Como cuidar de sua saúde viajando pelo Brasil (Versão em inglês)

Transcription

www.saude.gov.br/viajante
Virtual Library of the Ministry of Health
MINISTRY OF HEALTH OF BRAZIL
www.saude.gov.br/bvs
Improve your life, our compromise.
Ministry of
Health
guia_capa_INGLES_12_05.indd 1
Brazilian
Government
How is Brazil taking
care of tourists` health
Brasília - DF
2014
13/05/14 13:16
International Affairs Advisory
Brasília - DF
2014
ABSTRACT
Introduction .................................................................................................................
Preparations for the trip ..................................................................................
General precautions ..........................................................................
Vaccinations ..............................................................................................
Prevention against yellow fever ............................................
Prevention against malaria ........................................................
During your stay ......................................................................................................
Health services .......................................................................................
Who to contact ......................................................................................
Basics precautions during your travel ..............................
Eat healthy foods and drinks ....................................................
Protect yourself against insect bites ................................
Against bites or other types of accidents
with animals .............................................................................................
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8
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12
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Alcohol use ....................................................................................................
Vehicular safety .............................................................................................
Practice safe sex ............................................................................................
Preventive measures against communicable respiratory diseases ...................................................................................
Accidental intoxications .......................................................................
Violence prevention ................................................................................
Returning home ...............................................................................................................
Links ..............................................................................................................................................
Attachemment A — Reference hospitals during mass events .....................................................................................................................
Attachemment B — Participative Surveillance - “Saúde na Copa” app, “Health in the World Cup” ........
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Ministry of Health of Brazil
INTRODUCTION
To have a great trip in Brazil and take home just good memories,
see practical tips and essential information to protect your
health and make your vacation more enjoyable and pleasant.
Brazil offers tourists plenty of tour options, namely those related
to nature, adventure, history and culture. The country has
continental proportions and therefore its different regions
have many variations in climate, landscape and vegetation.
Each one of those requires specific care for health.
4
How is Brazil taking care of tourists`health
PREPARATIONS FOR THE TRIP
General precautions
For a safe and healthy stay in Brazil, inquire in advance about your
destinations within the country, since there are different environments
and climate, foods and cultural behaviors;
When deciding your itinerary, plan activities of interest and take preventive
health measures;
Get acquainted with your destination. Find out whether there is a risk for
diseases and need for vaccination or other preventive measures;
Avoid traveling when sick;
5
See your doctor, preferably between 4 and 8 weeks before your trip to
inform your travel plans. Ask for guidance on preventive care to protect
you against disease and injuries;
You may have difficulty to find your usual prescription medications during
your trip. Seek your doctor’s advice as to which medications and in what
quantity you should take during your trip, include them in your hand
luggage;
Securely pack drugs according to the manufacturer’s recommendation
along with the original package and leaflet;
Eat well before traveling. Eat what you are used to, avoiding fatty foods,
since they can cause discomfort during the trip;
6
Carry with you your identification, preferably in English and Portuguese,
with personal contact information, blood type, whether you have allergies,
diabetes or other conditions that may require special care;
Follow the airlines’ rules on carrying objects and liquids;
If you feel changes in your health conditions during the trip,
please inform the crew;
Every pregnant woman should visit her doctor before traveling, as she
could be subject to risks and traveling may affect her safety and comfort;
Consult the transportation company’s specific guidelines for pregnant
women before traveling.
7
Vaccinations
Brazil does not require the International Certificate of Vaccination or
Prophylaxis for entry;
Make sure that your routine immunization is up to date, according to the
recommendations of your country, since it is an effective and safe measure
for the prevention of several diseases;
Although there are no cases of measles and rubella in Brazil, these
diseases are present in other countries. Therefore, it is recommended to be
vaccinated against them;
While getting ready for the trip you have a good opportunity to check the
vaccinations of infants, children, adolescents, adults and the elderly.
8
Prevention against yellow fever
Prevent yellow fever by getting a vaccine 10 days before visiting forest areas
or practicing ecological or rural tourism. Check the list of municipalities with
recommendations on vaccination against yellow fever (only in Portuguese)
<http://portalsaude.saude.gov.br/images/pdf/2014/fevereiro/19/Areas-comrecomendacao-para-vacinacao-contra-febre-amarela.pdf>:
Ask your doctor to help you decide whether the vaccine is necessary,
based on your travel plans.
Prevention against malaria
Before traveling, check the areas which reported malaria cases through
the year (endemic or malaria transmission area) (only in portuguese), link
<http://portalsaude.saude.gov.br/images/pdf/2014/fevereiro/19/Mapa-deareas-de-risco-para-malaria.pdf>.
9
In Brazil, transmission is concentrated in the Amazon region, comprising the
States of Acre, Amapá, Amazonas, Maranhão, Mato Grosso, Pará, Rondônia,
Roraima and Tocantins;
In areas where there is malaria transmission, it is essential that the traveler
knows the period of greatest activity of malaria vector mosquitoes, from
sunset to dawn;
Use light-colored clothes with long sleeves during high exposure activities;
Apply repellent to exposed areas of your skin according to the manufacturer’s
instructions. It is not recommended to use repellent on children of less than
two years of age without medical advice;
In malaria transmission areas, it is imperative that travelers remain attentive
to the appearance of symptoms, such as fever, aching body and headache;
10
In the event of any disease symptoms, seek the nearest specialized health
facility. Ideally, this treatment must be given as soon as possible, within
48 hours after the first symptoms;
Brazil has a structured public health system for diagnosis and treatment
of patients in timely and appropriate fashion;
For more information on malaria prior to your
trip, seek guidance at one of the Reference
Centers (only in Portuguese);
For information on the incidence of malaria
in the world visit the World Health Organization
website <www.who.int>.
11
DURING YOUR STAY
Health Services
Brazilian public health services are free of charge.
Foreign tourists which have health problems can
seek treatment in the emergency care network of the
Brazilian National Health System (SUS) through the
following services:
12
u
Mobile Emergency Care Service (SAMU 192) SAMU works 24 hours every day of the week
and the Access is by the phone number 192. It is
a free of charge call and may be made from any
telephone, land line or local cellphone. SAMU
performs urgency and emergency calls by
ambulance at any place: home, workplace and
on the streets. The team has physicians, nurses
and paramedics, which take care of trauma,
clinical, pediatric, surgical, gynecologicalobstetric and mental health urgencies of the
population.
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When to call SAMU?
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.
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In the event of cardio-respiratory problems;
In the event of exogenous intoxication;
In the event of severe burns;
In the event of abuse;
In cases of labor or delivery with maternal or fetal death risk;
In the event of suicide attempts;
In the event of hypertensive crises;
When there are accidents / trauma with victims;
In an event of drowning;
In an event of electric shocks;
In accidents with hazardous / toxic products;
In the inter-hospital transfer of patients at risk of death.
u
Emergency Care Units (UPA24 h)
They provide care to patients affected by acute conditions of clinical
nature and the first treatment to cases of a surgical or traumatic nature.
They stabilize patients and perform the initial diagnostic investigation
by defining, in all cases, the need or not to transfer the patient to
hospital services of greater complexity. Check out the UPAs 24h list
of the 2014 FIFA World Cup host cities.
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Who to contact
Emergency service may be requested by phone. See numbers below:
SAMU - Mobile Emergency Care Service dial 192
Requests for emergency care in homes, workplaces and public roads. The service operates 24/7 with health teams
serving the occurrences of a traumatic, clinical, pediatric, surgical, gynecological and mental health nature. The
call is toll-free.
DISQUE-INTOXICAÇÃO - Questions and reports related to intoxications dial 0800 7226001
A 24/7 service for guidance and receipt of reports related to intoxications. The call is toll-free.
ANVISA - National Health Surveillance Agency dial 0800 6429782
Communication channel for reports, complaints and requests regarding health surveillance. It works Monday
through Friday from 8 a.m. to 6 p.m. The call is toll-free.
16
Emergency service may be requested by phone. See numbers below:
ANAC - National Civil Aviation Agency dial 0800 725 4445
A service intended for reports, complaints, criticisms, compliments or suggestions about the provision of airport
services under the competence of ANAC and its agents. It works 24/7 and the call is toll-free.
ANTT - National Land Transportation Agency dial 166
A service intended for reports, complaints, criticisms, compliments or suggestions about the provision
of land services under the competence of ANTT and its agents. It works 24/7 and the call is toll-free.
ANTAQ - National Waterway Transportation Agency dial 0800 644 5001
A service intended for reports, complaints, criticisms, compliments or suggestions about the provision of waterway
services under the competence of ANTAQ and its agents. . It works Monday through Friday from 8h to 18h.
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Basic precautions during your travel
Brazil is a tropical country. The drinking lots of liquids is recommended to
travelers in order to avoid dehydration;
Use comfortable clothes and proper footwear. These provide safety and
protect against sprains, insect bites and accidents with poisonous animals;
Dress in appropriate clothing and use a hat or cap and sunglasses to protect
yourself from the sun. Avoid direct exposure to the sun between 10 a.m.
and 4 p.m. Get your suntan early in the morning or later in the afternoon;
Use sunscreen with a protection factor suitable for the color of your skin,
according to the manufacturer’s guidelines. Even in cooler places, your skin
should be protected from sunlight;
Use insect repellent whenever necessary;
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Wash your hands with soap and water during the day, especially before
eating, after using public transportation, washrooms, visiting crowded
markets or other places.
Eat healthy foods and drinks
Avoid eating food in poor hygiene, preparation and packaging;
Prefer foods that are low in sugars, fats and salt;
Drink plenty of liquids, preferably water or juice;
Avoid raw or undercooked food, especially seafood;
Packaged food should be labeled to identify the producer,
the expiration date and the packaging must be properly sealed;
19
During rural tours, prefer foods that can be kept unrefrigerated and which
would not spoil in warm weather;
Extra care is required with dehydration if you have diarrhea and vomiting.
An intake of oral rehydration salts is recommended, which is provided free
of charge by the Brazilian National Health System, or other salt solutions of
the kind. Sports drinks do not properly replace the losses of salts and should
not be used for the treatment of diarrhea.
For more information on nutritional care, see recommendations
of the World Health Organization: <www.who.int>.
20
Protect yourself against insect bites
Enquire about the occurrence of malaria, dengue, yellow fever and other
diseases that can be transmitted by mosquitoes. The risk of infection by these
diseases is reduced if insect bites are avoided. Please note the following
recommendations:
Stay in places which have protective screens on doors and windows,
especially when away from the capital and major cities, or take the
mosquito netting /curtains with you;
In ecotourism tours, use clothing to protect your body against insect
bites and ticks, such as long-sleeved shirts, pants and closed shoes;
Apply repellent to exposed areas of your skin according to the
manufacturer’s instructions. It is not recommended to use repellent
on children less than two years old without medical advice;
21
Against bites or other types of accidents with animals
In case of accidental contact, bite or scratch by mammals (dog, cat, bat,
or any wild animal), wash the affected area with soap and water and seek
medical attention immediately;
If you have accidents with venomous animals (scorpions, snakes, spiders,
bees and caterpillars), do not perform homemade procedures and seek a
local public health service immediately. During the rescue operation, move
as little as possible. The affected limb must be placed in a higher position
in relation to the body and the bite area can only be washed with soap and
water;
In cases of accidents with jellyfish and caravels, a cold sea water (do not use
fresh water) should be applied. Avoid rubbing the affected area or applying
vinegar dressing;
22
Avoid direct contact with live or dead animals, and, above all, do not handle
these animals, however harmless they may seem;
Avoid walking barefoot in forests or plantation areas. Preferably, use pants
and long boots or boots with leggings (knee-high protection);
In the specific case of spiders and scorpions, inspect clothing and shoes
before wearing them, or covers and towels before using them;
While on trails or nature walks, carefully examine the places you lean on
(trees, rocks);
Beware of bees and wasps. They are attracted by sounds, such as noises,
gardening equipment and boat engines, smells (avoid perfumes) and colors
(avoid bright colors);
Do not reach into holes and burrows.
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Alcohol use
If you drink alcoholic beverages, do so in moderation;
In Brazil, it is forbidden by law to drive after consuming alcohol, even in
small quantities.
Vehicle safety
It is mandatory to wear seat belts in motor vehicles;
For children, it is also mandatory to use car seats, in the back seat of the car;
If driving motorcycles or bicycles, always wear a helmet. In Brazil, a specific
driving license is required for motorcycles.
24
Practice safe sex
In Brazil, condoms are distributed free of charge by the government and
are available in health clinics, emergency care units, hostels, Tourist Service
Centers and other distribution points scattered around the cities. Always
carry condoms with you to ease their use when needed and prevent
sexually transmitted diseases (STD).
Preventive measures against communicable respiratory-diseases
Wash your hands with soap and water before meals, after touching your
eyes, mouth and nose, and after coughing, sneezing or using the toilet;
When coughing or sneezing, cover your nose and mouth with, preferably,
single-use tissue. If not, avoid sneezing in your hands. It is recommended
to sneeze on the forearm near the elbow;
25
Sick individuals should rest, eat a balanced diet, increase fluid intake and
avoid crowds and indoors;
Keep your environments ventilated;
Always be aware of serious respiratory symptoms and seek immediate
medical care.
Accidental intoxications
In Brazil, the main chemicals that result in poisoning by accidental
exposure are medicines, disinfectants, drug abuse, industrial chemicals
and agricultural pesticides. So keep in a safe place out of reach of children:
drugs, liquid soaps, shampoos, conditioners, perfumes, powders and
repellents;
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In case of exposure to these products, and if you do not feel well, have an
allergy or discomfort after using your repellent, ask for guidance from the
intoxication hotline (0800-722-6001). The call is toll-free anywhere in the country.
Violence prevention
In the case of sexual violence, a health unit should be sought as soon as
possible, so that prevention and care are adopted in accordance with the
Technical Standard of the Ministry of Health;
All forms of violence against children, adolescents, women and elderly
are of compulsory notification by public and private health services
in Brazil;
For urgency care due to accidents, violence or clinical emergencies,
the emergency service can be activated by dialing 192 - SAMU
(Service Mobile Emergency Care);
27
If you know of a case of sexual exploitation of children and adolescents,
communicate it through by dialing 100 (Dial Human Rights) or dialing 190
(Military Police);
You can also activate the Dial 180 to inform or report situations of violence
against women;
The consumption of alcohol in excess is a major risk factor for the
occurrence of violence, so the traveler should drink moderately and
respectfully;
Remember: if you drink, do not drive. The consumption of alcoholic
beverages associated with driving implies in high risk of traffic accidents.
Let’s protect pedestrians, passengers and drivers in traffic;
The sale of alcoholic beverages to persons under 18 years old is forbidden
in Brazil, according to the Children and Adolescents Statute.
28
RETURNING HOME
Some diseases can manifest their symptoms when the traveler
returns to his place of origin. Should this happen during or
shortly after your arrival, seek health services and inform the
doctor about your trip. This information can help the diagnosis.
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LINKS
Ministry of Health of Brazil <www.saude.gov.br>
National Health Surveillance Agency (ANVISA) <www.anvisa.gov.br>
Fundation Oswaldo Cruz (FIOCRUZ) <www.fiocruz.br>
Pan American Health Organization (PAHO) <www.paho.org>
30
ATTACHEMENT
Attached A — Reference hospitals during mass events* in Brazil
ID
State
Capital
Hospital
1
Amazonas
Manaus
Hospital Pronto Socorro Dr. João Lúcio Pereira Machado
2
Mato Grosso
Cuiabá
Hospital Pronto Socorro Municipal de Cuiabá
3
Distrito Federal
Brasília
Hospital de Base do Distrito Federal
4
Ceará
Fortaleza
Hospital José Frota
5
Rio Grande do Norte
Natal
Hospital Monsenhor Walfredo Gurgel
6
Pernambuco
Recife
Hospital Getúlio Vargas e Hospital da Restauração
7
Bahia
Salvador
Hospital Roberto dos Santos
8
Minas Gerais
Belo Horizonte
Hospital João XXIII
9
Rio de Janeiro
Rio de Janeiro
Hospital Miguel Couto e Hospital Albert Schweitzer
10
São Paulo
São Paulo
Santa Casa de Misericórdia de São Paulo e Casa de Saúde Santa Marcelina
11
Paraná
Curitiba
Hospital do Trabalhador
12
Rio Grande do Sul
Porto Alegre
Grupo Hospitalar Conceição
32
Telephone
Address
(92) 3647-1750
Avenida Cosme Ferreira, 3775 - Manaus - AM, 69085-015
(65) 3617-7812
Avenida General Vale, 192 (Bandeirantes) CEP:78010100
(61) 3315-1200
SMHS - Área Especial - Q. 101 - Brasília - DF
(85) 3255-5000
Rua Barão do Rio Branco, 1836 /Centro - Fortaleza - CE
(84) 3232-5138 / 5139
BR 101, Km 0, Lagoa Nova - CEP: 59.064-901 - Natal/RN
(81) 3181.5400 // 0800.286.2828
Rua Dona Maria Augusta Nogueira, 519, Bongi
(71)3387-3429
Rua direta do saboeiro s/nº - Cabula
(31) 3239-9200
Avenida Prof. Alfredo Balena, 400 - Santa Efigênia Belo Horizonte
(21) 2333-4760
R. Nilópolis, 329 - Realengo, Rio de Janeiro, 21720-040
(11) 2176-7000
R. Dr. Cesário Mota Júnior, 112, Vila Buarque, São Paulo, 01221-020
(41) 3212-5700
Avenida República Argentina, 4406 - Novo Mundo, Curitiba - PR, 81050-000
(51) 33574324
Avenida Francisco Trein, 596 - Cristo Redentor, Porto Alegre - RS, 91350-200
*Examples: FIFA Confederations Cup, World Youth Day, 2014 FIFA World Cup, 2016 Olympic Games
33
Attached B — Participative Surveillance – “Saúde na Copa” app
Prepared for use in mobile devises
and internet , the “SAÚDE NA COPA”
app will allow the fans to participate
by contributing with health
surveillance in Brazil, besides having
access to useful health information.
Be a part of it!
34
Functions:
Access useful public services without altering you personal
phonebook;
Easily access useful information on healthcare in Brazil;
Enjoy the ease in searching pre made list of hospitals and
pharmacies nearby (up to 20 Km) on our service maps, without
opening another applicativeFollow the health profile of people
participating through the “Saúde na Copa” website;
Follow the games calendar and places where your favorite games
will be played;
Participate on a fun challenge.
starting in May at
35
2014 Ministry of Health of Brazil.
This work is made available under the Creative Commons License - Attribution
- Non Commercial - ShareAlike 4.0 International. It allowed the partial or total
reproduction of this work provided that the surce is mentioned.
The institutional collection of the Ministry of Health can be accessed in full at the Virtual Library of
the Ministry of Health: <www.saude.gov.br/bvs>.
Circulation: Preliminary edition – OS 0303/2014 – 250 copies
Preparation, distribution and information
International Affairs Advisory - AISA
Esplanada dos Ministérios, Bloco G, Edifício Sede, 4º andar sl.425
CEP: 70058-900 Brasília DF Tel.: (61) 33152813 Fax: (61) 32240014
e-mail: [email protected] site: www.saude.gov.br/aisa
Health Surveillance Secretariat/MoH
Department of Communicable Disease Surveillance - DEVIT
General Coordination of Surveillance and Response to Public Health Emergency - CGVR
Esplanada dos Ministérios, Bloco G, Edifício Sede, Sobreloja sl.137
CEP: 70058-900 Brasília - DF - Brasil Tel. (61) 33153191
e-mail: [email protected] site: www.saude.gov.br/svs
General Coordination
Alberto Kleiman
Juliana Vallini
Organisation
Maria Luzia de Cerqueira Gomes
Technical Elaboration
Secretaria de Vigilância em Saúde - SVS/MS
Secretaria de Atenção à Saúde - SAS/MS
Agência Nacional de Vigilância Sanitária - ANVISA
Translation
Jorge Kell
Collaboration
Jorge Ramalho
Pollyana Silva
Cover Page and graphic design
Núcleo de Comunicação AISA - Nucom.AISA
Standardisation
Amanda Soares – CGDI/Editora MS
EDITORA MS
Coordenação-Geral de Documentação e Informação/SAA/SE
MINISTÉRIO DA SAÚDE
Fonte principal: Myriad Pro
Impresso por meio do contrato 28/2012
OS 2014/0303
Brasília/DF, maio de 2014
NOTES
Virtual Library of the Ministry of Health
www.saude.gov.br/bvs
Improve your life, our compromise.
Ministry of
Health
guia_capa_INGLES_12_05.indd 1
Brazilian
Government
Brasília - DF
2014
13/05/14 13:16

Como cuidar de sua saúde viajando pelo Brasil (Versão em inglês)

Transcription

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