National Guidelines for Public Health Emergency Surveillance within the Brazilian Unified Health System.
- 1Ministério da Saúde, Departamento de Emergências em Saúde Pública, Brasília, DF, Brazil.
Abstract
Objective
To describe the national guidelines for public health emergency surveillance within the Brazilian Unified Health System (Sistema Único de Saúde, SUS).Guidelines
The increasing frequency of health, environmental, and technological events has led to more public health emergencies, requiring systems capable of early threat detection, risk assessment, and timely response. Public health emergency surveillance is an integral component of health surveillance and encompasses strategies such as indicator-based, event-based, hospital-based epidemiological, mass gathering, wastewater, community-based, and participatory surveillance. These strategies are complementary and should be supported by continuous monitoring and systematic risk assessment, while incorporating multisectoral approaches, risk communication, and One Health. Strengthening public health emergency surveillance involves integrating information systems, building workforce capacity, institutionalizing contingency plans and standard operating procedures, activating situation rooms and emergency operations centers, conducting timely outbreak investigations, communicating risks, and conducting intra-action and after-action reviews. Factors such as territorial inequalities, social vulnerabilities, and population-specific characteristics influence risk exposure, detection capacity, and the impacts of emergencies, underscoring the need to incorporate equity into surveillance explicitly.Conclusion
The guidelines help consolidate public health emergency surveillance as a core component of preparedness and response within the Unified Health System, reinforcing participatory, integrated, and equity-oriented approaches to protect health and reduce harm.
Related
- Care coordination through primary health care and network integration: the importance of ensuring comprehensive and integrated care in the Brazilian Unified National Health System
- Impact evaluation of Lean Healthcare in emergency departments: evidence from a large-scale Brazilian initiative using difference-in-differences
- Motivating Factors for Participating in the Geriatric Emergency Department Guidelines 2.0
- Adherence to French guidelines on cuff leak test use across French intensive care units: a national survey
- Racial inequality in access to breast reconstruction surgery in the Brazilian Unified Health System: an interrupted time series study, Brazil, 2010-2024.
BibTeX
@article{proenca2026national,
title = {{National Guidelines for Public Health Emergency Surveillance within the Brazilian Unified Health System.}},
author = {Raquel Proença and Camila Cunha Maia Nogueira Nunes and Alessandro Pecego Martins Romano and Camila Pinto da Silva and Carlos Henrique Michiles Frank and Felipe Soares de Moraes and Francisco Silvanei Dos Santos Gonçalves and Gabriel Dos Santos Bandeira and Igor de Assis Rodrigues and João Roberto Cavalcante and Jose Lucas Pinho da Fonseca and Lucio Campello Silva and Magda Machado Saraiva Duarte and Maiara Almeida Maia and Mariana Sanches de Mello and Marina Pissurno do Nascimento and Otto Henrique Nienov and Paula Orofino Moura Costa and Rebeca Cristine Campos Martins and Sabrina Araújo de Melo and Vanessa de Paula Ferreira and Vinícius de Souza Casaroto and Daniel Roberto Coradi de Freitas and Taynná Vernalha Rocha Almeida and Marcio Henrique de Oliveira Garcia and Edenilo Baltazar Barreira},
journal = {Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil},
year = {2026},
month = oct,
doi = {10.1590/s2237-96222026v35e20260071.en},
url = {https://europepmc.org/article/MED/42903059},
note = {CC BY},
}
RIS
TY - JOUR
TI - National Guidelines for Public Health Emergency Surveillance within the Brazilian Unified Health System.
AU - Raquel Proença
AU - Camila Cunha Maia Nogueira Nunes
AU - Alessandro Pecego Martins Romano
AU - Camila Pinto da Silva
AU - Carlos Henrique Michiles Frank
AU - Felipe Soares de Moraes
AU - Francisco Silvanei Dos Santos Gonçalves
AU - Gabriel Dos Santos Bandeira
AU - Igor de Assis Rodrigues
AU - João Roberto Cavalcante
AU - Jose Lucas Pinho da Fonseca
AU - Lucio Campello Silva
AU - Magda Machado Saraiva Duarte
AU - Maiara Almeida Maia
AU - Mariana Sanches de Mello
AU - Marina Pissurno do Nascimento
AU - Otto Henrique Nienov
AU - Paula Orofino Moura Costa
AU - Rebeca Cristine Campos Martins
AU - Sabrina Araújo de Melo
AU - Vanessa de Paula Ferreira
AU - Vinícius de Souza Casaroto
AU - Daniel Roberto Coradi de Freitas
AU - Taynná Vernalha Rocha Almeida
AU - Marcio Henrique de Oliveira Garcia
AU - Edenilo Baltazar Barreira
PY - 2026
DA - 2026/10/12
JO - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil
DO - 10.1590/s2237-96222026v35e20260071.en
UR - https://europepmc.org/article/MED/42903059
AB - Objective To describe the national guidelines for public health emergency surveillance within the Brazilian Unified Health System (Sistema Único de Saúde, SUS).Guidelines The increasing frequency of health, environmental, and technological events has led to more public health emergencies, requiring systems capable of early threat detection, risk assessment, and timely response. Public health emergency surveillance is an integral component of health surveillance and encompasses strategies such as indicator-based, event-based, hospital-based epidemiological, mass gathering, wastewater, community-based, and participatory surveillance. These strategies are complementary and should be supported by continuous monitoring and systematic risk assessment, while incorporating multisectoral approaches, risk communication, and One Health. Strengthening public health emergency surveillance involves integrating information systems, building workforce capacity, institutionalizing contingency plans and standard operating procedures, activating situation rooms and emergency operations centers, conducting timely outbreak investigations, communicating risks, and conducting intra-action and after-action reviews. Factors such as territorial inequalities, social vulnerabilities, and population-specific characteristics influence risk exposure, detection capacity, and the impacts of emergencies, underscoring the need to incorporate equity into surveillance explicitly.Conclusion The guidelines help consolidate public health emergency surveillance as a core component of preparedness and response within the Unified Health System, reinforcing participatory, integrated, and equity-oriented approaches to protect health and reduce harm.
SN - 1679-4974
SN - 2237-9622
ER -