Biography
Sanches is a senior nurse with expertise in tuberculosis and a doctoral researcher at the Federal University of Rio de Janeiro. His work focuses on biosafety and infection prevention and control (IPC) strategies (airborne diseases in healthcare settings). He has contributed to multiple national and international guidelines on IPC measures. He has presented researchs at conferences across the Americas, Europe, Africa, and Asia, sharing expertise on multimodal strategies. His international engagement includes participation: UN meetings on tuberculosis and various global tuberculosis initiatives. He has also co-authored and translated several key publications in the field of tuberculosis management and occupational health.
Key Impacts
Spatial distribution of TB among healthcare workers in Brazil: High-density areas and occupational risk (2013-2023)
Brazil continues to show high TB occurrence among healthcare professionals. Only two states with highest case density in this population coincide with states having highest TB incidence generally. This highlights how urban density impacts occupational exposure. Specific protective actions needed include periodic TB screening, integrated notification systems, and continuous monitoring of work environments.
Source: Conference 2024
Beyond specificity: A bioethical frameworks essay on the ethical imperatives in choosing between PPD Rt23 and recombinant tuberculin tests
Technical advantages of newer TB diagnostic tests cannot be separated from broader ethical, social, and political contexts. TB control programs should adopt integrated approaches that prioritize tests minimizing false positives, meaningfully engage civil society, contextualize strategies within local realities, apply ethical frameworks consistently, and promote health as a fundamental right. This integration guides development of TB control strategies that are technically effective, ethically robust, and socially embedded through authentic community participation.
Source: Conference 2024