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1.

Boletín de la Cooperación Técnica, mayo 2017

Organización Panamericana de la Salud
| Idioma(s): Español
[Introducción]. En el marco de la septuagésima Asamblea Mundial de la Salud, el organismo internacional entregó el Premio de Salud Pública en Memoria del Dr. Lee Jong-wook al Contingente Internacional de Médicos Especializados en situaciones de desastre y graves epidemias, Henry Reeve, que ha movilizado 24 brigadas médicas cubanas en 19 naciones. El Consejo Ejecutivo de esa organización internacional decidió por unanimidad otorgar este lauro al contingente cubano, especialmente por la labor de 250 especialistas contra el Ébola en tierras africanas. El galardón fue recibido por el doctor Félix Báez Sarría, miembro de la brigada, y el ministro de Salud Pública de Cuba, Roberto Morales Ojeda, quien en la ceremonia de entrega agradeció este reconocimiento mundial, en nombre de los 7 491 profesionales de la salud que a lo largo de 11 años han atendido 3 500 000 personas y salvado más de 80 000 vidas
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2.

Boletín de la Cooperación Técnica, enero 2017

Organización Panamericana de la Salud
| Idioma(s): Español
[Introducción], El Dr. Theodor Fiedrich, Representante de la FAO y la Dra. Vivian Pérez, Consultora de OPS/OMS en Cuba, realizaron la presentación conjunta del más reciente informe del Panorama del Estado de la Seguridad Alimentaria y Nutricional de América Latina y el Caribe, que en esta ocasión se centró en analizar el incremento de la obesidad y el sobrepeso en la región y cómo las políticas agrarias pueden contribuir a mejorar la oferta de alimentos para una nutrición saludable. Según su nuevo informe conjunto, el Panorama de la Seguridad Alimentaria y Nutricional en América Latina y el Caribe, cerca del 58 % de los habitantes de la región vive con sobrepeso (360 millones de personas). Salvo en Haití (38,5%), Paraguay (48,5%) y Nicaragua (49,4%) el sobrepeso afecta a más de la mitad de la población de todos los países de la región, siendo Chile (63%), México (64 %) y Bahamas (69%) los que presentan las tasas más elevadas. La obesidad afecta a 140 millones de personas, el 23% de la población regional y las mayores prevalencias se pueden observar todas en países del Caribe: Bahamas (36,2%) Barbados (31,3%), Trinidad y Tobago (31,1%) y Antigua y Barbuda (30,9%). El aumento de la obesidad ha impactado de manera desproporcionada a las mujeres: en más de 20 países de América Latina y el Caribe, la tasa de obesidad femenina es 10 puntos porcentuales mayores que la de los hombres
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4.

Alcohol Control in Cuba: Preventing Countervailing Cultural and Mass Media Influences.

González-Menéndez, Ricardo Á
| Idioma(s): Inglés
Harmful use of alcohol-the prime gateway drug to other addictions-is also a problem in Cuba, even though the National Program for Prevention of Harmful Use of Alcohol includes the most effective measures used in analogous programs around the world. As a participant in the program's committee and empirical observer of its accomplishments and unaccomplished goals, I draw attention to the community's attitude of tolerance toward intoxication manifested by the lack of proportional consequences, and I insist on the need to broaden the community's understanding of the risks of non-social drinking, which in Latin America is practically limited to alcoholism and its complications. This undervalues the damage wreaked by unpredictable and dangerous behavior under the influence, as well as the suffering of codependents and other "passive drinkers," and the adverse effects of even social drinking. KEYWORDS Alcohol abuse/prevention and control, alcohol consumption, alcohol drinking/culture, alcoholism, drinking behavior, behavior and behavior mechanisms, social determinants of health, social reinforcement, mass media, communication, Cuba.
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7.

Estado, política social e saúde: estratégias para o controle decâncer de mama em Cuba/ State, social and health policy: strategies for breast cancer control in Cuba

Silva, Amanda Frazão da
| Idioma(s): Portugués
Cuba possui um sistema de saúde de acesso universal e de responsabilidade total do Estado. O país enfrenta grandes dificuldades de ordem política e econômica que afetam o universo das públicas cubanas, incluindo a Saúde. Com o envelhecimento populacional, Cuba convive com um expressivo crescimento no número de casos de diagnósticos de câncer. No que se refere ao câncer de mama, atualmente é a segunda causa de morte entre as mulheres cubanas. Nesse contexto, este estudo teve como objeto a análise do Sistema de Saúde cubano no que se refere ao controle do câncer de mama feminina no país, entendendo a complexidade existente no enfrentamento da doença. O estudo teve como bases a discussão sobre sistemas de saúde, controle de câncer de mama e atuação do Estado junto à Saúde.A análise documental e a revisão bibliográfica foram utilizadas metodologia. A rigidez do bloqueio econômico e o isolamento político da ilha após a dissolução da União das Repúblicas Socialistas Soviéticas (URSS), aprofundaram os problemas de ordem econômica no país, culminando em limitações impostas ao sistema de saúde.Com vistas a amenizar a crise econômica que a ilha convive há décadas, a partir dos anos 2000, o governo se utilizou da abertura comercial como uma estratégia. A forte atuação do Estado cubano nas suas mais diferentes frentes torna-se um diferencial no controle do desenvolvimento da política de saúde, garantindo ao Estado alta governabilidade. As ações de caráter coletivo destacam-se no âmbito do sistema de saúde cubano. Esse fato possivelmente está associado à ênfase que o sistema dá a Atenção Primária... Cuba has a universal with access health care system and total state responsibility.The country faces great difficulties of political and economic order that affect the public politics, including Health. With the aging population, Cuba coexists with a significant increase in the number of cases of cancer diagnoses. As regards the breast cancer is currently the second leading cause of death among women in Cuba. In this context, this study had as its object the analysis of the Cuban health system with regard to the control of female breast cancer in the country, understanding the complexity existing in fighting the disease. The study had as bases the discussion about health care, breast cancer control and state action at the Health. The document analysis and literature review were used as methodology. The rigidity of the economic blockade and political isolation of the island after the dissolution of the Union of Soviet Socialist Republics (USSR), deepened the problems of economic order in the country, culminating in limitations imposed on the health care system. Inorder to ease the economic crisis that the island lives for decades, from the 2000s, the government has used the trade liberalization as a strategy. The strong performance of the Cuban state in its different fronts becomes a differential in control of health policy development, ensuring the state high governance. The collective actions stand out within the Cuban health system. This fact is possibly due to the emphasis that the system gives the Primary Health Care. This scenario happens quite the focus on high solving the problems at the primary level, as well as to reduce system costs. The problem of breast cancer and the difficulty of disease control in Cuba demonstrate that even with a public health system, universal, quality, scarcity of financial resources and the difficulty in obtaining inputs and technologies impacting directly on coping policy breast cancer...
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8.

Addressing Disease-Related Malnutrition in Healthcare: A Latin American Perspective.

Correia, Maria Isabel; Hegazi, Refaat A; Diaz-Pizarro Graf, José Ignacio; Gomez-Morales, Gabriel; Fuentes Gutiérrez, Catalina; Goldin, Maria Fernanda; Navas, Angela; Pinzón Espitia, Olga Lucia; Tavares, Gilmária Millere
| Idioma(s): Inglés
Alarmingly high rates of disease-related malnutrition have persisted in hospitals of both emerging and industrialized nations over the past 2 decades, despite marked advances in medical care over this same interval. In Latin American hospitals, the numbers are particularly striking; disease-related malnutrition has been reported in nearly 50% of adult patients in Argentina, Brazil, Chile, Costa Rica, Cuba, Dominican Republic, Ecuador, Mexico, Panama, Paraguay, Peru, Puerto Rico, Venezuela, and Uruguay. The tolls of disease-related malnutrition are high in both human and financial terms-increased infectious complications, higher incidence of pressure ulcers, longer hospital stays, more frequent readmissions, greater costs of care, and increased risk of death. In an effort to draw attention to malnutrition in Latin American healthcare, a feedM.E. Latin American Study Group was formed to extend the reach and support the educational efforts of the feedM.E. Global Study Group. In this article, the feedM.E. Latin American Study Group shows that malnutrition incurs excessive costs to the healthcare systems, and the study group also presents evidence of how appropriate nutrition care can improve patients' clinical outcomes and lower healthcare costs. To achieve the benefits of nutrition for health throughout Latin America, the article presents feedM.E.'s simple and effective Nutrition Care Pathway in English and Spanish as a way to facilitate its use.
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9.

Comparative analysis of dietary guidelines in the Spanish-Speaking Caribbean.

Fuster, Melissa
| Idioma(s): Inglés
OBJECTIVE: Dietary guidelines are important education and policy tools to address local nutrition concerns. The current paper presents a comparative analysis of nutrition messages from three Spanish-speaking Caribbean countries (Cuba, Puerto Rico and Dominican Republic) to explore how these dietary guidelines address common public health nutrition concerns, contextualized in different changing food environments and food culture similarities. DESIGN: Qualitative, comparative analysis of current dietary guideline documents and key recommendations. RESULTS: Key recommendations were categorized into sixteen themes (two diet-based, ten food-based and four 'other'). Only the Cuban dietary guidelines included diet-based key recommendations. Of the ten food-based key recommendations, only four themes overlapped across the three dietary guidelines (the encouragement of fruits and vegetables, addressing protein sources and fat). Other overlaps were found between dietary guideline pairs, except between Cuba and Puerto Rico. Further analysis revealed differences in levels of specificity and acknowledgement of local dietary patterns and issues, as well as the need to revise the guidelines to account for current scientific advances. CONCLUSIONS: The present study underscored the importance of context in the framing of dietary advice and the influence of national socio-economic and political situations on nutrition policy and education efforts. The results contribute to inform efforts to improve nutrition communication in the region and among migrant communities.
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10.

Boletín de la Cooperación Técnica, diciembre 2016

Organización Panamericana de la Salud
| Idioma(s): Español
OPS rinde tributo a los graduados antes del 59. Pilares del Sistema Nacional de Salud de Cuba. En el contexto conmemorativo por el Día de la Medicina Latinoamericana, la Organización Panamericana de la Salud/ Organización Mundial de la Salud organizó actividad para rendir homenaje a los médicos Graduados antes de 1959. Presidieron el acto: Roberto Morales Ojeda, Miembro del Buró Político y Ministro de Salud Pública; Jose Ramón Balaguer Cabrera, Miembro del Comité Central del Partido Comunista de Cuba y Jefe del departamento de Relaciones Internaciones del Comité Central del Partido Comunista de Cuba; Cristian Morales Furihmann, Representante de OPS/OMS en Cuba; y Santiago Badía González, Secretario General del Sindicato Nacional de trabajadores de la Salud
Resultados  1-10 de 528