摘要：Esse artigo apresenta os resultados de inventário realizado sobre a trajetória histórica das instituições de saúde na cidade de Belém, levando em conta sua arquitetura e as mudanças de função que sofreram ao longo do tempo. Essas mudanças estão impressas nas próprias edificações e na memória da população belemense, bem como nos apagamentos decorrentes das demolições de edifícios da saúde. A documentação resultante inclui documentos institucionais, fotografias antigas e atuais, desenhos arquitetônicos e entrevistas, os quais configuram um acervo inexplorado para a compreensão do cuidado com a saúde no Norte do Brasil. A recomposição das trajetórias de implantação e deslocamento das instituições estudadas contribui para a compreensão do processo de expansão urbana, com ocupação de áreas alagadas (decorrente da implantação dos hospícios) e áreas de terra firme, vetor de expansão priorizado pelas políticas higienistas. Palavras-chave: Patrimônio da saúde, memória, Belém.↓This article presents the results of an inventory on the historical trajectory of health institutions in the city of Belem, taking into account its architecture and the role changes that have suffered over time. These changes are imprinted both on the buildings and the memories of the Belem population, as well as in the absences resulted from the demolitions. The resulting documentation includes institutional documents, old and current photographs, architectural drawings and interviews, which constitute a collection untapped for understanding health care in northern Brazil. The reconstruction of the trajectories of deployment and movement of the institutions studied contributes to the understanding of the process of urban expansion, with occupancy of wetlands (due to the implementation of hospices) and land areas, as prioritized by hygienists policies. Key-words: Health heritage, memory, Belém.↓This article presents the results of an inventory on the historical trajectory of health institutions in the city of Belem, taking into account its architecture and the role changes that have suffered over time. These changes are imprinted both on the buildings and the memories of the Belem population, as well as in the absences resulted from the demolitions. The resulting documentation includes institutional documents, old and current photographs, architectural drawings and interviews, which constitute a collection untapped for understanding health care in northern Brazil. The reconstruction of the trajectories of deployment and movement of the institutions studied contributes to the understanding of the process of urban expansion, with occupancy of wetlands (due to the implementation of hospices) and land areas, as prioritized by hygienists policies. Key-words: Health heritage, memory, Belém.↓Cet article présente les résultats de l'inventaire qui s'est tenue sur la trajectoire historique des institutions de la santé dans la ville de Belém, compte tenu de son architecture et les changements qui ont souffert au fil du temps. Ces changements sont imprimés dans leurs propres bâtiments et à la mémoire de la population de Belém, ainsi que les destructions résultant de la démolition des bâtiments de la santé. La documentation qui en résulte comprend les documents institutionnels, vieilles et modernes photos, dessins architecturales et interviews, qui constituent une collection inexploitée pour la compréhension des soins de santé dans le nord du Brésil. La recomposition des trajectoires de déploiement et de décalage des établissements étudiés contribue à la compréhension du processus d'étalement urbain, avec l'occupation des terres humides (résultant du déploiement des hospices) et les zones arides, vecteur expansioniste priorisée par la politique hygiéniste. Mots-clé: Patrimoine e la santé, memoire, Belém
