Capacity building in climate and health in the Peruvian Amazon

项目摘要 这一D43培训补助金专门用于解决和纠正以下人员培训机会的不平等： 在首都利马和秘鲁偏远地区的传染病研究人员之间的项目。 我们与亚马逊国立大学合作提供合作研究培训计划 Peruana（UNAP）是该地区最大的健康教育机构。估计秘鲁受到严重影响 受气候变化的影响，亚马逊北方地区预计将经历极端降雨和洪水 与导致干旱的低降雨期延长交替发生的事件。然而，气候的影响 对健康的影响是复杂的，并通过人类适应和迁移来调节。为了充分预测 气候变化对传染病传播和流行的影响，这些因素必须 在地方和区域层面上理解。这个为期一年的项目将适应和标准化气候脆弱性 指数到洛雷托，并在高洪水风险地区的代表性抽样中应用该指数， 洛雷托的人口迁移这些活动将填补关键的知识空白，以便能够进行可靠的估计 气候变化对地方性肠道疾病和病媒传播疾病的影响。这些信息将是一个 本区域向主要利益攸关方通报情况并为其提供标准化工具的重要基准 易损性.这反过来又将有助于对未来的缓解战略进行方案评估， 移徙模式的变化是地方性传染病的关键决定因素。集成 计划的研究和培训结构将使联合国国家适应计划的教员参与气候方面的最佳做法方法 脆弱性研究，使受训者能够获得进行代表性抽样的重要实践 进行以人口为基础的研究，并最终将我们的学员转变为与他们的中期目标相一致的角色。 职业目标是成为联合国亚太经社会的研究人员。博士生将能够共同指导其他硕士生 通过将至少另外两名受训人员纳入该项目，培训受训人员。这种密集的，指导性的 培训计划将由我们四个合作机构（UNAP，弗吉尼亚大学， Universidad Peruana Cayetano Heredia [秘鲁领先的生物医学研究大学]和约翰霍普金斯大学 大学）。由肠道传染病流行病学家、人口统计学家、 地球和行星科学家、数据科学家、传染病建模者和当地热带疾病专家 预计将在所述研究活动的基础上寻求扩大气候研究的机会， 卫生，特别是气候变化对肠道疾病、登革热和疟疾流行病学的影响。

PROJECT SUMMARY This D43 training grant is specifically designed to address and correct disparities in training opportunities for researchers in infectious diseases between programs based in the capital in Lima and remote areas in Peru. We offer a collaborative research training program in partnership with the Universidad Nacional de la Amazonia Peruana (UNAP), the largest health education institution in the region. Peru is estimated to be highly impacted by climate change, and the northern Amazon region is expected to experience extreme rainfall and flooding events alternating with an extension of periods of low rainfall resulting in droughts. However, the effects of climate change on health are complex and mediated by human adaptation and migration. To adequately forecast the effects of climate change on the transmission and prevalence of infectious diseases these factors must be understood at the local and regional level. This one year project will adapt and standardize a climate vulnerability indices to Loreto and apply the index in a representative sampling across high flooding risk areas and study human migration in Loreto. These activities will address key knowledge gaps that will enable reliable estimations of the impact of climate change on endemic enteric and vector borne diseases. This information will be an important baseline for the region to inform key stakeholders and provide them with standardized tools to measure vulnerability. This in turn will allow for the programmatic assessment of future mitigation strategies and assess changes in migratory patterns which are key determinants of endemic infectious diseases. The integrated structure of planned research and training will engage UNAP faculty in best practice methodologies for climate vulnerability research, enable the trainees to gain important practice in the conduct of representative sampling for population-based research, and ultimately transition our trainees into roles consistent with their medium-term career goals of becoming research faculty in UNAP. Doctoral students will be able to co-mentor other masters’ trainees through the integration of at least two additional trainees into the project. This intensive, mentored training program will be led by faculty from our four collaborating institutions (UNAP, University of Virginia, Universidad Peruana Cayetano Heredia [the leading biomedical research university in Peru], and Johns Hopkins University). The integrated transdisciplinary team of enteric infectious disease epidemiologists, demographers, earth and planetary scientists, data scientists, infectious disease modelers and local experts in tropical diseases expect to build on the described research activities to pursue expanded opportunities in the study of climate and health, specifically the effect of climate change on the epidemiology of enteric diseases, dengue, and malaria.