Ordóñez Iriarte J M, Aránguez Ruiz E
Sección de Sanidad Ambiental, Dirección General de Prevención y Promoción de la Salud, Consejeria de Salud, Comuni-dad de Madrid.
Gac Sanit. 1996 Sep-Oct;10(56):244-51.
In the context of Public Health in Spain, Environmental Health does not possess the consideration it should have, according to the General Health Law and to the attention given to it frequently by our politicians in their speeches. The objectives of this paper are, on the one hand, to make a working proposal in the Environmental Health arena for the different Autonomous Communities in our country that takes into consideration, both the historical context from which we depart, and the philosophical standpoint we believe must underlie in the proposals; and on the other hand, that this working proposal be able to connect with the concerns and the social sectors that can give it the sufficient energy it requires to be reactivated on behalf of the prevention of environmental hazards. Besides, another underlying purpose of this group is that starting from this opinion paper, we can open a debate about the role of Environmental Health. We consider that this debate has been delayed for much time. We propose a serious debate; scientific, reflexive, critical, deep and vehement, so that Environmental Health will come out to the light with its own tools; those of the fields of Environmental Epidemiology, Toxicology and the Evaluation of the Environmental Impacts on Health.
在西班牙公共卫生的背景下，根据《一般卫生法》以及我们的政治家在演讲中对环境卫生的频繁关注，环境卫生并未得到应有的重视。本文的目标，一方面是在环境卫生领域为我国不同的自治区提出一项可行的建议，该建议既要考虑我们出发的历史背景，也要考虑我们认为必须作为建议基础的哲学立场；另一方面，这项可行的建议应能够与相关关切以及社会部门建立联系，这些部门能够为其提供足够的动力，以便代表预防环境危害而重新启动。此外，该小组的另一个潜在目的是，从这份意见书开始，我们能够就环境卫生的作用展开一场辩论。我们认为这场辩论已经被推迟了很长时间。我们提议进行一场严肃的辩论；科学的、反思性的、批判性的、深入的和激烈的辩论，以便环境卫生能够借助自身的工具——环境流行病学、毒理学以及环境对健康影响评估等领域的工具——崭露头角。
