GARD Brazil activities

GARD Brazil Report 2011-2012

1. GARD Proposed Approach fully adopted in the State of Minas Gerais
The Pilot Project GARD-PAL pioneered in Brazil in PHC, in 2 municipalities (Ribeirão das Neves e Ibirité - total of 700,000 inhabitants) is now extended to the entire State of Minas Gerais by a resolution of the State Department of Public Health, beginning with the establishment of a state committee for the development of a programme called “Breathe Minas”, based on Practical Approach to Lung Health and GARD proposals and including GARD Brazil Coordinator (Prof. Paulo Camargos).

2. Free Beclometasone and salbutamol everywhere – Health is Priceless Policy
Beclometasone and salbutamol pMDI, which were available for free in some of the 554 pharmacies of the Brazilian Public Health System, are now also available for FREE in 20.474 private pharmacies throughout the country fully covered by government subsidies. This policy, named “Health is Priceless” allows for a remarkable increase in access to medication for all individuals that live far from public health facilities or work at the limited hours that public pharmacies are opened.

3. ProAR to be proposed as a WHO Collaborating Center by WHO Office of the Americas
The Programme for Control of Asthma in Bahia (ProAR), a GARD Demonstration Project from 2006, focus on the treatment of severe asthma in the Capital City of Salvador completed 10 years in 2012. It combines health care, building capacity and research for asthma prevention and control and has demonstrated its strategy quickly reduced hospitalizations in the entire City of 3 million inhabitants, with a simple and highly cost-effective intervention. After preliminary discussions with WHO officers and local authorities, a proposal for a Collaborating Center to be directed by Dr. Alvaro Cruz and Prof. Maurício Barreto will be presented.

4. Ministry of Health Proposes guidelines for Control of COPD
On May 12th 2012, the Ministry of Health of Brazil has published a provisional guideline for control of COPD in the public health system, adapted from GOLD, asking for revision and suggestions of experts and societies. It indicates, patients with COPD may soon benefit of the same standard extended access to free medication conquered to patients with asthma.

5. GARD invited to discuss the Brazilian Plan for Prevention and Control of NCD
The Coordinator of the Action Plan against NCD of the Brazilian MoH has invited Dr Alvaro A. Cruz, a member of GARD Planning Group, to a meeting in which the national plan for prevention and control of NCD will be reviewed and assessed.