Juan Jaime Miranda

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September 2006 | Volume 3 | Issue 9 | e344 The great burden that noncommunicable diseases (NCDs) and injuries have on lowincome and middle-income countries is well recognized [1,2]. Latin American and Caribbean (LAC) countries as a group of middle-income countries are no exception to this neglected epidemic. In this Essay, we review the impact on public(More)
The rise of non-communicable diseases and their impact in low- and middle-income countries has gained increased attention in recent years. However, the explanation for this rise is mostly an extrapolation from the history of high-income countries whose experience differed from the development processes affecting today's low- and middle-income countries.(More)
BACKGROUND This article analyses the epidemiological research developments in Latin America and the Caribbean (LAC). It integrates the series commissioned by the International Epidemiological Association to all WHO Regions to identify global opportunities to promote the development of epidemiology. METHODS Health situations of the regions were analysed(More)
PROBLEM Maternal mortality is particularly high among poor, indigenous women in rural Peru, and the use of facility care is low, partly due to cultural insensitivities of the health care system. APPROACH A culturally appropriate delivery care model was developed in poor and isolated rural communities, and implemented between 1999 and 2001 in cooperation(More)
BACKGROUND High body-mass index (BMI; defined as 25 kg/m(2) or greater) is associated with increased risk of cancer. To inform public health policy and future research, we estimated the global burden of cancer attributable to high BMI in 2012. METHODS In this population-based study, we derived population attributable fractions (PAFs) using relative risks(More)
October 2005 | Volume 2 | Issue 10 | e291 The Millennium Development Goals (MDGs) have captured the attention of the international health and development community in recent years [1–6], and in 2003 two world reports—the Human Development Report and the World Health Report—concentrated specifi cally on these goals [7,8]. The MDGs provide a vision for(More)
BACKGROUND International studies of the health of Indigenous and tribal peoples provide important public health insights. Reliable data are required for the development of policy and health services. Previous studies document poorer outcomes for Indigenous peoples compared with benchmark populations, but have been restricted in their coverage of countries(More)
CONTEXT Limited information is available of effects of rural-to-urban within-country migration on cardiovascular (CV) risk factors in low- and middle- income countries (LMIC). OBJECTIVE A systematic review of studies evaluating these effects was performed with rural and/or urban control groups. STUDY SELECTION Two teams of investigators searched(More)
BACKGROUND Sub-national analyses of causes of death and time-trends help to define public health policy priorities. They are particularly important in countries undergoing epidemiological transition like Peru. There are no studies exploring Peruvian national and regional characteristics of such epidemiological transition. We aimed to describe Peru's(More)
BACKGROUND Since 1990 non communicable diseases and injuries account for the majority of death and disability-adjusted life years in Latin America. We analyzed the relationship between the global burden of disease and Randomized Clinical Trials (RCTs) conducted in Latin America that were published in the five leading medical journals. (More)