Abstract Background: Only few studies have analyzed the pharmaceutical workforce in primary healthcare centers, and a global recommendation calls for better understanding of the trends that shape workforce development and capacity. Objective: To analyze the distribution of the pharmaceutical workforce in primary healthcare centers in the national health system [Sistema Único de Saúde (SUS)] in Brazil. Methods: The study was conducted using data from the National Survey on Access, Use and Promotion of Rational Use of Medicines in Brazil. Secondary data referring to the socioeconomic indicators of each municipality were obtained from national public databases. Data stratification in geographic regions was considered, and data on workers in the management of the municipal pharmaceutical services and medicines dispensing centers were analyzed. Crude and adjusted prevalence ratios were calculated by Poisson regression in the study investigating the factors associated with low and high-density pharmacists per 10,000 inhabitants. Results: The results showed that most Brazilian municipalities have a rate of 1 or more pharmacist per 10,000 inhabitants in primary healthcare public facilities, with a higher concentration of pharmacists in small municipalities. Even in Brazilian municipalities with lower economic capacity, the conditions of access to medicines and pertinent information on medicines were directly related to the number of pharmacists available in these centers. Conclusions: This study showed a high number of pharmacists in the public health system. The higher density of pharmacists in primary healthcare public facilities correlated to increased access to medicines information and better municipal social development.

This paper is the result of a visit by Brazilian researchers to Ghana, with the aim of improving understanding of the relationship between traditional healers and conventional health practices, specifically in relation to tuberculosis. Through this exploratory visit, this group of researchers promoted by the Edital Pro Africa (CNPq) had an opportunity to learn about, reflect on, and discuss the different social, economic and cultural realities and contexts that have led to the different health conditions and forms of healthcare in Ghana. Besides the direct relationship between the social and economic conditions of the country and the health of its population, it was also concluded that there is a clear distancing, in the Ghanaian reality, between the traditional healers and the conventional system, in terms of culture and modes of operation, each constituting isolated systems with little or no collaboration between them.The visit enabled us to see the difficulties involved in managing TB, including diagnosis, treatment, monitoring and co-infection with HIV. The majority of patients with TB only go to hospital after several attempts at self-medication, due to the non-specificity of the principal symptoms, and also to the trust in the traditional medicine. Initiatives to encourage research into medicinal plants in Ghana are seeking partnerships with developed countries, but not always with clear or secure national interests. For the traditional healers, there are high hopes that the information gathered by researchers from the local universities, on the plants and traditional methods they use, will result in affirmation and recognition of their practices, but they complain strongly that they receive no feedback on the research carried out.

A Mata Atlântica é um dos ecossistemas mais ameaçados do planeta, sendo reconhecida como uma área de grande biodiversidade sob alto nível de stress. A área cosmecêutica abrange medicamentos de uso tópico e cosméticos, e o uso de produtos naturais para aplicação externa sempre foi observado em diversas culturas. Este trabalho trata de uma análise etnofarmacognóstica de dois compêndios botânicos (CB): Dicionário das Plantas Úteis do Brasil - e das exóticas cultivadas, compilado por Pio Correa (PC) e Flora Ilustrada Catarinense (FIC). Destes compêndios, foram selecionadas espécies com uso cosmecêutico ou com características fisico-químicas e organolépticas relacionadas. Essas espécies selecionadas foram analisadas quanto à validade da nomenclatura botânica e a ocorrência de publicação científica, e quanto ao risco de extinção. PC e FIC apontaram que 245 espécies vegetais, pertencendo a 98 famílias, possuem uso cosmecêutico no Brasil. As famílias mais citadas foram: Asteraceae, Fabaceae, Myrtaceae, Annonaceae, Clusiaceae, Anacardiaceae, Apiaceae, Bignoniaceae e Solanaceae. As partes usadas mais citadas foram cascas, folhas e partes aéreas. As propriedades mais citadas foram efeito tônico e adstringente, seguido de efeito cicatrizante, emoliente, antiinflamatório, antiúlcera, anti-séptico, parasiticida e clareador da pele. De acordo com a pesquisa bibliográfica no Pubmed, a maioria das espécies selecionadas (65%) não foi investigada farmacológica e quimicamente.

The Atlantic Forest is one of the most endangered ecosystems on earth, and is acknowledged as an area with truly exceptional levels of biodiversity under enormous levels of stress. Cosmeceutics cover a border area between pharmaceuticals for skin diseases and cosmetics. Natural products for external application, to improve the appearance of the skin or for skin treatment, have always been observed and used by native cultures. The present work deals with the ethnopharmacognostic analysis of two botanical compendia (BC), named: Dicionário das Plantas Úteis do Brasil - e das exóticas cultivadas, compiled by Pio Correa (PC) Flora Ilustrada Catarinense (FIC). From these BC, reported species with cosmeceutical uses or with related physico-chemical or organoleptic characteristics were selected, updated, searched for scientific background and highlighted if endangered. PC and FIC specified that 245 plant species, belonging to 98 plant families, are used in Brazil for cosmeceutical, cosmetic or skin remedies. The families most widely represented were Asteraceae, Fabaceae, Myrtaceae, Annonaceae, Clusiaceae, Anacardiaceae, Apiaceae, Bignoniaceae and Solanaceae The most frequently cited plant parts were bark, followed by leaves and aerial parts. The most frequently cited properties were astringency and tonic effect followed by uses in skin disorders and wound healing, emollient characteristic, anti-inflammatory uses and healing of skin ulcers, antiseptic effects, parasiticide and skin lightening properties and aphrodisiacs. According to the Pubmed survey, most of the selected species (65%) have not been previously investigated for potential cosmeceutical applications, nor have their chemical composition been investigated.