Proposta de treinamento profissional para detecção e investigação de casos suspeitos de doenças exantemáticas na Área de Planejamento 5.2

Abstract

Background: After a long period without endemic transmission, the resurgence of measles and rubella in Brazil, associated with a decline in vaccination coverage, highlighted the importance of maintaining sensitive surveillance systems capable of promptly identifying and investigating suspected cases for effective control actions. In 2020, Rio de Janeiro experienced a significant measles epidemic, where difficulties in identifying and intervening in a timely manner to control transmission became evident. Objective: To propose a technical training program to raise awareness and train primary care professionals in the identification and investigation of suspected cases of exanthematous diseases (measles and rubella), as well as in notification processes, integrating surveillance, management, and prevention practices for these diseases. Method: The proposed training will be structured in stages and will consist of dialogical exposition, group dynamics with case discussions, and reflective debates on the main challenges related to the surveillance flows of exanthematous diseases in primary care. Knowledge tests (pre- and post-training) will be applied to assess participants' learning levels before and after the training. A final evaluation will be conducted to measure participant satisfaction and obtain suggestions for improving the training. Results: It is expected that by the end of the training, professionals will be able to recognize the main signs and symptoms of measles and rubella, as well as manage these cases clinically and follow the correct notification and tracking procedures for suspected cases, working in an integrated manner with the local epidemiological surveillance system. The development of better communication between the Health Surveillance team and the Primary Care teams is also expected, enabling more coordinated and effective action in outbreak control.