Abstract
TESSER, Charles Dalcanale and
NORMAN, Armando Henrique.
Geoffrey Rose and the precautionary principle: to build the quaternary prevention in the prevention. Interface (Botucatu) [online]. 2019, vol.23, e180435. Epub Aug 01, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180435. Prevention has been medicalized leading to frequent iatrogenic harms. This calls for quaternary prevention (P4) in prevention: to avoid unnecessary medicalization/interventions and its associated iatrogenic harms. We present a conceptual articulation which guides P4 in prevention. Geoffrey Rose shows the difference between “reductive” preventive measures (reduce risks derived from modern life, such as reducing sedentary and ultraprocessed food) and “additive” (add protective artificial factors such as vaccinations, screenings, lipid-lowering drugs). The great potential harms of additive preventive measures require systematic application of