TAMBIEN PUEDES REVISAR LAS CONVOCATORIAS POR INSTITUCIÓN - DEPARTAMENTO Ó CATEGORIA, Publica un empleo y llega a los miles de usuarios de Portaltrabajo. The more convoluted scenario depicted by the stakeholders’ group shows, that inconsistencies between perceived causes and suggested solutions, might be associated to lack of communication and collaboration across stakeholders’ categories and sectors of action. However, to date no structured effort has been devised to translate the social and environmental determinants at local level into a tangible tool and a specific methodology. The total area of intensive sugarcane production in La Libertad region is of 37.067 ha [45]. R.E.R. Med. Hyg. Addressing social drivers of HIV/AIDS for the long-term response: conceptual and methodological considerations. Protocolos para la Vigilancia y Control de Roedores Sinantrópicos [Internet]. A stakeholder analysis was elaborated through a participatory workshop. Weihs M, Mertens F. Os desafios da geração do conhecimento em saúde ambiental: uma perspectiva ecossistêmica. Neerinckx S, Bertherat E, Leirs H. Human plague occurrences in Africa: an overview from 1877 to 2008. Procesos de selección de personal CAS, CPM/CAP/728, LOCACION, TEMPORAL, SUPLENCIA, PLANILLA. The observational unit was determined to be the adults present in each household during the visit, hence n = 68. Cabanillas O, Vargas E, Benites J. Case-control study to determine the associated risk factors of the presence of bubonic plague in Tunad, Hualabamba and el Gigante villages in san Bernadino District, San Pablo, Cajamarca, Peru. 1999. Accessed Nov 2016. 2001;17:7–36. Busca los ultimos empleos en los diferentes instituciones del Peru. Social drivers or determinants have been long been pointed out as crucial in addressing infectious diseases [36, 37]. Descriptive variables were analyzed with SPSS®. On the community members’ side there seems to be coherence between the determinants identified (i.e. The applicable variables which represented the social and environmental determinants in the Ascope local setting were: (i) agricultural activities, (ii) infrastructure and basic services, (iii) local culture, (iv) poverty, (v) local governance, (vi) sanitary situation. Determinants of plague: community vs. stakeholders. Assessing the suitability of community-based management for the Nyungwe Forest reserve, Rwanda. Stapp P, Antolin MF, Ball M. Patterns of extinction in prairie dogs metapopulations: plague outbreaks follow el Niño events. “Instituto Nacional de Salud” (National Institute of Health). household) hygienic situation, and second, that policy-makers are aware of the risky conditions in which the communities live, particularly regarding agricultural practices and infrastructure conditions. Plague has three clinical presentations: bubonic, septicemic and pneumonic. Google Scholar. Indeed if each of the determinants mentioned above is not dealt with, unilateral actions from the Ministry of Health will not be enough to end plague endemicity. A wider and truthful compromise of intersectoral coordination and action, reached through a stakeholder engaging process, is likely to be more successful. SERUMS 2020 II- NIVEL REGIONAL LAMBAYEQUE. Fleas will either directly bite humans and infect them, or hop into intra-household guinea pigs (a third still has guinea pigs inside the household) infecting them. Although the exact dynamics of sylvatic and peridomestic synantropic rodents has not yet been established in the context of Ascope, the household location might facilitate the interaction between rodents and humans. volume 18, Article number: 220 (2018) Trop. The gaps between these two groups might help in understanding the need for stronger collaborative processes between communities and stakeholders for plague prevention. Main activity was house-work (59%). Curr Zool. Article  Auerbach highlighted that despite the increased knowledge on the biology of HIV, for effectively curbing the epidemic, social drivers should be addressed [38]. Community members mentioned that they tended to see more rodents when there was sugar cane harvest (79%). Environmental and social or behavioral factors are commonly cited in peer reviewed articles as having an impact in plague emergence [18,19,20,21,22,23]. 1994;39:123–31. 0 Stakeholders were identified and selected through a snow-ball technique until saturation. Descriptive data was analyzed with SPSS®. Cartavio S.A.A. 60% had cats or dogs in their household and 29% stated having guinea pigs inside the household. PubMed  endstream endobj 2063 0 obj <. }����l������s2��������Ws1[ds9�Et|&* !��(F��H -iN�����4�����>K �r9�����y%��q�2�c�9^jϙ�U�)�4��>�)p��CO�a���6|���8�YJMq{)�݄w��)���2?V p�E\����߉�\+�� ��' ��y~&f��H*����O�I �_� �ÓS�N�y��"��r�Ʒ~��}����j����:��5�+g�D��k�Ҭf �v�����r�ޯ�2��[ݶ��o����[/�o����c}=?��[}�Յ�g@��j��� ��3j�����=�8�xy��~�������>�;��z}d������o9�_�;�y�^�?���\����}��;2|�nw �Žke�ԛ�����WV���p��*aǪ��V���?���thk��D��6�"� �0�l��Zj�����j rv��fGGF�����)�I zjp%i�/Kd^���R Z��D�+�HljcA$�S*S��J���J��o������/@�5���yki��o���p|�'���/�z��k�M��K�. Institutions that should be involved in plague prevention: community vs. stakeholders. Rodents, either wild or peridomestic, get infected through flea bites and develop the disease. Epidemiological data regarding circulation of Yersinia pestis and confirmed human plague cases for the study period was provided by national and GERESA LL, who fully supported the … J. Trop. ARC, AS and JMG elaborated the study methodology. 2000;30:893–900. Since there is no formal ethics committee within the current Ministry of Health, and the survey did not collect information related to participants’ personal medical history or data, ethical approval was not required. 2007;2:144–53. 2005;30:441–73. As observed in other zoonoses, epizootics are often followed by outbreaks of human cases. Interannual variability of human plague occurrence in the western United States explained by tropical and North Pacific Ocean climate variability . 3,300.00 soles Plazo de postulación: 14 de Octubre de 2020 … were associated only sporadically to the intervention and/or planning activities): two were local mayors, one was working in the media and one was the regional branch of the Ministry of Social Inclusion. For example, the results of this study point out that case location respondents had a significant tendency of seeking treatment from traditional healers instead of going to healthcare centers. Neerinckx SB, Peterson AT, Gulinck H, Deckers J, Leirs H. Geographic distribution and ecological niche of plague in sub-Saharan Africa. Cien. DGE. When rodents are dead, fleas tend to search for other hosts. Glob. Despite policy makers having ranked agricultural production and infrastructure and basic services as the first two determinants of plague in Ascope, it is surprising to observe that the main actions proposed relate to social surveillance and prevention and intervention activities. Fax: 054 247659. ¿A ti te sirvió? Google Scholar. Finally, the virtual lack of excreta and solid waste removal in the study communities generates an ecosystem which is prone to attract rodents in search of food [47]. Email:geresa@saludarequipa.gob.pe. Climatic variables and El Niño Southern Oscillation (ENSO) events have also been linked to plague resurgence [26,27,28].

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