Skip to main content

The Health Sector in an Adaptive Dialectic Strategy: The Case of the São Paulo’s Municipal Policy on Climate Change

  • Chapter
  • First Online:
Climate Change and Health

Part of the book series: Climate Change Management ((CCM))

  • 2063 Accesses

Abstract

São Paulo, Brazil, is a big city that suffers the effects of extreme climatic events like intense rains and droughts. In fact, these circumstances are outcomes of deficits accumulated for years in the production of an urban space that neglected environmental factors in their management, construction and planning. As a coping strategy the municipality of São Paulo promulgated in 2009 the Municipal Policy on Climate Change (MPCC), whose original main objective was to mitigate the emission of greenhouse gases. This chapter aims to analyze São Paulo’s MPCC until 2012 in terms of the Health Sector’s convergence and intersectoral actions, considering a necessary dialectic between global and local towards adaptive measures in the urban scale concerning to climatic variability. The content analysis model as a qualitative approach was applied on documentary data and interviews with public managers. It showed that the primary research hypothesis, which considered that the Health Sector would have its attributions restricted to perform the monitoring of air quality, was refutable. Instead, there was a redirection of health actions, in which a dialectical intersectoral positive relationship was established, with actions that could interact breaking through the traditional model of sectoral policies which are generally reductionist. The MPCC in the perspective of interaction with the Health Sector encountered cooperation among sectors of the government promoting and strengthening adaptive capacities under public health concerns. All of these advances could be possible even with the prevalence of an initial orientation for mitigation in this public policy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    We assume that the dialectic process is an interactive approach. In our assumption there is intent of proving a thesis by means of arguments which are formatted in contradiction. In such reflexion we apply the term dialectic or dialectical for relationships among global and local as well as among different sectors of governmental administration. Hegel and Marx (Prado 1973) showed that the dialectic method can explain the reality through confrontation of oppositions, thus rejecting appearances imposed by the status quo and believing in the ongoing change of what we consider reality.

References

  • Acselrad H (2002) Justiça Ambiental e construção social do risco. Desenvolvimento e Meio Ambiente; 5:49–60. UFPR; 2002. Disponível em: http://ojs.c3sl.ufpr.br/ojs2/index.php/made/article/viewFile/22116/14480. Accessed 14 Apr 2014

  • Barcellos C, Monteiro AMV, Corvalán C, Gurgel HC, Carvalho MS, Artaxo P et al (2009) Mudanças climáticas e ambientais e as doenças infecciosas: cenários e incertezas para o Brasil. Epidemiol Serv Saúde 18(3):285–304

    Google Scholar 

  • Bardin L (2011) Análise de Conteúdo. Edições 70, São Paulo

    Google Scholar 

  • Beck U, Giddens A, Lash S (1997) Modernização Reflexiva: política, tradição e estética na ordem social moderna. Tradução de Magda Lopes. Universidade Estadual Paulista, São Paulo, pp 11–7311

    Google Scholar 

  • Betsill M, Bulkeley H (2007) Looking back and thinking ahead: a decade of cities and climate change research. Local Environ 12(5):447–456

    Article  Google Scholar 

  • Bulkeley H (2010) Cities and the governing of climate change. Annu Rev Environ Resour 35:229–253

    Article  Google Scholar 

  • Buss PM (2003) Uma introdução ao conceito de Promoção da Saúde. In: Czeresnia D, Freitas CM de, organizadores. Promoção da Saúde: conceitos, reflexões, tendências. Fiocruz, Rio de Janeiro, pp 15–38

    Google Scholar 

  • Buss PM, Machado JMH, Gallo E, Magalhães DP, Setti AFF, Franco Netto FA et al (2012) Governança em saúde e ambiente para o desenvolvimento sustentável. Ciên Saúde Coletiva 17(6):1479–1491

    Article  Google Scholar 

  • Campbell-Lendrum D, Corvalán C (2007) Climate change and developing-country cities: implications for environmental health and equity. J Urban Health 84(Suppl 1):109–117

    Article  Google Scholar 

  • Cohen WM, Levinthal DA (1990) Absorptive capacity: a new perspective on learning and innovation. Adm Sci Q 35:128–152

    Article  Google Scholar 

  • EMPLASA—Empresa Paulista de Planejamento Metropolitano S/A. São Paulo (2010) Disponível em: http://www.emplasa.sp.gov.br/emplasa/. Accessed 22 Oct 2013

  • Escorel S, Giovanella L, Mendonça MHM (2007) Senna MCM O Programa de Saúde da Família e a construção de um novo modelo para a atenção básica no Brasil. Revista Panamericana de Saúde Pública 21(2):164–176, Washington, DC

    Google Scholar 

  • Furriela RB (2011) Limites e alcances da participação pública na implantação de políticas subnacionais em mudanças climáticas e o município de São Paulo [tese]. Fundação Getúlio Vargas, São Paulo

    Google Scholar 

  • Giddens A (2010) A política da mudança climática. Tradução Ribeiro V. Zahar, Rio de Janeiro

    Google Scholar 

  • Haines A, Kovats RS, Campbell-Lendrum D, Corvalan C (2006) Climate change and human health: impacts, vulnerability and public health. Public Health 120:585–596

    Article  Google Scholar 

  • Hogan DJ (2009) População e mudanças ambientais globais. In: Hogan DJ, Marandola E Jr, organizadores. População e mudança climática: dimensões humanas das mudanças ambientais globais. NEPO/UNFPA, Campinas, pp 11–24

    Google Scholar 

  • IPCC—Intergovernmental Panel on Climate Change. Climate change (2013). The physical science basis—summary for policymakers. IPCC, Geneva. Disponível em: http://www.climatechange2013.org/images/uploads/WGI_AR5_SPM_brochure.pdf. Accessed 23 Nov 2013

  • Jacobi PR (2013) São Paulo metrópole insustentável—como superar esta realidade? Cadernos Metrópole 15(29):219–239

    Google Scholar 

  • Marandola E Jr (2009) Tangenciando a vulnerabilidade. In: Hogan DJ; Marandola E Jr, organizador. População e mudança climática: dimensões humanas das mudanças ambientais globais. NEPO/UNICAMP, Campinas, pp 29–52

    Google Scholar 

  • Maricato E (2003) Metrópole, legislação e desigualdade. Estudos Avançados 17(48):151–167

    Article  Google Scholar 

  • Mattos RA (2004) A integralidade na prática (ou sobre a prática da integralidade). Cad Saúde Pública 20(5):1411–1416. Disponível em: www.scielo.br/pdf/csp/v20n5/37.pdf. Accessed 8 June 2014

    Google Scholar 

  • Paim JS (2003) Vigilância da Saúde: dos modelos assistenciais para a promoção da saúde. In: Czeresnia D, Freitas CM de, organizadores. Promoção da Saúde, conceitos, reflexões tendências. Fiocruz, Rio de Janeiro, pp 161–174

    Google Scholar 

  • PMSP—Prefeitura Municipal de São Paulo (2013) Disponível em: http://www.prefeitura.sp.gov.br/cidade/secretarias/desenvolvimento_urbano/comite_do_clima/grupos_de_trabalho/saude_publica/index.php?p=15151. Accessed 26 July 2013

  • Porto MFS (2012) Uma ecologia política dos riscos: princípios para integrarmos o local e o global na promoção da saúde e da justiça ambiental, 2nd edn. Fiocruz, Rio de Janeiro

    Google Scholar 

  • Prado C Jr (1973) Teoria marxista do conhecimento e método dialético materialista. Discurso—Revista do Departamento de Filosofia da Faculdade de Filosofia, Letras e Ciências Humanas da Universidade de São Paulo, ano IV, no. 4, 41–78

    Google Scholar 

  • Romero MA, Bruna GC (2010) Metrópoles e o desafio urbano frente ao meio ambiente, vol 6, Série Sustentabilidade. Blucher, São Paulo

    Google Scholar 

  • Rosenzweig C, Solecki W, Hammer SA, Mehrotra S (2010) Cities lead the way in climate-change action. Nature 467:909–911

    Article  Google Scholar 

  • Santos M (2009) A urbanização brasileira, 5th edn. EDUSP, São Paulo

    Google Scholar 

Download references

Acknowledgements

FAPESP—São Paulo Research Foundation (Bluegrass project—international cooperation FAPESP and ANR/France); and INCLINE—Interdisciplinary Climate Investigation Center/University of São Paulo.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rubens Landin .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Landin, R., Giatti, L.L. (2016). The Health Sector in an Adaptive Dialectic Strategy: The Case of the São Paulo’s Municipal Policy on Climate Change. In: Leal Filho, W., Azeiteiro, U., Alves, F. (eds) Climate Change and Health. Climate Change Management. Springer, Cham. https://doi.org/10.1007/978-3-319-24660-4_7

Download citation

Publish with us

Policies and ethics