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ABSTRACT<br />
Addresses the health practices in the SUS, with the object of analysis the<br />
development of actions in environmental health and worker at primary health care<br />
(PHC) in Quixeré-Ceará. Was taken as the base area and undertook a perspective<br />
on the transformation processes under the economic development model promoter of<br />
changes in the way of life of communities and workers. The objective was to<br />
contribute to the effectiveness of policy and environmental health worker in PHC,<br />
realizing the territorial (social map, labor and environmental) that have a dialogue<br />
with the health needs and quality of life in the territory. We used action research,<br />
forming a group of 14 persons representing the City Council Health, social<br />
movements, agricultural workers, users of SUS association, PHC professionals,<br />
teachers and councilors to discuss the intersection of these fields in the APS<br />
and propose actions in the Family Health Strategy (FHS) and the city. This research<br />
resulted in the redefinition and recognition of the territory, arising from the<br />
interpretation of the subject and approach to the issues of community interest. The<br />
appropriation of the territory took place as the group rethought the model of<br />
economic development, highlighting problems such as land tenure, ie, loss of land by<br />
peasants, promoting the expulsion from the countryside to the urban periphery,<br />
constituting labor employed with an intense flow of people, contributing to the<br />
worsening of social problems like prostitution, drug addiction and violence. It was<br />
identified that the agro-export model of agriculture implies deforestation, exhaustive<br />
use of land, water and agrochemicals, leading to the extinction of animals and plants<br />
associated with the generation of unproductive soil, typical impacts to human health<br />
as changes in eating habits, work and culture, favoring the increase of obesity,<br />
hypertension, psychological problems, malnutrition, allergies and persistence of<br />
diseases such as Chagas worms, dysentery, dengue fever, among others. Stood out<br />
as potential agribusiness generates harm the health of workers and communities,<br />
overwhelming public policies, especially health services that are new in coping with<br />
work-environment issues. APS refers difficulties in operationalizing the health worker<br />
provided guaranteed access to comprehensive health care, prioritizing care actions<br />
for specific groups. Associated to this the weakness of the government in the<br />
supervision and support to communities before the agricultural modernization<br />
conservative who seizes and uses indiscriminately the territory. The group proposed<br />
an action plan which highlights the need for joint action of public policies (disciplinary<br />
and intersectoral) in addressing the problems related to work-environment, including<br />
the local and global impacts are unevenly felt and lived by different social sectors,<br />
promoting a fertile ground for rethinking and restructuring the responsibilities of<br />
municipal management. Points to the involvement of the population as a path to<br />
social transformation of local base, expanding the exercise of power by social control<br />
and social movements, understanding the complexity of reality, locking EU debates,<br />
political and ideological reflecting and expressing the aspirations of the people the<br />
plateau of Apodi-CE.<br />
Key words: Occupational Health. Environmental Health. Primary Health Care.<br />
Quality of Life. Determining Needs Health. Social Participation.