Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:25:23Z No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:25:59Z (GMT) No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:25:49Z (GMT) No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:26:50Z (GMT) No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2015-01-07T15:26:50Z (GMT). No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2014 / Foi realizada uma revis?o integrativa no intuito de identificar, na literatura, a import?ncia da Vigil?ncia Epidemiol?gica ? VE na forma??o acad?mica em Enfermagem. A pesquisa envolveu publica??es nacionais e internacionais dispon?veis na Biblioteca Virtual em Sa?de. Os resultados detectam escassez de estudos sobre a tem?tica, enfatizaram a import?ncia da V Neste sentido, este trabalho objetiva estudar a import?ncia da VE na forma??o acad?mica da enfermagem. Neste sentido, prop?e-se um instrumento de estudo - Check-list - da forma??o profissional dos acad?micos do curso de gradua??o em enfermagem em rela??o ?s a??es de VE e promo??o ? sa?de; j? validado com modifica??es relacionadas ? proposta sugerida. Espera-se com este instrumento, o apontamento das vulnerabilidades nessa forma??o, indicar as quest?es a serem esmeradas no servi?o de sa?de, bem como subsidiar a??es para melhorias no Plano Pedag?gico de Enfermagem. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT We performed an integrative review in order to identify, in the literature, the importance of Surveillance - VE in nursing. The research involved national and international publications available on the Virtual Health Library. The results detected lack of studies on the subject, stressed the importance of VE. This work aims to study the importance of VE in nursing. In this sense, we propose a tool to study - Checklist - to study training of students of nursing school in relation to the shares of VE and health promotion; this tool already validated and had changes to get the suggested proposal. It is hoped that this instrument, appoint the vulnerabilities of formation in nusing, and will indicate the issues in the health service, and support actions to improve the Plan Teaching.

Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:45:33Z No. of bitstreams: 2 aline_graziele_fernandes.pdf: 1909186 bytes, checksum: 45c17b72487fa2a7f56584389e97599b (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:59:46Z (GMT) No. of bitstreams: 2 aline_graziele_fernandes.pdf: 1909186 bytes, checksum: 45c17b72487fa2a7f56584389e97599b (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:59:44Z (GMT) No. of bitstreams: 2 aline_graziele_fernandes.pdf: 1909186 bytes, checksum: 45c17b72487fa2a7f56584389e97599b (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T16:01:29Z (GMT) No. of bitstreams: 2 aline_graziele_fernandes.pdf: 1909186 bytes, checksum: 45c17b72487fa2a7f56584389e97599b (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2015-01-07T16:01:29Z (GMT). No. of bitstreams: 2 aline_graziele_fernandes.pdf: 1909186 bytes, checksum: 45c17b72487fa2a7f56584389e97599b (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2013 / Este estudo tem por objetivo conhecer o perfil e as percep??es dos trabalhadores de vigil?ncia em sa?de acerca da forma??o e do desenvolvimento profissional. Trata-se de um estudo explorat?rio-descritivo com abordagem quali-quantitativa e foi realizado com profissionais do departamento de vigil?ncia em sa?de de um munic?pio do Centro-Leste de Minas Gerais. A coleta de dados ocorreu nos meses de abril e maio de 2013. Consistiu em duas etapas, sendo: 1) Aplica??o de um question?rio estruturado com dados s?cios demogr?ficos, de atua??o e forma??o/desenvolvimento profissional; 2) Entrevistas semiestruturadas, utilizando um roteiro com perguntas norteadoras. Ap?s a realiza??o das entrevistas foi utilizada a t?cnica da an?lise de conte?do proposta por Bardin (2011) para a an?lise dos resultados. Na primeira etapa, a amostra foi composta de 55 trabalhadores e na segunda de 20. Dentre outros, verificaram-se os seguintes resultados: 58,2% dos entrevistados t?m como cargo agente de combate a endemias; 61,8% s?o contratados; 69,1% ganham at? dois sal?rios m?nimos; 41,8% possuem escolaridade de n?vel m?dio; 50% dos profissionais de n?vel superior s?o graduados na ?rea de ci?ncias da sa?de; 41,8% nunca participaram de cursos de capacita??o; 78,2% dos profissionais entrevistados disseram ser capacitados para as a??es que desenvolvem; 58,2% dos profissionais atribu?ram o conceito ?bom? para o seu conhecimento em rela??o ? vigil?ncia em sa?de. Obtiveram-se as seguintes categorias emp?ricas: entendimento de vigil?ncia em sa?de - preven??o de riscos e doen?as para a sa?de da popula??o; import?ncia das a??es educacionais - conhecimento adquirido por meio da capacita??o e atualiza??o dos profissionais para a melhoria do trabalho na ?rea de atua??o; dificuldades - desconhecimento da gest?o quanto ? vigil?ncia em sa?de e inexist?ncia de recursos financeiros; facilidades - interesse do servidor em se capacitar; levantamento dos temas: atua??o dos agentes de endemias, educa??o em sa?de para a popula??o, imuniza??o, vigil?ncia sanit?ria nos estabelecimentos e curso b?sico de vigil?ncia em sa?de. Dentre outros achados, foi poss?vel identificar a necessidade de implementa??o de a??es educacionais, voltadas para a forma??o e o desenvolvimento profissional e relacionadas ? vigil?ncia em sa?de para os trabalhadores da ?rea, com o intuito de propiciar a transforma??o dos processos de trabalho para a efetiva??o da vigil?ncia em sa?de. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT This research aims to know the employees profiles and perceptions concerning to workers health surveillance on training and professional development.It is a descriptive and explanatory study with a qualitative and quantitative approach and it was accomplished with professionals from the health surveillance department in a Middle East city in Minas Gerais. The data collection occurred in April and May, in 2013. It consisted of two parts: 1) Applying a structured questionnaire with social demographic data about professional training/development and performance; 2) Semi structured interviews, using a script with guiding questions. After the interviews accomplishment, the content analysis technique suggested by Bardin (2011) was used to analyze the results. The sample was compounded by 55 employees on a first phase and 20 on the second one. Among others, the following results were found: 58,2% of the interviewed people are agent combat endemic diseases workers; 61,8% are hired; 69,1% earn up to two minimum salaries; 41,8% have high school degree; 50% of the higher education professionals are graduated in health science field; 41,8% never took part in training courses; 78,2% of the interviewed professionals said to be trained to the jobs they develop; 58,2% of the professionals assigned the ?good? concept to their knowledge concerning to health surveillance. The following empiric categories were found: figuring out health surveillance ? prevention of risks and diseases to the population health; the importance of educational actions ? knowledge acquired through training and updating of professionals to job improvement in their working field; difficulties ? ignorance about management regarding to health surveillance and lack of financial resources; facilities ? server concernment in training; topics rising: endemic diseases agents performance, health education to population, immunization, health surveillance in the establishments and basic course in health surveillance. Among other findings, it was possible to identify the necessity in implementing educational actions aimed at professional training and development and related to health surveillance to the employees in this field, aiming to provide changes in the work processes to effectiveness the health surveillance.

Made available in DSpace on 2014-12-17T14:46:47Z (GMT). No. of bitstreams: 1 LucianaMR_DISSERT.pdf: 3077063 bytes, checksum: 33dba30f3f983ca2c3893ca88edc953a (MD5) Previous issue date: 2010-10-07 / This is an exploratory descriptive study with quantitative approach, aiming to verify the nurses' knowledge concerning the epidemiological surveillance activities at the Onofre Lopes hospital (HUOL), in Natal, Rio Grande do Norte. The study was performed with 63 nurses from the hospital and the data were collected through a questionnaire. All data were analyzed using descriptive statistics. The results were discussed and organized into four sections: nurses' knowledge on hospital epidemiological surveillance; procedures of the professional nurse through compulsory notification diseases; difficulties found by nurses to register the compulsory notification diseases and suggestions of strategies to joint epidemiological surveillance service with the care practices of nurses. The results showed that 55.55% of nurses know the main action of epidemiological surveillance, compulsory notification of diseases, and that 42.86% reported to the Hospital Epidemiology Center , while 57.14% did not allocate the information for this service. Most nurses found it difficult to perform notification for not knowing its flow; for the surveillance service does not operate 24 hours and for vagueness on diagnostic of disorders. Suggestions of strategies to improve the quality of epidemiological information are focused on training of nurses in hospital epidemiological surveillance; working in partnership with the surveillance center; diffusion of information on surveillance and conducting a daily active search. It comes to conclusion that most nurses don't notify the Surveillance Center about Compulsory Notification Diseases and it wasn't observed the incorporation of integrality values between the hospital surveillance and all nurses, since this principle guides the actions of health services based on dialogue, listening, ethical commitment, sharing of knowledge among professionals of various services and respect towards other professionals. Therefore, the integrality gap in the actions of the nurses studied, as well as in the surveillance service does not mobilize the potential of such services to changes in the sense of achievement of practices aimed at a special attention model that combines preventive and corrective actions, proposed and desired by SUS. Through the difficulties presented, it becomes important to recommend educational processes with strategy to transform the conducts, besides proposing actions under the principle of integrality provide responses agile and effective, as the purpose of VE hospital emergency care by the current epidemic / Trata-se de um estudo descritivo explorat?rio com abordagem quantitativa, com objetivo de verificar o conhecimento dos enfermeiros sobre as a??es de vigil?ncia epidemiol?gica no Hospital Universit?rio Onofre Lopes (HUOL), no Munic?pio de Natal, Estado do Rio Grande do Norte. O estudo foi desenvolvido com 63 enfermeiros do referido hospital e os dados foram coletados atrav?s de um question?rio. Todos os dados foram analisados atrav?s de estat?stica descritiva. Os resultados foram organizados e discutidos em quatro se??es: conhecimento dos enfermeiros sobre vigil?ncia epidemiol?gica hospitalar; procedimentos do profissional enfermeiro mediante as doen?as de notifica??o compuls?ria; dificuldades dos enfermeiros para registrar as doen?as de notifica??o compuls?ria e as sugest?es de estrat?gias para articular o servi?o de vigil?ncia epidemiol?gica com as pr?ticas assistenciais dos enfermeiros. Os resultados mostraram que 55,55% dos enfermeiros conhecem a principal a??o de vigil?ncia epidemiol?gica, a notifica??o compuls?ria de doen?a, e que 42,86% notificaram ao N?cleo Hospitalar de Epidemiologia, enquanto 57,14% n?o destinaram as informa??es para esse servi?o. A maior parte dos enfermeiros revelou dificuldades para realizar notifica??o por desconhecerem o fluxo de notifica??o; pelo servi?o de vigil?ncia n?o funcionar 24 horas e por indefini??o diagn?stica das doen?as. As sugest?es de estrat?gias para melhorar a qualidade da informa??o epidemiol?gica est?o voltadas para capacita??o do enfermeiro em vigil?ncia epidemiol?gica hospitalar; trabalho em parceria com o n?cleo de vigil?ncia; divulga??o das informa??es sobre vigil?ncia e realiza??o de busca ativa di?ria. Conclu?-se que a maioria dos enfermeiros n?o notifica ao N?cleo de Vigil?ncia as Doen?as de Notifica??o Compuls?ria e n?o se percebe a incorpora??o dos valores da integralidade entre a VE hospitalar com todos os enfermeiros, posto que este princ?pio norteia a??es dos servi?os de sa?de fundamentadas no di?logo, na escuta, no comprometimento ?tico, compartilhamento de saberes entre os profissionais dos diversos servi?os e respeito quanto ao trabalho dos outros profissionais. Assim, a lacuna da integralidade nas a??es dos enfermeiros estudados, bem como no servi?o de VE n?o mobiliza o potencial desses servi?os para mudan?as, no sentido de realiza??o de pr?ticas voltadas para um modelo de aten??o integral que articula a??es preventivas e curativas, proposto e desejado pelo SUS. Mediante as dificuldades apresentadas torna-se importante recomendar processos educativos com estrat?gia de transforma??o das pr?ticas, al?m de proposta de a??es ? luz do princ?pio da integralidade possibilitando respostas ?geis e efetivas, conforme prop?sito da VE hospitalar mediante as urg?ncias e emerg?ncias epidemiol?gicas atuais

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-04-17T19:29:20Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) deborah_braga_oliva_audebert_rezende.pdf: 2694348 bytes, checksum: 0b7854978be13bd95e78e6982cf6c80a (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-04-20T16:48:03Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) deborah_braga_oliva_audebert_rezende.pdf: 2694348 bytes, checksum: 0b7854978be13bd95e78e6982cf6c80a (MD5) / Made available in DSpace on 2017-04-20T16:48:03Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) deborah_braga_oliva_audebert_rezende.pdf: 2694348 bytes, checksum: 0b7854978be13bd95e78e6982cf6c80a (MD5) Previous issue date: 2016 / A Vigil?ncia em Sa?de ? considerada uma ?rea estrat?gica para a redefini??o das pr?ticas sanit?rias brasileiras, todavia a operacionaliza??o descentralizada das a??es de sa?de ainda ? deficiente. Neste contexto, o governo do Estado de Minas Gerais lan?ou, em 2012, o Projeto de Fortalecimento em Vigil?ncia em Sa?de. No presente trabalho objetivou-se analisar a situa??o da Vigil?ncia Sanit?ria dos 53 munic?pios, subdivididos em cinco regi?es de sa?de, sob jurisdi??o da Superintend?ncia Regional de Sa?de de Montes Claros, por meio do estudo das Planilhas de Monitoramento e Avalia??o das a??es de Vigil?ncia em Sa?de destes munic?pios, em oito per?odos, compreendidos entre os anos de 2012 a 2014. Buscou-se comparar, ao longo dos tr?s anos de implanta??o do Programa, as mudan?as verificadas nos percentuais de cumprimento de a??es de cada ?rea da Vigil?ncia em Sa?de, bem como discutir as facilidades e dificuldades encontradas para a execu??o das a??es na ?rea de Vigil?ncia Sanit?ria. Observou-se que o percentual de a??es executadas aumentou a partir do 4? per?odo de avalia??o (julho a setembro/2013), para todas as regi?es analisadas. Entretanto, pode-se detectar que, na maior parte das regi?es, os menores percentuais m?dios foram ?queles relativos ? ?rea da vigil?ncia sanit?ria. Emboratenha havido uma melhora dos indicadores, eles ainda est?o inferiores ?s m?dias do Estado de Minas Gerais, o que provavelmente pode-se relacionar com as heterogeneidades geogr?ficas e socioecon?micas das regi?es que constituem a Superintend?ncia Regional de Sa?de de Montes Claros. Nota-se ainda dificuldades na organiza??o dos servi?os de VISA municipais no ?mbito da SRS/Montes Claros. Conforme as an?lises, percebeu-se uma oscila??o do percentual de execu??o das a??es em alguns munic?pios, sendo que alguns fatoresdificultadores, tais como a alta rotatividade de profissionais, a insufici?ncia de recursos materiais, a falta de pessoal qualificado para o servi?o dificultadores, podem ter contribu?do para a n?o execu??o de v?rias a??es no ?mbito da vigil?ncia sanit?ria nestas localidades. Diante das informa??es neste estudo, verifica-se que existem tamb?m facilidades na execu??o das a??es de VISA, como a exist?ncia pr?via do servi?o de VISA, a ea ea extens?o territorial do munic?pio, a infraestrutura m?nima de funcionamento e o apoio de gestores e da popula??o. No entanto,as facilidades ainda s?o pouco frequentes.Assim, pode-se concluir que embora tenham ocorrido avan?os, de forma geral, no servi?o de vigil?ncia em sa?de ap?s implanta??o do Projeto de Fortalecimento da Vigil?ncia em Sa?de, ainda se notam fragilidades e fraquezas na organiza??o dos servi?os, especialmente os de Vigil?ncia Sanit?ria, nos munic?pios objeto deste estudo. A insufici?ncia de insumos, ferramentas, instrumentos materiais e equipe multidisciplinar qualificada para o setor demonstram a dist?ncia entre as pol?ticas do Sistema ?nico de Sa?de, as necessidades sociais, a miss?o da vigil?ncia sanit?ria na prote??o da sa?de e a realidade concreta dos munic?pios da jurisdi??o da Superintend?ncia Regional de Sa?de de Montes Claros. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / The Health Surveillance is considered a strategic area for the redefinition of Brazilian health practices, however decentralized operationalization of health actions is still deficient. In this context, the state government of Minas Gerais launched in 2012, the Strengthening Project in Health Surveillance. This work aimed to analyze the situation of the Health Surveillance of 53 municipalities, divided into five health regions under the jurisdiction of Regional Health Superintendency of Montes Claros, through the study of the Monitoring Sheets and Evaluation of Surveillance actions in health these municipalities in eight periods, ranging from the years 2012 to 2014. We attempted to compare, over the three years Program implementation, the changes in the percentage of enforcement actions in each area of health surveillance and discuss the advantages and difficulties encountered in the implementation of actions in the health surveillance area. It was observed that the percentage of executed shares increased from the 4th assessment period (July-September / 2013), for all analyzed regions. However, one can detect that in most regions, the average lowest percentages were those relating to the area of health monitoring. Emboratenha been an improvement in indicators, they are still below the average of the state of Minas Gerais, which probably can be related to the geographical and socioeconomic heterogeneity of the regions that make up the Regional Health Superintendency of Montes Claros. Note also difficulties in the organization of municipal VISA services within the SRS / Montes Claros. According to the analysis, it was noticed a wobble in the percentage of implementation of actions in some municipalities, and some fatoresdificultadores, such as high staff turnover, lack of material resources, lack of qualified personnel for hindering service may have contributed to the non-implementation of various actions under health surveillance in these locations. On the information in this study, it appears that there are also facilities in the implementation of VISA shares, as the prior existence of the VISA service, the territorial extension of the municipality, the minimum infrastructure operation and support managers and the public. However, the facilities are still poorly frequentes.Assim, it can be concluded that although there were advances, generally, the surveillance service health after implementation of health surveillance Strengthening Project, still noticeable weaknesses and weaknesses in organization of services, especially health surveillance in municipalities object of this study. The lack of supplies, tools, materials, instruments and qualified multidisciplinary team for the sector demonstrate the distance between the Health System policies, social needs, the mission of health surveillance in the health protection and the concrete reality of the jurisdiction of the municipalities of Regional Health Superintendency of Montes Claros.

Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2016-01-11T16:06:23Z No. of bitstreams: 2 license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) natalia_tartler.pdf: 5781289 bytes, checksum: b177f0cbb02d2f2810637cd57905efd0 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2016-01-11T16:06:57Z (GMT) No. of bitstreams: 2 natalia_tartler.pdf: 5781289 bytes, checksum: b177f0cbb02d2f2810637cd57905efd0 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Made available in DSpace on 2016-01-11T16:06:57Z (GMT). No. of bitstreams: 2 natalia_tartler.pdf: 5781289 bytes, checksum: b177f0cbb02d2f2810637cd57905efd0 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2014 / O estudo teve como objetivos avaliar a implementa??o do Programa Nacional de Vigil?ncia em Sa?de Ambiental Relacionada ? Qualidade da ?gua para Consumo Humano no munic?pio de Diamantina, Minas Gerais, identificar as formas de abastecimento de ?gua no munic?pio, diagnosticar as condi??es s?cio sanit?rias e o conhecimento das pessoas sobre a qualidade da ?gua consumida no distrito de Sopa. Ainda, objetivou georreferenciar as fontes alternativas de ?gua no cen?rio escolhido (Sopa) bem como analisar a qualidade microbiol?gica (coliformes totais e Escherichia coli) da ?gua consumida. Foram entrevistados os gestores do Programa e a popula??o residente no distrito de Sopa, por meio de question?rios estruturados. Elaborou-se mapa com a identifica??o georreferenciada das fontes alternativas utilizadas nas localidades rurais. Verificou-se que o programa Vigi?gua encontra-se implantado de forma incipiente no munic?pio e com poucas a??es de monitoramento e vigil?ncia da qualidade da ?gua. O distrito estudado apresenta condi??es de saneamento b?sico insatisfat?rias, uma vez que n?o possui rede de esgotamento sanit?rio, coleta regular de res?duos s?lidos e apresenta abastecimento de ?gua por rede de distribui??o somente na ?rea urbana. Identificou-se que a popula??o rural est? sujeita a consumir ?gua com qualidade sanit?ria duvidosa. As an?lises microbiol?gicas realizadas no sistema de distribui??o que abastece a sede do distrito estavam em conformidade com os padr?es de potabilidade estabelecidos na legisla??o, mas a qualidade da ?gua de todas as fontes alternativas pesquisadas apresentou contamina??o por coliformes totais e E. coli. Portanto, espera-se que o mapa contribua e auxilie com a identifica??o das fontes alternativas utilizadas pela popula??o, para que se tornem alvo de a??es da vigil?ncia da qualidade da ?gua. Faz se necess?rio e imprescind?vel a articula??o intersetorial para a execu??o e implementa??o efetiva do Programa Vigi?gua no munic?pio. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT The present learning had as main objective to evaluate the implement of the National Program of Vigilance at Environmental Health Concerning to the Quality of the Potable Water used for Human Consumption in the municipality of Diamantina, in the state of Minas Gerais. It takes aim at the ways used for the water supply in the municipality, to diagnose the social and sanitary conditions and also about the acquaintance the inhabitants have about that water consumed in the district of Sopa. Even so, is the aim to georreference the alternative sources of water supply for consumption in that chosen spot (Sopa) as well to analyze the microbiological quality (Total Coliforms and Escherichia coli) from the consumed water. The managers of the program and the residing population in the district of Sopa were means of a structural questionnaire. A map with a georeficiated identification of the alternative sources utilized in those rural villages was made. It has been remarked that the mentioned Vigi?gua program is actually implanted under an incipient way in that municipality with no suitable monitoring and vigilance actions concerning to the quality of the water. The above mentioned district presents no satisfactory conditions of basic drainage, since it does not process sanitary draining, a regular collect of solid residues and presents the water supply by a distribution network restricted to the urban area. It was identified that the rural population is subject to consume water a doubtful sanitary quality. The microbiological analysis accomplished in the distribution system that supplies the seat of the municipality were according to the standards of potability legally establised, but the water quality from all alternatives sources research presented a contamination by Total Coliforms and E. coli. Therefore it is expected the map can contribute and help in the identification of the alternative sources utilized by the population to be a target of actions in the vigilance of water quality. It is necessary the intersectional articulation to the effective implement of the Vigi?gua Program in that municipality.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-03-12T18:23:36Z No. of bitstreams: 1 MarcelMirandaDeMedeirosSilva_DISSERT.pdf: 3559206 bytes, checksum: 8939b90a70f7fadf56b00c1a77dd4dd6 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-03-15T21:22:39Z (GMT) No. of bitstreams: 1 MarcelMirandaDeMedeirosSilva_DISSERT.pdf: 3559206 bytes, checksum: 8939b90a70f7fadf56b00c1a77dd4dd6 (MD5) / Made available in DSpace on 2018-03-15T21:22:39Z (GMT). No. of bitstreams: 1 MarcelMirandaDeMedeirosSilva_DISSERT.pdf: 3559206 bytes, checksum: 8939b90a70f7fadf56b00c1a77dd4dd6 (MD5) Previous issue date: 2017-08-31 / O desflorestamento tem impactado diretamente sobre a bionomia e biologia dos vetores de leishmaniose. A vigil?ncia entomol?gica, como medida preconizada pela OMS para o estabelecimento das a??es de controle e monitoramento da transmiss?o de Leishmania, requer a captura de flebotom?neos em ec?topos diferentes. Para esta finalidade, as armadilhas luminosas do tipo Center for Disease Control s?o as mais utilizadas. Adapta??es vem sendo desenvolvidas visando maior atratividade dos flebotom?neos e, consequentemente, maior n?mero de insetos capturados nas armadilhas. A percep??o de diferentes comprimentos de onda do espectro vis?vel pelo flebotom?neos ainda n?o est? completamente elucidada. O estudo pautou-se na investiga??o da fauna de flebotom?neos de uma zona de prote??o ambiental na zona norte de Natal e seu entorno, observando tamb?m a atratividade de cada esp?cie em rela??o ao espectro vis?vel emitido por tr?s l?mpadas diferentes: LED azul, LED vermelho e controle incandescente. As capturas dos flebotom?neos ocorreram durante 1 ano, com a frequ?ncia de 3 dias consecutivos por m?s, nos ec?topos de mata e peridomic?lio; Diariamente as armadilhas eram trocadas de posi??o. A fauna de flebotom?neos capturados revelou sete esp?cies divididas em cinco g?neros. O teste H? de Kruskal-Wallis revelou uma influ?ncia significante entre o espectro luminoso emitido pela l?mpada da armadilha e a abund?ncia de insetos capturados. O teste do modelo linear generalizado demonstrou uma influ?ncia significante entre os conjuntos ?rea-sexo e cor-?rea com o n?mero de flebotom?neos coletados. As armadilhas que utilizam LED azul apresentaram uma maior efic?cia na captura dos flebotom?neos, apresentando valores quase duas vezes maior que a l?mpada incandescente. As l?mpadas com tecnologia LED substituem favoravelmente a atra??o e captura das esp?cies de flebotom?neos, aumentando a efic?cia na diversidade e abund?ncia. / Deforestation has directly impacted the biology and bionomy of leishmaniasis vectors. Entomological surveillance, as a measure recommended by the WHO for the establishment of control actions and monitoring of Leishmania transmission, requires the capture of sandflies in different ecotopes. For this purpose, light traps of the Center for Disease Control type are the most commonly used. Adaptations have been developed to enhance the attractiveness of sand flies and, consequently, capture more insects in the traps. The perception of different wavelengths of the spectrum visible by sand flies is not yet fully elucidated. The study was based on the investigation of phlebotomine sand fly fauna of an environmental protection zone in the north of Natal city and its surroundings, also observing the attractiveness of each species in relation to the visible spectrum emitted by three different lamps: blue LED, red LED and glow control. Phlebotomine catches occurred for one year, with a frequency of three consecutive days per month, in forest and peridomicillary ecotopes; Traps were changed every day. The fauna of captured sand flies revealed seven species divided into five genera. The Kruskal-Wallis H' test revealed a noteworthy difference between the light spectrum emitted by the trap lamp and the abundance of captured insects. The test of the generalized linear model demonstrated a significant influence between the area-sex and color-area sets with the number of sandflies collected. Traps using blue LED showed a greater efficiency in the capture of sand flies, presenting values almost twice as great as the incandescent lamp. Lamps with LED technology favorably replace the attraction and capture of phlebotomine sandflies species, increasing the effectiveness in diversity and abundance.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-03-12T20:18:44Z No. of bitstreams: 1 LayanneCristiniMartinSousa_DISSERT.pdf: 1742028 bytes, checksum: 9edd9252e78cba594579c04e160087da (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-03-16T19:49:44Z (GMT) No. of bitstreams: 1 LayanneCristiniMartinSousa_DISSERT.pdf: 1742028 bytes, checksum: 9edd9252e78cba594579c04e160087da (MD5) / Made available in DSpace on 2018-03-16T19:49:44Z (GMT). No. of bitstreams: 1 LayanneCristiniMartinSousa_DISSERT.pdf: 1742028 bytes, checksum: 9edd9252e78cba594579c04e160087da (MD5) Previous issue date: 2017-12-20 / A Vigil?ncia em Sa?de ? caracterizada como um conjunto articulado de a??es com foco na promo??o da sa?de e preven??o de doen?as, sob a ?tica da integralidade do cuidado. O objetivo deste estudo foi analisar a Vigil?ncia em Sa?de sob a perspectiva de seus trabalhadores, utilizando uma abordagem qualitativa. Foram entrevistados 28 profissionais lotados no n?vel central da Vigil?ncia em Sa?de, dos quais 12 da secretaria de sa?de de Natal e 16 da secretaria de sa?de do Rio Grande do Norte. As entrevistas semi-estruturadas foram realizadas entre novembro e dezembro de 2016. O material produzido foi analisado a luz do referencial te?rico de Bardin, utilizando a t?cnica de An?lise de Conte?do. Emergiram da an?lise quatro categorias tem?ticas: concep??o sobre Vigil?ncia em Sa?de; articula??o intr?nseca e extr?nseca ? Vigil?ncia em Sa?de; potencialidades e desafios. Os resultados mostraram que os trabalhadores t?m uma concep??o ampliada sobre a Vigil?ncia em Sa?de, entretanto a vis?o tecnicista ainda se encontra presente. As a??es desenvolvidas por eles apresentam-se fragmentadas, tanto entre as vigil?ncias como entre estas e os servi?os de sa?de, deixando evidente a desarticula??o entre os processos cotidianos. Os trabalhadores demonstraram satisfa??o e comprometimento no exerc?cio de suas fun??es, configurando-se como potencialidades, no entanto se traduzem em caracter?sticas conflitantes diante do cen?rio de dificuldades e limita??es relatado por eles. Apontaram como desafios a serem superados: maiores investimentos no setor; valoriza??o dos profissionais e maior suporte e apoio por parte da gest?o. Observa-se, portanto, a necessidade de se imprimir novos avan?os na Vigil?ncia em Sa?de, que perpasse, necessariamente, pela redefini??o do modelo de aten??o, e que adote o planejamento coletivo de forma genu?na, a ressignifica??o de processos de trabalho e de forma??o profissional al?m de uma gest?o participativa com controle social, objetivando a efetividade de suas a??es e a integralidade do cuidado. / Health Surveillance is characterized as an articulated set of actions focused on health promotion and disease prevention, from the point of view of integral care. The objective of this study is to analyze the Health Surveillance from the perspective of its workers using a qualitative approach. A total of 28 central-level Health Surveillance professionals were interviewed, of which 12 of the Secretariat of health of Natal and 16 of the Department of health of Rio Grande do Norte. The semi-structured interviews were carried out between November and December 2016. The material produced was analyzed using the Content Analysis technique in light of the theoretical reference of Bardin. Four thematic categories emerged: conception of Surveillance in Health; intrinsic and extrinsic articulation of Health Surveillance; Health Surveillance?s potential; and, conversely, it?s challenges. The results showed that the workers have an expanded concept of Health Surveillance, although the technician?s view is still present. Consequently, their actions developed a fragmented result, both between surveillance and health services, leaving clear the disarticulation between the everyday processes. The workers demonstrated satisfaction and commitment in the performance of their duties, configuring itself as potential, however result in conflicting characteristics before the backdrop of difficulties and limitations reported by them. Pointed as challenges to be overcome: greater investment in the sector; recovery of professionals and greater support on the part of management. There is therefore the need to print new advances in health surveillance, which circulates, necessarily, by redefining the model of attention, and to adopt the collective planning of genuine form, the ressignification of work processes and training Professional plus a participatory management with social control, aiming at the effectiveness of its actions and the completeness of the care.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-07-04T11:53:11Z No. of bitstreams: 1 MayaraMariaBastosFranco_DISSERT.pdf: 2345421 bytes, checksum: cac97047a722e5ab5047a164b245b028 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-07-11T12:49:30Z (GMT) No. of bitstreams: 1 MayaraMariaBastosFranco_DISSERT.pdf: 2345421 bytes, checksum: cac97047a722e5ab5047a164b245b028 (MD5) / Made available in DSpace on 2017-07-11T12:49:30Z (GMT). No. of bitstreams: 1 MayaraMariaBastosFranco_DISSERT.pdf: 2345421 bytes, checksum: cac97047a722e5ab5047a164b245b028 (MD5) Previous issue date: 2017-03-29 / A exist?ncia de pat?genos com alto perfil de resist?ncia, colonizando a pele e mucosas de pacientes internados, elevam o risco da ocorr?ncia de infec??es graves. Deste modo as culturas de vigil?ncia s?o importantes a fim de se identificar estes microrganismos e minimizar a sua propaga??o para outros indiv?duos. Este estudo utilizou culturas de vigil?ncia para determinar o perfil de resist?ncia presente em bact?rias isoladas de 114 pacientes internados em Unidades de Terapia Intensiva (UTIs). Utilizou-se m?todos de identifica??o fenot?pica, de sensibilidade aos antibi?ticos e testes fenot?picos de indica??o de produ??o de ?-lactamases. Das amostras de Staphylococcus spp. isoladas, 89% (98/110) apresentaram resist?ncia ? Oxacilina, 39% (52/133) das enterobact?rias eram produtoras de ?-lactamase de Espectro Estendido, 57,5% (23/40) das Pseudomanoas aeruginosa eram produtoras de ?-lactamase AmpC e 80% (30/37) dos Acinetobacter spp. eram resistentes aos carbapen?micos. Dentre as vari?veis cl?nicas estudadas, encontrou-se uma associa??o estatisticamente significativa entre o uso de carbapen?micos e a coloniza??o por bact?rias resistentes aos antibacterianos mais frequentes utilizados na rotina. Estes ?ndices elevados refletem a tend?ncia epidemiol?gica atual do crescimento das bact?rias com alto padr?o de resist?ncia, tornando-se essencial a implementa??o de medidas de vigil?ncia, isolamento e racionaliza??o do uso de antibi?ticos a fim de se minimizar a dissemina??o destes pat?genos. / The existence of pathogens with high antimicrobial resistance, colonizing the skin and mucous membranes of hospitalized patients, increases the risk of serious infections. Thus surveillance cultures are important to identify these microorganisms and minimize their propagation to other individuals. This research used surveillance cultures to determine the resistance profile existent in bacteria colonizing 114 patients admitted in Intensive Care Units (ICUs) for 7 or more days. For this purpose, manual methods of phenotypic identification, antimicrobial susceptibility and phenotypic tests for the indication of ?-lactamase? production were used. From the Staphylococcus spp. isolated, 89% (98/110) were resistant to oxacillin, 39% (52/133) of Enterobacteriaceae were producers of Extended Spectrum ?-Lactamases, 57.5% (23/40) of Pseudomonas aeruginosa were producers of AmpC ?-Lactamase and 81% (30/37) of Acinetobacter spp. were resistant to carbapenems. Among the studied clinical variables, it was found a significant statistical association between the use of carbapenems and colonization by bacteria resistant to these antibiotics. These high indexes reflect the current epidemiological tendency of high resistant bacteria growth, making essential the implementation of surveillance measures, isolation and rationalization of antibiotic use to minimize the dissemination of these pathogens.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-08-01T14:46:43Z No. of bitstreams: 1 EvaEmanuelaLopesCavalcanteFeitosa_DISSERT.pdf: 1416642 bytes, checksum: 07ed51ca5827795a2f98e99bb5ed0bd6 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-08-08T14:46:47Z (GMT) No. of bitstreams: 1 EvaEmanuelaLopesCavalcanteFeitosa_DISSERT.pdf: 1416642 bytes, checksum: 07ed51ca5827795a2f98e99bb5ed0bd6 (MD5) / Made available in DSpace on 2017-08-08T14:46:47Z (GMT). No. of bitstreams: 1 EvaEmanuelaLopesCavalcanteFeitosa_DISSERT.pdf: 1416642 bytes, checksum: 07ed51ca5827795a2f98e99bb5ed0bd6 (MD5) Previous issue date: 2017-06-26 / A Vigil?ncia em Sa?de faz parte do arcabou?o das propostas do Sistema ?nico de Sa?de (SUS), contemplando as a??es da Vigil?ncia Epidemiol?gica, Vigil?ncia Sanit?ria, Vigil?ncia Ambiental e Vigil?ncia em Sa?de do Trabalhador, com foco na preven??o de doen?as e na promo??o da sa?de. Nesse sentido, esta pesquisa teve como objetivo analisar as concep??es e as pr?ticas da Vigil?ncia em Sa?de, sob a ?tica dos gestores. Trata-se de um estudo com abordagem qualitativa, realizado junto a 11 gestores, por meio de entrevistas com roteiro semiestruturado, no per?odo de outubro a dezembro de 2016. A partir do material coletado, foram constitu?dos dois corpus para an?lise. O primeiro foi submetido ao programa Iramuteq e gerou tr?s classes. O segundo corpus foi submetido ? an?lise de conte?do de Laurence Bardin e originou duas categorias tem?ticas: ?Concep??es sobre Vigil?ncia em Sa?de? e ?Pr?ticas da Vigil?ncia em Sa?de?, discutidas ? luz do referencial te?rico adotado. Os resultados demonstram que os gestores compreendem Vigil?ncia em Sa?de como um modelo indispens?vel para o SUS, al?m de apontar para a realiza??o de planejamento coletivo. Contudo, verificam-se contradi??es ao mencionarem que as a??es desenvolvidas s?o desarticuladas entre os setores e, portanto, necessitam da implanta??o de estrat?gias capazes de impactar sobre a efetividade da articula??o. H?, tamb?m, relatos de precariedade das condi??es de trabalho, de n?mero insuficiente de recursos humanos e de fragilidade no setor da sa?de do trabalhador. Com vistas a superar tais limita??es, sugere-se o engajamento de apoiadores, gestores, profissionais e controle social em torno de um amplo debate, na perspectiva de promover novos saberes e fazeres capazes de transformar o atual modelo de aten??o no tocante ? Vigil?ncia em Sa?de. / The Health Surveillance is part of the proposals framework of the Health Unique System (Sistema ?nico de Sa?de, SUS), contemplating the actions of the Epidemiological Surveillance, Sanitary Surveillance, Environmental Surveillance, Occupational Health Surveillance, focusing in disease prevention and the health promotion. This research aims to analyze conceptions and practices of the Health Surveillance, from the conceptions of the managers. For the study, we used a qualitative approach, carried out with 11 managers, from the interviews with semi-structured script, carried out during October and December 2016. From the material collected, two corpus were constituted to analysis. The first was submitted to the program Iramuteq and was generated three categories. The second corpus was submitted the analysis of the Laurence Bardin's content and was originated two thematic categories: ?Conceptions about the Health Surveillance? and ?Practices of the health in Surveillance?, discussed from the theoretical framework. The results demonstrate that the managers understand Health Surveillance as an indispensable model to SUS, in addition pointing to the realization of the collective planning. However, there are contradictions when the managers mentioning that the developed actions are disarticulated between the sectors and, thus, they need the implementation of strategies capable of the impacts about the effectiveness of the articulation. There are also, reports of precarious working conditions, insufficient human resources and fragility in the worker health sector. From this reality, it?s necessary the support of the supporters, managers, professionals and social control around a broad debate, with the perspective of promoting new knowledge and actions capable of transforming the current model of care in relation to Health Surveillance.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-09-19T21:49:20Z No. of bitstreams: 1 AngelicaTeresaNascimentoDeMedeiros_TESE.pdf: 1856140 bytes, checksum: 15ad94c9cef9e309c09e63e79f262837 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-09-22T19:32:34Z (GMT) No. of bitstreams: 1 AngelicaTeresaNascimentoDeMedeiros_TESE.pdf: 1856140 bytes, checksum: 15ad94c9cef9e309c09e63e79f262837 (MD5) / Made available in DSpace on 2017-09-22T19:32:34Z (GMT). No. of bitstreams: 1 AngelicaTeresaNascimentoDeMedeiros_TESE.pdf: 1856140 bytes, checksum: 15ad94c9cef9e309c09e63e79f262837 (MD5) Previous issue date: 2017-03-17 / A coqueluche, doen?a infectocontagiosa, atualmente vem apresentando um perfil reemergente. Fatores como diminui??o da imunidade, anos ap?s a vacina??o, mudan?as no gen?tipo da bact?ria e maior susceptibilidade entre jovens e adultos s?o considerados como contribuintes para o aumento da taxa da incid?ncia da doen?a. Assim, esse estudo teve como objetivos verificar a distribui??o espacial dos casos confirmados de coqueluche entre o per?odo de 2007 a 2015; identificar o comportamento da s?rie hist?rica da taxa de incid?ncia da coqueluche durante o per?odo de 2001 a 2015 no Brasil e verificar a associa??o da vacina contra coqueluche e a ocorr?ncia da doen?a no estado do Rio Grande do Norte. Dessa forma, o caminho metodol?gico da pesquisa foi dividido em tr?s partes. A an?lise da distribui??o espacial considerou como unidade de an?lise as 482 Regi?es Imediatas de Articula??o Urbana e utilizou o software Terraview para constru??o dos mapas tem?ticos. Para se verificar a tend?ncia da s?rie optamos por utilizar o ajuste de uma fun??o polinomial no tempo, utilizando-se assim modelos de regress?o polinomial. Em rela??o a associa??o foi estabelecido como crit?rio de inclus?o a confirma??o do caso de acordo com os crit?rios estabelecidos pelo Minist?rio da Sa?de, sendo exclu?dos aqueles cujas fichas n?o encontravam-se devidamente preenchidas ou que estivessem com algum tipo de d?vida que comprometesse a coleta dos dados. Os resultados demonstraram que a doen?a apresentou uma distribui??o espacial democr?tica em todo territ?rio nacional, formando pequenos clusters com altas taxas de incid?ncia nas regi?es de articula??o urbana presentes nas regi?es sul e sudeste. Identificamos tamb?m que houve, na s?rie hist?rica, uma tend?ncia crescente da doen?a ao longo de 15 anos. E por fim, os resultados apontam que independentemente do estado vacinal os indiv?duos est?o adoecendo por coqueluche, o que n?o gerou evid?ncia cient?fica suficiente para medir a efetividade da vacina. Os achados sugerem que aspectos relacionados a vacina??o precisam ser melhor investigados para que se possa garantir o controle da doen?a. ? necess?rio tamb?m que ocorram melhorias nas a??es de vigil?ncia, o que pode garantir uma representa??o epidemiol?gica fidedigna da doen?a. / Pertussis, an infectious-contagious disease, is currently presenting a reemerging profile. Factors such as decreased immunity years after vaccination, changes in the genotype of the bacteria and increased susceptibility among young and adults are considered to have contributed to increase the disease incidence rate. Therefore, this study aimed to verify the spatial distribution of confirmed pertussis cases between 2007 and 2015; to identify the patterns in the time-series of pertussis incidence rates during the period 2001 to 2015 in Brazil and to verify the association of pertussis vaccine with the occurrence of the disease in the state of Rio Grande do Norte. Thus, the methodological path of the research was divided into three parts. The analysis of the spatial distribution considered the 482 Regions Immediate Urban Articulation as unit of analysis and used the Terraview software to construct the thematic maps. In order to verify the trend in the series we chose to use the adjustment of a polynomial function in time, using polynomial regression models. Regarding the association, the confirmation of the case was established as inclusion criteria in accordance with the criteria established by the Ministry of Health, being excluded those files that were not properly filled or had any uncertainties that could compromise the data collection. The results suggests that the disease has a democratic spatial distribution throughout the country, forming small clusters with high incidence rates in the urban articulation present in the South and Southeast regions. It was also identified in the time-series an increasing tendency of the disease over a period of 15 years. Finally, the results indicate that regardless of vaccination status individuals are being infected with pertussis, which did not generate enough scientific evidence to measure the effectiveness of the vaccine. The findings suggest that aspects related to vaccination need further investigation in order to guarantee disease control. There is also a need for improvements in surveillance actions, which can ensure a reliable epidemiological representation of the disease.