摘要：Brazil has the greatest water potential in the world and the main hydrographic basins are located in the Amazon region. Thus, large hydropower projects are being planned and built in the north region of the country. However, in the phase of power plant implantation, workers are attracted to the site in search of employment, which modifies the population dynamics of the area of influence of the enterprise. In this context, this article seeks to discuss the impacts on the urban growth of the city of Altamira (PA) in face of the construction of the Belo Monte hydroelectric power plant (HPP), in order to understand its interference in public health. Regarding the methodological approach, this article was based on bibliographic review and documentary research. It was verified that at the beginning of the construction in Altamira, there were structural changes in the social, economic, and environmental spheres. These changes are perceived through population increase, which raises the demand for public services; and through the underestimation of census data, which directly impacts public health, since the public health care policies and the Unified Health System ( Sistema Único de Saúde – SUS) are governed by the Demographic Census. Although the municipality presented a 72.2% increase in Basic Care coverage in 2017, it will only be possible to draw a more precise diagnosis of all transformations occurring in Altamira, mainly those related to Public Health, after new census.
关键词：conflitos socioambientais; grandes empreendimentos; avaliação de impactos na saúde; Hidrelétrica de Belo Monte; Altamira (PA)
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