[EQ] Epidemiology in Latin America and the Caribbean: current situation and challenges

Epidemiology in Latin America and the Caribbean:
current situation and challenges

Sandhi M Barreto,1* Jaime J Miranda,2,3 J Peter Figueroa,4 Maria Ineˆs Schmidt,5 Sergio Munoz,6 P Pablo Kuri-Morales7 and Jarbas B Silva Jr8

1 Faculdade de Medicina, Universidade Federal de Minas Gerais, Brazil,
2 CRONICAS, Center of Excellence in Chronic Diseases,

3 Department of Medicine, School of Medicine, Universidad Peruana Cayetano Heredia, Peru, |
4 University of the West Indies, Mona, Kingston, Jamaica,
5 Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Brazil,
6 Department of Public Health, School of Medicine, Universidad de La Frontera, Chile,
7 Facultad de Medicina, Universidad Nacional Auto´noma de Mexico and

8 Health Surveillance Secretariat, Ministry of Health, Brazil

Oxford University Press on behalf of the International Epidemiological Association

International Journal of Epidemiology 2012;41:557–571doi:10.1093/ije/dys017 March 2012

Website: http://bit.ly/IilkIg

Background

This article analyses the epidemiological research developments in Latin America and the Caribbean (LAC). It integrates the series commissioned by the International Epidemiological Association to all WHO Regions to identify global opportunities to promote the development of epidemiology.

Methods

Health situations of the regions were analysed based on published data on selected mortality, morbidity and risk factors.  Epidemiological publication output by country was estimated by Medline bibliometrics. Internet and literature searches and data provided by key informants were used to describe perspectives on epidemiological training, research and funding.

Findings
Despite important advances in recent decades, LAC remains the world’s most unequal region. In 2010, 10% of the LAC’s people still lived in conditions of multidimensional poverty, with huge variation among countries. The region has experienced fast and complex epidemiological changes in past decades, combining increasing rates of non-communicable diseases and injuries, and keeping uncontrolled many existing endemic and emerging diseases.

Overall, epidemiological publications per year increased from 160 articles between 1961 and 1970 to 2492 between 2001 and 2010.
The increase in papers per million inhabitants in the past three decades varied from 57% in Panama to 1339% in Paraguay. Universities are the main epidemiological training providers.

There are at least 34 universities and other institutions in the region that offer postgraduate programmes at the master’s and doctoral levels in epidemiology or public health. Most LAC countries rely largely on external funding and donors to initiate and sustain long-term research efforts. Despite the limited resources, the critical mass of LAC researchers has produced significant scientific contributions.

Future needs
The health research panorama of the region shows enormous regional discrepancies, but great prospects. Improving research and human resources capacity in the region will require establishing research partnerships within and outside the region, between rich and poor countries, promoting collaborations between LAC research institutions and universities to boost postgraduate programmes and aligning research investments and outputs with the current burden of disease.

 

KMC/2012/HSD
Twitter http://twitter.com/eqpaho

 *      *     *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]
Washington DC USA

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
------------------------------------------------------------------------------------
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
Twitter http://twitter.com/eqpaho

IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.

Thank you.