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Biosafety and biosecurity in Peru: An overiew. Walter Mendoza College Park, Maryland, October 1 – 3, 2010. Overview of the presentation. The country; A note on the terms: “ bioseguridad ”; Epi -surveillance background: Cholera (1991), AH1N1 (2009-2010);
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Biosafety and biosecurity in Peru: An overiew Walter Mendoza College Park, Maryland, October 1 – 3, 2010
Overview of the presentation The country; A note on the terms: “bioseguridad”; Epi-surveillance background: Cholera (1991), AH1N1 (2009-2010); Epi/Laboratory networks: MoH (+ private), agriculture/animal (FTA), Other (US Navy); Policy and institutional challenges
Some background on Peru • About 29.5 M; 34.8% poor, as of 2009; • Doubled pc GDP in last decade: US$2,200 to US$4,600, 6% growth rate; • Declining mortality due to ID, though more attention to outbreaks: AH1N1 • MDR-TBC, EREID, The Caribbean Atlantic Ocean Pacific Ocean
A terminological note More than just semantics? Biosecurity ≠ Biosafety Biosecurity = bioseguridad = biosafety A Bibliometric search: Medline: Biosafety = 1164; Biosecurity = 1059; Peru = 7057 Biosafety + Peru = 5; Biosecurity + Peru = 2 Lilacs and Scielo search: 20 docs + 6 articles Official documents: MoH: Mostly related to health worker protection (occupational health); Agriculture: emerging concern on GMO; Commerce: Exports to the US or EU;
National epi-surveillance network • After the Cholera epidemic (1991), epi-surveillance network was strengthened; • Reference laboratories are increasingly in place; • Weekly epidemiological reports: MoH (~5000 points), Agriculture; • MDR, EREID,
Policy and institutional challenges • Health authority beyond MoH: who is in charge in outbreaks? human/animal/GMO: e.g. anthrax; • Build capacities for enforcement of new regulations: roles of pharmaceutical companies, int´l research in drugs; • Sharing experiences and lessons learned in regional agreements;
Policy and institutional challenges • Raise awareness about the implications of global/regional bio-threats: naming it? Do LA countries need a “linguistic” consensus?: • “… words affect international and domestic health policy… including the use of emotionally charged themes…” (Elwood TW. The influence of words as determinants of U.S. international and domestic health policy. J AlliedHealth 2005;34(3):125-129). • “The varying interpretations and applications of these terms have far-reaching implications in terms of global health governance, institutional and bureaucratic structures, and negotiation processes relating to current health emergencies”. (Bond K. Health security or health diplomacy? Moving beyond semantic analysis to strengthen health systems and global cooperation. Health Policy and Planning 2008;23(6):376-378);