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Environmental sustainability and health indicators in the Legal Amazonia, Brazil

By Carlos Machado de Freitas and Leandro Luiz Giatti

Abstract

Entre os desafios atuais para a Sa??de P??blica est?? o de estruturar sistemas de indicadores que permitam monitorar as condi????es e tend??ncias da sustentabilidade ambiental e de sa??de. Neste artigo procuramos enfrentar esse desafio tendo como foco de an??lise os estados integrantes da Macrorregi??o Amaz??nia Legal, que desde a segunda metade do s??culo XX vem sofrendo intensos processos de mudan??as s??cio-econ??micas, ambientais, de sa??de e bem-estar. Para a reuni??o e an??lise do conjunto de indicadores adotamos o modelo For??as Motrizes, Press??o, Situa????o, Exposi????o, Efeito e A????o (FMPSEEA) proposto pela Organiza????o Mundial da Sa??de. Os resultados demonstram que, ao mesmo tempo em que as for??as motrizes e press??es v??m contribuindo para o crescimento econ??mico e populacional, resultando em melhoras de indicadores tradicionais de sa??de (redu????o da mortalidade infantil e aumento da expectativa de vida), s??o grandes as desigualdades sociais e econ??micas e a sobreposi????o dos impactos na sa??de da popula????o, em um quadro bastante heterog??neo. Al??m disso, a situa????o ambiental tamb??m aponta para um modelo de desenvolvimento insustent??vel para as gera????es presentes e futuras, exigindo respostas dos setores ambientais e de sa??de ?? altura dos desafios colocados na atualidade.One of the challenges for public health is to build systems of indicators that allow monitoring current conditions and trends in environmental and health sustainability. This article focuses on the Legal Amazonia macro-region, which has undergone profound socioeconomic, environmental, and health changes since the mid-20th century. The conceptual framework adopted here was the model entitled Driving Forces, Pressures, State, Exposure, Effects, and Action (DPSEEA) proposed by the World Health Organization and adopted for environmental health surveillance by the Brazilian Ministry of Health. The results show that numerous motor forces and pressures have contributed to the growth of the economy and the population, as well as to improvements in some traditional health indicators (a reduction in infant mortality and an increase in life expectancy), alongside major social and economic inequalities and heterogeneity in environmental health impacts. This same process has been accompanied by environmental changes that indicate an unsustainable development model for present and future generations, demanding comprehensive action by public health and environmental institutions

Topics: Indicadores Ambientais, Indicadores de Sa??de, Indicadores de Sustentabilidade, Sa??de Ambiental, Environmental Indicators, Health Indicators, Sustainability Indicators, Environmental Health
Year: 2009
OAI identifier: oai:agregador.ibict.br.RI_FIOCRUZ:oai:localhost:icict/1883
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