title: [Environmental sustainability and health indicators in the Legal Amazonia, Brazil].
abstract: One of the challenges for public health is to build systems of indicators that allow monitoring current conditions and trends in environmental and health sustainability. This article focuses on the Legal Amazonia macro-region, which has undergone profound socioeconomic, environmental, and health changes since the mid-20th century. The conceptual framework adopted here was the model entitled Driving Forces, Pressures, State, Exposure, Effects, and Action (DPSEEA) proposed by the World Health Organization and adopted for environmental health surveillance by the Brazilian Ministry of Health. The results show that numerous motor forces and pressures have contributed to the growth of the economy and the population, as well as to improvements in some traditional health indicators (a reduction in infant mortality and an increase in life expectancy), alongside major social and economic inequalities and heterogeneity in environmental health impacts. This same process has been accompanied by environmental changes that indicate an unsustainable development model for present and future generations, demanding comprehensive action by public health and environmental institutions.
authors.affiliation: Centro de Estudos da Saúde do Trabalhador e Ecologia Humana, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. carlosmf@ensp.fiocruz.br
authors.forename: Carlos Machado de
authors.initials: CM
authors.lastname: Freitas
authors.forename: Leandro Luiz
authors.initials: LL
authors.lastname: Giatti
mesh_terms: D001938:Brazil; D003247:Conservation of Natural Resources / Q000191:economics / Q000639:trends*; D017753:Ecosystem; D004777:Environment; D004782:Environmental Health; D004787:Environmental Pollution; D006305:Health Status Indicators; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D011158:Population Growth; D011634:Public Health; D012935:Social Justice; D012959:Socioeconomic Factors; D014505:Urban Population; D014507:Urbanization