Habitat and environmental risks of Chagas disease in low-income colonias and peri-urban subdivisions in South Texas

2021 ◽  
Vol 118 ◽  
pp. 102460
Author(s):  
Bára Šafářová ◽  
Cecilia H. Giusti ◽  
Maria P. Perez ◽  
Italo B. Zecca ◽  
Ester S. Carbajal ◽  
...  
2001 ◽  
Vol 23 (23) ◽  
pp. 139 ◽  
Author(s):  
Luís Eduardo Robaina ◽  
Marcos Berger ◽  
Sandro S. Vargas de Cristo ◽  
Patrícia Milani de Paula

Santa Maria's city is located at the central region of Rio Grande of Sul. This work presents the referring information the areas of the city more aftected by risk events, it allowed the elaboration of a register of the risk situations. The studies of the dynamic of the system urban/environmental permited to fix the diagnostic causes of the geological/geomorphology processes. This register/diagnostic made possible identify the occurrence of processes of environmental risks, that are represented by mass moviments of stream of margins, landslide, and rockfall, besides the successive floods, associated, in general, with the areas of low income occupation.


2013 ◽  
Vol 24 (4) ◽  
pp. 805-811 ◽  
Author(s):  
Glorian Sorensen ◽  
Jennifer D. Allen ◽  
Gary Adamkiewicz ◽  
May Yang ◽  
Sara L. Tamers ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Genny Carrillo ◽  
Taehyun Roh ◽  
Juha Baek ◽  
Betty Chong-Menard ◽  
Marcia Ory

Abstract Background In the United States, childhood asthma prevalence is higher among low-income communities and Hispanic populations. Previous studies found that asthma education could improve health and quality of life, especially in vulnerable populations lacking healthcare access. This study aims to describe Healthy South Texas Asthma Program (HSTAP), an evidence-based asthma education and environmental modification program in South Texas, and evaluate its associations with health-related outcomes among Hispanic children with asthma and their families. Methods The RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) planning and evaluation framework was used as an overarching tool to evaluate the impact of the HSTAP. This educational program included 451 children with asthma and their families living in South Texas, an impoverished area at the Texas-Mexico border. The program consisted of (a) the asthma education (2-h) for children with asthma provided by Respiratory Therapy students at the children’s schools and (b) the home visit Asthma and Healthy Homes education and walk-through sessions (at baseline and 3 months) for parents and two follow-up visits (6 and 9–12 months later) led by community health workers. The education was provided in either English or Spanish between September 2015 and August 2020 as part of the Healthy South Texas Initiative. A pre-and post-test design was implemented to assess the differences in health outcomes, knowledge, and behaviors using standardized self-reported surveys as reported by parents. Analyses included primary descriptive analyses, generalized estimating equation models, the Wilcoxon signed-rank test, and the McNemar test. Results The HSTAP was significantly associated with improved individual-level outcomes on the frequency of asthma-related respiratory symptoms, including shortness of breath, chest tightness, coughing, and sleep difficulty, among children with asthma, as well as an enhanced asthma knowledge in their family. This study also showed significant associations with children’s school attendance and participation in physical activities and family social events and decreased families’ worry about their asthma management. Conclusions The RE-AIM model was a helpful framework to assess the HSTAP on all its components. The results suggest that participation in an asthma education and environmental modification program was associated with improved individual-level health conditions and reduced health disparities among children with asthma in low-income communities.


Author(s):  
A. S. Dutra ◽  
D. Stauffert ◽  
T. F. Bianchi ◽  
D. R. P. Ribeiro ◽  
M. M. Villela

Abstract Chagas disease (CD) is considered a typical low-income population sickness of the developing countries in Latin America. Given the historical relevance of CD in individuals in southern Rio Grande do Sul (RS) State, Brazil, the aim of this study was to identify the knowledge of the CD and its vectors by cardiac patients, and the prevalence of anti-T cruzi antibodies in these individuals in Pelotas, city located in Rio Grande do Sul (RS) state, Brazil. The subjects with cardiac disease were submitted to a semi-structured questionnaire as well as two serological tests in order to detect anti-T. cruzi IgG antibodies. Of the individuals that born in municipalities showing the highest triatomine infestation rates in recent decades, 81.8% were able to recognize the vector insect (p = 0.0042; OR = 5.9), and 83.3% reported either themselves or someone in their families to have CD (p = 0.043, OR = 5.2). Of the 54 patients submitted to serological analysis, only 01 patient (1.9%) was positive for anti-T. cruzi antibodies, a 55 year old man from the rural area of Canguçu county. This study provides support for the evaluation to be extended to other cardiology centers, given the importance of Chagas disease in Brazil.


2002 ◽  
Vol 2 (2) ◽  
pp. 1-10 ◽  
Author(s):  
David Wheeler

Poor countries suffer from serious environmental damage, and much more pollution control is justifiable. Weak regulation is partly to blame, but the evidence suggests that it reflects a general development problem, not deliberate creation of “pollution havens” to promote investment and trade. Aid from the OECD countries can help reduce pollution in poor countries by promoting better public information about polluters, stronger regulatory institutions, and more explicit attention to environmental risks in large projects. However, attempts to enforce OECD-level regulatory standards through general trade and aid sanctions are both regressive and useless: regressive because they penalize workers in poor countries by reducing opportunities for jobs and higher wages; useless because governments of low-income countries can not deliver on promises of OECD-level regulation, even if they wish to do so.


2011 ◽  
Vol 36 (01) ◽  
pp. 1-82 ◽  
Author(s):  
Peter M. Ward ◽  
Flavio de Souza ◽  
Cecilia Giusti ◽  
Jane E. Larson

This article analyzes the impact of The Community Resources Group Receivership Program undertaken from 1998 to 2002 that provided clean property titles to residents in several informal housing colonias (subdivisions) in South Texas. Survey data were gathered from 260 low‐income households comprising two populations: those who had secure title from the outset, and those who were beneficiaries of the land titling program. Focus group interviews were conducted to explore how the beneficiaries construct the meaning of ownership before and after title “regularization.” Formal titling consolidates understandings of absolute property relations in comparison with de facto rights born of use (legal or not), which strengthens people's sense of self‐esteem and potential for political involvement. We found that, contrary to conventional wisdom, title provision per se appears to have little direct impact either upon home improvement or upon residents' receiving enhanced access to credit and financial services. We also found evidence that informality and illegality is likely to reemerge as owners die intestate, and as they revert to informal land market property transfers.


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