Public Credibility, Situated Knowledge: Epistemic Dispute Over the Essure Device in the Brazilian Federal District
DOI:
https://doi.org/10.5433/2176-6665.2023v28n3e47895Keywords:
Essure, Credibility, Epistemic injustice, Situated knowledgesAbstract
Between 2012 and 2016, approximately 2,500 women had the Essure contraceptive device implanted at the public service of the Federal District of Brazil. Although they initially trusted the evaluation of the District’s Health Department professionals, patients were subjected to repeated situations of epistemic injustice when complaining about adverse effects attributed to the device. In this paper, I analyze two public events and argue that, in response to the gap of trust in the Department, the victims of Essure began to claim a space of credibility in the debate about this technology, questioning the technical-scientific authority of the institution and tensioning the established epistemic relations.
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ANJOS, Anna Beatriz. Dispositivo da Bayer que prometia esterilizar mulheres sem cirurgia fez dezenas de vítimas no Brasil. Agência Pública, São Paulo, 26 nov. 2018. Disponível em: https://apublica.org/2018/11/dispositivo-da-bayer-que-prometia-esterilizar-mulheres-semcirurgia-fez-dezenas-de-vitimas-no-brasil/?fbclid=IwAR0aivC47rCWDC_RFHo6iNt4-YbMKOmnVtlOJule-493BorxU6waD_1llE#Link1. Acesso em: 3 fev. 2023.
ANVISA – AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA. Resolução RE nº 457, de 17 de fevereiro de 2017. Nota técnica de suspensão da importação, comercialização, distribuição e divulgação do dispositivo de contracepção permanente Essure. Brasília, DF: ANVISA, 2017. Disponível em: https://pesquisa.in.gov.br/imprensa/jsp/visualiza/index.jsp?data=20/02/2017&jornal=1&pagina=35&totalArquivos=92. Acesso em: 31 jan. 2023.
BAYER. Essure Variance E2020002 Final Analysis Report (01-JUN-2020 to 31-MAR-2021). Washington: Bayer, 2021. Disponível em: https://www.bayer.com/en/us/essure-information. Acesso em: 3 jan. 2023.
BELL, Karen. Exploring epistemic injustice through feminist social work research. Affilia: Journal of Women and Social Work, Thousand Oaks, v. 29, n. 2, p. 165-177, 2014. DOI: https://doi.org/10.1177/0886109913516457
BIDEAU, Mathilde; RATHAT, Gauthier; FRANCINI, Sarah; RANISAVLJEVIC, Noemie; CROCHET, Patrice; COMPAN, Clara; DUFLOS, Claire; DURAES, Martha. Long-term quality of life after surgical Essure removal for device-attributed symptoms. European Journal of Obstetrics & Gynecology and Reproductive Biology, Amsterdam, v. 280, p. 138-143, 2023. DOI: https://doi.org/10.1016/j.ejogrb.2022.11.017
BIEHL, João. Pharmaceuticalization: AIDS treatment and global health politics. Anthropological Quarterly, Washington, v. 80, n. 4, p. 1083-1126, 2007. DOI: https://doi.org/10.1353/anq.2007.0056
BRANDÃO, Elaine Reis; CABRAL, Cristine da Silva. Vidas precárias: tecnologias de governo e modos de gestão da fecundidade de mulheres “vulneráveis”. Horizontes Antropológicos, Porto Alegre, v. 27, n. 61, p. 47-84, 2021. DOI: https://doi.org/10.1590/s0104-71832021000300002
BRANDÃO, Elaine Reis; PIMENTEL, Ana Cristina de Lima. Essure no Brasil: desvendando sentidos e usos sociais de um dispositivo biomédico que prometia esterilizar mulheres. Saúde e Sociedade, São Paulo, v. 29, n. 1, p. 1-13, 2020. DOI: https://doi.org/10.1590/s0104-12902020200016
BRASIL. Agência Nacional de Vigilância Sanitária. Nota Técnica nº 32/2019/SEI/GETEC/GGMON/DIRES/ANVISA. Disponível em: https://www.gov.br/anvisa/ptbr/setorregulado/regularizacao/medicamentos/notas-tecnicas/medicamentos/nota-tecnica-32-2019-desvinculacao-de-medicamentos-clone.pdf. Brasília. 13 dez. 2019. Acesso em: 29 jan. 2023.
BRASIL. Ministério da Saúde. Nota Técnica nº 7/2021-DAPES/SAPS/MS. Recomendações em virtude dos possíveis efeitos adversos relacionados ao Sistema Essure para o cuidado, acompanhamento e monitoramento das mulheres usuárias desse sistema contraceptivo permanente. Brasília, DF: Ministério da Saúde, 2021. Disponível em: https://egestorab.saude.gov.br/image/?file=20210316_N_NotaTecnican72021DAPESSAPSMS_7785890005423604548.pdf. Acesso em: 29 jan. 2023.
CATINON, Mickaël; ROUX, Elisabeth; AUROUX, Aline; BALTER, Vincent; FELLAH, Clémentine; TRUNFIO-SFARGHIU, Ana-Maria; SOURNIES, Gilles; VINCENT, Michel. Identification of inorganic particles resulting from degradation of ESSURE® implants: study of 10 cases. European Journal of Obstetrics & Gynecology and Reproductive Biology, Amsterdam, v. 250, p. 162-170, 2020. DOI: https://doi.org/10.1016/j.ejogrb.2020.04.036
CLARK, Nisse; ROSS, Whitney T.; ARVIZO, Cynthia et al. Quality of life and symptoms following laparoscopic Essure removal: a prospective multicenter study. American Journal of Obstetrics & Gynecology, New York, v. 226, n. 3, p. S1272-S1273, 2022. DOI: https://doi.org/10.1016/j.ajog.2021.12.163. DOI: https://doi.org/10.1016/j.ajog.2021.12.163
CONNOR, Viviane F. Essure: a review six years later. Journal of Minimally Invasive Gynecology, v. 16, n. 3, p. 282-290, 2009. DOI: https://doi.org/10.1016/j.jmig.2009.02.009
COOPER, Jay M.; CARIGNAN, Charles S.; CHER, Daniel; KERIN; John F. Microinsert nonincisional hysteroscopic sterilization. Obstetrics and Gynecology, New York, v. 102, n. 1, p. 59-67, 2003. DOI: https://doi.org/10.1097/00006250-200307000-00014
DEPES, Daniella de Batista; PEREIRA, Ana Maria Gomes; YATABE, Salete; LOPES, Reginaldo Guedes Coelho. Essure: a revolution in female definitive contraception. Einstein, São Paulo, v. 7, n. 3, p. 392-393, 2009.
DHRUVA, Sanket S.; ROSS, Joseph S.; GARIEPY, Aileen M. Revisiting Essure: toward safe and effective sterilization. The New England Journal of Medicine, Boston, v. 373, n. 15, p. 1-3, 2015. DOI: https://doi.org/10.1056/NEJMp1510514
DISTRITO FEDERAL. HMIB realiza o 2º Mutirão de Laqueadura Tubária. Agência Brasília, Brasília, 17 out. 2012. Disponível em: https://www.agenciabrasilia.df.gov.br/2012/10/17/hmib realiza-o-2o-mutirao-de-laqueadura-tubaria/. Acesso em: 28 jan. 2023.
DISTRITO FEDERAL. Secretaria de Saúde. Despacho – SES/SAIS/CATES/DUAEC 74950809, de 26 de novembro de 2021. Solicitação de acesso à informação, via e-SIC, sob o protocolo nº 00061004202133. Brasília, DF: Secretaria de Saúde, 2021. Acesso em: 28 jan. 2023.
DUFFY, Sean; MARSH, Fiona; ROGERSON, Lynne; HUDSON, Heather; COOPER, Kevin; JACK, Stuart; HUNTER, David; PHILIPS, Graham. Female sterilisation: a cohort controlled comparative study of ESSURE versus laparoscopic sterilisation. BJOG: an International Journal of Obstetrics and Gynaecology, Oxford, v. 112, p. 1522-1528, 2005. DOI: https://doi.org/10.1111/j.1471-0528.2005.00726.x
EPSTEIN, Steven. The construction of lay expertise: AIDS activism and the forging of credibility in the reform of clinical trials. Science, Technology, & Human Values, United States, v. 20, n. 4, p. 408-437, 1995. DOI: https://doi.org/10.1177/016224399502000402
FDA – FOOD AND DRUG ADMINISTRATION. 522 postmarket surveillance studies database. Washington: FDA, 2022. Disponível em: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMA/pss.cfm?t_id=356&c_id=3854. Acesso em: 1 fev. 2023.
FIRTH, Shannon. Bayer pulls final plug on Essure. MedPage Today, Washington, 20 jul. 2018. Disponível em: https://www.medpagetoday.com/obgyn/generalobgyn/74151. Acesso em: 29 jan. 2023.
FRANCINI, Sarah; DURAES, Martha; CHARAVIL, Axelle; MANNA, Federico; DUFLOS, Claire; COMPAN, Clara; PEREZ, Thomas; AGOSTINI, Aubert; CROCHET, Patrice. Essure removal for device-attributed symptoms: quality of life evaluation before and after surgical removal. Journal of Gynecology Obstetrics and Human Reproduction, Paris, v. 50, n. 2, s/p., 2021. Disponível em: https://doi.org/10.1016/j.jogoh.2020.10177. Acesso em: 04 set. 2023. DOI: https://doi.org/10.1016/j.jogoh.2020.101772
FRICKER, Miranda. Epistemic injustice: power and the ethics of knowing. New York: Oxford University Press, 2007. DOI: https://doi.org/10.1093/acprof:oso/9780198237907.001.0001
FRICKER, Miranda. Evolving concepts of epistemic injustice. In: KIDD, Ian James; MEDINA, José; POHLHAUS JUNIOR, Gaile. The Routledge Handbook of Epistemic Injustice. New York: Routledge, 2017. p. 53-60. DOI: https://doi.org/10.4324/9781315212043-5
GABRIEL, Alice de Barros; SANTOS, Breno Ricardo Guimarães. A injustiça epistêmica na violência obstétrica. Revista Estudos Feministas, Florianópolis, v. 28, n. 2, p. 1-12, 2020. DOI: https://doi.org/10.1590/1806-9584-2020v28n260012
GARZON, Matheus. O drama de 300 mulheres que precisam tirar contraceptivo com urgência. Metrópoles, Brasília, 20 jul. 2021. Disponível em: https://www.metropoles.com/distrito-federa/medico e-afastado-e-300-mulheres-nao-conseguem-retirar-contraceptivo. Acesso em: 29 jan. 2023.
HARAWAY, Donna. Modest_Witness@Second_Millennium.FemaleMan_Meets_OncoMouse: feminism and technoscience. 2. ed. New York: Routledge, 2018. DOI: https://doi.org/10.4324/9780203731093
HARAWAY, Donna. Saberes localizados: a questão da ciência para o feminismo e o privilégio da perspectiva parcial. Cadernos Pagu, São Paulo, n. 5, p. 7-41, 1995.
HESS, David J. Undone science, industrial innovation, and social movements. In: GROSS, Matthias; MCGOEY, Linsey (ed.). The Routledge International Handbook of Ignorance Studies. London and New York: Routledge, 2015. p. 141-154. DOI: https://doi.org/10.4324/9781315867762-18
HURSKAINEN, Ritva; HOVI, Sirpa-Liisa, GISSLER, Mika; GRAHN, Riitta; KUKKONEN HARJULA, Katriina; NORD-SAARI, Merja; MÄKELÄ, Marjukka. Hysteroscopic tubal sterilization: a systematic review of the Essure system. Fertility and Sterility, New York, v. 94, n. 1, p. 16-19, 2010. DOI: https://doi.org/10.1016/j.fertnstert.2009.02.080
KIDD, Ian James; CAREL, Havi. Epistemic injustice and illness. Journal of Applied Philosophy, Oxford, v. 34, v. 2, p. 172-190, 2017. DOI: https://doi.org/10.1111/japp.12172
LELEU, Arnaud; CATHELAIN, A.; RUBOD, C.; VANDENDRIESSCHE, D.; COSSON, M.; GIRAUDET, G. Symptom related to Essure® and evolution after removal: outcomes of retrospective cohort. Journal of Gynecology Obstetrics and Human Reproduction, Paris, v. 50, n. 3, s/p., 2021. Disponível em: https://doi.org/10.1016/j.jogoh.2020.101836. Acesso em: 04 set. 2023. DOI: https://doi.org/10.1016/j.jogoh.2020.101836
LINDHEIM, Steven R.; MADEIRA, Jody Lynee, BAGAVATH, Bala; PETROZZA, John C. Social media and Essure hysteroscopic sterilization: a perfect storm. Fertility and Sterility, Birmingham, v. 111, n. 6, p. 1105-1106, 2019. DOI: https://doi.org/10.1016/j.fertnstert.2019.03.009
LINDHEIM, Steven R.; MADEIRA, Jody Lynee; PETROZZA, John C. The influential mind and the power of emotion over Essure hysteroscopic sterilization. Fertility and Sterility, Birmingham, v. 112, n. 6, p. 1051-1052, 2019. DOI: https://doi.org/10.1016/j.fertnstert.2019.09.007
MANHÃ de Conhecimento: Essure – método contraceptivo. Publicado pelo canal Todde TV. Brasília, DF: Instituto Todde TV, ago. 2022. 1 vídeo (1 min 56). Brasília, 2022. Disponível em: https://www.youtube.com/watch?v=UFwF-cq2HsY. Acesso em: 27 jan. 2023.
MCKINNON, Rachel. Allies behaving badly: gaslighting as epistemic injustice. In: KIDD, Ian James; MEDINA, José; POHLHAUS JUNIOR, Gaile. The Routledge handbook of epistemic injustice. New York: Routledge, 2017. p. 167-174. DOI: https://doi.org/10.4324/9781315212043-16
MENDONÇA, Ludmila. Mutirão de laqueadura no HMIB atende 66 mulheres. Agência Brasília, Brasília, 16 ago. 2013. Disponível em: https://www.agenciabrasilia.df.gov.br/2013/08/16/mutirao-de-laqueadura-no-hmib-atende-66-mulheres/. Acesso em: 28 jan. 2023.
MERVIEL, Philippe; KURTZ, Dorothee; LELIEVRE, Caroline; GOURRIEREC, Anne Le; POSTEC-OLLITRAULT, Edith; DUPRÉ, Pierre-François. Assessment of non-gynecological symptoms before and after removal of the Essure® sterilization device: a 6-month follow-up study. Minerva Ginecologica, Torino, v. 71, n. 6, p. 404-411, 2019. DOI: https://doi.org/10.23736/S0026-4784.19.04391-0
MUTIRÃO realiza laqueadura em 200 mulheres. Agência Brasília, Brasília, 16 set. 2012. Disponível em: https://agenciabrasilia.df.gov.br/2012/09/16/mutirao-realiza-laqueadura-em-200-mulheres/. Acesso em: 28 jan. 2023.
NARRUHN, Robin; CLARK, Terri. Epistemic injustice: a philosophical analysis of women’s reproductive health care in a Somali-American community. Advances in Nursing Science, United States, v. 43, n. 1, p. 86-100, jan./mar. 2020. DOI 10.1097/ANS.0000000000000283 DOI: https://doi.org/10.1097/ANS.0000000000000283
OLIVEIRA, Luís Roberto Cardoso de. Exclusão discursiva e sujeição civil em tempos de pandemia no Brasil. Niterói, RJ: INCT-InEAC, jun. 2020. Disponível em: https://www.ineac.uff.br/index.php/noticias/item/543-exclusao-discursiva-e-sujeicao-civil-em tempos-de-pandemia-no-brasil. Acesso em: 30 jan. 2023.
OSTHOFF, Laura; CRELIER, Atila Haddad; FRANCO, Fabiano Malzac; PRITSIVELIS, Cristos; Montenegro, CARLOS Antonio B. Esterilização histeroscópica ambulatorial pelo procedimento Essure: stent tubário. FEMINA, Rio de Janeiro, v. 43, n. 1, p. 29-36, 2015.
PARANT, François; BOST, Muriel; NOHUZ, Erdogan; PROST, Julie; CERRUTO, Emanuele; MORET, Stephanie; MAURIN, Julien; CHENE, Gautier. Potential release of toxic metal elements from Essure® device in symptomatic patients: first results of the French Ablimco cohort. European Journal of Obstetrics, Gynecology and Reproductive Biology, Amsterdam, v. 252, p. 434-438, 2020. DOI: https://doi.org/10.1016/j.ejogrb.2020.07.044
PARANT, François; BOST, Muriel; NOHUZ, Erdogan; PROST, Julie; CERRUTO, Emanuele; MORET, Stephanie; MAURIN, Julien; CHENE, Gautier. Release of metal elements from the Essure implant: a prospective cohort study. European Journal of Obstetrics, Gynecology and Reproductive Biology, Amsterdam, v. 273, p. 20-25, 2022 DOI: https://doi.org/10.1016/j.ejogrb.2022.04.014
PLUCHINO, Kristen. FDA in brief: FDA provides updates on discontinuation of Essure and ongoing postmarket activities. FDA, Washington, 10 jan. 2020. Diponível em: https://www.fda.gov/news-events/fda-brief/fda-brief-fda-provides-updates-discontinuation essure-and-ongoing-postmarket-activities. Acesso em: 29 jan. 2023.
POLS, Jeannette. Bringing bodies – and health care – back in: exploring practical knowledge for living with chronic disease. Medische Anthropologie, Provence, v. 22, n. 2, p. 413-427, 2010.
POTTER, Elizabeth. Gender and Boyle’s law of gases. Bloomington: Indiana University Press, 2001.
SHAPIN, Steven. A social history of truth: civility and science in seventeenth-century England. Chicago and London: The University of Chicago Press, 1994. DOI: https://doi.org/10.7208/chicago/9780226148847.001.0001
SHAPIN, Steven; SCHAFFER, Simon Schaffer. Leviathan and the air-pump: Hobbes, Boyle, and the experimental life. Princeton: Princeton University Press, 1985.
SHEFFIELD, Sydney. The controversy over Essure birth control. Tulane University Journal, v. 4, n. 2, p. 46-66, 2019.
VÍTIMAS do Essure. Publicado por Câmara Legislativa do Distrito Federal. Brasília, DF: E democracia, 26 abr. 2021. 1 vídeo (2 min 22). Disponível em: https://edemocracia.cl.df.leg.br/audiencias/sala/145. Acesso em: 30 jan. 2023.
WARDROPE, Alistair. Medicalization and epistemic injustice. Medicine, Health Care and Philosophy, Dordrecht, v. 18, n. 3, p. 341-352, 2014. DOI: https://doi.org/10.1007/s11019-014-9608-3
WYNNE, Brian. Misunderstood misunderstanding: social identities and public uptake of science. Public Understanding of Science, Bristol, v. 1, n. 3, p. 281-304, 1992. DOI: https://doi.org/10.1088/0963-6625/1/3/004
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