- Global Public Health Policies and Epidemiology
- COVID-19 epidemiological studies
- SARS-CoV-2 and COVID-19 Research
- Healthcare Systems and Reforms
- Food Security and Health in Diverse Populations
- Public Health and Social Inequalities
- Migration, Health and Trauma
- COVID-19 Clinical Research Studies
- Climate Change and Health Impacts
- Health disparities and outcomes
- Employment and Welfare Studies
- Vaccine Coverage and Hesitancy
- COVID-19 and healthcare impacts
- COVID-19 Pandemic Impacts
- Global Health Care Issues
- Diverse Educational Innovations Studies
- COVID-19 and Mental Health
- Viral Infections and Outbreaks Research
- Healthcare Systems and Challenges
- Education in Rural Contexts
- Respiratory viral infections research
- Global Maternal and Child Health
- Cultural Competency in Health Care
- SARS-CoV-2 detection and testing
- Language Development and Disorders
McGill University
2025
Inter-American Institute
2022-2024
Aarhus University
2016-2022
Fundación Chile
2022
Rockefeller Foundation
2021
Los Alamos National Laboratory
2021
Society for Public Health Education
2020
RELX Group (United States)
2019
Universidad Internacional del Ecuador
2018
Google (United States)
2015
### Summary box A growing chorus of voices are questioning the glaring lack women in COVID-19 decision-making bodies. Men dominating leadership positions global health has long been default mode governing. This is a symptom broken system where governance not inclusive any type diversity, be it gender, geography, sexual orientation, race, socio-economic status or disciplines within and beyond – excluding those who offer unique perspectives, expertise lived realities. only reinforces...
With 10·93 deaths per million people from coronavirus disease 2019 (COVID-19), as of April 6, 2020, Ecuador has one the highest rates COVID-19 mortality in Latin America (figure; appendix).1Ministry Health EcuadorCOVID-19 epidemiological bulletins.https://www.salud.gob.ec/gacetas-epidemiologicas-coronavirus-covid-19/Date: 2020Date accessed: 2020Google Scholar only 7·46 PCR tests 10 000 people,1Ministry government is critical need a systematic mechanism to bolster self-reporting, contact...
Chronic kidney disease (CKD) patients are at high-risk for severe coronavirus 2019 (COVID-19). The multicentric, observational and prospective SENCOVAC study aims to describe the humoral response safety of acute respiratory syndrome 2 (SARS-CoV-2) vaccines in CKD patients. Safety immediate results reported here.Four cohorts were included: transplant (KT) recipients, haemodialysis (HD), peritoneal dialysis (PD) non-dialysis from 50 Spanish centres. Adverse events after vaccine doses recorded....
Abstract Background Testing is crucial for COVID-19 response and management, however, WHO’s preparedness index omits estimations of actual testing capabilities, which influence the ability to contain, mitigate clinically manage infectious diseases. With one highest excess death rates globally, Ecuador had a comparatively low number confirmed cases, may have been influenced by limited availability data decision-making due laboratory capacity. Methods We examine de-identified on 55,063...
In early 2020, Ecuador reported one of the highest surges per capita deaths across globe.
Implementation of RSV prevention strategies requires an understanding seasonal virus epidemiology; yet, such data are lacking in many tropical regions. We describe the seasonality and environmental factors associated with activity Machala, Ecuador. From July 2018 to 2023, we analyzed nasopharyngeal samples from children younger than 5 years acute respiratory illness using Biofire FilmArray v.1.7™. Meteorological were obtained Ecuador's Instituto Nacional de Meteorología e Hidrología....
Make it the last pandemic," urges report of Independent Panel for Pandemic Preparedness and Response, convened by World Health Organization to assess handling covid-19. 1 The highlights how several governments international organisations did too little mitigate covid-19.It proposes a plan end this pandemic-what calls "the 21st century's Chernobyl moment"-and prevent another one.The panel makes six recommendations.Governments must urgently provide oxygen, diagnostics, vaccines equitably...
The absence of a chronic kidney disease (CKD) registry in Ecuador makes it difficult to assess the burden disease, but there is an anticipated increase incidence CKD along with increasing diabetes, hypertension and population age. From 2012, augmented funding for renal replacement therapy expanded dialysis clinics patient coverage. We conducted 73 in-depth sociological interviews healthcare providers eight provinces collected quantitative epidemiological data on patients diagnoses from six...
Abstract Primary health care is at the core of systems that aim to ensure equitable outcomes. With an estimated 36% rural population, Ecuador has a service year programme (created in 1970) for recently graduated doctors provide primary services and remote communities. However, little been done monitor or evaluate since its inception. The this study was assess Ecuador’s medical implementation with focus on distribution across country. For purpose, we analysed all doctors, including...
Global shifts toward a disease-oriented, vertical approach to health has involved limiting the right for communities participate in decision-making. Ecuador's authoritarian legacy forced civil society and social organizations adopt 'coping strategies', while large protests recently derived into violent struggles. The country been severely hit by COVID-19 pandemic amid corruption scandals involving hospital food purchases government during response. This study critically examines how took...
The development and distribution of a COVID-19 vaccine has the potential to greatly change course pandemic; however, ensuring equitable access will require countries, organisations, corporations place their trust in global health. initiative (COVAX) shows how public–private partnerships can exacerbate existing chasms1Spinney L How race for Covid-19 is getting dirty.https://www.theguardian.com/society/2020/aug/30/how-the-race-for-a-covid-19-vaccine-got-dirtyDate: Aug 30, 2020Date accessed:...
Abstract Background In early 2020, Ecuador reported one of the highest surges per capita deaths across globe. Methods We collected a comprehensive dataset containing individual death records between 2015 and 2020 from Ecuadorian National Institute Statistics Census Ministry Government. computed number excess time, geographical locations demographic groups using Poisson regression methods. Results Between January 1 st September 23 rd , in is 36,402 (95% CI: 35,762-36,827) or 208 10 5...
Purpose This study compared approaches to school closures in four Latin American countries (Bolivia, Colombia, Ecuador, Peru), describing the impact on health and educational wellbeing of school-age children youth, evaluating their regard continuing education through pandemic. Design/methodology/approach We collected 75 publicly available documents including scientific gray literature (government news releases), that referred children’s wellbeing. did thematic analyses using open, axial,...
To describe the development, implementation, and results of a training course designed to equip health professionals from Pan American Health Organization region with knowledge tools needed adapt systems current climate realities.
Since at least the 1970s, Latin American public health research has shown relevance of social, economic, and political power structures in causing inequities.1Almeida-Filho N Kawachi I Filho AP Dachs JNW Research on inequalities America Caribbean: bibliometric analysis (1971–2000) descriptive content (1971–1995).Am J Public Health. 2003; 93: 2037-2043Crossref PubMed Scopus (86) Google Scholar However, regional strategies still struggle to articulate principles equity within national policies...
The aim of this study is to identify opportunities in policy framing for critical health education (CHE) about food and nutrition Ecuadorian schools. research engages a dialogue between the perspectives political ecology, as it seeks clarify develop perspective on promotion education. Critical studies ecology highlight need consider also act upon broader connections of, influences on, nutrition. In CHE approach, students learn address wider determinants through critical, democratic...
Education plays a crucial role in the adaptation and broader societal inclusion of immigrant students their families. The current study explored migrants Ecuador's school system as fundamental tenet protecting health well-being. We conducted thematic analysis 13 policy documents, 12 national laws international agreements, 31 key informant interviews, applying human rights lens. find that, although 2008 Ecuadorian Constitution migration protect right to education, informants argue that these...