PubMed · 15385981
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Emma Marris. 2004-09-23. Oceanography: deckchair science.. https://doi.org/10.1038/431394a
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BACKGROUND: In the Latin America and Caribbean region over 210 million people live below the poverty line. These impoverished and marginalized populations are heavily burdened with neglected communicable diseases. These diseases continue to enact a toll, not only on families and communities, but on the economically constrained countries themselves. DISCUSSION: As national public health priorities, neglected communicable diseases typically maintain a low profile and are often left out when public health agendas are formulated. While many of the neglected diseases do not directly cause high rates of mortality, they contribute to an enormous rate of morbidity and a drastic reduction in income for the most poverty-stricken families and communities. The persistence of this "vicious cycle" between poverty and poor health demonstrates the importance of linking the activities of the health sector with those of other sectors such as education, housing, water and sanitation, labor, public works, transportation, agriculture, industry, and economic development. SUMMARY: The purpose of this paper is three fold. First, it focuses on a need for integrated "pro-poor" approaches and policies to be developed in order to more adequately address the multi-faceted nature of neglected diseases. This represents a move away from traditional disease-centered approaches to a holistic approach that looks at the overarching causes and mechanisms that influence the health and well being of communities. The second objective of the paper outlines the need for a specific strategy for addressing these diseases and offers several programmatic entry points in the context of broad public health measures involving multiple sectors. Finally, the paper presents several current Pan American Health Organization and other institutional initiatives that already document the importance of integrated, inter-programmatic, and inter-sectoral approaches. They provide the framework for a renewed effort toward the efficient use of resources and the development of a comprehensive integrated solution to neglected communicable diseases found in the context of poverty, and tailored to the needs of local communities.
In 1999, the United States Environmental Protection Agency Gulf Ecology Division initiated a pilot study to assess the condition of nearshore coastal resources. Near-shelf areas associated with coastal beaches are susceptible to land based activities, but are not consistently monitored. Additionally, few or no marine water quality criteria exist for evaluating these waters. The goal of this pilot study was to assess the ecological condition of Gulf of Mexico near-shelf resources using a probability-based survey design. Data are used to generate a baseline assessment of condition in coastal nearshore areas and provide a comparative tool for evaluating future trends in condition. Water quality, sediment quality and benthic diversity data can provide a baseline assessment for managers to evaluate the potential for future problems such as nutrient over-enrichment, sediment contamination and degraded biological condition. We present results from a probability-based survey demonstration assessing near-shelf resources along the Florida panhandle.
This review is the second in a series on Indigenous health, covering different regions and issues. We look briefly at the current state of Indigenous health in Latin America and the Caribbean, a region with over 400 different indigenous groups and a total population of 45 to 48 million people. We describe the complex history and current reality of Indigenous peoples' situation within the American continent. We discuss the importance of Indigenous health systems and medicines, and look at changing political environments in the region. The paper concludes with a discussion of the changing political and legislative environment in Latin American countries.