Sarney Administration (1985-1990) |
1986 |
1st Workers’ Health Conference |
To promote the discussion of studies and proposals addressing workers’ health issues: “New approaches to occupational health care” and “national workers’ health policy”. |
Collor Administration (1990 a 1992) |
1990 |
Law 8.080 (September 19). |
Deals with health promotion, protection and recovery and the organization and operation of services, among other provisions. Determines that the promotion of occupational health is one of the functions of the SUS, stipulates that the environment and work are determinants of health, and assigns the provision of conditions that ensure the physical, mental and social well-being of people and the community to public health. |
Franco Administration (1992-1994) |
1994 |
2nd Workers’ Health Conference |
Reflection on and critical assessment and definition of strategies to promote the formulation of a national workers’ health policy from the perspective of changes in workers’ living and working conditions. |
Cardoso Administration (1995-1998) |
1995 |
National Plan for Health and the Environment in the context of Sustainable Development |
“Guidelines for Implementation” addressing the linkages between health and the environment in the context of sustainable development produced by the Ministry of Health. Outcome of a work process involving the Executive Branch and civil society. |
1996 |
NOB-SUS 01 |
Determines that the promotion of occupational health is one of the functions of health care.nção à saúde. |
1998 |
Ministerial Order Nº: 3.120 (July 1) |
Approves a normative instrument governing workers’ health surveillance within the SUS. |
Normative Instrument governing workers’ health surveillance |
Defines basic procedures related to workers’ health surveillance. |
Ministerial Order Nº: 3.908 (October 30) |
Provides guidelines on the provision of occupational health services in the NHS and determines operational norms aimed at defining functions and responsibilities to guide the provision of occupational health services to urban and rural workers by state and municipal health departments, taking into consideration the differences between men and women. |
Primary Environmental Care |
PAHO guidance for the implementation of Primary Environmental Care, aimed at structuring health and environmental instruments considering the strategies outlined by Agenda 21, concepts of sustainable development, and sustainable spaces, environments and cities. |
1998-1999 |
Incorporation of environmental surveillance in the field of public health policies |
Aimed at structuring environmental health surveillance in the former FUNASA, involving health and environmental themes. |
Cardoso Administration (1999-2002) |
1999 |
Ministerial Order Nº: 1.399 (15 December) |
Regulates the NOB SUS 01/96 defining the functions of the three spheres of management of the SUS in relation to, among others, epidemiology and disease control and environmental surveillance. |
VIGISUS Project |
Project Structuring Health Surveillance in the Unified Health System (VIGISUS, acronym in Portuguese) - agreement between FUNASA and the World Bank aimed at structuring environmental health and enabling the monitoring of a range of environmental risk factors connected with human activity and the natural environment. |
2000 |
Decree Nº: 3.450 (May 9) |
Restructures the National Health Foundation including as one of its functions the management of the National System of Epidemiological and Environmental Health Surveillance. |
FUNASA Directive Nº: 410 (August 10) |
Approves FUNASA’s internal regiment, defining the functions of the Environmental Health Surveillance General Coordination Office (CGVAM, acronym in Portuguese). |
2001 |
Normative Instrument Nº: 01FUNASA (September 25) |
Regulates the National Environmental Health Surveillance System (SINVAS, acronym in Portuguese) and the functions of the federal, state and municipal governments in relation to environmental health surveillance. |
2002 |
Ministerial Order Nº: 1.679 (September 20) |
Created the National Workers’ Healthcare Network (RENAST, acronym in Portuguese). |
Lula Administration (2003-2006) |
2003 |
Law 10.683 (May 28) |
Provides that environmental health and individual and collective health promotion, protection and recovery, including workers and indigenous peoples, shall be the function of the Ministry of Health. |
Law N°: 10.683 (May 28) |
Provides that the Ministry of Health shall be responsible for environmental health and collective health promotion, protection and recovery, including workers and indigenous peoples. |
Decree Nº: 4.726 (June 9) |
Restructured the Ministry of Health creating the Health Surveillance Secretary whose function is to manage the National Health Surveillance System, which includes the National de Environmental Health Surveillance Subsystem (SINVSA, acronym in Portuguese). |
2004 |
Ministerial Order Nº: 777 (April 2004) |
Establishes technical procedures for the mandatory reporting of occupational injuries and diseases in the Sentinel Service Network of the SUS. |
2005 |
Normative Instrument N° 01. Ministry of Health(March 7) |
Defines the functions of the federal, state and municipal governments in relation to environmental health surveillance and provides that SINVSA shall be responsible for the following core areas: water intended for human consumption; the air and soil; environmental contaminants and chemical substances; natural disasters; accidents with hazardous materials; physical factors; and the workplace. Includes procedures related to the epidemiological surveillance of diseases and injuries diseases resulting from human exposure to agrochemicals, benzene, lead, asbestos and mercury. |
Ministerial Order Nº: 1.125 (July 6) |
Lays out the aims of the SUS’s workers’ health policy, comprising the provision of comprehensive healthcare; intra and intersectoral integration; structuring of the workers’ health information network; support for research and investigation; staff training and development; and community participation in the management of these actions. |
Ministerial Order Nº: 2.437 (December 17) |
Deals with the expansion and strengthening of the RENAST within the SUS. |
3rdWorkers’ Health Conference |
Promoted an in-depth discussion of decent working conditions, the protection of the right to a healthy environment, decent housing and living conditions, and comprehensive healthcare. |
Lula Administration (2007-2010) |
2007 |
Ministerial Order Nº: 1.956 (August 14) |
Provides that all work carried out by the Ministry of Health related to workers’ health shall be managed and coordinated by the Health Surveillance Secretary (SVS, acronym in Portuguese) through the Coordinator-General of Environmental Health Surveillance, department responsible for coordinating the Environmental Health Surveillance System, including the workplace. |
2009 |
Ministerial Order Nº: 2.728 (November 11) |
Deals with the RENAST. |
Ministerial Order Nº: 3252 (December 22) |
Approves guidelines for executing and funding health surveillance actions and confirms the need for combined surveillance actions involving the different areas of surveillance (epidemiological, sanitary, environmental health, workers’ health and health promotion), in order to control health risks and determinants ensuring comprehensive healthcare that adopts both an individual and collective approach to health problems. |
1stNational Conference on Environmental Health |
The theme was “Environmental health in the city, countryside and forest: building citizenship, quality of life and sustainable territories”. The ministries of health, cities and the environment were involved in its organization. The conference’s guidance document provided important recommendations for the formulation of the National Environmental Health Policy. |
2010 |
1o Brazilian Symposium on Environmental Health |
Proposed studies and debate about the environmental and health impacts of unsustainable production and consumption patterns, occupational diseases; environmental justice; and alternative sustainable development strategies. |
Rousseff Administration (2011 a 2014) |
2011 |
Decree Nº: 7.530 (July 21) |
Created the Department of Environmental and Workers Health Surveillance (DSAST, acronym in Portuguese) within the Ministry of Health. |
Decree Nº: 7.616 (November 17) |
Deals with the declaration of Public Health Emergency of National Importance (ESPIN, acronym in Portuguese), involving epidemiological emergencies; disasters and populations in need of assistance, and creates the Unified Health System National Task Force (FN-SUS, acronym in Portuguese). |
2012 |
Ministerial Order Nº: 1.823 (August 23) |
Creates the National Workers’ Health Policy |
2014 |
1stNational Conference on Workers’ Health promoted by the CUT |
Promoted awareness raising among union leaders as to the importance of centrality of workers’ health-related issues. |
II Brazilian Symposium on Environmental Health |
Promoted discussions regarding environmental health education, research and services. |
Public Health Emergency |
Defined the SVS’s strategy for preparing for and responding to public health emergencies, including epidemiological emergencies, natural disasters and emergencies involving chemical, radiological and nuclear substances. |
Roussef Administration (2015 a 2016) |
2015 |
4th Conference on Workers’ Health |
Discussion of and production of a guideline document for the implementation of the National Workers’ Health Policy. |