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The perception of inhabitants of the towns of Petrolina PE Brazil, and Juazeiro BA Brazil, with regard to issues on the river Sao Francisco is discussed. A qualitative study was undertaken, comprising 77 people who live, work or frequent the sites and who somehow use the river. Through Bardin´s content analysis, one may perceive that the river is the best natural good in the Sao Francisco Valley. They also remarked on dumping of garbage and sewage into the river as major issues that jeopardize health, life and work quality of the population. Changes in behavior and the establishment of a managing unit concerned with environmental and social issues should be undertaken to minimize impacts caused by human activities. The aim is to increase social, environmental and economically sustainable development.

OS PROBLEMAS DO RIO SÃO FRANCISCO NA PERCEPÇÃO DE MORADORES DE PETROLINA E JUAZEIRO: A SAÚDE EM FOCO