VISION 2020 AMERICAS

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VISION 2020 AMERICAS
IAPB NORTH AMERICA CHAIR MRS. PAT
FERGUSON IAPB LATIN AMERICA CHAIR RAINALD
DUERKSEN, MD CARIBBEAN REGIONAL VISION 2020
COLLABORATING GROUP MR. ARVEL GRANT PAHO WHO
JUAN CARLOS SILVA, MD, MPH REGIONAL COORDINATOR
VISION 2020 LA VAN C. LANSINGH, MD, PhD
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VISION 2020 LATIN AMERICA
FOUNDED IN 2001 IN BUENOS AIRES, ARGENTINA IAPB
EXERCISES THE CHAIR PAAO AND PAHO ARE THE
CO-CHAIRS TECHNICAL SUBCOMITTEES CATARACT ROP/C
HILDHOOD BLINDNESS DIABETIC RETINOPATHY REFRACTIVE
ERRORS LOW VISION GLAUCOMA ADVOCACY MONITORING
AND EVALUATION BULLETIN WEBSITE WWW.V2020LA.ORG
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(No Transcript)
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RESPONSIBILITIES OF THE REGIONAL COORDINATOR

• PARTICIPATE AS FACULTY IN CEH COURSES
• MONITOR AND COLLATE INDICATORS
• MAINTENANCE AND DEVELOPMENTE OF THE REGIONAL
  WEBSITE
• EDITORIAL ACTIVITIES OF THE REGIONAL QUARTERLY
  BULLETIN
• EDITIORIAL RESPONSIBILITIES FOR THE FUTURE CEH
  IN SPANISH
• PROMOTE NETWORKING AND ADVOCACY ACTIVITIES
• PARTICIPATION IN THE ORGANISING OF THE BINANNUAL
  REGIONAL
• V2020 CONGRESS
• REGULAR COMMUNICATION WITH VISION 2020 NATIONAL
• COMMITTEES
• DEVELOP A REPORT WITH VARIOUS INDICATORS
  OBTAINED
• DURING AN ON SITE VISIT TO THE THREE NOMINATED
  PRIORITY
• COUNTRIES (GUATEMALA, PERU AND THE DOMINICAN
  REPUBLIC)

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RESPONSIBILITIES OF THE REGIONAL COORDINATOR

• COORDINATION OF THE TECHNICAL SUBCOMMITTEES
• PARTICIPATION IN VARIOUS REGIONAL AND
  INTERNATIONAL
• MEETINGS
• PROVIDE TECHNICAL EXPERTISE TO DIFFERENT
  STAKEHOLDERS
• ORGANISE THE LARWG ANNUAL MEETING
• PROMOTE ACTIVITIES RELATED TO WSD
• PREPARING VARIOUS REPORTS (FINANCIAL, BUDGET
• APPLICATION, SEMESTER REPORTS OF ACTIVITIES,
  MINUTES,
• OF VARIOUS MEETING, TABLE OF ACTIVITIES, ETC.)
• TRANSLATION AND EDITING RESPONSIBILITIES
• ASSIST IAPB NORTH AMERICA REGIONAL CHAIR PERSON
  AT A
• SPECIFIC REQUEST FOR ACTIVITIES IN HER AREA OF
  INFLUENCE
• OR AT THE REQUEST OF VARIOUS PARTNERS

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RESPONSIBILITIES OF VISION 2020 LA NATIONAL
COMMITTEES

• REPORT TO THE REGIONAL OFFICE ALL PBL RELATED
• ACTIVITIES AND COLLECTION OF INDICATORS
• HELP SELECT VISION 2020 CONTACT PEOPLE
• FURTHER DEVELOP NATIONAL EYE HEALTH PLANS OF OR
  
• COMMENCE THEM IF NOT EXISTENT
• PROMOTE WSD ACTIVITIES IN THEIR COUNTRIES
• REGIONAL AND NATIONAL NETWORKING
• ORGANISE VISION 2020 RELATED COURSES
• HELP SELECT VISION 2020 AMBASSADORS

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STATUS OF COMMITTEES AND PLANS
COMMITTEE AND PLAN
COMMITTEE AND NO PLAN
NO COMMITTEE BUT WITH PLAN
NO COMMITTEE ANDNO PLAN
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STATUS OF COMMITTEES AND PLANS
COMMITTEE AND PLAN
COMMITTEE AND NO PLAN
NO COMMITTEE BUT WITH PLAN
NO COMMITTEE AND NO PLAN
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STATUS OF COMMITTEES AND PLANS
COMMITTEE AND PLAN
COMMITTEE AND NO PLAN
NO COMMITTEE BUT WITH PLAN
NO COMMITTEE AND NO PLAN
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STATUS OF COMMITTEES AND PLANS
COMMITTEE AND PLAN
COMMITTEE AND NO PLAN
NO COMMITTEE BUT WITH PLAN
NO COMMITTEE AND NO PLAN
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COUNTRIES THAT HAVE PARTICIPATED IN OR HOSTED A
VISION 2020 RELATED WORKSHOP
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COUNTRIES THAT HAVE PARTICIPATED IN OR HOSTED A
VISION 2020 RELATED WORKSHOP
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COUNTRIES THAT HAVE PARTICIPATED IN OR HOSTED A
VISION 2020 RELATED WORKSHOP
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COUNTRIES THAT HAVE PARTICIPATED IN OR HOSTED A
VISION 2020 RELATED WORKSHOP
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PERU

• PBL COMMITTEE LAUNCHED IN 2006
• CONDUCTED REGIONAL RACSS IN 2002
• NATIONAL PLAN LAUNCHED IN JUNE 2006
• CSR 863
• IOL 90
• OPHTHALMOLOGISTS PER MILLON 30
• SEVERAL CEH COURSES, SEMINARS AND
• MEETINGS
• SIGNED GLOBAL DECLARATION
• NGOS CBM, ORBIS, SEE INTL., FOAL, LIONS,
• PAHO, MMI
• TRAINING OF MULTIDISCIPLINARY LV TEEN
• 65 OF OPHTHALMOLOGISTS BASED IN LIMA

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DOMINICAN REPUBLIC

• VISION 2020 COMMITTEE LAUNCHED IN 2005
• NO NATIONAL PLAN
• CSR 654
• IOL 95
• OPHTHALMOLOGISTS PER MILLON 26
• SEVERAL CEH COURSES, SEMINARS AND MEETINGS
• SIGNED GLOBAL DECLARATION
• NGOS CBM, LIGHTHOUSE, HELEN KELLER, SEE INTL.,
• LIGHTHOUSE, LIONS, MMI

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EL SALVADOR

• NO NATIONAL COMMITTEE
• NO NATIONAL PLAN
• CSR 1071
• IOL 90
• OPHTHALMOLOGISTS PER MILLON 18.4
• HAVE ATTENDED CEH COURSES
• RECENT ADVOCACY VISIT
• POSSIBILITY OF A RAAB IN 2007
• NOT SIGNED GLOBAL DECLARATION
• NGOS CBM, SEE INTL., FOAL, PAHO

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DOMINICA

• NO NATIONAL COMMITTEE
• NATIONAL PLAN
• CSR 1746
• HAVE ATTENDED CEH COURSES
• ONGOING REGULAR ADVOCACY
• VISITS BY CCB-SSI
• NOT SIGNED GLOBAL
• DECLARATION
• NGOS CCB-SSI, PAHO

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GUYANA

• NATIONAL VISION 2020 COMMITTEE
• NATIONAL PLAN WITH EMPHASIS IN CATARACT AND
  REFRACTIVE
• ERRORS
• CSR 1700
• IOL 90
• OPHTHALMOLOGISTS PER MILLON POPULATION 11.3
• HAVE ATTENDED CEH COURSES
• ONGOING REGULAR ADVOCACY VISITS
• (PAHO, CBM, CCB AND ORBIS)
• SIGNED GLOBAL DECLARATION
• NGOS CBM, ORBIS, CCB-SSI

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JAMAICA

• NATIONAL PBL COMMITTEE
• NO NATIONAL PLAN
• CSR 1000
• OPHTHALMOLOGISTS PER MILLON POPULATION 20.7
• HAVE ATTENDED CEH COURSES
• ONGOING REGULAR ADVOCACY VISITS (PAHO, CBM, CCB
  AND
• ORBIS)
• SIGNED GLOBAL DECLARATION
• NGOS CBM, ORBIS, CCB-SSI, SEE INTL.

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POPULATION 15 YEARS AND YOUNGER
40 45
30 35
Grenada El Salvador Peru Mexico Venezuela Suriname
Ecuador Dom. Rep Colombia Saint. Lucia
25 30
Guatemala Nicaragua Honduras Haiti Paraguay Bolivi
a Belize
St. K N Ant. Bar Costa Rica Bahamas Brazil Dom
inica Chile Argentina Uruguay
19 22
Tri Tob Cuba Barbados Canada USA
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POPULATION 60 YEARS AND OLDER
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OPHTHALMOLOGISTS POPULATION RATIO
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PER CAPITA INCOME AND HEALTH EXPENDITURE
25
PER CAPITA INCOME AND HEALTH EXPENDITURE
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CATARACT SURGICAL RATE
1.001 1.500 4.000 or more
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CATARACT SURGICAL RATE
0 500 501 1.000 1.001 1.500 1.501
2.000 2.001 2.500 2.501 3.000 No data
available
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CATARACT SURGICAL RATE
0 500 501 1.000 1.001 1.500 1.501
2.000 2.001 2.500 2.501 3.000 No data
available
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CATARACT SURGICAL RATE
0 500 501 1.000 1.001 1.500 1.501
2.000 2.001 2.500 No data available
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RACSS in LA
Country Survey area Year Total pop Pop 50 50 Sample
Brazil Campinas City 2003 980,000 174,811 17.8 2,224
Guatemala 4 Departments 2004 1,339,508 164,908 12.3 4,806
Paraguay National 1999 4,153,000 507,486 12.2 2,136
Peru Piura Tumbes 2002 1,838,135 241,457 13.1 4,782
Venezuela National 2004 23,054,210 3,159,644 13.7 3,317
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TOTAL POPULATION BLINDNESS IN LA
ESTIMATED PREVALENCE OF BILATERAL BLINDNESS
IN POPULATION 50 YEARS
 COUNTRY  AVAILABLE
  lt3/60
Brazil 0.33
Guatemala 0.52
Paraguay 0.39
Peru 0.62
Venezuela 0.37
Range 0.33-0.62
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NGOs WORKING IN THE REGION
CBM ORBIS LIONS HELEN KELLER LIGHTHOUSE SEE
INTERNATIONAL ULLS DEL MON FOAL CCB-SSI MIRADA
SOLIDARIA MMI
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NGOs WORKING IN THE REGION
CBM ORBIS LIONS HELEN KELLER LIGHTHOUSE SEE
INTERNATIONAL ULLS DEL MON FOAL CCB-SSI MIRADA
SOLIDARIA IEF WORLD EYE MISION MMI
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NGOs WORKING IN THE REGION
CBM ORBIS LIONS HELEN KELLER LIGHTHOUSE SEE
INTERNATIONAL ULLS DEL MON FOAL CCB-SSI MIRADA
SOLIDARIA WORLD EYE MISION
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NGOs WORKING IN THE REGION
CBM ORBIS LIONS HELEN KELLER LIGHTHOUSE SEE
INTERNATIONAL ULLS DEL MON FOAL CCB-SSI MIRADA
SOLIDARIA VISION PARAGUAY LIGHT FOR THE WORLD MMI
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NGOs WORKING IN THE REGION
LONG TERM PROJECTS CBM, LIONS, HELLEN KELLER
INTERNATIONAL, ORBIS, MIRADA SOLIDARIA, ULLS DEL
MON, LIGHTHOUSE, CCB-SSI AND FOAL, MMI
SHORT TERM PROJECTS SEE INTERNATIONAL, ORBIS
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CONTROL OF MAJOR CAUSES OF BLINDNESS
MEXICO

• ESTABLISHED PBL COMMITTEE IN MARCH 2005 WITH
  PLAN
• FINANCED BY THE GOVERNMENT AND FUNDACION RIO
  ARRONTE
• (FINANCES CATARACT SURGERIES BY STATE, CREATES
  A
• CATARACT SURGERY TRAINING CENTRE)
• DR. EVERARDO BAROJAS, IAPB LA CO-CHAIR IS HEAD
  OF
• THIS CENTRE
• CHAIR OF DIABETIC RETINOPATHY SUBCOMMITTEE LIVES
  IN
• MEXICO AND WORKS WITH DM SOCIETIES
• CONDUCTED RACSS IN GUADALAJARA
• (DATA NOT AVAILABLE) IN 2003
• CONDUCTED A REGIONAL RACSS IN
• MONTERREY IN DECEMBER 2005 (DATA
• NOT YET AVAILABLE)
• VOTED IN FAVOUR DURING WHA 2006
• GLAUCOMA TECHNICAL SUBCOMMITTEE
• CHAIR BASED IN MEXICO CITY

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CONTROL OF MAJOR CAUSES OF BLINDNESS
CUBA

• ESTABLISHED A COMMITTEE UNDER GOVERNMENT
  SUPERVISION
• WITH A NATIONAL PLAN IN 2002
• IN 3 YEARS INCREASE OF CSR FROM AROUND 600 TO
  NEARLY
• 2.700 IN 2006 WITH IOL IMPLANTATION RATE OF 98
• SEVERAL CEH COURSES AND WORKSHOPS ON ROP AND LOW
  
• VISION
• PROVISION OF LASER UNITS FOR DIABETIC
  RETINOPATHY AND
• ROP WITH UNIVERSAL SCREENING
• VOTED IN FAVOUR DURING WHA OF 2006
• GOVERNMENT ACTIVELY FINANCES CATARACT SURGERIES
  IN
• THE COUNTRY AS WELL AS OVERSEAS

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CONTROL OF MAJOR CAUSES OF BLINDNESS
DOMINICAN REPUBLIC

• FUNCTIONS AS REGIONAL TRAINING CENTER FOR
  RESIDENTS
• AND SUBSPECIALISTS FROM DIFFERENT COUNTRIES
  (HOSPITAL
• DR. ELIAS SANTANA DR. JUAN BATLLE IAPB LA
  CO-CHAIR)
• NATIONAL COMMITTEE LAUNCHED IN JUNE 2005 WITH
• GOVERNMENT FINANCING AND IN AGREEMENT WITH PAHO
• LARGE CATARACT SURGERY CAMPAIGNS WITH SUPPORT OF
  
• LIONS AND OTHER NGOs THROUGH ALL THE TEACHING
• INSTITUTIONS
• MINISTRY OF HEALTH VOTED POSSITIVELY IN THE
  RECENT
• WORLD HEALTH ASSEMBLY
• ROP PUBLIC AWARENESS
• CAMPAIGN STARTED THIS
• YEAR

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CONTROL OF MAJOR CAUSES OF BLINDNESS
VENEZUELA

• GOVERNMENT ACTIVELY FINANCES CATARACT SURGERIES
  IN
• THE COUNTRY AS WELL AS OVERSEAS
• ESTABLISHMENT OF A VISION 2020 OFFICE (NOT
  PROMOTED NOR
• REPORTING TO VISION 2020 LA) WITHIN THE
  GOVERNMENT
• CONDUCTED NATIONAL RACSS IN 2004
• INCREASED SCREENING FOR ROP AND
• DONATION OF 2 PORTABLE LASER UNITS BY CBM

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CONTROL OF MAJOR CAUSES OF BLINDNESS
PARAGUAY (1)

• ESTABLISHED THE FIRST VISION 2020 COMMITTEE IN
  THE REGION
• (CONAVIP)
• CONDUCTED FIRST NATIONAL RACSS IN THE REGION IN
  1999
• HIGHLY SUCCESSFUL REFRACTIVE ERRORS SCREENING
• PROGRAMME BY CONAVIP AND FINANCED BY PLAN
• INTERNATIONAL. THE PROGRAMME HAS BEEN
• EXTENDED WITH CBM FUNDING
• HAS INCREASED CSR FROM AROUND 400 TO
• NEARLY 900 IN 3 YEARS
• EACH OF THE CONAVIP MEMBER INSTITUTIONS
• IS RESPONSIBLE FOR SEVERAL NEONATAL UNITS
• A NATIONAL PLAN IS CURRENTLY BEING
• REDEVELOPED WITH GOVERNMENT PARTICIPATION

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CONTROL OF MAJOR CAUSES OF BLINDNESS
PARAGUAY (2)

• INCREASED COLLABORATION WITH NGOs FOR SPECIFIC
• PROJECTS SUCH AS ORBIS, CBM, LIONS
• DR. MIRIAM CANO, PRESIDENT OF CONAVIP AND FORMER
  
• PRESIDENT OF THE NATIONAL SOCIETY OF
  OPHTHALMOLOGY
• OBTAINED HER MS IN CEH IN LONDON IN SEPTEMBER
  2006
• SEVERAL SURGICAL CAMPAIGNS BY DIFFERENT
• INSTITUTIONS, INCLUDING THE CHALLENGE OF 1.000
• EXTRA SURGERIES
• FUNDACION VISION IS A REGIONAL TRAINING
• CENTER FOR OPHTHALMOLOGY RESIDENTS AND
• COMPREHENSIVE OPHTHALMOLOGY FELLOWS
• (CURRENTLY CONSTRUCTING ITS OWN DEDICATED
• FACILITIES)
• VOTED IN FAVOR DURING THE WHA OF 2006

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CONTROL OF MAJOR CAUSES OF BLINDNESS
ECUADOR

• THERE IS A NATIONAL SOCIETY WITH NO
  PARTICIPATION OF
• THE GOVERNMENT. IT WAS ESTABLISHED IN NOVEMBER
  2005
• WITH 6 WORKING GROUPS PAEDIATRIC
  OPHTHALMOLOGY,
• CATARACT, DIABETIC RETINOPATHY, LOW VISION AND
  
• REFRACTIVE ERRORS
• THE GOVERNMENT ESTABLISHED A PBLCOMMITTEE
• THREE YEARS AGO
• ROP NATIONAL PROGRAMME ONGOING FOR 2 YEARS
• COVERING MOST OF THE COUNTRY WITH INCREASED
• TRAINING, SCREENING AND TREATMENTS WITH
• PARTICIPATION OF THE MINISTRY OF HEALTH

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CONTROL OF MAJOR CAUSES OF BLINDNESS
PERU

• ESTABLISHED THE FIRST PBL COMMITTEE IN THE EARLY
  SIXTIES
• PROMOTING CATARACT FREE ZONES. ALTHOUGH IT WAS
  
• MOSTLY DORMANT UNTIL LATE LAST YEAR
• MANY CEH COURSES AND OTHER RELATED WORKSHOPS
• A NATIONAL EYE HEALTH PLANNING COURSE HELD IN
  MAY 2005
• WITH ACTIVE PARTICIPATION OF CBM, PAHO,
  NATIONAL
• INSTITUTE OF OPHTHALMOLOGY (INO), THE NATIONAL
  SOCIETY
• OF OPHTHALMOLOGY, MINISTRY OF HEALTH AND
• VISION 2020 LA
• NATIONAL EYE HEALTH PLAN WITH GOVERNMENT
• PARTICIPATION LAUNCHED IN JUNE 2006
• CONDUCTED REGIONAL RACSS STUDY IN 2002

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CONTROL OF MAJOR CAUSES OF BLINDNESS
BRAZIL (1)

• LONG STANDING HISTORY OF CATARACT SURGICAL
  CAMPAIGNS
• THROUGH THE BRAZILIAN COUNCIL OF OPHTHALMOLOGY
  (CBO)
• UNDER THE LEADERSHOP OF PROF. NEWTON KARA JOSE
  WITH
• GOVERNMENT FINANCING OF UP TO 50 MILLION US
  DOLLARS
• CONDUCTED REGIONAL RACSS IN CAMPINHAS IN 2003
• INCREASE OF CSR OF UNDER 1.000 IN 2001 UP TO
• NEARLY 2.500 IN 2005
• HAS A PBL AND A CEH COMMITTEE WITHIN THE CBO
• BUT WITH NO DIRECT GOVERNMENT INTERVENTION
• THE GOVERNMENT STARTED FINANCING DIABETIC
• RETINOPATHY TREATMENT IN 2004

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CONTROL OF MAJOR CAUSES OF BLINDNESS
BRAZIL (2)

• VARIOUS PROFESSORS HAVE HELPED IN CEH COURSES
  FOR
• LUSOPHONE COUNTRIES IN AFRICA
• HAS ESTABLISHED A PROGRAMME TO TRAIN
  OPHTHALMOLOGISTS
• FOR PORTUGUESE SPEAKING COUNTRIES
• UNIVERSAL SCREENING FOR ROP IN RIO DE JANEIRO
• UNDER THE LEADERSHIP OF DR. ANDREA ZIN
• THERE IS A PROJECT TO EXTEND IT BY LAW TO THE
  REST OF THE
• COUNTRY
• 6 YEAR SCREENING PROGRAMME FOR REFRACTIVE
• ERRORS IN PUBLIC SCHOOLS OF SAO PAULO
• THROUGH PROFESSOR NEWTON KARA JOSE
• (2 MILLION SCREENED)

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CONTROL OF MAJOR CAUSES OF BLINDNESS
BRAZIL (3)

• HOSTED THE WOC IN FEBRUARY 2006 WITH
  ORGANIZATION AND
• LEADERSHIP OF PROFESSORS RUBENS BELFORT JR. AND
  NEWTON
• KARA JOSE
• SEVERAL CEH COURSES CONDUCTED AND PARTICIPATION
  AS
• FACULTY IN OTHERS FOR THE REGION
• 12 MAJOR RESIDENCY TRAINING CENTERS STARTED A
  PILOT
• PROGRAMME TO INCLUDE CEH CURRICULA IN MARCH
  2006
• 4 TECHNICAL SUBCOMMITTEE CHAIRS OF VISION 2020
  LA ARE
• BASED IN BRAZIL

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CONTROL OF MAJOR CAUSES OF BLINDNESS
ARGENTINA (1)

• HOSTED THE FIRST VISION 2020 LATIN AMERICAN
  CONGRESS
• WITH OVER 200 PARTICIPANTS FROM THE REGION IN
  AUGUST
• 2004
• MEDICO OFTALMOLOGO (MO), THE OFFICIAL JOURNAL OF
  THE
• ARGENTINIAN COUNCIL OF OPHTHALMOLOGY (CAO)
  PUBLISHES
• ONE ARTICLE OF CEH RELATED ACTIVITIES EVERY
  MONTH FOR
• THE LAST YEAR AND A HALF
• THERE IS A FULL SESSION DEDICATED TO CEH
• ACTIVITIES IN THE ANNUAL CONGRESS OF
• OPHTHALMOLOGY SINCE 2003
• CONDUCTED A RACSS STUDY IN THE BUENOS AIRES
• REGION AND A SURVEY FOR THE REST OF THE
• COUNTRY IN 2001

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CONTROL OF MAJOR CAUSES OF BLINDNESS
ARGENTINA (2)

• THE ANNUAL COURSE FOR OPHTHALMOLOGY RESIDENTS
  AND
• FELLOWS HAS A MODULE DEDICATED TO CEH AND
  VISION 2020
• CONCEPTS
• IAPB LA CO-CHAIR PROFESSOR HUGO D. NANO AND THE
  
• MONITORING AND EVALUATION TECHNICAL
  SUBCOMMITTEE OF
• VISION 2020 LA ARE BASED IN BUENOS AIRES
• INCREASED ITS CSR OF UNDER 1.750 IN 2001 UP TO
  2.100 IN 2005
• GOVERNMENT FINANCED CATARACT SURGERIES IN
• 2005 WITH 10 MILLION US DOLLARS
• NATIONAL COMMITTEE BEING FORMED WITH ACTIVE
• PARTICIPATION OF THE GOVERNMENT
• SEVERAL COURSES AND WORKSHOPS BUT NOT A
• CEH COURSE HELD IN THE COUNTRY AS OF YET

50
CONTROL OF MAJOR CAUSES OF BLINDNESS
COLOMBIA

• HOSTED THE FIRST RESOURCE CENTER FOR THE REGION
• HAS SEVERAL RESIDENCY TRAINING PROGRAMMES AND
• FOREIGNERS ARE INCLUDED IN THESE PROGRAMMES
• IAPB LA CO-CHAIR AND FORMER MINISTER OF HEALTH
  DR.
• VIRGILIO GALVIS IS BASED HERE
• THE OFFICE OF THE PAHO EYE HEALTH PROGRAMME
• IS BASED IN BOGOTA
• HOSTED THE II VISION 2020 LA CONGRESS IN
• OCTOBER 2006 AND THE FIRST V2020 LA
• COMMITTEES MEETING

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CONTROL OF MAJOR CAUSES OF BLINDNESS
GUYANA

• ESTABLISHED A NATIONAL COMMITTEE WHICH IS NOT
  ALWAYS
• ACTIVE, BUT HAS A REFRACTIVE ERROR INTEREST IN
  SCHOOL
• AGE CHILDREN SPONSORED BY PAHO. THIS PLAN ALSO
  
• INCLUDES A CATARACT SURGICAL PROGRAMME WITH THE
  HELP
• OF ORBIS, CCB-SSI AND CBM RAISING ITS CSR FROM
  UNDER 700
• UP TO 1.700 IN ONLY 3 YEARS
• GOVERNMENT ACTIVELY FINANCES RECRUITMENT
• OF FOREIGN TRAINED PERSONNEL TO COVER THE
• NATIONAL SHORTFALL
• GOVERNMENT ALSO FINANCES THE PURCHASE OF
• SOME CONSUMABLES
• ACTIVE COOPERATION THROUGH GOVERNMENT
• AGREEMENTS WITH CUBA, VENEZUELA AND CHINA

52
CONTROL OF MAJOR CAUSES OF BLINDNESS
CARIBBEAN (1)

• CCB AND SSI IN ASSOCIATION WITH PAHO HAVE HELPED
  TO
• ESTABLISH PBL COMMITTEES WITH THE APPOINTMENT
  OF A
• VISION 2020 FOCAL PERSON WITHIN THE MINISTRIES
  OF HEALTH.
• IT IS ENVISIONED THAT THESE WILL BE
  RE-ENERGIZED AND RE-
• BRANDED AS NATIONAL VISION 2020 WORKING GROUPS
• MOST COUNTRIES DO NOT HAVE A NATIONAL SOCIETY OF
  
• OPHTHALMOLOGY
• CCB HAS APPOINTED A VISION 2020 PROGRAMME
• COORDINATOR WITHIN ITS SECRETARIAT FOR CCB EYE
  CARE
• SPONSORED PROGRAMMES. THIS COORDINATOR WILL
• COMMENCE THE VISION 2020 PLANNING MODULE IN
  LONDON IN
• JULY 2006
• REGIONAL ADVOCACY WORKSHOPS CONDUCTED IN 2003
  AND
• 2004

53
CONTROL OF MAJOR CAUSES OF BLINDNESS
CARIBBEAN (2)

• DESPITE POLITICAL TURMOIL, HAITI HAS ESTABLISHED
  A PBL
• COMMITTEE AND IS CURRENTLY WORKING ON ITS
  NATIONAL EYE
• HEALTH PLAN
• SEVERAL NGOs HELP WITH SPORADIC MISSIONS OR
  REGULAR
• VISITS
• SOME OF THE COUNTRIES OF THE REGION HAVE
  RECEIVED HELP
• FOR CATARACT SURGERIES FROM CUBA AND VENEZUELA
• DESPITE THE BARBADOS EYE STUDY, THERE IS NO
  NATIONAL
• COMMITTEE AND NO NATIONAL PLAN
• NO INFORMATION IS AVAILABLE FOR ST. KITTS AND
  NEVIS,
• BAHAMAS AND PUERTO RICO
• NO INFORMATION HAS BEEN MADE AVAILABLE FROM
  SURINAME
• NOR FRENCH GUIANA.

54
CONTROL OF MAJOR CAUSES OF BLINDNESS
OTHER COUNTRIES IN LATIN AMERICA
MOST OF THE OTHER COUNTRIES IN LATIN AMERICA OR
THE CARIBBEAN NOT MENTIONED HAVE EITHER ATTENDED
OR HOSTED CEH COURSES AND ARE AT VARIOUS STAGES
OF FORMING A NATIONAL PREVENTION OF BLINDNESS
COMMITTEE, WITH ACTIVE PARTICIPATION OF SEVERAL
NGOs AND PAHO TECHNICAL SUPPORT
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ACTIVITIES RELATED TO HUMAN RESOURCES
DEVELOPMENT AND THEIR EFFECTIVENESS

• 5 CEH COURSES EVERY YEAR
• 2 DOCTORS (PARAGUAY AND HONDURAS) HAVE
• COMPLETED THEIR MS IN CEH IN LONDON
• AND ANOTHER ONE ACCEPTED FOR THIS SUMMER
• (DOMINICAN REPUBLIC)
• VARIOUS PEOPLE HAVE TAKEN DIFFERENT
• MODULES RELATED TO CEH IN LONDON
• 4 PEOPLE HAVE ATTENDED CEH MANAGEMENT
• COURSES IN LAICO IN THE LAST 2 YEARS
• (GUATEMALA, PERU, PARAGUAY AND VENEZUELA)
• CEH CURRICULA STARTED IN 12 RESIDENCY
• TRAINING PROGRAMMES IN BRAZIL

56
ACTIVITIES RELATED TO INFRASTRUCTURE AND
APPROPRIATE TECHNOLOGY DEVELOPMENT

• SOME INSTITUTIONS HAVE ESTABLISHED SATELLITE
  CLINICS
• AND UPGRADED THEIR FACILITIES
• MANY OF THESE FACILITIES HAVE RECEIVED FINANCING
  OR
• DONATIONS IN KIND FROM INTERNATIONAL NGOs TO
• PURCHASE NEW EQUIPMENT
• VARIOUS SICS COURSES HAVE TAKEN PLACE IN THE
  REGION
• MANY PROGRAMMES HAVE STARTED OUTREACH CLINICS
• NGOs HAVE SUPPLIED LASER UNITS FOR ROP AND
  DIABETIC
• RETINOPATHY TO A NUMBER OF REGIONAL PARTNERS

57
PAHO PRIORITIES

• CONFORMATION OF NATIONAL V2020 COMMITTEES
• DEVELOPMENT OF V2020 NATIONAL PLANS
• QUANTITATIVE STUDIES RACSS RAAB
• QUALITATIVE STUDIES
• SUPPORT LOW VISION PROGRAMS
• SUPPORT CHILDHOOD BLINDNESS PROGRAMS
• DEVELOPMENT OF PILOT PROGRAMMES IN DR
  REFRACTIVE ERRORS

58
MAJOR SUCCESSES AND DEVELOPMENTS AS SEEN BY THE
VISION 2020 LATIN AMERICAN OFFICE (1)

• REVAMPING OF OUR WEBSITE WWW.V2020LA.ORG WITH
• WEEKLY UPDATES (AVAILABLE IN 3 LANGUAGES)
• TABLE OF INDICATORS FOR THE REGION, FINANCED BY
  ORBIS
• REGULARLY UPDATED WITH THE HELP OF VARIOUS NGOs
• FIRST VISION 2020 LATIN AMERICA CONGRESS IN
  BUENOS
• AIRES IN 2004
• VISION 2020 LA QUARTERLY BULLETIN LAUNCHED IN
  JUNE 2005
• 2 ADVOCACY VIDEOS DEVELOPED BY MR. RICK
  CASTIGLIONE
• ESTABLISHMENT OF 6 NEW PBL/VISION 2020 NATIONAL
  
• COMMITTEES IN 2005
• 8 NEW NGOs HAVE JOINED THE LARWG IN THE LAST 2
  
• YEARS, BRINGING THE CURRENT TOTAL TO 17
• ELIMINATION OF ONCHOCERCIASIS ONLY PRESENT IN
  SOME ISOLATED REGIONS IN VENEZUELA.

59
MAJOR SUCCESSES AND DEVELOPMENTS AS SEEN BY THE
VISION 2020 LATIN AMERICAN OFFICE (2)

• INCREASED COLLABORATION WITH PAHO AND IAPB NORTH
  
• AMERICA IN THE CARIBBEAN REGION IN COURSES,
  DATA
• COLLECTION, ETC.
• PUBLICATION IN INTERNATIONAL JOURNALS OF 3 OF
  THE
• RACSS STUDIES CONDUCTED IN THE REGION
• 4 NEW NATIONAL EYE HEALTH PLANS DEVELOPED IN THE
  
• LAST 12 MONTHS
• COLLABORATION WITH 3 CHAPTERS IN THE AMERICAS
  LENS
• BOOK TO BE PUBLISHED BY ALACSSA IN SEPTEMBER
  2006
• 2 RAAB STUDIES PLANNED IN 2007
• ELIMINATION OF BLINDING TRACHOMA IN MEXICO SOON
  TO BE ACHIEVED. APPARENTLY ONLY PRESENT IN
  SOME
• ISOLATED REGIONS IN BRAZIL.

60
MAJOR SUCCESSES AND DEVELOPMENTS AS SEEN BY THE
VISION 2020 LATIN AMERICAN OFFICE (3)

• PARTICIPATION IN SEVERAL CEH COURSES AS WELL AS
  
• VARIOUS MEETINGS AND CONGRESSES
• JOURNAL OF COMMUNITY EYE HEALTH, SPANISH VERSION
  
• PILOT EDITION TO BE PUBLISHED IN THE THIRD
  QUARTER
• OF 2006
• WSD ACTIVITIES PROMOTED IN DIFFERENT COUNTRIES
• TRANSLATION OF VARIOUS KEY DOCUMENTS INTO THE
• DIFFERENT LANGUAGES USED IN THE REGION
• FIRST CEH MANAGEMENT COURSE OF THE REGION HELD
  IN
• PARAGUAY IN NOVEMBER 2006 WITH 30 PARTICIPANTS
  FROM
• 14 COUNTRIES
• DEVELOPMENT OF INNOVATIVE ADMINISTRATIVE SYSTEMS
  IN
• EYE CARE SERVICES AT PUBLIC HOSPITALS IN THE
  CARIBBEAN

61
MAJOR SUCCESSES AND DEVELOPMENTS AS SEEN BY THE
VISION 2020 LATIN AMERICAN OFFICE (4)

• 2ND VISION 2020 LA CONGRESS IN COLOMBIA IN
  OCTOBER
• 2006 AND FIRST VISION 2020 LA COMMITTEES
  MEETING
• REGIONAL RAAB STUDY IN CHILE IN SEPTEMBER IN
  2006
• VISION 2020 LA WAS PORTRAYED WITH SEVERAL
  ARTICLES
• IN THE IAPB NEWS OF MARCH 2006
• ESTABLISHMENT OF A VISION 2020 LA PROGRAMME OF
• CONTACT PEOPLE FOR DIFFERENT COUNTRIES
• INCREASED COOPERATION WITH PAAO
• SUFFICIENT NUMBER OF OPHTHALMOLOGISTS TRAINED
• INCREASED CSR IN MOST OF THE COUNTRIES IN THE
  REGION
• IMPLEMENTATION OF PILOT PROGRAMMES IN DR,
• REFRACTIVE ERRORS AND GLAUCOMA IN THE CARIBBEAN

62
MAJOR CHALLENGES AND BARRIERS (1)

• SOME COMMITTEES ARE NOT REGULARLY ACTIVE
• MANY OF THE NATIONAL PLANS STILL REQUIRE A LOT
  OF
• WORK
• IN MANY COUNTRIES LACK OF GOVERNMENT INPUT
• TRAINED PERSONNEL MOVES TO MORE LUCRATIVE
• ACTIVITIES
• IN SOME INSTANCES, LACK OF PROPER COMMUNICATION
• SOME COUNTRIES DO NOT PROVIDE UPDATED DATA OR
• INDICATORS
• LACK OF ADECUATE FINANCING
• LACK OF ADECUATE HELP AND TRAINING FOR
  ASSISTANTS,
• TECHNICAL PERSONNEL, ETC.

63
MAJOR CHALLENGES AND BARRIERS (2)

• FOR SOME, INPUT OF CUBA AND VENEZUELA
• IN SOME COUNTRIES, WE DONT HAVE VISION 2020
• CONTACT PEOPLE
• IN MOST CASES, OPHTHALMOLOGISTS ARE CONCENTRATED
  
• IN URBAN AREAS
• RELATIONSHIP WITH OPTOMETRY AND OTHER
• PROFESSIONALS
• SOME PROGRAMMES HAVE NOT YET ESTABLISHED
• QUALITY CONTROL PROGRAMMES
• MANY PUBLIC HOSPITALS LACK ADECUATE RESOURCES

64
MAJOR CHALLENGES AND BARRIERS (3)

• MANY PEOPLE HAVE GOT USED TO SERVICES BEING FREE
  
• OF CHARGE
• INCREASED RISK OF LEGAL PROBLEMS
• MANY OF THE OPHTHALMOLOGISTS DO NO PERFORM
• SURGERY
• SOME COUNTRIES STILL HAVE TO DEVELOP THEIR
• COMMITTEE AND OR PLANS
• NOT MANY COUNTRIES HAVE INTRODUCED CEH
• CURRICULA IN THEIR RESIDENCY TRAINING
  PROGRAMMES
• MANY STILL DO NOT KNOW WHAT VISION 2020 IS
• CULTURAL AND ECONOMIC BARRIERS
• TO ELIMINATE ROP AND DIABETIC RETINOPATHY