aerial view of the Amazon river

Health and Equity in the Americas

Fall 2000

Table of Contents

Brazil Health

Enhancing the Care of People

Enhancing the Care of People

Known for its rich, multi-layered culture and the warmth of its people, Brazil is a favorite destination of Sofia Gruskin, assistant professor of Health and Human Rights at the Harvard…

Brazilian Women’s Voices

Brazilian Women’s Voices

The faint smile on Mariana’s lips intensified as she reminisced about the lazy Brazilian days she had spent on a farm during her last vacation. She described the vast fields and the warm, fresh…

Brazilian Public Health Systems

Brazilian Public Health Systems

The David Rockefeller Center for Latin American Studies, together with the Harvard School of Public Health, the Harvard Medical School and the Harvard Brazilian Organization, have…

Health and Equity

Health: the Hope of Haiti

Health: the Hope of Haiti

At no time have I felt more vital than in serving at Partners In Health (PIH), and seldom more needed than in places like Haiti. In the Haitian people, as well as in every other country that PIH serves, we find an…

Whither Equity in Health?

Whither Equity in Health?

A waiting room in a charity clinic in rural Haiti. It is a humid afternoon, and huge drops of warm rain are starting to fall. A young woman is watching as her ten-year-old son, Dominique, clutches…

Safe Blood for Transfusion

Safe Blood for Transfusion

José Oscar Cotto López has donated 140 pints of blood since 1966. The 53-year old resident of San Salvador, El Salvador, does so because he believes it is an expression of love. “We must be…

Reproductive Health

Reproductive Health

On a hot, dusty day in the middle of a long drought, I attended a day-long assembly convened by the Ministry of Health’s Reproductive Health and Family Planning Program in Chulucanas, the…

Physicians for Human Rights

Physicians for Human Rights

As a member of a 1983 American Public Health Association delegation to evaluate medical neutrality in El Salvador, I saw mothers and children begging for food and for help in getting…

Health Technology

Health Technology

Advances in computer and telecommunications technology are expanding the promise of medical knowledge, interventions and prevention to the most remote and impoverished regions…

Health in the Americas

Health in the Americas

The state of health of the Western Hemisphere, I am pleased to say, is improving, distinguished readers. Every country in the Americas is experiencing a decline in child mortality, a decrease in…

Doctors in the Field

Doctors in the Field

Zamorano, Honduras – The family of eight rural villagers crowded on a narrow wooden school bench in the improvised clinic. They had traipsed from their tiny village, almost two hours more…

Decentralization

Decentralization

We were in the mayor’s office in a small village outside Cochabamba, Bolivia to interview officials about the impact of the new Popular Participation Law that had granted municipalities new…

Infectious Diseases

Emerging Infections

Emerging Infections

We all know infectious diseases from personal experience. Starting in childhood we typically experience influenza, chickenpox, strep infections of the throat, viruses that cause upper…

Infectious Diseases

Infectious Diseases

Harvard Medical School’s pre-clinical curriculum has some telling blind spots. During the first two years, we mostly discussed diseases prevalent in the United States and other developed…

Collaring Leishmaniasis

Collaring Leishmaniasis

Dog collars, long a method for identifying and controlling domestic dogs, have been used to control ticks and fleas. Now they may be used to control sand flies, insects that carry visceral…

U.S. L@tino Communities

Latino Mental Health

Latino Mental Health

What brings you in to see me today?” This is the typical question asked of new patients during a psychiatric evaluation in a Boston clinic. When asked of a Latino patient, however, the answer…

A Latina Looks at Disparities

A Latina Looks at Disparities

It was my first year of medical school in a new city far from home. I came to Harvard Medical School in the fall of 1999 with many preconceived notions of what I would encounter. Coming…

No Apple a Day

No Apple a Day

One in three Latin@ immigrant children up to age 11 hasn’t visited a doctor during the past year. That’s about twice the proportion for Asian and white children in this age group. Among…