Contrato entre a Prefeitura de São Paulo e empresa que fornecia cerca de 500 Kombis terminou em junho e não foi renovado
Funcionários contam que, em razão do peso, parte do material de trabalho é deixada nos postos de saúde e não é usada nas rondas
Ricardo Westin
André Caramante
Da Reportagem Local
Desde junho, os 2.400 agentes da Prefeitura de São Paulo que buscam e eliminam larvas e mosquitos da dengue não têm carro para fazer o trabalho. Como agora são obrigados a ir de casa em casa a pé, não conseguem cobrir a cidade inteira.A prefeitura tinha contrato com uma empresa que fornecia ao redor de 500 Kombis com motorista à Secretaria Municipal da Saúde. O acordo terminou em junho passado, e não se contratou outra empresa.Sem carro, a gestão Gilberto Kassab (DEM) determinou que os agentes de zoonoses percorram um raio de 1,5 km a partir de uma UBS (posto de saúde). "Muita casa fica com larvas não detectadas. A cidade está praticamente indefesa diante da dengue", alerta uma agente.Como outros funcionários, ela falou com a Folha sob a condição de que não se publicasse seu nome.A prefeitura admite que agentes trabalham a pé, mas diz que é temporário. De qualquer forma, afirma não ver prejuízo na prevenção da dengue.Jogando dominóSegundo o biólogo Paulo Roberto Urbinatti, da Faculdade de Saúde Pública da USP, as autoridades precisam aumentar o "esforço amostral para detectar mais casos positivos". "Não se pode deixar de visitar as casas."Esta é a época do ano em que a detecção e o combate à dengue se fazem mais necessários. Perto do verão, as chuvas se tornam frequentes e as temperaturas sobem -água parada e calor propiciam o rápido desenvolvimento das larvas do mosquito Aedes aegypti.Os agentes vão às casas passando um pente-fino em caixas d'água, jardins e quintais e desenhando um mapa das áreas mais críticas. Havendo larva, colocam veneno em pó. Encontrando mosquito, borrifam fumaça. Também ensinam a população a evitar água parada."Você anda demais. E ainda passa por morro, baixada e favela. Sem carro não dá", afirma um agente. "As meninas são as que mais sentem."A Folha ouviu de outro funcionário que, em razão do peso, parte do material de trabalho acaba sendo deixada nos postos de saúde e não é utilizada nas rondas a pé. O material inclui sacos de larvicida, bombas de fumaça, potes para recolher larvas, redes para cobrir caixas d'água, frascos de álcool e pranchetas com formulários.Assim que o contrato de transporte terminou, os agentes, segundo eles próprios contam, ficavam nas bases distribuídas pela cidade sem ter o que fazer: "Ficávamos lá, um olhando para a cara do outro, conversando ou jogando dominó". Só recentemente foram deslocados para as UBSs.A cidade de São Paulo registrou 564 casos de dengue neste ano. As últimas duas mortes ocorreram em 2007.
SP ainda não concluiu mapa de infestação
Da Reportagem Local
No final de novembro, o Ministério da Saúde divulgou o mapa de infestação do mosquito Aedes aegypti no país, um levantamento que serve de base para que prefeitos e governadores planejem suas ações e evitem epidemias de dengue.Ao todo, 157 cidades estudaram a infestação de larvas do mosquito em seus territórios. São Paulo não enviou seus dados.A prefeitura diz que o atraso não tem relação com a falta de carros para os agentes de zoonoses e que deve concluir o levantamento em uma semana.O combate à dengue é dividido. O ministério e o Estado, basicamente, entram com dinheiro e capacitação técnica. A prefeitura envia os agentes a campo. (RW)
Da Reportagem Local
No final de novembro, o Ministério da Saúde divulgou o mapa de infestação do mosquito Aedes aegypti no país, um levantamento que serve de base para que prefeitos e governadores planejem suas ações e evitem epidemias de dengue.Ao todo, 157 cidades estudaram a infestação de larvas do mosquito em seus territórios. São Paulo não enviou seus dados.A prefeitura diz que o atraso não tem relação com a falta de carros para os agentes de zoonoses e que deve concluir o levantamento em uma semana.O combate à dengue é dividido. O ministério e o Estado, basicamente, entram com dinheiro e capacitação técnica. A prefeitura envia os agentes a campo. (RW)
Solução sairá nos próximos dias, diz prefeitura
Da Reportagem Local
A Secretaria Municipal da Saúde de São Paulo, por meio de nota, afirmou à Folha que a falta de carros para os agentes de zoonoses que combatem a dengue "será solucionada nos próximos dias". Está em curso uma licitação para contratar uma empresa de transporte.A secretaria acrescentou que alguns agentes puderam usar carros de outros órgãos da prefeitura, mas que, de qualquer forma, a falta de veículos não prejudicou o trabalho de busca e eliminação do Aedes aegypti.Esse serviço, disse, agora conta com o apoio dos agentes comunitários de saúde -aqueles que, como parte do Programa Saúde da Família, vão de casa em casa educando sobre a prevenção de doenças, entre outras atribuições.A Secretaria da Saúde afirmou que os agentes comunitários, além de orientarem a população, eliminam "possíveis criadouros" do mosquito. Ou seja, a área não coberta pelos 2.400 agentes de zoonoses é alcançada pelos 5.700 agentes comunitários. É por isso que agora as bases do programa de combate à dengue são as UBSs (postos de saúde).Procurado pela Folha, o Sindicomunitário (sindicato dos agentes comunitários de saúde) contestou o argumento da prefeitura. Disse que os agentes de saúde não foram capacitados para buscar e eliminar focos do mosquito da dengue."Os agentes comunitários educam a população sobre a doença, mas não sobem em caixa d'água para colher larva", explicou o presidente do sindicato, José Roberto Prebill.A Secretaria Municipal da Saúde afirma que São Paulo não registra casos de dengue desde junho e que, pelos critérios internacionais, tem "baixa incidência" da doença. Nos próximos dias, colocará no ar uma campanha de rádio e TV para lembrar os cuidados necessários contra a dengue.O Sindsep (sindicato dos servidores municipais) realizará uma assembleia nesta segunda para discutir as "precárias condições de trabalho" dos agentes de zoonoses. A presidente do sindicato, Irene Batista de Paula, afirma que não se descarta uma paralisação geral dos funcionários. (RW)
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