The main objective of this study was to adapt and apply the Environmental Health Index (ISA) in the municipality of Belém, in the state of Pará, using as reference the one developed by the Planning Chamber of the State Sanitation Council (CONESAN) in the state of São Paulo, the purpose of knowing the health conditions of urban areas and providing a tool that guides the management bodies to develop the right policies, use of resources and investment in adequate infrastructures and quality services. Secondary data obtained from the databases of the SNIS, PNAD and DATASUS were used to compose the ISA in a period of five (05) years (2012-2016); the following variables were worked out: basic water supply; sanitary sewage and solid waste, which are the aspects that most impact the quality and environmental health of a region, as well as the health aspect, which in the vector control component counted the incidence of dengue, leptospirosis and schistosomiasis. socioeconomic aspect, taking into account the variables of education, income and public health. Due to the lack of some data, the adaptation of the ISA was made, with the modification in the weights of the components, granted according to their importance. The research determined that the health situation of the urban area of the municipality of Belém is considered as "Low Health", with an average for the evaluated period of 26.61/100 points, the most critical areas being sanitary sewage and solid waste , revealing that public management does not provide these services adequately, which reflects on health and living conditions, in this way the ISA/Belém application has proven to be a viable and easy to apply method to aid in urban planning, a lot of data.
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