The role of health surveillance in the face of self-medication in the context of Covid-19: A literature reviewha

Fernanda Abrantes de Oliveira, Ingrid Emanuelly Nogueira Ramalho, Marla Rodrigues Sarmento, Letícia Gabriel Furtado de Abrantes, Danielle Rocha Silva
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Abstract

The politicization of the disease led to misinformation and the use of unproven treatments, such as the “COVID Kit”. The National Health Surveillance Agency (ANVISA) took important measures, including management and planning, health risk control, regulation, monitoring of suspected and confirmed cases, as well as information, communication and health education. Therefore, the general objective of this research is to demonstrate how the National Health Surveillance Agency (ANVISA) acted in the face of self-medication in the context of COVID-19. To this end, a literature review was carried out over the last five years on self-medication, pandemics, health surveillance, using databases such as PubMed, Google Scholar, Scientific Electronic Library Online (SciELO), Manuals from the Ministry of Health and the World Health Organization Inclusion criteria were adopted, such as articles published in Portuguese or English, primary studies and literature reviews, while studies that did not meet the general objective of the work and publications prior to 2019 were excluded. Regarding the results, ANVISA played an important role in the control and regulation of medicines during the pandemic, classifying chloroquine as a special control medicine and carrying out more than 30 thousand inspections to ensure compliance with clinical protocols to combat the disease. Finally, the pandemic brought challenges for health surveillance professionals, in order to contain the spread of the coronavirus, especially regarding the inappropriate use of medicines and other products subject to health assessment.
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面对 Covid-19 中的自我药疗,健康监测的作用:文献综述ha
疾病的政治化导致了错误信息和未经证实的治疗方法的使用,如 "COVID Kit"。国家卫生监督局(ANVISA)采取了重要措施,包括管理和规划、健康风险控制、监管、疑似病例和确诊病例监测,以及信息、沟通和健康教育。因此,本研究的总体目标是展示国家卫生监督局(ANVISA)在 COVID-19 的背景下是如何面对自我药疗的。为此,我们利用 PubMed、Google Scholar、科学电子图书馆在线(SciELO)、卫生部手册和世界卫生组织手册等数据库,对过去五年中有关自我药疗、流行病、卫生监督的文献进行了审查,并采用了纳入标准,如以葡萄牙语或英语发表的文章、主要研究和文献综述,同时排除了不符合工作总体目标的研究和 2019 年之前的出版物。研究结果表明,大流行期间,国家卫生监督局在药品控制和监管方面发挥了重要作用,将氯喹列为特别控制药品,并开展了3万多次检查,以确保抗击疾病的临床方案得到遵守。最后,大流行病给卫生监督专业人员带来了挑战,以遏制冠状病毒的传播,特别是在不当使用药品和其他需要进行卫生评估的产品方面。
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