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Abstract This article is part of a doctoral thesis that uses both Symbolic Interactionism as a theoretical framework, and Grounded Theory as a method, to understand the interpretations and meanings attributed to the instruments used in local actions of health surveillance; also to comprehend how these instruments interfere with risk identification and decision-making processes of interventions. The professional uses a set of empirical techniques and instrumental references that allow him to interpret possibilities for actions and situational conditions. Using health legislation, knowledge, and experience, the professional identifies and assesses the risk. These instruments structure knowledge and actions, rationally composing an objectified process using technical knowledge and critical interpretations; this nonetheless involves subjective decisions based on experience and interpretations. The intervention is the representation of the existence of risk and of protective measures. It is set in a specific context, constituting a system aiming to modify a problematic situation. It is not enough to identify the risk, but to define how and what means can be mobilized to control it. Intervening constitutes therefore a scientific and political challenge for the professional. Author Biographies Ana Valesca Fernandes Gilson Silva, Escola de Enfermagem, Universidade Federal de Minas Gerais (EE/UFMG), Belo Horizonte, MG Enfermeira. Mestre  Enfermagem pela Escola de Enfermagem da Universidade Federal de Minas Gerais - UFMG. Doutora em Enfermagem pela Escola de Enfermagem da Universidade Federal de Minas Gerais - UFMG. Coordenadora do Núcleo de Ensino e Pesquisa do Hospital Público Regional de Betim Francisco Carlos Felix Lana, Escola de Enfermagem, Universidade Federal de Minas Gerais (EE/UFMG), Belo Horizonte, MG Doutor em Enfermagem. Professor Associado do Departamento de Enfermagem Materno-Infantil e Saúde Pública da Escola de Enfermagem da Universidade Federal de Minas Gerais - UFMG Downloads PDF-PT (Português (Brasil)) Published 2016-02-29 How to Cite Silva, A. V. F. G., & Lana, F. C. F. (2016). Instrumentality in local actions of health surveillance. Health Surveillance under Debate: Society, Science & Technology, 4(1), 3–12. https://doi.org/10.3395/2317-269x.00536 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 4 No. 1 (2016): February Section Articles License Copyright (c) 2016 Health Surveillance under Debate: Society, Science & Technology (Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnología) – “Visa em Debate”

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