What happened to health labour markets during COVID-19? Insights from the analysis of cross-sectional survey data on the perceptions of medical doctors in Brazil.

OBJECTIVES: To examine physicians' perceptions of changing employment opportunities in Brazil, and gain an insight into labour markets in low/middle-income countries (LMICs) during the pandemic. STUDY DESIGN: Descriptive and inferential analysis of a quantitative dataset from a representative cross-sectional survey of physicians of two Brazilian states. SETTINGS: São Paulo and Maranhão states in Brazil. PARTICIPANTS: Representative sample of 1183 physicians. OUTCOME MEASURES: We estimated prevalence and 95% CIs for physicians' perceptions of changes in demand and supply of doctors, as well as changes in prices of medical services for facilities of practice in the two states, stratified by public, private and dual-practice physicians. RESULTS: Most doctors reported increased job opportunities in the public sector (54.9%, 95% CI 52.0% to 57.7%), particularly in Maranhão state (65.0%, 95% CI 60.9% to 68.9%). For the private sector, increased opportunities were reported only in large private hospitals (46.7%, 95% CI 43.9% to 49.6%) but not in smaller clinics. We recorded perceptions of slight increases in availability of doctors in Maranhão, particularly in the public sector (51.4%, 95% CI 43.2% to 59.5%). Younger doctors recounted increased vacancies in the public sector (64%, 95% CI 58.1% to 68.1%), older doctors only in walk-in clinics in Maranhão (47.5%, 95% CI 39.9% to 55.1%). Those working directly with patients with COVID-19 saw opportunities in public hospitals (65%, 95% CI 62.3% to 68.4%) and in large private ones (55%, 95% CI 51.8% to 59.1%). CONCLUSIONS: Our findings hint that health labour markets in LMICs may not necessarily shrink during epidemics, and that impacts will depend on the balance of public and private services in national health systems

Contamination of public parks in Presidente Prudente (São Paulo, Brazil) by Toxocara spp. eggs Contaminação de praças públicas de Presidente Prudente, São Paulo, Brasil, por ovos de Toxocara spp

This study aims to evaluate soil contamination by Toxocara spp. eggs in public parks in Presidente Prudente, São Paulo, Brazil. Soil samples (500 g) were collected every month over a 12-month period, from 25 parks in different parts of the city (northern, southern, eastern, western and central areas). Two 10-g aliquots of the material collected from each park were subjected to the centrifuge-flotation method to recover Toxocara spp. eggs. Twenty-four out of the 25 squares studied (96.0%) were contaminated and the number of eggs recovered ranged from 1 to 398 per sample. Eggs were recovered all over the year. Despite the number being greater in autumn (p < 0.001), there was no correlation between number egg number and average monthly temperature (r = -0.492; p = 0.148) or between egg number and monthly rainfall (r = -0.299; p = 0.402). Park localization does not influence egg presence (p = 0.7116). Because of the high level of contamination of the parks by Toxocara spp. eggs, prevention of contamination of public areas by larva migrans agents is indicated.<br>O objetivo do estudo foi avaliar a contaminação do solo de praças públicas por ovos de Toxocara spp. em Presidente Prudente, São Paulo. Amostras de solo (500 g) foram coletadas mensalmente, durante um período de 12 meses, de 25 praças de cinco diferentes setores da cidade (norte, sul, leste, oeste e central). Duas alíquotas de 10 g do material coletado foram submetidas ao método de centrífugo-flutuação (sulfato de zinco; d = 1.200 g/cm³), para recuperação dos ovos. Das 25 praças estudadas, 24 (96,0%) estavam contaminadas e o número variou de 1 a 398 ovos por amostra analisada. A recuperação foi verificada durante todos os meses do ano, sendo maior no outono (p < 0,001). Entretanto, não houve correlação entre o número de ovos e a temperatura média (r = -0,492; p = 0,148) e a precipitação pluviométrica (r = -0,299; p = 0,402) mensal. Não houve influência da localização dos parques sobre a quantidade de ovos (p = 0,7116). Devido ao alto nível de contaminação de parques públicos por ovos de Toxocara spp., a prevenção da contaminação de áreas públicas pelos agentes de larva migrans é indicada