Elimination of XXXX in latin america and the Caribbean: a mapping of selected diseases.

@entity1 @entity11738 @entity235 @entity1057 @entity281 @entity2040 @entity166 @entity7289
In Latin America and the Caribbean, around 195 million @entity1 live in poverty, a situation that increases the burden of some @entity166 . @entity1057 , in particular, are often restricted to poor, marginalized sections of the population. Tools exist to combat these diseases, making it imperative to work towards their elimination. In 2009, the Pan American Health Organization (PAHO) received a mandate to support the countries in the Region in eliminating @entity1057 and other poverty-related @entity281 . The objective of this study is to analyze the presence of selected diseases using geo-processing techniques. Five diseases with information available at the first sub-national level (states) were mapped, showing the presence of the disease ("hotspots") and overlap of diseases ("major hotspots"). In the 45 countries/territories (approximately 570 states) of the Region, there is: lymphatic filariasis in four countries (29 states), @entity7289 in six countries (25 states), @entity2040 in four countries (39 states), @entity11738 in three countries (29 states), and @entity1 rabies transmitted by @entity235 in ten countries (20 states). Of the 108 states with one or more of the selected diseases, 36 states present the diseases in overlapping areas ("major hotspots"). Additional information about soil-transmitted helminths was included. The analysis suggests a majority of the selected diseases are not widespread and can be considered part of an unfinished agenda with elimination as a goal. Integrated plans and a comprehensive approach, ensuring access to existing diagnostic and treatment methods, and establishing a multi-sectoral agenda that addresses social determinants, including access to adequate water and sanitation, are required. Future studies can include additional diseases, socio-economic and environmental variables.
