Manual - Oficina 1

Brasília–DF•2018 MINISTÉRIO DA SAÚDE DIST Secretaria de Vigilância em Saúde A Departamento de Vigilância das Doenças Transmissíveis EpiSUS-Fundamental Guia do Treinando Oficina 1 2a edição VENDRIBAUIGPÇRÃROATOUIITBIDA

2018 Ministério da Saúde. Esta obra é disponibilizada nos termos da Licença Creative Commons – Atribuição – Não Comercial – Compartilhamento pela mesma licença 4.0 Internacional. É permitida a reprodução parcial ou total desta obra, desde que citada a fonte. A coleção institucional do Ministério da Saúde pode ser acessada, na íntegra, na Biblioteca Virtual em Saúde do Ministério da Saúde: <www.saude.gov.br/bvs>. Tiragem: 2ª edição – 2018 – 1.000 exemplares Elaboração, distribuição e informações: MINISTÉRIO DA SAÚDE Secretaria de Vigilância em Saúde Departamento de Vigilância das Doenças Transmissíveis SRTVN, quadra 701, via W5 Norte, lote D, Edifício PO 700, 6º andar CEP: 70719-040 – Brasília/DF Tel.: (61) 3315-3191 Departamento de Saúde e Serviços Humanos dos EUA Centros de Controle e Prevenção de Doenças Centro para a Saúde Global Divisão de Proteção de Saúde Global Núcleo do Programa de Formação na Área da Epidemiologia Coordenação-Geral de Vigilância e Resposta às Emergências em Saúde Pública Unidade Técnica do Programa de Treinamento em Epidemiologia Aplicada aos Serviços do SUS Design instrucional: Denise Traicoff Conteúdo técnico: Richard C. Dicker Tradução e adaptação para o Brasil: EPISUS/CGVR/Devit/SVS/MS Dalva Maria de Assis Graziela Alvarez Corrêa da Costa Greice Madeleine Ikeda do Carmo Leila del Castillo Saad Marcos Vinicius de Barros Pinheiro Priscila Bochi de Souza Revisão técnica: Dalva Maria de Assis Deise Aparecida dos Santos Márcia Regina de Andrade Nathalie Mendes Estima Priscila Bochi de Souza Rafaela Gomes Andrade Tânia Portella Costa Projeto gráfico: Núcleo de Comunicação/SVS Diagramação: Fred Lobo, Sabrina Lopes – Núcleo de Comunicação/SVS Capa: CGVR/SVS Normalização: Editora MS/CGDI Impresso no Brasil /Printed in Brazil Ficha Catalográfica Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. EpiSUS-Fundamental : guia do treinando : oficina 1 / Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Vigilância das Doenças Transmissíveis. – 2. ed. – Brasília : Ministério da Saúde, 2018. 172 p. : il. ISBN 978-85-334-2636-8 1. Curso de treinamento. 2. Capacitação. 3. Epidemiologia. 4. Saúde pública. I. Título. CDU 616-036.22(07) Catalogação na fonte – Coordenação-Geral de Documentação e Informação – Editora MS – OS 2018/0440 Título para indexação: Fundamental-Episus: participant guide: workshop 1

1. Sumário O Programa Episus-Fundamental...................................................................................................5 Material de consulta.......................................................................................................................6 Aula 1 – Introdução ao EpiSUS-Fundamental.................................................................................7 Aula 2 – Introdução a Vigilância em Saúde..................................................................................15 Aula 3 – Notificação e Coleta de Dados........................................................................................20 Aula 4 – Definição de Caso e Lista de Casos.................................................................................27 Aula 5 – Qualidade dos dados e os Sistemas de Informação em Saúde......................................40 Aula 6 – Vigilância em Saúde: Análises descritivas......................................................................54 Aula 7 – Organização, Interpretação e Apresentação dos Dados.................................................76 Aula 8 –Comunicação e Ação.....................................................................................................104 Aula 9 –Monitoramento e Avaliação..........................................................................................112 Aula10 – Conclusão: Da Aprendizagem à Prática Diária.............................................................117 Aula 11 (EXTRA) – As Emergências de Saúde Pública e o Regulamento Sanitário Internacional124

O Programa Episus-Fundamental A detecção eficaz de doença, inves gação, controle e prevenção, requerem um grupo de trabalho em saúde pública, capacitado e treinado nos princípios e prá ca na área da epidemiologia. O EpiSUS em seu modulo de formação de nível fundamental (EpiSUS-Fundamental), é um programa de três meses de formação con nua que se concentra na detecção e resposta a doenças ou eventos de importância para a saúde pública no âmbito nacional e internacional. Obje vos do Programa Aumentar os conhecimentos e capacidades dos profissionais de saúde para construírem capacidade epidemiológica (incluindo o reforço da vigilância em saúde pública e promovendo a u lização dos dados na tomada de decisão) a nível local. O EpiSUS-Fundamental visa beneficiar o sistema de saúde pública do país, treinando profissionais que possam: • Compreender o papel e a u lidade dos dados para os profissionais que atuam na saúde pública para o monitoramento e disponibilização de informações para direcionar as à tomada de decisões; • Realizar coleta de dados da vigilância com qualidade para a análise, interpretação e comunicação; • Melhorar a qualidade e a u lização dos dados de vigilância relacionada aos agravos sob vigilância e para apoiar na detecção de surtos; • Melhorar a comunicação e divulgação das informações em saúde; • Melhorar a resposta, incluindo inves gação de casos e surtos, de eventos de interesse de saúde pública. Público-alvo Profissionais que atuam em saúde pública a nível local com a vidades relacionadas à coleta de dados de vigilância, monitoramento, análise e resposta. Este programa des na-se a profissionais que são responsáveis por: • Coletar e recompilar dados sobre doenças a par r de unidades de saúde em uma área geográfica delimitada; • No ficar agravos aos níveis superiores do sistema de saúde pública. Oficina 1 - Obje vos Quando os par cipantes terminarem esta oficina, serão capazes de: • Reconhecer a importância da coleta regular e resumo/análise dos dados de vigilância, para monitorizar as condições de saúde da população e fornecer informações para a tomada de decisões; • Coletar e analisar dados básicos; • Levar a cabo análise de dados descri vos/epidemiologia descri va • Escrever um relatório breve com os resultados destas análises dos dados. A seguir, apresentamos o material com as aulas da primeira oficina. 5

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Material de consulta 1 VIGILÂNCIA EM SAÚDE PÚBLICA – Volume 07 Waldman, Eliseu Alves Vigilância em Saúde Pública, volume 7 / Eliseu Alves Waldman; colaboração de Tereza Etsuko da Costa Rosa. – – São Paulo: Faculdade de Saúde Pública da Universidade de São Paulo, 1998. – – (Série Saúde & Cidadania) h p://www6.ensp.fiocruz.br/visa/files/Volume07.pdf 2 PRINCIPIOS DE EPIDEMIOLOGIA Centers for Disease Control and Preven on (CDC) “Principios of Epidemiology, 3rd Edi on, An Introduc on to Applied Epidemiology and Biosta s cs, 2006. – Versão em ingles: pdf: h p://www.cdc.gov/ophss/csels/dsepd/ss1978/ss1978.pdf html: h p://www.cdc.gov/ophss/csels/dsepd/ss1978/ 3. EPIDEMIOLOGIA BÁSICA - OMS R. Bonita, R. Beaglehole, T. Kjellström; Epidemiologia Básica [tradução e revisão cien fica Juraci A. Cesar]. - 2.ed. - São Paulo, Santos. 2010 h p://apps.who.int/iris/bitstream/10665/43541/5/9788572888394_por.pdf 4. GUIA DE VIGILANCIA EM SAÚDE – 1ª. Edição atual Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Coordenação-Geral de Desenvolvimento da Epidemiologia em Serviços. Guia de Vigilância em Saúde: [recurso eletrônico] / Ministério da Saúde, Secretaria de Vigilância em Saúde, Coordenação Geral de Desenvolvimento da Epidemiologia e Serviços. – 1. ed. atual. – Brasília: Ministério da Saúde, 2016. 773 p. h p://portalarquivos.saude.gov.br/images/pdf/2016/setembro/22/GVS-online.pdf 5. REGULAMENTO SANITÁRIO INTERNACIONAL (2005) Organização Mundial da Saúde. Regulamento Sanitário Internacional (2005), 2a ed. Genebra: Organização Mundial da Saúde, 2008. Versão em português aprovada pelo Congresso Nacional por meio do Decreto Legisla vo 395/2009 publicado no DOU de 10/07/09, pág.11 h p://www.anvisa.gov.br/hotsite/viajante/Regulamento_Sanitario_Internacional_vers%C3%A3o %20para%20impress%C3%A3o.pdf 6. EPISUS – “ALÉM DAS FRONTEIRAS” Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Coordenação-Geral de Desenvolvimento da Epidemiologia em Serviços. h ps://www.researchgate.net/profile/Alessandro_Romano3/publica on/308903337_EpiSUS_- _Alem_das_Fronteiras_Contribuindo_para_o_Fortalecimento_da_Epidemiologia_Aplicada_aos_Servic os_do_SUS/links/57f673ab08ae8da3ce576fc4.pdf?origin=publica on_detail 7. GUIA PRATICO DE CAMPO – EPISUS - Material interno do EpiSUS 7

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Aula 4 – De inição de Caso e Lista de Casos ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 28

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Aula 5 – Qualidade dos dados e os Sistemas de Informação em Saúde ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 41

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