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Will there be more pandemics after covid-19? Probably yes


Among the necessary strategies are equal access to vaccines, investment in research and epidemiological surveillance.

There is consensus among scholars of public health and disease dynamics that new pandemics Turn it. It is up to world science to predict possible threats and, for each country, to strengthen the health system to address the prognosis in the best possible way.

In Brazil, one of the risk factors for the emergence of new diseases is the advance of deforestation, which is running at a rapid pace. In the legal Amazon region alone, more than 13,000 km2 of forest was cleared in 2021, the highest number since 2007, according to the National Institute for Space Research (Inpe). The upward trend has been observed since 2018.

This environmental destruction, together with population growth, increases the chances of transmission of zoonoses, infectious diseases transmitted between animals and from animals to humans.

Cristiana Toscano, epidemiologist and representative of the Brazilian Immunization Society (SBIm) in Goiás, recalls that the imminent risk of viruses causing recent health emergencies – covid-19, monkeypox (monkeypox) and Ebola – had already been reported by international health authorities before 2020.

“The perception of risk must increase globally. monkeypox it has been around for over 50 years in Africa and no one has paid attention to it. Now that he has left the African continent, a global debate is underway. Funding is needed for surveillance networks, the training of health workers and scientific research, as well as the integration of human, animal and environmental health “, says Toscano.

At the same time, technological advances, such as genomic and epidemiological surveillance, which monitors infectious agents and disease incidence, as well as available vaccines and laboratory platforms, must be celebrated.

Brazil

In the Brazilian context, investment in primary health care should be a priority for the SUS, in order to ensure prevention measures, disease control and dissemination of information based on scientific evidence.

“Communication through the widespread health network is based on listening. Unfortunately, the pandemic arrived in the country at a time when this network was weakened, due to a lack of investments and professionals”, says Claudio Maierovitch, coordinator of the Center for Epidemiology and Health Surveillance in Fiocruz Brasília and also Vice President of the Brazilian Health Association.

in case of pandemicAdded to this was the lack of coordination of strategies across the federal government, which, as infectologist Marcos Boulos, a professor at the University of São Paulo (USP), says, should have followed the health standards recommended worldwide.

Based on the lessons learned, Boulos is betting on the immunizing agent as a public good: “The vaccine cannot have an owner. The World Health Organization must distribute vaccines equally to all countries. This is one of the guidelines of the Harvard School of Public Health to address future pandemics ”.

The problem of the fall of vaccination coverage for children in Brazil

Even with the excellence of the SUS National Immunization Program, recently, vaccination coverage for children in Brazil has collapsed. A 2022 survey by WHO and the United Nations Children’s Fund (Unicef) places Brazil in the ranking of the ten countries with the lowest childhood vaccination rates.

The Brazilian level is 73% and the recommended level is between 90% and 95%. Vaccines for major diseases, such as tuberculosis (BCG), polio and hepatitis B, are falling. Social isolation in the pandemic and the false feeling that diseases have disappeared – controlled through vaccination – are some of the reasons for the low demand on the part of immunizers.

Covid in Brazil

688 thousand people died in the country – 11% of the total virus deaths in the world were recorded here – and we have 3% of the world population.

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Source: Terra

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