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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>O princ\u00edpio da precau\u00e7\u00e3o (PP) pode ser entendido como: em caso de grave dano ou cat\u00e1strofe para o meio ambiente ou a sa\u00fade humana, em que h\u00e1 incerteza cient\u00edfica sobre suas causas e\/ou incid\u00eancia, devem ser tomadas medidas para evitar o dano. Todavia, o PP n\u00e3o tem sido usado para evitar danos iatrog\u00eanicos graves de a\u00e7\u00f5es derivadas de a\u00e7\u00f5es de preven\u00e7\u00e3o prim\u00e1ria (P1) ou secund\u00e1ria (P2) na medicina ou nos sistemas de sa\u00fade. Este ensaio, ap\u00f3s sintetizar uma proposta para esse uso e defender sua adequa\u00e7\u00e3o, apresenta quatro hip\u00f3teses compreensivas interligadas e sin\u00e9rgicas sobre por que ele n\u00e3o tem ocorrido: (a) tal uso \u00e9 muito anti-intutitivo devido \u00e0 semelhan\u00e7a teleol\u00f3gica entre o PP e a preven\u00e7\u00e3o e suas diferen\u00e7as contextuais; (b) a expans\u00e3o moral da medicina para o futuro vem gerando uma supremacia preventivista que amplia irrestritamente a toler\u00e2ncia \u00e0 iatrogenia de P1\/P2; (c) algumas dessas iatrogenias s\u00e3o anomalias (no sentido proposto por Thomas Kuhn) cuja identifica\u00e7\u00e3o e mensura\u00e7\u00e3o s\u00e3o complexas, dificultando sua aceita\u00e7\u00e3o e valoriza\u00e7\u00e3o; (d) resultante das anteriores, h\u00e1 em curso uma naturaliza\u00e7\u00e3o j\u00e1 avan\u00e7ada da iatrogenia preventiva, que torna impens\u00e1vel a cogita\u00e7\u00e3o do PP para o seu manejo em casos graves duvidosos, deixando-o fora do horizonte da medicina preventiva e paradoxalmente tornando-o mais necess\u00e1rio.<\/jats:p>","DOI":"10.1590\/0102-311xpt195125","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:39:40Z","timestamp":1791196780000},"source":"Crossref","is-referenced-by-count":0,"title":["O princ\u00edpio da precau\u00e7\u00e3o nas a\u00e7\u00f5es preventivas: considera\u00e7\u00f5es sobre uma aus\u00eancia"],"prefix":"10.1590","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0650-8289","authenticated-orcid":false,"given":"Charles Dalcanale","family":"Tesser","sequence":"first","affiliation":[{"name":"Universidade Federal de Santa Catarina","place":["Florian\u00f3polis, Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10670-014-9609-x","article-title":"On the epistemology of the 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