scholarly journals Genealogy of Resistant Tuberculosis in Latin America and the Caribbean until 2020

2021 ◽  
Author(s):  
Onix J. Cantres-Fonseca ◽  
Francisco Del Olmo-Arroyo
Keyword(s):  
Latin America ◽  
Multidrug Resistance ◽  
Drug Exposure ◽  
Control Strategies ◽  
Treatment Resistance ◽  
High Rate ◽  
World Health ◽  
Resistant Tuberculosis ◽  
The World ◽  
The Caribbean

History hallmarks different out brakes events during the last century. Being caught in the in the middle of the catastrophic COVID-19 pandemic, that initiated in 2019 makes possible to forget other causalities. Tuberculosis makes the case. The pathogen has been present more than hundredth years. Relevance rest in worldwide prevalence, pathogen spread, treatment resistance and the need for eradication. Drug treatment resistance is considered as one of the criteria to prioritize a country in the World Health Organization’s intention to eradicate tuberculosis infection in the world. For decades in Latin America, including the Caribbean, there have been a persistent high rate of drug resistance with an overall prevalence to one or more drug rounds 13.0%. Approximately 30% of previously treated cases have a multidrug resistance. In this chapter, we intend to review the epidemiology of resistant tuberculosis, and the causes of resistance associated to the community of people in the Latin American and the Caribbean. We intend to describe the genetic response of Mycobacterium tuberculosis from its migratory journey throughout decades from areas of Europa and Asia to Latin America, its genetic transformation secondary to inadequate drug exposure and the characteristics of the infected host, and how a change in the healthcare system and tuberculosis control strategies access are needed to change the surge of multidrug resistance tuberculosis.

scholarly journals Hunger in Latin America: What Can We Do?

2019 ◽  
Vol 34 (s1) ◽  
pp. s94-s94
Author(s):  
Silvana Dal Ponte ◽  
Daniel Menezes
Keyword(s):  
Latin America ◽  
Climate Changes ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Food And Nutrition ◽  
The World ◽  
The Caribbean

Introduction:Hunger is a global problem and has increased in recent years. In Latin America, hunger continues in high numbers. Although the level of hunger is relatively low compared to other regions, this increase in Latin America is mainly explained by the economic slowdown in South America. Also, climate changes are already weakening the production of the main crops in tropical and temperate regions.Aim:Report the numbers of hunger in Latin America.Methods:A cross-sectional study with reports of the World Health Organization’s hunger figures, September 2018.Results:The number of hungry people in the world has increased for the third consecutive year and affects 821 million people, according to a report released by UN agencies. This corresponds to one in nine people in the world. In Brazil, the figures indicate that more than 5.2 million people spent a day or more without consuming food by 2017, which corresponds to 2.5% of the population. In Latin America and the Caribbean, hunger has also increased and affects some 39 million people.Discussion:Hunger is a catastrophic problem in Latin America. Involving professionals in food and nutrition to try to reduce these numbers appears to be a good strategy because just as the doctor treats the disease, the involvement of other specialists to address the cause of the problem can bring long-term benefits. A social project for this purpose that mobilizes chefs and nutritionists is in progress in Brazil.

scholarly journals Global Trends of Seroprevalence and Universal Screening Policy for Chagas Disease in Donors: a systematic review and meta-analysis

2019 ◽  
Author(s):  
Jenny Yeon Hee Kim ◽  
Julia Ledien ◽  
Eliana Rodriguez-Monguí ◽  
Andy Dobson ◽  
María-Gloria Basáñez ◽  
...  
Keyword(s):  
Latin America ◽  
Chagas Disease ◽  
Universal Screening ◽  
World Health ◽  
Sensitivity Analyses ◽  
Caribbean Region ◽  
Seroprevalence Data ◽  
The World ◽  
The Usa ◽  
The Caribbean

AbstractBackgroundScreening for Trypanosoma cruzi among blood and organ donors is essential to reduce Chagas disease transmission. The World Health Organization (WHO) has prioritised curtailing transmission in blood banks (BBs) and transplantation centres (TCs) by 50% by 2025 and 100% by 2030. This study aims to update the situation on T. cruzi screening strategies in BBs and TCs to evaluate the evolution of seroprevalence and the achievement of screening milestones globally.MethodsWe used published articles and government reports on seroprevalence data and screening policies in BBs and TCs across the world. We conducted meta-analyses of T. cruzi seroprevalence estimates by who region, endemicity status, and country, and used meta-regression to identify the covariates influencing the estimates. Publication bias and sensitivity analyses were also conducted.ResultsBased on 99 studies and reports and found a global pattern of increased universal screening policies (USPs) in BBs from 1990 to 2018. We found information for 50 countries, of which 44 (88%) have implemented USPs and 21 (42%) achieved 100% coverage by 2015. Out of the 21 Chagas-disease endemic countries, 20 are in advanced USPS stages, and 18 achieved 100% coverage by 2015. Latin America (LA) was the first region to start USPS since the 1990s and 19 countries are in advanced stages of implementation and by 2015 there is evidence of 100% coverage in 15 LA countries. In the Caribbean Region, USPs are still in early implementation stages and by 2015 only five out of 24 countries have achieved 100% coverage. Outside Latin America and the Caribbean, there are USPs only in the USA, which initiated in 2007 and with 100% coverage in 2016. In Europe, there are no USPs, but some countries have implemented selective screening of at-risk donors in the UK, Spain, France and Switzerland. Whereas Sweden and Italy have implemented a deferral system. For TCs, national guidelines have been produced in some European countries since the 2000s; in the USA, USPs started since 2002, but 100% coverage is yet to be achieved. There is a global decrease in T. cruzi seroprevalence among blood donors from the 1970s to 2010s, particularly in endemic countries, where the T. cruzi pooled seroprevalence decreased from 2.42% (95% CI 0.75%-7.53%) in the 1970s to 0.38% (95% CI 0.30%-0.60%) in the 2010s. Seroprevalence in non-endemic countries has remained relatively stable between 1990s and 2010s around 0.01% (95% CI 0.01%-0.03%). Country and decade were identified as the two major predictors of seroprevalence in BBs. Data on TCs was scarce.InterpretationDespite global progress in T. cruzi screening policies, both USPs and 100% coverage are yet to be achieved. Seroprevalence in BBs have decreased in endemic countries, likely due to a combination of vector control, increased USPs and voluntary donation, and improved diagnosis. To achieve the proposed WHO goals by 2025 and 2030, USPs in TCs must become available in all endemic countries. In BBs, USPs should be a priority in the Caribbean region as well as non-endemic countries where migration from endemic countries is important.

scholarly journals Cervical cancer mortality among young women in Latin America and the Caribbean: trend analysis from 1997 to 2030

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
J. Smith Torres-Roman ◽  
Luz Ronceros-Cardenas ◽  
Bryan Valcarcel ◽  
Janina Bazalar-Palacios ◽  
Jorge Ybaseta-Medina ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Latin America ◽  
Young Women ◽  
Cancer Mortality ◽  
Mortality Rates ◽  
World Health ◽  
Mortality Trends ◽  
Cervical Cancer Mortality ◽  
The World ◽  
The Caribbean

Abstract Background Cervical cancer continues to show a high burden among young women worldwide, particularly in low- and middle-income countries. Limited data is available describing cervical cancer mortality among young women in Latin America and the Caribbean (LAC). The purpose of this study was to examine the mortality trends of cervical cancer among young women in LAC and predict mortality rates to 2030. Methods Deaths from cervical cancer were obtained from the World Health Organization mortality database. Age-standardized mortality rates per 100,000 women-years were estimated in women aged 20–44 years using the world standard population for 16 countries (and territories) in LAC from 1997 to 2017. We estimated the average mortality rates for the last 4 years (2014–2017). Joinpoint regression models were used to identify significant changes in mortality trends. Nordpred method was used for the prediction of the mortality rates to 2030. Results Between 2014 and 2017, Paraguay and Venezuela had the highest mortality rates of cervical cancer, whereas Puerto Rico had the lowest rates. Overall, most of the LAC countries showed downward trends of cervical cancer mortality over the entire period. Significant decreases were observed in Chile (Average annual percent change [AAPC]: − 2.4%), Colombia (AAPC: − 2.0%), Cuba (AAPC: − 3.6%), El Salvador (AAPC: − 3.1%), Mexico (AAPC: − 3.9%), Nicaragua (AAPC: − 1.7%), Panama (AAPC: − 1.7%), and Peru (AAPC: − 2.2%). In contrast, Brazil (AAPC: + 0.8%) and Paraguay (AAPC: + 3.7%) showed significant upward trends. By 2030, mortality rates are not predicted to further decrease in some LAC countries, including Argentina, Paraguay, and Venezuela. Conclusions Mortality trends of cervical cancer among young women have large variability in LAC countries. Cervical cancer screening programs have a high priority for the region. Primary and secondary prevention in the community are necessary to accelerate a reduction of cervical cancer mortality by 2030.

scholarly journals Progress of implementation of the World Health Organization strategy for HIV drug resistance control in Latin America and the Caribbean

2011 ◽  
Vol 30 (6) ◽  
pp. 657-662 ◽  
Author(s):  
Giovanni Ravasi ◽  
Noreen Jack ◽  
Mónica Alonso Gonzalez ◽  
Omar Sued ◽  
María Dolores Pérez-Rosales ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Latin America ◽  
World Health Organization ◽  
World Health ◽  
Hiv Drug Resistance ◽  
The World ◽  
Organization Strategy ◽  
The Caribbean ◽  
Health Organization

scholarly journals Associations between osteoporosis and drug exposure: a post-marketing study of the World Health Organization pharmacovigilance database (VigiBase®)

Bone ◽  
2021 ◽  
pp. 116137
Author(s):  
Benjamin Batteux ◽  
Youssef Bennis ◽  
Sandra Bodeau ◽  
Kamel Masmoudi ◽  
Anne-Sophie Hurtel-Lemaire ◽  
...  
Keyword(s):  
World Health Organization ◽  
Drug Exposure ◽  
World Health ◽  
The World ◽  
Pharmacovigilance Database ◽  
Post Marketing ◽  
Health Organization

Commemorating EMDR’s 25th Anniversary byHighlighting EMDR Humanitarian Projects

2014 ◽  
Vol 8 (4) ◽  
pp. 179-180 ◽  
Author(s):  
Louise Maxfield
Keyword(s):  
Latin America ◽  
Refugee Camp ◽  
Individual Treatment ◽  
Special Issue ◽  
25Th Anniversary ◽  
Clinical Vignettes ◽  
Humanitarian Crises ◽  
The World ◽  
The Caribbean ◽  
Emdr Therapy

This editorial introduces the special issue of the Journal of EMDR Practice and Research that commemorates the 25th anniversary of eye movement desensitization and reprocessing (EMDR) therapy by highlighting EMDR humanitarian programs around the world—in North America, Europe, Africa, the Middle East, Asia, Latin America, and the Caribbean. EMDR therapy is a valuable and appropriate intervention in humanitarian crises, given its effectiveness as a brief individual treatment, consecutive-day application, and group therapy. There are many compelling clinical vignettes in this issue, including some from a refugee camp in Syria, a hurricane in South America, and earthquakes in India and Italy. The authors in this issue bring years of experience to their articles, and their commentary on the challenges, future needs, and concerns is illuminating and thought-provoking.

scholarly journals Johan Vilhelm Snellman’s–Finnish Philosopher, Writer, Diplomat–Statement “Science Centers for All”

2019 ◽  
Vol 12 (12) ◽  
pp. 85
Author(s):  
Abdullah Aydın
Keyword(s):  
Latin America ◽  
Human Life ◽  
Cultural Institutions ◽  
Science Centers ◽  
Global Village ◽  
Human Welfare ◽  
Content Analyses ◽  
The World ◽  
The Caribbean ◽  
The One

“Go to temples of science and ideas of Europe. Imitate the Tugendbund, ‘the Union of Virtue’, of which thousands of German youth are the members. Always keep the rule of ‘Fit soul is in fit body’ in mind” (Petrov, 2013, p. 72). This study aimed to show the similarities, in terms of expression, emphasis, and implication, in the about/mission/vision/goals/objectives of various science centers from around the world and in the basic themes derived from Snellman’s statement above, namely, Science for all, Science Centers for all, and Human welfare that he made as a challenge to not only his people but to everyone. Document and content analyses were applied in the study. Within the scope of these analyses, this study investigated the about/mission/vision/goals/objectives sections of websites of science centers from around the world (Asia, Europe, Global, Latin America/The Caribbean, North America, Africa). From this investigation, similar basic themes, derived from Snellman’s statement challenging his people/everyone to adopt this devotion to science, were found in the areas of i) expression in ASTC, CIMUSET/CSTM, CASC and SAASTEC; ii) emphasis in ECSITE, ASDC, ASCN and NSCF; and iii) implication in ASPAC, ASTEN, NCSM, ABCMC and Red-POP. These basic themes, as found in the about/mission/vision/goals/objectives of science centers, can, in effect, be narrowed down to the one theme of “cultural institutions will be a big part of human life” (Madsen 2017, p. 68) science centers in the global village (Touraine, 2016, p. 121) of the future.

Trusteeship Council

2008 ◽  
pp. 148-159
Author(s):  
Ralph Wilde
Keyword(s):  
Twentieth Century ◽  
Latin America ◽  
World War Ii ◽  
Middle East ◽  
Political Change ◽  
Self Determination ◽  
World War ◽  
The World ◽  
The Caribbean

This article examines the Trusteeship Council, a principal organ whose work was essential to the settlement arising from World War II. It involved establishing procedures for the independence of the defeated powers' colonies. This article details the pioneering efforts of the UN at facilitating the decolonization of trust territories. This is part of the world organization's contribution to the processes of self-determination for peoples in Africa, Asia, Latin America, the Caribbean, and the Middle East. It also reveals that the work of the Trusteeship Council was linked to what may have been the most important political change of the twentieth century.

Spotlight: 21st Century Skills in Latin America and the Caribbean

2021 ◽  
Author(s):  
Christopher Petrie ◽  
Clara García-Millán ◽  
María Mercedes Mateo-Berganza Díaz
Keyword(s):  
Latin America ◽  
21St Century ◽  
21St Century Skills ◽  
Economic Conditions ◽  
Development Bank ◽  
Learning Context ◽  
Long Run ◽  
The World ◽  
The Caribbean ◽  
Insight Into

There is a wealth of conversation around the world today on the future of the workplace and the skills required for children to thrive in that future. Without certain core abilities, even extreme knowledge or job-specific skills will not be worth much in the long run. To address these issues, the Inter-American Development Bank (IDB) and HundrED conducted this Spotlight project with the goal of identifying and researching leading innovations that focus on 21st Century Skills in Latin America and the Caribbean. The Spotlight program was supported by J.P. Morgan. The purpose of this project is to shine a spotlight, and make globally visible, leading education innovations from Latin America and the Caribbean doing exceptional work on developing 21st Century Skills for all students, teachers, and leaders in schools today. The main aims of this Spotlight are to: Discover the leading innovations cultivating 21st century skills in students globally; understand how schools or organizations can implement these innovations; gain insight into any required social or economic conditions for these innovations to be effectively introduced into a learning context; celebrate and broadcast these innovations to help them spread to new countries. All the findings of the Spotlight in 21st Century Skills are included in this report.

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