<?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>S2176-62232025000110130</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202501738</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Formação médica anticolonial: territórios, justiça ambiental e saberes indígenas frente à crise climática]]></article-title>
<article-title xml:lang="en"><![CDATA[Anticolonial medical education: territories, environmental justice, and Indigenous knowledge in the face of the climate crisis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Johnnata Silva dos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Estado do Amazonas Escola Superior de Ciências da Saúde ]]></institution>
<addr-line><![CDATA[Manaus Amazonas]]></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=S2176-62232025000110130&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232025000110130&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232025000110130&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO A crise climática impõe impactos severos aos povos indígenas da Amazônia, vitimados pelo extrativismo, mercantilização da vida e epistemicídio. A biomedicina hegemônica tende a reduzir essas violências a "fatores de risco individuais", desterritorializando o sofrimento. Este trabalho relata a roda de conversa "Crise Climática, Saúde e Territórios: Aprendizados Indígenas para a Medicina de Família e Comunidade" (MFC), realizada pela Liga Amazonense Multidisciplinar de Saúde Indígena no 18º Congresso Brasileiro de MFC (Manaus, junho de 2025). O evento teve como objetivos desvelar as relações entre capitalismo verde, racismo ambiental e adoecimento coletivo e cocriar estratégias para uma prática médica antirracista na Atenção Primária à Saúde (APS). A metodologia envolveu uma atividade dialógica, intercultural e participativa, com 20 participantes (estudantes, médicos, lideranças indígenas e profissionais da APS), estruturada em cinco momentos: acolhimento; compartilhamento de vivências; atividade corpo-território; análise de casos; e construção de propostas. Os resultados apontaram a crise climática como determinante estrutural da saúde, com saberes indígenas apresentados como respostas, como a soberania alimentar e a medicina da floresta. O protagonismo juvenil indígena articulou saberes tradicionais e contemporâneos. Foram elaboradas três propostas: 1) formação médica descolonizadora com estudos de caso amazônicos; 2) prática clínica territorializada com imersão em territórios indígenas e escuta de pajés; e 3) advocacia internacional da MFC em fóruns globais. Em conclusão, a roda valida-se como tecnologia social para repensar a formação em saúde, reafirmando que a cura de territórios é indissociável da cura de corpos e defendendo uma MFC anticolonial comprometida com a justiça socioambiental.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The climate crisis has severely impacted Indigenous peoples of the Amazon, who face extractivism, commodification of life, and epistemicide. Hegemonic biomedicine often reduces these harms to "individual risk factors", detaching suffering from its territorial context. This paper reports on the discussion circle "Climate Crisis, Health, and Territories: Indigenous Learnings for Family and Community Medicine" (FCM), organized by the Amazonian Multidisciplinary League for Indigenous Health during the 18th Brazilian Congress of FCM (Manaus, June 2025). The event aimed to reveal the links among green capitalism, environmental racism, and collective illness, and to co-create strategies for an antiracist medical practice in Primary Health Care (PHC). The methodology involved a dialogical, intercultural, and participatory activity with 20 participants (students, physicians, Indigenous leaders, and PHC professionals), structured in five stages: welcoming; sharing experiences; "body-territory" activity; case analysis; and collective proposal building. Results highlighted the climate crisis as a structural determinant of health, with Indigenous knowledge presented as solutions, including food sovereignty and forest medicine. Indigenous youth played a key role in bridging traditional and contemporary knowledge. Three proposals emerged: 1) decolonizing medical training through Amazonian case studies; 2) territorialized clinical practice with immersion in Indigenous territories and engagement with shamans; and 3) international advocacy for FCM in global forums. The discussion circle demonstrates the potential of social technologies to rethink medical education, reaffirming that healing territories is inseparable from healing bodies, and advocating for an anticolonial FCM committed to socio-environmental justice.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Determinação Social da Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Saúde de Populações Indígenas]]></kwd>
<kwd lng="pt"><![CDATA[Mudança Climática]]></kwd>
<kwd lng="pt"><![CDATA[Medicina de Família e Comunidade]]></kwd>
<kwd lng="pt"><![CDATA[Educação em Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Participação Comunitária]]></kwd>
<kwd lng="en"><![CDATA[Social Determination of Health]]></kwd>
<kwd lng="en"><![CDATA[Indigenous Health]]></kwd>
<kwd lng="en"><![CDATA[Climate Change]]></kwd>
<kwd lng="en"><![CDATA[Family and Community Medicine]]></kwd>
<kwd lng="en"><![CDATA[Health Education]]></kwd>
<kwd lng="en"><![CDATA[Community Participation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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