[Analysis of the social and health impacts of large hydroelectric plants: lessons for a sustainable energy management].

The main objective of this study was to analyze the social and health impacts resulting from the construction of the Tucuruí (Pará, Brazil) and James Bay (Quebec, Canada) Hydroelectric Plants. The comparative method study used in analysis of the literature review revealed lessons to be learned from the national and international experience in order to ensure sustainable management of future major energy projects in Brazil. In this study, a successive negative domino effect was observed in terms of social impacts on jobs, income, sanitation, and culture, all with associated health problems. These included stress, nutritional and psychosocial disturbances, cardiopathies, as well as respiratory and digestive problems. The actions seeking to mitigate the effects of these negative impacts were slow to be implemented. Moreover, even though three decades have elapsed, these actions proved inefficient to resolve all the health and socio-environmental problems caused.