Online Program

Migration, Urbanization, and the Health Transition in Peru

Monday, November 4, 2013 : 10:30 a.m. - 10:50 a.m.

William Kuang-Yao Pan, DrPH MS MPH, Duke Global Health Institute, Duke University, Durham, NC
The southern Amazon region of Madre de Dios is undergoing rapid demographic, environmental and economic changes that are causing shifts in the health burdens reported by families and communities across the region. Madre de Dios (MDD) is considered one of the 7 “hottest hotspots of biodiversity,” but is under tremendous pressure from: (1) the 2011 opening of the Interoceanic Highway that connects rural Peruvian and Brazilian Amazon communities to Pacific and Atlantic ports; (2) the incipient rise of gold mining that has resulted in both the release of millions of tons of mercury and altered human livelihoods; and (3) land conflicts between gold miners, logging and castana concessionaries, Indigenous tribes, natural parks for ecotourism, and expansion of both agricultural and urban areas. This presentation will introduce the Madre de Dios Research Project, which involves a population-based survey of households living along the Interoceanic Highway as well as a random sample of households living along the Madre de Dios River. Our data supports the idea that households are experiencing dual disease burdens, have limited livelihood choices, and are potentially exposed to both vector-borne diseases as well as environmental toxins such as mercury, arsenic and selenium.

Learning Areas:

Basic medical science applied in public health
Biostatistics, economics
Diversity and culture
Protection of the public in relation to communicable diseases including prevention or control
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Define the primary economic, demographic and environmental pressures affecting human livelihoods in Madre de Dios. Describe the primary health issues affecting people living in Madre de Dios. Compare differences in livelihoods and health among people living in urban vs. rural areas, road vs. river communities, and mining vs. non-mining families

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been PI of multiple federally and non-federally funded grants pertaining to the study of communicable diseases in developing countries. My scientific interests involve better understanding human-environment dynamics of disease transmission, including both vector-borne and chronic diseases.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.