LEI 6437 DE 1977 PDF


29 jul. órgão emissor: ANVISA – Agência Nacional de Vigilância Sanitária na forma da Lei n° , de 20 de agosto de , sujeitando o infrator. Relevant documents: (1) Brazilian Official Journal (Diário Oficial da Uniăo) Nº page 42, (2)Law , 20 August (Lei nº , de 20 de. Saúde Pública, Rio de Janeiro, 23(6), jun, . ; National Health Surveillance Secretariat (SNVS) Important health control legislation enacted, still in force (Acts 5,/73, 6,/76, and 6,/77 .. Lei no . Cria a Agência Nacional de Vi- gilância Sanitária, define o Sistema Nacional de Vi-.

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Corneal transplantation is the most transplanted tissue in the world and the only widely accepted treatment to promote corneal transparency and restore vision.

The critical analyzes of the results aim to point out flaws and risks involved in the process, and to undertake actions capable of modifying the negative findings, in order to improve the quality of the services provided to the population. In Brazil, there are different sources of data on corneal transplants and ocular tissue banks.

In this review, the accuracy of the data and the reliability of the information disclosed by the National Transplant System by the Brazilian Organ Transplant Association and the National Sanitary Surveillance Agency on the situation of corneal transplantation in Brazil were evaluated in order to guide governments, public health managers and researchers.

Health profile; Cornea; Corneal transplantation; Directed tissue donation, Eye banks. The responsibilities of SNT include financing management, donation stimulation, recruitment logistics, accreditation of surgical teams and transplantation centers, and drafting of ordinances to regulate the process.

It should be noted that this review did not have any financial assistance, and that the authors declare no conflicts of interest. Brazilian Legislation The National Organ and Tissue Transplantation Policy 11 is based on laws to guarantee free donation, beneficence towards receivers, and non-maleficence towards donors. Brazilian legislation determines that tissues and organs are made available for transplant after the family consent of the deceased donor through the signing of a donation term, in compliance with the provisions of the Transplant Law.

Each BTO has a specific evaluation protocol of donor button, performed systematically on all donated tissues. After identification and serologic release, the cornea is eli in all its structures and, only after this evaluation, the physician will grade the tissue quality and determine its usefulness for penetrant, lamellar or tectonic corneal transplant.


In, corneas of 69, donors were collected, and 82, keratoplasty were performed in the country. Annually, the Eye Bank Association of America EBAA publishes a detailed statistical report on the entire process involving donation, collection, storage, distribution and transplant of corneas in the country. This report aims at identifying and sharing the best 9177, recognizing possible flaws in the process, and tracking development and global trends in keratoplasty.

All of this information is released for the purpose of identifying probable errors, minimizing difficulties, and suggesting changes to improve the system governing corneal transplants in the country. The RBT aims to outline the national activity profile of organ and tissue transplants, and encourage donation in the country. It is important to emphasize that there are still data available only by ABTO 9 estimated annual need for corneal transplant, number and causes of death and reasons for non-donation of organs and tissues in Brazil and only by SNT 10 registered transplant centers and the amount spent on corneal transplants and other processes involving donation, such as dissemination actions, collection of exams, tissue processing, follow-up,and post-surgery intercurrences.

Dde addition, SNT and ABTO do not report demographic data on cornea receivers age, time in the waiting list, indication and type of transplant performedwhich are essential for comparison with international research and to put Brazil in the world context of cornea transplants. RADPBTO includes information on the number and geographical location of BTOs in operation in the country, number of corneas and globes donated, collected, preserved, discarded, available for cornea transplant and for other purposes, and causes of corneal discard in Brazilian BTOs.

9177 addition, the report annually calculates corneal preservation efficacy, corneal discard coefficient, and corneal transplant efficacy in Brazil.

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The lack of disclosure of these data makes it difficult to understand the leii needs of each state and region of Brazil. Therefore, Brazilian literature is scarce in national data analyzes and suggestions for progress in strategic and logistic planning in relation to donation, collection, storage and distribution of corneas, which would optimize the situation of corneal transplant in Brazil.

Therefore, as there are different sources of information on corneal transplants and BTO functioning in Brazil, this review criticizes the data released by SNT, ABTO and ANVISA, which are not standardized and discussed properly, in order to propose solutions and changes to the cornea transplant scenario in the country. This lack of uniformity in lsi availability of national data can lead to mistaken analyzes and adoption of incorrect decisions in lri health, increasing the social, cultural and economic heterogeneity among the regions of Brazil, and causing losses and delays in the cornea transplant system in Brazil.


However, there are still divergent, incomplete and insufficient data to ee a correct analysis on the difficulties and progress related to corneal transplants performed and ocular tissue banks operating in Brazil.

Therefore, it is important to establish the standardization in the dissemination of national data on corneal transplants and ocular tissue banks in Brazil among the responsible regulatory bodies, in order to correctly guide governments, public health managers, ophthalmological societies and researchers in the discussion of local difficulties and proposing specific solutions.

This would help improve the Brazilian transplant system in order to make more effective the capacity to supply the population demand for corneal transplants and improve the quality of life of the patients, their families and the society in general.

Original Articles Revista vol. Pascolini D, Mariotti SP. Global estimates of visual impairment: Changing patterns in global blindness: The impact of individual characteristics in selfesteem and locus of control of young adults with visual impairments.

Social support and depression of adults with visual impairments. Major depressive and anxiety disorders in visually impaired older adults.

Alternatives to eye bank native tissue for corneal stromal replacement. Prog Retin Eye Res.

lei no 6437 de 20 de agosto de 1977 pdf to excel

Global survey of corneal transplantation and eye banking. Registro Brasileiro de Transplantes. Dimensionamento dos transplantes no Brasil e em cada estado [Internet]. Sistema Nacional de Transplantes. Eye Bank Association of America. Review of developments in corneal transplantation in the regions of Brazil – Evaluation of corneal transplants in Brazil.

Donation and waiting list for corneal transplantation in the State of Rio de Janeiro. Epidemiological profile of patients waiting for penetrating keratoplasty in state of Pernambuco – Brazil. Revista Brasileira de 643. Leia na Palavra do Presidente.