Revista brasileira de epidemiologia = Brazilian journal of epidemiology最新文献

{"title":"Comparison of calibration methods in the analysis of 2013 Brazilian National Health Survey data.","authors":"Juliana Sena de Souza, Márcia Helena Barbian, Rodrigo Citton Padilha Dos Reis","doi":"10.1590/1980-549720250005","DOIUrl":"10.1590/1980-549720250005","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to compare calibration methods for weights in the subsample of Laboratory Exams from the 2013 Brazilian National Health Survey (PNS), seeking to assess their representativeness and precision.</p><p><strong>Methods: </strong>Two alternative proposals for constructing calibrated weights were performed based on post-stratification and raking methods. A comparison between the weights provided for the Laboratory Exams subsample and the two suggested weights was conducted through parameter estimates using the 2013 PNS subsample data. Additionally, seven measures were used to assess the performance of the proposed weighting systems.</p><p><strong>Results: </strong>The alternative post-stratification and raking weights produced generalizable estimates for the target population of the 2013 PNS, while the original weights did not. The alternative methods showed similar performance to the original method, with a slight advantage for raking in some evaluation measures.</p><p><strong>Conclusion: </strong>It is recommended that basic design weights be documented and included in the public-use data files of the PNS. Furthermore, it is suggested to cross-reference information between the sample and subsample of the 2013 PNS to enable the exploration of methods such as data imputation, aiming to obtain more accurate and representative estimates. These improvements are essential to ensure the quality and usefulness of PNS data in epidemiological and public health studies.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250005"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abusive consumption of alcoholic beverages: results from COVITEL, the Telephone Survey of Risk and Protective Factors for Noncommunicable Chronic Diseases, 2022 and 2023.","authors":"Roberta de Oliveira Santos, Fernando César Wehrmeister, Pedro Hallal, Eduardo Ribes Kohn, Luciana Monteiro Vasconcelos Sardinha","doi":"10.1590/1980-549720250009","DOIUrl":"10.1590/1980-549720250009","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the prevalence of abusive alcohol consumption, drinking and driving habits and reports of alcohol consumption comparing the first quarters of 2022 and 2023.</p><p><strong>Methods: </strong>A cross-sectional study, with data from the Telephone Survey of Risk Factors for Chronic Noncommunicable Diseases, 2022 and 2023. The study sample included 9 thousand people each year collected using random digit dialing and dialing methods direct distance (DDD) on mobile and fixed telephone lines. Self-reported variables for alcohol abuse, drinking and driving habits, and alcohol consumption were analyzed.</p><p><strong>Results: </strong>There was no significant change in the prevalence of alcohol abuse in the first quarters of 2022 and 2023. However, differences were observed in drinking and driving behavior, with a reduction in prevalence among those aged 18 to 24 years (9.6% (95%CI 4.4-19.8) to 2.2% (95%CI 1.4-3.6) and increased behavior among those with 12 or more years of education (from 6.9% (95%CI 5.5-8.7) to 11.9% (95%CI 10,3-13,6). Male individuals had a higher prevalence of alcohol consumption, alcohol abuse and drinking and driving habits in all analyzed breakdowns.</p><p><strong>Conclusion: </strong>The Brazilian policy to reduce the consumption of alcoholic beverages and the Sustainable Development Goals must be treated as a priority in Brazil.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250009"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with the dietary total antioxidant capacity of pregnant Brazilian women.","authors":"Roberta Rejane Santos de Carvalho, Poliana Cristina de Almeida Fonseca Viola, Sandra Patrícia Crispim, Ana Karina Teixeira da Cunha França, Anderson Marliere Navarro, Bruno Feres de Souza, Franciane Rocha de Faria, Naiara Sperandio, Nathalia Pizato, Mariana de Souza Macedo, Renata Junqueira Pereira, Sylvia do Carmo Castro Franceschini, Carolina Abreu de Carvalho, Anderson Marliere Navarro, Carolina Abreu de Carvalho, Danielle Góes da Silva, Franciane Rocha de Faria, Naiara Sperandio, Jorge Gustavo Velásquez Meléndez, Míriam do Carmo Rodrigues Barbosa, Nathalia Pizato, Mariana de Souza Macedo, Renata Junqueira Pereira, Sandra Patrícia Crispim, Silvia Eloiza Priore, Sylvia do Carmo Castro Franceschini","doi":"10.1590/1980-549720250002","DOIUrl":"10.1590/1980-549720250002","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the sociodemographic, maternal, and gestational factors associated with the dietary total antioxidant capacity in pregnant Brazilian women.</p><p><strong>Methods: </strong>A cross-sectional study with 2,232 pregnant women aged 18 years old or older, in the first, second, and third trimesters of pregnancy, from eleven cities in the five Brazilian regions. A semi-structured questionnaire was applied to assess socioeconomic, demographic, and health data, and a 24-hour dietary recall (R24h) was used to assess food consumption and analyze the dietary total antioxidant capacity (DTAC), estimated using the ferric reducing antioxidant power (FRAP) method.</p><p><strong>Results: </strong>The median of DTAC was 5.32 mmol/day. Aracaju, Sergipe (SE) had the highest median of DTAC (6.44 mmol/day) and Palmas, Tocantins (TO) had the lowest (4.71 mmol/day). Pregnant women aged 20 to 34 years (OR 1.86; 95%CI 1.26-2.76), 35 years old or older (OR 3.68; 95%CI 2.21-6.14) and who were in the second trimester of pregnancy (OR 1.50; 95%CI 1.11-2.01) were more likely to be above the median DTAC. While pregnant women with higher education had a 67% lower chance of being above the median DTAC (OR 0.67; 95%CI 0.48-0.92).</p><p><strong>Conclusion: </strong>The study demonstrated that there are differences in antioxidant consumption in different cities in Brazil and that associated factors such as age, education, and gestational trimester can impact the intake of foods rich in antioxidants. The profile found draws attention to the importance of an adequate diet rich in antioxidants during prenatal care.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250002"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bullying practices by students aged 13 to 17 years according to the National Survey of School Health (2019).","authors":"Deborah Carvalho Malta, Juliana Bottoni de Souza, Évelin Angélica Herculano de Morais, Flora Vitória Serena Oliveira Baldi, Flávia Carvalho Malta de Mello, Alexandra Dias Moreira, Wanderlei Abadio de Oliveira","doi":"10.1590/1980-549720250003","DOIUrl":"10.1590/1980-549720250003","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the prevalence of bullying practices and associated factors among Brazilian adolescents, according to the National Survey of School Health 2019.</p><p><strong>Methods: </strong>This is a cross-sectional study with cluster sampling. The outcome variable, bullying practice, was assessed by the question: \"In the last 30 days, have you mocked, ridiculed, teased, intimidated, or bullied any of your schoolmates to the point that they felt hurt, upset, offended, or humiliated?\" (yes/no). Associations with sociodemographic characteristics, family environment, mental health, and risk behaviors were analyzed using Poisson regression with robust variance.</p><p><strong>Results: </strong>12.1% (95%CI 11.7-12.6) of adolescents reported bullying others. Positive associations were found among boys (PR 1.66; 95%CI 1.55-1.77); self-declared Black (PR 1.23; 95%CI 1.11-1.36) and brown (PR 1.1; 95%CI 1.02-1.18) adolescents; private school students (PR 1.29; 95%CI 1.21-1.37); those who felt lonely (PR 1.17; 95%CI 1.09-1.26); thought life was not worth living (PR 1.28; 95%CI 1.19-1.39); were physically assaulted by a family member (PR 1.67; 95%CI 1.55-1.79); skipped classes (PR 1.23; 95%CI 1.15-1.31); used tobacco (PR 1.34; 95%CI 1.22-1.47), alcohol (PR 1.38; 95%CI 1.28-1.50), and drugs (PR 1.17; 95%CI 1.04-1.31) regularly; and had sexual relations (PR 1.26; 95%CI 1.18-1.35). Ages 16 and 17 (PR 0.82; 95%CI 0.76-0.89) and family supervision were protective factors (PR 0.70; 95%CI 0.66-0.75).</p><p><strong>Conclusion: </strong>Bullying was more likely among boys, younger adolescents, those with family and mental health issues, and those engaged in risk behaviors. The importance of practices, such as family supervision in preventing bullying, is highlighted.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250003"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retail food environment around higher education institutions in a Brazilian metropolis.","authors":"Larissa Edwiges Ananda da Silva, Thales Philipe Rodrigues da Silva, Olívia Souza Honório, Monique Louise Cassimiro Inácio, Larissa Loures Mendes","doi":"10.1590/1980-549720250004","DOIUrl":"10.1590/1980-549720250004","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the retail food environment and identify the presence of food swamps around public and private higher education institutions (HEIs) in Belo Horizonte, Minas Gerais.</p><p><strong>Methods: </strong>This is an ecological study with the analysis unit being a 500-meter buffer network around 81 in-person HEI units. The density and proximity between the HEIs and food purchasing establishments for immediate consumption were assessed according to the administrative category and per capita income of the census tract, as well as the presence of food swamps.</p><p><strong>Results: </strong>In 98.76% of the buffers there was at least one establishment for immediate consumption. Snack bars, restaurants, and bars were the categories most available and closest to the HEIs. The density of establishments was higher around private HEIs and around HEIs located in higher income areas. It was found that 95.06% of HEIs were located in areas classified as food swamps.</p><p><strong>Conclusion: </strong>Thus, the HEIs evaluated were exposed to neighborhoods with an unhealthy food environment, which may predispose university students to food choices based on the consumption of ultra-processed foods and alcoholic beverages.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250004"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monitoring determinants of the prevalence of child malnutrition in Brazil according to indicators of the 2030 Agenda in the year 2022.","authors":"Eliete Costa Oliveira, Ana Karina Teixeira da Cunha França, Sueli Ismael Oliveira da Conceição, Victor Nogueira da Cruz Silveira, Maylla Luanna Barbosa Martins Bragança, Alcione Miranda Dos Santos","doi":"10.1590/1980-549720250001","DOIUrl":"10.1590/1980-549720250001","url":null,"abstract":"<p><strong>Objective: </strong>To select indicators of the Sustainable Development Goals (SDGs) that determine child malnutrition (CM) in Brazil and to monitor the achievement of SDG targets by region in 2022.</p><p><strong>Methods: </strong>This is a cross-sectional, ecological study that used the Brazilian Sustainable Development indices and analyzed the 100 SDG monitoring indicators in the 5,570 Brazilian municipalities. A decision tree was created and sensitivity analysis was performed to predict CM determinants. Data were analyzed using the χ2 test at 5% significance level. Descriptive analyses and the decision tree were carried out using the R software.</p><p><strong>Results: </strong>The CM determinants according to percentage, most affected regions of the country, and impact order were: illiteracy in the population aged ≥15 years (Northeast), insufficient prenatal care (North), low birth weight (South), young women aged 15-24 years who neither study nor work (North and Northeast), and employed population aged 10-17 years (South). We observed an individual and cumulative effect on the CM prevalence, ranging from 1.73 to 15.1%, in Brazilian municipalities according to the occurrence and overlap of these indicators.</p><p><strong>Conclusion: </strong>The results denote that Brazil will not achieve the intended reduction of CM by 2025. There must be substantial investments in education and health mainly aimed at the maternal and child population and especially in the North and Northeast regions.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250001"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of primary health care on the association between multimorbidity and emergency service utilization: National Health Survey, 2019.","authors":"Larissa Carolina Xavier Lacerda Lamonato, Thiago Dias Sarti, Ana Paula Santana Coelho Almeida","doi":"10.1590/1980-549720240062","DOIUrl":"10.1590/1980-549720240062","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effect of Primary Health Care (PHC) on the association between multimorbidity and emergency service utilization among adults in Brazil.</p><p><strong>Methods: </strong>This is a cross-sectional, nationwide household-based study using data from the 2019 National Health Survey. Poisson regression was used to assess emergency service utilization among individuals with multimorbidity. The interaction of variables such as Family Health coverage and orientation to PHC in these associations was also evaluated.</p><p><strong>Results: </strong>The prevalence of multimorbidity was 31.2% (95%CI 30.9-31.5), Family Health coverage was 71.8% (95%CI 71.4-72.0), and low orientation of services toward PHC was 70% (95%CI 69.1-70.9). Emergency service utilization had a prevalence of 2.0% (95%CI 1.9-2.0), being twice as high among individuals with multimorbidity (3.1; 95%CI 2.9-3.3) compared to those without this condition (1.4; 95%CI 1.3-1.5). However, individuals with multimorbidity and Family Health coverage had a 20% lower prevalence of emergency service utilization than those without Family Health coverage (PR 0.8; 95%CI 0.6-0.9). The association between emergency service utilization and multimorbidity was not modified by the evaluation of the service as highly oriented toward PHC (p=0.956).</p><p><strong>Conclusion: </strong>The study showed that Family Health coverage exerted a positive effect on the association between multimorbidity and emergency service utilization.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240062"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heterogeneity in the consumption of fresh and ultra-processed foods by the Brazilian population ≥10 years of age.","authors":"Victor Nogueira da Cruz Silveira, Ana Karina Teixeira da Cunha França, Alcione Miranda Dos Santos","doi":"10.1590/1980-549720240069","DOIUrl":"10.1590/1980-549720240069","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the heterogeneity in the consumption of fresh or minimally processed foods (FMPF) and ultra-processed foods (UPF) in the Brazilian population ≥10 years of age.</p><p><strong>Methods: </strong>Cross-sectional study that used data from the food consumption and resident module from the 2017-2018 edition of the Family Budget Survey. Variables relating to sex, region of residence, household status and per capita family income in minimum wages were used. The outcomes were dietary participation in percentage of FMPF and UPF. Heterogeneity was assessed using random effects produced by linear mixed-effects models.</p><p><strong>Results: </strong>Thirty-two random effects were obtained for the consumption of FMPF and 34 for UPF. Living in the urban area of the South and Southeast regions, as well as having a higher income were driving factors in the consumption of UPF and reducing the consumption of FMPF. Living in a rural area and having low income were mainly reducing factors in the consumption of UPF and driving factors in the consumption of FMPF.</p><p><strong>Conclusions: </strong>The consumption of UPF and FMPF was determined by the set of factors that represented easy access to these foods, whether geographic or economic such as income.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240069"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reemergence of yellow fever in the state of São Paulo: the structuring role of surveillance of epizootics in non-human primates in a one health approach.","authors":"Leila Del Castillo Saad, Francisco Chiaravalloti-Neto","doi":"10.1590/1980-549720240064","DOIUrl":"10.1590/1980-549720240064","url":null,"abstract":"<p><strong>Objective: </strong>to present a comprehensive analysis of YF occurrence of in the state of São Paulo since its reemergence, and the ongoing process of structuring the surveillance of epizootics in non-human primates in a one health approach.</p><p><strong>Methods: </strong>descriptive study of human cases and epizootics in non-human primates, structuring actions and the one health approach used in the state of São Paulo for yellow fever surveillance from 2000 to 2023.</p><p><strong>Results: </strong>from 2000 to 2023, 679 human cases and 857 epizootics in NHPs confirmed for yellow fever were recorded. There was an intensification of epizootic surveillance actions in non-human primates from 2017, when the virus circulated in areas without vaccine recommendations in the state.</p><p><strong>Conclusion: </strong>Five outbreaks were registered during the evaluated period, and the surveillance of epizootics in non-human primates played a fundamental role in implementing disease prevention and control measures in areas without vaccination recommendation, guiding vaccination actions, and serving as an example of how a one health approach can be adopted within epidemiological surveillance, making it more resilient to emerging threats.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240064"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and lessons from the COVID-19 pandemic for Health Surveillance in Brazil: reflections on technologies, models, and system organization.","authors":"Claudio Maierovitch Pessanha Henriques, Noely Fabiana Oliveira de Moura, Priscila Bochi de Souza","doi":"10.1590/1980-549720240049","DOIUrl":"10.1590/1980-549720240049","url":null,"abstract":"<p><p>The term \"health surveillance\" encompasses a wide range of activities, including the monitoring and observation of harms and diseases. We will investigate the most well-known aspect of health surveillance, namely the monitoring of communicable diseases. To illustrate our discussion, we will use the pandemic caused by the SARS-CoV-2 virus as a case study. As the text progresses, the focus shifts to an examination of technologies, models, and the structure of the system. The most severe epidemic of our era, classified as a pandemic due to its global impact, has compelled us to reflect on a multitude of areas of knowledge. The resulting suffering should preclude any association with positive images, despite the opportunity to learn and, in some instances, observe the capacity of humans to act in solidarity. It is often observed that few things are as didactic as tragedies and mistakes. Therefore, it is worth investigating them carefully to extract the necessary feedback to correct the course of action in health. In this text, we will discuss the conditions that led health surveillance in Brazil to fail miserably in its mission in the face of the emergency triggered by the 2019 new coronavirus disease. We will also present points that deserve attention in a restructuring of the health surveillance system.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"27 ","pages":"e240049"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}