[Health and environmental governance for sustainable development].
The United Nations Conference on Sustainable Development, Rio+20, will address the challenges for sustainable development (SD), 'green economy and poverty eradication' and the 'institutional structure of sustainable development'. Therefore it will address the governance needed to achieve such goals. This paper discusses the structure of global, regional and national governance of and for health and environment in the context of SD. Among other global actions, the Millenium Development Goals were a significant recent political effort, but despite its advances, it fails when ignores the structural causes of production and consumption patterns and the unequal distribution of power, which are responsible for inequities and impede true development. To achieve SD, proposals must avoid reductionism, advancing conceptually and methodologically to face the challenges of the socio-environmental determinants of health through intersectoral action, including social participation and all levels of government. It is paramount to continue the implementation of Agenda 21, to meet the MDGs and to create 'Sustainable Development Goals'. Regarding the health field, Rio+20 Summit must reassure the connection between health and sustainability - as a part of the Social pillar of sustainable development - inspiring politics and actions in multiple levels.
Centro de Relações Internacionais em Saúde, Fiocruz, 21040-360 Rio de Janeiro, RJ. buss@fiocruz.br
Paulo Marchiori
PM
Buss
Jorge Mesquita Huet
JM
Machado
Edmundo
E
Gallo
Danielly de Paiva
Dde P
Magalhães
Andréia Faraoni Freitas
AF
Setti
Francisco de Abreu
Fde A
Franco Netto
Daniel Forsin
DF
Buss
D003247:Conservation of Natural Resources; D004782:Environmental Health / Q000458:organization & administration*; D014943:Global Health; D006801:Humans; D011203:Poverty / Q000517:prevention & control; D012926:Social Control, Formal; D014944:World Health Organization