Vigilância ambiental em saúde e sua implantação no Sistema Único de Saúde

Abstract

The incorporation of environmental surveillance in the field of public health policies is a relatively recent demand in Brazil. One of the major challenges in environmental health surveillance is defining its object and the specificity of its practice. The expanded concept of exposure, treated as a set of complex relations between a society and the environment, and not as a personal attribute, is central to the definition of indicators and should guide the practice of environmental surveillance in the health sector. Among the difficulties encountered in applying this concept within the Brazilian Health System, is the need to restructure health surveillance activities and to form multidisciplinary teams capable of dialoguing with other sectors. Furthermore, information systems capable of aiding in health situation analysis and decision making must be constructed. Taking this into consideration, a review of the object and concepts of environmental health surveillance was undertaken and the challenges with respect to its implementation in the Brazilian Health System were identified.

Acidentes com produtos perigosos no Brasil, no período 2006-2009: análise dos dados dos sistemas de informações como subsídio às ações de vigilância em saúde ambiental

“…Os autores deste estudo compartilham a preocupação de outros autores sobre a limitação que isso significa para a formulação de políticas públicas adequadas e abrangentes, voltadas aos APP, seja nos níveis estadual ou nacional. [6][7][8]27 Tendo Barcellos e Quitério como referência, 25 podese considerar a exposição como o objeto central da Vigilância em Saúde Ambiental -VSA -, no sentido de se deslocar o tradicional foco dos agravos para a vigilância dos fatores coletivos de risco. Porém, do modo como estão estruturados os sistemas de inforAcidentes com produtos perigosos no Brasil: analise dos dados dos sistemas de informações mações nacionais, o que se observa são sistemas de informações que tornam a exposição o "elo perdido", não sendo ainda contemplada de forma efetiva.…”

Estrutura e processos da Vigilância em Saúde em municípios mineiros: uma análise qualiquantitativa

“…Em decorrência de suas atribuições, a VIGIAM possui necessariamente um caráter integrador inter e intrassetorial, algo difícil de ser concretizado na prática dos serviços 15 .…”

Avanços e desafios à Política de Vigilância à Saúde Bucal no Brasil

“…It foresees interventions in health problems; the emphasis is on problems which require continuous attention and monitoring; operationalizing the concept of social determination and its implications on factors of protection and risk and preventing harm; coordinating actions of promotion and prevention and care; inter-sector actions; actions within the territory; and interventions informed by evidence on the type of operations which promote health. 2,12,25,26 The area of oral health should play a strategic role in the health care system, contributing to the scientifi c, technological and organizational development of surveillance practices, aiming to understand and act on the population's levels of health. 24 In countries with longstanding traditions of epidemiological surveillance applied to oral health, such as the USA, the national oral health surveillance system was established under the leadership of the Association of State and Territorial Dental Directors and with substantial support from the Division of Oral Health at the Centers for Disease Control and Prevention.…”