Exploratory Planning for a Proposed GEOHealth Hub in the Alto Mayo Region of Peru

描述(申请人提供)：我们的目标是在秘鲁北部的Alto Mayo地区建立一个创新的、世界级的GeOHealth Hub，这是一个森林砍伐严重的丛林地区，位于安第斯山脉的东部边缘，体现了偏远传统村庄与新兴农业和人口中心之间形成的充满活力和危险的界面。在这些地区，新旧环境问题交织在一起，民众还没有意识到风险；从Alto Mayo中吸取的经验教训将很容易推论到秘鲁和全球各地的类似界面情况。在那里，令人震惊的多种环境健康风险显而易见，但几乎没有得到客观的审查。强大的当地传统医学仍然无处不在，可以追溯到几千年前；现代医疗正在发展。婴儿和产妇死亡率高得惊人。通过国际合作，该区域的地球健康中心将提供秘鲁卫生当局所需的关键支持，以制定有针对性的、有效的公共卫生政策和教育战略，以解决真正的、量化的环境/职业健康风险。 我们将建立在两国之间发展起来的持续的、独特的优势伙伴关系 威斯康星医学院(MCW)儿科分部 病理学，密尔沃基NIH/NIEHS赞助的儿童环境健康科学核心 中心(CEHSCC)、扬塔洛秘鲁基金会，以及最近的俄勒冈州立大学超级基金研究计划。位于秘鲁Yantalo的一家先进的临床和科学设施由合作伙伴成员设计和运营，位于Alto Mayo的心脏地带，放大了这个多学科小组的固有优势。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。虽然将解决广大民众的健康关切，但将强调婴儿/产妇死亡率这一关键问题。 与公共卫生相关：通过国际合作，这一伙伴关系将确定秘鲁北部偏远但严重砍伐的Alto Mayo热带雨林在环境健康方面的需求和机会。这一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，我们将有助于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.