United States-Mexico Border United States-Mexico Border Technical CooperationTechnical Cooperation

Maria Teresa Cerqueira, MS, PhDChief of the United States-Mexico Border Office

PAHO/WHOcerqueim@fep.paho.org

PAHO Presence in the Americas since 1902PAHO Presence in the Americas since 1902

Headquarters

Field and Country Offices

WHO 1948

The PAHO U.S. Mexico Border Office was established in 1942 to provide technical cooperation and support cross border collaboration among local, state and federal health authorities to promote health and prevent diseases.

10 estados48 condados EEUU80 municipios mexicanos 15 pares de ciudades hermanas 13 millones población

MISSION• To lead strategic collaborative efforts to promote equity in health,

combat disease, and improve the quality of, and lengthen, the lives of people on the U.S. Mexico Border.

VISION• Be the major catalyst for ensuring that all the peoples of the U.S.

Mexico Border enjoy optimal health and contribute to the well being of their families and communities.

VALUES • Equity- fairness and justice, eliminating unnecessary and avoidable disparities.• Excellence- achieve the highest quality • Solidarity- share responsibilities, enable collective actions to achieve common

goals.• Respect- embrace dignity and diversity of individuals, groups and

communities.• Integrity- assuring transparent, ethical, and accountable performance.

Health in THE Health in THE AMERICAS 2007AMERICAS 2007Health in THE Health in THE AMERICAS 2007AMERICAS 2007

www.paho.org/hiawww.paho.org/hia

www.borderinfo.orgwww.borderinfo.org

Chapter on Health along the U.S. Mexico Border

Guías para la Cooperación TécnicaGuías para la Cooperación Técnica

• OMS Programa Global de Trabajo • OPS Plan Estratégico 2007-2013• Declaración de los Objetivos de Desarrollo del Milenio• OMS Comisión de los Determinantes Sociales de la Salud

(Informe 2008)• La Agenda de Salud para las Américas 2008-2017• Prioridades de Salud de los Programas Nacionales: Healthy

People 2010 y Programa Nacional de Salud de México 2007-2013

• Frontera Saludable 2010• Programa Ambiental de la Frontera 2012

PAHO/WHO U.S. Mexico Border Office Biennial Work Plan 2010-2011

Oficina de OPS/OMS en la Frontera Oficina de OPS/OMS en la Frontera México - Estados UnidosMéxico - Estados Unidos

Plan de Trabajo Bienal 2010 – 2011Plan de Trabajo Bienal 2010 – 2011

Technical cooperation in health along the border the Technical cooperation in health along the border the PAHO/WHO U.S. Mexico Border Office Biennial Work PAHO/WHO U.S. Mexico Border Office Biennial Work

Plan 2010-2011Plan 2010-2011

1. Health analysis and surveillance for disease prevention and control

2. Promoting health with the family and community3. Preventing and managing chronic diseases4. Environmental health and sustainable development5. Knowledge management, communication and research

Elimination of Elimination of Congenital Congenital Syphilis, prevent Syphilis, prevent vertical vertical transmission of transmission of HIVHIV

Guidelines for borders Guidelines for borders and ground crossingand ground crossing

Project 1: Health Analysis and Surveillance for Disease Project 1: Health Analysis and Surveillance for Disease Prevention and ControlPrevention and Control

INCIDENCIA DE TB EN CONDADOS FRONTERIZOS EE UU VS MEDIA NACIONAL

0 10 20 30 40 50 60 70 80 90 100 110 120

Estados UnidosSan Diego

ImperialRiverside

YumaLa Paz

PimaMaricopa

Santa CruzPinal

CochiseDona Ana

OteroEl Paso

HudspethCulberson

ReevesCrockett

ValverdeKinney

MavrickUvaldeZavalaDimmitWebb

La SalleFrio

ZapataStarr

HidalgoWillacy

Cameron

CO

ND

AD

OS

TASA

NATIONAL AVERAGE

CALIFORNIA

ARIZONA

NEW MEXICO

TEXAS

Technical Report of Tuberculosis along the Border Communities

VACCINES:• Comparison Tool• Vaccination week

in the Americas

Project 2: Health Promotion with the Family and Project 2: Health Promotion with the Family and Community on the BorderCommunity on the Border

www.ecoclubes.org

USAUSA

USA

A peer-to-peersafety programfor young drivers

t-driver.com

• Prevalence study• Diabetes trainings health

professionals and promotores • Community Partners Forums• Policy Briefs• Capacity building with 11 clinics

U.S.- Mexico Border Diabetes U.S.- Mexico Border Diabetes Prevention and ControlPrevention and Control

Project 3: Prevention of Chronic DiseasesProject 3: Prevention of Chronic Diseases

Centro de Excelencia para la Centro de Excelencia para la Prevención de las Enfermedades Prevención de las Enfermedades Crónicas en la Frontera México Crónicas en la Frontera México

Estados UnidosEstados Unidos

Chamizal, El PasoChamizal, El Paso Obesity Prevention with Obesity Prevention with

Children and YouthChildren and Youth

• Policy, environmental and systems changes – Broad partnership– Proclamation– Resolution– Policy dialogue– Advocacy

• Community participation, youth leadership and development

• Multi-media campaign in healthy eating and active living

Healthy Kids, Healthy Communities

Border Partner’s ForumBorder Partner’s Forum

• Strengthen collaboration among border stakeholders, public and private partnerships to prevent and control chronic diseases and promote healthy lifestyles.

• Mobilize civil society • Advocate for policy and

environmental changes to invest

Project 4: Environmental health and sustainable development

Improving health with the Colonias on Texas Mexico Border

http://www.observatoriodejuarez.org/

Violence and Injury PreventionViolence and Injury Prevention

Network of VIP observatories (Juárez, Tijuana and Reynosa)

Project to strengthen mental health (USAID)

Observatory Information System ComponentsObservatory Information System Components

Map Web server

Collaboration site

Website

http://mapas.observatoriodejuarez.org/transito2008/

CD-ROMs FULL-TEXT PUBLICATIONSCD-ROMs FULL-TEXT PUBLICATIONS

Project 5: Knowledge Management, Project 5: Knowledge Management, Communication and Research Communication and Research

U.S. Mexico Border Web BulletinU.S. Mexico Border Web Bulletin

DISASTER PREPAREDNESSDISASTER PREPAREDNESS

• SAFE HOSPITALS Workshops

• H1N1:– Lessons learned– Teacher training – Maps with cases

• RISK COMMUNICATION• Lessons learned floods• Climate change

Partnerships and resource mobilizationPartnerships and resource mobilization

Health: CDC, HRSA, INSP, APHA, INSP, SSA, INN, SMSP, USAID, Health Sector local, state and federal

Environmental Health: EPA, SEMARNAT, BECC

Academia: COLEF, UABC, UCSD, SDSU, UACJ, UACH, UTEP, TTI, UA, ASU, COLSON, UANL, Consortium of HSHS, UAT, UT-PanAm, Texas A&M,

Foundations: Paso del Norte Health Foundation, ICF, California Endowment, PAHEF, RWJF, UH-CDI, FUNSALUD

Community: NGOs, Voces indigenas, Rotary, Kiwanis, Campesinos Unidos, Blood banks, Red Cross, Teens in the Drivers Seat, CIJ,

Objetivos de Frontera Objetivos de Frontera Saludable 2010Saludable 2010

1. Acceso a servicios de salud 2. Cáncer 3. Diabetes 4. Salud ambiental 5. VIH/SIDA 6. Inmunizaciones y

enfermedades infecciosas 7. Prevención de lesiones 8. Salud materna e infantil 9. Salud mental 10. Salud oral 11. Enfermedades respiratorias

1. Reducir contaminación del agua2. Reducir contaminación del aire3. Reducir contaminación del suelo4. Mejorar la salud ambiental5. Reducir exposición a químicos y

contaminación con químicos y actos de terrorismo

6. Mejorar desempeño ambiental, reforzar cumplimiento de en la prevención de la contaminación y el liderazgo en la protección del ambiente

http://www.borderhealth.org/healthy_border_2010.php?curr=programs

Programa Ambiental de Programa Ambiental de la Frontera 2012la Frontera 2012

http://www.epa.gov/r6border/intro.htm