Licenciamento ambiental de grandes empreendimentos: conexão possível entre saúde e meio ambiente

Avaliação de Impactos à Saúde (AIS): análises e desafios para a Vigilância em Saúde do Brasil

“…Participation in retrospective (ex post) studies, that is, in evaluations during or after the implementation of a project 4 is more common. This corroborates the analysis of large enterprises, in which the evaluation of the health variable is used especially in specific projects or programs -as is the case of malaria-related disease -during environmental impact assessments 7,8 .…”

“…This fact demonstrates the gap arising from the lack of articulation between sectoral public policies in the face of the socio-environmental impacts generated by large projects 8 .…”

“…In this regard, during environmental impact assessments, under the jurisdiction of a sector with a strong institutional role, socio-environmental and human health-related aspects are not always considered in the environmental licensing processes of projects 8,16 . This fact demonstrates the gap arising from the lack of articulation between sectoral public policies in the face of the socio-environmental impacts generated by large projects 8 .…”

“…It should also be noted that current regulations for development projects anchored only in the EIA might be insufficient for more comprehensive assessments such as HIA 7,8 . This peculiarity turns out to be a weakness because, in most cases, strategic decisions have already been made, with little scope for alternatives with lower health risks 4 .…”

“…In Brazil, the adopted Environmental Impact Assessment (EIA) model is not sufficient to reflect the health impacts of a given population during the implementation of projects 7,8 . At the same time, identifying the socio-environmental and health impacts of large enterprises is complex and is a major challenge.…”