[The health-environment perspective as a tool for ecopharmacovigilance].

Environmental pollution by pharmaceutical is an emerging environmental issue and a public health concern. Active pharmaceutical ingredients have been detected in various ecosystems, where they have caused negative impacts, and considering their bioactive properties, they are considered potentially harmful to several species. Ecopharmacovigilance is concerned with the detection, evaluation, understanding, and prevention of adverse effects related to the presence of pharmaceuticals in the environment. This essay analyzes ecopharmacovigilance through a parallel with the book Silent spring, highlighting gaps in knowledge and addressing them with an approach that focuses on social aspects of health-disease-care problems. The present document points out that the current approach to ecopharmacovigilance loses sight of the determining role of social relationships, and focuses on the short-term, the study of isolated factors, and the search for immediate causes. There is a need for a theoretical rethinking of the problem is referred to, where the multiple ecosocial relationships are highlighted. Currently, the society has the possibility of knowing, rethinking, and taking action regarding how humans deal with each other and nature, in relation to health-disease-care issues.