Prevention, social emancipation, and paradigmatic transition: a 40-year interdisciplinary Brazilian trajectory on accidents and disasters.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Cadernos de saude publica Pub Date : 2024-05-20 eCollection Date: 2024-01-01 DOI:10.1590/0102-311XPT169123

Marcelo Firpo Porto

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Abstract

The article, in the form of an essay, systematizes a 40-year-long professional trajectory of interdisciplinary and socially engaged experiences around the analysis and prevention of accidents and disasters. This study was mainly developed within the scope of research and postgraduate studies in Public Health in Brazil, driven by the sanitarian movement and the construction of Brazilian Unified National Health System (SUS) in its search for democracy and social and health justices. Its empirical basis involved workers' health and environmental surveillance actions organized in networks led by SUS in conjunction with universities, unions, social movements, environmental nongovernmental organizations (NGO), and Public Prosecutors' Offices. Events of greater socio-environmental complexity in sectors such as steel, petrochemicals, mining, agribusiness, and energy forged the search for new epistemic and interdisciplinary references that encompassed two new justices, i.e., environmental and cognitive. This essay systematizes this trajectory of conceptual contributions in three movements from the 1980s to the present day (each corresponding to a socio-political and institutional context) to reflect on paradigmatic transition movements in the analysis and prevention of accidents and disasters from an interdisciplinary perspective. It ends by suggesting abyssal and emancipatory prevention to face different current crises, including environmental, health, democratic, and civilizing ones.

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预防、社会解放和模式转型：巴西 40 年来在事故和灾难方面的跨学科发展轨迹。

这篇文章以论文的形式，系统阐述了长达 40 年之久的跨学科专业轨迹以及围绕事故和灾害分析与预防的社会参与经验。这项研究主要是在巴西公共卫生研究和研究生学习的范围内开展的，由卫生运动和巴西统一国家卫生系统（SUS）的建设推动，旨在寻求民主、社会和健康正义。其经验基础涉及工人健康和环境监测行动，这些行动由 SUS 与大学、工会、社会运动、环境非政府组织（NGO）和检察官办公室共同领导的网络组织。在钢铁、石化、采矿、农业综合企业和能源等行业发生的社会环境复杂性增加的事件，促使人们寻求新的认识论和跨学科参考，其中包括两种新的正义，即环境正义和认知正义。本文系统梳理了从 20 世纪 80 年代至今的三场运动中的概念贡献轨迹（每场运动都与社会政治和制度背景相对应），从跨学科的角度反思事故与灾害分析和预防中的范式转换运动。报告最后提出了深渊式和解放式预防建议，以应对当前的各种危机，包括环境、健康、民主和文明危机。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cadernos de saude publica 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.30

自引率

7.10%

发文量

356

审稿时长

3-6 weeks

期刊介绍： Cadernos de Saúde Pública/Reports in Public Health (CSP) is a monthly journal published by the Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation (ENSP/FIOCRUZ). The journal is devoted to the publication of scientific articles focusing on the production of knowledge in Public Health. CSP also aims to foster critical reflection and debate on current themes related to public policies and factors that impact populations'' living conditions and health care. All articles submitted to CSP are judiciously evaluated by the Editorial Board, composed of the Editors-in-Chief and Associate Editors, respecting the diversity of approaches, objects, and methods of the different disciplines characterizing the field of Public Health. Originality, relevance, and methodological rigor are the principal characteristics considered in the editorial evaluation. The article evaluation system practiced by CSP consists of two stages.