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Environmental Health Surveillance (VAS) is characterized by the integral care of people through health promotion and disease prevention. Objective: To carry out the situational diagnosis of the VAS, to start the data collection, to plan actions seeking the qualification of the same. METHODS: A cross-sectional study was carried out through the application of an adapted version of the National Inventory of Environmental Health Surveillance of the Ministry of Health. The semi-structured questionnaire was sent in the period from August to October 2017 to the 32 municipalities belonging to the 4th Regional Health Coordination (CRS) , and 24 (75%) of the municipalities participated. Results: The main weaknesses were: lack of legislation regulating a minimum team for VAS, insufficient number of agents to combat endemic diseases (ACE), lack of personal protective equipment and financial resources. Among the positive aspects are: inclusion of VAS guidelines and goals in the Municipal Health Plan and intersectoriality with the health teams. Conclusion: The situational diagnosis of the VAS of the municipalities of the 4th CRS, allowed to know the regional reality, its challenges, enabling a more effective action of the Coordination in the institutional support to them. The collaboration of the Multiprofessional Residency Program - emphasis on Health Surveillance and the Uniprofessional Residency - Veterinary Medicine of the Federal University of Santa Maria, qualified research and services.

Caracterização da Vigilância Ambiental em Saúde dos municípios de abrangência da 4ª Coordenadoria Regional de Saúde