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1.
Washington, D.C.; PAHO; 2019-10-01.
em Inglês | PAHO-IRIS | ID: phr-51571

RESUMO

In the last decades, health in the Region of the Americas has improved dramatically, yet many people are being left behind. PAHO has established the Commission on Equity and Health Inequalities in the Americas to analyze the impact of drivers influencing health, while proposing actions to improve inequalities in health. According to the evidence presented in this report, much of ill health is socially determined. Factors such as socioeconomic position, ethnicity, gender, sexual orientation, disability status, being a migrant—alone or in combination—can contribute to marked inequalities in health on life. The analysis also reveals that other structural factors, such as climate change, environmental threats, and one’s relationship with the land, as well as the continuing impact of colonialism and racism, are also slowing progress towards a dignified life and enjoying the highest attainable standards of health. Furthermore, the impact of daily life conditions shows that the effect of inequalities is seen at the start of life. The report provides examples of successful policies, programs, and actions implemented in countries and presents 12 recommendations to achieve health equity, calling for coordinated actions among local and national governments, transnational organizations, and civil society to jointly address the social determinants of health.


Assuntos
Equidade em Saúde
2.
Washington, D.C.; PAHO; 2019-09-23.
em Inglês | PAHO-IRIS | ID: phr-51570

RESUMO

In the last decades, health in the Region of the Americas has improved dramatically, yet many people are being left behind. PAHO has established the Commission on Equity and Health Inequalities in the Americas to analyze the impact of drivers influencing health, while proposing actions to improve inequalities in health. According to the evidence presented in this report, much of ill health is socially determined. Factors such as socioeconomic position, ethnicity, gender, sexual orientation, disability status, being a migrant—alone or in combination—can contribute to marked inequalities in health on life. The analysis also reveals that other structural factors, such as climate change, environmental threats, and one’s relationship with the land, as well as the continuing impact of colonialism and racism, are also slowing progress towards a dignified life and enjoying the highest attainable standards of health. Furthermore, the impact of daily life conditions shows that the effect of inequalities is seen at the start of life. The report provides examples of successful policies, programs, and actions implemented in countries and presents 12 recommendations to achieve health equity, calling for coordinated actions among local and national governments, transnational organizations, and civil society to jointly address the social determinants of health.


Assuntos
Equidade em Saúde , Américas
3.
Washington, D. C.; PAHO; 2019-09-20. (PAHO/HSS/19-004).
em Inglês | PAHO-IRIS | ID: phr-51558

RESUMO

The aim of this document is to highlight the progress made with regard to advanced therapy products, the risks associated with such products, and the regulatory challenges they pose for Member States with a view to strengthening regulatory systems. The document is also a call to action for governments to consider the development of standards and rules for regulating these products in order to control the use of unapproved therapies and prevent risks to the population. As discussed, there are cross-cutting regulatory principles that should be implemented by any regulatory body that plans to undertake the regulation and oversight of advanced therapy products.


Assuntos
Assistência Farmacêutica , Sistemas de Saúde , Farmácia , Farmacovigilância , Células-Tronco Hematopoéticas , Sistema Imunitário , Sistemas Sanguíneo e Imunológico
4.
Washington, D.C.; PAHO; 2019-09-16. (PAHO/HSS/19-003).
em Inglês | PAHO-IRIS | ID: phr-51549

RESUMO

The aim of this document is to outline key examples and principles for the practice of regulatory reliance. Its rationale is multifold: (a) it follows on previous discussions at the 2016 Conference of the Pan American Network for Drug Regulatory Harmonization (PANDRH), and (b) it fulfills a recommendation by the Conference that requested PAHO to develop a concept paper on reliance for PANDRH stakeholders to consider for endorsement. This concept paper builds on a presentation that was made at the 2016 Conference and integrates global thinking on the subject, including a recent document by the World Health Organization (WHO). The overarching goal is to ensure that PANDRH stakeholders continue to build understanding around reliance in ways that can better inform scenarios for its use.


Assuntos
Controle de Medicamentos e Entorpecentes , Acesso a Medicamentos Essenciais e Tecnologias em Saúde , Américas , Regulação e Fiscalização em Saúde , Barreiras ao Acesso aos Cuidados de Saúde , Acesso aos Serviços de Saúde , Legislação em Ciência e Tecnologia , Autoridades de Saúde , Colaboração Intersetorial
5.
Washington, D.C.; PAHO; 2019-08-27.
em Inglês | PAHO-IRIS | ID: phr-51514

RESUMO

The use of scenarios with parallel perspectives in a simulated health emergency helps participants to see that the exercise is appropriately realistic for all participants involved—both health practitioners and members of indigenous communities... The objective of this document is to adapt the rationale and the methodology for conducting a simulation exercise so that the discussion leads to improved disaster risk management, post-emergency interventions, and health outcomes for indigenous peoples. To achieve this objective, hypothetical scenarios are developed in which the same facts and occurrences are presented, both from a traditional perspective as well as from a perspective that reflects an indigenous cosmovision.


Assuntos
Saúde de Populações Indígenas , Emergências em Desastres , Avaliação de Risco e Mitigação , Biodiversidade , Saúde Ambiental , Efeitos de Desastres na Saúde
6.
Washington, D. C.; PAHO; 2019-08-15.
em Inglês, Espanhol | PAHO-IRIS | ID: phr-51499

RESUMO

In 2019, Haiti and the Bolivarian Republic of Venezuela reported confirmed cases. In 2018, there were three countries in the Region of the Americas (Colombia, Haiti, and Venezuela) reported confirmed cases of diphtheria. The following is a summary of the updated epidemiological situation reported by Haiti and Venezuela. In Haiti, between epidemiological week (EW) 32 of 2014 and EW 30 of 2019, there were 870 probable cases 1 reported, including 110 deaths; of these, 281 were confirmed (272 by laboratory criteria and 9 by epidemiological link).


En 2019, Haití y la República Bolivariana de Venezuela han reportado casos confirmados. En 2018, tres países de la Región de las Américas (Colombia, Haití y Venezuela) notificaron casos confirmados de difteria. A continuación, un resumen actualizado de la situación epidemiológica reportada por Haití y Venezuela. En Haití, entre la semana epidemiológica (SE) 32 de 2014 y la SE 30 de 2019 se notificaron 870 casos probables1, incluidas 110 defunciones; de los cuales 281 casos fueron confirmados (272 por laboratorio y 9 por nexo epidemiológico).


Assuntos
Regulamento Sanitário Internacional , Emergências , Difteria , Regulamento Sanitário Internacional , Difteria
7.
Washington, D.C.; PAHO; 2019-08-22.
em Inglês | PAHO-IRIS | ID: phr-51497

RESUMO

Between 1970 and 2018, the Region of the Americas experienced over 4,500 disasters that killed 569,184 people and injured more than 3 million people. Additionally, emergencies and disasters of any kind can cause multimillion-dollar economic losses and can significantly undermine the performance of health systems. Today, more than ever, it is necessary for countries to improve their preparedness and response to health emergencies and disasters—a need expressed by the Member States of the Pan American Health Organization. The main aim of the Health Sector Multi-Hazard Response Framework (MRF) is to improve the capacity of countries to manage their response to emergencies and disasters in a more efficient and timely manner. The MRF facilitates an operational model that makes it possible to identify response activities, taking into account all existing hazards and to carry out those activities within a national framework based on the organization of the health sector. The MRF is designed mainly for health sector authorities and managers responsible for emergency and disaster risk management, guiding them in the process of updating or developing response planning. This ranges from describing the operational model to implementing emergency functions involving various actors, identifying preparedness tools in the health sector, and developing standardized operating procedures, organizational analysis, and specific contingency plans. Implementation of this framework will provide countries with adequate response planning based on a multi-hazard approach. This will lead to better use of available resources and greater flexibility to deal with any type of event.


Assuntos
Regulamento Sanitário Internacional , Ameaças , Emergências , Efeitos de Desastres na Saúde , Planos e Programas de Saúde , Américas
8.
Washington, D. C.; PAHO; 2019-08-09.
em Inglês, Espanhol | PAHO-IRIS | ID: phr-51496

RESUMO

In the Region of the Americas, between epidemiological week (EW) 1 and EW 301 of 2019, a total of 2,029,342 cases of dengue (207.9 cases per 100,000 population) have been reported, including 723 deaths. Of the total cases, 846,342 (42%) were laboratory-confirmed and 12,268 (0.6%) were classified as severe dengue. The reported case-fatality rate was 0.04%. The number of cases reported as of EW 30 (2,029,342) is higher than the annual totals reported during the most recent two years (2017-2018) and, to date, is lower than the annual totals reported during the 2015-2016 epidemic cycle.


Entre la semana epidemiológica (SE) 1 y la SE 301 de 2019 en la Región de las Américas se notificaron 2.029.342 casos de dengue (incidencia de 207,9 casos por 100.000 habitantes), incluidas 723 defunciones. De esos casos, 846.342 (42%) fueron confirmados por criterios de laboratorio. Del total de casos reportados, 12.268 (0,6%) fueron clasificados como dengue grave y la letalidad fue de 0,04%. El total de casos reportados (2.029.342) hasta la semana 30, fue superior al total registrado durante todo el año en 2017 y 2018, y hasta el momento, inferior al histórico registrado en el ciclo epidémico 2015-2016.


Assuntos
Regulamento Sanitário Internacional , Emergências , Dengue , Regulamento Sanitário Internacional
9.
Washington, D. C.; PAHO; 2019-08-07.
em Inglês, Espanhol | PAHO-IRIS | ID: phr-51495

RESUMO

Between 1 January and 7 August 2019, a total of 2,927 confirmed cases of measles, including one death, have been reported in 14 countries and territories of the Region of the Americas: Argentina (5 cases), the Bahamas (1 case), Brazil (1,045 cases), Canada (82 cases), Chile (4 cases), Colombia (175 cases), Costa Rica (10 cases), Cuba (1 case), Curaçao (1 case), Mexico (3 cases), Peru (2 cases), the United States of America (1,172 cases), Uruguay (9 cases), and the Bolivarian Republic of Venezuela (417 cases). Since the PAHO/WHO Epidemiological Update on Measles published on 18 June1, there has been a 70% increase in the total number of confirmed cases of measles reported, with 7 countries and territories reporting additional confirmed cases: Brazil (923 cases), Canada (17 cases), Colombia (50 cases), Curaçao (1 case), Mexico (1 case), the United States (128 cases), and Venezuela (85 cases). In 2018, the highest proportion of confirmed cases in the Region of the Americas were reported in Brazil and Venezuela, while in 2019, the majority of confirmed cases have been reported from the United States (40%) and Brazil (36%).


Desde el 1 de enero al 7 de agosto de 2019 se notificaron 2.927 casos confirmados de sarampión, incluida una defunción, en 14 países y territorios de la Región: Argentina (5 casos), Bahamas (1 caso), Brasil (1.045 casos), Canadá (82 casos), Chile (4 casos), Colombia (175 casos), Costa Rica (10 casos), Cuba (1 caso), Curazao (1 caso), Estados Unidos de América (1.172 casos), México (3 casos), Perú (2 casos), Uruguay (9 casos) y la República Bolivariana de Venezuela (417 casos). Desde la Actualización Epidemiológica de sarampión publicada el 18 de junio1, hubo un incremento de 70% en el total de casos confirmados, porque 7 países y territorios han notificado casos confirmados adicionales: Brasil (923 casos), Canadá (17 casos), Colombia (50 casos), Curazao (1 caso), Estados Unidos de América (128 casos), México (1 caso) y la República Bolivariana de Venezuela (85 casos). En 2018, la mayor proporción de casos confirmados de la Región de las Américas se registró en Brasil y Venezuela, mientras que, en 2019, la mayoría de los casos confirmados proviene de Estados Unidos (40%) y Brasil (36%).


Assuntos
Regulamento Sanitário Internacional , Emergências , Sarampo , Regulamento Sanitário Internacional , Sarampo
10.
Washington, D.C.; PAHO; 2019-08-21.
em Inglês | PAHO-IRIS | ID: phr-51484

RESUMO

[Description of the Course]. The Mass Casualty Management course is a didactic, multi-sectoral training course consisting of five days of lectures, field exercises and role-playing. It is designed to sharpen the response skills of mass casualty responders, helping them to more effectively manage events in human and/or other resources-challenged areas. On day six, it culminates in a series of practical field exercises, held at night, to underscore nocturnal challenges. Upon successful completion of the course, students will be eligible for a certificate in Mass Casualty Management, issued through the Ministry of Health or the National Disaster Office, in collaboration with the Pan American Health Organization. The course will be of value to all persons likely to be involved in a community’s response to a mass casualty event: police officers; fire officers; medical staff; first responders; ambulance service personnel; Coast Guard and the military; airport/airline employees; disaster managers; paramilitary and non-governmental organizations (NGOs), such as Red Cross volunteers; and security staff.


Assuntos
Incidentes com Feridos em Massa , Recursos Humanos em Desastres , Cursos de Capacitação , Avaliação de Risco e Mitigação , Vítimas de Desastres , Américas
11.
Washington, D.C.; PAHO; 2019-08-21. (PAHO/NMH/19-016).
em Inglês | PAHO-IRIS | ID: phr-51483

RESUMO

The Region of the Americas has an NCD mortality rate of 436.5 per 100,000 population, which ranges from a high in Guyana of 831.4 deaths per 100,000 population, to a low in Canada of 291.5 deaths per 100,000 population. Twenty-two countries have NCD mortality rates above the regional mean, as shown in darker color in the map below. Countries in the Caribbean sub-region exhibit the highest NCD mortality rates in the region, where 7 countries2 have rates above 583.5 per 100,000 population... This booklet presents data on NCD mortality and prevalence of NCD risk factors, by country, for the Region of the Americas. The focus is on the 5 x 5 NCD agenda which includes the main NCDs (cardiovascular diseases, cancer, diabetes, and chronic respiratory diseases), and mental health (suicide); as well as the main NCD risk factors (tobacco use, harmful use of alcohol, unhealthy diet, insufficient physical activity), along with air pollution. It includes information on the number and percentage of deaths, age-standardized death rates, premature death from NCDs and the prevalence of NCD risk f actors.


Assuntos
Mortalidade , Doença Crônica , Pessoas com Deficiência , Doenças Cardiovasculares , Neoplasias , Diabetes Mellitus , Doenças Respiratórias , Fatores de Risco , Estatísticas de Saúde , Saúde Mental , Américas
12.
Washington, D.C.; PAHO; 2019-08-13.
em Inglês | PAHO-IRIS | ID: phr-51449

RESUMO

The Preparedness Index for Health Emergencies and Disasters is a voluntary tool to be used by health sector authorities to measure progress in emergency and disaster preparedness with a multi-hazard approach and in line with the World Health Organization’s (WHO) Strategic Framework for Emergency Preparedness. The Preparedness Index incorporates the following cross-cutting approaches: people-centered actions; gender, equity, ethnicity, human rights and disability; and shared responsibility between national and sub-national institutions and authorities, and the public and private sectors...The objective of the Preparedness Index for health Emergencies and Disasters is to estimate the national or sub-national health preparedness capacity to deal with natural, anthropic and health events (epidemics) that generate emergencies and disasters, as well as the capacity of the health sector to recover early from the effects of these events.


Assuntos
Emergências em Desastres , Instalações de Saúde , Gestão da Segurança , Planejamento em Desastres , Avaliação de Risco e Mitigação
13.
Washington, D.C.; PAHO; 2019-08-13.
em Inglês | PAHO-IRIS | ID: phr-51448

RESUMO

[Introduction]. The Hospital Safety Index occupies a central place in local, national and global efforts to improve the functioning of hospitals in emergencies and disasters. This is an area that the World Health Organization (WHO) has promoted and supported for more than 25 years. After the Pan American Health Organization (PAHO) and WHO released the first version of the Hospital Safety Index in 2008, ministries of health and other health entities, other government ministries and agencies, and public and private hospitals across the six regions of WHO have joined their counterparts in the Americas in applying and adapting the Hospital Safety Index. The growing interest in safe hospitals led to calls from countries and other stakeholders for the revision of Hospital Safety Index to make it a truly global assessment tool that can be used in all contexts across the world. In emergencies, disasters and other crises, a community must be able to protect the lives and well-being of the affected population, particularly in the minutes and hours immediately following impact or exposure. The ability of health services to function without interruption in these situations is a matter of life and death. The continued functioning of health services relies on a number of key factors, namely: that health services are housed in structures (such as hospitals or other facilities) that can resist exposures and forces from all types of hazards; medical equipment is in good working order and is protected from damage; community infrastructure and critical services (such as water, electricity etc.) are available to support the health services; and health personnel are able to provide medical assistance in safe and secure settings when they are most needed... This Guide for evaluators for the Hospital Safety Index provides a step-by-step explanation of how to use the Safe Hospitals Checklist, and how the evaluation can be used to obtain a rating of the structural and nonstructural safety, and the emergency and disaster management capacity, of the hospital. The results of the evaluation enable hospital’s own safety index to be calculated.


Assuntos
Emergências em Desastres , Instalações de Saúde , Gestão da Segurança , Medicina de Emergência , Planejamento em Desastres , Avaliação de Risco e Mitigação , Arquitetura Hospitalar , Planejamento Hospitalar , Instituições de Saúde, Recursos Humanos e Serviços
14.
Washington, D. C.; PAHO; 2019-07-18.
em Inglês, Espanhol | PAHO-IRIS | ID: phr-51494

RESUMO

On 28 June 2019, the Ministry of Health of the Plurinational State of Bolivia received a report of 3 cases of hemorrhagic febrile syndrome of unknown etiology with suspected human-to-human transmission. As of 17 July 2019, there are a total of 5 cases, including 3 deaths. Of the total cases, 3 have been laboratory-confirmed (one fatal) and 2 have been classified as probable cases (both fatal). The cases had symptom onset between 29 April and 29 May 2019. Four of the 5 cases are male, with ages ranging between 21 to 65 years (median 42 years). Three of the cases are healthcare workers and the other 2 cases are agricultural workers.


El 28 de junio de 2019, el Ministerio de Salud del Estado Plurinacional de Bolivia recibió el reporte de 3 casos de síndrome febril hemorrágico de etiología desconocida, con sospecha de transmisión de persona a persona. Hasta el 17 de julio de 2019, se tiene un total de cinco casos, incluidas tres defunciones. Del total de casos, tres han sido confirmados por laboratorio (uno de ellos falleció) y 2 fueron clasificados como casos probables (los dos fallecieron). Los casos, iniciaron síntomas entre el 29 de abril y el 29 de mayo de 2019. Cuatro de los cinco casos son hombres, con edades entre 21 y 65 años (mediana 42 años). Tres de los casos son personal de salud y los otros dos agricultores.


Assuntos
Regulamento Sanitário Internacional , Emergências , Febre Hemorrágica Americana , Arenavirus , Bolívia , Regulamento Sanitário Internacional , Febre Hemorrágica Americana
15.
Washington, D. C.; PAHO; 2019-07-03.
em Inglês, Espanhol | PAHO-IRIS | ID: phr-51492

RESUMO

In 2018, three countries in the Region of the Americas (Colombia, Haiti, and the Bolivarian Republic of Venezuela) reported confirmed cases of diphtheria. In 2019, Haiti and Venezuela reported confirmed cases. The following is a summary of the epidemiological situation in Haiti and Venezuela. In Haiti, between epidemiological week (EW) 32 of 2014 and EW 22 of 2019, there were 852 probable cases 1 reported, including 108 deaths; of these, 276 were confirmed (267 by laboratory criteria and 9 by epidemiological link).


En 2018, tres países de la Región de las Américas (Colombia, Haití, y la República Bolivariana de Venezuela) notificaron casos confirmados de difteria. En 2019, Haití y Venezuela han reportado casos confirmados. A continuación, un resumen de la situación en Haití y Venezuela. En Haití, entre la semana epidemiológica (SE) 32 de 2014 y la SE 22 de 2019 se notificaron 852 casos probables1, incluidas 108 defunciones; de los cuales 276 casos fueron confirmados (267 por laboratorio y 9 por nexo epidemiológico).


Assuntos
Regulamento Sanitário Internacional , Emergências , Difteria , Regulamento Sanitário Internacional , Difteria
16.
Official Document;357
Monografia em Inglês | PAHO-IRIS | ID: phr-51415

RESUMO

In accordance with Financial Regulation 14.9 of the Pan American Health Organization (PAHO), I have the honor to present the Financial Report of the Pan American Health Organization for the financial reporting period 1 January 2018 through 31 December 2018. The Financial Statements and Notes to the Financial Statements have been prepared in compliance with International Public Sector Accounting Standards (IPSAS) and PAHO’s Financial Regulations and Financial Rules. Although PAHO has adopted an annual financial reporting period as stipulated in Financial Regulation 2.2, the budgetary period remains a biennium (Financial Regulation 2.1). Therefore, for the purposes of actual vs. budget comparisons in the Director’s Comments, the annual budget figures represent one half of the Biennial Program and Budget as an approximation of annual budgetary figures...During 2018, PAHO exercised its leadership, convening a catalyst role to improve the health of the peoples of the Americas in collaboration with Member States and partners. The Organization continued to provide direct technical cooperation, mobilize resources, strengthen partnerships and networks, build capacity, generate and provide evidence, and advocate for the necessary actions to continue to make progress on the priorities of the PAHO Strategic Plan 2014‐2019 and the 2030 Agenda for Sustainable Development...


Assuntos
Cooperação Técnica , Organização Pan-Americana da Saúde , Organização e Administração , Administração Financeira
17.
Washington, D.C.; PAHO; 2019-07-25. (PAHO/PHE/19-001).
em Inglês | PAHO-IRIS | ID: phr-51383

RESUMO

For centuries, indigenous peoples around the world have used their traditional knowledge to prepare for, cope with and survive disasters. Their methods and practices originated within their communities and have been maintained and passed down over generations. Until recently, policy makers have largely ignored this vast body of knowledge, in favor of ‘Western’ science and technologybased methods of disaster risk reduction and response. Today, however, many of these traditional practices are considered important and necessary contributions to the conservation of biodiversity and environmental sustainability. Yet at the same time, this knowledge is under constant threat of being eroded or lost, making these communities more vulnerable... The intended audience for this Guidance Note includes health officials (Ministry of Health, Social Security Institutes, etc.) who work in disaster risk management and emergencies in the Region. Others who may benefit from the information in this Guidance Note include, but are not limited to, indigenous community members and leaders engaged in disaster risk management; Nongovernmental Organizations (NGO) engaged in health disaster risk management with Indigenous Peoples; primary health workers; community development workers; emergency management practitioners; indigenous organizations and network groups; researchers; and academics.


Assuntos
Desastres , Saúde de Populações Indígenas , Gestão de Riscos
18.
Washington, D. C.; PAHO; 2019-07-21.
em Inglês | PAHO-IRIS | ID: phr-51375

RESUMO

[Introduction]. The Region of the Americas has a long history of vector-borne disease control. The evidence reveals the success of various programs in the past. The control of yellow fever and malaria in Cuba and Panama under the direction of William Gorgas (1901–1910), the elimination of Anopheles gambiae in Brazil (1940), the elimination of Aedes aegypti between 1950 and 1960 led by Fred Soper under the auspices of PAHO, the elimination of transmission of Chagas disease by Triatoma infestans in Brazil and Uruguay, and the recent elimination of onchocerciasis from 11 of the 13 endemic foci in Colombia, Ecuador, Mexico, and Guatemala (2013–2016) are recent examples of interventions that have combined the use of insecticides, sanitary engineering, and effective vaccines or medicines, supported by community participation and other control methods… It is estimated that nearly half the world’s current population lives in areas at risk for dengue. Transmission is occurring in more than 100 countries and between 300 and 500 million people are infected annually, 96 million of whom have clinical manifestations and 500,000 have severe cases, with around 25,000 deaths. The infection is endemic in the Americas and in the Southeast Asia, Western Pacific, Africa, and Eastern Mediterranean regions. In the last 50 years the incidence has increased thirtyfold, a trend that shows no sign of abating. The epidemiological scenario reveals that the number of cases is increasing, that outbreaks are larger and longer-lasting, and that the affected areas and populations are continually expanding. Achieving the WHO goal of reducing mortality by 50% and morbidity by 25% by 2020 will be a challenge, given the lack of good surveillance systems that can correctly quantify the burden of disease and the deficiencies of vector control programs in the endemic countries…


Assuntos
Aedes , Mosquitos Vetores , Controle de Mosquitos , Dengue , Wolbachia , Epidemiologia
19.
Washington, D.C.; PAHO; 2019-07-16. (PAHO/CDE/19-011).
em Inglês | PAHO-IRIS | ID: phr-51358

RESUMO

The Fifth Regional Meeting of Managers of National Programs for the Elimination of Trachoma as a Public Health Problem in the Americas brought together collaborators, strategic partners, and representatives of the countries that are implementing activities for trachoma control and elimination in the Region: Brazil, Colombia, Guatemala, Mexico, Paraguay, Peru, and Venezuela...This meeting addressed topics including global, regional and country-specific advances toward elimination of the disease. There was special emphasis on the challenge of incorporating trachoma into countries’ political and development agendas, since the disease usually occurs in areas where social determinants converge, intensifying gaps in care and inequity in health. Participants underscored the need for integrated efforts using intersectoral interventions, joining together the efforts of the ministries of health with those of other ministries, and transborder efforts to define and carry out joint actions to continue to move forward as a Region in the process of eliminating the disease.


Assuntos
Tracoma , Saúde Pública , Programas Nacionais de Saúde
20.
Washington, D.C.; PAHO; 2019-07-12. (PAHO/NMH/19-015).
em Inglês | PAHO-IRIS | ID: phr-51354

RESUMO

The Pan American Health Organization and the Caribbean Development Bank developed this booklet as a tool to help you take care of yourself and your community during crisis situations. This is achieved through psychological first aid, also known as PFA, a humane, supportive and practical response to a fellow human being who is suffering and may need support. In this booklet, our “PFA helper” will guide you through the three basic principles of PFA: look, listen and link. This will help you to approach affected people, listen and understand their needs, and link them with practical support and information. It will also bring to your attention the needs of specific groups, including men, women, children and adolescents, and people with disabilities, among others. Enjoy the booklet. Read it again from time to time, share it with friends, family and members of your community, and spread the message: “Stronger together”.


Assuntos
Saúde Mental , Técnicas Psicológicas , Primeiros Socorros , Desastres , Segurança , Depressão , Ansiedade , Apoio Social
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