# Distrito Federal public health service expansion > Live situation record from CLSTR: https://clstr.news/situations/distrito-federal-public-health-service-expansion > Updated: 2026-09-16T23:53:14.000Z. Sources: 5. Developments: 2. The Distrito Federal has implemented several initiatives to strengthen its public health infrastructure and service capacity. In mid-September 2026, the government established the Rede de Imunobiológicos para Pessoas com Situações Especiais (RIE-DF). This system formalizes specialized immunization access for high-risk groups, including individuals with chronic diseases, cancer, immunodeficiencies, and transplant recipients. The program integrates epidemiological surveillance and specialized centers to manage requests and vaccine administration. Concurrently, the Health Secretariat of the Federal District (SES-DF) has focused on expanding its medical workforce. This includes the recent addition of 278 doctors—comprising generalists, family physicians, gynecologists, and an oncologist—to both primary and specialized care. To ensure future staffing, the SES-DF also announced the 2027 Medical Residency selection process, which will offer 566 vacancies across 74 programs. ## Timeline ### 2026-09-16: Distrito Federal Health Secretariat expands medical workforce The Federal District Health Secretariat is strengthening its medical network by hiring 278 new doctors and opening applications for 566 medical residency positions for 2027. 3 sources. https://clstr.news/cluster/distrito-federal-health-secretariat-expands-medical-workforce ### 2026-09-14: Distrito Federal expands special vaccine access via local health units Distrito Federal has launched the RIE-DF network to expand access to special vaccines and immunoglobulins for high-risk groups, including cancer patients and those with chronic diseases, via local health units. 3 sources. https://clstr.news/cluster/distrito-federal-expands-special-vaccine-access-via-local-health-units --- Cite as: Distrito Federal public health service expansion. CLSTR, https://clstr.news/situations/distrito-federal-public-health-service-expansion