dose: 25.167 2ª dose: 6.3241ª dose: 425.597 2ª dose: 50.7431ª dose: 156.827 2ª dose: 47.3051ª dose: 44.264 2ª dose: 20.9791ª dose: 1.695.285 2ª dose: 430.2461ª dose: 37.129 2ª dose: 3.946O consórcio foi formado em junho de 2020 em resposta à decisão do governo Jair Bolsonaro de restringir o acesso a dados sobre a pandemia de Covid-19. Os veículos decidiram, então, formar uma parceria e trabalhar de forma colaborativa para buscar as informações necessárias nos 26 estados e no Distrito Federal. | equilibrio-e-saude | 1 | 1 |
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] | O Brasil já aplicou a primeira dose da vacina contra Covid-19 em 3.043.034 pessoas. Nesta quinta-feira (4), foram aplicadas 250.216 doses.O consórcio, formado pelos veículos Folha, UOL, O Estado de S. Paulo, Extra, O Globo e G1, atualizou informações repassadas sobre a vacinação contra a Covid-19 por 20 estados, além do Distrito Federal.Por enquanto, as vacinas disponíveis no Brasil são a Coronavac, vacina do Butantan em parceria com a farmacêutica Sinovac, e o imunizante da Fiocruz, desenvolvido pela parceria entre a Universidade de Oxford e a AstraZeneca.O total representa 1,89% da população acima de 18 anos no Brasil. 1ª dose: 17.542 2ª dose: 2.8141ª dose: 90.108 2ª dose: 5.3801ª dose: 222.068 2ª dose: 29.7191ª dose: 24.150 2ª dose: 1.6821ª dose:: 417.396 2ª dose: 69.964 1ª dose: 264.251 2ª dose: 54.4751ª dose: 116.995 2ª dose: 28.2401ª dose: 111.041 2ª dose: 13.6371ª dose: 187.456 2ª dose: 27.1101ª dose: 130.996 2ª dose: 36.6731ª dose: 523.505 2ª dose: 206.1361ª dose: 107.975 2ª dose: 40.3651ª dose: 82.435 2ª dose: 25.9091ª dose: 125.145 2ª dose: 25.4101ª dose: 103.312 2ª dose: 19.6911ª dose: 268.846 2ª dose: 85.2861ª dose: 65.529 2ª dose: 6.8801ª dose: 286.837 2ª dose: 77.7961ª dose: 430.751 2ª dose: 82.4671ª dose: 83.265 2ª dose: 25.9971ª dose: 43.939 2ª dose: 4.4441ª dose: 25.167 2ª dose: 6.3241ª dose: 425.597 2ª dose: 50.7431ª dose: 156.827 2ª dose: 47.3051ª dose: 44.264 2ª dose: 20.9791ª dose: 1.695.285 2ª dose: 430.2461ª dose: 37.129 2ª dose: 3.946O consórcio foi formado em junho de 2020 em resposta à decisão do governo Jair Bolsonaro de restringir o acesso a dados sobre a pandemia de Covid-19. Os veículos decidiram, então, formar uma parceria e trabalhar de forma colaborativa para buscar as informações necessárias nos 26 estados e no Distrito Federal. | equilibrio-e-saude | 1 | 0.998865 |
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] | O Brasil já aplicou a primeira dose da vacina contra Covid-19 em 2.767.131 pessoas. Nesta quarta-feira (3), foram 270.972 doses.O consórcio, formado pelos veículos Folha, UOL, O Estado de S. Paulo, Extra, O Globo e G1, atualizou informações repassadas sobre a vacinação contra a Covid-19 por 22 estados, além do Distrito Federal.Por enquanto, as vacinas disponíveis no Brasil são a Coronavac, vacina do Butantan em parceria com a farmacêutica Sinovac, e o imunizante da Fiocruz, desenvolvido pela parceria entre a Universidade de Oxford e a AstraZeneca.O total representa 1,72% da população acima de 18 anos no Brasil. 1ª dose: 17.542 2ª dose: 2.8141ª dose: 90.108 2ª dose: 5.3801ª dose: 222.068 2ª dose: 29.7191ª dose: 24.150 2ª dose: 1.6821ª dose:: 417.396 2ª dose: 69.964 1ª dose: 264.251 2ª dose: 54.4751ª dose: 116.995 2ª dose: 28.2401ª dose: 111.041 2ª dose: 13.6371ª dose: 187.456 2ª dose: 27.1101ª dose: 130.996 2ª dose: 36.6731ª dose: 523.505 2ª dose: 206.1361ª dose: 107.975 2ª dose: 40.3651ª dose: 82.435 2ª dose: 25.9091ª dose: 125.145 2ª dose: 25.4101ª dose: 103.312 2ª dose: 19.6911ª dose: 268.846 2ª dose: 85.2861ª dose: 65.529 2ª dose: 6.8801ª dose: 286.837 2ª dose: 77.7961ª dose: 430.751 2ª dose: 82.4671ª dose: 83.265 2ª dose: 25.9971ª dose: 43.939 2ª dose: 4.4441ª dose: 25.167 2ª dose: 6.3241ª dose: 425.597 2ª dose: 50.7431ª dose: 156.827 2ª dose: 47.3051ª dose: 44.264 2ª dose: 20.9791ª dose: 1.695.285 2ª dose: 430.2461ª dose: 37.129 2ª dose: 3.946O consórcio foi formado em junho de 2020 em resposta à decisão do governo Jair Bolsonaro de restringir o acesso a dados sobre a pandemia de Covid-19. Os veículos decidiram, então, formar uma parceria e trabalhar de forma colaborativa para buscar as informações necessárias nos 26 estados e no Distrito Federal. | equilibrio-e-saude | 1 | 1 |
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] | Profissionais de odontologia de São Paulo têm cobrado do governo do estado celeridade na vacinação contra a Covid-19. O argumento da categoria é que os cirurgiões dentistas ficam altamente expostos à contaminação por terem contato direto e por longo período com a boca do paciente --onde está um dos maiores foco de transmissão da doença.Os cirurgiões dentistas foram incluídos na primeira fase da vacinação no último dia 18 de janeiro, quando o Plano Nacional de Imunização foi atualizado pelo Ministério da Saúde.Eles entraram na categoria profissionais de saúde. Mas, diante da disponibilidade de poucas doses das vacinas, o ministério definiu grupos prioritários dentro da primeira fase, como médicos e enfermeiros que estão na linha de frente de atendimento aos pacientes com Covid-19.Com a segunda remessa da vacina, profissionais da saúde que trabalham em hospitais públicos e privados e demais equipamentos de saúde serão vacinados. Dentistas que trabalham na rede pública já começaram a ser imunizados, mas, de acordo com o Crosp (Conselho Regional de Odontologia do Estado de São Paulo), eles são a minoria.“Cerca de 80% dos cirurgiões dentistas do estado trabalham em consultórios particulares e ainda não há previsão de quando serão imunizados”, afirma Marco Manfredini, conselheiro e tesoureiro do Crosp.Segundo ele, o conselho está em constante contato com a Secretaria da Saúde, mas ainda não foi possível projetar um calendário de vacinação. “Não é questão de corporativismo. É preocupação pelo alto risco a que estamos expostos. Por isso pedimos que a imunização dos profissionais da saúde leve em conta o risco de contaminação para estabelecer as prioridades”, diz. Desde o início da pandemia, os dentistas adotaram alguns procedimentos para minimizar o risco de contágio nos consultórios. As consultas têm sido marcadas em horários espaçados, e os pacientes foram orientados a comparecer sozinhos, para evitar acúmulo de pessoas na sala de espera.Antes de entrar no consultório, o paciente tem a temperatura aferida e recebe touca para colocar na cabeça, além de proteção para os calçados, a fim de não contaminar o ambiente. Ao iniciar o atendimento, o paciente ainda faz bochecho com um antisséptico para reduzir o risco de contaminação.Já os profissionais intensificaram o uso dos equipamentos e proteção individual, com a inclusão do "face shield" (protetor facial). Mesmo assim, afirma Manfredini, em pesquisa feita pelo conselho regional em setembro de 2020 com 5.000 dentistas, 46% haviam feito teste para Covid-19 e desses, 10% tiveram resultado positivo para a doença.“A população precisa saber que pode ir tranquila ao dentista, pois é um ambiente seguro, e o profissional precisa ter segurança para trabalhar da melhor forma. E só a vacina dará essa segurança”, diz.São Paulo possui 86 mil dentistas, de acordo com o Crosp. No país, são 330 mil profissionais.Além da imunização dos dentistas, o conselho pede que a vacina contra a Covid-19 possa também chegar aos auxiliares de saúde bucal, que ficam nos consultórios. O estado reúne cerca de 20 mil desses profissionais, segundo o conselho.A Secretaria de Estado da Saúde informou, por meio de nota, que a expansão da vacinação para públicos prioritários ocorre com base em critérios técnicos definidos pelo Programa Nacional de Imunizações e à medida que o Ministério da Saúde disponibiliza mais doses.Em São Paulo, segundo a pasta, a campanha começou com profissionais de saúde, idosos com mais de 60 anos e pessoas com deficiência com mais de 18 anos vivendo em instituições de longa permanência, indígenas aldeados e quilombolas, e "conforme já anunciado, em fevereiro começam a ser vacinados também os idosos acima de 85 anos"."Os profissionais da área de odontologia estão entre os trabalhadores da saúde que passam a ser contemplados com as novas remessas recebidas, sendo prerrogativa das prefeituras programar o abastecimento da rede para imunizar todas as pessoas que integram os públicos-alvo", diz trecho de nota enviada à Folha.A pasta ainda reforça que assim que o Ministério da Saúde viabilizar mais doses, novas etapas do cronograma de vacinação serão divulgadas. | equilibrio-e-saude | 0 | 1 |
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] | O Brasil chegou a 2.220.216 pessoas que receberam a primeira dose da vacina contra a Covid-19. Nesta segunda-feira (1º), foram aplicadas 168.921 doses.O consórcio, formado pelos veículos Folha, UOL, O Estado de S. Paulo, Extra, O Globo e G1, atualizou informações repassadas sobre a vacinação contra a Covid-19 por 20 estados, além do Distrito Federal.Por enquanto, as vacinas disponíveis no Brasil são a Coronavac, vacina do Butantan em parceria com a farmacêutica Sinovac, e o imunizante da Fiocruz, desenvolvido pela parceria entre a Universidade de Oxford e a AstraZeneca.O total representa 1,38% da população acima de 18 anos no Brasil. 1ª dose: 17.542 2ª dose: 2.8141ª dose: 90.108 2ª dose: 5.3801ª dose: 222.068 2ª dose: 29.7191ª dose: 24.150 2ª dose: 1.6821ª dose:: 417.396 2ª dose: 69.964 1ª dose: 264.251 2ª dose: 54.4751ª dose: 116.995 2ª dose: 28.2401ª dose: 111.041 2ª dose: 13.6371ª dose: 187.456 2ª dose: 27.1101ª dose: 130.996 2ª dose: 36.6731ª dose: 523.505 2ª dose: 206.1361ª dose: 107.975 2ª dose: 40.3651ª dose: 82.435 2ª dose: 25.9091ª dose: 125.145 2ª dose: 25.4101ª dose: 103.312 2ª dose: 19.6911ª dose: 268.846 2ª dose: 85.2861ª dose: 65.529 2ª dose: 6.8801ª dose: 286.837 2ª dose: 77.7961ª dose: 430.751 2ª dose: 82.4671ª dose: 83.265 2ª dose: 25.9971ª dose: 43.939 2ª dose: 4.4441ª dose: 25.167 2ª dose: 6.3241ª dose: 425.597 2ª dose: 50.7431ª dose: 156.827 2ª dose: 47.3051ª dose: 44.264 2ª dose: 20.9791ª dose: 1.695.285 2ª dose: 430.2461ª dose: 37.129 2ª dose: 3.946O consórcio foi formado em junho de 2020 em resposta à decisão do governo Jair Bolsonaro de restringir o acesso a dados sobre a pandemia de Covid-19. Os veículos decidiram, então, formar uma parceria e trabalhar de forma colaborativa para buscar as informações necessárias nos 26 estados e no Distrito Federal. | equilibrio-e-saude | 1 | 1 |
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] | O Brasil já deu uma dose da vacina contra a Covid-19 para 1.874.078 pessoas. Só nesta sexta-feira (29), foram aplicadas 359.137 doses do imunizante.O consórcio, formado pelos veículos Folha, UOL, O Estado de S. Paulo, Extra, O Globo e G1, atualizou informações repassadas sobre a vacinação contra a Covid-19 por 21 estados, além do Distrito Federal.Por enquanto, as vacinas disponíveis no Brasil são a Coronavac, vacina do Butantan em parceria com a farmacêutica Sinovac, e o imunizante da Fiocruz, desenvolvido pela parceria entre a Universidade de Oxford e a AstraZeneca.O total de pessoas que receberam a primeira dose representa 1,16% da população brasileira acima de 18 anos. Mais 1ª dose: 17.542 2ª dose: 2.8141ª dose: 90.108 2ª dose: 5.3801ª dose: 222.068 2ª dose: 29.7191ª dose: 24.150 2ª dose: 1.6821ª dose:: 417.396 2ª dose: 69.964 1ª dose: 264.251 2ª dose: 54.4751ª dose: 116.995 2ª dose: 28.2401ª dose: 111.041 2ª dose: 13.6371ª dose: 187.456 2ª dose: 27.1101ª dose: 130.996 2ª dose: 36.6731ª dose: 523.505 2ª dose: 206.1361ª dose: 107.975 2ª dose: 40.3651ª dose: 82.435 2ª dose: 25.9091ª dose: 125.145 2ª dose: 25.4101ª dose: 103.312 2ª dose: 19.6911ª dose: 268.846 2ª dose: 85.2861ª dose: 65.529 2ª dose: 6.8801ª dose: 286.837 2ª dose: 77.7961ª dose: 430.751 2ª dose: 82.4671ª dose: 83.265 2ª dose: 25.9971ª dose: 43.939 2ª dose: 4.4441ª dose: 25.167 2ª dose: 6.3241ª dose: 425.597 2ª dose: 50.7431ª dose: 156.827 2ª dose: 47.3051ª dose: 44.264 2ª dose: 20.9791ª dose: 1.695.285 2ª dose: 430.2461ª dose: 37.129 2ª dose: 3.946O consórcio foi formado em junho de 2020 em resposta à decisão do governo Jair Bolsonaro de restringir o acesso a dados sobre a pandemia de Covid-19. Os veículos decidiram, então, formar uma parceria e trabalhar de forma colaborativa para buscar as informações necessárias nos 26 estados e no Distrito Federal. | equilibrio-e-saude | 1 | 0.90885 |
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] | O Brasil já deu a primeira dose da vacina contra a Covid-19 para 1.509.826 pessoas. Nesta quinta-feira (28), foram aplicadas 252.171 doses.O consórcio, formado pelos veículos Folha, UOL, O Estado de S. Paulo, Extra, O Globo e G1, atualizou informações repassadas sobre a vacinação contra a Covid-19 por 19 estados, além do Distrito Federal.Por enquanto, as vacinas disponíveis no Brasil são a Coronavac, vacina do Butantan em parceria com a farmacêutica Sinovac, e o imunizante da Fiocruz, desenvolvido pela parceria entre a Universidade de Oxford e a AstraZeneca. 1ª dose: 17.542 2ª dose: 2.8141ª dose: 90.108 2ª dose: 5.3801ª dose: 222.068 2ª dose: 29.7191ª dose: 24.150 2ª dose: 1.6821ª dose:: 417.396 2ª dose: 69.964 1ª dose: 264.251 2ª dose: 54.4751ª dose: 116.995 2ª dose: 28.2401ª dose: 111.041 2ª dose: 13.6371ª dose: 187.456 2ª dose: 27.1101ª dose: 130.996 2ª dose: 36.6731ª dose: 523.505 2ª dose: 206.1361ª dose: 107.975 2ª dose: 40.3651ª dose: 82.435 2ª dose: 25.9091ª dose: 125.145 2ª dose: 25.4101ª dose: 103.312 2ª dose: 19.6911ª dose: 268.846 2ª dose: 85.2861ª dose: 65.529 2ª dose: 6.8801ª dose: 286.837 2ª dose: 77.7961ª dose: 430.751 2ª dose: 82.4671ª dose: 83.265 2ª dose: 25.9971ª dose: 43.939 2ª dose: 4.4441ª dose: 25.167 2ª dose: 6.3241ª dose: 425.597 2ª dose: 50.7431ª dose: 156.827 2ª dose: 47.3051ª dose: 44.264 2ª dose: 20.9791ª dose: 1.695.285 2ª dose: 430.2461ª dose: 37.129 2ª dose: 3.946 Mais O total de pessoas que receberam a primeira dose até o momento representa 0,94% da população brasileira acima de 18 anos.O consórcio foi formado em junho de 2020 em resposta à decisão do governo Jair Bolsonaro de restringir o acesso a dados sobre a pandemia de Covid-19. Os veículos decidiram, então, formar uma parceria e trabalhar de forma colaborativa para buscar as informações necessárias nos 26 estados e no Distrito Federal. | equilibrio-e-saude | 1 | 0.914252 |
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] | O estudo da fase 3 da Coronavac, vacina produzida pela empresa chinesa Sinovac e trazida ao país em parceria com o governo de São Paulo, atingiu o número mínimo de voluntários infectados para poder ter a análise de sua eficácia realizada.A expectativa do Instituto Butantan, patrocinador da pesquisa no país, é de que o Comitê Internacional Independente, que acompanha o ensaios, analise esses dados e possa divulgar na primeira semana de dezembro a eficácia da vacina.Se tudo correr bem e ela funcionar, os dados serão enviados imediatamente para a Anvisa (Agência Nacional de Vigilância Sanitária). Se aprovado no prazo expresso esperado pela emergência sanitária, em janeiro haverá 46 milhões de doses compradas da China prontas para serem aplicadas.Se todas forem aplicadas, metade da população do estado pode estar vacinada logo no começo de 2021.De acordo com o Instituto Butantan, foram confirmados 74 casos de Covid-19 no universo de 10.800 voluntários até aqui, acima do mínimo de 61 necessários para a chamada abertura do estudo.O comitê externo irá agora avaliar a evolução do quadro clínico nesses pacientes e tirar o duplo-cego para saber se os casos ocorreram nos voluntários que receberam a vacina ou o placebo, algo que nem os pacientes, nem os pesquisadores sabem de antemão.Com esses dados em mãos, será calculada a eficácia preliminar do imunizante. É esperado que, com essa análise interina, seja feito o pedido de registro à Anvisa, que exige eficácia mínima de 50%.No último dia 17, a Sinovac divulgou resultados das suas fases 1 e 2, desenvolvidas na China, no periódico científico The Lancet, apontando que o imunizante conseguiu induzir a produção de anticorpos em 97% dos participantes. A vacina também se mostrou segura, com cerca de 35% dos participantes tendo relatado dor no local da injeção como único efeito adverso. Não houve nenhum efeito colateral grave.A capacidade de induzir resposta imune, medida na fase 2 de ensaios em humanos, é diferente da medida de eficácia, que representa o quanto um fármaco protege, em uma população, contra uma doença ou infecção. A eficácia só pode ser avaliada após a conclusão de ensaios de fase 3 ou, como no caso da Coronavac, análise preliminar após atingir um número mínimo de casos.Resultados preliminares da fase 3 conduzida no Reino Unido e no Brasil da candidata à vacina da Universidade de Oxford (Reino Unido) em parceria com a farmacêutica sueco-britânica AstraZeneca apontaram até 90% de eficácia do imunizante.Outras duas vacinas, das americanas Pfizer e Moderna, também se mostram altamente eficazes contra a doença, que no Brasil matou quase 170 mil pessoas este ano.A fase 3 dos estudos da Coronavac na China está prevista para acabar até o fim deste mês, segundo o laboratório Sinovac, que criou o imunizante.A questão do registro da Coronavac é contenciosa. O presidente Jair Bolsonaro (sem partido) tem criticado o imunizante chinês, que ele vê como um trampolim de popularidade para seu rival João Doria (PSDB), o governador paulista que manda no Butantan. Mais Na semana retrasada, a suspensão dos estudos da fase 3 da Coronavac gerou polêmica, porque não foi avisada pela Anvisa ao Butantan e dizia respeito a uma morte não relacionada com a vacina em si. Os testes foram retomados em seguida, mas o mal-estar permanece.No domingo, o Ministério da Saúde relacionou cinco imunizantes que poderá vir a comprar para distribuir no pais —o governo já tem um acordo para a aquisição de 100 milhões de doses da vacina da AstraZeneca, para produção local na Fiocruz. A Coronavac não estava na lista.Isso gerou contrariedade entre membros do governo paulista, que veem perseguição política contra o imunizante de origem chinesa, que será feito a partir do ano que vem, se for eficaz, no Butantan.Doria conta agora com o sucesso dos ensaios no Brasil e o registro na China, se a vacina se mostrar mesmo eficiente, para criar um fato consumado e driblar o que considera pressão política de Bolsonaro contra a Coronavac.A Anvisa não prevê, no país, a aprovação para uso emergencial de medicamentos ou vacinas. Segundo o diretor do Instituto Butantan Dimas Covas, embora não haja essa previsão pela agência regulatória, é possível esperar uma maior velocidade na aprovação e registro do imunizante, dada a situação de emergência. "Esta aceleração do processo pode ser o que é chamado no exterior de aprovação para uso emergencial. O que esperamos que haja aqui é a sensibilidade das nossas autoridades para que isso seja feito de modo acelerado."O governo de São Paulo informou, em entrevista à imprensa na manhã desta segunda-feira (23) realizada no Instituto Butantan, que não há alta de casos de Covid-19 no estado.Segundo o secretário estadual de saúde Jean Gorinchteyn, embora na última semana tenha sido verificado um aumento de 17% no número de internações por Covid-19 em São Paulo, a alta de internações não reflete em um aumento de casos como verificado em semanas epidemiológicas anteriores, o que colocaria em alerta o avanço do vírus no estado."Mesmo com essas cifras que hoje atingimos, de 1.180 pacientes internados, este número está bastante distante daquilo que encontramos em julho, com a internação de mais de 2.000 pacientes", afirmou o secretário, completando que os dados de alta de internações ainda precisam ser avaliados nos próximos dias para se ter uma análise completa da evolução do coronavírus.Gorinchteyn disse ainda que não é possível fazer, ainda, nenhuma avaliação sobre um repique de casos ou onda mais robusta. "Alguns municípios ainda não inseriram os dados de internações no Sivep-Gripe e, por isso, não sabemos ainda se essas novas internações refletem em alta de casos."Em relação aos mais de 6,86 milhões de testes adquiridos pelo ministério da Saúde com prazo de validade próximo ao vencimento e armazenados em um galpão, como revelado pelo O Estado de S.Paulo, Gorinchteyn afirmou que a pasta federal realizou a compra junto à Opas (braço da Organização Mundial da Saúde na América Latina) de 15 milhões de testes e utilizou, até o momento, apenas oito milhões deles.O secretário disse ainda que a própria Opas, junto ao ministério da Saúde, prevê trazer uma "empresa para fazer uma análise de extensão do prazo desses testes e se eles serão adequadamente utilizados".O governo paulista afirmou ainda, via assessoria, que não há nenhuma falta de testes no estado, que está totalmente abastecido e que "quaisquer questionamentos sobre os testes próximos à data de vencimento devem ser endereçados ao ministério da Saúde." | equilibrio-e-saude | 0 | 1 |
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] | A Anvisa (Agência Nacional de Vigilância Sanitária) decidiu nesta terça-feira (1) suspender a necessidade de retenção de receita médica para venda de ivermectina e nitazoxanida em farmácias. Com isso, a venda passa a ocorrer só com apresentação de receita simples.Segundo a agência, a decisão ocorre após constatação de que não há mais risco de desabastecimento desses medicamentos no mercado.Nos últimos meses, esses remédios têm sido alvo de procura nas farmácias em meio a epidemia da Covid-19. Não há, porém, comprovação de eficácia contra a doença. Mais A medida ocorre cerca de três semanas após o presidente Jair Bolsonaro afirmar que farmácias não exigiriam mais apresentação de receita em duas vias, com retenção de uma, para hidroxicloroquina e ivermectina —a exigência, no entanto, ainda vale para hidroxicloroquina e cloroquina."Chegou na minha tela aqui, o presidente da Anvisa, o almirante Barra [Antonio Barra Torres], acabou de confirmar a informação sobre a hidroxicloroquina e a ivermectina, você já pode comprar com uma receita simples, caso seu médico recomenda, obviamente ", disse durante transmissão nas redes sociais no dia 13 de agosto.Questionada após a fala do presidente, a Anvisa evitou desmentir o presidente, mas enviou informações que apontavam a exigência de receita em duas vias.Parte da medida foi revista nesta terça, após a proposta ser apresentada em reunião entre diretores da agência.Em seu parecer, o diretor Marcus Miranda, também relator da proposta, apresentou dados do setor para argumentar que os estoques atuais garantem o abastecimento de ivermectina e nitazoxanida.Disse ainda os dois medicamentos são consumidos há décadas contra parasitoses e verminoses e que a medida anteriormente adotada poderia dificultar o acesso no cenário atual a quem precisa.Em reunião, o diretor-presidente da Anvisa, Antonio Barra Torres, disse que a possibilidade de revisão já era esperada.Ele reclamou de críticas de que a agência estaria criando dificuldades no acesso ao remédio, afirmando que já havia previsão de cobrança de receita médica."Bastava consultar uma caixa da medicação para ver que já estava escrito lá: venda sob prescrição médica", disse. "O que fizemos foi tão somente coibir o reuso de uma mesma receita para fazer estoques particulares."Segundo Miranda, a suspensão da exigência deve ser condicionada a monitoramento bimestral dos estoques. Não houve comentários na reunião sobre a cloroquina, cuja exigência de receita em duas vias, com retenção de uma, está mantida, de acordo com a agência. | equilibrio-e-saude | 0 | 1 |
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] | O STF (Supremo Tribunal Federal) decidiu por unanimidade nesta quarta-feira (5) referendar a decisão do ministro Luís Roberto Barroso de obrigar o governo Jair Bolsonaro a adotar diversas medidas para conter o avanço do coronavírus na população indígena.O Supremo determinou que o Executivo crie barreiras sanitárias para aldeias em isolamento. Para os locais nos quais os índios mantêm contato com invasores, o governo deverá elaborar um plano de retirada de ocupantes ilegais das áreas protegidas. Todos os ministros presentes defenderam a manutenção da decisão liminar (provisória) de Barroso de 8 de julho. Os ministros Celso de Mello e Cármen Lúcia não participaram do julgamento.Houve divergência, porém, sobre a determinação ou não de prazo para o Executivo retirar os invasores. Os ministros Alexandre de Moraes, Rosa Weber, Gilmar Mendes, Marco Aurélio Luiz Fux e Dias Toffoli afirmaram que o governo deve elaborar um plano de retirada, mas não fixaram prazo.Os ministros Edson Fachin e Lewandowski, por sua vez, defenderam que a corte tem de estabelecer uma data limite para realizar as ações de remoção dos invasores.Fachin propôs dar 60 dias para o governo fazer a retirada após a homologação do plano de remoção, enquanto Lewandowski defendeu dar 120 dias para o Executivo apresentar um planejamento nesse sentido. A ação pede a retirada de invasores em sete terras indígenas e alega que, em alguma delas, a população já ultrapassa as 20 mil pessoas. A ordem para o governo adotar medidas de contenção do avanço do coronavírus já vinha sendo cumprida desde 8 de julho, quando Barroso tomou a primeira decisão a respeito.Por isso, o governo já criou uma sala de situação para avaliar o tema, composta por integrantes do Supremo e representantes indígenas e do Executivo.Entre as ações determinadas por Barroso e referendadas pelo plenário estão a extensão dos serviços do Subsistema Indígena de Saúde aos povos indígenas, a execução de um plano de monitoramento e o apoio técnico da Fundação Oswaldo Cruz para o caso.Os ministros concordaram que a retirada de invasores não é uma operação simples, uma vez que pessoas se alocaram em terras indígenas há muitos anos e com filhos pequenos e famílias.“Indefiro, por ora, o pedido de retirada dos invasores diante do risco que pode oferecer à vida, à saúde e à segurança das comunidades. Observo, porém, que é dever da União equacionar o problema das invasões e desenvolver um plano de desintrusão. Portanto, se nenhum plano for desenvolvido a respeito da desintrusão, voltarei ao tema”, avisou Barroso.O ministro foi o primeiro a votar, na segunda-feira (3), e afirmou que é “inaceitável a inação do governo federal em relação a invasões em terras indígenas”.Já o ministro Alexandre de Moraes classificou as invasões como um “problema seríssimo” e uma “chaga” do país.“A decisão liminar do ministro Barroso é extremamente importante porque permite atuação mais eficaz do Estado e vai ao encontro do princípio constitucional da eficiência”, disse.Moraes demonstrou preocupação com “inúmeros garimpeiros” que invadem terras indígenas, principalmente na Região Norte do país.O ministro ressaltou que as operações para retirada de invasores não é simples, uma vez que em muitos casos as pessoas moram com as famílias naquelas regiões.“É uma operação de guerra, com centenas, às vezes milhares de profissionais, e não só policiais, mas também assistentes sociais, psicólogos, médicos, auxílio dos conselhos tutelares. Há um trabalho pré-policial realizado para direcionamento das pessoas que lá invadira”, explicou.Moraes ressaltou que a população indígena corre mais risco de contágio do coronavírus e que a Covid-19 pode provocar danos incalculáveis.“Os povos em isolamento e de contato recente são realmente expostos ao risco de contágio maior e até de extinção em decorrência da pandemia. Isso não ocorre só em relação às comunidades indígenas brasileiras”, disse.O ministro Ricardo Lewandowski defendeu dar 60 dias para o governo esclarecer a situação exata das terras indígenas em questão.“Queremos saber quantos são os ocupantes das terras indígenas, onde estão localizados para eventualmente depois nós propormos uma solução para essa questão. Porque ninguém pretende, penso eu, travar uma verdadeira guerra civil na retirada desses ocupantes, absolutamente necessária das terras indígenas, mas essas operações podem ser feitas cirurgicamente, pontualmente”, disse.O julgamento discute ação movida pela Apib (Articulação dos Povos Indígenas do Brasil) e seis partidos políticos de oposição, na qual a administração do presidente Jair Bolsonaro foi acusada de omissão. | equilibrio-e-saude | 0 | 1 |
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] | Os boletins informando números de casos e óbitos pela Covid-19 no país sofreram mudanças por parte do Ministério da Saúde desde sexta-feira (5).A pasta passou a não divulgar mais o número consolidado de casos da doença no país e total de óbitos. Agora, são informados o total de recuperados, novos casos e óbitos nas últimas 24 horas.A nova medida vai na contramão do que preconiza a Organização Mundial da Saúde (OMS), afirma a epidemiologista e responsável pelo Serviço de Vigilância do Instituto de Infectologia Emílio Ribas, Ana Freitas Ribeiro.Ribeiro acredita que a decisão do órgão de deixar de divulgar os dados consolidados representa um prejuízo para o país a nível internacional, uma vez que as notificações de casos e óbitos continuarão a serem feitas a nível municipal e estadual.Para ela, preocupação é qual o motivo de excluir os dados consolidados, uma vez que esses dados ajudam na comparação e para calcular incidência de casos. “Se o governo quer mudar o horário ou a plataforma de divulgação, tudo bem, mas não divulgar o acumulado não tem sentido. Isso acarretará prejuízo. Falta transparência, temos uma caixa escura onde não podemos ver os dados.”Outra especialista que vê com perplexidade a nova forma de divulgação é Maria Amélia Veras, epidemiologista e professora da Faculdade de Ciências Médicas da Santa Casa de São Paulo.Veras afirma que isso não pode ser chamado de metodologia pois não existe nenhum país no mundo que divulgue os dados dessa maneira. Ela receia que seja uma estratégia de ocultação dos dados.“As autoridades não divulgando os casos consolidados é difícil saber o que está acontecendo. Isso não ajuda ninguém, pelo contrário.”Ribeiro e Veras fazem parte do grupo Observatório Covid-19 BR, iniciativa independente de pesquisadores que visa a disseminação de informação qualificada sobre a doença. O painel consolida dados por estado e por município, além de apresentar cenários de evolução, índice de contágio e taxa de ocupação de leitos, entre outras.Na Europa, os quatro países mais atingidos pelo coronavírus —Reino Unido, Espanha, Itália e França (em ordem decrescente de número de mortos)— publicam seus dados à tarde.No Reino Unido, o primeiro-ministro e secretários de governo realizam entrevista coletiva diária entre 16h e 18h (horário local), na qual respondem a perguntas de jornalistas e, desde o mês passado, do público. Antes da entrevista são divulgadas planilhas com número de casos, pessoas hospitalizadas, doentes em UTI e número de mortes.Há dados detalhados por região e ao longo do tempo. No caso das mortes, o governo calcula também a média dos sete dias anteriores.Divulga ainda a taxa de contágio estimada (para quantas pessoas um infectado transmite o vírus, na média), o número de mortes estimado na semana, a evolução prevista e os números de testes feitos.A Itália publica números na internet a partir das 15h. O governo divulga número de casos por sexo e idade, o local da infecção (casa, trabalho, escola etc.), taxas de contágio por região e distribuição regional, com a taxa por 100 mil habitantes em cada uma dela.As mortes são divulgadas por faixa etária e por região no país, com séries históricas.Na França, além dos dados sobre contaminados e mortos (separados entre os que morreram em hospitais ou em casa), o governo divulga no início da tarde o número de testes realizados e os resultados positivos por faixa etária.No site, há mapas interativos detalhados onde se pode consultar a situação da epidemia em cada zona urbana (se estão na fase verde ou laranja, com respectivas regras de quarentena) e relação dos programas de assistência, com dados de concessões já feitas.Na Espanha, um painel atualizado vespertinamente divulga dados da epidemia por região e por gravidade, mortalidade em geral e de pessoas com Covid-19 (com o cálculo das mortes em excesso) e dados estatísticos sobre a doença, como a taxa de contágio.O governo espanhol está também fazendo um estudo nacional para detectar qual a porcentagem de pessoas que já tiveram contato com o coronavírus, e divulga resultados parciais.Nos Estados Unidos, apesar de não serem feitos anúncios diários pela Casa Branca, outras plataformas como o jornal The New York Times e a Universidade Johns Hopkins atualizam diariamente os números de casos e mortes. O Centro de Prevenção e Controle de Doenças dos EUA (CDC, na sigla em inglês), órgão do governo, atualiza números em seu site constantemente, sem boletins públicos.Mesmo quando o presidente concedia entrevistas coletivas para falar sobre a pandemia todos os dias, esses dados não eram disponibilizados pelo governo.Alguns governadores têm optado por divulgar dados diários, caso do democrata Andrew Cuomo, de Nova York.Na Argentina, o governo mantém, desde o início da quarentena, entrevistas coletivas todas as manhãs, quando são apresentados os números de infectados e mortos pelo coronavírus nas últimas 24 horas. Devido à baixa quantidade de testes, contudo, vem sendo criticado, principalmente pela oposição, por não ter números confiáveis.Desde meados de abril, porém, a curva de casos começou a subir, e o governo implementou o plano Detectar, cuja ação é ir de bairro em bairro para realizar testes rápidos e isolar pacientes.Hoje, há disparidade grande entre números das províncias, onde os casos vêm diminuindo —há 10 províncias sem coronavírus há mais de um mês—, e os da capital federal e da Grande Buenos Aires, que aumentam. Buenos Aires concentra 95% dos casos no território. | equilibrio-e-saude | 0 | 1 |
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] | A gestão João Doria (PSDB) prevê que o número de casos confirmados de coronavírus no estado de São Paulo pode, no mês de junho, até dobrar em relação ao registrado até agora.A projeção foi apresentada nesta quarta-feira (3), em uma entrevista coletiva no Palácio dos Bandeirantes, no Morumbi, zona oeste de São Paulo.De acordo com estudo apresentado, o estado pode sair de 118 mil casos no início do mês para entre 190 mil e 265 mil casos. O governo afirma que a doença aumentou 10 vezes de abril a maio. Em maio, aumentou 3,6 vezes. Neste mês, o aumento seria de entre 1,7 e 2,4 vezes."Não há surpresa nos números que estão sendo anunciados todos os dias, em casos e em óbitos. A mesma projeção que o governo de São Paulo fez para o passado e se confirmou", disse o vice-governador Rodrigo Garcia (DEM). "Os números apresentados estão previstos nos cenários, lembrando que são a referência para o sistema de saúde." Nesta quarta (3), o número de casos confirmados de coronavírus no estado estava em 123.483 e o número de mortes pela doença, em 8.276. Além disso, há 7.432 internados em enfermaria e 4.527 em UTI em São Paulo. Na Grande São Paulo, 84,7% dos leitos de UTI estão ocupados; já no estado, são 72,3%.Doria afirmou que mais da metade do estado continua sob as mesmas restrições desde o começo da quarentena e que segue a ciência em suas decisões. A decisão da reabertura tem sido criticada por diversos especialistas, mas o governo sustenta que se tratam de etapas pensadas de acordo com a capacidade do sistema de saúde e índices estabelecidos.De acordo com o governo, entre os dias 26 de maio e 2 de junho houve melhora em três dos cinco critérios na média estadual. "A taxa de ocupação de leitos de UTI caiu de 73,5% para 72,4%, o número de vagas por 100 mil habitantes foi de 11,8 para 13,3 e as internações decresceram três pontos percentuais. Com a ampliação da testagem, houve aumento na índices de casos (61%) e de mortes (23%) por COVID-19", diz o governo, em nota.Doria afirmou voltou a afirmar que a avaliação será diária e semanal. "Da mesma forma que oferece regras para a retomada, [o plano] também apresenta indicadores para a revisão imediata das medidas e, se necessário, retorno à situação anterior", disse.Na semana que vem, cidades poderão ser "rebaixadas" e outras progredirem na retomada, o que deve acontecer a cada 15 dias. Mas o governo estadual anunciou o viés de cada região que, se mantido, pode definir áreas que terão de fechar novamente ou poderão avançar de fase.Após o anúncio de reabertura, ruas de cidades do interior ficaram lotadas e houve até filas em shoppings. Questionado pela Folha sobre o assunto, Doria afirmou que a reação era esperada em um primeiro momento."É normal no primeiro momento de uma reabertura gradual e faseada que haja uma certa vontade e desejo das pessoas de frequentarem e na aquisição de algum bem, produto ou serviço que durante a quarentena não pôde fazer", disse Doria. Segundo o tucano, porém, isso se dá dentro dos protocolos estabelecidos.O governo afirmou que as regiões de Bauru e Barretos tiveram piora nos índices e, com isso, podem regredir na reabertura da quarentena. Por outro lado, se mantiver os índices atuais, o litoral poderá reabrir comércios.A decisão só será tomada com números fechados na próxima semana.São Paulo foi incluída na chamada área laranja, na classificação de cinco fases do governo: vermelha, laranja, amarela, verde e azul. Na primeira, há restrição total, que vai desaparecendo gradualmente até chegar na fase azul, de abertura.As duas regiões, de Bauru e Barretos, estavam na fase amarela, que permite a reabertura de comércios e escritórios. Já o litoral está na fase vermelha, que permite abertura apenas de atividades essenciais.Segundo índices mostrados pelo governo estadual, a Grande SP, se mantiver atual situação, pode continuar na chamada zona vermelha."Nós tivemos a Baixada Santista com uma melhora significativa, na ocupação e também no número de casos. Por isso, com viés laranja já, a Baixada Santista", afirmou o secretário de Desenvolvimento Regional, Marco Vinholi.Ele também citou melhora no Vale do Ribeira e no Vale do Paraíba.Segundo o prefeito de São Paulo, Bruno Covas (PSDB), pelo segundo dia consecutivo a taxa de ocupação de leitos de UTI na cidade ficou abaixo de 70%. Desde abril, a ocupação estava acima desse índice.Segundo Covas, a ocupação nesta quarta estava em 63%. Em todo o estado, a taxa de ocupação de leitos de UTI é de 72,3%."Estamos em fase decrescente de solicitação de leitos de UTI na cidade e a nossa preocupação central neste momento é que essa demanda não volte a crescer. Estamos com indicadores abaixando na cidade, o que indica um controle da pandemia", disse o prefeito.A capital paulista registrou 4.305 óbitos por coronavírus. | equilibrio-e-saude | 0 | 1 |
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] | Diariamente, durante a crise do coronavírus, um colunista ou um blogueiro da Folha indica sugestões para o período de quarentena, como livros, filmes, séries, entre outras opções.Confira as sugestões da roteirista e escritora Manuela Cantuária.Acompanhe todas as dicas dos colunistas aqui.A Amiga Genial HBO, 2018. 16h Sou tão apaixonada pela tetralogia napolitana de Elena Ferrante que resisti por um tempo à adaptação para a televisão dirigida por Saverio Constanzo e produzida pela HBO. Durante a quarentena, acabei me rendendo à série e fui imediatamente acolhida por seu universo.Extremamente fiel aos livros, a adaptação é uma oportunidade de se apaixonar mais uma vez pela complexa relação das amigas Lenu e Lila, nascidas em um bairro pobre da Itália pós-guerra, e vibrar com a saga das protagonistas para se libertar do destino de pobreza, violência e submissão ao qual foram condenadas.Calibã e a Bruxa Ed. Elefante, 2018. R$ 43 (460 págs.)A historiadora Silvia Federici nos presenteia com uma análise profunda sobre a caça às bruxas no começo da Era Moderna. Relacionando o fenômeno ao surgimento do capitalismo, seus estudos evidenciam como essa perseguição brutal visava transformar os corpos femininos em máquinas de produzir crianças --os trabalhadores da nova ordem econômica.As fogueiras que queimaram centenas de milhares de mulheres forjaram os ideais de feminilidade e domesticidade que conhecemos hoje, e a obra de Federici é fundamental para entender o sistema patriarcal que subjuga mulheres até os tempos atuais. | equilibrio-e-saude | 0 | 1 |
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] | Em meio à pandemia que aumentou o número de enterros na cidade, a gestão Bruno Covas (PSDB) adiou para o próximo mês o processo de privatização dos cemitérios municipais, uma bandeira da gestão.A abertura de envelopes para a licitação estava prevista para esta quinta-feira (16). No entanto, ela foi adiada para o dia 15 de maio.Atualmente, alguns cemitérios já têm mais da metade dos enterros de casos suspeitos de coronavírus.A privatização do serviço funerário é uma das bandeiras da atual gestão desde a época em que João Doria (PSDB), hoje governador, era prefeito. Um dos argumentos da administração é a melhora na eficiência do serviço, bastante criticado pela população, e também os diversos casos de irregularidades no órgão.Por outro lado, funcionários afirmam que há um sucateamento proposital da estrutura para que o serviço funerário fosse vendido. "No momento, a licitação em curso é prejudicial e inoportuna, causa insegurança aos servidores que atuam no Serviço Funerário e na sociedade, pela alteração que acontecerá em relação a gestão e operação dos serviços prestados", afirma o Sindsep, que representa a categoria.Atualmente, no cemitério da Vila Formosa (zona leste), o maior da cidade, mais da metade dos enterros é de casos suspeitos de coronavírus.A prefeitura também comprou, em caráter emergencial, um sistema de cemitério vertical para guardar restos mortais, com operações de abertura, sepultamento, fechamento e exumação, por parte do serviço funerário. A compra custou R$ 2,7 milhões. Conforme a Folha mostrou, aumentou em 41% a previsão de gasto com cemitérios na cidade de São Paulo.Segundo a execução orçamentária, Covas aumentou de R$ 27,9 milhões para R$ 39,6 milhões a previsão de gastos com a rúbrica manutenção e operação de cemitérios.Na sexta-feira (10), Covas publicou no Diário Oficial crédito suplementar de R$ 11,7 milhões para esta área. | equilibrio-e-saude | 0 | 1 |
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] | Dados recebidos durante a noite pela Organização Mundial da Saúde (OMS) sobre o avanço da pandemia pelo planeta foram considerados como "alarmantes" pelos técnicos da entidade com sede em Genebra.A entidade ainda está reunindo as informações consolidadas e deve publica-los pela tarde desta terça-feira. Mas, em uma conversa com jornalistas na Suíça, representantes da agência indicaram que o mundo irá registrar um "aumento significativo" em comparação ao que existia na segunda-feira.Oficialmente, a OMS contabiliza 334 mil casos até a noite de ontem, com 14,5 mil mortes. "Mas devemos nos preparar para um salto importante, com base nos dados que recebemos ao longo da noite", indicou Margaret Harris, porta-voz da OMS.Segundo ela, 85% de todos os novos casos estão sendo registrados na Europa e EUA. Mas rapidamente a situação americana está se deteriorando. 40% de todos os novos casos seriam americanos. "Há um enorme surto e que está aumentando", explicou.Para a OMS, os EUA têm o potencial de se transformar no novo epicentro da pandemia no mundo "Estamos vendo uma progressão muito rápida no número de casos nos EUA", alertou Harris.Até hoje, 35 mil pessoas nos EUA tinham sido contaminadas pelo vírus.Dentro da OMS, uma das principais preocupações é com o destino de grandes cidades como Nova Iorque, apontava como sendo potencialmente o principal foco de transmissão dentro dos EUA. A taxa de pessoas infectadas na cidade é cinco vezes maior que a média nos EUA. A demora em aplicar quarentenas e a densidade populacional seriam dois dos elementos que poderiam contribuir para essa proliferação.Os dados também apontam que a cidade de Nova Iorque teria um terço de todos os casos já confirmados nos EUA. No total, 2,6 mil pessoas estão internadas na cidade e o governo apela para que os hospitais ampliem as áreas destinadas aos infectados pela doença.Se a preocupação com os EUA cresce na agência de saúde, a realidade é que governos pelo mundo ainda não tinham proliferado medidas de proibição de viagens ao país norte-americano, como já havia ocorrido no caso da Europa.O governo brasileiro, por exemplo, mantém as ligações aéreas com as cidades americanas, apesar de ter limitado para as capitais europeias.De acordo com a OMS, os números que o mundo conhece hoje da pandemia são, no fundo, uma imagem do que era a transmissão há cinco ou seis dias. Para Harris, as medidas de distanciamento social são importantes. Mas apenas uma reação "agressiva" dos governos para testar, isolar e identificar as pessoas pode controlar a pandemia.A quarentena, para ela, é importante para "comprar tempo". Mas tais confinamentos não podem ser as únicas medidas adotadas. | equilibrio-e-saude | 0 | 1 |
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] | O número de mortes por causa do novo coronavírus na Itália ultrapassou o da China nesta quinta (19). Com mais 427 casos em um dia, a Itália tem agora 3.405 mortes. O último dado divulgado pela China foi de 3.249 mortos.Em número de mortos por 100 mil habitantes, a Itália tem situação muito mais grave que a da China: 5,7, contra 0,23. A média mundial é 0,115 e a da Europa, 0,5 (puxada pelos números italianos). A Espanha registrava 1,3 mortes por 100 mil habitantes na manhã desta quinta, a França, 0,7, e Suíça e Holanda, 0,4.A Itália é o país mais afetado pela pandemia na Europa, e responde por cerca de três quartos das mortes decorrentes de coronavírus no continente: 4.196 até as 10h desta quinta.O país é também o segundo em número de casos de infecção no mundo, atrás apenas da China, onde surgiram os primeiros casos, no final de 2019. O governo italiano colocou o país em quarentena na semana passada, mas isso ainda não conteve o crescimento acelerado tanto de casos quanto de mortes.Já são 41.035 italianos com contaminação confirmada, um aumento de 14,9% em relação ao dia anterior, a maior alta dos últimos três dias, segundo a agência italiana de proteção civil.O número de pessoas ainda doentes é de 33.190, dos quais 2.498 estão em estado grave (na quarta, eram 2.257). Recuperaram-se da doença 4.480 pessoas.Pelos dados divulgados nesta quinta, 8,3% dos casos registrados terminaram em morte, taxa semelhante à registrada na quarta.Na quarta-feira (18), o país teve alta recorde para um único dia em um país: foram 475 as pessoas que morreram entre terça e quarta, aumento de 19% em um dia. O país tem enfrentado falta de estrutura para atender aos doentes graves, que precisam de aparelho de ventilação e são os mais propensos a morrer.Em algumas cidades, os hospitais estão lotados, as unidades de terapia intensiva, sem vaga, e os cemitérios e crematórios têm filas de caixões. No total, mais de 9.000 pessoas já morreram por causa do coronavírus no mundo, e a Europa já registra maior número de mortes que a China. | equilibrio-e-saude | 0 | 1 |
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] | O governo Jair Bolsonaro declarou nesta terça-feira (4) estado de emergência em saúde pública para prevenir a chegada do novo coronavírus chinês. A portaria foi publicada em edição extra do DOU (Diário Oficial da União) e define que o centro de operações de emergência será a estrutura federal responsável por articular políticas de prevenção à nova doença.Na medida, o Ministério da Saúde ressalta que a epidemia é um evento "complexo" e que demanda um esforço do SUS (Sistema Único de Saúde) para a identificação de eventuais afetados e para a implementação de políticas para reduzir os riscos de transmissão."Esse evento está sendo observado em outros países do continente americano e a investigação local demanda uma resposta coordenada das ações de saúde de competência da vigilância e atenção à saúde, entre as três esferas de gestão do SUS", ressaltou. A portaria permite à Secretaria de Vigilância em Saúde solicitar ao Ministério da Saúde a contratação temporária de profissionais de saúde, a aquisição de bens (como equipamentos) e a contratação de serviços.O texto indica o decreto 7.616 de 2011 como base para a coordenação da Espin (Emergência em Saúde Pública de Importância Nacional). A Espin pode ser decretada em casos de emergências epidemiológicas (como o coronavírus), desastres e desassistência à população.Uma Espin epidemiológica pode ser decretada nos casos em que o surto ou epidemia apresentem risco de disseminação nacional de uma doença, sejam produzidos por agentes infecciosos inesperados, representem a reintrodução de doença erradicada, apresentem gravidade elevada ou extrapolem a capacidade de resposta da direção estadual do SUS. Com o decreto, o Ministério da Saúde passa a coordenar a ESPIN (Emergência de Saúde Pública de Importância Nacional) e pode: Em paralelo, o presidente enviou ao Poder Legislativo também nesta terça-feira (4) um projeto de lei para colocar em quarentena brasileiros evacuados da cidade de Wuhan, epicentro do coronavírus na China. Pelo protocolo, a medida seria adotada apenas quando houvesse a confirmação de um caso da doença —o que ainda não ocorreu no Brasil—, mas o governo federal preferiu se antecipar devido à necessidade de adotar ações de organização da rede e de medidas adicionais para trazer ao país um grupo de brasileiros que está em Wuhan, área mais atingida pelo surto na China."Vamos fazer isso para facilitar a montagem de quarentena, contratar servidores, ver necessidade de equipamento de proteção. Mas hoje não temos o vírus confirmado no Brasil. Se não tivéssemos que buscar essas pessoas, nem reconhecer emergência eu reconheceria, e iria aguardar a confirmação dos casos", afirmou à Folha o ministro da Saúde, Luiz Henrique Mandetta. Além do decreto, o governo também enviou ao Congresso um projeto de lei que define as medidas sanitárias a serem adotadas para impedir a disseminação do coronavírus no país, entre elas a quarentena e o isolamento de doentes. O PL autoriza a realização compulsória de exames médicos, testes laboratoriais, coleta de amostras, vacinação e tratamento médico de eventuais portadores da doença.O PL prevê ainda a restrição temporária de entrada e saída do país por rodovias, portos e aeroportos, permite que o governo requisite bens e serviços de pessoas físicas e empresas mediante pagamento de indenização e autoriza a importação de produtos sujeitos à vigilância sanitária sem registro na Anvisa (Agência Nacional de Vigilância Sanitária).Quem for identificado como portador do vírus terá o direito de receber tratamento gratuito. O projeto também dispensa de licitação a aquisição de bens, serviços e insumos de saúde destinados ao combate à emergência.Não foi fixado prazo para a quarentena, mas assessores presidenciais indicam que seriam 18 dias.A ausência de uma legislação específica foi apontada por Bolsonaro como uma das razões que dificultam a vinda dos brasileiros. Eles serão trazidos de volta no sábado e ficarão de quarentena em Goiás. Segundo Mandetta, além do projeto enviado nesta terça, o governo finaliza também uma proposta de regras mais amplas a serem adotadas para quarentena sanitária no Brasil, as quais não restritas para o novo coronavírus. O objetivo é ter uma regulamentação que sirva para outros casos."Vamos supor que daqui a pouco apareça outro vírus. Já tivemos cinco emergências sanitárias, e cada hora fazendo uma emenda daquela situação. Queremos um texto que seja amplo que possa ser usado por quem quer que seja", afirmou. A ideia é que esse novo texto tramite de forma separada à proposta já enviada com medidas para conter o coronavírus, e com regime de tramitação normal, sem necessidade de urgência. Balanço do Ministério da Saúde divulgado nesta terça-feira (4) aponta que caiu de 14 para 13 o número de casos de suspeita de infecção pelo novo coronavírus. Não há registros confirmados até o momento. Já o número de casos descartados passou de 13 para 16 casos. Os dados correspondem a informações enviadas por secretarias de saúde até às 12h.Do total de casos em investigação, seis foram registrados em São Paulo, quatro no Rio Grande do Sul, dois em Santa Catarina e um no Rio de Janeiro.Destes, cinco já tiveram casos descartados para outros tipos de vírus que levam a sintomas respiratórios e passam agora por exames específicos para confirmar se a infecção corresponde ao novo vírus identificado na China ou outro agente não testado. A previsão é que o resultado esteja disponível em até sete dias. | equilibrio-e-saude | 0 | 1 |
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] | O Comitê de Emergência da OMS (Organização Mundial da Saúde), após dois dias de reunião, afirmou que, por enquanto, não declarará emergência internacional de saúde pública quanto ao coronavírus chinês. "Ainda é um pouco cedo para considerar uma emergência internacional", diz Didier Houssin, coordenador do comitê de emergência, que, segundo ele, ficou dividido na declaração de emergência. A afirmação de que ainda não se trata de uma emergência internacional não significa, segundo especialistas da OMS, que a situação não seja séria. O surto ainda está em evolução e provavelmente não atingiu o ápice. "É uma emergência na China, mas ainda não se tornou uma emergência global. Pode ainda se torna uma", afirma Tedros Adhanom Ghebreyesus, diretor da OMS.Até sexta (24), há mais de mil casos confirmados de coronavírus chinês no mundo e 41 mortos.A maioria dos casos e todas as mortes ocorreram na China, mas também há infecções no Japão, Coreia do Sul, Singapura, Tailândia, Estados Unidos, Françã, Vietnã, Taiwan e Nepal. "Estamos cientes de casos reportados em outros países, mas esses ainda estão sob investigação."O diretor da OMS diz que o coronavírus pode levar à morte (1/4 dos pacientes têm quadros graves), mas que na maioria das pessoas os sintomas são leves.Segundo os especialistas da entidade da ONU, a maioria dos que morreram tinha outros problemas associados, como hipertensão, diabetes ou doenças cardiovasculares. "A transmissão ainda parece limitada a ambientes familiares e agentes de saúde. Nesse momento, não há informações sobre transmissão de humanoo para humano fora da China. Mas isso não significa que não vá acontecer", diz Ghebreyesus.Pelo que sabe do coronavírus até o momento, uma das formas de prevenção se dá pela higiene básica das mãos. O espalhamento do vírus também pode ser contido ao cobrir a boca e o nariz ao espirrar ou tossir, ao evitar contato com pessoas com sintomas de gripe e com animais de fazenda ou selvagens, e ao cozer carne e ovos antes de comê-los.Os especialistas, contudo, afirmaram que ainda há diversos pontos desconhecidos quanto ao coronavírus, como origem e facilidade de contágio.De acordo com a OMS, a comunidade internacional deve se preocupar em identificar os casos de coronavírus o mais rápido o possível, prevenir a transmissão de pessoa para pessoa, garantir que as pessoas infectadas recebam cuidados apropriados e que haja comunicação adequada com esses indivíduos, para que eles e seus familiares saibam o que fazer. Michael Ryan, diretor executivo do programa de emergências de saúde da OMS, afirmou que é necessário cuidado ao se falar da gravidade de uma doença no início de um surto, considerando as constantes mudanças de detecção, agravamento de casos e mortes. "É muito importante que nós nos foquemos nos fatos."Uma das preocupações do especialista é evitar que pessoas sadias fiquem preocupadas, acessem os sistemas de saúde sem necessidade e os sobrecarreguem. | equilibrio-e-saude | 0 | 1 |