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Secretaria de Salud Jaime Mier y Terán Suárez, MD Guatemala, October 18, 2004.

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Presentación del tema: "Secretaria de Salud Jaime Mier y Terán Suárez, MD Guatemala, October 18, 2004."— Transcripción de la presentación:

1 Secretaria de Salud Jaime Mier y Terán Suárez, MD Guatemala, October 18, 2004

2 CONTENTS I.- CONTEXT 2.- HEALTH CONDITIONS 3.- THE INSTITUTIONAL RESPONSE 3.2 NFRAESTRUCTURA SANITARIA 4.- MANAGEMENT PERSPECTIVES

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4 The Southern Border Source: CONAPO Proj Guerrero 3249,559 hab Oaxaca 3693,497 hab Chiapas 4357,301 hab Puebla 5480,844 hab Tabasco 2045,537 hab Campeche 763,037 hab Yucatán 1784,267 hab Q. Roo 1053,084 hab Veracruz 7274,772 hab SOUTH-SOUTHEAST REGION 29701,894 Inhabitants. BORDER REGION 8218,959 1,149 Km Border

5 High violence ratios THE WORLDS MOST COMPLEX BORDER natural water availability* 38.7% natural water availability* THE WORLDS MOST COMPLEX BORDER THE WORLDS MOST COMPLEX BORDER 90% of Mexican petroleum 90% of Mexican petroleum The countrys agricultural basis SOUTH-SOUTHEAST REGION SOUTH-SOUTHEAST REGION Malaria HIV/AIDS HIV/AIDS Tuberculosis Tuberculosis Illegal Migration *Includes Southern Border and Yucatán Peninsula

6 DETENTIONS IN THE BORDER STATES OF THE REGION STATENUMBER YEAR 2003 NUMBER YEAR 2004* CAMPECHE CHIAPAS73,13659,369 QUINTANA ROO1,5241,192 TABASCO17,28713,744 TOTAL92,78674,951 Source: INM. estadísticas de aseguramientos 2003 y 2004* (incluye solo Enero-Julio) CHIAPAS TABASCO CAMPECHE QUINTANA ROO

7 DETENTIONS IN THE COUNTRY BY ORIGIN % 35% 17% 1% 2% GuatemalaHondurasEl Salvador NicaraguaEcuadorBrasil otros

8 IMPACT CAMPECHE CHIAPAS QUINTANA ROO TABASCO VERACRUZ TAMAULIPAS OAXACA GUERRERO PUEBLA

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10 PERCENTAGES OF MARINALIZED POPULATION BY ENTITY AND REGION SOUTH-SOUTHEAST, 2000 Source: CONAPO, Índice de marginación, 2000 Percentages Entities with the lowest percentage of population in locations with a high and very high marginalization Percentages South-Southeast Percentage of population in locations with high and very high marginalization

11 LIFE EXPECTANCY BY ENTITY AND REGION SOUTH-SOUTHEAST, 2000 AÑOS Entities with highest life expectancy South-Southeast Source: Estimates CONAPO. AÑOS

12 HEALTH RISKS AND PROBLEMS Epidemic Outbreaks Haemorrhage Dengue Fever E. ZapataSeptember 2004 ConjunctivitisSecond Semester 2003 RotavirusMarch 2004 TuberculosisBalancánFirst Quarter 2004 MalariaTenosiqueFirst Quarter 2004 Threats 1.- HIV/AIDS PREVALENCe Tabasco: 0.2%Guatemala: 1%Belize: 2% 2.- Malaria Falciparum Migrant deaths in Veracruz

13 CASES IN THE SOUTH-SOUTHEAST REGION MALARIA DENGUE FEVER Fuente: SUIVE semana 35, % comes from the region 89.7% comes from the region Fuente: SUIVE semana 35, 2004.

14 MALARIA OUTBREAK IN GUAYACAN 2004* Fuente: Informe Semanal del ISP *Hasta la Sem. 39 *Hasta la Sem. 39 P. Vivax20 P. Falciparum60 TOTAL80 CONTROL OPERATION DIAGNOSIS OPERATION

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16 Source: org.mxwww.conac SALUD MEXICO 2002, ANEXOS ESTADISTICOS (COUNTRY AND SOUTH-SOUTHEAST REGION) HEALTH EXPENSES AS PERCENTAGE OF GDP 2002

17 HEALTH INFRASTRUCTURE INDICATOR OF BEDS TO BE INCLUDED IN CENSUS PUBLIC SECTOR PHYSICIANS BY FEDERATIVE ENTITY Fuente: Salud México 2003 * Camas por 1000 hab. Fuente: Salud México 2003 * Médicos del Sector Público por 1000 hab.

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19 MOBILE POPULATIONS IN SOUTH- SOUTHEAST INSURED PEOPLE IN THE COUNTRY IN ,951 INSURED PEOPLE IN THE COUNTRY IN THE GROUP OF SOUTH-SOUTH EAST SECRETARIES 2.- BORDER HEALTH COMMISSION MX - GUATEMALA 3.- OPERATIVE COORDINATION TABASCO - GUATEMALA TABASCO - GUATEMALA 4.- CONAGO Source: INM. estadísticas de aseguramientos 2003

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21 SOUTH-SOUTHEAST GROUP – HEALTH CHAPTER MEMBERS Oaxaca Chiapas Puebla Campeche Guerrero Tabasco Quintana Roo Veracruz Yucatán DR. ALVARO EMILIO ARCEO ORTIZ SECRETARIO DE SALUD DR. ANGEL R. ESTRADA AREVALO SECRETARIO DE SALUD DRA. VERONICA MUÑOZ PARRA SECRETARIA DE SALUD DR. FELIPE GAMAS CASAS SECRETARIO DE SALUD DR. JESUS LORENZO AARUN RAME SECRETARIO DE SALUD DR. DAGOBERTO GARCIA GARCIA SECRETARIO DE SALUD DR. JAIME MIER Y TERAN SUAREZ SECRETARIO DE SALUD DRA. MAURO LOYO VARELA SECRETARIO DE SALUD DR. JOSE A. PEREYRA CARCAÑO SECRETARIO DE SALUD NATIONAL REPRESENTATIVES Dr. Roberto Tapia Conyer.- Subsecretario de Prevención y Protección a la Salud Dr. Enrique Ruelas Barajas.- Subsecretario de Innovación y Calidad Dr. Rodolfo Rojas Rubí.- Secretario Técnico del C.N.S Dr. Oscar Velázquez Monroy.- Director General del C.E.N.A.V.E.

22 SOUTH-SOUTHEAST WORK SESSIONS

23 PROGRESS 1.Epidemiological Surveillance Projects (Proposal by Subsecretariat for Prevention and Health) 2. Projects Proyecto Contra Riesgos Sanitarios Del Plan Puebla Panamá (Propuesta de la COFEPRIS) 3. Proyecto Regional de Infraestructura (Propuesta de las Secretarías de Salud del Sur - Sureste)

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25 BACKGROUND Agreement betweenGovernments of Guatemala and México to establish: BORDER HEALTH COMMISSION MEXICO - GUATEMALA By the Mexican Government By the Government of Guatemala Lic. Luis Ernesto Derbez Secretario de Relaciones Exteriores Lic. Edgar Armando Gutiérrez Girón Ministro de Relaciones Exteriores Guatemala, May 12, 2003 México Guatemala

26 RESPONSIBILITIES OF THE COMMISSION 1.Diagnoses, projects, and studies on Public Health needs at the South Southeast Border. 3. Management support and financing. 2. Action programs on epidemiologic surveillance, risk protection and medical care.

27 THE COMMISSION MEXICAN SECTION COMMISSIONER: SUB-SECRETARY FOR PREVENTION AND HEALTH PROMOTION 6 MEMBERS DESIGNATED BY THE MEXICAN GOVERNMENT ONE TECHNICAL SECRETARY GUATEMALAN SECTION COMMISSIONER: VICE-MINISTER OF PUBLIC HEALTH AND SOCIAL ASSISTANCE 6 MEMBERS DESIGNATED BY THE GUATEMALAN GOVERNMENT ONE TECHNICAL SECRETARY

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29 MEETINGS OF AUTHORITIES TABASCO, MEXICO – PETÉN, GUATEMALA. Las Flores, Petén 15/jun/2004 Villahermosa., Tabasco. 29/jul/2004

30 OPERATIVE STAFF MEETINGS Civilian sanitary representatives and social representatives.. Guayacán, Guatemala 29/jun/2004

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32 At the XVIII Ordinary Meeting of the National Conference of Governors that was held in Valle de Bravo, State of Mexico, on July 9, 2004, the proposal of the Governor of the State of Chiapas to organize a Forum to discuss the topic of a Comprehensive Migratory Policy for the Southern Border was approved. A NEW MANAGEMENT PERSPECTIVE AND A NEW SPACE

33 FORUM ON INTEGRAL MIGRATION POLICY FOR THE SOUTHERN BORDER WORK SESSIONS Villahermosa, Tabasco (13/agos/04) San Cristobal de las Casas; Chiapas 09/agos/04 FORO DE GOBERNADORES SOBRE DESARROLLO INTEGRAL DE LA FRONTERA SUR Villahermosa, Tabasco (Oct 13/04)

34 The growing incidence of illnesses that were under effective control and that occur as a result of the intense movement of migrants. To integrate the Health Support perspectives in the Border Commission Mexico - Guatemala Joint solutions of the 3 Government levels and active participation of Civilian and Sanitary Authorities from Central America. GENERAL CONCLUSIONS

35 Mexicos future lies in the South-Southeast region due to its natural wealth.. Daniel Cosío Villegas


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