Abstract
The 1988 Constitution represents an important achievement in terms of rights and an important pact sealed around a long-term strategy for the nation's future based on a social development model oriented towards reducing the risk of disease and injuries and an ecologically balanced environment. These achievements manifested themselves in policies, institutionalization and the creation of spaces for public participation. The article outlines the main achievements, limits and obstacles that have affected the environmental and health agendas in the last 30 years since the creation of the Unified Health System . The achievements are framed within the broadening of political space for public participation and the institutionalization of the theme of environmental risks within the SUS, while the limits are framed in the relationship between development and trends of environmental risk at global/regional, local and community scale. Finally, obstacles are outlined showing that the parliamentary coup of 2016 not only accentuated existing limits, but also represents a giant represent a giant step backward in various areas related to environmental health.
Highlights
The promulgation of the 1988 Constitution represented an important pact sealed around a longterm strategy for the nation’s future based on an underlying commitment to support citizenship and respect human dignity, providing the foundations of a democratic state founded on the rule of law (Article 1)
The first encompasses a suite of social rights and forms the bedrock of the Unified Health System (Sistema Único de Saúde - SUS), which envisions universal and equal access to health actions and services aimed at health promotion, protection and recovery and provides that the primary objective of social and economic policies should be to reduce the risk of disease and other health problems
The achievements are framed within the broadening of political space for public participation and the institutionalization of the theme of environmental risks within the SUS, while the limits and obstacles are framed in the relationship between development and trends of environmental risk
Summary
The promulgation of the 1988 Constitution represented an important pact sealed around a longterm strategy for the nation’s future based on an underlying commitment to support citizenship and respect human dignity, providing the foundations of a democratic state founded on the rule of law (Article 1). Both are directly related to the dimensions of social protection and environmental sustainability, which underpin the processes that shape the social and environmental determinants of health Achieving these rights represented a major step forward that should have laid the foundations for a constitutional pact grounded in a socioeconomic development model oriented towards reducing the risk of disease and other health problems and maintaining an ecologically balanced environment to ensure the well-being and quality of life of present and future generations. The achievements are framed within the broadening of political space for public participation and the institutionalization of the theme of environmental risks within the SUS, while the limits and obstacles are framed in the relationship between development and trends of environmental risk
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