Registration of technologies during epidemics: analysis of diagnostic tests for Zika virus in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
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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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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1787713914609336320 |