Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in Brazil

Detalhes bibliográficos
Autor(a) principal: Oliveira, Catia Veronica dos Santos
Data de Publicação: 2022
Outros Autores: Reis, Lenice Gnocchi da Costa, Pepe, Vera Lúcia Edais
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Direito Sanitário (Online)
Texto Completo: https://www.revistas.usp.br/rdisan/article/view/186731
Resumo: In times of Public Health Emergencies, the use of diagnostic technologies occurs under special conditions, given  the need for quick access. In the Public  Health Emergencies of Zika virus,  commercial tests were important to identify cases and respond to their challenges. In Brazil, commercialization  occurs after registration is granted by  the Brazilian Health Regulatory Agency.  The objective was to analyze the  registration of commercial tests for the  diagnosis of Zika virus infection in Brazil from 2016 to 2019. This exploratory-descriptive study used the database of  the Brazilian Health Regulatory Agency, and documents from the pages of the manufacturers, registration holders and the agency. Four dimensions were considered: registry; tests; manufacturers; and registration  holders. Sixty-eight tests were registered, 91% of which were from private companies, 82% specific to Zika  virus, 54% imported, 78% serological  and 37% rapid tests. During the Public  Health Emergencies of Zika virus, the  Brazilian Health Regulatory Agency prioritized the registration of tests, not using the Emergency Use Authorization, an internationally recommended instrument. The average  time for analyzing the  registration process was shor ter and  the number of requirements was  higher in 2016. No information on performance was identified in 50% of  the tests. The recovery and generation  of new evidence, during use, is a major challenge, and it is important to provide  information on tests  performance. 
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spelling Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in BrazilRegistro de tecnologias durante epidemias: análise dos testes diagnósticos para vírus zika no BrasilAgência Nacional de Vigilância SanitáriaAprovação de Teste DiagnósticoBrasilRegistro de ProdutosVírus ZikaBrazilian Health Regulatory AgencyDiagnostic Test ApprovalBrazilProducts RegistrationZika VirusIn times of Public Health Emergencies, the use of diagnostic technologies occurs under special conditions, given  the need for quick access. In the Public  Health Emergencies of Zika virus,  commercial tests were important to identify cases and respond to their challenges. In Brazil, commercialization  occurs after registration is granted by  the Brazilian Health Regulatory Agency.  The objective was to analyze the  registration of commercial tests for the  diagnosis of Zika virus infection in Brazil from 2016 to 2019. This exploratory-descriptive study used the database of  the Brazilian Health Regulatory Agency, and documents from the pages of the manufacturers, registration holders and the agency. Four dimensions were considered: registry; tests; manufacturers; and registration  holders. Sixty-eight tests were registered, 91% of which were from private companies, 82% specific to Zika  virus, 54% imported, 78% serological  and 37% rapid tests. During the Public  Health Emergencies of Zika virus, the  Brazilian Health Regulatory Agency prioritized the registration of tests, not using the Emergency Use Authorization, an internationally recommended instrument. The average  time for analyzing the  registration process was shor ter and  the number of requirements was  higher in 2016. No information on performance was identified in 50% of  the tests. The recovery and generation  of new evidence, during use, is a major challenge, and it is important to provide  information on tests  performance. Em momentos de Emergência em Saúde Pública, o uso de tecnologias diagnósticas se dá sob condições especiais, visto a necessidade do rápido acesso. Na Emergência em Saúde Pública do vírus zika, os testes comerciais foram importantes para identificar casos e responder seus desafios. No Brasil, a comercialização de testes diagnósticos ocorre após a concessão do registro pela Agência Nacional de Vigilância Sanitária. O objetivo deste artigo foi analisar o registro dos testes comerciais para o diagnóstico da infecção pelo vírus zika no período de 2016 a 2019 no Brasil. O estudo exploratório-descritivo utilizou-se do banco de dados e de documentos do site da Agência Nacional de Vigilância Sanitária, bem como de documentos disponíveis nas páginas eletrônicas dos fabricantes detentores de registro. Quatro dimensões foram consideradas para a análise dos dados coletados: registro, testes, fabricantes e detentores de registro. Foram registrados 68 testes, sendo 91% de empresas privadas; 82% específicos para o vírus zika; 54% importados; 78% sorológicos; e 37% testes rápidos. Durante a Emergência em Saúde Pública do vírus zika, a Agência Nacional de Vigilância Sanitária priorizou o registro dos testes, sem fazer uso da Autorização de Uso Emergencial, dispositivo preconizado internacionalmente. Em 2016, o tempo médio para análise de registro foi menor e o número de exigências, maior. Não se identificou informação sobre o desempenho em 50% dos testes. A recuperação e a geração de novas evidências, durante a utilização, são os grandes desafios e mostra-se importante disponibilizar informações sobre o desempenho dos testes.Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário2022-12-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresPeer-reviewed articleapplication/pdfhttps://www.revistas.usp.br/rdisan/article/view/18673110.11606/issn.2316-9044.rdisan.2022.186731Revista de Direito Sanitário; v. 22 n. 2 (2022); e0025Journal of Health Law; Vol. 22 No. 2 (2022); e0025Revista de Direito Sanitário; Vol. 22 Núm. 2 (2022); e00252316-9044reponame:Revista de Direito Sanitário (Online)instname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rdisan/article/view/186731/193813Copyright (c) 2022 Revista de Direito Sanitáriohttp://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessOliveira, Catia Veronica dos SantosReis, Lenice Gnocchi da CostaPepe, Vera Lúcia Edais2023-02-01T15:51:01Zoai:revistas.usp.br:article/186731Revistahttps://www.revistas.usp.br/rdisanPUBhttp://www.revistas.usp.br/rdisan/oaisdallari@usp.br||revdisan@usp.br2316-90441516-4179opendoar:2023-02-01T15:51:01Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in Brazil
Registro de tecnologias durante epidemias: análise dos testes diagnósticos para vírus zika no Brasil
title Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in Brazil
spellingShingle Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in Brazil
Oliveira, Catia Veronica dos Santos
Agência Nacional de Vigilância Sanitária
Aprovação de Teste Diagnóstico
Brasil
Registro de Produtos
Vírus Zika
Brazilian Health Regulatory Agency
Diagnostic Test Approval
Brazil
Products Registration
Zika Virus
title_short Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in Brazil
title_full Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in Brazil
title_fullStr Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in Brazil
title_full_unstemmed Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in Brazil
title_sort Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in Brazil
author Oliveira, Catia Veronica dos Santos
author_facet Oliveira, Catia Veronica dos Santos
Reis, Lenice Gnocchi da Costa
Pepe, Vera Lúcia Edais
author_role author
author2 Reis, Lenice Gnocchi da Costa
Pepe, Vera Lúcia Edais
author2_role author
author
dc.contributor.author.fl_str_mv Oliveira, Catia Veronica dos Santos
Reis, Lenice Gnocchi da Costa
Pepe, Vera Lúcia Edais
dc.subject.por.fl_str_mv Agência Nacional de Vigilância Sanitária
Aprovação de Teste Diagnóstico
Brasil
Registro de Produtos
Vírus Zika
Brazilian Health Regulatory Agency
Diagnostic Test Approval
Brazil
Products Registration
Zika Virus
topic Agência Nacional de Vigilância Sanitária
Aprovação de Teste Diagnóstico
Brasil
Registro de Produtos
Vírus Zika
Brazilian Health Regulatory Agency
Diagnostic Test Approval
Brazil
Products Registration
Zika Virus
description In times of Public Health Emergencies, the use of diagnostic technologies occurs under special conditions, given  the need for quick access. In the Public  Health Emergencies of Zika virus,  commercial tests were important to identify cases and respond to their challenges. In Brazil, commercialization  occurs after registration is granted by  the Brazilian Health Regulatory Agency.  The objective was to analyze the  registration of commercial tests for the  diagnosis of Zika virus infection in Brazil from 2016 to 2019. This exploratory-descriptive study used the database of  the Brazilian Health Regulatory Agency, and documents from the pages of the manufacturers, registration holders and the agency. Four dimensions were considered: registry; tests; manufacturers; and registration  holders. Sixty-eight tests were registered, 91% of which were from private companies, 82% specific to Zika  virus, 54% imported, 78% serological  and 37% rapid tests. During the Public  Health Emergencies of Zika virus, the  Brazilian Health Regulatory Agency prioritized the registration of tests, not using the Emergency Use Authorization, an internationally recommended instrument. The average  time for analyzing the  registration process was shor ter and  the number of requirements was  higher in 2016. No information on performance was identified in 50% of  the tests. The recovery and generation  of new evidence, during use, is a major challenge, and it is important to provide  information on tests  performance. 
publishDate 2022
dc.date.none.fl_str_mv 2022-12-27
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado pelos pares
Peer-reviewed article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rdisan/article/view/186731
10.11606/issn.2316-9044.rdisan.2022.186731
url https://www.revistas.usp.br/rdisan/article/view/186731
identifier_str_mv 10.11606/issn.2316-9044.rdisan.2022.186731
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rdisan/article/view/186731/193813
dc.rights.driver.fl_str_mv Copyright (c) 2022 Revista de Direito Sanitário
http://creativecommons.org/licenses/by-nc-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Revista de Direito Sanitário
http://creativecommons.org/licenses/by-nc-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário
publisher.none.fl_str_mv Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário
dc.source.none.fl_str_mv Revista de Direito Sanitário; v. 22 n. 2 (2022); e0025
Journal of Health Law; Vol. 22 No. 2 (2022); e0025
Revista de Direito Sanitário; Vol. 22 Núm. 2 (2022); e0025
2316-9044
reponame:Revista de Direito Sanitário (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Direito Sanitário (Online)
collection Revista de Direito Sanitário (Online)
repository.name.fl_str_mv Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv sdallari@usp.br||revdisan@usp.br
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