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Although the World Health Organization (WHO) plans to contain HIV / AIDS and hepatitis C by 2030, the freeze on public health investments goes to the world. 39 against this objective. In 2016, the government of Michel Temer (MDB) signed the constitutional amendment 95, which conditions, for 20 years, the public investment in health inflationary adjustment.
Several sectors of the unified health system (SUS) have already felt the effects of this disinvestment, as in the case of badually transmitted infection (STI) prevention and treatment programs, such as AIDS and hepatitis viral.
For Veriano Terto Jr., doctor of collective health and vice president of the Association (Abia), the adoption of austerity measures by the government leads to the impoverishment and the vulnerability of the population. "What is being done in Brazil is violence against universal health care, [porque] a constitutional right is broken and all of this undermines the health of the entire population," says Terto.
Over the past two decades, Brazil has become an international reference in the prevention and management of HIV in the public health network, but The Lancet, one major publications on medicine and health, accuses the Brazilian government of "one of the most severe sets of austerity measures in modern history."
In 2017, for the For the first time in almost 30 years, the Brazilian government has spent Rs 692 million less than the Constitution. Other health-related sectors, such as education and science, also suffer from investment freezes: up to 45% reduction in scientific research and 15% in public universities.
"What we have today is a corpse of a program was a reference to the world, [porque] we have a department that can not innovate in prevention campaigns, can not speak homobaduals, the prostitute … Everything is broken by a conservatism and the lack of posture of the National Department of AIDS ", badyzes José Araújo Lima, coordinator of the Paulistano Movement for the fight against AIDS (Mopaids).
Outskirts unbadisted
In São Paulo, the situation is not different.The entire city has only 10 testing and counseling centers (CTAs) and 16 specialized care units (IGAs) in STI / AIDS.
"Today, it is easier for you to do a test on the place of Arouche [região central] near his house in Grajaú, [porque] n & # 39; [à periferia] We have today Emílio Ribas, the House of AIDS, the clinics, which comes the state and who, in reality, do not absorb, but transmit HIV-positive people to the municipality that can not accommodate this clientele, "Araújo adds. According to General Manager Filipe Vieira Pombo, SAE DST / Aids Butantã, considered one of the best in the municipality, today has a team of professionals, 40% of the 75 professionals who have had it. in 2015.
The fractionation of antiretrovirals also requires several trips, explains Carlos Henrique de Oliveira, a member of the Positive Youth Network of São Paulo and the Collective Loka of Efavirenz. "We have faced several drug supply crises from 2016 to today, from the splitting of drugs in which users were forced to divide the same bottle: a bottle of 30 with [19659002] The lack of information and prejudice also makes life difficult, says former prevention officer Andréia Souza, who has been living with AIDS for 18 years. "There are people I've known for years. years and who did not know that they were entitled to the SPTrans card. They do not talk about what we are entitled to and it is also a kind of alms that they give.
Andreia adds: "People like me without knowing who I am, what I have If you tell someone, people start treating you as if you were poor, but you are not poor. "
Most Affected
São Paulo is the capital with the highest number of cases of infection of a study of the Federal University of Ceará (UFCE) in 2016 In 12 cities across the country, according to the survey, between 2006 and 2015, the rate among 15- to 19-year-olds almost tripled from 2.4 to 6.7 per 100,000 population
. It is also here that the female mortality rate is the highest: black women, on average three times more than white women because of AIDS, 21.5% of them having not started the The data come from the Epidemiological Bulletin on HIV / AIDS of the City of São Paulo in 2016.
According to the Epidemiological Bulletin, published annually by the Ministry of Health, most cases of infection by HIV (19659007)
The Mopaids coordinator criticizes "prevention campaigns", sorted by color, as July Yellow (Hepatitis e (19659007)
The result of the discontinuation of the SUS, which is the result of the discontinuation of the SUS, (19659002) From 2007 to June 2017, 194 217 cases of infection by the HIV have been reported in the Injury Information System (NINAN), in the short term, showing an increase in STI cases, according to data from the Ministry of Health. Brazil, 57,272 more than in 2016. The country records an average of 40,000 new AIDS cases annually.
In the case of viral hepatitis, Brazil has registered 40,000 new cases in 2017. Since the late 1990s, about 332,000 cases of infected people have been reported.
Viral hepatitis is also a leading cause of morbidity and mortality among people living with HIV, according to data from the Joint United Nations Program on HIV / AIDS (UNAIDS)
Cases of syphilis among pregnant women increased by more than 10%. According to the National Board of Health, the number of cases has increased from 10,800 in 2015 to 12,400 in 2016.
The situation has raised protests from activists at the 22nd International AIDS Conference in Amsterdam, the country -Low. popular side the Health Secretariat of the City of São Paulo denied the "fractionation of antiretrovirals" and stated that "in all areas of the city there are qualified services for HIV testing syphilis and viral hepatitis. "With regard to health professionals leaving or retiring, the municipality stated that" some specialties may be replaced by competitions still in force and in some cases , by qualified referrals. "
Report
Editing by Cecília Figueiredo
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