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The Mayors of 312 cities in the country at high risk of polio return were officiated on Friday the 6th by the Federal Public Prosecutor's Office (MPF). The agency is asking municipalities to take the necessary measures to ensure the increase of vaccination against the disease.
"The strategy should be adopted in the very short term," said Deborah Drupat, Federal Attorney for Citizens' Rights. According to her, failure to comply with the recommendations can result in administrative irregularities and a lack of respect for the status of the Child and Adolescent.
According to state revealed, at least 312 cities have less than 50% of children protected against polio. The recommendation of the World Health Organization is to vaccinate at least 95% to avoid other cases. According to estimates by the Ministry of Health, at least 800,000 children do not benefit from the comprehensive polio immunization program. The last case of polio recorded in Brazil dates back to 1990.
WHO recommends vaccination of at least 95% of children
In the letter, Deborah recommends extending the opening hours of the immunization rooms, which helps full-time parents. It also asks that primary care workers, including community workers, use to identify children carrying a delayed immunization card.
The focus of the National Immunization Program (NIP) is to take advantage of the child's visit to the health post to vaccinate her – except in adverse medical recommendations. Coordinator of the NIP, Carla Domingues criticized in an interview with State the resistance of professionals to adopt this simultaneity in vaccination.
In the notification, the prosecutor also asks that the municipalities begin to establish vaccination records in a registered system, as has already been agreed between the health secretaries of the ministry, states and municipalities. The system, observes, facilitates the control and allows to search for children who, for some reason, are with the missing vaccination scheme. Today, many municipalities still control the program only by the doses applied.
The chairman of the National Council of Municipal Health Secretaries, Mauro Junqueira, admits that there are ways to improve the indicators, such as broadening the immunization schedule.
But he argues that there are bottlenecks, such as flasks of more than 50 doses. "There are recommendations for municipalities not to waste inputs, so professionals are looking for a concentrated vaccine for several children at a time," he says. "But it is better, for now, to waste the input and be called to attention, rather than leaving a child unprotected."
Ministry
The Federal Public Prosecutor's Office has asked the Ministry of Health to update the NIP data. The tool is essential to ensure the effectiveness of monitoring immunization coverage.
Deborah Duprat also warned of the risk that the vaccine recall system would be hampered by the reduction of family teams due to documentation problems. In the note, the record indicates that accreditation was done because the municipalities did not form, in the established period, the teams needed to work in the program. The portfolio indicated that there has been an increase in the program in recent years.
The problem of vaccination does not only concern poliomyelitis or measles. Immunization coverage for children in general is well below ideal. The problem occurs even with vaccines that have not experienced a shortage. These include the triple virus (measles, rubella and mumps), pentavalent (diphtheria, tetanus, whooping cough, Haemophilus influenzae type b and meningitis with hepatitis B) and pneumococcus.
See also
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