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Asociación Fronteriza Mexicano / Estadounidense de Salud. U.S. / Mexico Border Health Association. PRESENTATION: BORDER HEALTH Santa Fe, New Mexico July 2004. DR. MANUEL ROBLES LINARES. PROJECTS . Maria Chaparro. Ruby Marentes. Rosa M. Benedicto. Ramón Acosta. USMBHA.
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Asociación Fronteriza Mexicano / Estadounidense de Salud U.S. / Mexico Border Health Association PRESENTATION: BORDER HEALTH Santa Fe, New Mexico July 2004 DR. MANUEL ROBLES LINARES
PROJECTS Maria Chaparro Ruby Marentes Rosa M. Benedicto Ramón Acosta
USMBHA • BI-NATIONAL ASSOCIATION • PIONEER • NON PROFIT • ACTIONS IN THREE DISTINCT AREAS 1.- BHC (BI-NATIONAL HEALTH COUNCILS) 2.- UNIVERSITIES AND LEARNING CENTERS 3.- LOCAL DEPARTMENTS OF HEALTH • PROGRAMS PROJECTS • 14 PEOPLE • EXECUTIVE COMMITTEE CONSISTING OF: (PRESIDENT, SECRETARY, TREASURER, REPRESENTATIVE OF MEXICO, REPRESENTATIVE OF US, AND THE TECHNICAL SECRETARIAT OF THE PAHO) • HAS STATUTES AND REGULATIONS • ITS PRESIDENCY ALTERNATES (MEXICO-USA)
HISTORY • 61 YEARS OF UNINTERRUPTED SERVICE • INSTITUTIONAL AND PERSONAL MEMBERSHIP • ANNUAL MEETING ALTERNATES BETWEEN US AND MEXICO • DEFINITION OF THE BORDER STATES IN THE US 1.- 10 STATES 2.- 32 MUNICIPALITIES 3.- 25 COUNTIES • POPULATION ALONG THE BORDER: - 6,275,135 US - 5,022,882 MEXICO
BORDER STATES USA 6,275,135 MEXICO 5,022,882
PROGRAMS:WHAT HAS BEEN DONE TO PROMOTE HEALTH ALONG THE US - MEXICO BORDER?
NEW DIMENSIONS OF PUBLIC HEALTH ALONG THE BORDER MEXICOUS • POPULATION 5,022,882 6,275,135 • SOCIAL SECURITY 50% 87% • OPEN POPULATION 50 MIL 30 MIL • INVESTED IN HEALTH 4% GDP 14.5% GDP • HEALTH INSTALLATIONS 1 4.5 • MORTALITY 13 PER MIL 8 PER MIL • BIRTHS 2 1.3 • INDICATORS OF SOCIAL 60% 92% DEVELOPMENT THE MISSION OF BORDER HEALTH IS EQUITY
RECOGNITION FOR ACHIEVEMENTS REACHED IN BORDER HEALTH • IBWC (INTERNATIONAL BOUNDARY AND WATER COMMISSION)1950 • EPA • BANK OF BORDER DEVELOPMENT • BI-NATIONAL HEALTH COMMISSION 2000 • PRELIMINARY REVISIONS • GUBERNATORIAL MEETINGS • MEETINGS BETWEEN SONORA-ARIZONA
ACTIVE, PASSIVE AND STRUCTURES IN OBSERVANCE • ACADEMIC CENTERS (ALMOST A CENTURY) • UNIVERSITIES • HEALTH UNIVERSITIES • MEDICAL SCHOOLS • PUBLIC HEALTH • BORDER COLLEGES • NON GOVERNMENTAL ORGANIZATIONS • ENVIRONMENTAL MOVEMENTS • ALTRUISTIC MOVEMENTS • FOUNDATIONS • VOLUNTEERS • ASSISTANCE
GLOBAL DISTRIBUTION OF DENGUE - 2000
LIFE CYCLE OF PLASMODIUM VIVAX MALARIAOR PALLADIUMPARASITES
GLOBAL DISTRIBUTION OF MALARIA 2002
TRANSMISSION MODE OF VIRAL ENCEPHALITIS OF SAN LUIS or WEST NILE Vertebrate reservoirs Mosquito vectors(Culex Species) Dead – end hosts Virus
14.0 10.0 6.0 2.0 12.6 0.0 12.0 8.0 4.0 10.4 8.9 8.3 8.1 7.3 6.3 2000 2010 2020 YEARS MEDIUM INCREASE IN BORDER POPULATION, 2000 - 2020 Population by Millions TENDENCIA 1990 – 2000 (3.51%) PROYECCIÓN MEDIA (2.5%) PROYECCIÓN CONAPO (1.79–1.30%)
80 60 40 20 0 YEARS 2000 2010 2020 2050 Population Trends 2000 – 2050 Population by age groups Percentage Breakdown 2000 - 2050 < 15 15 - 64 65 and over Percentage
Birth Rates Mexico 1930 - 2000 7 6 5 4 Births per Woman 3 2 1 0 1930 2000 YEARS
Demographic Changes in Mexico 120 100 80 60 Population by Millions 40 20 0 1930 2000 YEARS
58TH ANNUAL MEETING HERMOSILLO, SON. 2000 RESOLUTIONS 21st CENTURY • DIABETES • ADDICTIONS • ENVIRONMENT
PREVENTION Life with Spinal Bifida
STATISTICS 1950-2000 PULMONARY TUBERCULOSIS ADDICTIONS CHOLERA VIRAL SICKNESS CANCER ACCIDENTS MEASLES, POLIO DIABETES 1950 2000 1950 2000 1950 2000 1950 2000 1950 2000 1950 2000 1950 2000 1950 2000
GLOBAL POPULATION • Currently there are 6.3 billion people in the world • It is estimated that earth’s population will reach 8.9 billion by the year 2050. Most of this increase will occur in developing countries. • The 49 countries which are least developed will over exceed 168 million to 1.7 billion in the year 2050. • In proportion to the total world population, adolescents will increase from 14% to 25.6%.
REPRODUCTIVE AND SEXUAL HEALTH • 560,000 youth live with HIV/AIDS out of which 31% are female • The virus is mainly spread through sexual activity between men who have sex with men, but many young women are being infected. • Latin America countries have developed action plans towards the information and education of sexual and reproductive health.
GLOBAL YOUTH POPULATION • Almost half of the worlds population are younger than 25 years. The largest youth population in history. • 100 million youth between 15 to 24 years of age are in Latin America • 1,200 million adolescents. The largest adolescent population recorded in history. • More than 20% of the population in developing countries are between the ages of 10 and 19 • 85% of the adolescents in the world live in these developing countries
GLOBAL POVERTY • 238 million, almost a forth of the youth population, live with A DAILY PAIN • 462 million youth live with less than TWO DAILY PAINS, that’s 43% of youth population • 6 out of 10 youths in the world and 1 out of 4 adolescents live in extreme poverty. • 15million youth in Latin America live in extreme poverty • 2 out of 11 countries containing 77% of the youth in extreme poverty are in Latin America: Brazil and Mexico
GLOBAL EDUCATION • 153 million youth between 15 to 24 years of age de are illiterate. 62% of which are females • 2 out of 3 illiterates in the world are females older than 15 years. • Up until the age of 18, girls have received an average of 4.4 years less than boys • Birth rates decrease as educational levels increase • Its very common for a girl with a low level of education to wed and to bare children at an early age
PUBLIC POLICIES FOR THE YOUTH • Mobilize active community support • Involve the youth in the planning and development of policies and programs • Investing in youth will generate greater opportunities for future generations • Develop programs that are decentralized, multi dimensionaland cross sectional to addressthe inaction costs • The programs must adjust to the specificvital situations and meet the cultural expectations of the youth
YOUTH IN LATIN AMERICA • Half of all street children live in Latin America • 17.4 million children under the age of 15 work as child laborers in Latin America • One out of every 230 people in the world, is a child or an adolescent forced to runaway from home.