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Worker's Health Surveillance - The temptation of making up answers for unaskable questions

This paper purpose is to ponder about the implementation of Worker's Health Surveillance in the Brazilian Unified Health System (SUS).The theoretical framework adopted is a critical perspective of the Worker's Health area, including its traditional practices that have not incorporated the globalized capitalism context, the globalization of consumption and of social relations, the flexibility of these social relations and its impact on the collective subject social dynamics. Starting from the praxis in the Unified Health System (SUS), the paper analyzes why Worker's Health Surveillance actions have not been taken by SUS and if the program present model meets the modern labor world demands under SUS equity and integrality principles. The paper emphasizes it is necessary not only to improve the surveillance model, which is focused on diseases, but also to update its practices so that it can act on the social determinants of contemporary capitalism. Based on theoretical reflection on SUS model and its practices, the paper proposes action based on agreed scenarios, implementing of new indicators, systematic and continuous assessment of actions towards an Anticipatory Surveillance of Scenarios and suggests some short, medium and long term practices for the area.

occupational health; anticipatory surveillance of scenarios; worker's health surveillance; Brazilian Unified Health System


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