The National Health Council (CNS) published a recommendation on Friday, 22, calling for the immediate suspension of Ministry of Health for the use of chloroquine and hydroxychloroquine in the treatment of mild cases of the new coronavirus. “So far, there is no robust scientific evidence that allows the indication of specific pharmacological therapy”, justifies the document.
According to the recommendation, the “exceptional moment” of the covid-19 pandemic “cannot mean that rationality should be abandoned nor that the population should be exposed to conditions of greater vulnerability”. It is signed by the chairman of the board, Fernando Zasso Pigatto.
O document also recommends that “no medication” is recommended for the prevention of covid-19, “due to the absence of confirmation of safe use to users”, and that the ministry “plays its role in defending science and reducing dependence on equipment and supplies, building a broad and robust national production”.
CNS recommendation chloroquine suspension in mild cases
Photo: ALEXANDRE DURÃO / CODE 19 / Estadão Content
Besides that, asks the Federal Public Ministry (MPF) to “take appropriate action” so that the guidelines for early drug handling of patients diagnosed with covid-19 are suspended.
On Wednesday, 20, the Ministry of Health published a new protocol, which releases both drugs in the treatment of all patients with signs of the disease. For the council, however, the change “is not based on scientific evidence” and makes reference to studies “criticized by the scientific community”.
The CNS recommendation also says that the ministry failed to comply with the legislation of the Unified Health System (SUS) by indicating the medications for a use that is not registered with the National Health Surveillance Agency (Anvisa) and neither did it analyze and elaborate guidelines. by the National Commission for the Incorporation of Technologies in SUS (Conitec).
The council still calls the protocol change a “political decision made by non-health experts”. He also cites articles published in international scientific journals that point out the effects of drugs in the treatment of coronavirus patients, especially in relation to heart problems, in addition to medical guidelines published by Brazilian entities, such as the Associação de Medicina Intensiva and the Sociedade Brasileira de Infectologia, among others.
“Considering that the need to evaluate patients through anamnesis, physical examination and complementary exams in the health equipment of the Unified Health System (SUS), will have a major impact on primary and medium complexity care, to which the system is not adapted to regulate at this moment “, the text also points out.
The CNS is a collegiate body of the Unified Health System (SUS), which aims to inspect, monitor and monitor public health policies. It has 48 counselors, who are representatives of the segments of users, workers, SUS managers and health service providers, in addition to representatives of social movements, governmental and non-governmental institutions, entities of health professionals, scientific community, entities of providers service providers and business entities in the health area.
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