Ethic challenges of public health are traversed by micro and macro social determinants, requiring the health service to be focused on the scope and its population's needs. Therefore understanding the interface between territory, environment and health is important. Territory is the space of the daily sociability of the social group who inhabit it, not reduced to administration limits. Health depends both on the micro territory and the macro natural and social environment, since represent the social determinants of life reproduction. So, the first ethic challenge is the construction of an assistance model which integrates primary care and the surveillance knowledge on the health needs of this territory. Another challenge is to build intersectoral actions, politically jointed and compromised to face social determinants and environmental damages that affect the health of population, improving their life quality.
Bioethics; Public health; Primary care service; Health surveillance; Territory; Environment; Health social determinants