CONTRIBUIÇÃO DO PLANEJAMENTO SÓCIO- ECONÔMICO E DO DESENVOLVIMENTO E ORGANIZAÇÃO DA COMUNIDADE PARA SOLUÇÃO DO PROBLEMA DO BAIXO NÍVEL SANITÁRIO

Abstract

Public Health should be planned by the community, not for the community. Although the State of São Paulo is, economically, in some aspects in the transition phase according Rostow, it presents many characters of the take off phase, with a continually growing industrialization accompanied by rapid urbanization. Rural population was in 1940, 55,9% of the general population; twenty years later, only 37,2%. From the public health point of view, the State of São Paulo presents health índices that place it among regions of low health levei such as: 1) ill defined deaths around 30%; 2) life expectance at birth, in years, for the 1940-1950 period, of 47,2 for males and 51 ,2 females; 3) 29,6% of cities did not have, in 1960, public water supply and 67,5%, at the same time, did not have a sewerage system; in the State Capital itself, with 3.800.000 inhabitants. (December, 31st, 1960) 30% of the population did not have the benefit of public water su:pply and 58% did not have sewerage system; 4) infant mortality rate, in 1959, was 82,3, in the State; 5) data for 1960 show that Chaga's disease vector were found in 69,5% of municipalities and in 24% of those areas, these vectors were found infected. The improvement of health levei in the State of São Paulo can be enhanced by socio-economic planning and community development, the health problems of which represent a few of the many problems which must be solved.