Exploratory Planning for a Proposed GEOHealth Hub in the Alto Mayo Region: - USA

描述（由申请人提供）：我们的目标是在北方秘鲁的奥拓马约地区建立一个创新的、世界级的地球健康中心，该地区是一个森林严重砍伐的丛林地区，位于安第斯山脉的东部边缘，体现了偏远的传统村庄与新兴的农业和人口中心之间形成的动态和危险的界面。在这些地区，新的和旧的环境问题错综复杂，民众尚未认识到风险;在上马约吸取的经验教训很容易推广到秘鲁和地球仪周围的类似交界面情况。那里存在着令人震惊的多种环境健康风险，但几乎没有得到客观的审查。强大的当地传统医学仍然普遍存在，可以追溯到数千年;现代医疗保健正在发展。婴儿和产妇死亡率高得惊人。通过国际合作，该地区的GEOHealth中心将为秘鲁卫生当局提供所需的关键支持，以制定目标明确、有效的公共卫生政策和教育战略，以应对真正的、量化的环境/职业健康风险。 我们将建立一个持续的，独特的优势伙伴关系，已经发展之间的， 秘鲁国家卫生研究所，威斯康星州医学院（MCW）儿科 病理学，位于密尔沃基的NIH/NIEHS赞助的儿童环境健康科学核心 中心（CEHSCC），Yantalo秘鲁基金会，以及最近的俄勒冈州州立大学超级基金研究计划。这个多学科小组的内在优势被一个先进的临床和科学设施的新可用性放大，该设施位于秘鲁的扬塔洛，位于上马约的心脏地带，由伙伴关系成员设计和运营。我们的研究将集中在室内/室外空气质量，水/土壤质量，以及传统药用植物制剂的质量和安全性。虽然将处理广大民众的健康问题，但将强调婴儿/产妇死亡率的关键问题。 公共卫生相关性：通过国际合作，这一伙伴关系将确定秘鲁北方偏远但森林严重砍伐的Alto马约雨林的环境卫生需求和机会。该地区的环境危害令人震惊，但人们对此知之甚少。通过创新的试点研究和对未来研究和教育方法的深思熟虑的规划，我们将帮助缓解这一令人震惊的局面。

DESCRIPTION (provided by applicant): Our goal is to establish an innovative, world-class GEOHealth Hub in the Alto Mayo region of Northern Peru, a heavily deforested jungle region poised on the eastern edge of the Andes that exemplifies the dynamic and dangerous interface formed between remote traditional villages and emerging agricultural and population centers. New and old environmental issues are compounded in such regions, and the populace is not yet cognizant of the risks; lessons learned in the Alto Mayo will be readily extrapolated to similar interface situations in Peru and around the globe. Multiple environmental health risks of staggering magnitude are apparent there, but have received little objective scrutiny. Strong local traditional medicine remains pervasive, dating back millennia; modern medical care is developing. Infant and maternal mortality are alarmingly high. Through international collaboration, a GEOHealth Hub in this region would provide critical support needed by Peruvian health authorities to develop well-targeted, effective public health policies and educational strategies to address bona fide, quantified environmental/occupational health risks. We will build upon an on-going, uniquely advantageous partnership that has developed between the Peruvian Institute Nacional de Salud, the Medical College of Wisconsin (MCW) Division of Pediatric Pathology, the Milwaukee-based NIH/NIEHS-sponsored Children's Environmental Health Science Core Center (CEHSCC), the Yantalo Peru Foundation, and most recently the Oregon State University Superfund Research Program. Inherent strengths of this multidisciplinary group are magnified by new availability of a sophisticated clinical and scientific facility in Yantalo, Peru, located i the heart of the Alto Mayo, designed and operated by partnership members. Our research will focus on indoor/outdoor air quality, water/soil quality, and quality and safety of traditional medicinal plant preparations. Although health concerns of the broad populace will be addressed, the critical problems of infant/maternal mortality will be emphasized. PUBLIC HEALTH RELEVANCE: Through international collaboration, this partnership will identify needs and opportunities in environmental health in the remote, but heavily deforested Alto Mayo rainforest of Northern Peru. Perceived environmental hazards in this region are staggering, but poorly understood. Through innovative pilot studies and thoughtful planning for future studies and educational approaches we will help alleviate this alarming situation.