Relatório de Sustentabilidade 2011 - versão em inglês

of activities and
conquests
S u s t a i n a b i l i t y
r e p o r t
2 0 1 1
1
2
3
S u s t a i n a b i l i t y
4
r e p o r t
2 0 1 1
5
Message from the Chairman of the Board of Directors
pg.8
pg.11
Organization History pg.12
Message from the CEO
What we do
phaseone
With the aim of bringing about the social inclusion of
phasetwo
Profile and Management
people with Intellectual Disabilities and promoting their
Profile
integral development, APAE SÃO PAULO operates on
pg.16
Prevention
Where APAE SÃO PAULO is
prevention, education, defense of rights, health promotion
Units
and qualification for work. Its efforts are geared towards
pg.16
Reference Service in Neonatal Screening The Newborn Screening Test
pg.18
pg.36
Special Kitchen pg.38
Laboratory
pg.19
Managing for Sustainability pg.20
Financial Management pg.22
Institutional Development pg.23
Human Resources pg.24
Voluntary Action pg.26
Marketing and Communication pg.28
Corporate Governance
enabling people with Intellectual Disabilities to gain
autonomy, have fulfilling working and affective lives, be
index
valued for their talents and develop their full potential.
pg.34
phasethree
Assistance, Services and Results
Ambulatory Care Service
pg.42
Stimulation and Skills-building Service
Education Service
pg.48
Socio-educational Support Service
phasefour
pg.44
pg.50
Qualification and Professional Inclusion Service
Promotion, Protection, Defense and Guarantee of Rights
pg.65
Promotion of Public Policies pg.67
Advocacy pg.67
All for the Rights Projects
pg.52
pg.56
Aging Support Service pg.59
2011 Achievements
phasefive
Knowledge Generation and Dissemination
The APAE SÃO PAULO INSTITUTE
pg.72
phasesix
Organizational Structure, Partners and Investors
Workforce APAE SÃO PAULO
pg.78
pg.91
Financial Report pg.92
Our Contacts
6
7
of activities
and conquests
Message from the Chairman
of the Board of Directors
The APAEANO movement acquired such dimensions that it required the emergence of organizational forms more compatible with the
Social demarcation turned into national action.
Result after 50 years of activity.
APAEs, since Social Delimitation is the basic assumption of the movement; in other words, the demands are from the municipalities, while the
In the commemorative book we published as one of the marks of the 50 years of foundation of APAE SÃO PAULO, there is a record of
the foundation of the National Federation of APAEs, whose mentor and first President was Dr. Antonio dos Santos Clemente Filho, our Dr.
Clemente.
exercise of the mission of the National Federation of APAEs.The State Federation of APAEs was then created as a necessary result of the
logistics necessary for the dissemination of knowledge and the implementation of the policies originating from the National Federation of
duty to provide the necessary services is the state’s.
APAE’s need to take on those services arises from the state’s inability to provide directly the adequate mechanisms to satisfy those collective
demands.
NGOs, including APAEs, fulfill that function - a solution accepted by Municipal Mayors, who, in our current public services organization, hold
the main responsibility for effectively providing education, health and social assistance and family support to people with disabilities.
The aim of that initiative was to assist other municipalities which had and still have the same needs as the São Paulo society for methodologies
to develop the autonomy of people with Intellectual Disabilities, within our missions of Prevention, Education, Inclusion, Support for families,
and of being both the Guardians of the Scientific Information produced by APAE SÃO PAULO and the facilitators of its dissemination.
However, and this is the main reason for this manifestation by APAE SÃO PAULO, it must be pointed out that there is a need for organizational
improvement in the Organization of the State Federations of APAEs, which is the Facilitator for the implementation of the mission of the
National Federation, managed by the worthy fellow leaders of the more than 2,104 APAE affiliates that make up the National Federation of
The reason for the creation of the National Federation of APAEs was the need to carry out the mission of facilitating the dissemination of the
APAEs.
scientific knowledge that was being produced, and have a nationwide political organization, since the demands being made were hindering
São Paulo’s direct actions, which were our primary mission .
Mistakenly, some state federation leaders understood that the management should be focused on obtaining financial resources to meet the
needs of the APAEs that comprise their area of activity, thus creating the embryo of a state within a state!
However, as APAE SÃO PAULO is a non-governmental organization, receiving tax exemptions at all Government levels (municipal, state and
federal) as well as voluntary donations, it was essential to organize a way of returning to society what rightfully belongs to it - the Knowledge
In the state of São Paulo, those strategic errors, fortunately, have been corrected by the competent action of the current President of the
we produce - without damage to the services carried out for the benefit of the São Paulo society.
Federation of State APAEs of São Paulo. Nevertheless, new risks of misconceptions have not yet been eliminated.
There are 2,104 municipalities today whose communities are modeled on the behavior and the knowledge produced by APAE SÃO PAULO,
It is essential that the changes in the statutes of the State Federations of APAES are perfected, and, since the organization of APAEs as
including their methodologies for the management of asset and resources, which ultimately belong to the Brazilian society.
a nationwide Movement began in APAE SÃO PAULO, we feel that we have to ask for changes that will preserve the high, undisputable
principles of corporate governance practices, protected by absolutely safe statutory rules about the municipal principle, which govern and
Our corporate governance principles have always been a reference for other municipal associations that have opted for the use of the name
delimit the roles of each APAE.
APAE due to the seriousness, responsibility and altruism that have marked the management of the services and resources of APAE SÃO
PAULO over the last 50 years.
8
In this Sustainability Report we give account to the society that supported us and to those who we think deserve the same support.
9
of activities
and conquests
We owe everything that has been achieved to the exemplary competence of the Executive Board of APAE SÃO PAULO, its competent and
dedicated Functional Body and the work of Voluntary Action, to which I belong. Finally, I want to express our gratitude to the Public Leaders
from all areas with whom we have connections and who we supported in the implementation of public social policies in 2011.
Message from the CEO
2011. The year of the fiftieth anniversary.
We started 2011 with the mission, focus and belief that this year couldn’t go blank, because in April the 50 years of the Foundation of APAE
SÃO PAULO would be celebrated.
Marco Antônio Fernandes David has a child with the Down syndrome
and is Chairman of the Board of Directors of APAE SÃO PAULO.
Well, they were celebrated. There was a communication campaign, with advertisements, events and reports, which reiterated our commitment
to society and to the understanding of Intellectual Disabilities. We remembered the heroic trajectory of so many parents and friends who,
with total unselfishness, opened paths where today we have inclusion avenues, streets of advocacy of rights, roads of research and so many
squares, lanes, alleys which insist on reminding us of how tough and continuous the battle is.
However, it would be at least simplistic to limit 2011 to this important milestone.
We changed our references, dared, and, inspired by the values of the founders, went in search of the future. We structured the new databases
of the Institute APAE SÃO PAULO. We inaugurated the new Special Kitchen, capable of meeting 3 to 4 times the demand we have today. We
inaugurated our Laundry, important part of the process of inclusion through work. We reevaluated and implanted new operational processes
which enable us to achieve greater effectiveness in assisting people and managing the database. We created processes and standards for
the area of human resources, with a view to greater effectiveness, talent attraction and retention. We improved our ambulatory care process
and dared to reassess our dynamics of inclusion, from stimulation and skills-building up to the defense of rights. In other words, we started to
prepare ourselves for the future, and for the great deal of work that still has to be done.
We are in the dogged pursuit of effectiveness. However, plagiarizing Che Guevara -” one must harden without ever losing tenderness”.
Anyway, 2011 is the year of the 50th anniversary. Let the next 50 come.
Cássio dos Santos Clemente
Chief Executive Officer of APAE SÃO PAULO
10
11
organization
history
50 anos
12
12
of history
Disabilities, include them socially and fight prejudice. Moreover, it aimed to promote scientific knowledge and methodologies, nonexistent or rudimentary at the time, geared specifically for people with Intellectual Disabilities.
Thus the promotion of changes in social patterns, fighting prejudice and acting positively towards social inclusion, became the indelible
Not even the founders of APAE SÃO PAULO could nave predicted that the seed sown 50 years
mark of the history of APAE SÃO PAULO. And that spirit was strengthened, a few years after its founding, by the energy, dynamism
ago in that small two-storey house on Martiniano Campos street would become the interdisciplinary
and vision for the future of the couple Antonio Clemente and Jô, parents of Zequinha, another boy with Down syndrome.
complex that the Organization is today, a Brazilian and global reference in Intellectual Disabilities.
However, all the principles that would govern the development of APAE SÃO PAULO in the following
In the years that followed, APAE SÃO PAULO managed to prove that inclusion was not only possible, but beneficial for society as a
decades were already there, based on promotion, inclusion and the fight against prejudice.
whole, and that prejudice cannot resist the light of science and the awakening of higher social and human principles.
If it was not possible to estimate its size, at least the visionary, vanguard spirit that would mark all the
However, no matter how noble the guiding principles of its founding were, the construction of the Organization along those five
five decades were already explicit in the inaugural act of the Organization. So much so that its mission,
decades would not have been possible if it had not been for the vision of the leaders who ran APAE SÃO PAULO, the technical and
recorded in the first statute, remains modern even today.
scientific competence of our teams and individual professionals and the invaluable collaboration of the voluntary Corps. Neither would
it have happened without the help of society and of the businesses and individuals who not only believed, but actually supported and
Added to the consistency of the original principles on which the Organization was founded was the
financed structuring the organization.
goodwill and selflessness of the original group that gathered around the couple Alda and Olímpio
Estrázulas, who were responsible for making real the dream of an organization devoted solely to
The achievements and the return that APAE SÃO PAULO has given to society throughout its history are fruits of this conjunction
addressing the issue of Intellectual Disabilities.
of forces. The pioneer character of the organization is demonstrated by the introduction of the Guthrie test in the country, in
scientific research, in the construction of knowledge and the structuring of practices and methodologies applied to serving people
It was in the fifties that the Estrázulas couple, belonging to the São Paulo traditional elite and the
with Intellectual Disabilities in an integral and interdisciplinary approach that goes from birth to aging.
parents of a child with Intellectual Disabilities, began to organize home meetings with other couples
who also had children with intellectual disabilities in order to share their experiences and fears.
When we see today the size and importance of the Organization, we understand how right were the ideals of those visionary founders
who believed in building an inclusive society at a time when prejudice was the norm and the acceptance of differences no more than
The union of those people, anxious and worried about the lack of prospects imposed by society on
a utopia. But out of respect for its traditions and its past, APAE SÃO PAULO is not satisfied with what it has achieved so far. We have
their children, generated the necessary strength for the founding of APAE SÃO PAULO. That at a time
plenty more to do, and it is looking to the future that we build our present.
when the most expected behavior from those families would be that of resignation, shame, and the
concealment of disabled children inside their homes.
Instead, proud of their children, they began to build from nothing, except their willpower, an Organization
that would promote the physical, intellectual and emotional development of people with Intellectual
13
13
phaseone
14
Profile and
management
Founded in 1961, APAE SÃO PAULO is a
non-profit Organization of the civil society,
focused on prevention, social inclusion,
empowerment and full development of
people with Intellectual Disabilities.
15
Profile and
management
Profile
Founded in 1961, APAE SÃO PAULO is a non-profit Organization of the civil society, focused on prevention, social inclusion,
empowerment and full development of people with Intellectual Disabilities.
A center for research and dissemination of scientific knowledge, the Organization is a pioneer in the implementation of the Neonatal
Screening Test in Brazil. It has become a reference in laboratory exams for Neonatal Screening, and does the follow-up of the newborns
and their families after a positive diagnosis.
The Organization is present in all stages of life of the person with Intellectual Disabilities, from birth to aging, through a series of
services aimed at the social inclusion and the promotion of quality of life.
It also works in the defense and guarantee of the rights of people with Intellectual Disabilities and participates in the construction of
public policies.
Where APAE SÃO PAULO is
16
In recent years, APAE SÃO PAULO is making an effort to decentralize its services in order to be closer to the people it assists and
Governments, APAE SÃO PAULO also uses public health equipment in its services, which has significantly expanded the geographic
extend its action to the outskirts and the poorest neighborhoods of São Paulo. Through partnerships with Federal, State and Municipal
scope of its action.
17
Profile and
management
Corporate Governance
Anhanguera
APAE SÃO PAULO keeps all of its main areas professionalized, from internal management to client service, where management
Tremembé
Pirituba
models with clear objectives, set goals and measured results are applied. To ensure the observance of its principles and objectives, the
Freguesia
do Ó
Organization has a Board of Directors and an Audit Committee, an Executive Board and a Superintency.
Santana
Casa
Verde
Lapa
Itaquera
Mooca
Pinheiros
Campo
Limpo
Itaim
Ermelino
\Matarazzo
The Board of Directors is responsible for the strategic decisions regarding activities and policies, evaluates the quality of the management
Penha
Sé
Butantã
São Miguel
Vila Maria
and the accounts and makes the Organization’s investment plans. The directors remain in office for 3 years and may be reelected.
Guaianazes
The Audit Committee verifies the accounts of APAE SÃO PAULO, giving its opinion on the Executive Committee’s accounts annually.
Aricanduva
Vila
Mariana
The Executive Board is responsible for putting into practice the guidelines set by the Management Board, for implementing the
Cidade
Tiradentes
Vila Prudente
management policies and seeking business efficiency.
São Mateus
Ipiranga
Santo
Amaro
Finally, the Superintendency is responsible for the monitoring and orientation of the main operation axes, to ensure that the Organization’s
Jabaquara
actions, services and practices are in line with its strategic objectives and goals. It is responsible for ensuring the quality and excellence of
M’Boi Mirim
the care offered to people with Intellectual Disabilities and their families and for seeking business efficiency.
Cidade
Ademar
Capela do
Socorro
Vila Clementino Unit (central)
With the aim of professionalizing their management activities and business, APAE SÃO PAULO uses the Enterprise Management
Attendance, Stimulation
and Enabling Nuclei
Model, which, according to the Brazilian Institute of Corporate Governance (IBGC) is defined as “a system by which companies are
Itaim Bibi Unit
The good governance practices are intended to increase the value of the company, facilitating access to its capital and
Specialized Educational
Service Center Nucleus
contributing to their long-term survival. “
directed and monitored, involving shareholders and investors, Board of Directors, Independent auditors and the Audit Committee.
Parelheiros
Administrative
Council
Fiscal
Council
Units
18
Executive
Board
19
Profile and
management
That system aims to ensure the
inclusive
Ansociety
reliability of the Organization through the establishment of monitoring
mechanisms and incentives in the control and decision-making structure.
methodology
For a nonprofit Organization, the aim of adopting that management model is to seek efficiency in the conduction of its activities and in
assessment
of results
Quality tripod
the application of resources and investments, offering transparency so that its partners can see what the organizational structure is like,
follow the actions taken and learn how the private social investments are being used.
Thus the Organization seeks the benefits of good corporate governance practices, translated into cost reduction, expansion of areas of
action, promotion of economic sustainability, continual improvement of performance and the tapping of new funding sources .
Direct
assistance
(disabled person and
his/her family)
Generation and
dissemination
of knowledge
Defence and
guarantee
of rights
Managing for Sustainability
Nine years ago, APAE SÃO PAULO began a thorough restructuring of its management model. During that period, cases were
reviewed, services were encouraged and organized by cost centers, and disbursement control mechanisms were established as a
All those changes and new paths have been systematized through the Strategic Planning structured in 2010 and effectively implemented
way to improve the quality of the expenditure and of investments.
in 2011, which brings the strategic goals and the actions planned for the 2011-2013 triennium.
As a result of this work, the accounts of APAE SÃO PAULO register a surplus, its investment capacity has increased, and today it
Strategic Planning indicates that in the service areas (health, education and social assistance) there is a need for continuous work to
has a lean, agile and dynamic structure. In addition, the Organization has adapted and rethought its line of work, going beyond direct
improve quality, validating the work methodologies and using tools for the measurement of results.
assistance and aggregating new goals such as the generation and dissemination of knowledge and the participation in the construction
of public policies.
For the areas of generation and dissemination of knowledge, Strategic Planning suggests that the research should be focused on
seeking practical results applicable to transforming and improving the quality of life of people with disabilities and their families.
In this process of change, the Organization moved towards building a more inclusive society, which means adopting the
quality tripod of attending those with Intellectual Disabilities and their families, spreading the concept of inclusion, and
In the defense and guarantee of rights, the objective indicated by Strategic Planning is to put the Organization at the forefront of the
contributing to the improvement of the social environment in which it is inserted. It also started long term planning to ensure the
movement for the construction of public policies, making it a reference in that field.
continuity of the process of its activities. To this end, it rethought the axes of its own businesses in order to adapt them to the new
20
challenges raised by the Convention of Rights of People with Disabilities, which has as its main guidelines the promotion, protection
Currently, the organization has tools and indicators for monitoring and continuously evaluating the quality and efficiency of the services
and the full enjoyment of all human rights by all the people with disabilities.
provided by all its main areas.
21
Profile and
management
18%
Fundraising for research projects promises good results in the future, as
well as the management of the use of brand name APAE SÃO PAULO by
R
evenue
16% 2011
third parties.
In recent years, the accounts of APAE SÃO PAULO have registered a
Financial Management
surplus,reaching in 2011 the sum of R$ 352 ,000. That was the third
The financial management aims to ensure the economic sustainability of the Organization by improving business results and
sustainability index.
51%
5%
3% 5%
2%
consecutive year in which the Organization achieved the 100% self
Tests
Consultations
Fundraising
Events
Donations
Financial
Others
fundraising,reducing costs without sacrificing the quality of the service, as well as rationalizing and prioritizing investments.
Institutional Development
Evolution of Cost
per Consultation
77
72
2.768
70
2.271
2.249
Evolution of cost
per person assisted
211
210
2.252
2.328
201
3.020
The Institutional Development Area was created six years ago with the aim of fostering partnerships with the private sector and the
civil society in order to ensure the sustainability of the Organization and the implementation of its projects. This year, the area was
responsible for raising R$ 5.5 million. For the next year, the goal is to reach R$ 6.5 million.
2011 5,5 million
2012 6,5 million
Partnerships come in a variety of ways. The main one is the participation of companies and individuals in projects supported by
FUMCAD – Municipal Fund for the Rights of Children and Adolescents, and the projects that receive the Rouanet Law incentive.
2010
2011
Number of consultations per Month
2012
$
Price per Consultation
2010
2011
Number of people assisted
$
2012
Monthly cost of assistance
Another fundraising mechanism which has had a great growth is Cause-related Marketing, whereby APAE SÃO PAULO and some
companies unite their brands in favor of the cause, and part of the income goes to the Organization. An example is the Bauducco food
In view of the social nature of the work done, some of the services offered are unprofitable and covered financially by others that
company ,which, since 2006, uses on the packages of its panettones the seal of APAE SÃO
are lucrative, or by private social investors and partners. In order to be monitored and controlled, financial results and the index
PAULO - ”partners in the cause of Intellectual Disabilities.”
of sustainability are obtained from the main services of the Organization, which have their respective cost centers. To measure the
sustainability of services, resources from donations and events are set aside and reinvested in the expansion and improvement of
The campaign for the donation of tax receipts, in the São Paulo State Government Tax Receipt Program, was
services.
another important tool for fundraising in 2011. With that campaign, we involved businesses and their customers,
and together we raised R$ 208 thousand. Being a member of the Organization is another form of social
22
The lab remains the largest source of revenue of APAE SÃO PAULO, being responsible for almost half of the resources. Other
investment and, in 2011, 3,300 consultations in our ambulatory care clinic were made possible by the
services which are self-sustaining are those of Qualification and Inclusion for Work and of Stimulation and Empowerment.
contributions of our donors.
23
Profile and
management
Investing in APAE SÃO PAULO means contributing to the
fulfillment of the mission of the Organization, promoting
a more equitable and inclusive society.
APAE SÃO PAULO is made up of people and ideals.
Accordingly, the area of Human Resources selects
and invests in the training of talents committed with
the prime purpose of the Organization, which is the
full development, the quality of life and the social
inclusion of people with Intellectual Disabilities.
Events
In 2011, the fourth Wine Auction of APAE SÃO PAULO was held, raising R$ 1.3 million. The event, sponsored
by Banco Bradesco Prime, took place in Terraço Daslu, one of the most sophisticated venues of São Paulo.
In 2011, the area of Human Resources initiated a wide-ranging process of restructuring and modernization focused on the development
One of the highlights of that event was the auction of a piece of jewelry donated by the designer Jack
and retention of talent. The mapping of all offices and functions of the employees was made with the help of a consultancy firm, and
Vartanian.
that work will be the basis for the personal development projects of the next two years.
Another human resources policy is the
development of leadership, whose challenge is systematizing and
implementing a management style that, throughout its history, has created its own, spontaneous way of generating of leaders.
The central idea is that all development initiatives and the training of employees take into account the results shown and the
improvement of technical and organizational skills.
Human
Resources
Human
Resources
401
380
186
195
Investments
in
benefits in 2011 (in R$ thousands)
Medical Assistance
Number of
Employees
Number of
Volunteers
401
188
Transport Vouchers
Day care allowance
Basic staples packages
Meal Vouchers
TOTAL
2009
24
2010
465
R$
213
R$
R$ 34
321
R$
R$
161
R$
1.195
2011
25
Profile and
management
Voluntary Action
In the Project “Sponsors of APAE SÃO PAULO”,
the
psychiatrist
and
writer
Robert
Shinyashiki
was chosen to be Sponsor of Voluntary Action,
generating new opportunities for its development.
The work done by Voluntary Action does not end with the
year. It is continuous, always in search of volunteers who
are engaged and committed to the Mission of APAE SÃO
Satisfaction
Rating
2009
2010
2011
PAULO in favor of social inclusion and the promotion of a
decent, worthy life for people with Intellectual Disabilities.
Year
Number of
volunteers
20092010 2011
186195188
In 2011, the Voluntary Action of APAE SÃO PAULO celebrated 40 years of operation. It is one of the main areas of support of the
Organization, acting in its various sectors.
Voluntary Action also develops specific projects, such as the Handicrafts Workshop and the record of the History of Voluntary
Action. It develops projects in partnership with other institutions, such as the cancer prevention campaign made with
Hospital A. C. Camargo.
In 2011, 490 people registered in the Action.
In its process of motivation, integration and updating, Voluntary Action held the 5th Meeting of Volunteers, the 41st Volunteers
Course and external cultural activities. As management tools, satisfaction surveys and performance evaluation of the volunteers are
conducted, seeking to better fulfill the Organization’s needs.
26
27
Profile and
management
Marketing and Communication
The changes in the Marketing and Communication area are in compass with the great transformations that APAE SÃO PAULO has
been carrying out, seeking to modernize and add new value to its brand. Its goal is to build the Organization’s institutional image
through channels of effective communication with stakeholders and with society, and through marketing and communication actions
that will ensure visibility and transparency.
Marketing strategies take into account the history of the Organization, responsible for the credibility and respect achieved throughout
its history, added to which are the new guidelines aimed at the modernization, expansion and excellence of the Organization’s
performance.
To that effect, the Marketing and Communication area seeks the repositioning of the brand, in line with the cutting-edge work
developed by APAE SÃO PAULO. Its actions aim to make the Organization known to the public as a promoter of research and a
generator of knowledge, a protagonist in the defence and guarantee of rights and in the construction of public policies, as well as a
reference in the attendance and in the provision of services to people with Intellectual Disabilities.
In 2009, a survey of public opinion showed the
great credibility of the APAE SÃO PAULO brand, but also revealed the
little understanding people have of its activities, structure and goals. That survey helps, today, the brand repositioning work, done via
advertising campaigns, the Organization’s own vehicles of communication, media relations and other marketing tools.
50-year Campaign
EU TAMBÉM NASCI PARA BRILHAR
(i was born to shine)
Advertising: worth R$ 19.3 million
Vehicles:
Group
28
29
Profile and
management
On April 4, 2011, APAE SÃO PAULO completed 50 years .To mark the occasion, Marketing and Communication promoted a large
commemorative campaign, whose focus could not have been anything but the people with Intellectual Disabilities. With the slogan
“I was born to shine”, the campaign had as its theme the leading roles, autonomy and personal fulfillment of those
assisted by the Organization.
Social media
APAE SÃO PAULO is also a member of the new social media on the Internet, with profiles in Facebook and Twitter, getting amazing
results. The aim is to consolidate the Organization’s direct communication with its different kinds of public by means of the electronic
media, opening new channels of communication to receive criticism and to disseminate and promote its actions.
Two former APAE SÃO PAULO CHILDREN were chosen as “poster-boys”: Sergio Quintanilha, 46 years old, who learned to read, use
a computer and swim; and Vinicius Araujo, 25 years old, who works in a laboratory, has studied and can move around on his own. The
campaign was made in the major TV networks, magazines and national newspapers through partnerships, besides the social media on
the internet. All that advertising would have cost R$ 19.3 million.
Form of
contact
103% liked the Fan Page / 448 received information posted
515.000 viral reach / 2 million impressions
3.640 followers up to December 2011
Also responsible for the creation and coordination of events, Marketing and Communication promoted the official celebration of the
50 years, which was a big event held at the restaurant The Leopolldo, in São Paulo, attended by the founders, partners and investors,
representatives from the government and from other APAES.
Public Assistance Service (SAP)
3%
Communication
Channels
Communication for sustainability
65%
1%
54%
45%
32%
Type of
Contact
Phone
Face-to-face
E-mail/ Suggestions
Box
Request
Information
Suggestion/praise/
complaint
For 2012, the Marketing and Communications area plans to build a Marketing plan geared towards brand management in order to
support the Organization’s business and the generation of revenue, thus contributing to the achievement of sustainability in each
APAE SÃO PAULO makes available to the people assisted, their families and other clients its Public Assistance Service (5080 11-
service and in the Organization as a whole. That planning will, initially, seek the systematization and consolidation of the policies and
7000), which aims to provide information on the services offered, make appointments for consultations, conduct research, receive
procedures of the area. Its goal will be to ensure the visibility and transparency of APAE SÃO PAULO to its public and to society in
complaints, suggestions and seek solutions to customer problems and dissatisfaction. We recorded 73,389 interactions with the public
general, develop endomarketing projects and contribute to the satisfaction of the disabled assisted and their families.
of APAE SÃO PAULO in 2011, divided into requests of different kinds, information, suggestions, complaints and praise.
.
30
31
phasetwo
32
prevention
APAE SÃO PAULO, a pioneer
and national reference in neonatal
screening, conducts tests, treats and
monitors babies, thus preventing
the development of Intellectual
Disabilities and other diseases.
33
prevention
Reference Service in Neonatal Screening
The Newborn Screening Test
PBasic
ositive
Cases 2011
Newborn Screening Test
APAE SÃO PAULO, a pioneer and national reference in neonatal screening, conducts tests, treats and monitors babies, thus preventing
the development of Intellectual Disabilities and other diseases.
The Laboratory
Patients with
Congenital
Hypothyroidism
442
Patients with
Phenylketonuria
7
accredited by the Ministry of Health in the State of
São Paulo to conduct the Newborn Screening test.
Patients with
Hemoglobinopathies
195
To this end, it is not enough that the laboratory should have technical excellence in carrying out the tests, but it also has to prove that
Patients with
Cystic Fibrosis
TOTAL
18
662
The laboratory of APAE SÃO PAULO is
it can offer the necessary structure to make the
Active Search of suspect cases, give orientation to the families, and do the
treatment and follow-up of the patients whose tests were positive, which is done by an interdisciplinary team.
In 2011, in the city of São Paulo,
80% of the tests of newborns were
carried out by APAE SÃO PAULO.
History of the Newborn Screening Test
Through APAE SÃO PAULO, Dr. Benjamin Schimidt, graduated from the Faculty of Medicine of the University of São Paulo, introduced
in Brazil the technique of
collecting on filter paper the samples for the Newborn Screening Test, which
offered ease of transportation and storage of the collected materials.
At first, APAE SÃO PAULO only made the diagnosis of phenylketonuria. From 1980, the screening for congenital hypothyroidism
Laboratory
Indicators
of the Basic Newborn
Screening Test
1.700.069
1.519.863
1.246.538
Screening tests
carried out
Children screened*
313.000
* by APAE SÃO PAULO in the
State of São Paulo in Brazil.
34
2009
325.559
2010
346.799
2011
was incorporated. The work developments provided subsidies for the creation of laws regulating the
compulsory use
of the Newborn Screening Test in the country. Neonatal screening became mandatory on June
6, 2001, through Directive GMMS No. 822 of the National Neonatal Screening Program, and currently the test identifies
four pathologies (phenylketonuria, congenital hypothyroidism, sickle cell anemia and other Hemoglobinopathies, and
cystic fibrosis).
35
prevention
From testing to beginning the treatment
Procedure Structure
Today, the laboratory of APAE SÃO PAULO is responsible for the Screening Test of
346 thousand children born in
the State of São Paulo, which corresponds to about half of all births in the State. Of those tests, 80% are performed in public hospitals
Active Search plays a crucial role in bringing in the children whose results showed disorders, using several resources
to
confirm the results of the tests, treat and monitor patients in time to prevent complications.
through the Unified Health System (SUS).
Patients with phenylketonuria and congenital hypothyroidism are scheduled to be assisted by
The basic tests stipulated by law are used in public hospitals, whereas in private hospitals a range of more detailed tests is
offered, among which the
MORE Test and the SUPER Test. The Laboratory is able to make the diagnosis of up to
SRTN:Attention to
Patients. Patients with sickle-cell disease and other Hemoglobinopathies or cystic fibrosis are referred for treatment in
specialized reference centers which are partners of APAE SÃO PAULO.
46 pathologies using four Test panels: Basic , MORE , SUPER and Customized. The Tandem Mass Spectrometry (MS/MS)
methodology allowed the expansion of those panels and the advancement of Neonatal Screening Tests.
SRTN:
Patient
Assistance
2011
Laboratory
15.206
2010
Of the screened children, 87,5% were tested by the seventh day of life, and the results released,
on average, in less than five days.
15.300
The satisfaction survey of the SRTN laboratory shows that 94,6% of the clients (individual or
corporate) are satisfied with the service.
The Laboratory team of APAE SÃO PAULO, aiming at the improvement and better performance
of the professionals involved in the Neonatal Screening Program, trained 3.771 healthcare
professionals , reaching the satisfaction index of 97,4%.
36
3.892
2009
Consultations
12.601
Patients
assisted
Training of professionals to collect material
for the Newborn Screening Test:
3.662
2.479
Active Search:
In 2011, 662 children had their diagnoses in the Basic Test confirmed in and 100 were assisted
in treatment centers.
37
prevention
Support and Monitoring Structure
The SRTN support and monitoring team is qualified for the full care of children with congenital hypothyroidism and phenylketonuria.
In the former, children and families are assisted by an interdisciplinary team consisting of a children’s endocrinologist, a psychologist
and a social service professional. In the cases of phenylketonuria, the team is formed by the same professionals mentioned above, as
well as a nutritionist.
Special Kitchen
One of the major investments made by APAE SÃO PAULO in 2011 was the
construction of the new Special Kitchen space, focused on the production of
low protein foods for people with phenylketonuria. The new kitchen space,
Special
Kitchen
23.972
30.855
26.183
which already existed in experimental form, was inaugurated on April 26 and
The annual average number of patients who consume products and maintain adequate
levels of phenylalanine is 73%.
serves 320 patients in treatment for phenylketonuria, and 140 from families
below the poverty line.
The new Special Kitchen has been operating with a production of 3,000 items
and 600 kilos per month. All ingredients undergo the aminogram test, which
2009
2010
2011
Items produced
shows the profile of aminoacids, to know the exact amount of phenylalanine in
.For 2012, the Special Kitchen’s goal is to reach the 100 % index of financial sustainability. In 2011, that index was 88%. Another project
for 2012 is the beginning of the production of basic staples packages for patients whose families are in a socially vulnerable situation
by attracting sponsors that would finance the project.
each type of food produced. The goal is to give people with phenylketonuria adequate but more varied food than usual. To this end,
the kitchen produces biscuits, sweets, cakes and pastries, sausages, steaks and vegetables nuggets, among others. The products are
sold inside the Organization itself.
Phenylketonuria is a disease characterized by the deficiency in the production of an enzyme (phenylalanine hydroxylase), which is
responsible for processing the phenylalanine protein. Without this processing, the protein accumulates near the brain (in the bloodbrain barrier), causing Intellectual Impairment. It is a genetic disorder. If it is diagnosed early enough, the child may have a normal
development.
The treatment consists of an aminoacids formula, provided by the State, and of food restriction. The disease requires strict avoidance
of milk and dairy products, meat, eggs, vegetables, cereals (except rice) and diet food.
38
39
39
phasethree
40
assistance,
services and
results
APAE SÃO PAULO works for the
integral development of people with
Intellectual Disabilities. It offers them
services and assistance at all stages
of life, from birth to aging.
41
Assistance, services
and results
The appointments are made via the Public Assistance Service (SAP) or by referral from the Basic Health Units (UBS) of São Paulo. The
Much more than direct assistance, the Organization works to enable people with Intellectual Disabilities
to exercise their talents and develop their potential, be socially included and have a good quality of life.
first appointment is is made with a doctor and a social worker. If the suspicion is strengthened, the patient is referred for consultation
and neuropsychological tests to confirm and determine the degree of intellectual disability. In the case of positive tests, patients are
referred for further consultation, this time with physicians, neurologists, geneticists, psychiatrists and neuropsychologists who will seek
the cause of the disability.
Assistance
per Service
Qualification
Educational
Stimulation
Old age
Socio-educational
TOTAL
2009 2010 2011
310 300 247
424 230 294
1.727 1.838 2.068
164 140
132
381 242 217
3.006 2.750 2.958
6
%
9%
11% People
assisted
15%
in 2011
Depending on the result of the diagnosis and the cause of the intellectual disabilities, patients can also be forwarded to consultations
with cardiologists and opticians.
The interdisciplinary team meets every week for the final diagnoses. Those eligible for the services of APAE SÃO PAULO are referred,
and the families start receiving the help of a social worker.
59%
Stimulation
Educational
Professional
Qualification
Socio-educational
Aging
That professional is responsible for introducing the families to
Ambulatory
C
are Service
11.953
11.731
the services of APAE SÃO PAULO, explaining what benefits
and rights are stipulated by law for people with Intellectual
Disabilities and listing the possible social or family problems
10.680
involving the patient. Through this structure, an average of
129 new patients enter the screening process per month. In
Ambulatory Care Service
The Ambulatory Care Service is responsible for carrying out the diagnoses of intellectual Disability, for screening patients and referring
them to the various services offered by APAE SÃO PAULO. The appointments are made by an interdisciplinary team composed of
4.122
3.832
2.104
2011, and 11,731 appointments were made , and 3,832 patients
were attended by the Ambulatory Care Service.
2009
2010
Appointments
2011
Patients Assisted
geneticists, neurologists, psychiatrists, neuropsychologists, social workers, cardiologists and opticians.
It is known that as far as Intellectual Disabilities are concerned, the first
obstacle is the lack of specialized services to make the diagnosis; besides, there
is a shortage of services to meet the town’s demand, since complementary tests are needed for a final decision on the Intellectual
Disabilities etiology. However, the health systems are not yet fully inclusive and accessible to people with disabilities.
42
Final diagnoses of disabilities in the Ambulatory Care Service (2011)
Number of Diagnoses - 359
With intellectual disabilities - 276 ( 77% )
43
Assistance, services
and results
New screening structure
or those with neuropsychomotor developmental delays. This is the service with the highest number of recorded direct assistances.
The patient screening service was entirely reformulated in 2011, gaining a new structure and methodology. In June, screening was
unified in the Ambulatory Care Service, which was reinforced with the
hiring of new professionals to form an
interdisciplinary team from the areas of medicine, psychology and social assistance.
In 2011, 2.068 children used the service.
Early infant stimulation is important because this is a period of neuroplasticity, during which there is an intense brain growth with the
creation of synapses. This brain network building capacity and maintenance is directly related to the amount of stimulation received.
In addition, with the help of a hired external consultancy firm, new protocols based on international scientific production were created
for the evaluation and diagnosis of Intellectual Disabilities. Moreover, routines were established for assistance, appointments and the
kind of tests necessary for accurate final diagnoses.
It was observed that the interventions performed in infancy (0-3 years and 11 months) enhanced motor abilities in functions such as
rolling over, sitting down, crawling and holding objects as well as feeding, while communication and comprehension abilities were
less affected. Among 4-7 year old kids, the interventions resulted in a more balanced acquisition of cognitive and social skills. Since
Those new protocols will be used in 2012 by the Ministry of Health as a parameter to publish guidelines for the diagnosis of Intellectual
this is an age bracket in which most of the children are already being stimulated at school, the intervention is meant to reinforce the
acquisition of social and cognitive abilities.
Disabilities.
With this new structure, the Ambulatory Care Service is responsible for the referral of patients to other areas of APAE SÃO PAULO.
To that end, a survey was conducted on the service capacity of each area in order to suit the demand to the assistance capacity of
the Organization, according to the criteria of diagnosis and age
First Infancy
Stimulation and
Skills-building
Services
Children assisted at the
stimulation service
1.727
1.838
2009
2010
2.068
The stimulation Service is of outmost importance since its
focus is on infancy. The service assists 0-7 year old children
and is prepared to to treat both intellectually disabled and/
44
2011
45
45
Assistance, services
and results
19%
Some of the activities developed
Aqua-stimulation
Assisted by
Stimulation in aquatic environment to help promote psycho-corporal awakening,
20%
complementary to other physiotherapy exercises done out of water. Offered to 0-3 year old children,
and to 3-7 year old ones as a preparation for swimming.
34%
the Nuclei in
Ludotherapy or Playtherapy
2011
Central
South Nucleus
North Nucleus
East Nucleus
27%
Therapies using toys and games to improve psychological /emotional
conditions in children and the bonds between parent and child..
Educational Support
Lectures,clinical discussion of cases and specific courses
of action for the assisted, given to the schools or preschools
in which the children are enrolled.
Family Support
News Moment Program
The News Moment Program, developed by the Stimulation and Empowerment Service, aims to monitor and give support to parents
Through regular meetings,preparation is given to the grandparents
from the moment they are informed of a suspicion or a confirmation of an Intellectual Disability or developmental delay. Before leaving
and siblings of the assisted , since those people may have to play
the maternity or after discharge, parents are accompanied by the Program, whose trained professionals and “support parents” provide
an important role in their future life.
all the necessary information about Intellectual Disability. In a second moment, the family is accompanied by a “support parent” –
someone who has gone through the experience of raising a child with Intellectual Disability – who can, from his/her own experiences,
Decentralization
clear doubts and raise the families’ awareness of the importance of both the prescribed treatments and of a non-negative view of
Following an agreement with the Municipal Health Department, the activities of the Empowerment and Stimulation Services are being
decentralized to reach even the farthest regions of São Paulo. The partnership envisages the
the disability.
use of public space
- Basic Health Units - UBS and the supply, by APAE SÃO PAULO, of professionals, materials, methodology and service coordination.
Thus, besides the services provided by the Central Unit, there are also those of the Decentralized Stimulation Services in Itaquera,
Campo Limpo and Freguesia do Ó. In the first half 2012, the Parelheiros unit is expected to start operating and, in the second half, the
“
>
location of a second unit will be defined together with the Municipal Health Administration
Maria Paes de Souza,
mother of Fernando, 3 years old.
A study was initiated to assess the impact of these decentralized nuclei in operation on the quality of life of the families. Indicators
signaling positive results were obtained from the preliminary data. The impact will be assessed throughout 2012 in partnership with
the APAE SÃO PAULO INSTITUTE.
4646
Erica da Silva Alves,
mother of Isabele, 3 years old.
She brings my family together,
makes us live each day fully
“
“
Fernando has fans. He captivates people
in a unique, true, beautiful way
>
APAE SÃO PAULO, besides stimulating parents, gives
them guidance to continue the treatment at home.
>
Adriana Nunes Cruz,
mother of Samuel, 2 years old.
47
Assistance, services
and results
Childhood, adolescence and youth
Teacher training
Education Service
The School Inclusion Support Service also contributes to training teachers working in the regular educational network. Over the year,
School Inclusion Support Service
as curricular flexibilization and the use of assistive technologies for students with Intellectual Disabilities were addressed.
seminars called “Dialogues” are held, during which various issues related to the inclusion of pupils are discussed. In 2011, themes such
The School Inclusion Support Service is in line with the new educational proposal of the Ministry of Education, committed to
supporting a school for all, that is, schools that are open to and capable of dealing with diversity. The inclusion of children with
disabilities in the school environment can benefit everybody´s potential for learning and development, besides contributing to
eliminating discrimination.
Thus, the Inclusion Support Service contributes to the ideal of building an inclusive education system by providing specialized
educational services for people with Intellectual Disability. The services include extra activities held after or before mainstream school
hours, supervised by a team of educators who have the support of an interdisciplinary team of psychologists, occupational therapists
and speech therapists. The study aims to break down the barriers that prevent the cognitive development of students with Intellectual
Disabilities, from issues regarding socialization to those of communication and coordination. Therefore, it is not focused on their school
subjects but on developing extra-curricular activities.
The follow-up is made by a team of educators, who visit the schools where the students are enrolled to check their development,
discuss referral options and effective learning strategies with the teachers.
Initiation into the Labor Market
Short-term courses are designed in modules which are structured to create a routine for students, in order to foster habits and
attitudes that enable them to enter the labor market. In 2011, the course “Introduction to the Labor Market” Work” contained a
structured information route so that individuals with Intellectual Disabilities could acquire the basic skills for a productive life whether
in socialization, communication, autonomy or responsibility.
Meetings with the family
Once a month, the families of the students who attend the School Inclusion Support Service School have a meeting with the
48
Last year, 80 people attended Module I: Initiation to the Labor Market. At least 30 of them are expected to be referred to the
interdisciplinary team to discuss the development of individual students, as well as other general topics related to their learning needs.
Professional Qualification Office during 2012.
This contact is justified, since a nurturing family environment promotes learning.
49
Assistance, services
and results
Decentralized Nucleus
Besides that, the workshops were geared towards the
In 2011, in partnership with the Hedging Griffo Institute and the Municipal Education Administration, a decentralized nucleus of the
artistic products that could demonstrate the feasibility of a collective attainment of goals.
construction of tangible
School Inclusion Support Service started operating in Capela do Socorro, a populous region in the far south of São Paulo.
In this nucleus, 120 students are assisted, and the demand is higher than
the number of vacancies.
Thus, in theatrical activities the aim became the staging basics (setting up a play), in music it was forming
a band, in fine arts, the production of paintings and sculptures and so on.
The objective for 2012 is to keep this nucleus operating. Decentralization is important to make it easier for people with Intellectual
Disability to access the services, since disability affects the poor disproportionately; their limitations and vulnerability must be taken
into consideration.
An additional innovation of the Socio Support Service in 2011 was the opening of the sports workshops. Soccer, athletics, karate and
People Assisted by the
Socioeducational
Support Service
Sports
Socioeducational Service
tai chi chuan classes began to be offered. The initiative aims to improve not only the
quality of life and health of the target
group through sports, but also their communication and relationship skills, their self –esteem and their awareness of the need to
381
observe rules. The agenda for 2012 includes the reactivation of the swimming pool and the resumption of swimming lessons.
242
In 2011, the Socio-Educational Support Service underwent a structural
217
The Wings Project
change in its focus, beginning to target the development of integrated
skills and competencies through art workshops and sports.
Between 2010 and 2011, the Socioeducational Support Services implemented the Wings Project, in partnership with Group 25
2009
2010
2011
In 2009 APAE SAO PAULO had the project
"São Paulo is a School" in partnership
with the City Department of Education.
This project was discontinued in 2010.
(Counterpart Organization), the Ministry of the Attorney General and the São Paulo Education Secretariat.
Through the project, methodologies for inclusive practices were developed, such as the articulation of public and social welfare
institutions to make public facilities for leisure, culture and social advancement
adequately available to people
with Intellectual Disability.
The Wings project was originally created to be a driving force for the development of public policies aimed at the inclusion of people
with disabilities, taking the school as a reference but opening up other opportunities for integration through the use of public facilities
in different areas such as sports, culture, information technology, libraries and job skills
5050
51
Assistance, services
and results
Youth and Adult Life
feel socially included, increase their social links and attain the status of productive citizens acknowledged by the state. Besides, the
People Assisted by
autonomy obtained with the job sometimes allows them to build a new family. Including people with Intellectual Disabilities is an issue
Job Qualification Services
that has gained strength from the enactment of law 8213/91, which is known as the Quota Law. Since then, public bodies and private
Qualification and Job
Inclusion Service
310
300
304
companies have been committed to implementing affirmative action policies as stated by law. Even with the adoption of the inclusive
legislation, job access is still a barrier faced by people with disabilities.
The Office for Inclusion and Professional Qualification is designed both
2009
for young people from age 16 and adults, regardless of the degree or the
cause (etiology) of Intellectual Disability. The most important requirement
is the existence of an expressed wish of the assisted to become
2010
2011
Included in the
For over thirty years, APAE SÃO PAULO has been a reference in developing professional training and qualification
models for people with Intellectual Disability
job market
129
qualified for the job market, showing that he/she feels motivated to
perform professional activities. The job must also prove to be an actual
tool for social inclusion and personal
fulfillment
69
Courses and qualification structure
56
The job qualification structure operating in the Vila Clementino Unit (center) serves about 300 people per year. On average, basic
training lasts between one and one and a half year, and this flexibility allows treating individual skills and individual needs differently
2009
2010
2011
Experience shows that when professionalization is specially tailored to promote inclusion and citizenship, it can bring significant
to foster better assimilation of concepts and work processes.
The vocational training courses currently offered cover four segments: restaurants (still restricted to waiter/server, bartender and
dishwashing services, since the culinary service courses will be operating in 2012 with the inauguration of the industrial kitchen),
benefits for people with Intellectual Disabilities, especially in regard to self-esteem and autonomy.
Young people or adults with Intellectual Disabilities who work take on a new role in the family, contribute to the household budget,
administrative services, and industrial and laundry services.
The courses are designed in accordance with market trends and demands,
which requires identifying in companies the areas and activities that are suitable for people with Intellectual Disability.
Initially, the courses developed skills in assembling and packaging industrial parts. Due to a marked expansion in the service sectors in
recent years, there is now an increased demand for hotel, restaurant and laundry service training courses..
5252
53
Assistance, services
and results
Active search for candidates
Partnership with companies
Since the availability of jobs surpasses the number of people enrolled in training courses, APAE SÃO PAULO develops an active
The vocational training courses are held thanks to partnerships made with companies committed to including people with Intellectual
search for candidates with Intellectual Disabilities, offering guidance and divulging information about courses and jobs offered.
Disability in the job market. Companies, whatever their size or nature, can participate in this process.
The orientation service given to the families in the Ambulatory Care Clinic includes all the necessary information about access to the
To this end, there exists “Partners for Empowerment”, a project whose aim is to give sustainability to the training courses, divulge the
training courses. However, new candidates are constantly being contacted. For two weeks in September 2011, a pilot project meant
issue of job inclusion and engage more companies in this cause.
to give information about job options for people with Intellectual Disability was conducted in service centers set up at the Sé and Luz
The average cost of assistance per person is R$ 6,2m thousand / year. When a company that participates in the project “Partners for
Subway Stations.
Empowerment” hires a qualified individual, it undertakes the cost of training another.
Qualification
for all
APAE SÃO PAULO is responsible for the service of providing information to partner companies, preparing the other employees for
the arrival of a colleague with Intellectual Disabilities, giving guidelines for their relationship, answering questions and discussing myths
and prejudice, and so on.
As the labor market has been absorbing
people with mild disabilities naturally,
The process of integration and adaptation of a new professional is also
followed for a year after inclusion.
the current challenge is to develop and
disseminate
to
companies
assistive
technologies and work methodologies for
Work and family support
people with more severe disabilities.
People with Intellectual Disabilities need special support from their families to make the entrance in the labor market balanced and
One of the most efficient approaches is to treat each case individually, with the supervised assistance of specialists who can suggest
productive.
additional support whenever needed.
For some people with disabilities, including those with significant functional difficulties,
assisted job programs
can foster the development of skills that make the work done as productive and well-paid as that of other employees. During the
It is part of the activities of the professional qualification to guarantee this
support and to strengthen families
in a process of change in which the assisted will make a transition to the world of labor relations, gradually learning about the new
responsibilities and relationships found in the corporate world and gaining autonomy of locomotion.
qualification process, whenever it becomes apparent that the candidate will not find personal fulfillment through work, he/she can be
referred to other activities, whether educational, athletic or artistic, either in the organization and / or in facilities of the community.
In some cases, it is necessary to demonstrate to the parents that the diagnoses made in the past, classifying their children as “incapable”,
are actually outdated and untrue.
54
55
Assistance, services
and results
was on December 12. Throughout the year, 11 employees were assisted by partner companies. This first experiment showed that the
training time of eight months can be reduced to six months; therefore, from 2012 on it will be possible to train 40 people a year.
Prosegur’s laundry computer system was redesigned to be used in Brazil by people with Intellectual Disabilities, by means of a
program that exchanges words for icons. The laundry is equipped with two washing machines and three industrial steam ironers. The
capacity is 1200 pieces of clothing per month or 60 pieces a day. Three major companies use the service to have their staff uniforms
laundered: GRSA (restaurants), Multipark (parking) and Prosegur (CIT) itself.
Partnership with Senac
Family members must be aware of the importance of a job for social inclusion and for the
development of the
In March, APAE SÃO PAULO built a partnership with the National Service for Commercial Learning (Senac) to offer a
potential of the person with Intellectual Disabilities.
first job preparation course
to the young people assisted in the training courses. Information
such as personal relationships, expected behavior in the corporate world, the search for a job and CV writing,
At this stage, we need to overcome concerns about the exposure of children to the adult world, which often lead to overprotection.
Families are also advised on how to monitor the process of acquiring
responsibility and autonomy, ranging
the dynamics of selection processes in large companies, preparing for an interview, meeting the hiring manager, etc was the
main focus of the course.
from personal care to commuting issues.
The methodology was developed by Senac and adapted by APAE SÃO PAULO for people with Intellectual Disabilities.
In 2011, 40 of the assisted attended the course.
2011 Achievements
Industrial laundry
In partnership with Prosegur, a Spanish safety and security provider company, an
industrial laundry with the most modern equipment available for the segment was
set up. Prosegur was responsible for supplying the methodology and delivering the
The Blue Butterfly Project
The Blue Butterfly Project, launched in 2010, was effectively implemented in 2011 to
promote the
use of outdoor spaces in professional training programs.
The methodology was developed by OBB (Outward Bound Brazil) for the improvement
equipment. This company maintains an organization with a similar structure in Spain,
of professional skills such as
aimed at the empowerment of people with Intellectual Disabilities. The first group
and teamwork.
motivation, autonomy, leadership
assisted consisted of 20 students. Classes started in April and the first graduation
56
57
Assistance, services
and results
The Third Age
The project was conducted in the Horto Florestal (Municipal Nursery) of Campos do Jordão, where participants of the training
courses were engaged in recreational camping. Since most of those young people had never had the experience of being away from
their families, the knowledge acquired was particularly important: they were responsible for feeding and dressing themselves, putting
up the tents, tidying up and organizing the space, disposing of garbage according to the rules of the camping site, etc. They also had
new experiences in hiking trails and radical sports.
The main objective of activities such as these is to awaken in these young
people the feeling that they can and should experience challenges.
Aging Support
Service
N umber Assisted in the
Aging Service
Some interesting experiments
164
140
134
2010
2011
The STATE GROUP, with the project Work for All employs 25 people who attended training courses, and ten out of these
are visitors’ guides. Guiding visitors to their areas of interest requires recognizing different sectors and being able to give proper
information about the functioning of each area, as well as being welcoming and kind.
2009
In the Delboni laboratory, belonging to the DASA group (Diagnóticos da America), professionals who attended
the training courses work in front line client services, delivering results and helping the receptionists, sorting out exams and operating
copy machines.
APAE SÃO PAULO is a pioneer in providing
Big companies have been our partners for many years with great success.
The food industry Bauducco has been hiring people with Intellectual Disabilities since 2005
disabilities, undertaking the promotion of
their quality of life.
In the pharmaceutical industry Libbs, people qualified by APAE SÃO PAULO have been working in
The Aging Service Support assists people
the production line since 2006.
over 35 showing the first signs of senescence
9% 7% 12%
and senility which are common in long-lived
Gained
The MWM has also been a business partner since 1996, employing people who attended courses.
58
services to aging people with intellectual
Functional
Mapping
84% 82% 81%
persons with Intellectual Disabilities.
Functional performance
7% 11% 7%
Maintained
Cognitive abilities
Lost
Physical abilities
59
Assistance, services
and results
Comprehensive Geriatric Assessment
Since 2010, the Aging Support Office has been adopting a specific methodology to meet the needs of this population.
An innovative Comprehensive Geriatric Assessment (CGA) was designed and implemented to assess the cognitive, functional,
communicative, emotional, behavioral and social capacities of the aging people assisted, which is used to analyze both their own and
their families’ strengths and vulnerabilities.
From the data obtained in AGA, a Singular Therapeutic Project (TSP) is developed, identifying
individual needs
and proposing short, medium or long term interventions.
These interventions range from internal service activities and family counseling, or referrals to an external network
of suitable equipment.
In 2011, the Itaim unit assisted 134 aging adults.
The main objective of the Service is the prevention of the impairment and decay related to aging, and the maintenance of the
cognitive and functional skills acquired throughout life, favoring the autonomy, independence and social inclusion of aging people with
Intellectual Disabilities.
The service is provided by a group of different professionals in an interdisciplinary team approach: a geriatrician, an audiologist, a
psychologist, a social worker, an occupational therapist, a physical therapist, a workshop instructor, monitors and nursing assistants.
The service includes workshops, supervised by experts and focused on health and quality of life. Thus, physical, corporal and artistic
activities are offered to enhance cognitive and functional abilities.
60
61
phasefour
62
promotion, protection,
defense and
guarantee
of rights
In 2011, APAE SÃO PAULO defined
that one of its strategic priorities should
be promoting, protecting, defending
and guaranteeing the rights of the
intellectually disabled. To this end, the
Defense and Guarantee of Rights Office
started working from real facts and
experiences reported by the family to
the legal social assistance.
63
Defense and
Guarantee of Rights
The study demonstrated the need to press for public policies aimed at protecting, promoting and guaranteeing human rights of
people with Intellectual Disabilities. Furthermore, it was necessary, not only for society but also for people with Intellectual Disabilities
Map of the Regions of the
SÃO PAULO State
themselves, to have a better awareness and understanding of established rights. Increasing one’s knowledge and changing one’s
attitudes are crucial for effective social inclusion. In order to reach the intended goals, the following action programs were developed:
Social Law Program
The Social Law Program has as its primary goal the protection of people
with Intellectual Disabilities and giving their families guidance about
their social and civil rights, diffuse and collective.It acts transversely with
the people assisted by all the services provided by the Organization,
with a team of professional fields of law, social work and psychology.
Support Program for People with Intellectual Disabilities
experiencing violence.
The experience acquired in assisting the mentally disabled and their families, added to the data showing that questions related to
The program’s main objective is to prevent and tackle different forms of violence,
State of São Paulo and the actors of the System for the Guarantee of Rights should be involved to ensure effective protection of rights.
Legal
and other instances of violations of the rights of both people with Intellectual
Disabilities and their families. The idea of addressing this issue arose in 2008, as
861
a result of demands identified in APAE SÃO PAULO Services, which were clear
Assistance
612
479
2010
2011
violence against this group often go unrecognized, resulted in a commitment to addressing this issue. To this end, all the APAEs of the
The All for the Rights Project was developed accordingly.
evidence of the need to tackle this phenomenon that impairs the quality of life of
both the mentally disabled and their families.
2009
Number of families assisted
For this purpose, our professionals are trained to become qualified to deal with this
issue, using a systematic approach for recognizing and referring suspected cases
of violation of rights. Furthermore, renowned professionals, highly specialized in
handling cases of violence, participate in the program.
64
It was identified in 2009 and 2010 cases demand of
for legal and social orientation of the ban not only
attended by APAE SÃO PAULO but similar partner
organizations. This work was performed by volunteer
lawyers. From 2011, the number of service keeps as
expected by the Organization.
All for the Rights Project
The main objective of the project “All for the Rights” funded by Petrobras is to strengthen the network of assistance to children and
adolescents with intellectual disabilities in the state of São Paulo, preventing and meeting the challenges of violence perpetrated
against them as well as other associated violations of rights. Starting in January 2011, it reached 46 municipalities in the State of So
Paulo. The main proposal was to diagnose , sensitize people and articulate their participation in the issue of Intellectual Disability and
in the System of Guarantee of Rights.
65
Defense and
Guarantee of Rights
In partnership with the APAEs of each municipality, a total of 3163 people became aware of and committed to this issue. Among
those were professionals in Education, Health, Social Services and Public Safety, as well as Members of the Tutelary Board, Public
Defenders and Prosecutors. In 2012, the project will be developed in six municipalities of the state of São Paulo (Santos, Ribeirão
Preto, Campinas, São José do Rio Preto, Presidente Prudente and Bauru). The aim is to train and articulate integrate the agents, to
map and implement the form of assistance of this network in preventing violence and in the protection and promotion of the rights of
people with intellectual disabilities.
All for the
Rights
46 seminars held
150 municipalities reached
3,1 thousand trained professionals
Family Support Program
Self-defenders
2010 -
58
2011 -
69
Over the recent years, APAE SÃO PAULO has been discussing the importance of engaging the family in the fight for the cause of the
Intellectually Disabled, improving their participation, mobilization and performance. To achieve this goal, the Family Support Program
was created in 2011. It was designed to strengthen and encourage families to become agents of social transformation, stimulating their
active participation in APAE and in all the other democratic spaces. Our challenge is not only to get them
involved in Forums
and Human Rights Councils but also in building, formulating and consolidating public policies for people with Intellectual Disabilities.
Promotion of public policies
APAE SÃO PAULO has been a protagonist in the construction and implementation of public policies on behalf of the Intellectually
Disabled and in the defense of their rights. To this end, it participates in democratic and qualified spaces for political representation
of the civil society such as forums, councils and networks of rights, in an attempt to include the issue of Intellectual Disabilities in the
Number of families
2009 -
120 2010 -
132 2011 -
243
Self-management and Self-defender Program
Since 2010, the Organization has been offering the Self-defender Program, whose aim is to promote spaces for dialogue, critical
reflection and articulation of people with disabilities, so that they may become active players in the defense and guarantee of their
rights. Participants are stimulated to manage daily activities according to their own individual level of competence and ability. It
is important that all the participants have freely chosen to learn how to deal with their individual needs and to broaden their life
perspectives. To that effect, they need to get active preparation to enable them to defend their positions and suggest actions and
services that will meet their needs and expectations, aiming at improving their participation in all the sectors of society.
66
national agenda.
Advocacy
The concept of “advocacy” broadly refers to
supporting a cause through mobilizing society and raising the awareness
of its agents of change, as well as monitoring the actions of the Executive, Legislative and Judiciary Powers. Advocacy has been in
operation for three years and its performance cuts across and happens in partnership with all the services of the Organization.
The role of the Organization in the construction of public policies was systematized within the structure of Advocacy. This is an
important undertaking to be pursued at a time when the legal framework of the defense and guarantee of rights and of the social
inclusion of people with Intellectual Disabilities is being implemented in the country.
67
Defense and
Guarantee of Rights
Regional and Municipal
Conferences for the Rights of Children and Adolescents, in which professionals participated
National Federation of APAEs (FENAPAES). The Organization was also present at the
as elected delegates not only in the regional and municipal conferences but also in the state event. It was the first time that children
and adolescents participated as elected delegates.
Of paramount importance is the involvement of the Organization in the regional, municipal, state and federal Conferences for
the Rights of Children and Adolescents. It is a potentially powerful means of mobilizing the System for the Guarantee of Rights
APAE SÃO PAULO highlights and public participation in 2011:
and of the general population pressing for the implementation and monitoring of the National Policy and of the Decennial Plan of
the Rights of Children and Adolescents.
Launch event of the National Plan for the Rights of People with Disabilities – Living without Limits, launched by the federal
In 2008, APAE SÃO PAULO, concerned with the stark reality that adults and aging people with Intellectual Disabilities often have
Government on November 17, 2011.
to face, created the Work Group (WG), composed of government representatives – Municipal and State Secretariats – and the civil
Member of the Managing Committee for monitoring the National Health
Plan for the Disabled coordinated by the Health Ministry.
society. Since then, the WG has been developing articulations to
Representation
The APAE SÃO PAULO keeps track of the decision-making meetings of the Councils of Rights, forums and discussion networks
related to the
guarantee the access of people with Intellectual
Disabilities to public facilities, and to promote adequate public policies for this segment.
Today’s WG consists of eleven Social Organizations and one legal representative of people with with Intellectual Disabilities.
It was officially recognized in 2011 by São Paulo’s Mayor as an exemplary initiative to foster transversal public policies aimed at
assisting aging disabled people.
rights and guarantees of people with Intellectual Disabilities, and
there is a permanent APAE SÃO PAULO representative in the State Council for Intellectual Disability Affairs.
National Council for the
Rights of Children and Adolescents (CONANDA) as a representative of the
In 2011, the APAE SÃO PAULO participated in the work of the
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69
phasefive
70
Knowledge Generation
and Dissemination
One of the strategic axes of APAE SÃO PAULO
is the generation and dissemination of scientific
and technical knowledge in relation to the issue
of Intellectual Disability. By training people and
promoting research and scientific inquiry, the
organization is at the forefront of knowledge
generation and consolidated as a model institution
in dealing with the issue of Intellectual Disability.
71
71
Knowledge Generation
and Dissemination
Over the past two years, the Institute has undergone an administrative and structural reorganization in order to resume that vocation
and ensure the advancement of knowledge.
Ongoing research studies on Intellectual Disabilities involve issues
such as obesity in people with Down’s syndrome, premature aging, assessment of functional mobility and of increased risk of falls among
people with Down syndrome over the age of 35, cognitive decline in adults with the Down syndrome, hemoglobinic profile analysis
in preterm infants, studies of congenital adrenal hyperplasia, fragile X syndrome, congenital hypothyroidism, hemoglobinopathies
in newborns, carnitine deficiency, habilitation and rehabilitation, evaluation of video-electroencephalography of adults with Down
syndrome, clinical, neuroradiological and neurophysiological epilepsy in people with Intellectual Disabilities, as well as studies related
to the families and inclusion issues, defense and guarantee of rights, inclusive education and the impact of an interdisciplinary approach
on child development.
The Institute also invests in
The APAE SÃO PAULO INSTITUTE
The APAE SÃO PAULO Institute operates in two main areas: the promotion of scientific research on Intellectual Disability and the
training of people who have interest in this area. Our goal is to develop and disseminate knowledge and to become a reference in
scientific techniques, approaches and theories on Intellectual Disability.
The Institute gained momentum in 2009, when Dr. Esper Cavalheiro Abram, a postdoctoral M.D., former president of CNPq and
renowned researcher, accepted the invitation to be the new chairman of the Scientific Council. With the reformulation of the Council,
the institute’s training activities and research were geared towards a constant update of the major scientific discoveries and state-ofthe-art technologies related to Intellectual Disability.
Aging Services, in an attempt to provide the necessary support for the development of children, adolescents and adults with different
cognitive abilities and needs. It also works on prevention, an area that demands the development of extensive research, focusing on
the causes of Intellectual Disabilities, which in Brazil are markedly associated to alcohol and drug abuse, to mother, infant and young
child malnutrition and to pregnancy and delivery problems.
An emerging research center
Although the research activities were resumed quite recently, they have been gradually progressing as new research questions and
projects arise. The idea is to structure research in such a way that it becomes a knowledge exchange resource center where
Intellectual Disability researchers across the country can find space to work and share scientific information.
For 2012, the prospect is to attract doctors and post-docs to a joint research effort, focused on achieving excellence in our services
Research
The Institute founders’ ideal was to
updating knowledge and practices for Educational, Early Stimulation and
and internal training, and contributing to the dissemination of knowledge among scientists and in similar institutions. To this end,
create a research center dedicated to the advancement of knowledge of
partnership mechanisms that allow interactions with other research institutes are being studied.
new tools and methodologies for the prevention of Intellectual Disability and for innovative support approaches. Therefore, the main
72
research lines defined were “Genetics and Molecular Biology”, “Cognition and Development,” “Brain Imaging” and “Neonatology and
Since sustainability is a goal, it is expected that the scientific projects proposed will attract research funding. Currently, ongoing
Neonatal Screening” - the foundations of an emerging Intellectual Disability research center.
research is funded by APAE SÃO PAULO.
73
Knowledge Generation
and Dissemination
Professional Training
Seminars and courses held
Seminar on Genetics and the
Development of the Nervous System
Seminar on Brain and Intellectual Disability
(celebrating 50 years of APAE)
Workshop on Spectroscopy
Courses held in 2011
In-Company:
In-House courses:
Short duration
Courses Held: 8
Medium duration (180 hours)
Courses Held: 2
Total: 10 courses
Given by a team of researchers from Unicamp (physicians, geneticists,
biologists, psychologists) and with the participation of 186 professionals.
Held at the Latin America Memorial, with the participation
of 447 people, including 258 professionals of APAE SÃO PAULO.
Conducted by a team of researchers from Latin American Spectroscopy Center (UNIFESP)
and with the participation of 258 professionals of APAE SÃO PAULO.
Seminar on Neuroplasticity
Given by professionals in neurology and neuroscience at the Autonomous University of Mexico,
with the participation of 177 258 professionals of APAE SÃO PAULO
Course on Psychopathology
Given by the psychiatrist Dr. Ivete Gattas, with the participation of 101 professionals of 258 professionals
of APAE SÃO PAULO. The course offered training in neuropsychological assessment tools to professional psychologists.
II Seminar on Aging and People
with Intellectual Disabilities
Third-party
courses
Courses Held: 22
EAD courses - Employability of the Person
with Intellectual Disability and Aging of the
Person with Intellectual Disability
(with FENAPAES).
Courses Held: 3 groups
Total: 25 courses
Total number of people trained: 735
Total number of courses: 35
Held in association with the institutions belonging to the Study Group
on Early Aging in People with Disabilities, with the participation of 102 people.
By training teachers and other health and education professionals, the institute tries to spread its knowledge so as to fight prejudice,
People trained in
the assisted
schools
735
In the area of professional training, the Institute uses the practical experience acquired
by professionals of APAE SÃO PAULO in the assistance and social inclusion services for
The courses for the general public are twofold:
people with Intellectal Disabilities.
82
2010
In this area, the Institute focuses on primary and elementary schools and on similar
2011
organizations (especially smaller NGOs),
giving
technical training to students and
practitioners of physical therapy, occupational therapy, social work, speech therapy,
education, psychology, physical education and arts,among other areas.
The performance of the Institute contributes to inclusive education by
training
private and public education teachers to deal with the
74
in-house (held in APAE SÃO PAULO) and in-company (held in the
companies or organizations that demanded them). Most of the courses are intended for smaller organizations of a similar nature, such
306
2009
destroy myths and guarantee inclusion.
as neighborhood associations, often connected to churches or to social movements that are committed to providing some assistance
to Intellectually Disabled people.
The content of the courses is defined according to the needs of each
organization, and questions related to human rights, violence, sexuality, the labor market, behavioral issues are the most
common concerns focused on. The courses offered by the Institute have a wide variety of clients, including state and municipal
education secretariats, which need them for teacher training in the area of Intellectual Disability. Besides these, there are those
numerous professionals working with people with Intellectual Disability who need updating, such as psychologists, speech therapists
inclusion of children in mainstream schools and to develop their potential.
and teachers of physical education and arts, among others.
This undertaking became crucial once special schools were closed in 2009, a decision in
Companies that want to have their client/customer service professionals trained to deal with issues such as the accessibility and
keeping with the inclusive education policy advocated by APAE SÃO PAULO.
inclusion of people with Intellectual Disability have also been seeking APAE SÃO PAULO’s courses.
75
phasesix
76
organizational structure,
partners and investors
APAE SÃO PAULO is made of transforming
efforts and attitudes. It is motivated by those
who share the same dream and believe in
this reality which, for over 50 years, has
been giving opportunities to people with
Intellectual Disabilities, thus contributing
to creating a more inclusive, fairer and
worthier society.
77
WORKFORCE APAE SÃO PAULO
Edna V. Tralli
Voluntary Action’s Board of Directors
Ambassadors
Eduardo Camasmie Gabriel
Bernadete Destro Brito Machado
Gustavo Borges
Lifelong Counsellors:
Enio Buffolo
Cecília do Valle De Zoppa
Maria Cândida
Alda Moreira Estrázulas (in memoriam)
Ernani Buffolo
Kátia Villemor Jofily de Lima
Antônio dos Santos Clemente Filho (in memoriam)
Felipe Clemente Santos
Lenita Helena Maciel Linero
Sponsors
Emirene da Costa Moniz
Flávio Strapetti
Maria Cristina Lima Kabbach
Alessandro Segato
Fernando Silva Telles
José Diogo Bastos Neto
Maria do Carmo L. de Paula Araújo
Antônio dos Santos Clemente Filho (in memoriam)
Gilberto Penteado da Silva Telles (in memoriam)
Leo Braga Furness Filho
Olga Auricchio de Souza
João Armentano
Hermógenes Troyano
Liliana Clemente Santos
Yoshie Shibata
Roberto Kalil Filho
Jô Clemente
Luiz Carlos Henrique
João Leondarides
Luiz Fernando Butori Reis Santos
Honorary President
Joaquim Burin (in memoriam)
Marco Antonio Fernandes David
Jô Clemente
Oscar César Leite (in memoriam)
Nelson Bechara Filho
Seme Gabriel
Oscar Ungarelli Neto
Vera Dias Toledo Vicente de Azevedo (in memoriam)
Randal Luiz Zanetti
Roberto Shinyashiki
Executive Group
Scientific Counsel and Advisor
of APAE SÃO PAULO INSTITUTE
Superintendent
President
Financial Administrative Manager
Esper Abrão Cavalheiro
Hailton Oliveira Mendes Junior
Aracélia Lúcia Costa
Raul Manuel Alves
Administrative Council
President: Marco Antonio Fernandes David
Board of Directors
Secretary: Randal Luiz Zanetti
President: Cássio dos Santos Clemente
1º director vice-president: Cláudio Pacheco do Amaral
Counsellors
Fiscal Council
2º director vice-president: Felipe Clemente Santos
Elza Marcia Yacubian
Albino Pereira de Mattos
1º director secretary: Cristiano Frederico Ruschmann
José Eduardo Krieger
Human Resources Manager
Carlos Zaideman Ázar
2º director secretary: Eduardo Camasmie Gabriel
José Fernando Perez
Maria do Carmo Guardia Nassar
Vicente Petrosino Neto (in memoriam)
1º financial director: Raul Manuel Alves
Oswaldo Luiz Alves
2º financial director: Leo Braga Furness Filho
Elected Councillors
78
APAE SÃO PAULO INSTITUTE Manager
Dalci Maria dos Santos
Coordinators
Honorary Members of the Scientific Counsel
Cristiane Valéria Prado Lopes
Ana Maria Falzoni
Adjunct Directors
Aron Diament
Fábio Rodrigues
Carlos Augusto Gentil Fagundes
Carlos Augusto Gentil Fagundes
Darcy R. Schussel
Leila Regina de Castro
Cássio dos Santos Clemente
Cláudio Ferreira
Fernando José de Nóbrega
Maria Aparecida Baptista Soler
Cláudio Pacheco do Amaral
José Diogo Bastos Neto
Hélio Egydio Nogueira
Marilena Ardore
Cleiton de Castro Marques
Luiz Fernando Butori Reis Santos
Mina Regen
Marília Pinho Ferrari
Clóvis Ermírio de Moraes Scripilliti
Luiz Cintra do Prado
Rosana Cunha
Renato Ribeiro dos Santos
Cristiano Frederico Ruschmann
Maurício Ceschin
Seme Gabriel
Daniel Souza Campos Miziara
May Machado
Tuca Munhoz
79
Investor Partners
Corporate
Strategic Partners
Corporate
Institutional Corporate
Supporters
80
81
Investor Partners
Corporate
Alvenius Equipamentos Tubulares Ltda
Assai Atacadista
Atlas Transporte e Logística
Banco West LB
Cantaloup
Casa Santa Luzia Importadora
Cesta Maximo
CLM Gestão em Saúde
Club Transatlântico
Colgate-Palmolive
DELPIS Com. de Prod. Alimenticios
Dixie Toga
Doctor Feet
Duratex
EATE
Farmácia de Manipulação Águia de Ouro
Grand Thornton
Grupo Pão de Açúcar
Jack Vartanian
Johnnie Wash
KSL Associados
Libbs Farmacêutica
Logma Distribuidora
Mammy Gestante
Max Precision
Mellita do Brasil
Mira Transportes
MWM International Motores
Nestlé
Novotel Morumbi
On Time
Pandurata Alimentos - Bauducco
Primavera Vida Clube
Racional Engenharia
Ranbaxy
Restaurante Rubaiyat
Sapataria Cometa
Special Quality
Tejofran
Totale Tecnologia
Votorantin Private Bank
Yan Grafica
Albino Fernandes Pereira Neto
Andrea Bechara
Anete S. Zanetti
Bia Mattos
Caio Auriemo
Cassio dos Santos Clemente
Cláudio Pacheco do Amaral
Cleiton Marques
Daniela Barbosa
Dulce Auriemo
Dulcenéa Cassina Fernandes Pereira
82
Eduardo Camasmie Gabriel
Elza Buffolo
Enéas Pestana
Ênio Buffolo
Ernani Buffolo
Eurico de Souza Leite
Fábio Ramazzini Bechara
Fabricio Beer
Flávia Jafet
Henry Sztutman
Hugo Bethlem
Jô Clemente
Jonas Bechelli
Jorge da Conceição Lopes
José Roberto de Camargo Ópice
Leda Comolatti
Luis Carlos Mendes Caldeira
Luis Felipe Sola
Luis Fernando Mendes Caldeira
Luiz Vicente Barros Mattos Júnior
Madalena Lopes
Mara Marques
Marcia Buffolo
Marco Antônio Fernandes David
Nei Schiling Zelmanovitz
Pedro Paulo de Rezende Porto Filho
Rafael Valdívia
Randal Luis Zanetti
Ricardo Lacaz
Silvana Bauducco Nunes
Sylvia Mattos
Tereza Comolatti Ruivo
Germinal Editora e Marketing
GGB Industria de Mancaus Componentes Ltda
Granserv Serviços Adm. Ltda
Icaro Silvio de Paiva BSK Contabilidade
Imefer Ind Merc Ferragens Ltda
Ind Arteb S/A
JLF Consultoria de Marketing e Midia Ltd
Latina Proj Civis e Ass S/A Ltda
Legitimo Lanches e Restaurante Ltda Me
Lojas Belian Moda Ltda
Luminare - Art Com e Ind de Art Religiosos
M.C.M Serviços Ltda
Macéa Cerâmica Técnica Ltda
Marcia Villaça Rosa
Meka Montagem Industriais Ltda
Milenium Assessoria Cont Ltda
Moraca Ltda
N Ferreira Publicidade Ltda
Ngo Assoc. Corret Cambio Ltda
Nicaje Adm Part Rep Mercantil Ltda
Oif Quim Intercontinental Ltda
Perkin Elmer do Brasil Ltda
Pintun Pinturas Técnicas Ltda
Pisoag do Brasil Ltda
Qualicolor Brasil Ltda
Refinaria Nacional e Sal S/A
Ricardo Brittes
Rubens Augusto Camargo de Moraes
Tecelagem de Fitas Anhanguera Ltda
Valestyl Com Ind Roupas Ltda
White Gak Participações Ltda
Zago Gás Natural em Veículos Ltda
Associates
Corporate
Associates Individual
Ágata Tecnologia Digital Ltda
Alberto Macedo Advogados Associados
Alecrim Comercial Ltda/Charlize S Prieto
Arls Crivo da Razao 3017
Artgraphic Publicidade S/C Ltda
Associação Cultural e Beneficente Servir
Auto Posto Cumbica Ltda
Auto Posto Primavera Ltda
Cantinho da Criança Art. e Roupas Infantil
Casa Fernandes de Pneus Ltda
Cegasa Sistemas de Energia e Tráfego do Brasil
Clemente e Gramani Edit e Comunicações Ltda.
Com Sta Rita de Cassia S/C Ltda.
Corporate Software Informática
Darling Confecções Ltda
De Paula Neg Imobiliários Ltda
EMI - Estética e Medicina Interativa Ltda.
Engas S/A Adm Bens Cor Seguros
Faculdade Integral Cantareira
Formula Ativa
Abigail Batista Fuly
Abigail Rodrigues Pinto
Abrão Adib Dib
Adailza França de Oliveira
Adão Gomes
Adelino Pasqual de Oliveira
Ademir Norio Alicawa
Aderito Domingos da Conceicao Nunes
Adiba Zarzur Zogbi
Adilson Nunes Camilo
Admilson Mazzuccato
Adriana Brolio Panachi
Adriana de Cassia Lamberti
Adriana Mujakrch
Adriana Teixeira de Mello
Adriano Mendonça Nishihara
Adriano Nuevo Franca
Afranio Zucon de A Bueno
Agenor Madella
Agesipolis Franca Filho
Agnaldo Gomes de Souza
Agostinho José Alves Filho
Aguinaldo Masironi
Aida Soares Moura
Ailton Sandro de Oliveira
Airton Roveran
Airton Soares
Alberto Augusto de Camargo Melo
Alcides Huertas Tello
Aldecy Eliana da S Pavan
Aldo Neves Godinho
Alegra Kosminsky
Alessandra Piraino
Alessandro Segato
Alexandra de Ataliba Temer
Alexandre Amado Britez
Alexandre José Periscinoto
Alexandre Maurano
Alexsandro de Moraes Nascimento
Alfredo Fernando Vieira
Alfredo Ribeiro de Castro
Alfredo Rizkallah
Alice de Paula Penteado
Alice Lallo
Alice Suzuki Sato Silva
Alice Suzuko Kurihara
Alipio Paulino Neto
Allan Suzarco Ferraz
Alpheu Lazaro Rodrigues
Altair Augusto Amaral
Altino Valentim Gomes
Alvaro G dos Santos
Alvaro Peres
Alzira dos Prazeres A Ferreira
Alzira Loderi
Amabilis Pereira
Amanda Damasio de Oliveira
Amara da Silva Moraca
Ana Barbara Bonatelli
Ana Beatriz Teixeira Iumatti
Ana Bento
Ana Bruna Tealdi Almeida
Ana Carolina Soares de Almeida
Ana Claudia B Mathias
Ana Cristina Libório
Ana Elisa Strenger Ribeiro
Ana Lucia C Bianco
Ana Magda Stradioto Casolato
Ana Maria Curvelo Borges
Ana Maria da Cruz
Ana Maria Gervasio
Ana Maria Rodrigues
Ana Maria Whitaker de S Dias
Ana Melo
Ana Olimpia D Maia Cardoso
Ana Parente
Ana Paula de Macedo Reinfederon
Ana Rosa Chazaine
Ana Sanchez Boix da Silva
Anderson Coutinho Ogata
Anderson Ricardo Alves
Anderson Salles de Almeida
Anderson Santos Martins
Andre Adam Golebski
André Luiz Baraldi
André Nogueira de Lima
Andre Rosa do Nascimento
Andrea Duarte Rodrigues
Andréa Maura Bertoline
Andrea Teisen Garotti
Andreia de Oliveira Dantas
Angela Manzini Villela
Angela Maria Amaral Vitiello
Angela Sueli Roselem
Angelina Badosa Oller de Gari
Angelo De La Costa Junior
Angelo Giro
Anna C Moliterno
Anna Ciampone de Souza
Anna Miguel Attie
Anselmo Marino Scuarcialupi
Antonia Binhardi Alberto
Antonia Mary P. Vitoriano
Antonina Vaz G Leme
Antonio Alfredo de Lima
Antonio Alvaro Rendohl
Antônio Alves de Almeida
Antonio Annunciato
Antonio Batista dos Santos
Antonio Branisso Sobrinho
Antonio Buonerba
Antonio Carlos Andreoli Ciuccie
Antonio Carlos Bechtold
Antonio Carlos Marchini Junior
Antonio Carlos Nunes Abreu
Antonio Carlos Possale e Silva
Antonio Carlos Sayeg Luisi
Antonio Carlos Teixeira
Antonio Carneiro Sampaio
Antonio Cruz Mendes
Antonio da Silva Sobrinho
Antonio de Andrade
Antônio Eduardo Rocha Alves
Antonio Elias Tuma Farah
Antonio F de A Cavalcanti
Antonio Feliciano Santos
Antonio Fernandes da Graca
Antonio Gabriel Junqueira F
Antonio Garcia Neto
Antonio Giroldo
Antonio Goncalves Oliveira
Antonio Nonato Filho
Antonio Nunes Ferreira
Antonio Okita
Antonio Rivas Gutierrez
Antonio Santoro
Aparecida Catarina Barbosa
Aparecida de Lourdes Mengali
Aparecido Cardoso da Silva
Aparecido Peres da Silva
Aracelis Lopes Affonso
Arlei Augusto Piton
Arlete Aparecida da Silva
Arlinda Rosa dos Santos
Arlindo Marques
Armando Amorim Klein
Arnaldo Lopes
Arthur Riedel
Arthur Alves Pinto
Artur Hiroshi Caldeira Sato
Ary de Andrade
Atilio Lazari Filho
Auglicelia Ricardo de Lima
Aurea Nathue Anraku
Aurea Silveira de Oliveira
Aurice dos Santos Zoppei
Aylton Tobias
Baltazar Mansano Filho
Beatriz Dinapolis Soares
Beatriz Penteado Stevenson
Beatriz Pereira de Queiroz
Beatriz Reale Ferrai Koke Ribeiro
Beatriz Tavares Costa Carvalho
Belmiro da Costa Pessoa Filho
Benedita Marques Gomes
Benedito Carlos de Padua
Benedito Mario S Siegl
Bernard Paulo Premisleaner
Bernardino Lavieri Gomes
Berta Kasinsky
Brasilio de Alcantara Machado
Braz Malavazzi
Bruna Florian
Bruno Massaroppe
Cacia Setima Montagni
Cacilda Silva Massukado
Caio Cortez Evangelista
Caio Gomes Mellacci
Caio Robledo D C Quaio
Camila de Souza Soares
Candido de Almeida Neto
Carla Cristina T de Oliveira
Carla Schultze
Carlos Abreu Costa Junior
Carlos Alberto Castro Pereira
Carlos Alberto dos Santos
Carlos Alberto G Vilarinho
Carlos Alipio de Araujo
Carlos da Silva Leite
Carlos Eduardo Ferraz Luz
Carlos Eduardo Paes
Carlos Eduardo Toledo Ladeira
83
Carlos Henrique Pinto Haddad
Carlos Magno Martins
Carlos Roberto Borsatto
Carlos Roberto Guermandi
Carmelita de Carvalho
Carmem Castilho Igisca
Carmen Ostini
Carolina Felix Martins
Carolina Norma Vela La Motta
Catarine Aparecida V Barbosa
Catia Fernandes Pires
Cecilia da Rocha Azevedo
Cecilia Martins Pinto
Cecilia S Francesconi
Cecilia Satiko Tanaka
Celeste Quintas Ferreira Dias
Celestina Bocarossa Cavalier
Celia Barbosa de Sa
Celia Maria Scholz Cavalini
Celia Regina Teixeira de Almeida
Celia Tomiko Nagamatsu
Celina Creusa da Silva
Celis T N Peinado
Celso Arruda Marcondes Faria
Celso Conde Kneip
Celso da Silva
Celso Euzebio de Oliveira
Celso Gaspar Calia
Celso Leite dos Santos
Celso Pereira Cosentino
Celso Toaldo
Cesar Meleiro Pina
Cezar Henrique Santos Bueno
Chaie Feldman
Chantal Perroy Roxo Loureiro
Chen Ying Ling
Christiano Jorge
Christiano Jorge Santos
Cibele Russo
Cicera Maria Bras
Cilania R B Peixoto
Cíntia Maria Martins de Luca
Clarice L Brito de Luigg
Clarisse Mendonca Aun
Claudete Maria Grego
Claudete Monteiro do Amaral
Claudete Valentim Bastos
Claudevam Faustino Barros
Claudia Bavaresco Tomchinsky
Claudia M M Gabrilli
Claudia Marques
Claudia Marques Lage
Claudia Pereira Nora
Claudia Ramalho Junqueira
Claudio Acquaviva
Claudio Fernandes de Mattos
Claudio José Giacomelli
84
Claudio Rossi
Claudio Sabino
Cledson Albino Alves dos Santos
Clélia Cristina da Paz
Cleonice de M Parreira
Cleyton Tadeu Batista
Clovis Ferreira Valerio
Conceição Aparecida Tavassos
Constancia A de Oliveira
Cristiane Concilio Saraiva
Cristiane Machado Godoy
Cristiano de Andrade Altieri
Cristina dos Santos
Cristina Maria de Matos Moffa
Curt Mangold
Cybelle Pacheco Vaz Pimentel
Dagmar Vaz Mellonio
Dalton Luis Bertolini
Dalton Pastore
Dalva de Assis Carvalho
Dalva Dorothy de Lima Mazzilli
Dalva Orlandi Robazzi
Daniel Chiavarini Altavista
Daniel Demattio de Oliveira Simões
Daniel Francisco Polato
Daniel Souza Campos Miziara
Danilo Balarini
Danilo Sahione
Danilo Volterrini
Danusa Schwartz
Darby CarlosGomes Beraldo
David Marques
Dayane Cristina G Antunes
Dayane Maria
Dayse Almeida Dias
Deborah R. Lambach Ferreira da Costa
Deborah Regina Baptista Spigariol
Delfin Rodriguez Casuso
Delfio José Tomazelli
Delmo C Arnoni
Delvio Steltri
Dener Claudino de Lana
Denise Gatto
Denise Jeronimo Galbiati
Denise Rodrigues Rizzo
Denise Titoshi Watanabe
Dennis Cintra Leite
Diego Martins Costa
Dieter Mangold
Dijalma Martins de Araújo
Dionizio Alves Dias
Diorante Chiaparini
Dirceu Kempter
Dirlei Rodolfo Fernandes
Diva Bartalini Benatti
Diva de F Dupre Marletti
Diva Vieira de Faria
Domingos Modaffore
Donizete Pedroza
Dora Tavares Francisco
Dorival Vito Teixeira Pinheiro
Douglas Hernandez Ventura Seco
Douglas Marcel Pereira
Dulce Braido
Dulcineia Lopes dos Santos
Durval Nascimento Freire
Durvanil Decio da Silva
Duval Moraes Duarte
Eden Ferreira Granja
Eder Mauricio Barbosa
Edgar Tella
Edgard Scavone
Edilair Rodrigues Silva
Edilene de Jesus S. Feitoza
Edite Gigliuci dos Santos
Edith Celestino Fava
Edna Maria Rocha Meirelles
Edna Minelvino
Edson Alexandre Pereira dos Santos
Edson Bueno de Toledo
Edson Chiodarelli
Edson Souto Ramos
Eduardo Antonio André
Eduardo Carlos Pereira
Eduardo Figueiredo de Moraes Rego
Eduardo Gabriel
Eduardo Luiz Sophia
Eduardo Per Horn
Eduardo R Oliveira
Eduardo Roberto Martins
Edvirges Gorgueira Pedor
Egidio Prado
Elaine Amorim
Elaine da Silva Freire
Elaine Regina Ferreira
Elcio Meyer
Eleonora Cintra P V Roos
Eliamar Campos
Eliana de Milite Luiz
Eliane Zanini
Elinor Amatuzzi Oliveira
Elisabeth Colon de Oliveira
Elivania Vieira de Souza
Elizabeth Marques Coni
Elizabeth Ortolani
Elsie Maria Arruda Penteado de Carvalho
Elson Ferreira Granja
Elvira Manfredo de Oliveira
Elza do Carmo
Elza Maria Bosco Encinas
Emil Burihan
Emil Kosuke Seko
Eni Santos
Enio Salvador Sanches
Enio Shimabukuro
Ercilio Sala
Eriberto Antonio Paiva
Erica Fernanda de Sante
Erica Machado Roman
Erika Morita
Ermelinda de Almeida
Ernesto dos Santos Caetano Filho
Ervim Hochenberg
Estanislau Massahome Uezima
Ester Helena Khalil Leanza
Esteves Cia Ltda
Eugenio Cruz
Eunice Carvalho Barros
Eunice Visone
Euridice Rosso Siqueira
Evandro Freitas de Sousa
Evelina Ines B Di Benedetto
Everton Luis da Silva
Fabiana de Oliveira Aoyagui
Fabiana Marcondes
Fabio Alves de Lima
Fabio Antonio G Buffolo
Fabio Bruno Parente
Fabio Cabral
Fabio de Oliveira Ramirez
Fabio Ferreira Alvim
Fabio Oda Shimada
Fabio R M Bellucio
Fabio Renato Gama da Silva
Fábio Serantes Mota
Fabio Tarasautchi
Fausto Augusto
Fausto Bettiovo
Fausto Nicoliello C Vencio
Felipe Lopes Zapata
Fernanda Araujo Santos
Fernanda Minini Lopes
Fernanda Pantalena Aliprandi
Fernando Barros Barreto
Fernando Camargo Mendes
Fernando Del Negro
Fernando Dias
Fernando Dias Oliveira
Fernando Fabiani Capano
Fernando Gomes Franco
Fernando Henrique Coelho
Fernando José Bricks
Fernando Mauro Neves de Souza
Fernando Pioker Gomes da Silva
Flavia Jafet
Flavia Thereza M Pimentel
Flavio Abrahao Nacle
Flavio Anjos Rocha
Flavio Antonio Moceli
Flavio Bulgarão
Flavio José de Souza Brando
Flavio Riguetto
Fleury Pereira Lima
Francini Salete Apendino
Francisco Gravina Junior
Francisco José Macedo
Francisco Mariz de Carvalho
Francisco Melo de Oliveira
Franklin Edgard Moura Campos
Frederico Nakashima
Geisa Lopes de Araujo
Genessy Luiz Vieira
Gerd Henrique Stoeber
Gesualdo Ramos
Getulio de Souza Coelho
Giacomina Faldini
Gian Paolo Rastelli
Gilberto Blanco Jorge
Gilberto G Bacchelli
Gilberto Grande Polizio
Gilberto Kon
Gilmar Belluzzo Bolognani
Gilson Hochman
Gino Benedetti
Gislaine dos Reis Stella
Givaldo da Silva Lima
Gladston Tannous
Glaucia Maria Andrade Caldas e Sousa
Glaucia Miranda Filio
Glória M. Moreira Salles
Gofredo da Silva Telles Jr
Graca Pires Rocha
Guilherme Archer de Castilho
Guilherme de Paula Lima
Guilherme Farah
Guilherme Pimentel Irani
Guilhermina O B Ribeiro
Guiomar Morsoletto Ferreira
Gunther Mangold
Gustavo José Lion
Guy Jean Roberto Tible
Haroldo Rodrigues
Hatune Kushitama
Haydee Macedolla Rocha
Hector Alexis Salinas Olguin
Helena C B Muraco
Helena Kiyomi Kamei
Helena M E Silva Carmo
Helena Mamede Polizio
Helena Mokarzel Lage
Helena Muller
Helena Sposito
Heloisa de Oliveira Coutinho
Henny Nossig
Henrique Carlos Soares de Araujo
Henrique Bernardo dos Anjos de Jesus
Henrique Congo Neto
Herculano dos Santos Clemente
Hermenegildo Milani Neto
Hidehito Tsuramaki
Hideo Matsuzaki
Hilton Pecorari Baptista
Honorio Konno
Hygino Carlos Amaral
Idelt A Marconi Pereira
Ieda C Bernardes
Iete Moreira dos Santos
Iezo Conte Silva
Igor Gomes da Silva
Igor Pereira da Silva
Ildonei Ribeiro Lutaif
Ilza Maria Valentine
Iraci Amancio Dosia dos Santos
Irany Freitas de Moura
Irece O Wargha Vancevicius
Irene Cordeiro do Nascimento
Irene Scarpiello Villar
Irma Carvalho Alvim
Irma Conti dos Santos
Isabel Cristina Costa
Isabel Nones Schahin
Isabel Oliveira de Macedo
Isabela Simoes de Abreu Schulz
Isabella Schout Mazzeo
Isaltino Nunes Bibiano
Ismenia Isaac
Israel Fernando Cardoso da Conceição
Ivan Brasil M Bevilaqua
Ivan Campos de Sousa
Ivana Có Galdino Crivelli
Ivete Marly Caetano Moccia
Ivete Torres Leite
Ivone Dalmazo R Negreiros
Ivone Delazari
Ivone Fregni
Izaura Zanata Rigazzo
Izilda Santos Leao Felga
Jacqueline Oliveira Lima
Jacques Benchetrit
Jacques Nigri
Jadir Jaco Monteiro
Jahir Duarte
Jaime Antonio Decarli
Jaime Elias Pesce
Jamile Serur Zuskin
Janaina Nunes Ribeiro da Ponta
Janaina Oliveira Lana Martins
Janaina Simone Tenório da Silva
Jandyra Junqueira Vieira
Jane Cristina Vieira Cetra
Janet Kimiko Ninomika
Janete Novelletto
Jano Luiz Benevides Garotti
Jaques Clayton Cerutti
Jarbas Teixeira Carvalho Jr
85
Jayme Vieira Filho
Jeanete Aparecida Shimara
Jeannette A Palacio Pereira
Jeronimo José Garcia Ruiz
Jessica Jeniffer de Oliveira
Jhonny David da Cunha Rocha
João Adalberto Mariano
João Alves de Araujo
João Antonio de Moraes Scott
João Antonio Setti Braga
João Antonio Zogbi
João Batista Borgheti
João Batista Poiani
João Carlos Attarian
João Carlos Costa Brega
João Davi Sartor
João Fernando Lopes de Carvalho
João Iumatti
João Maccarone Neto
João Miguel Jacob Filho
João Salgado de Vasconcelos Filho
Joaquim Carlos Martins
Joaquim de Oliveira Filho
Joaquim Fonseca
Joaquim Goncalves e Cia Ltda
Jones Branco Junior
Jorge da Silva Lopes
Jorge Mendes Barboza
Jorge Murilo Baldim
Jorge Rogério Campos Barcelos
José Abrahão Netto
José Americo Figueiredo Silva
José Antonio da C Alcobia
José Antonio Ferrara
José Aparecido Pagliari Lopes
José Arivaldo Alves
José Augusto Penteado Aranha
José Carlos Batelli Correa
José Carlos da Silva Velloso
José Carlos de Souza
José Carlos de Souza Filho
José Carlos Guariento
José Carlos Imbriani
José Carlos Ramos
José Carlos Sampaio
José Carlos Tadeu Antonio
José Coelho Carneiro Leao
José da Costa Siqueira
José da Cruz Medeiros
José da Cunha
José Damião de Souza
José Eduardo Lima de Paula Araujo
José Enrique Canotilho
José Ernesto Succi
José Garcia Marin
José Gomes Ribeiro
José Luis Fernandez Correro
86
José Luiz Antunes Campos
José Marmo
José Martins da Rocha
José Mauro de Lima
José Nery Praxedes
José Nilvan de Oliveira
José Ortali Netto
José Rafael Barajas Perez
José Ribeiro dos Anjos
José Roberto Cruz
José Roberto da Silva
José Roberto Lorenzi
José Roberto P de Mello
José Roberto Reffineti Guidi
José Rogério Cruz e Tucci
José Rufino Teixeira
José Silvio Toni Junior
José Thomaz Perri
José Tulio Alves Barros
José Vasconcellos de Oliveira
José Vieira de Moraes
Josefa Luiz dos Santos
Josephina M Pankratz
Josue Miranda
Juçara P. S. Borges
Juliana di Sessa Rodrigues
Julietta Abdo Carim A Caiatta
Julio Fontes França
Julio Parente Neto
Julita Silva de Oliveira
Juraci Santos Floriano
Jurandir Batista Medeiros Junior
Jurema Fernandez de Carvalho
Jurema Nilza Gardelli Margaria
Juvenal Bras dos Anjos
Kalil Rahhal
Karina Aparecida Cardial
Katia Regina Almeida N.de Camargo
Katia Santos Marques
Kenji Fukuda Yamashita
Klaus Kopezky
Kleber Lopes Torun
Kozo Denda
Larissa Davis Girone
Laura Caputo Marchi
Laura do Nascimento
Laura Garcia Santana
Laura Scatolini Maldonado
Laurindo Begosso
Lauro Pigatto
Lauro Tuyosi Yamane
Lazara Passarelli Teixeira
Lea Francesconi
Léa Regina Caffaro Terra
Leandro da Silva
Leandro Romero Felix
Lela Lemi Buffolo
Lenita Zelmanovits
Leo Braga Furness Filho
Leomar Botasso Leite Moreno
Leonardo Danclaer de Freitas
Leonardo Menendez Gaglioli
Leonice Lopes da Costa
Leonidas Correia Caldas
Leonidas Sandoval Neto
Leonor Barrella
Leticia Luana Nogueira Otoni
Lidia Ramos Branco de Faro
Ligia Adriana de Oliveira
Lilia Romeiro de Almeida Prado
Lilian Goncalves Jorge
Liliana da Silva Lopes
Lily M Roth
Lina Saigh Maluf
Lindaura Sena dos Santos
Lisiane Martin Teixeira
Lius Kishi
Livio Amato
Lizemar Juvino de Araujo
Lourdes A P Abrantes
Lourdes Antunes Araujo
Lourdes Tokuda
Lourenco Choffi
Luanda Nera Motta
Luca Banfi Passarelli
Luca Mifano
Lucas Fortes Avila Silva
Lucelia Soares dos Santos
Luci Campos Bleich
Lucia Delfino
Lucia Maria Angelini Campanha
Lúcia Marina de Freitas Ferreira
Lucian H Galea
Luciana Ancona Lopez
Luciana Aparecida Horvath Mendes e Silva
Luciana Salomão Luiz Bittencourt
Luciana Sanches Ferrar Pereira
Luciana Sodero Gomes Sarra
Luciano Castro Lugli
Lucineia de Lima e Castro
Luis da Matta Conti Feliz
Luis Sergio H de Oliveira
Luis Valerio Giuli Cinalli
Luiz Alberto David Araujo
Luiz Antonio Fecchio
Luiz Antonio Martins Ferreira
Luiz Antonio Morgado da Silva
Luiz Arthur L Bettarello
Luiz Carlos Martire
Luiz José da Silva
Luiz Renato B Michielin
Luiz Roberto de O Callegari
Luiz Roberto Latini
Luiz Sergio Capriotti
Luiz V Bellini Moro
Luiz Vaiano Filho
Luiz Vanderlei Theodoro
Luiza Di Gregorio
Luiza Nagib
Luzia Rodrigues de Oliveira
Luzinete Maria dos Santos
Lydia Helena de Lima Pacheco
Lydia Leoni
Lydia Sabbag Ayache
Lygia Bock
M Catarina B Ferreira Weiner
Macal Makiyama
Mafalda Souza Lima Furlan
Mairani Batalha das Neves
Make Anraku
Malu Tavares
Manoel Carlos R da Silva
Manoel Chacon
Manoel Correia Perestrelo
Manoel de Andrade
Manoel Pacheco Barbosa Neto
Manoel Ribeiro Neto
Manuel Arnaldo de Andrade
Manuel da Silva
Manuel de Andrade Pinto
Mara Marchi
Marcelo Azevedo Camargo
Marcelo Fábio Caram
Marcelo Lemos de Mendonça
Marcelo Pereira
Marcelo Satriani Rosa
Marcia Bossa Graca Scripilliti
Marcia Justo Rua
Marcia Kanegawa
Marcia Madureira Ricardino
Marcia Moretti
Marcia Tonelli Bergaro
Marcio de Mendes Forster
Marcio Vaz F Ramos
Marco Antonio de Barros
Marco Antonio Martins
Marcos Bellizia
Marcos Bento da Silva
Marcos Duarte Amaral
Marcos Francisco de Souza
Marcos Kertzmann
Marcos Molino
Marcos Paulo Mondon
Marcos Paulo Ribeiro Barbosa
Marcos Pissiquello
Marcos Vinicius Bernado
Marcus Herndl Filho
Margareth Araujo
Maria Aguri Yoshioka
Maria Alice de J G Bernardes
Maria Amelia Andrade Gionco
Maria Ap Petecof N Mattoso
Maria Aparecida B. Azinheira
Maria Aparecida Lopes Venelli
Maria Assunção Bryzun
Maria Asuncion F C de Carvalho
Maria Auxiliadora Amaral Silva
Maria Auxiliadora Gonçalves
Maria Beber Veiga
Maria C A Ferreira
Maria Carolina Gurgel Hattnher
Maria Catharina Surian
Maria Cecilia Focesi Pelicioni
Maria Cecilia Junqueira Neto
Maria Cecilia M Pedrosa
Maria Cecilia Maciel F da Rocha Castex
Maria Cecilia Miotto
Maria Celeste G Farled
Maria Cleuza Menezes da Cruz
Maria Cristina Barbosa dos Santos
Maria Cristina de Souza
Maria Cristina Izzo Cimino
Maria Cristina S. Serrano
Maria da Graça Grimaldi
Maria da Graça Sodero Valerio
Maria da Penha Vaz Toledo
Maria de Fatima Bassoi
Maria de Lourdes Costa e Silva de Oliveira
Maria de Lourdes Freitas
Maria de Lourdes G Guedes
Maria de Lourdes P da Silva
Maria de Lourdes Silva S Cabral
Maria de Lourdes Tocci
Mar Maria Terezinha de Lacoleta S
Maria Thereza de Barros Franca
Maria Thereza Pereira Vega
Maria Victória Mayer
Maria Winter Doria
Maria Zita Mancusi
Mariana Bezerra Cidrão Alves
Mariana Brandão de Azevedo
Mariana Laura Corullon
Mariana Mirage
Maricy Avolio Martins
Marilda Mascia Rassi
Marilena Scigliano Souza
Marilene José de Freitas
Marilene Rodrigues Dias
Marilize Silva Forte
Marilu Abreu
Marina Del Nero Fortunato
Marina Roitman R Baumel
Marinalva Santos da Silva
Mario B Figueiredo
Mario Bueno
Mario Carvalho Neves
Mario dos Reis Augusto
Mario Folgori Carboni
Mario Henrique Rangel
Mario Santoro Junior
Mario Zanon
Marisa da Conceição N Alves
Marisa de Fátima Benelli Acete
Marlene Camillo
Marlene da Mota Lage
Marlene Saad Touma
Marly Galli Prado
Marly Vivan Pinto
Marly Yumika Dairiki
Marta Miyuki Tanque Aguiar
Mary Livingston
Mary Neusa Hojaij Sader
Matilde Vilafranca Saez
Mauricio de Campos Veiga
Mauro Goro Kodama
Mauro Montanheiro
Mauro Scormin
Mauro Souza de França
Maximiniano Lameirao Monteiro
Melissa Sapieza Salzone
Miguel Afonso Rodrigues
Miguel Castro Romero
Miguel Luna Veiga
Miguel Naddeo Jr
Miguel Navarro Esposito
Mileni Souza de Franca
Milton Fernando Lamanauskas
Milton Marianno
Miriam Abduch
Miriam Aparecida Rocha Diniz
Miriam Wunderlich
Miriam Yoshie Inove
Mirian Ferreira Costa Neves
Mirtes Ribeiro
Moacir Elias
Moacyr Teixeira
Monica Cecilia da Silva Beletati
Mônica Cha
Mutsuco Uemura Higashi
Myriam Martha Z de Queiroz
Myrtes Rossi
Nabil Ransour Maroun
Nacib Aref Saab
Nadia Georges Francis
Nádia Rodrigues dos Santos
Nadir Chouveri
Nadir de Nuncio
Nadyr Cesarino
Nahil Biemmi
Nair Yooko Aib
Nanci Imamura Mello
Nandenice Maria Ferreira Neves
Nasta A Q Pinho dos Santos
Natal Ambrosio Martin
Natal Gandolefi
87
Natália da Silva Bonafe Rodrigues
Natália de Souza Tavares
Natasha Antunes Peixoto
Neide Bellon Pietscher
Nelly Lanzellotti Fulgoso
Nelly P de Camargo
Nelson Cipriano
Nelson de Medeiros Barbosa
Nelson Eugenio Gallo
Nelson F F Ventura Seco
Nelson Garcia Ferreira
Nelson Gomes Junior
Nelson Pacheco da Fonseca
Nelson Rodrigues
Nelson Teixeira
Nely Jeha Nicolau
Nero Xotta
Nestor de Camargo Rosa Junior
Neusa Aparecida Varotto
Neusa Cremonesi Antunes
Neusa Melillo B Pereira
Neuza Paiolla
Newton Carvalho Ribeiro
Ney Martins Gaspar
Neyde Marques de Lima
Nice Rosa Gomes
Nicolau C dos Passos
Nicolau Rosa
Nilce Kazuko Aga Imai
Nilce Yara da Silva Alvarez
Nilson dos Santos Alves
Nilson Lana Machado Filho
Nilson Siqueira
Nilton Carlos de Matos Filho
Nilton dos Santos
Nilton Jeronimo da Silva
Nivaldo Bertoncini
Noboru Tanaka
Noeli Camargo Dias
Norberto Marques
Norberto Vicente de Oliveira Netto
Norma Esher
Norma Oliveira Souza
Nylza Salgado
Octavio Ferreira Mutaguti
Octavio M Sampaio
Octavio Silva Giannini
Odair Elias
Odair L L Soares
Odair Luiz Fornaziero
Odete Casagrande Passarelli
Odete Galete
Odette Violani Hamsson
Odila de Fiori Abbondanza
Olga Dimov
Olga Giardeli Figueiredo
Olga Meiken
88
Omar José de Campos Verde
Omar Stefani
Onessimo Antunes
Orestes Romito Filho
Orlando Gaspar
Orlando Natale Bassoi
Orlando Rodrigues Gato
Orlando Toshio Watanabe
Ornela Rosaly P Carneiro
Oscar Fava
Oscar Hideu Hayashida
Oscar Mathias Ferreira
Osmar Antonio Peixoto
Osmar de Jesus Morales
Osni Dias da Silva
Osvaldo Gimenes
Osvaldo Soares de Santana
Oswaldo Geribello Galvanese
Oswaldo Roberto Nieto
Otavio Enrenfreund
Pablo Mir Palmer
Paolo Giorgio Brentani
Paschoal Lourenco Paione
Patricia Olecsiuc
Paulina Aparecida de M Roche
Paulo Afonso Borges
Paulo Alexandre Pinto
Paulo Anselmo da Silva
Paulo Antonio Gomes Cardim
Paulo Canil
Paulo Cesar de Andrade Pezeiro
Paulo Cesar Fernandes David
Paulo de Paula
Paulo Eduardo Alves
Paulo Eduardo de Almeida E Silva
Paulo Henrique A Peixoto
Paulo Isidoro Zamperetti
Paulo Norcia
Paulo Roberto de Carvalho Soares Mateus
Paulo Roberto Vigna
Paulo Rogerio Martins
Paulo Scavazza
Paulo Sérgio Baptista
Paulo Sérgio Matias Fonseca
Paulo Sérgio Rodrigues
Paulo Sérgio Silveira
Paulo Taunay Perez
Paulo Teixeira Iumatti
Pedrina da Rocha Leite Antonio
Pedro Augusto de Oliveira Costa
Pedro Brandao Cotrim Leite
Pedro Domingos Siniscalchi
Pedro Escudeiro Dinapolis Soares
Pedro Fioravante Netto
Pedro Marques Rodrigues
Philippe Racy Takla
Priscila Aparecida Vieira
Priscila Rodrigues Ramos
Rafael Leão Câmara Felga
Rafael Vinicius Bertone
Raissa Marcula Gomes
Ramiro Donato Sousa Nunes
Raquel Miranda
Regina de Fátima D. dos Santos
Regina Janiuk Lafer
Regina K Siqueira Candisani
Regina Marie Tajima
Regina Pessoa Monteiro
Regina Victoria R Colloca
Reginaldo Frazão de Moura
Reinaldo Bittar
Reinaldo Henriques Martins
Reinaldo Mario Adzenieius
Reinaldo Penhas Bansi
Reinaldo Teixeira Nappo
Reine Magda de Moraes
Remo Cardoso Pasqualini
Renan Felipe Conceição
Renan Vinicius de Medeiros
Renata Farskouh Costte
Renata França Lima
Renata Giolo Nakata
Renata Maciel da Rocha
Renata Pires
Renata Ramos Mendonca
Renata Soifer Kraiser
Renato Antonio Conversani
Renato de Souza Gomes Filho
Renato Gomes
Renato Gomes Franzini
Renato Gomes Júnior
Renato Lopes Gomes da Silva
Renato Rocha
Renato Salatino Filho
Renato Schiaffino
Renê Ramos
Ricardo Aires Campelo
Ricardo Augusto Canteiro Pimpão
Ricardo Batista Querino
Ricardo Bernardo Kairalla
Ricardo Chiari
Ricardo Raia Soares de Almeida
Rita Ezequiel Martins - David M Magalhae
Rita Lucia Gomes Coelho
Rivalda de Souza
Roberta Lima Wosniak Steler
Roberto A A Ramenzoni
Roberto Cunha Mangini
Roberto Fiusa
Roberto T P Mingroni
Roberto Yoshihiro Nishio
Roberto Zaki Dib
Robson Almeida de Jesus
Rodemil Noveli
Rodolfo Farcas dos Santos
Rodrigo de Brito Campos
Rodrigo de Castro Barbante
Rodrigo Dutra
Rodrigo Felipe Conceição
Rogerio Edivaldo Freitas
Rogério Mota da Costa
Romilda Bastos Melo
Ronaldo Alves Mangueira Zani
Ronaldo Bussoni
Ronaldo Meirelles Campos
Rosa Maria Barone Russo
Rosa Maria de Almeida Pignotti Maielo
Rosalina da Silva Pilao
Rosalina Machado Madeira
Rosalva Concentino
Rosana Sandra Eva Fernandes
Rosana Sansoni Bueno
Rosane Bezerril M de Menezes
Rosangela da Silva
Rosangela de Souza Pinheiro Silva
Rosangela Mara Elias
Rose Castro Fernandes de Almeida
Rose Maria Cetrone
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