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Gravidade da Covid 19: uma análise comparativa entre pacientes internados segundo o status vacinal para BCG, Bahia, Brasil, 2020-2021.

Wed, 06 Aug 2025 00:00:00 GMT

Título: Gravidade da Covid 19: uma análise comparativa entre pacientes internados segundo o status vacinal para BCG, Bahia, Brasil, 2020-2021. Autor(es): Britto, Elisângela Alves de Primeiro Orientador: Barreto, Florisneide Rodrigues Abstract: Introduction: COVID-19 cases in Brazil have shown that there is no uniformity in the occurrence of the disease in the population (Brazil, 2022), ranging from asymptomatic infections to severe cases, even among individuals with similar conditions. Studies conducted in some countries have shown evidence that prior exposure to the BCG vaccine can induce the occurrence of less severe forms of the disease. Objective: To analyze the severity of COVID-19 in hospitalized patients, according to BCG vaccination status. Method: A cross-sectional, descriptive study compared the prevalence (95% CI) of severe manifestations of COVID-19 in 325 patients admitted to an Infectious Diseases Unit between September 2020 and March 2021, comparing them with regard to prior exposure to the BCG vaccine. Results: The study found a higher frequency of hospitalization and deaths in males, Black/Mixed race, those with low education levels, and the elderly, and a frequency of 10.4% of hospitalized patients without signs/symptoms of lung damage. A higher frequency of ventilatory support use (53.2%), ICU use (55.9%), and deaths (60%) were observed in unvaccinated patients. There was an association between BCG exposure and a lower need for ICU admission. Conclusion: The results reaffirm the importance of social and economic inequalities in hospitalization and deaths from COVID-19. They corroborate previous studies on evidence of the possible effect of BCG in reducing the severity of COVID-19, with findings of a higher prevalence of ICU use among unvaccinated individuals (PR: 1.21). The results suggest a review of the reporting criteria for severe COVID-19 in SIVEP Gripe to expand knowledge about extrapulmonary forms of SARS-CoV infection, improving clinical management protocols and implementing public policies to protect public health. Editora / Evento / Instituição: Universidade Federal da Bahia Tipo: Dissertação

Articulação interfederativa na saúde indígena: uma análise documental do Polo-Base Paulo Afonso – BA.

Tue, 29 Jul 2025 00:00:00 GMT

Título: Articulação interfederativa na saúde indígena: uma análise documental do Polo-Base Paulo Afonso – BA. Autor(es): Oliveira, Elieide Soares de Primeiro Orientador: Vilasbôas, Ana Luiza Queiroz Abstract: The Indigenous Health Care Subsystem (SasiSUS) was established as an integral part of the Brazilian Unified Health System (SUS) to ensure differentiated care for Indigenous populations. However, its articulation with other levels of health governance and care delivery remains institutionally fragile. This dissertation aims to analyze the interfederative articulation within SasiSUS, based on the case study of the Paulo Afonso Base Pole, in the state of Bahia, with emphasis on governance, regional network integration, and Indigenous social participation. This is a qualitative study grounded in documental analysis of official norms, health plans, and institutional reports produced between 2019 and 2023. Data interpretation was guided by content analysis, in dialogue with critical frameworks from Collective Health. The findings reveal that SasiSUS remains marginal to planning and interfederative negotiation instruments, showing limited inclusion in regional health governance structures, lack of formal integration mechanisms, and weak institutionalization of Indigenous social control. Operational challenges were also identified, such as high staff turnover, precarious employment conditions, and a lack of continuing education initiatives. The study concludes that effective interfederative articulation in Indigenous health requires strengthened shared governance spaces and the active recognition of Indigenous sociocultural diversity in decision-making processes, as a condition for constructing a truly comprehensive and intercultural model of care. Editora / Evento / Instituição: Universidade Federal da Bahia Tipo: Dissertação

O racismo como determinante para o ofidismo letal na Bahia: um estudo epidemiológico (2010 -2021).

Wed, 16 Jul 2025 00:00:00 GMT

Título: O racismo como determinante para o ofidismo letal na Bahia: um estudo epidemiológico (2010 -2021). Autor(es): Ferreira, Diogo dos Santos Primeiro Orientador: Mise, Yukari Figueroa Abstract: Snakebite is a public health problem affecting people in tropical countries around the world. In Brazil, this condition still victimizes many people, especially Black and Indigenous people. The objective of this study was to analyze and compare lethal snakebite rates between Black and White people in the state of Bahia. The lethality of snakebite among Black people (0.54%) is higher than among White people (0.49%). The chance of Black people dying as a result of delayed treatment of the accident (OR: 2.66; p = 0.004) is lower than among White people (OR: 6.58; p = 0.06), however, the relationship between delayed treatment and death is not statistically supported in White people, suggesting that this result does not reflect reality. The sex variable modified the effect of the relationship between TPA and outcome, where women (OR: 5.30; p < 0.001) have a greater chance of death than men (OR: 1.66; p = 0.25). In conclusion, Black people are at greater risk of death than white people, more specifically Black women have a greater risk of dying as a result of snakebite. Editora / Evento / Instituição: Universidade Federal da Bahia Tipo: Dissertação

Interface entre a oferta e distribuição de vagas de residência médica na Bahia e necessidades de saúde: a regionalização é o caminho.

Tue, 25 Nov 2025 00:00:00 GMT

Título: Interface entre a oferta e distribuição de vagas de residência médica na Bahia e necessidades de saúde: a regionalização é o caminho. Autor(es): Carmo, Derbeth Silva do Primeiro Orientador: Santos, Liliana Abstract: The study "Interface between the Supply and Distribution of Medical Residency Positions in Bahia and Health Needs: Regionalization as a Path" aims to analyze the profile of the supply and distribution of medical residency positions in Bahia by 2025, as a strategic support for the expansion of residency positions in the state, aligned with regional health and specialized medical training needs. This is an analytical study with an ecological design, exploratory in nature, and a quantitative and qualitative approach. Secondary sources were used to produce data, including electronic access to the Health Education/Medical Residency Panel website of the Ministry of Education (MEC), which records metrics on Medical Residency Programs in Brazil, as well as access to the website of the Bahian Regionalization Observatory (OBR) of the Bahia State Health Department (SESAB), which provides public records on the Installed Capacity Analysis, as a document of the Health Situation Analysis (ASIS) in the process of developing the Integrated Regional Planning (PRI) in the state of Bahia. Among the findings, it is worth noting that the distribution of medical residency positions in Bahia remains uneven, with Salvador, the state capital, accounting for more than two-thirds of the authorized medical residency positions (69.4%) in the state. Regarding the regional distribution of medical residency positions in Bahia, it was found that the Eastern Health Macroregion, where the state capital, Salvador, is located, has the highest concentration of authorized medical residency positions (70.80%) in the state. This reflective conclusion is drawn regarding the analysis of the supply and distribution of medical residency positions in Bahia, as a strategic tool for planning new initiatives and public policies aimed at a more equitable distribution of specialist physicians in priority areas and regions for the Unified Health System (SUS), especially those far from major centers. Editora / Evento / Instituição: Universidade Federal da Bahia. Instituto de Saúde Coletiva Tipo: Dissertação