The development of production models led to several changes in the design of the relation
between man and work. The Work became a central aspect in the life of modern man. At
work many subjective processes emerge based on the practices of the contexts in which it
takes place as well as in health and disease processes. In Brazil, this process has been outlined
by political and social issues that led to the emergence of so-called National Policy on
Occupational Health and Safety (NPOHS) in 2004. However, this issue and its consequences
are still strongly debated, since such a policy is not in health force, showing a path under
constant construction and still subjected to different influences. This paper analizes the
practices that produce subjective processes on workers by biopolitical guided devices, through
the analyze of care management in worker’s health in Brazil. From this perspective, we
sought to analyze the construction of the Occupational Health Policies in the country,
focusing on the formulation of NPOHS and his current perspective. For this, we analyzed the
care strategies present in this Policy, as well as how the strategies are linked to the perspective
of integrality, since it is a new look at the management of health care, creating new
possibilities for worker’s health. It focused on the flow of the user, with changes in the
production of care at all levels of public health. First, we discussed the process of construction
and development of Occupational Health and later we analyzed the NPOHS and his health
practices, based on the Michel Foucault’s genealogical method, focused on documentary
analysis. The process of building NPOHS started from the first National Conference on
Occupational Health, which is outlined in others conferences in 2001 and 2005. In this
process, we can observe the conflict between work as a risk (work-risk) and work as
production of subjectivity (work-subjectivity), which lead to the construction of notions of
health-control versus health-integrality. The documentary analysis of the NPOHS show us
that there is a prevalence of labor like a risk and health control, since the strategies of care are
design by injury and risks at work and monetization of health. In addition, from 2005 until
mid 2011, there was the realization and implementation of policy in different directions, and
even converging actions of Occupational Health to the field of health surveillance, where is
this area in the Minitry of Health in Brazil today. We think that Occupational Health in guided
by the construction of discourses in biopolitical strategies to transform work activity at risk
that should be monitored and medicated. In addition, there is no interface for absorption of
demands concerning the health of workers in the SUS. The creation of lines of care in
Occupational Health in Primary Health Units or creation of Specialized Reference Units of
Occupational Health allows us to place this issue increasingly in the field of public health in
Brazil and reduce the dispersion of worker’s cases of suffering, which remain at the level of
the unsaid.
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