No municipality in the state of Espirito Santo has been able to develop its public health action plan in the communities and people affected by the Samarco / Vale-BHP Fundão dam, which occurred in 2015.
When approved by the Interfederation Committee (CIF), a body chaired by the Brazilian Institute for the Environment and Renewable Natural Resources (Ibama), which plans to monitor the implementation of crime compensation and compensation programs, and the Health and Technology Chamber, performed by the Renova Foundation.
"From the CIF system, the municipality will have more resources to strengthen the basic health system and better serve those affected," explains state public defender Rafael Portela. But, unfortunately, the Ombudsman informed, "we do not have news about specific measures related to the health plan being implemented in Espirito Santo," especially about measures aimed at strengthening the Unified Health System, the main network of actions of each municipality,
In Minas Gerais, the scenario is no different, says Rafael Portela, because only Bar Long and Mariana approved their plans, and in Mariana, approval was through the courts.
The State Attorney's Office (DPES) is one of the judicial institutions that act to protect the rights of those affected in Espírito Santo, along with the Public Office Defender (DPU) and the state and federal public ministries (MPE-ES and MPF-ES).
On Thursday (8), the institutions released a joint recommendation made to five municipalities of Espirito Santo – Aracruz, Colatina, Fundao, Marilandia and Serra – to prepare their plans within 120 days, and in the next thirty days to inform ministries and public defenders what measures are being taken.
Plans must be made with the effective involvement of communities affected by crime and must be based on a diagnosis of the current situation of the communities concerned and the health system, Rafael explains. They must "list the priority vectors, modalities and timelines" of the actions needed to meet those concerned.
Plans should include primary care; mental health; specialized attention; urgency and urgency; Information System; health surveillance; pharmaceutical assistance; and diagnostic and therapeutic support, paying attention to the specificities of each municipality and the need for specific assistance for particularly vulnerable groups, such as women, the disabled, the elderly, Indians, hylombals, and more.
There are only ongoing human infection diagnosis studies started in Linhares, the attorney general says. "The scenario is even more drastic," he says, given that many municipalities have not even been recognized by the Renova Foundation as Anchia.
"Ancieta is a city that has not yet been recognized and has reported to public authorities and justice institutions chronic problems with its depression due to the closure of the Samarco Company and the insanity that many people are there because of the lack of work," says Rafael Portella.
Other Espirito Santo municipalities affected by the crime of Samarca – Linhares, Conceição da Bara, Ancieta, São Mateus and Sooretama have signed a commitment agreement to create their action plans.
The Transaction and Adaptation Agreement (TTAC) provides for the PASFMPI, which sets out various obligations to companies and the Renova Foundation for monitoring, support and action to protect communities exposed to the effects of the environmental crime of Samarco.
In addition to identifying and collecting information and requests as a result of the risks and impacts arising from the disruption of the Fundão Dam so that the Renova Foundation can support and strengthen health networks, the preparation of plans also aims at structuring municipalities to may collect data, qualifying later claims for damages in municipal health care.