
@article{ref1,
title="The Brumadinho disaster and work of the Health Surveillance Service",
journal="Epidemiologia e serviços de saúde : revista do Sistema Unico de Saúde do Brasil",
year="2019",
author="Oliveira, Wanderson Kleber de and Rohlfs, Daniela Buosi and Garcia, Leila Posenato",
volume="28",
number="1",
pages="e20190425-e20190425",
abstract="<p>On January 25, 2019, at 12:35 pm, the dam broke from the Córrego do Feijão Mine, from the mining company Vale S.A., located in the municipality of Brumadinho, Metropolitan Region of Belo Horizonte. The dam was inactive since 2015 and was storing 12 million cubic meters of tailings sludge from iron ore.  The mud immediately hit the structure of the miner, which included administrative center, refectory and maintenance workshops, loading terminal and railway line. Initially, the company reported that when the disruption occurred, there were about 300 workers at the site. A village and an inn were also directly hit, where there were a few more people. A few minutes later, when he had already cut down hundreds of lives and left a trail of destruction, the gigantic wave of tailings mud reached the bed of the Paraopeba River.  The Ministry of Health (MS) acted promptly and began to work in an integrated manner with the Municipality of Brumadinho and the Government of Minas Gerais, as well as with other Federal Government agencies, to ensure the best health care for the population affected. Professionals of the National Force of the Unified Health System (FN-SUS), 1 constituted by the Secretariats of Health Surveillance (SVS) and Health Care (SAS) of the MS, went to Brumadinho to support the management actions emergency, assistance, water quality monitoring and worker health. It was provisionally set up a Medical Post Office near the place and, shortly after the disruption, all SAMU 192 teams in the region were mobilized. Medication kits and strategic supplies, vaccines and 150 hospital beds were made available to attend the affected population. In addition, vehicles with 4x4 traction were donated to the Municipality of Brumadinho and the State of Minas Gerais to reinforce the health surveillance actions in the areas of difficult access reached by the mud.  Just over an hour after the disaster, the SVS installed the Emergency Operations Center in Public Health (COES), 2 with participation of SAS and the Executive and Health Secretariats Indigenous; in addition, the technical areas of the SVS itself were activated. About 70 professionals worked in support of field actions and in the management of the emergency health plan, in activities carried out 24 hours a day for 7 days until their demobilization on March 14.</p> <p>Language: pt</p>",
language="pt",
issn="1679-4974",
doi="10.5123/S1679-49742019000100025",
url="http://dx.doi.org/10.5123/S1679-49742019000100025"
}