Reactivation project and implementation of the Program of Governance of treated Water for Hemodialysis of the State of Sao Paulo, SP – August 2007

Abstract

The “Program of Renal Substitution Therapy –TRS” integrates the health agenda of the State of Sao Paulo because it is amongthe priority area of health policy, given the
progressive increase in the incidence and prevalence of chronic kidney disease every year. The high cost to maintain patients in TRS has been a major concern on the part of government agencies. Practices based on scientific evidence, available at present, show a relevant number of complications arising from acute dialysis treatment that uses water, crucial to the therapy, with bacteriological standards and physical-chemical inadequate, leading to the poisoningmetals and adverse reactions.The Program for Monitoring of Water Quality Treated for dialysis began in the State of Sao Paulo in December 1999. Preliminary data on the analyses of samples of water for dialysis, collected in the last quarter of 2007, revealed that the results were not satisfactory at 100% of services, which reinforces the need to implement measures to control risks to safeguard the quality standard the water, in accordance with applicable law, be it public or supply from alternative sources. In the last quarter of 2007, were trained 47 technicians of the Health Surveillance of state and municipal areas, which act directly on the segment of dialysis. These technicians collected 156 samples of water for analysis of the 52 services registered in VS of the Capital and Greater Sao Paulo.