Porto Marcelo Firpo, Milanez Bruno
Centro de Estudos da Saúde do Trabalhador e Ecologia Humana, Escola Nacional de Saúde Pública, Fiocruz, Manguinhos, 21041-210 Rio de Janeiro, RJ.
Cien Saude Colet. 2009 Nov-Dec;14(6):1983-94. doi: 10.1590/s1413-81232009000600006.
The 1st National Environmental Health Conference, in December 2009, presents countless challenges to the field of Public Health. It debates key concepts as development, sustainability, production and consumption processes, democracy and public policies; advocating for innovative, interdisciplinary and intersectorial aspects of Environmental Health. The Conference recovers and articulates important themes for the Public Health, and also indicates the need of reflecting the socio-environmental determinants of health at the present time, in order to provide progresses in the construction of guidelines and actions to health surveillance and promotion. This article discusses the characteristics of the Brazilian model of development, its impacts and conflicts within social, environmental and health fields. We use theoretical and empirical contributions from the fields of Ecological Economy and Political Ecology, as well as, experiences of cooperation with the Brazilian Network on Environmental Justice and several social movements. Two cases are discussed in more detail: the first related to agribusiness and the use of pesticides, and the other about the expansion of the iron and steel industry in Brazil. We conclude proposing some elements that could be incorporated by a research agenda committed to the debate about the 'socioenvironmental crisis'.
2009年12月召开的第一届全国环境卫生会议给公共卫生领域带来了无数挑战。会议讨论了发展、可持续性、生产与消费过程、民主及公共政策等关键概念；倡导环境卫生的创新、跨学科和跨部门理念。该会议重新审视并阐明了公共卫生的重要主题，还指出当下有必要思考健康的社会环境决定因素，以便在健康监测与促进的指导方针及行动建设方面取得进展。本文探讨了巴西发展模式的特点及其在社会、环境和健康领域的影响与冲突。我们借鉴了生态经济和政治生态学领域的理论与实证贡献，以及与巴西环境正义网络和多个社会运动的合作经验。文中更详细地讨论了两个案例：第一个涉及农业综合企业和农药使用，另一个是关于巴西钢铁工业的扩张。我们在结论中提出了一些要素，可供致力于“社会环境危机”辩论的研究议程参考。
