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Health, environment and development: reflections on the COPASAD experience – Pan-American
Conference of Health and Environment in the
Context of Sustainable Development 1

Marcelo Firpo de Souza Porto 2

1 Este artigo é fruto, em grande parte, de trabalhos e discussões conjuntas com
Carlos Machado de Freitas, pesquisador do CESTEH/
ENSP/Fiocruz.
2 Centro de Estudos da
Saúde do Trabalhador e
Ecologia Humana, Escola
Nacional de Saúde Pública,
Fundação Oswaldo Cruz.
CESTEH/ENSP/Fiocruz.
Av. Leopoldo Bulhões,
1480, Manguinhos, Rio de
Janeiro, RJ 21041-210.

Abstract This article presents a reflection on the relationship between health, environment and development the in the context of Public
Health, as well as the possibilities of implementation of public policies in Brazil related to this broad thematic. The article uses as reference a critical evaluation of the Brazilian experience with the Pan-American Conference of Health and Environment in the Context of Sustainable
Development (COPASAD). This experience reflects the magnitude, complexity and urgency of environmental questions to the public health field, reinforcing aspects of epistemological and methodological nature, such as the discussions about the new paradigms of science, interdisciplinary and intersectorial actions. On the other hand, the article verifies the precariousness of the Brazilian society and government in all levels and sectors, including the health sector, to give priority and implement integrated policies and actions.
Key words Public Health; Environment; Sustainable Development

Resumo Este artigo apresenta uma reflexão sobre a relação saúde, ambiente e desenvolvimento no contexto da Saúde Pública. Aborda a possibilidade de implementação de políticas públicas no país concernentes a esta vasta temática, tendo por referência uma avaliação crítica da experiência brasileira frente à Conferência Pan-americana de Saúde e Ambiente no Contexto do