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The Ministry of Health let a contract expire and suspended genotyping tests in the Unified Health System (SUS) for people living with HIV, AIDS (the disease caused by the virus) and viral hepatitis. The test is essential to define the most appropriate treatment for those who develop resistance to a drug.
The contract with the company that carried out this examination expired last November. Just a month earlier, on October 7, the ministry held a negotiation session to find a new service provider. However, the process failed after the winning company failed to attach all the documents required by the notification. The ministry expects to hold a new auction on Tuesday 8. If there is a winner at the event, the expectation is to resume service only in January.
In a note distributed to health services on the last day 3, the ministry says it will do this test only for children under 12 years of age and pregnant women living with HIV and AIDS. Patients with hepatitis C should receive velpatasvir and sofosbuvir, which are more effective and do not require genotyping. HIV is the virus that causes AIDS, a disease that attacks the cells of the immune system. However, having HIV does not mean that the person will develop AIDS.
Group evaluates going to the Public Ministry
The National Health Councilor and representative of the National Articulation to Fight AIDS (Anaids), Moysés Toniolo says he is puzzled by the interruption of the genotyping tests. He said the folder did not say how many patients need this service today.
Anaids is considering taking the case to the Federal Public Ministry (MPF), according to Toniolo. “We have a contingent of people who have used therapy for years and may need this test to continue living,” he said.
Toniolo believes that there is a “dismantling” of policies for people living with HIV, AIDS and viral hepatitis in the government of Jair Bolsonaro. Remember that, when he was still a deputy, Bolsonaro said he was against the cost of treating these diseases by the SUS. “It’s his problem (the patient),” declared the current president in an interview with the CQC program on TV Bandeirante in 2010.
The professor of medicine at the Federal University of Uberlândia (UFU) and former president of the Brazilian Society of Infectious Diseases (SBI), Marcelo Simão Ferreira says that the damage will not be great for patients with viral hepatitis, since there are drugs that serve to all genotypes. disease, that is, they do not need the examination that interrupted the SUS. “Now, HIV will be necessary. HIV genotyping evaluates the sensitivity of the virus to the various drugs we have, ”he said.
The professor of infectious diseases at the Federal University of São Paulo (USP) and member of the SBI, Paulo Abrão says that the lack of the test can “seriously” compromise the health of patients with HIV. He says that planning is necessary to avoid the discontinuity of services of this type, in addition to the loss of rights earned by patients. Abrão says, however, that the ministry’s solution for treating hepatitis C is “reasonable.”
Wanted, the Ministry of Health did not appear until the publication of this text.
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