scholarly journals Mapping Multi-Disease Risk during El Niño: An Ecosyndemic Approach

Author(s):  
Ivan J. Ramirez ◽  
Jieun Lee ◽  
Sue C. Grady

El Niño is a quasi-periodic pattern of climate variability and extremes often associated with hazards and disease. While El Niño links to individual diseases have been examined, less is known about the cluster of multi-disease risk referred to as an ecosyndemic, which emerges during extreme events. The objective of this study was to explore a mapping approach to represent the spatial distribution of ecosyndemics in Piura, Peru at the district-level during the first few months of 1998. Using geographic information systems and multivariate analysis, two methodologies were employed to map disease overlap of 7 climate-sensitive diseases and construct an ecosyndemic index, which was then mapped and applied to another El Niño period as proof of concept. The main findings showed that many districts across Piura faced multi-disease risk over several weeks in the austral summer of 1998. The distribution of ecosyndemics were spatially clustered in western Piura among 11 districts. Furthermore, the ecosydemic index in 1998 when compared to 1983 showed a strong positive correlation, demonstrating the utility of the index. The study supports PAHO efforts to develop multi-disease based and interprogrammatic approaches to control and prevention, particularly for climate and poverty-related infections in Latin America and the Caribbean.

Author(s):  
Ivan Ramírez ◽  
Jieun Lee ◽  
Sue Grady

El Niño is a quasi-periodic pattern of climate variability and extremes often associated with hazards and disease. While El Niño links to individual diseases have been examined, less is known about the cluster of multi-disease risk referred to as an ecosyndemic, which emerges during extreme events. The objective of this study was to explore a mapping approach to represent the spatial distribution of ecosyndemics in Piura, Peru at the district-level during the first few months of 1998. Using geographic information systems and multivariate analysis, descriptive and analytical methodologies were employed to map disease overlap of 7 climate-sensitive diseases and construct an ecosyndemic index, which was then mapped and applied to another El Niño period as proof of concept. The main findings showed that many districts across Piura faced multi-disease risk over several weeks in the austral summer of 1998. The distribution of ecosyndemics were spatially clustered in western Piura among 11 districts. Furthermore, the ecosydemic index in 1998 when compared to 1983 showed a strong positive correlation, demonstrating the potential utility of the index. The study supports PAHO efforts to develop multi-disease based and interprogrammatic approaches to control and prevention, particularly for climate and poverty-related infections in Latin America and the Caribbean.


2019 ◽  
Vol 8 (11) ◽  
pp. 481 ◽  
Author(s):  
Anthony R. Cummings ◽  
Nakul Markandey ◽  
Hannah Das ◽  
Celina Arredondo ◽  
Aaran Wehenkel ◽  
...  

As the rate of crime decelerates in the developed world, the opposite phenomenon is being observed in the developing world, including Latin America and the Caribbean. Crime in Latin America and the Caribbean has been concentrated in urban settings, but the expertise for studying crime and providing guidance on policing remain heavily rooted in the developed world. A hindrance to studying crime in the developing world is the difficulty in obtaining official data, allowing for generalizations on where crime is concentrated to persist. This paper tackles two challenges facing crime analysis in the developing world: the availability of data and an examination of whether crime is concentrated in urban settings. We utilized newspaper archival data to study the spatial distribution of crime in Guyana, South America, across the landscape, and in relation to rural indigenous villages. Three spatial analysis tools, hotspot analysis, mean center, and standard deviation ellipse were used to examine the changing distribution of crime across 20 years. Based on 3900 reports of violent crime, our analyses suggest that the center of the gravity of crime changed over the years, spilling over to indigenous peoples’ landscapes. An examination of murder, where firearms and bladed weapons were the weapons of choice, suggests that these weapons moved beyond the coastal zone. The movement of weapons away from the coast raises concerns for the security of indigenous peoples and their associated wildlife. Our analysis suggests that policing measures should seek to extend towards Amerindian landscapes, and this is perhaps indicative of Latin American states with demographics similar to Guyana’s.


2011 ◽  
Vol 11 (3) ◽  
pp. 297-308 ◽  
Author(s):  
Angella Rinehold ◽  
Lana Corrales ◽  
Elizabeth Medlin ◽  
Richard J. Gelting

A Water Safety Plan (WSP) is a preventive, risk management approach to ensure drinking water safety. This emerging methodology is being increasingly applied in both industrialized and lower income countries worldwide. In 2006, the U.S. Centers for Disease Control and Prevention (CDC) and other local, national, and international partners in Latin America and the Caribbean (LAC) initiated a series of WSP demonstration projects. The objectives were to raise WSP awareness, build capacity, and promote adoption of the WSP approach while identifying those factors that aid or hinder water safety planning efforts in resource-challenged settings. This paper presents eleven lessons learned from these WSP demonstration projects, including the importance of assembling a well-supported interagency team, long-term commitment to WSP implementation, adherence to a water quality monitoring plan, and determining how WSP impacts will be evaluated prior to WSP initiation. To assist in supporting future WSP activity in the region, this paper shares experiences that led to these successes, challenges, and lessons learned.


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