Article Index

(Lima, Peru, 20—22 April 2005)

Meeting sponsored by PAHO and three US government agencies:
Centers for Disease Control and Prevention (CDC),
Department of Health and Human Services (HHS), and
Agency for International Development (USAID)

This event was attended by representatives from the Amazon countries (with the exception of Bolivia, Colombia, and Guyana), together with special invitees (NAMRCD/Lima, Amazon Cooperation Treaty, and USAID).

As in the Southern Cone annual meeting (Doc. OPS/DPC/CD/351/05), the official delegations of each country included for the first time clinicians as well as laboratory professionals and epidemiologists. Several matters were discussed, among them the International Health Regulations, the threat of an influenza pandemic, malaria, dengue, antimicrobial resistance with quality assurance, performance evaluation in serodiagnosis of infectious diseases; and the situation of emerging and reemerging diseases in the countries.

Dr. Cesar Naquira, Director General of the Institutes of Health, Ministry of Health, Lima, Peru, was elected Chairman.

Since the joint meeting of the Amazon and Southern Cone networks held in Atlanta in March 2002, it was decided that recommendations issued in the annual meeting one year would be analyzed to determine their fulfillment during the following annual meeting. Therefore, below is a summary of compliance made by countries with regard to recommendations made in the Atlanta meeting held in 2004 Doc OPS/DPC/CD/319/04.

Compliance with the recommendations to the Amazon Countries at the IIIrd Joint Meeting of the Regional EID Surveillance Networks, Atlanta, February 2004.

Recommendation Compliance

1. General Activities of the Network

To Countries

  • Recommendation: Countries should play a more proactive role in integrating EID network activities with the lines of action of the Amazon Cooperation Treaty (ACT). Until the communication channels and action of the Amazon Cooperation Treaty are formalized, it is suggested that Peru assume responsibility for coordination and follow-up of the recommendations made at this meeting and the next, contacting the countries through the focal points designated by the Ministries to review the document for the new International Health Regulations.
    Compliance: The ACT seeks to contribute to regional integration and to a reduction in morbidity and mortality through improvements in the quality of the health services offered to the population, as well as by developing an early warning system and timely treatment. Because of several epidemiologic emergencies it was difficult for Peru to make follow up recommendations. On the other hand, all countries reviewed the documents for the new International Health Regulations.
  • Recommendation: They should select a set of data and information to be shared by the countries, as MERCOSUR has done, and continue promoting multinational border activities. At the next meeting they should report on the activities carried out and their results.
    Compliance: Although ACT intends to form an Amazon Coordinating Committee with health, education, environment, and other commissions; define structures, standards, procedures, and instruments; standardize forms; set up mechanisms for cooperation and information exchange to deal with outbreaks; as well as rapid response teams, none of this has actually happened, except for collaboration in malaria activities in border areas.


  • Recommendation: Facilitate the ListServ as a communication tool for the Amazon Region, registering all members to create forums for discussion and the timely dissemination of information.
    Information on EID events of interest continued to be disseminated through the ListServ and the PAHO website. Relevant publications are also distributed through the PAHO/WHO Representative Offices.
  • Compliance: Continue sending information on outbreaks and events of international interest and periodically update the ListServ directory so countries can use it as a communication tool.

Communicable Diseases and Environmental Determinants of Health