<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232025000110114</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202501777</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Construção da usina hidrelétrica de Belo Monte no Brasil, transmissão de malária e políticas públicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Construction of the Belo Monte Hydroelectric Power Plant in Brazil, malaria transmission, and public policies]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sucupira]]></surname>
<given-names><![CDATA[Izis Mônica Carvalho]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Rebecca Chucre de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ladislau]]></surname>
<given-names><![CDATA[José Lázaro de Brito]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Marcia Moraes Martins dos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Diniz]]></surname>
<given-names><![CDATA[Sidney dos Reis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Gecilda Aparecida de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Roberto Leandro da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Ana Cecília Feio dos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Póvoa]]></surname>
<given-names><![CDATA[Marinete Marins]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Evandro Chagas Seção de Parasitologia ]]></institution>
<addr-line><![CDATA[Ananindeua Pará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal do Pará Programa de Pós-Graduação em Biologia de Agentes Infecciosos e Parasitários ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Norte Energia S.A  ]]></institution>
<addr-line><![CDATA[Brasília DF]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Prefeitura Municipal de Senador José Porfírio  ]]></institution>
<addr-line><![CDATA[Senador José Porfírio PA]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>16</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232025000110114&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232025000110114&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232025000110114&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  OBJETIVO:  Discutir o efeito da construção da Usina Hidrelétrica de Belo Monte (UHEBM) na transmissão de malária humana nos municípios diretamente afetados.  MATERIAIS E MÉTODOS:  Foram coletados dados sobre o número de casos de malária, o índice parasitário anual (IPA) e o número de mosquitos anofelinos nos municípios da área de influência da UHEBM. O período analisado foi dividido em pré-construção (2007-2010), construção (2011-2015) e pós-construção (2016-2024). Aplicou-se o teste Z para verificar diferenças entre os períodos quanto ao IPA e o número de mosquitos, além de regressão linear simples para avaliar a relação entre essas variáveis.  RESULTADOS:  Observou-se redução significativa do IPA entre os períodos de pré- e pós-construção (p = 0,0171) e entre construção e pós-construção (p = 0,044). Houve também redução significativa no número de mosquitos entre os períodos de pré- e pós-construção (p = 0,0280). Considerando apenas Anopheles darlingi, a diferença significativa foi observada entre os períodos de pré- e pós-construção (p = 0,0313) e entre construção e pós-construção (p = 0,0455). Identificou-se correlação entre o número de mosquitos e o IPA na região (p = 0,016; R2 = 0,32), com correlações semelhantes em Anapu (p = 0,002; R2 = 0,497) e Senador José Porfírio (p = 0,001; R2 = 0,528), bem como nos testes restritos a An. darlingi (p = 0,0093; R2 = 0,37).  CONCLUSÃO:  A construção da UHEBM demonstra que é possível controlar a transmissão da malária em contextos de transformação ambiental, desde que haja observância da legislação e integração de esforços entre as esferas públicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVE:  To discuss the effect of the construction of the Belo Monte Hydroelectric Power Plant (UHEBM) on human malaria transmission in the directly affected municipalities.  MATERIALS AND METHODS:  Data were collected on the number of malaria cases, the annual parasite index (API), and the number of Anopheles mosquitoes in municipalities within the UHEBM area of influence. The study period was divided into pre-construction (2007-2010), construction (2011-2015), and post-construction (2016-2024). The Z-test was applied to assess differences in API and mosquito density among periods, and a simple linear regression was performed to analyze the relationship between these variables.  RESULTS:  There was a significant reduction in API between the pre- and post-construction periods (p = 0.0171) and between construction and post-construction (p = 0.044). A significant decrease was also observed in the number of mosquitoes between the pre- and post-construction periods (p = 0.0280). When Anopheles darlingi was analyzed separately, significant differences were found between the pre- and post-construction (p = 0.0313) and between the construction and post-construction (p = 0.0455) periods. A positive correlation was identified between the number of mosquitoes and API in the region (p = 0.016; R2 = 0.32), with similar correlations in Anapu (p = 0.002; R2 = 0.497) and Senador José Porfírio (p = 0.001; R2 = 0.528), as well as in tests restricted to An. darlingi (p = 0.0093; R2 = 0.37).  CONCLUSION:  The construction of the Belo Monte Hydroelectric Power Plant illustrates that malaria transmission can be controlled in settings of environmental change, provided that legal requirements are followed and joint actions are undertaken across government levels.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Malária]]></kwd>
<kwd lng="pt"><![CDATA[Centrais Hidrelétricas]]></kwd>
<kwd lng="pt"><![CDATA[Política de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Ecossistema Amazônico]]></kwd>
<kwd lng="en"><![CDATA[Malaria]]></kwd>
<kwd lng="en"><![CDATA[Hydroelectric Power Plants (Environmental Health)]]></kwd>
<kwd lng="en"><![CDATA[Health Policy]]></kwd>
<kwd lng="en"><![CDATA[Amazonian Ecosystem]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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