<?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>S2176-62232025000110180</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202501789</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[O papel transformador da educação em tempos de crise climática para o enfrentamento da leishmaniose na Amazônia]]></article-title>
<article-title xml:lang="en"><![CDATA[The transformative role of education in times of climate crisis for addressing leishmaniasis in the Amazon]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garcez]]></surname>
<given-names><![CDATA[Lourdes Maria]]></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 Laboratório de Epidemiologia das Leishmanioses]]></institution>
<addr-line><![CDATA[Ananindeua Pará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade do Estado do Pará Centro de Ciências Biológicas e da Saúde Departamento de Patologia]]></institution>
<addr-line><![CDATA[Belém Pará]]></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=S2176-62232025000110180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232025000110180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232025000110180&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO Na Amazônia, a alta incidência de leishmaniose, uma doença tropical negligenciada, reflete a interconexão entre saúde humana, degradação ambiental e emergência climática. Com formas cutânea, mucosa e visceral, tem avançado na região devido à influência de fatores como o desmatamento, que altera a paisagem e aproxima os vetores das populações humanas, e de fenômenos climáticos, como El Niño e La Niña, potencializados pelo aquecimento global, que criam condições ideais para a proliferação e dispersão de insetos transmissores de Leishmania. A endemicidade da leishmaniose na Amazônia tem raízes históricas profundas, e seu tratamento enfrenta desafios, como a toxicidade dos fármacos e a resistência parasitária. Em um contexto de constantes ameaças ambientais e sociais, a educação em saúde emerge como a principal ferramenta para capacitar as comunidades e fortalecer a vigilância e o controle da doença. É crucial popularizar o conhecimento científico para comunidades em contato íntimo com a floresta, unindo-o ao saber tradicional, e promover uma abordagem intersetorial, com o envolvimento de empresas, governo, escolas e comunidades. Para capacitar as comunidades a se tornarem agentes de transformação, propomos um processo participativo composto por quatro etapas: levantamento, informações acessíveis, discussão de soluções e plano de ação integrado. Paralelamente, é vital investir na educação escolar, levando a ciência de forma lúdica e interativa às escolas, o que se mostra mais eficaz do que o controle de vetores isolado. A COP30, em Belém, representa uma oportunidade singular para reforçar essa abordagem, garantindo que conhecimento e sustentabilidade caminhem juntos na conservação da Amazônia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT In the Amazon, the high incidence of leishmaniasis, a neglected tropical disease, underscores the interconnectedness of human health, environmental degradation, and climate emergency. Presenting in cutaneous, mucosal, and visceral forms, the disease has advanced in the region due to factors such as deforestation, which alters landscapes and brings vectors closer to human populations, and climatic phenomena such as El Niño and La Niña, intensified by global warming, which create favorable conditions for the proliferation and dispersion of Leishmania-transmitting insects. The endemicity of leishmaniasis in the Amazon has deep historical roots, and its treatment faces persistent challenges related to drug toxicity and parasite resistance. Amid ongoing environmental and social threats, health education emerges as a key tool to empower communities and strengthen disease surveillance and control. It is crucial to democratize scientific knowledge among forest-dwelling communities, integrating it with traditional wisdom and promoting an intersectoral approach that involves businesses, government, schools, and local communities. To enable communities to become agents of transformation, a four-stage participatory process is proposed: community assessment, accessible information, collective discussion of solutions, and an integrated action plan. In parallel, investing in school education and bringing science into classrooms through interactive, engaging methods has proven more effective than isolated vector-control actions. The COP30, to be held in Belém, Pará State, Brazil, represents a unique opportunity to reinforce this approach, ensuring that knowledge and sustainability advance together in the conservation of the Amazon.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Leishmaniose]]></kwd>
<kwd lng="pt"><![CDATA[Meio Ambiente]]></kwd>
<kwd lng="pt"><![CDATA[Insetos Vetores]]></kwd>
<kwd lng="pt"><![CDATA[Educação em Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Aquecimento Global]]></kwd>
<kwd lng="pt"><![CDATA[Prevenção de Doenças]]></kwd>
<kwd lng="en"><![CDATA[Leishmaniasis]]></kwd>
<kwd lng="en"><![CDATA[Environment]]></kwd>
<kwd lng="en"><![CDATA[Insect Vectors]]></kwd>
<kwd lng="en"><![CDATA[Health Education]]></kwd>
<kwd lng="en"><![CDATA[Global Warming]]></kwd>
<kwd lng="en"><![CDATA[Disease Prevention]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
</ref-list>
</back>
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