ABSTRACT
This critical-reflexive article, in light of the Social Determination of the health/disease process, aims to articulate the conceptions and approaches of health surveillance to problematize complex health issues that require the production of care articulated to territoriality, intersectorality and intersectionality, in addition to being linked to care practice in Primary Health Care, in a global context of intense and uncertain climate change. The methodological path outlined to achieve the objective was to carry out a theoretical essay, in which theoretical-analytical arguments were developed, characterized by articulating empirical research in relation to the theme of the need to build territorially articulated and collectively constructed health care and surveillance in the context of climate change. To this end, this manuscript is organized into three items: 1) problematize the ‘Social Determination of Health and coping with diseases of epidemiological relevance’; 2) discuss ‘climate change and persistent challenges and combating infectious diseases in Brazil’; 3) present ‘Participatory strategies and construction of democratic approaches in health care and surveillance’. Popular Health Surveillance has been characterized as a democratic practice that articulates surveillance actions linked to territorial realities, characterizing itself as an experience that has pointed out new horizons for a territorially articulated and collectively constructed practice.
KEYWORDS
Health surveillance; Primary Health Care; Climate change; Social Determination of Health