Improving household nutrition security and public health in the CARICOM

Caribbean countries have the worse epidemic of non-communicable diseases (NCDs) and premature mortality from NCDs in the Region of the Americas. One of the leading risk factors for NCDs is overweight and obesity, primarily due to unhealthy diets. In the “non-Latin Caribbean”, overweight and obesity rates average 45.9% for men and 60.7% among women with 8% of children <5 years being overweight. These rates worsen each year. Creating enabling environments to improve dietary diversity would contribute significantly to reducing obesity and diet related NCDs.

Healthy lives, education and wealth: ecological relationships in social resilience

A key feature of this special supplement of the Pan American Journal of Public Health is its focus on the state of chronic non-communicable diseases (NCDs) in the Caribbean. The negative value chain impact is its effects on economic growth and childhood educational outcomes. Thus, there is an ecological relationship between interventions to support dietary diversity, improving successful transitions from school to work and economic growth in the Caribbean Community (CARICOM).

Improving dietary diversity in the Caribbean Community

The Caribbean Region is blessed by diversity. The ethnic diversities of the people who inhabit it. The language diversity reflecting the tongues of original native people, the colonial history and the people brought here from Africa and India, not to mention the languages and dialects and patois which developed in the Caribbean. So, it should be expected that the Caribbean would naturally have a diversity in the foods we eat and the ways in which they are prepared.

Integrated food systems approaches for healthy diets in the Caribbean

Food insecurity, obesity, and non-communicable diseases (NCDs) are significant problems impeding human and economic development of small island nations and communities of the Caribbean Region. In addition, the Caribbean Community states remain prone to natural disasters and extreme weather events occurring at an increased frequency, attributed to climate change.

Surveillance of adverse events associated with 145 000 doses of COVID-19 vaccines in a Brazilian municipality

There is a lack of real-world surveillance studies on reports of adverse events associated with COVID-19 vaccination, as well as comparative analyses of adverse events from vaccines with different platforms. This observational, descriptive, retrospective study based on secondary data describes the adverse events following immunization (AEFIs) related to the first 145 000 doses of COVID-19 vaccines delivered in Aracaju municipality, Sergipe state, northeast Brazil. Records of AEFIs were collected using the e-SUS Notifica database for January 19 to April 30, 2021.

Control of cervical cancer in the primary care setting in South American countries: systematic review

Objective

To describe cervical cancer (CC) prevention and control strategies in the primary care setting in South America.

Method

Two review steps were performed: review of documents published in governmental websites in Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Paraguay, Peru, Uruguay, and Venezuela; and systematic review of the literature available in LILACS, MEDLINE, Scopus, SciELO, and Science Direct databases.

Profile of Brazilian inpatients with COVID-19 vaccine breakthrough infection and risk factors for unfavorable outcome

Objective

To characterize the epidemiological and clinical profile of individuals more likely to become infected with SARS-CoV-2 after the fully vaccination schedule in order to profile priority groups to receive a booster dose in situations of vaccine doses shortage as well as for maintenance of personal protective care.

Temporal trends and spatial clusters of gastric cancer mortality in Brazil

Objective

To identify nationwide temporal trends and spatial patterns of gastric cancer–related mortality in Brazil.

Methods

An ecological study was performed using death certificates registered from 2000 to 2019 in which gastric cancer was recorded as any cause of death (an underlying or associated cause). Trends over time were assessed using joinpoint regression models. Spatial and spatiotemporal clusters were identified by Kulldorff’s space–time scan statistics to identify high-risk areas.

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