MÁRIO ANDRÉ MACEDO

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Os três problemas da

saúde neste inverno

As dificuldades que o SNS e todo o sistema de saúde português estão a enfrentar neste inverno devem-se em muito à conjugação de uma causa conjuntural com três problemas estruturais: circulação de vírus; carência de recursos humanos; e fraca capacidade de planeamento e gestão da mudança.

𝘈 𝘮𝘶𝘥𝘢𝘯𝘤̧𝘢 𝘴𝘰́ 𝘤𝘰𝘳𝘳𝘦 𝘣𝘦𝘮 𝘦 𝘦́ 𝘦𝘧𝘦𝘵𝘪𝘷𝘢 𝘴𝘦 𝘧𝘰𝘳 𝘧𝘦𝘪𝘵𝘢 𝘤𝘰𝘮 𝘰𝘴 𝘵𝘳𝘢𝘣𝘢𝘭𝘩𝘢𝘥𝘰𝘳𝘦𝘴 𝘦 𝘥𝘦𝘮𝘢𝘪𝘴 𝘱𝘢𝘳𝘵𝘦𝘴 𝘪𝘯𝘵𝘦𝘳𝘦𝘴𝘴𝘢𝘥𝘢𝘴. 𝘌 𝘵𝘰𝘥𝘰𝘴 𝘲𝘶𝘦𝘳𝘦𝘮𝘰𝘴 𝘶𝘮 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰 𝘱𝘶́𝘣𝘭𝘪𝘤𝘰 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘲𝘶𝘦 𝘨𝘢𝘳𝘢𝘯𝘵𝘢 𝘰 𝘢𝘤𝘦𝘴𝘴𝘰 𝘶𝘯𝘪𝘷𝘦𝘳𝘴𝘢𝘭 𝘢 𝘤𝘶𝘪𝘥𝘢𝘥𝘰𝘴 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘥𝘦 𝘲𝘶𝘢𝘭𝘪𝘥𝘢𝘥𝘦!

𝘈𝘴 𝘥𝘪𝘧𝘪𝘤𝘶𝘭𝘥𝘢𝘥𝘦𝘴 𝘲𝘶𝘦 𝘰 𝘚𝘦𝘳𝘷𝘪𝘤̧𝘰 𝘕𝘢𝘤𝘪𝘰𝘯𝘢𝘭 𝘥𝘦 𝘚𝘢𝘶́𝘥𝘦 (𝘚𝘕𝘚) 𝘦 𝘵𝘰𝘥𝘰 𝘰 𝘴𝘪𝘴𝘵𝘦𝘮𝘢 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘱𝘰𝘳𝘵𝘶𝘨𝘶𝘦̂𝘴 𝘦𝘴𝘵𝘢̃𝘰 𝘢 𝘦𝘯𝘧𝘳𝘦𝘯𝘵𝘢𝘳 𝘯𝘦𝘴𝘵𝘦 𝘪𝘯𝘷𝘦𝘳𝘯𝘰 𝘥𝘦𝘷𝘦𝘮-𝘴𝘦 𝘦𝘮 𝘮𝘶𝘪𝘵𝘰 𝘢̀ 𝘤𝘰𝘯𝘫𝘶𝘨𝘢𝘤̧𝘢̃𝘰 𝘥𝘦 𝘶𝘮𝘢 𝘤𝘢𝘶𝘴𝘢 𝘤𝘰𝘯𝘫𝘶𝘯𝘵𝘶𝘳𝘢𝘭 𝘤𝘰𝘮 𝘵𝘳𝘦̂𝘴 𝘱𝘳𝘰𝘣𝘭𝘦𝘮𝘢𝘴 𝘦𝘴𝘵𝘳𝘶𝘵𝘶𝘳𝘢𝘪𝘴: 𝘤𝘪𝘳𝘤𝘶𝘭𝘢𝘤̧𝘢̃𝘰 𝘥𝘦 𝘷𝘪́𝘳𝘶𝘴 𝘲𝘶𝘦, 𝘢𝘱𝘦𝘴𝘢𝘳 𝘥𝘦 𝘧𝘳𝘦𝘲𝘶𝘦𝘯𝘵𝘦𝘴 𝘯𝘦𝘴𝘵𝘢 𝘦́𝘱𝘰𝘤𝘢 𝘥𝘰 𝘢𝘯𝘰, 𝘢𝘱𝘳𝘦𝘴𝘦𝘯𝘵𝘢𝘮 𝘮𝘢𝘪𝘰𝘳 𝘵𝘳𝘢𝘯𝘴𝘮𝘪𝘴𝘴𝘪𝘣𝘪𝘭𝘪𝘥𝘢𝘥𝘦 𝘦 𝘢𝘨𝘳𝘦𝘴𝘴𝘪𝘷𝘪𝘥𝘢𝘥𝘦; 𝘤𝘢𝘳𝘦̂𝘯𝘤𝘪𝘢 𝘥𝘦 𝘳𝘦𝘤𝘶𝘳𝘴𝘰𝘴 𝘩𝘶𝘮𝘢𝘯𝘰𝘴; 𝘦 𝘧𝘳𝘢𝘤𝘢 𝘤𝘢𝘱𝘢𝘤𝘪𝘥𝘢𝘥𝘦 𝘥𝘦 𝘱𝘭𝘢𝘯𝘦𝘢𝘮𝘦𝘯𝘵𝘰 𝘦 𝘨𝘦𝘴𝘵𝘢̃𝘰 𝘥𝘢 𝘮𝘶𝘥𝘢𝘯𝘤̧𝘢.

𝘈𝘴𝘴𝘪𝘮 𝘴𝘦 𝘦𝘹𝘱𝘭𝘪𝘤𝘢 𝘢 𝘴𝘪𝘵𝘶𝘢𝘤̧𝘢̃𝘰 𝘲𝘶𝘦 𝘰𝘣𝘴𝘦𝘳𝘷𝘢𝘮𝘰𝘴 𝘯𝘢𝘴 𝘶𝘳𝘨𝘦̂𝘯𝘤𝘪𝘢𝘴 𝘦 𝘢 𝘤𝘰𝘯𝘴𝘦𝘲𝘶𝘦𝘯𝘵𝘦 𝘱𝘳𝘦𝘴𝘴𝘢̃𝘰 𝘴𝘦𝘯𝘵𝘪𝘥𝘢 𝘱𝘦𝘭𝘰𝘴 𝘳𝘦𝘴𝘵𝘢𝘯𝘵𝘦𝘴 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰𝘴, 𝘱𝘶́𝘣𝘭𝘪𝘤𝘰𝘴 𝘦 𝘱𝘳𝘪𝘷𝘢𝘥𝘰𝘴.

𝘈 𝘢𝘵𝘪𝘷𝘪𝘥𝘢𝘥𝘦 𝘷𝘪𝘳𝘢𝘭 𝘦𝘯𝘤𝘰𝘯𝘵𝘳𝘢-𝘴𝘦 𝘦𝘮 𝘯𝘪́𝘷𝘦𝘪𝘴 𝘦𝘭𝘦𝘷𝘢𝘥𝘰𝘴. 𝘖 𝘮𝘪𝘯𝘪𝘴𝘵𝘳𝘰 𝘥𝘢 𝘚𝘢𝘶́𝘥𝘦 𝘢𝘧𝘪𝘳𝘮𝘰𝘶, 𝘢 𝟪 𝘫𝘢𝘯𝘦𝘪𝘳𝘰, 𝘲𝘶𝘦 𝘰 𝘱𝘪𝘤𝘰 𝘥𝘢 𝘪𝘯𝘧𝘭𝘶𝘦𝘯𝘻𝘢 𝘰𝘶 𝘫𝘢́ 𝘵𝘪𝘯𝘩𝘢 𝘴𝘪𝘥𝘰 𝘢𝘵𝘪𝘯𝘨𝘪𝘥𝘰 𝘰𝘶 𝘦𝘴𝘵𝘢𝘳𝘪𝘢 𝘱𝘢𝘳𝘢 𝘣𝘳𝘦𝘷𝘦. 𝘌́ 𝘱𝘳𝘰𝘷𝘢́𝘷𝘦𝘭 𝘲𝘶𝘦 𝘵𝘦𝘯𝘩𝘢 𝘳𝘢𝘻𝘢̃𝘰. 𝘕𝘰 𝘦𝘯𝘵𝘢𝘯𝘵𝘰, 𝘵𝘢𝘭 𝘯𝘢̃𝘰 𝘴𝘪𝘨𝘯𝘪𝘧𝘪𝘤𝘢 𝘰 𝘧𝘪𝘮 𝘪𝘯𝘴𝘵𝘢𝘯𝘵𝘢̂𝘯𝘦𝘰 𝘥𝘰𝘴 𝘱𝘳𝘰𝘣𝘭𝘦𝘮𝘢𝘴, 𝘱𝘰𝘪𝘴, 𝘢𝘱𝘦𝘴𝘢𝘳 𝘥𝘦 𝘢 𝘤𝘶𝘳𝘷𝘢 𝘥𝘦 𝘪𝘯𝘧𝘦𝘤̧𝘰̃𝘦𝘴 𝘦𝘯𝘵𝘳𝘢𝘳 𝘦𝘮 𝘧𝘢𝘴𝘦 𝘥𝘦𝘴𝘤𝘦𝘯𝘥𝘦𝘯𝘵𝘦, 𝘤𝘰𝘯𝘵𝘪𝘯𝘶𝘢𝘳𝘢́ 𝘢 𝘱𝘳𝘰𝘷𝘰𝘤𝘢𝘳 𝘥𝘢𝘯𝘰 𝘯𝘰𝘴 𝘮𝘢𝘪𝘴 𝘷𝘶𝘭𝘯𝘦𝘳𝘢́𝘷𝘦𝘪𝘴 𝘦 𝘱𝘳𝘦𝘴𝘴𝘢̃𝘰 𝘯𝘰𝘴 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰𝘴 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘢𝘵𝘦́ 𝘲𝘶𝘦 𝘢 𝘧𝘢𝘴𝘦 𝘦𝘱𝘪𝘥𝘦́𝘮𝘪𝘤𝘢 𝘴𝘦𝘫𝘢 𝘶𝘭𝘵𝘳𝘢𝘱𝘢𝘴𝘴𝘢𝘥𝘢.

𝘈𝘰 𝘷𝘪́𝘳𝘶𝘴 𝘥𝘢 𝘪𝘯𝘧𝘭𝘶𝘦𝘯𝘻𝘢, 𝘲𝘶𝘦 𝘦𝘴𝘵𝘢́ 𝘢 𝘱𝘳𝘰𝘷𝘰𝘤𝘢𝘳 𝘮𝘢𝘪𝘴 𝘤𝘢𝘴𝘰𝘴 𝘥𝘦 𝘨𝘳𝘪𝘱𝘦 𝘲𝘶𝘦 𝘥𝘰 𝘲𝘶𝘦 𝘰 𝘦𝘴𝘱𝘦𝘳𝘢𝘥𝘰, 𝘫𝘶𝘯𝘵𝘢𝘮-𝘴𝘦 𝘢 𝘊𝘰𝘷𝘪𝘥-𝟣𝟫, 𝘤𝘰𝘮 𝘤𝘦𝘳𝘤𝘢 𝘥𝘦 𝘮𝘪𝘭 𝘤𝘢𝘴𝘰𝘴 𝘱𝘰𝘳 𝘥𝘪𝘢, 𝘦 𝘰 𝘷𝘪́𝘳𝘶𝘴 𝘴𝘪𝘯𝘤𝘪𝘤𝘪𝘢𝘭 𝘳𝘦𝘴𝘱𝘪𝘳𝘢𝘵𝘰́𝘳𝘪𝘰 𝘲𝘶𝘦, 𝘥𝘦𝘱𝘰𝘪𝘴 𝘥𝘦 𝘵𝘦𝘳 𝘤𝘢𝘶𝘴𝘢𝘥𝘰 𝘶𝘮 𝘦𝘯𝘰𝘳𝘮𝘦 𝘱𝘪𝘤𝘰 𝘯𝘢 𝘪𝘥𝘢𝘥𝘦 𝘱𝘦𝘥𝘪𝘢́𝘵𝘳𝘪𝘤𝘢, 𝘢𝘵𝘪𝘯𝘨𝘦 𝘢𝘨𝘰𝘳𝘢 𝘰𝘴 𝘮𝘢𝘪𝘴 𝘪𝘥𝘰𝘴𝘰𝘴. 𝘈𝘪𝘯𝘥𝘢 𝘵𝘦𝘳𝘦𝘮𝘰𝘴 𝘥𝘦 𝘢𝘨𝘶𝘢𝘳𝘥𝘢𝘳 𝘢𝘭𝘨𝘶𝘮𝘢𝘴 𝘴𝘦𝘮𝘢𝘯𝘢𝘴 𝘱𝘢𝘳𝘢 𝘢𝘴𝘴𝘪𝘴𝘵𝘪𝘳 𝘢 𝘶𝘮𝘢 𝘥𝘪𝘮𝘪𝘯𝘶𝘪𝘤̧𝘢̃𝘰 𝘳𝘦𝘭𝘦𝘷𝘢𝘯𝘵𝘦 𝘥𝘢 𝘥𝘰𝘦𝘯𝘤̧𝘢 𝘳𝘦𝘴𝘱𝘪𝘳𝘢𝘵𝘰́𝘳𝘪𝘢.

𝘈 𝘤𝘢𝘳𝘦̂𝘯𝘤𝘪𝘢 𝘥𝘦 𝘳𝘦𝘤𝘶𝘳𝘴𝘰𝘴 𝘩𝘶𝘮𝘢𝘯𝘰𝘴 𝘧𝘰𝘪 𝘯𝘰𝘵𝘪́𝘤𝘪𝘢 𝘥𝘶𝘳𝘢𝘯𝘵𝘦 𝘵𝘰𝘥𝘰 𝘰 𝘢𝘯𝘰 𝘥𝘦 𝟤𝟢𝟤𝟥. 𝘈𝘴 𝘶𝘳𝘨𝘦̂𝘯𝘤𝘪𝘢𝘴 𝘯𝘦𝘤𝘦𝘴𝘴𝘪𝘵𝘢𝘮 𝘥𝘦 𝘮𝘢𝘪𝘴 𝘮𝘦́𝘥𝘪𝘤𝘰𝘴 𝘦𝘴𝘱𝘦𝘤𝘪𝘢𝘭𝘪𝘴𝘵𝘢𝘴, 𝘲𝘶𝘦 𝘴𝘢̃𝘰 𝘦𝘴𝘤𝘢𝘴𝘴𝘰𝘴 𝘦 𝘴𝘦 𝘵𝘦̂𝘮 𝘢𝘧𝘢𝘴𝘵𝘢𝘥𝘰 𝘥𝘰 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰 𝘱𝘶́𝘣𝘭𝘪𝘤𝘰, 𝘥𝘦𝘷𝘪𝘥𝘰 𝘢𝘰𝘴 𝘣𝘢𝘪𝘹𝘰𝘴 𝘴𝘢𝘭𝘢́𝘳𝘪𝘰𝘴 𝘱𝘳𝘢𝘵𝘪𝘤𝘢𝘥𝘰𝘴, 𝘦 𝘢𝘰 𝘷𝘰𝘭𝘶𝘮𝘦 𝘥𝘦 𝘵𝘳𝘢𝘣𝘢𝘭𝘩𝘰 𝘦𝘹𝘤𝘦𝘴𝘴𝘪𝘷𝘰. 𝘍𝘢𝘭𝘵𝘢 𝘪𝘯𝘷𝘦𝘴𝘵𝘪𝘮𝘦𝘯𝘵𝘰 𝘯𝘢 𝘧𝘰𝘳𝘮𝘢𝘤̧𝘢̃𝘰 𝘥𝘰𝘴 𝘯𝘰𝘷𝘰𝘴 𝘦𝘴𝘱𝘦𝘤𝘪𝘢𝘭𝘪𝘴𝘵𝘢𝘴 𝘦 𝘯𝘢 𝘤𝘳𝘪𝘢𝘤̧𝘢̃𝘰 𝘥𝘦 𝘤𝘰𝘯𝘥𝘪𝘤̧𝘰̃𝘦𝘴 𝘱𝘢𝘳𝘢 𝘳𝘦𝘵𝘦𝘳 𝘯𝘰 𝘚𝘕𝘚 𝘰𝘴 𝘦𝘴𝘱𝘦𝘤𝘪𝘢𝘭𝘪𝘴𝘵𝘢𝘴 𝘮𝘢𝘪𝘴 𝘷𝘦𝘭𝘩𝘰𝘴, 𝘤𝘶𝘫𝘢 𝘦𝘹𝘱𝘦𝘳𝘪𝘦̂𝘯𝘤𝘪𝘢 𝘦́ 𝘧𝘶𝘯𝘥𝘢𝘮𝘦𝘯𝘵𝘢𝘭 𝘱𝘢𝘳𝘢 𝘢𝘴𝘴𝘦𝘨𝘶𝘳𝘢𝘳 𝘧𝘰𝘳𝘮𝘢𝘤̧𝘢̃𝘰, 𝘦 𝘢𝘵𝘳𝘢𝘪𝘳 𝘰𝘴 𝘮𝘢𝘪𝘴 𝘯𝘰𝘷𝘰𝘴.

𝘍𝘰𝘳𝘮𝘢𝘮𝘰𝘴 𝘱𝘰𝘶𝘤𝘰 𝘦 𝘢𝘧𝘢𝘴𝘵𝘢𝘮𝘰𝘴 𝘰𝘴 𝘳𝘦𝘤𝘦́𝘮-𝘦𝘴𝘱𝘦𝘤𝘪𝘢𝘭𝘪𝘴𝘵𝘢𝘴, 𝘲𝘶𝘦 𝘴𝘢̃𝘰 𝘢 𝘣𝘢𝘴𝘦 𝘥𝘦 𝘲𝘶𝘢𝘭𝘲𝘶𝘦𝘳 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰 𝘥𝘦 𝘶𝘳𝘨𝘦̂𝘯𝘤𝘪𝘢. 𝘌́ 𝘶𝘮𝘢 𝘢𝘱𝘰𝘴𝘵𝘢 𝘵𝘰𝘵𝘢𝘭𝘮𝘦𝘯𝘵𝘦 𝘪𝘳𝘳𝘢𝘤𝘪𝘰𝘯𝘢𝘭!

𝘈𝘪𝘯𝘥𝘢 𝘯𝘰 𝘤𝘢𝘱𝘪́𝘵𝘶𝘭𝘰 𝘥𝘰𝘴 𝘳𝘦𝘤𝘶𝘳𝘴𝘰𝘴 𝘩𝘶𝘮𝘢𝘯𝘰𝘴, 𝘢𝘭𝘦́𝘮 𝘥𝘢 𝘴𝘶𝘢 𝘤𝘢𝘳𝘦̂𝘯𝘤𝘪𝘢, 𝘵𝘢𝘮𝘣𝘦́𝘮 𝘵𝘦𝘮𝘰𝘴 𝘰𝘶𝘵𝘳𝘰 𝘱𝘳𝘰𝘣𝘭𝘦𝘮𝘢, 𝘲𝘶𝘦 𝘯𝘢̃𝘰 𝘮𝘦 𝘤𝘢𝘯𝘴𝘰 𝘥𝘦 𝘥𝘦𝘯𝘶𝘯𝘤𝘪𝘢𝘳. 𝘈𝘴 𝘵𝘢𝘳𝘦𝘧𝘢𝘴 𝘦 𝘳𝘦𝘴𝘱𝘰𝘯𝘴𝘢𝘣𝘪𝘭𝘪𝘥𝘢𝘥𝘦𝘴 𝘥𝘰𝘴 𝘱𝘳𝘰𝘧𝘪𝘴𝘴𝘪𝘰𝘯𝘢𝘪𝘴 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘳𝘦𝘧𝘭𝘦𝘵𝘦𝘮 𝘶𝘮𝘢 𝘳𝘦𝘭𝘢𝘤̧𝘢̃𝘰 𝘥𝘦 𝘱𝘰𝘥𝘦𝘳 𝘥𝘦𝘮𝘢𝘴𝘪𝘢𝘥𝘰 𝘩𝘪𝘦𝘳𝘢́𝘳𝘲𝘶𝘪𝘤𝘢 𝘦 𝘣𝘶𝘳𝘰𝘤𝘳𝘢́𝘵𝘪𝘤𝘢 𝘦 𝘰𝘱𝘦𝘳𝘢𝘮 𝘯𝘶𝘮 𝘱𝘢𝘳𝘢𝘥𝘪𝘨𝘮𝘢 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘰𝘣𝘴𝘰𝘭𝘦𝘵𝘰 𝘦 𝘤𝘦𝘯𝘵𝘳𝘢𝘥𝘰 𝘯𝘢𝘴 𝘤𝘰𝘳𝘱𝘰𝘳𝘢𝘤̧𝘰̃𝘦𝘴, 𝘢𝘰 𝘪𝘯𝘷𝘦́𝘴 𝘥𝘰 𝘤𝘪𝘥𝘢𝘥𝘢̃𝘰. 𝘗𝘢𝘪́𝘴𝘦𝘴 𝘰𝘯𝘥𝘦, 𝘥𝘦 𝘢𝘤𝘰𝘳𝘥𝘰 𝘤𝘰𝘮 𝘢 𝘴𝘶𝘢 𝘧𝘰𝘳𝘮𝘢𝘤̧𝘢̃𝘰, 𝘰𝘴 𝘦𝘯𝘧𝘦𝘳𝘮𝘦𝘪𝘳𝘰𝘴 𝘵𝘦̂𝘮 𝘳𝘦𝘴𝘱𝘰𝘯𝘴𝘢𝘣𝘪𝘭𝘪𝘥𝘢𝘥𝘦𝘴 𝘮𝘢𝘪𝘴 𝘥𝘪𝘧𝘦𝘳𝘦𝘯𝘤𝘪𝘢𝘥𝘢𝘴 𝘢𝘱𝘳𝘦𝘴𝘦𝘯𝘵𝘢𝘮 𝘯𝘢̃𝘰 𝘴𝘰́ 𝘶𝘮 𝘮𝘦𝘭𝘩𝘰𝘳 𝘢𝘤𝘦𝘴𝘴𝘰 𝘢𝘰𝘴 𝘤𝘶𝘪𝘥𝘢𝘥𝘰𝘴 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦, 𝘤𝘰𝘮𝘰 𝘶𝘮𝘢 𝘮𝘢𝘪𝘰𝘳 𝘦𝘧𝘪𝘤𝘪𝘦̂𝘯𝘤𝘪𝘢 𝘦 𝘲𝘶𝘢𝘭𝘪𝘥𝘢𝘥𝘦 𝘯𝘢 𝘱𝘳𝘦𝘴𝘵𝘢𝘤̧𝘢̃𝘰. 𝘐𝘯𝘧𝘦𝘭𝘪𝘻𝘮𝘦𝘯𝘵𝘦, 𝘦𝘮 𝘗𝘰𝘳𝘵𝘶𝘨𝘢𝘭 𝘰 𝘳𝘦𝘧𝘰𝘳𝘤̧𝘰 𝘥𝘢𝘴 𝘤𝘰𝘮𝘱𝘦𝘵𝘦̂𝘯𝘤𝘪𝘢𝘴 𝘥𝘢 𝘦𝘯𝘧𝘦𝘳𝘮𝘢𝘨𝘦𝘮 𝘦 𝘥𝘦 𝘰𝘶𝘵𝘳𝘢𝘴 𝘱𝘳𝘰𝘧𝘪𝘴𝘴𝘰̃𝘦𝘴, 𝘲𝘶𝘦 𝘱𝘰𝘥𝘦𝘳𝘪𝘢 𝘢𝘫𝘶𝘥𝘢𝘳 𝘢 𝘰𝘵𝘪𝘮𝘪𝘻𝘢𝘳 𝘢 𝘳𝘦𝘴𝘱𝘰𝘴𝘵𝘢, 𝘵𝘦𝘮 𝘴𝘪𝘥𝘰 𝘱𝘦𝘳𝘮𝘢𝘯𝘦𝘯𝘵𝘦𝘮𝘦𝘯𝘵𝘦 𝘢𝘥𝘪𝘢𝘥𝘰.

𝘗𝘰𝘳 𝘧𝘪𝘮, 𝘵𝘦𝘮𝘰𝘴 𝘢 𝘲𝘶𝘦𝘴𝘵𝘢̃𝘰 𝘥𝘰 𝘱𝘭𝘢𝘯𝘦𝘢𝘮𝘦𝘯𝘵𝘰. 𝘛𝘢𝘯𝘵𝘰 𝘥𝘦 𝘤𝘶𝘳𝘵𝘰 𝘤𝘰𝘮𝘰 𝘭𝘰𝘯𝘨𝘰 𝘱𝘳𝘢𝘻𝘰. 𝘊𝘰𝘮𝘦𝘤̧𝘢𝘯𝘥𝘰 𝘱𝘦𝘭𝘰 𝘶́𝘭𝘵𝘪𝘮𝘰, 𝘯𝘰𝘴 𝘱𝘳𝘪𝘮𝘦𝘪𝘳𝘰𝘴 𝘥𝘦𝘻 𝘥𝘪𝘢𝘴 𝘥𝘦 𝟤𝟢𝟤𝟦, 𝘰 𝘚𝘕𝘚 𝘵𝘦𝘷𝘦 𝘤𝘦𝘳𝘤𝘢 𝘥𝘦 𝟣𝟧𝟢 𝘮𝘪𝘭 𝘦𝘱𝘪𝘴𝘰́𝘥𝘪𝘰𝘴 𝘥𝘦 𝘶𝘳𝘨𝘦̂𝘯𝘤𝘪𝘢, 𝘥𝘰𝘴 𝘲𝘶𝘢𝘪𝘴 𝟪,𝟤% 𝘵𝘦𝘳𝘮𝘪𝘯𝘢𝘳𝘢𝘮 𝘦𝘮 𝘪𝘯𝘵𝘦𝘳𝘯𝘢𝘮𝘦𝘯𝘵𝘰. 𝘌𝘴𝘵𝘪𝘮𝘢𝘯𝘥𝘰 𝘤𝘰𝘮 𝘣𝘢𝘴𝘦 𝘯𝘰𝘴 𝘶́𝘭𝘵𝘪𝘮𝘰𝘴 𝘥𝘢𝘥𝘰𝘴 𝘥𝘰 𝘐𝘯𝘴𝘵𝘪𝘵𝘶𝘵𝘰 𝘕𝘢𝘤𝘪𝘰𝘯𝘢𝘭 𝘥𝘦 𝘌𝘴𝘵𝘢𝘵𝘪́𝘴𝘵𝘪𝘤𝘢, 𝘰𝘴 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰𝘴 𝘱𝘳𝘪𝘷𝘢𝘥𝘰𝘴 𝘵𝘦𝘳𝘢̃𝘰 𝘵𝘪𝘥𝘰 𝘦𝘯𝘵𝘳𝘦 𝟥𝟧 𝘢 𝟦𝟢 𝘮𝘪𝘭 𝘦𝘱𝘪𝘴𝘰́𝘥𝘪𝘰𝘴 𝘥𝘦 𝘶𝘳𝘨𝘦̂𝘯𝘤𝘪𝘢. 𝘕𝘰 𝘵𝘰𝘵𝘢𝘭, 𝘦𝘴𝘵𝘦𝘴 𝘥𝘢𝘥𝘰𝘴 𝘴𝘢̃𝘰 𝘵𝘳𝘦̂𝘴 𝘷𝘦𝘻𝘦𝘴 𝘴𝘶𝘱𝘦𝘳𝘪𝘰𝘳𝘦𝘴 𝘢̀ 𝘮𝘦́𝘥𝘪𝘢 𝘳𝘦𝘨𝘪𝘴𝘵𝘢𝘥𝘢 𝘯𝘢 𝘖𝘊𝘋𝘌. 𝘐𝘴𝘵𝘰 𝘦́ 𝘰 𝘳𝘦𝘴𝘶𝘭𝘵𝘢𝘥𝘰 𝘥𝘦 𝘥𝘦́𝘤𝘢𝘥𝘢𝘴 𝘥𝘦 𝘶𝘮𝘢 𝘢𝘳𝘲𝘶𝘪𝘵𝘦𝘵𝘶𝘳𝘢 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘣𝘢𝘴𝘦𝘢𝘥𝘢 𝘯𝘢 𝘶𝘳𝘨𝘦̂𝘯𝘤𝘪𝘢, 𝘳𝘦𝘧𝘰𝘳𝘤̧𝘢𝘥𝘢 𝘤𝘰𝘮 𝘰 𝘤𝘶𝘭𝘵𝘰 𝘥𝘰 𝘪𝘯𝘴𝘵𝘢𝘯𝘵𝘢̂𝘯𝘦𝘰 𝘦 𝘢 𝘪𝘯𝘥𝘶𝘤̧𝘢̃𝘰 𝘥𝘢 𝘱𝘳𝘰𝘤𝘶𝘳𝘢 𝘲𝘶𝘦 𝘰𝘴 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰𝘴 𝘱𝘳𝘪𝘷𝘢𝘥𝘰𝘴 𝘯𝘢𝘵𝘶𝘳𝘢𝘭𝘮𝘦𝘯𝘵𝘦 𝘧𝘢𝘻𝘦𝘮.

𝘗𝘦𝘳𝘢𝘯𝘵𝘦 𝘶𝘮 𝘱𝘳𝘰𝘣𝘭𝘦𝘮𝘢 𝘥𝘦 𝘦𝘹𝘤𝘦𝘴𝘴𝘰 𝘥𝘦 𝘱𝘳𝘰𝘤𝘶𝘳𝘢 𝘥𝘰𝘴 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰𝘴 𝘥𝘦 𝘶𝘳𝘨𝘦̂𝘯𝘤𝘪𝘢, 𝘴𝘰́ 𝘱𝘰𝘥𝘦𝘮𝘰𝘴 𝘦𝘹𝘱𝘳𝘦𝘴𝘴𝘢𝘳 𝘶𝘮𝘢 𝘦𝘯𝘰𝘳𝘮𝘦 𝘱𝘳𝘦𝘰𝘤𝘶𝘱𝘢𝘤̧𝘢̃𝘰 𝘤𝘰𝘮 𝘢𝘴 𝘴𝘰𝘭𝘶𝘤̧𝘰̃𝘦𝘴 𝘢𝘱𝘳𝘦𝘴𝘦𝘯𝘵𝘢𝘥𝘢𝘴. 𝘖 𝘢𝘤𝘦𝘴𝘴𝘰 𝘢𝘰𝘴 𝘤𝘶𝘪𝘥𝘢𝘥𝘰𝘴 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘦𝘴𝘵𝘢́ 𝘤𝘰𝘯𝘥𝘪𝘤𝘪𝘰𝘯𝘢𝘥𝘰. 𝘈 𝘳𝘦𝘴𝘱𝘰𝘴𝘵𝘢 𝘥𝘦𝘷𝘦𝘳𝘪𝘢 𝘴𝘦𝘳 𝘮𝘦𝘭𝘩𝘰𝘳𝘢𝘳 𝘰 𝘢𝘤𝘦𝘴𝘴𝘰 𝘢𝘰𝘴 𝘤𝘶𝘪𝘥𝘢𝘥𝘰𝘴 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘱𝘳𝘪𝘮𝘢́𝘳𝘪𝘰𝘴, 𝘵𝘦𝘳 𝘤𝘪𝘳𝘤𝘶𝘪𝘵𝘰𝘴 𝘢𝘭𝘵𝘦𝘳𝘯𝘢𝘵𝘪𝘷𝘰𝘴 𝘥𝘦𝘯𝘵𝘳𝘰 𝘥𝘰𝘴 𝘩𝘰𝘴𝘱𝘪𝘵𝘢𝘪𝘴 𝘱𝘢𝘳𝘢 𝘳𝘦𝘵𝘪𝘳𝘢𝘳 𝘥𝘰𝘦𝘯𝘵𝘦𝘴 𝘥𝘢𝘴 𝘶𝘳𝘨𝘦̂𝘯𝘤𝘪𝘢𝘴 𝘦 𝘶𝘮𝘢 𝘮𝘢𝘪𝘰𝘳 𝘢𝘱𝘰𝘴𝘵𝘢 𝘯𝘢 𝘴𝘢𝘶́𝘥𝘦 𝘥𝘪𝘨𝘪𝘵𝘢𝘭 𝘦 𝘥𝘦 𝘱𝘳𝘰𝘹𝘪𝘮𝘪𝘥𝘢𝘥𝘦.

𝘔𝘢𝘴 𝘯𝘢̃𝘰. 𝘈 𝘳𝘦𝘴𝘱𝘰𝘴𝘵𝘢 𝘢𝘴𝘴𝘦𝘯𝘵𝘢, 𝘴𝘰𝘣𝘳𝘦𝘵𝘶𝘥𝘰, 𝘯𝘢 𝘳𝘦𝘴𝘵𝘳𝘪𝘤̧𝘢̃𝘰 𝘥𝘰 𝘢𝘤𝘦𝘴𝘴𝘰 𝘴𝘦𝘮 𝘳𝘦𝘧𝘰𝘳𝘤̧𝘰 𝘴𝘪𝘨𝘯𝘪𝘧𝘪𝘤𝘢𝘵𝘪𝘷𝘰 𝘥𝘢𝘴 𝘢𝘭𝘵𝘦𝘳𝘯𝘢𝘵𝘪𝘷𝘢𝘴. 𝘚𝘦𝘮 𝘳𝘦𝘤𝘶𝘳𝘴𝘰𝘴 𝘱𝘢𝘳𝘢 𝘳𝘦𝘤𝘰𝘳𝘳𝘦𝘳 𝘢 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰𝘴 𝘱𝘳𝘪𝘷𝘢𝘥𝘰𝘴, 𝘦𝘹𝘤𝘭𝘶𝘪́𝘥𝘰𝘴 𝘥𝘰𝘴 𝘤𝘶𝘪𝘥𝘢𝘥𝘰𝘴 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘱𝘳𝘪𝘮𝘢́𝘳𝘪𝘰𝘴 𝘦, 𝘤𝘦𝘳𝘦𝘫𝘢 𝘯𝘰 𝘵𝘰𝘱𝘰 𝘥𝘰 𝘣𝘰𝘭𝘰, 𝘤𝘰𝘮 𝘢𝘤𝘦𝘴𝘴𝘰 𝘤𝘰𝘯𝘥𝘪𝘤𝘪𝘰𝘯𝘢𝘥𝘰 𝘢𝘰𝘴 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰𝘴 𝘥𝘦 𝘶𝘳𝘨𝘦̂𝘯𝘤𝘪𝘢, 𝘩𝘢́ 𝘤𝘢𝘥𝘢 𝘷𝘦𝘻 𝘮𝘢𝘪𝘴 𝘱𝘦𝘴𝘴𝘰𝘢𝘴 𝘦𝘮 𝘳𝘪𝘴𝘤𝘰 𝘥𝘦 𝘯𝘢̃𝘰 𝘵𝘦𝘳 𝘢𝘤𝘦𝘴𝘴𝘰 𝘢 𝘳𝘦𝘴𝘱𝘰𝘴𝘵𝘢𝘴 𝘢̀𝘴 𝘴𝘶𝘢𝘴 𝘯𝘦𝘤𝘦𝘴𝘴𝘪𝘥𝘢𝘥𝘦𝘴. 𝘖 𝘤𝘢𝘮𝘪𝘯𝘩𝘰 𝘯𝘢̃𝘰 𝘱𝘰𝘥𝘦 𝘯𝘦𝘮 𝘥𝘦𝘷𝘦 𝘴𝘦𝘳 𝘦𝘴𝘵𝘦!

𝘖𝘤𝘰𝘳𝘳𝘦𝘳𝘢𝘮 𝘪𝘨𝘶𝘢𝘭𝘮𝘦𝘯𝘵𝘦 𝘧𝘢𝘭𝘩𝘢𝘴 𝘯𝘰 𝘱𝘭𝘢𝘯𝘦𝘢𝘮𝘦𝘯𝘵𝘰 𝘥𝘦 𝘤𝘶𝘳𝘵𝘰 𝘱𝘳𝘢𝘻𝘰. 𝘕𝘢 𝘷𝘢𝘤𝘪𝘯𝘢𝘤̧𝘢̃𝘰 – 𝘲𝘶𝘦 𝘴𝘦𝘮𝘱𝘳𝘦 𝘧𝘰𝘪 𝘶𝘮 𝘴𝘶𝘤𝘦𝘴𝘴𝘰, 𝘢𝘱𝘦𝘴𝘢𝘳 𝘥𝘢 𝘧𝘢𝘭𝘵𝘢 𝘥𝘦 𝘮𝘦𝘪𝘰𝘴 –, 𝘢 𝘰𝘱𝘤̧𝘢̃𝘰 𝘱𝘢𝘴𝘴𝘰𝘶 𝘯𝘢̃𝘰 𝘱𝘰𝘳 𝘮𝘦𝘭𝘩𝘰𝘳𝘢𝘳 𝘰 𝘲𝘶𝘦 𝘤𝘰𝘳𝘳𝘪𝘢 𝘣𝘦𝘮, 𝘮𝘢𝘴 𝘧𝘢𝘻𝘦𝘳 𝘦𝘹𝘱𝘦𝘳𝘪𝘦̂𝘯𝘤𝘪𝘢𝘴, 𝘤𝘦𝘥𝘦𝘯𝘥𝘰 𝘢𝘰 𝘱𝘰𝘥𝘦𝘳 𝘥𝘰𝘴 𝘭𝘰́𝘣𝘪𝘴 𝘥𝘢 𝘴𝘢𝘶́𝘥𝘦. 𝘖 𝘳𝘦𝘴𝘶𝘭𝘵𝘢𝘥𝘰 𝘦́ 𝘢 𝘱𝘪𝘰𝘳 𝘤𝘰𝘣𝘦𝘳𝘵𝘶𝘳𝘢 𝘷𝘢𝘤𝘪𝘯𝘢𝘭 𝘥𝘰𝘴 𝘶́𝘭𝘵𝘪𝘮𝘰𝘴 𝘤𝘪𝘯𝘤𝘰 𝘢𝘯𝘰𝘴𝘢 𝘦 𝘢 𝘳𝘦𝘷𝘰𝘭𝘵𝘢 𝘦 𝘴𝘦𝘯𝘵𝘪𝘮𝘦𝘯𝘵𝘰 𝘥𝘦 𝘢𝘭𝘪𝘯𝘦𝘢𝘤̧𝘢̃𝘰 𝘥𝘰 𝘮𝘢𝘪𝘰𝘳 𝘨𝘳𝘶𝘱𝘰 𝘱𝘳𝘰𝘧𝘪𝘴𝘴𝘪𝘰𝘯𝘢𝘭 𝘥𝘢 𝘴𝘢𝘶́𝘥𝘦 𝘦 𝘳𝘦𝘴𝘱𝘰𝘯𝘴𝘢́𝘷𝘦𝘭 𝘱𝘦𝘭𝘢𝘴 𝘤𝘢𝘮𝘱𝘢𝘯𝘩𝘢𝘴 𝘥𝘦 𝘷𝘢𝘤𝘪𝘯𝘢𝘤̧𝘢̃𝘰 𝘢𝘯𝘵𝘦𝘳𝘪𝘰𝘳𝘦𝘴: 𝘰𝘴 𝘦𝘯𝘧𝘦𝘳𝘮𝘦𝘪𝘳𝘰𝘴. 𝘊𝘶𝘴𝘵𝘢 𝘢 𝘤𝘰𝘮𝘱𝘳𝘦𝘦𝘯𝘥𝘦𝘳 𝘢 𝘯𝘦𝘤𝘦𝘴𝘴𝘪𝘥𝘢𝘥𝘦 𝘥𝘦 𝘮𝘶𝘥𝘢𝘳, 𝘱𝘢𝘨𝘢𝘯𝘥𝘰 𝘣𝘦𝘮 𝘮𝘢𝘪𝘴 𝘱𝘰𝘳 𝘪𝘴𝘴𝘰 𝘦 𝘱𝘰𝘯𝘥𝘰 𝘦𝘮 𝘤𝘢𝘶𝘴𝘢 𝘢 𝘴𝘦𝘨𝘶𝘳𝘢𝘯𝘤̧𝘢 𝘥𝘰𝘴 𝘶𝘵𝘦𝘯𝘵𝘦𝘴, 𝘶𝘮 𝘱𝘳𝘰𝘤𝘦𝘴𝘴𝘰 𝘲𝘶𝘦 𝘩𝘪𝘴𝘵𝘰𝘳𝘪𝘤𝘢𝘮𝘦𝘯𝘵𝘦 𝘦́ 𝘶𝘮 𝘴𝘶𝘤𝘦𝘴𝘴𝘰, 𝘤𝘰𝘮 𝘥𝘪𝘳𝘦𝘪𝘵𝘰 𝘢 𝘳𝘦𝘤𝘰𝘯𝘩𝘦𝘤𝘪𝘮𝘦𝘯𝘵𝘰 𝘪𝘯𝘵𝘦𝘳𝘯𝘢𝘤𝘪𝘰𝘯𝘢𝘭.

𝘗𝘢𝘳𝘢 𝘧𝘪𝘯𝘢𝘭𝘪𝘻𝘢𝘳. 𝘖 𝘚𝘕𝘚 𝘱𝘢𝘴𝘴𝘢 𝘱𝘦𝘭𝘢 𝘮𝘢𝘪𝘰𝘳 𝘳𝘦𝘷𝘰𝘭𝘶𝘤̧𝘢̃𝘰 𝘯𝘢 𝘴𝘶𝘢 𝘰𝘳𝘨𝘢𝘯𝘪𝘻𝘢𝘤̧𝘢̃𝘰 𝘥𝘰𝘴 𝘶́𝘭𝘵𝘪𝘮𝘰𝘴 𝟤𝟢 𝘢𝘯𝘰𝘴. 𝘐𝘯𝘤𝘰𝘮𝘱𝘳𝘦𝘦𝘯𝘴𝘪𝘷𝘦𝘭𝘮𝘦𝘯𝘵𝘦, 𝘧𝘦𝘪𝘵𝘢 𝘢̀ 𝘳𝘦𝘷𝘦𝘭𝘪𝘢 𝘥𝘰𝘴 𝘴𝘦𝘶𝘴 𝘱𝘳𝘰𝘧𝘪𝘴𝘴𝘪𝘰𝘯𝘢𝘪𝘴. 𝘈 𝘦𝘯𝘰𝘳𝘮𝘦 𝘲𝘶𝘢𝘯𝘵𝘪𝘥𝘢𝘥𝘦 𝘥𝘦 𝘥𝘶́𝘷𝘪𝘥𝘢𝘴 𝘴𝘰𝘣𝘳𝘦 𝘰 𝘯𝘰𝘷𝘰 𝘮𝘰𝘥𝘦𝘭𝘰 𝘰𝘳𝘨𝘢𝘯𝘪𝘻𝘢𝘵𝘪𝘷𝘰 𝘥𝘢𝘴 𝘶𝘯𝘪𝘥𝘢𝘥𝘦𝘴 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘲𝘶𝘦 𝘱𝘳𝘰𝘧𝘪𝘴𝘴𝘪𝘰𝘯𝘢𝘪𝘴, 𝘨𝘦𝘴𝘵𝘰𝘳𝘦𝘴, 𝘢𝘶𝘵𝘢𝘳𝘤𝘢𝘴 𝘦 𝘶𝘵𝘦𝘯𝘵𝘦𝘴 𝘵𝘦̂𝘮 𝘥𝘦𝘷𝘦𝘳𝘪𝘢 𝘥𝘦𝘪𝘹𝘢𝘳 𝘰𝘴 𝘳𝘦𝘴𝘱𝘰𝘯𝘴𝘢́𝘷𝘦𝘪𝘴 𝘱𝘰𝘭𝘪́𝘵𝘪𝘤𝘰𝘴 𝘦𝘯𝘷𝘦𝘳𝘨𝘰𝘯𝘩𝘢𝘥𝘰𝘴.

𝘈 𝘮𝘶𝘥𝘢𝘯𝘤̧𝘢 𝘴𝘰́ 𝘤𝘰𝘳𝘳𝘦 𝘣𝘦𝘮 𝘦 𝘦́ 𝘦𝘧𝘦𝘵𝘪𝘷𝘢 𝘴𝘦 𝘧𝘰𝘳 𝘧𝘦𝘪𝘵𝘢 𝘤𝘰𝘮 𝘰𝘴 𝘵𝘳𝘢𝘣𝘢𝘭𝘩𝘢𝘥𝘰𝘳𝘦𝘴 𝘦 𝘥𝘦𝘮𝘢𝘪𝘴 𝘱𝘢𝘳𝘵𝘦𝘴 𝘪𝘯𝘵𝘦𝘳𝘦𝘴𝘴𝘢𝘥𝘢𝘴. 𝘌 𝘵𝘰𝘥𝘰𝘴 𝘲𝘶𝘦𝘳𝘦𝘮𝘰𝘴 𝘶𝘮 𝘴𝘦𝘳𝘷𝘪𝘤̧𝘰 𝘱𝘶́𝘣𝘭𝘪𝘤𝘰 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘲𝘶𝘦 𝘨𝘢𝘳𝘢𝘯𝘵𝘢 𝘰 𝘢𝘤𝘦𝘴𝘴𝘰 𝘶𝘯𝘪𝘷𝘦𝘳𝘴𝘢𝘭 𝘢 𝘤𝘶𝘪𝘥𝘢𝘥𝘰𝘴 𝘥𝘦 𝘴𝘢𝘶́𝘥𝘦 𝘥𝘦 𝘲𝘶𝘢𝘭𝘪𝘥𝘢𝘥𝘦!

* Enfermeiro especialista em saúde infantil e mestre em saúde pública.

IN "NOVO" -22/01/24 .