Departamento de Clínica Médica, Disciplina de Nefrologia, Faculdade de Medicina, Universidade de São Paulo. Av. Dr. Enéas de Carvalho Aguiar 255 sala 7115, Cerqueira César. 05403-000 São Paulo SP Brasil.
Departamento de Saúde Ambiental, Faculdade de Saúde Pública, Universidade de São Paulo. São Paulo SP Brasil.
Cien Saude Colet. 2021 Oct;26(10):4511-4518. doi: 10.1590/1413-812320212610.11702021. Epub 2021 May 30.
The undernutrition and obesity pandemics associated with climate change are a global syndemic. They have a point of convergence, which is the unsustainable current food systems. This paper aims to discuss the role of public health policies, particularly the Brazilian Unified Health System (SUS) in the context of Primary Health Care, in combating the global syndemic and in the development of sustainable food systems. In this scenario, the National Food and Nutrition Policy is a leading intersectoral tool for an adequate and healthy diet and food and nutrition security. Also, the Dietary Guidelines for the Brazilian population is a strategic tool to support food and nutrition education. We highlight the need to articulate health, agriculture, and environmental policies to achieve sustainable development. Thus, SUS can be the arena to promote the main discussions on this topic, potentiating individual, group, and institutional actions to provide a fairer, healthy, and sustainable food system.
与气候变化相关的营养不良和肥胖大流行是一种全球综合征。它们有一个交汇点，即不可持续的当前食物系统。本文旨在讨论公共卫生政策，特别是巴西全民健康系统（SUS）在初级卫生保健中的作用，以应对全球综合征和发展可持续的食物系统。在这种情况下，国家食品和营养政策是实现充足和健康饮食以及食品和营养安全的主导跨部门工具。此外，巴西人口饮食指南是支持食品和营养教育的战略工具。我们强调需要协调卫生、农业和环境政策，以实现可持续发展。因此，SUS 可以成为促进这一主题主要讨论的场所，增强个人、团体和机构的行动，以提供更公平、健康和可持续的食物系统。
