This work studies the health of the elderly of Ilha da Conceição, a neiborghood in Niterói, through the elderly health and disease representatives and also by the health professionals of the program called Programa do Médico de Família e da Unidade Básica de Saúde, services offered by the municipality. The aim of this program is to support the assessment of health policies and encourage new studies to improve devices for intervening in this scenario. This study lies in the field of social research using theoretical and methodological devices of qualitative research. The word of the interviewees is basic to comprehension of the elderly health building process, therefore, the description and analysis of the interviews have taken advantage of the mediation of some categories which have been brought into focus by the interviewees who frequenty mentioned subjects such as citizenship, identity and inclusion, existential issues and the relationship between the interviewees and health services-concepts developed for a better understanding of the objective. This study pointed out to a health concept which is strongly influenced by the local culture where the feeling of belonging to those people and to that place are unique features of Ilha da Conceição and transcends the individual dimension. Taking all those characteristics, Ilha-island- has revealed itself as a health-continent, a community with a particular expression, once it commits itself to accomplishing the community demands and its citizenship.