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[Emerging and reemerging diseases: a health problem in the Americas]
Guillermo Mesa Ridel1, Iraida Rodríguez Luis, Julio Teja
1Centro Latinoamericano de Medicina de Desastres, Calle 18 No. 710, Playa, Ciudad de La Habana, Cuba. mesa@clamed.sld.cu
Abstract:
In the Region of the Americas the emerging and reemerging infectious diseases that had the greatest impact on health, in terms of their incidence and the number of deaths that they caused during the five-year period of 1999-2003, were: malaria, yellow fever, dengue hemorrhagic fever, AIDS, anthrax, and SARS, as well as infection by hantavirus and by West Nile virus. The appearance of epidemics of emerging and reemerging diseases is related to biological, social, and economic factors. Growth in international trade, the movement of large numbers of people across national borders, the variability and genetic adaptability of the causative microorganisms, and inefficiencies in public health systems help to spread infections and epidemics. To avoid or reduce the serious effects of these epidemics, countries should give priority in their national agendas to surveillance of emerging and reemerging diseases and should implement a set of measures to combat the diseases. The most important of these measures is to develop a strategy that is based on early warning and rapid response mechanisms, with personnel and laboratories as well as communications networks that link laboratories with health service providers. This strategy should be backed by priority funding and adequate policies.
Insights
Emerging infectious diseases like malaria and SARS significantly impacted the Americas from 1999-2003. Effective surveillance and rapid response systems are crucial for combating future epidemics.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Context:
- The Region of the Americas faced significant health impacts from emerging and reemerging infectious diseases between 1999-2003.
- Key diseases included malaria, yellow fever, dengue hemorrhagic fever, AIDS, anthrax, SARS, hantavirus, and West Nile virus.
- Factors contributing to disease spread include biological, social, economic elements, international trade, population movement, microbial adaptability, and public health system weaknesses.
Purpose:
- To highlight the major emerging and reemerging infectious diseases impacting the Americas.
- To identify the contributing factors to the spread of these diseases.
- To recommend strategies for combating epidemics.
Summary:
- Malaria, yellow fever, dengue hemorrhagic fever, AIDS, anthrax, SARS, hantavirus, and West Nile virus were the most impactful diseases in the Americas (1999-2003).
- Disease emergence is linked to biological, social, and economic factors, exacerbated by globalization and public health system deficiencies.
- Effective epidemic control requires prioritizing disease surveillance and implementing early warning and rapid response systems.
Impact:
- Countries must prioritize surveillance and implement robust early warning and rapid response systems to mitigate the effects of infectious disease epidemics.
- A comprehensive strategy involves integrated personnel, laboratories, and communication networks linking health services.
- Adequate funding and supportive policies are essential for successful disease control initiatives.
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