Abstract
The scope of this chapter includes the national mass media campaigns triggered by the Government with regard to Dermatology, such as sexually transmitted infection (STI), AIDS, and Hansen’s disease (HD), and the well-recognized prominent role of the Brazilian Society of Dermatology (SBD) in conducting a National Skin Cancer Campaign (NSCC). It is expected to provide readers with useful information about the Brazilian experience in the management of campaigns to face HD since its first public policy, the AIDS/STI fighting initiatives dating from the syphilis era, and ongoing marketing utilizing diverse mass media tools plus all the efforts of SBD after 17 years of a sustainable NSCC. Dealing with these activities requires expertise in pedagogic methodologies and optimized use of communication technology to reach all dermatologists in the field to work under socio-constructionist principles of health education. An approach toward social accountability is demonstrated by the SBD commitment to provide a good quality of service by stimulating civic engagement of its members, including voluntary workers, and pressurizing the State health sector to meet its obligations, resulting in the betterment of the community.
Notes
- 1.
Some of these procedures have been revisited because of emerging viruses.
- 2.
From the Ottawa letter (1986) health promotion emphasized the social dimensions and the importance of five essential strategies for achieving full health: public policies, healthy environments, reinforcement of communitarian action, creation of personal abilities, and reorientation of health services.
- 3.
The campaign practices in Dermatology usually combine mass media propaganda and punctual patient examinations to screen for skin cancer and Hansen’s disease, which includes diagnosis and treatment of general skin diseases. This could be optimized by communication and health education activities and general health promotion policy at the local level.
- 4.
Observation from this author.
- 5.
Report from the survey “Life Style of Brazilian Population (LPM)” requested from the National Secretary of Chronic and Degenerative Diseases of MoH, (988) (author repository).
- 6.
This belief is mainly present in the peripheral area of metropolitan city Rio de Janeiro and it can be seen in a video at http://hanseniaseufrj.blogspot.com.br/2014/09/trecho-extraido-da-videoteca-do-nutes.html.
- 7.
(a) Let’s stop this spot in Brazil; (b) Hanseníase can be cured.
- 8.
BBC Campaign run in February 2003.
- 9.
SBD president and vice president (Sinésio Talhari and Gerson Penna: 2005–2006), and the HD Department consisted of Maurício Nobre (NE), Fatima Maroja (NO), Francisca Estrela, Luna Azulay, and myself.
- 10.
This proposal received support from the ILEP member Netherlands Leprosy Relief.
- 11.
Report from then the National Division of Dermatology. Document copy of this author’s repository.
- 12.
The operational research “The social role of dermatologists: importance of early diagnosis of leprosy and prevalent skin diseases” received the award for the best community operational research from the Dermatology Residents Forum at the 56th Brazilian Congress.
- 13.
Observations from this author’s experience: (a) In the beginning of the 1970s the State Secretariat of Health of Espírito Santo state supported a reference center for diagnosis and treatment of DST, offering a field for medical student practices .(b) In the early 1980s The DNDS/MoH started offering training on Sanitary Dermatology and the trainees went to Porto Alegre in order to have practice. (c) At the same time in Rio de Janeiro city the State Blood Storage notified all blood donors who tested positive for syphilis, but there was no subsequent surveillance action.
- 14.
The first case of AIDS identified and released in a scientific society in Brazil comes from São Paulo, presented by Valéria Petri at the Brazilian Dermatology Society (SBD) Congress in 1982, Rio de Janeiro.
- 15.
I received it in Rio de Janeiro as state coordinator of Sanitary Dermatology. Also, DNDS triggered one TV campaign with Sócrates (football player) and provided an international course in 1985 for Aguinaldo Gonçalves, in charge of the National Programe, Paulo Teixeira from SP, the coordinator of DF (Brasilia) and I from RJ state. Paulo Teixeira, one technician from DF, one from MoH, and one from Rio de Janeiro.
- 16.
While in charge of DNDS this author first invited Dr. Paulo Teixeira to coordinate the workgroup and then Professor Lair Guerra de Macedo who was working in STI in the Women Program/MoH, to be responsible for AIDS/SDI; Dr. Miriam Franchini to be responsible for STI training; and Dr. Jair Ferreira to take part in both committees as epidemiologist. Many difficulties were encountered at the beginning, when MoH had a very poor infrastructure and budget (before SUS) and had just started working with civil organizations through DNDS (MORHAN, GAPA, ABIA, GGB, and hemophilia associations). Also important was the support from SESP Foundation Network training an all-doctors team coordinated by Dr. Pedro Chequer. Also the recognition of STI state referral centers for training in Porto Alegre (the film Love without pain – Gerbase/RGS), the Laboratory in Brasilia (Miriam Franchini), and Alfredo da Matta Reference Center (Adele Benzakem, Sinesio Talhari and JCG Sardinha).
- 17.
Oral information from health workers’ meeting.
- 18.
Missed campaign from the first decade.
- 19.
Despite only congenital syphilis being notified, there is a consensus about diagnosis increasing in the routine consultancies of Brazilian dermatologists.
- 20.
Before this prohibition in 2010, it was well known that in the case of STI, regular people used to go first to the pharmacy.
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de Oliveira, M.L.WDR. (2018). Impact of Preventive Campaigns in Dermatology: A Brazilian Experience. In: Bonamigo, R., Dornelles, S. (eds) Dermatology in Public Health Environments. Springer, Cham. https://doi.org/10.1007/978-3-319-33919-1_4
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