By Conceição Lemes
On November 25, former Health Ministers Arhur Chioro, Humberto Costa and José Gómez Temporo of the Transition Cabinet’s Health WG offered the primary analysis within the subject.
was throughout Mass go toHeld in Brasilia.
The Jair Bolsonaro (PL) authorities criminally dismantled public well being in Brazil.
One of the problems addressed was the blackout of vaccination knowledge towards Covid-19 amongst kids aged 6 months to 2 years.
Although there are 6 million kids on this age group in Brazil, the Ministry of Health has distributed only one million doses, which is restricted to these with comorbidities.
“DataSUS has no file of this vaccination knowledge, we’re blind”, Humberto Costa was upset.
DataSUS is the IT division of Unified Health System.
It comprises all the data associated to the well being of the nation’s inhabitants.
In addition to world knowledge, it shops knowledge associated to the well being standing of every of us.
Mine, yours, your loved ones, your neighbors…
It is private, confidential info. But they’re additionally strategic knowledge, a matter of nationwide sovereignty.
Until 2020, DataSUS, the Ministry of Health and the federal authorities’s public info expertise firms, have been the only custodians of this info requiring confidentiality.
However, as a result of a mysterious R$ 245 million contract between the Ministry of Health and Amazon, DataSUS Storage American Multinational (See Viomundo PS🇧🇷
For that motive, I started this interview with public well being physician and Professor Arthur Chioro, coordinator of the Transition Cabinet’s Health WG.
Viomundo — Is there any risk that this blackout of childhood vaccinations towards Covid-19 is expounded to the truth that DataSUS knowledge storage has been transferred to Amazon?
Arthur Chiaro – At the second, there isn’t any approach to affirm or deny this speculation. It is simply that the Ministry of Health will not be offering detailed knowledge to the Transitional Government’s GT-Health, which prevents us from conducting a detailed evaluation.
Only from January, with the inauguration, will it’s potential to precisely confirm this example, which will seem severe.
I hope the staff led by the Ministry of Health will conduct a thorough audit of the contract and analyze the “knowledge blackout” in depth.
This knowledge, by the way, was not even supplied to the Federal Court of Auditors (TCU), which opened a particular inspection course of to research the explanations for the information blackout of the Ministry of Health in the course of the epidemic.
Viomundo — Will this contract be maintained?
Arthur Chiaro – So far, as I advised you, we don’t have entry to detailed knowledge on the method and contract, as many of the info is confidential and has not been handed on.
Therefore the contract will should be analyzed in depth. That can be step one.
The Brazilian state has a trove of delicate knowledge in a number of areas, together with well being. It would not appear proper to entrust the custody of such delicate knowledge to BigTech [Amazon é uma das cinco globais] And, on high of that, with a millionaire fee.
More worrying is the connection between former Health Ministry officers and the American firm.
After all, the contract was signed by a civil servant who later grew to become a senior worker of a multinational firm. This will should be investigated because it throws all the things into doubt.
Other choices are to retailer well being knowledge with different ministries utilizing already established public infrastructure comparable to SerPro and DataPrev.
In addition to enough knowledge safety, we are able to assure the event of expertise and nationwide sovereignty.
Viomundo — Does the brand new authorities intend to cancel the Previn Brazil program, as a result of it defunded the SUS and, above all, opened areas for fraud and deviations that have been extra unlikely with the Basic Care Level (Fixed PAB), which Bolsonaro was extinguished. The authorities?
Arthur Chiaro – There are well being points that should be re-discussed and improved, however can’t be dismissed as a result of sensible implications within the day by day lifetime of companies and financing of well being actions.
Vimondo – Why?
Arthur Chiaro –– It is in order that a regulatory vacuum will not be created, compromising or paralyzing companies supplied to the inhabitants. A transparent instance is the National Primary Care Policy.
In addition, there are features of Privin Brazil, comparable to paying to draw customers and obtain objectives, which are defended by municipal managers and another sectors, who demand its upkeep.
In any case, the adjustments that might make it potential to qualify and broaden main care would should be undertaken throughout the scope of in depth renegotiations with the National Health Council (CNS) and the Tripartite Intermanagers Commission (CIT), with a view to the Consece (National Council of Health Secretaries) Health ) and Consems (National Council of Municipal Health Secretaries).
Viamundo – But there are rapid adjustments!
Arthur Chiaro –– Definitely. I perceive that they should do it shortly. But, I insist, they have to be the results of intensive debate and settlement, restoring unity and cooperative inter-federal pacts. And, in fact, with out failing to contemplate the wants of the inhabitants above some other curiosity.
Viomundo – Bolsonaro’s authorities abolished inspection and management mechanisms in all sectors, together with well being. The SUS National Audit Department (DenaSUS) was destroyed. Will it get well?
Arthur Chiaro – In truth, the dismantling of Danasus started with the 2016 coup that overthrew President Dilma Rousseff. Our dedication is to restructure the National Audit System and strengthen its parts.
Viamundo – Would you say that the dissolution of Danasus was deliberate?
Arthur Chiaro “Of course it was. The Ministry of Health of the Bolsonaro authorities was not focused on impartial motion, which is ready to establish the dismantling of insurance policies and packages primarily based on the actions of the administrators of the group itself, many performing below the inspiration or on the orders of the president. Republic.
They didn’t need the sources to be analyzed and audited, both by direct motion by the Ministry of Health or by clientelistically established agreements, particularly by particular person parliamentary amendments, benches and primarily abusive use. , secret.
If DenaSUS was functioning correctly, the community of hospitals in Rio de Janeiro wouldn’t have been taken over by the army. As such most of the barbarities condemned by the CPI within the Senate and in quite a few TCU stories wouldn’t have occurred.
This is probably the most clumsy authorities, but in addition probably the most corrupt authorities ever. Future will inform whether or not I’m proper or not.
Viomundo – Is there a plan to save lots of Cartesas, which has been established throughout the Dilma authorities? [A pessoa passava por algum procedimento no SUS – cirurgia, por exemplo –, tempos depois recebia em casa uma carta (com selo de devolução já pago) perguntando como tinha sido. A carta visava controlar a prestação e qualidade do serviço e eventualmente pegar alguma fraude. No início do governo do golpista Michel Temer, ela foi paralisada. O então ministro da Saúde, o engenheiro e deputado federal Ricardo Barros (PP-PR) alegou falta de recursos]
Arthur Chiaro — CartaSUS will not be redeemed solely. It will even be enhanced, together with the creation of latest functionalities comparable to Telesus, a direct teleguidance channel for customers.
Thus, we will not solely obtain complaints and recommendations, however will safely information residents relating to their well being and correct use of well being companies, establish main complaints and deficiencies.
CartaSUS and others like CartaSUS intention for social participation which is key to an lively ombudsman.
It is in order that the citizen can have a permanent channel of monitoring and inspection of the SUS, which ensures transparency and social participation.
Viamundo – By the best way, will a division/secretariat be created within the new Ministry of Health to deal with psychological well being solely?
Arthur Chiaro — After listening to municipal and state managers, the National Health Council, specialists and, particularly, varied organizations representing the psychological reform motion and the anti-asylum wrestle, GT-Saúde reached the unanimous conclusion that it’s vital. Department to coordinate psychological well being coverage and care coverage for individuals who abuse alcohol and different medicine.
Viomundo – Will psychological well being be a precedence for the brand new authorities?
Arthur Chiaro – One of probably the most severe and vital points to be addressed by the brand new authorities. The area, along with being severely disrupted within the Bolsonaro authorities, was hit onerous by the Covid pandemic.
The lack of responses to the numerous improve in circumstances of psychological misery (delicate, average and extreme) and abuse of alcohol and different medicine, particularly among the many poorest folks, who rely solely on SUS, is unacceptable.
This is a subject that must be addressed primarily based on the rules of psychiatric reform prioritizing RAPS. [Rede de Atenção Psicossocial] and ensures rights and care in independence.
Viamundo – and how will the well being of the black inhabitants be handled?
Arthur Chiaro – It is handled as a precedence in our stories and suggestions. We need this work to be developed in shut session with the Ministry of Racial Equality, which will be re-created.
The National Policy for the Comprehensive Health of the Black Population was a nice advance within the administration of PT governments.
It issues the popularity of structural racism as one of many social determinants of well being, justified by epidemiological knowledge.
Covid-19, maternal mortality, meals insecurity, morbidity and mortality, obstetric violence, amongst different issues, have had a better impression on the lives of Brazil’s black inhabitants, revealing racial disparities in well being in stark element.
As President Lula stated: “Disease has a shade too”
We will undertake anti-racism tips in all actions and packages of the Ministry of Health within the National Health Policy in Brazil.
PS from Viomundo — On November 25, on the press convention of GT-Saúde of the transition cupboard, former minister and senator Humberto Costa stated: “DataSUS has no file of knowledge on this vaccination. [contra covid-19, em crianças de 6 meses a 2 anos de idade]🇧🇷 We are blind.”
At that point, as a result of full lack of transparency by the Ministry of Health, knowledge migration from Datasus to Amazon got here into focus.
Just as a speculation I assumed: Was there a connection between the mysterious settlement and the truth that DataSUS had no data of childhood vaccination knowledge towards Covid-19?
That’s why I put the primary query to public well being doctor Arthur Chiro, coordinator of the Transition Cabinet’s Health WG, who replied:
At the second, there isn’t any approach to affirm or deny this speculation. It is simply that the Ministry of Health will not be offering detailed knowledge to the Transitional Government’s GT-Health, which prevents us from making a detailed evaluation.
Only from January, with the inauguration, will it’s potential to precisely confirm this example, which will seem severe.
O News reporter Paulo Motrin, from Brazil de FetoHe was the one who introduced the primary R$ 245 million contract.
Also, the Bolsonaro authorities defended the hiring of personal companies, ignoring the federal public infrastructure in info expertise. Read: He despises the talents of Serpro and Dataprev.
With many aggravating components:
🇧🇷Jackson Barros, a former director of Datasus, was one of many folks answerable for the Ministry of Health’s choice to undertake the Amazon service. A month after Bolsonaro left the federal government, Jackson took over as enterprise supervisor on the similar firm.
🇧🇷Lack of transparency in bidding course of.
🇧🇷To date, the settlement between the Ministry of Health and Amazon will not be public, so it’s not recognized precisely what it says.
There are a number of open questions:
According to the settlement, what are the obligations of the Ministry of Health to Amazon and vice versa?
How is that this knowledge saved?
Is there any confidentiality and non-disclosure clause regarding this knowledge?
What ensures do Brazilian residents have that their private well being knowledge will not be utilized by Amazon, even when they have not given any authorization on this regard?
Can Amazon use this knowledge commercially, promote it or give it to different firms?
Can Amazon ship them to the US authorities for strategic/army use?
Through Secom, I put these inquiries to the Ministry of Health, along with requesting a full settlement. They didn’t reply.
O Wyomingdo It additionally sought to acquire everything of the contract by the Access to Information Law (LAI). something.
Hopefully the entire thriller will come out with the inauguration of President Lula from January. Conseico Lames