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The expectation of the São Paulo government is that CoronaVac will be the first vaccine against covid-19 to be ready and, from what has been negotiated so far, it would be available only to residents of the state. The situation raises concern about possible social unrest, such as a large contingent of inhabitants from other states who travel to cities in São Paulo in search of the immunizing agent.
In addition to not having doses for everyone -So Paulo signed a contract for 46 million units and the vaccine must be administered in two doses-, the situation still does not respect the public nature of the SUS (Unified Health System), which preaches equity and democracy in access to treatment.
THE Twitter I heard from two São Paulo government officials that these factors became worrisome because, last week, the federal government announced, but later canceled the inclusion of CoronaVac in the PNI (National Immunization Program), which would guarantee the distribution of doses to the whole country. .
Administrative and regulatory law attorney Marcus Vinicius Macedo Pessanha described this potential situation as “federative chaos” and “social chaos.”
“The right to health is constitutionally guaranteed as a fundamental right, of the dignity of the human person. How can a Brazilian from São Paulo have access to a good health and another person from another state not? We have a violation of the principle of isonomy” . , evaluates Macedo Pessanha.
According to one of the authorities interviewed by TwitterIt does not make any sense for the health units in São Paulo to request proof of residence before applying the vaccine. Regarding this possibility, the specialist in administrative and regulatory law stated that there would be no legal basis for the request.
“As much as eventually [a vacinação] It will be denied in practice, in the health post, for proof of residence, this is certainly something that will not have the support of the Judicial Power. Any commandment of mandamus would bring him down with the greatest ease in the world, ”says Macedo Pessanha.
Queues and legal dispute
Concern about potential social unrest due to the arrival of CoronaVac has to do with the memory of the yellow fever vaccine race, which took place in São Paulo in early 2018. On that occasion, people slept in long lines in front of the health posts. . There were also ticket sales to enter the waiting area, displacement of people from neighboring cities and invasion of vaccination posts.
For this reason, some cities in the state have begun to require proof of residence, exactly the situation that the government wants to avoid and that Macedo Pessanha stressed has no legal basis.
The possibility of a fierce legal dispute is known to the authorities who spoke with him. TwitterBut this is not even the issue of greatest concern. The main point is the issue of universal access to health services, as advocated by SUS.
São Paulo believes in the inclusion of the vaccine in the PNI
The São Paulo government has already indicated more than once that it will create a state distribution plan if the federal government keeps CoronaVac out of the PNI. But the expectation is that President Jair Bolsonaro (without a party) agrees to buy the doses.
The assessment is that he annulled the agreement to satisfy the voters of Olavista and the most radical. São Paulo authorities believe that, throughout the investigation and validation process, CoronaVac will join the PNI.
The vaccine can only be applied after it has been approved and registered by Anvisa (National Health Surveillance Agency).
‘Chinese vaccine’
CoronaVac is developed by the Chinese laboratory Sinovac, in association with the Butantan Institute, linked to the São Paulo government. President Jair Bolsonaro’s allies call the immunizer a “Chinese vaccine.” The plateau’s alignment with the United States means there are reservations for China.
Behind the scenes, the comment that the covid-19 vaccine race won the air of an electoral race, with its sights set on 2022, gains momentum.
The former director of the Butantan Institute, Jorge Kalil, affirmed that there are no innocents in this case, because the process started badly from the beginning. He said that the institution produces vaccines at the request of the Ministry of Health and added that the political dispute between the governor of São Paulo, João Doria (PSDB), and President Bolsonaro prevented the coordinated work.
“Without a doubt. There you have political and economic interest,” he told the Twitter.
Kalil said that the collaboration between the powers would have provided security to the investigation by the certainty that the doses would be bought by the federal government. The former director of Butantan said that the São Paulo government took a risk by joining the company without the alliance with the Ministry of Health.
São Paulo Health Secretary Jean Gorinchteyn affirmed that the São Paulo government has “zero priority” to insert CoronaVac into the PNI. He is also against the fact that only a part of the population has access to the vaccine and said that it is not “correct for one state to prevail over another.”
“As a man concerned about Brazil, the governor wants vaccines for all Brazilians, not just for Brazilians in São Paulo. We do not want exclusivity for São Paulo,” said the secretary.
The problem can get worse. The possibility that CoronaVac was ready before the others made governors of several states, cities and even neighboring countries look for the Butantan Institute, revealed the current president of the institution, Dimas Covas. But the goal is to close the partnership with the Ministry of Health.
Macedo Pessanha evaluates that this direct purchase route by the states was opened by Law 13,979 / 2020, sanctioned in February this year and that provides measures to face the new coronavirus pandemic. The text was signed by President Jair Bolsonaro and by then-Ministers Luiz Henrique Mandetta, of Health, and Sergio Moro, of Justice.
