Secretaria de Salud
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Transcript of Secretaria de Salud
Secretaria de Salud
Jaime Mier y Terán Suárez, MD
Guatemala, October 18, 2004
CONTENTSCONTENTS
I.- CONTEXT
2.- HEALTH CONDITIONS
3.- THE INSTITUTIONAL RESPONSE
3.2 NFRAESTRUCTURA SANITARIA4.- MANAGEMENT PERSPECTIVES
The Southern BorderThe Southern Border
Source: CONAPO Proj. 2004
GuerreroGuerrero
3’249,559 hab3’249,559 habOaxacaOaxaca
3’693,497 hab3’693,497 habChiapasChiapas
4’357,301 hab4’357,301 hab
PueblaPuebla
5’480,844 hab5’480,844 hab
TabascoTabasco
2’045,537 hab2’045,537 hab
CampecheCampeche
763,037 hab763,037 hab
YucatánYucatán
1’784,267 hab1’784,267 hab
Q. RooQ. Roo
1’053,084 hab1’053,084 hab
VeracruzVeracruz
7’274,772 hab7’274,772 hab
SOUTH-SOUTHEAST REGION
29’701,894 Inhabitants.
BORDER REGION
8’218,959
1,149 Km Border
High violence ratios
THE WORLD’S MOST COMPLEX BORDERTHE WORLD’S MOST COMPLEX BORDER
38.7% natural natural water water
availability*availability*
THE WORLD’S MOST THE WORLD’S MOST COMPLEX BORDERCOMPLEX BORDER
90% of Mexican 90% of Mexican petroleumpetroleum
The country’s The country’s agricultural basisagricultural basis
SOUTH-SOUTHEAST SOUTH-SOUTHEAST REGIONREGION
MalariaMalariaHIV/AIDSHIV/AIDSTuberculosisTuberculosis
Illegal Migration
*Includes Southern Border and Yucatán Peninsula
DETENTIONS IN THE BORDER STATES OF THE REGION
STATE NUMBERYEAR 2003
NUMBERYEAR 2004*
CAMPECHE 839 646
CHIAPAS 73,136 59,369
QUINTANA ROO
1,524 1,192
TABASCO 17,287 13,744
TOTAL 92,786 74,951
Source: INM. estadísticas de aseguramientos 2003 y 2004* (incluye solo Enero-Julio)
CHIAPAS
TABASCO
CAMPECHEQUINTANA
ROO
DETENTIONS IN THE COUNTRY BY ORIGIN 2003
43%
35%
17%
1%1%1% 2%
Guatemala Honduras El SalvadorNicaragua Ecuador Brasilotros
CentroamericanaGuatemalaMéxicoTren
Principales rutas de migración México Centroamérica
CentroamericanaGuatemalaMéxicoTren
Principales rutas de migración México Centroamérica
IMPACT
CAMPECHE
CHIAPAS
QUINTANA ROO
TABASCO
VERACRUZ
TAMAULIPAS
OAXACA
GUERRERO
PUEBLA
PERCENTAGES OF MARINALIZED POPULATION PERCENTAGES OF MARINALIZED POPULATION BY ENTITY AND REGION SOUTH-SOUTHEAST, BY ENTITY AND REGION SOUTH-SOUTHEAST,
20002000
Source: CONAPO, Índice de marginación, 2000
Percentages
0
1
2
3
4
5
6
7
8
Muy alta 0.1 0.15 0.72 0.1 0.18 0 0.77 0.17Alta 2.23 1.17 3.25 1.66 7.01 0.07 5.12 2
AGS B.C B.C.S COAH COL D.F JAL N.L
Entities with the lowest percentage of population in locations with a high and
very high marginalization
Percentages
05
1015
202530354045
Muy alta 4.19 22.85 22.65 18.3 7.11 1.4 1.15 11.18 1.37Alta 28.24 38.22 29.45 40.41 32.8 15.06 29.78 29.51 34.51
CAM CHIS GRO OAX PUE QRO TAB VER YUC
South-Southeast
Percentage of population in locations with high and very high marginalization
LIFE EXPECTANCY BY ENTITY AND REGION LIFE EXPECTANCY BY ENTITY AND REGION SOUTH-SOUTHEAST, 2000SOUTH-SOUTHEAST, 2000
AÑ
OS
70
71
72
73
74
75
76
77
NL COL AGS MEX DGO BCS J AL COAH QROO TAB CAMP YUC PUE VER GRO OAX CHIS
Entities with highest life expectancy
South-Southeast
Source: Estimates CONAPO.
AÑOS
HEALTH RISKS AND PROBLEMSHEALTH RISKS AND PROBLEMS
Epidemic Outbreaks
Haemorrhage Dengue Fever
E. Zapata September 2004
Conjunctivitis Second Semester 2003
Rotavirus March 2004
Tuberculosis Balancán First Quarter 2004
Malaria Tenosique First Quarter 2004
Threats
1.- HIV/AIDS
PREVALENCeTabasco: 0.2% Guatemala: 1% Belize: 2%
2.- Malaria Falciparum
Migrant deaths in Veracruz
CASES IN THE SOUTH-SOUTHEAST REGIONCASES IN THE SOUTH-SOUTHEAST REGIONMALARIA
DENGUE FEVER
Fuente: SUIVE semana 35, 2004.
STATE P.VIVAX P. FALCIPARUM TOTALCAMPECHE 4 0 4CHIAPAS 800 4 804GUERRERO 3 0 3OAXACA 850 0 850PUEBLA 0 0 0QUINTANA ROO 28 0 28TABASCO 97 14 111VERACRUZ 0 0 0YUCATAN 4 0 4REGION 1786 18 1804PAIS 2115 18 2133
STATE D. FEVER D.F. W/HAEMORR. TOTALCAMPECHE 1 0 1CHIAPAS 77 16 93GUERRERO 94 18 112OAXACA 43 12 55PUEBLA 10 0 10QUINTANA ROO 113 2 115TABASCO 8 0 8VERACRUZ 1617 573 2190YUCATAN 23 1 24REGION 1986 622 2608PAIS 2243 664 2907
84.57% comes from the region
89.7% comes from the region
Fuente: SUIVE semana 35, 2004.
0
5
10
15
20
25
30
35
40
45
Falcip. 0 0 0 0 0 0 0 0 0 0 0 1 3 0 0 0 0 0 0 1 5 4 28 0 16 2 0 0 0 0 0 0 0 0 0 0 0 0 0
Vivax 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 14 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
MALARIA OUTBREAK IN GUAYACANMALARIA OUTBREAK IN GUAYACAN2004*2004*
Fuente: Informe Semanal del ISPFuente: Informe Semanal del ISP *Hasta la Sem. 39*Hasta la Sem. 39
P. Vivax 20
P. Falciparum 60
TOTAL 80
CONTROL OPERATIONDIAGNOSIS OPERATION
Source: www.conac org.mxSALUD MEXICO 2002, ANEXOS ESTADISTICOS (COUNTRY AND SOUTH-SOUTHEAST REGION)
HEALTH EXPENSES AS PERCENTAGE OF GDP HEALTH EXPENSES AS PERCENTAGE OF GDP 20022002
6.96
5.79
5.8%
8.7%
9.3%
10.0%
13.7%
0.00 2.00 4.00 6.00 8.00 10.00 12.00 14.00
SOUTH-S.E.
MEX
BOL
COST. RICA
COLOM
URUG
USA
HEALTH INFRASTRUCTUREHEALTH INFRASTRUCTUREINDICATOR OF BEDS TO BE
INCLUDED IN CENSUSPUBLIC SECTOR PHYSICIANS
BY FEDERATIVE ENTITY1.73
0.79
1.081.02
0.88
1.26
1.53
1.18
1.43
1.211.28
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.80.81
0.360.42 0.43
0.520.48
0.620.58
0.8
0.55
0.68
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
CAM
CHIA
GUER
OAX
PUE
Q.ROO
TAB
VER YUC
REGIO
N
PAIS
Fuente: Salud México 2003* Camas por 1000 hab.
Fuente: Salud México 2003* Médicos del Sector Público por 1000 hab.
MOBILE MOBILE POPULATIONSPOPULATIONS
IN SOUTH-IN SOUTH-SOUTHEASTSOUTHEAST
74,951 INSURED PEOPLE IN THE INSURED PEOPLE IN THE COUNTRY IN 2003COUNTRY IN 2003
1.- THE GROUP OF SOUTH-SOUTH 1.- THE GROUP OF SOUTH-SOUTH EAST SECRETARIESEAST SECRETARIES
2.- BORDER HEALTH COMMISSION 2.- BORDER HEALTH COMMISSION MX - GUATEMALAMX - GUATEMALA
3.- OPERATIVE COORDINATION3.- OPERATIVE COORDINATION TABASCO - GUATEMALATABASCO - GUATEMALA
4.- CONAGO4.- CONAGO
Source: INM. estadísticas de aseguramientos 2003
SOUTH-SOUTHEAST GROUP – HEALTH CHAPTER
MEMBERSMEMBERS
OaxacaOaxaca
ChiapasChiapas
PueblaPuebla
CampecheCampeche
GuerreroGuerrero
TabascoTabasco
Quintana Quintana RooRoo
VeracruzVeracruz
YucatánYucatán
DR. ALVARO EMILIO ARCEO ORTIZ SECRETARIO DE SALUD
DR. ANGEL R. ESTRADA AREVALOSECRETARIO DE SALUD
DRA. VERONICA MUÑOZ PARRASECRETARIA DE SALUD
DR. FELIPE GAMAS CASASSECRETARIO DE SALUD
DR. JESUS LORENZO AARUN RAMESECRETARIO DE SALUD
DR. DAGOBERTO GARCIA GARCIASECRETARIO DE SALUD
DR. JAIME MIER Y TERAN SUAREZSECRETARIO DE SALUD
DRA. MAURO LOYO VARELASECRETARIO DE SALUD
DR. JOSE A. PEREYRA CARCAÑOSECRETARIO DE SALUD
NATIONAL REPRESENTATIVESNATIONAL REPRESENTATIVES
Dr. Roberto Tapia Conyer.- Subsecretario de Prevención y Protección a la SaludDr. Enrique Ruelas Barajas.- Subsecretario de Innovación y CalidadDr. Rodolfo Rojas Rubí.- Secretario Técnico del C.N.SDr. Oscar Velázquez Monroy.- Director General del C.E.N.A.V.E.
SOUTH-SOUTHEAST WORK SESSIONSDATE LOCATION
I REUNION REGIONAL 07/ 07/ 2002 VILLAHERMOSA, TAB
II REUNION REGIONAL 23/ 07/ 2002 MEXICO, D.F. (AEROPUERTO)
III REUNION REGIONAL 02/ 08/ 2002 VILLAHERMOSA, TAB
IV REUNION REGIONAL 16/ 08/ 2002 CANCUN, QUINTANA ROO
V REUNION REGIONAL 17/ 03/ 2003 OAXACA, OAXACA
VI REUNION REGIONAL 10/ 10/ 2003 PUEBLA, PUEBLA
VII REUNION REGIONAL 06/ 02/ 2004 MERIDA, YUCATAN
IX REUNION REGIONAL 21/ 05/ 2004 VERACRUZ, VER.
X REUNION REGIONAL OCTUBRE (PENDIENTE) CAMPECHE, CAMPECHE
MEETINGS
Tabasco
Tabasco
Cancun
Oaxaca
P uebla
Mérida, Yucatán
Veracruz
Campeche
PROGRESS
1. Epidemiological Surveillance Projects(Proposal by Subsecretariat for
Prevention and Health)
2. Projects Proyecto Contra Riesgos SanitariosDel Plan Puebla Panamá(Propuesta de la COFEPRIS)
3. Proyecto Regional de Infraestructura
(Propuesta de las Secretarías de Salud del Sur - Sureste)
Comisión Federal para la Proteccióncontra Riesgos Sanitarios
Protección es salud
BACKGROUNDBACKGROUND
Agreement betweenGovernments of Guatemala and México to establish:Agreement betweenGovernments of Guatemala and México to establish:
BORDER HEALTH COMMISSION MEXICO - GUATEMALABORDER HEALTH COMMISSION MEXICO - GUATEMALA
By the Mexican GovernmentBy the Mexican Government By the Government of By the Government of GuatemalaGuatemala
Lic. Luis Ernesto DerbezLic. Luis Ernesto DerbezSecretario de Relaciones ExterioresSecretario de Relaciones Exteriores
Lic. Edgar Armando Gutiérrez GirónLic. Edgar Armando Gutiérrez GirónMinistro de Relaciones ExterioresMinistro de Relaciones Exteriores
Guatemala, May 12, 2003Guatemala, May 12, 2003
MéxicoMéxico GuatemalaGuatemala
RESPONSIBILITIES OF THE RESPONSIBILITIES OF THE COMMISSIONCOMMISSION
1.1. Diagnoses, projects, and studies Diagnoses, projects, and studies on Public Health needs at the on Public Health needs at the South Southeast Border. South Southeast Border.
3. Management support and financing. 3. Management support and financing.
2. Action programs on epidemiologic 2. Action programs on epidemiologic surveillance, risk protection and medical surveillance, risk protection and medical care.care.
THE COMMISSIONTHE COMMISSION
MEXICAN SECTIONMEXICAN SECTION
COMMISSIONER:SUB-SECRETARY FOR PREVENTION AND HEALTH PROMOTION
6 MEMBERS DESIGNATED BY THE MEXICAN GOVERNMENT
ONE TECHNICAL SECRETARY
GUATEMALAN SECTIONGUATEMALAN SECTION
COMMISSIONER:VICE-MINISTER OF PUBLIC HEALTH AND SOCIAL ASSISTANCE
6 MEMBERS DESIGNATED BY THE GUATEMALAN GOVERNMENT
ONE TECHNICAL SECRETARY
MEETINGS OF AUTHORITIES MEETINGS OF AUTHORITIES
TABASCO, MEXICO – PETÉN, GUATEMALA.TABASCO, MEXICO – PETÉN, GUATEMALA.
Las Flores, Petén 15/jun/2004 Villahermosa., Tabasco. 29/jul/2004
OPERATIVE STAFF MEETINGSOPERATIVE STAFF MEETINGS
Civilian sanitary representatives and social Civilian sanitary representatives and social representatives. representatives.
..Guayacán, Guatemala 29/jun/2004
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 SPACEA NEW MANAGEMENT PERSPECTIVE AND A NEW SPACE
FORUM ON INTEGRAL MIGRATION POLICY FORUM ON INTEGRAL MIGRATION POLICY
FOR THE SOUTHERN BORDER FOR THE SOUTHERN BORDER WORK SESSIONSWORK SESSIONS
Villahermosa, Tabasco (13/agos/04)Villahermosa, Tabasco (13/agos/04)
San Cristobal de las Casas; Chiapas San Cristobal de las Casas; Chiapas 09/agos/0409/agos/04
FORO DE GOBERNADORES SOBRE DESARROLLO FORO DE GOBERNADORES SOBRE DESARROLLO INTEGRAL DE LA FRONTERA SUR INTEGRAL DE LA FRONTERA SUR Villahermosa, Tabasco (Oct 13/04)Villahermosa, Tabasco (Oct 13/04)
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 To integrate the Health Support perspectives in the Border Commission Mexico - GuatemalaCommission Mexico - Guatemala
Joint solutions of the 3 Government levels and active participation of Civilian and Sanitary Authorities from Central America.
GENERAL CONCLUSIONSGENERAL CONCLUSIONS
Mexico’s future lies in the South-Southeast region due to its natural wealth.
. Daniel Cosío Villegas