Latin American critical (‘Social’) epidemiology: new settings for an old dream

The present paper offers a fresh perspective from the South about the relevance of progressive Latin American public health (termed ‘collective health’) by highlighting a number of its hard scientific contributions which, unfortunately, remain almost unknown to mainstream medical and public health researchers outside Latin America. An armed form of structural greed has now placed the world on the brink of destruction. At the same time, however, fresh winds blow in the continent. This paper is an invitation to confront the menacing forces producing our unhealthy societies and an opportunity to form fraternal partnerships on the intercultural road to a better world, where only an epidemiology of dignity and happiness will make sense.

Alfredo Pareja: ensayista y crítico (Del Historiador y el Ensayista)

La autora revisa la ensayística de Alfredo Pareja sobre temas de arte colonial, cultura y literatura. Da cuenta de la evolución de su noción de lo artístico desde 1933, cuando Pareja marca distancia con la generación anterior y con el arielismo vigente, al hacer suya la defensa del realismo social, más adelante, sin embargo, matizaría estos juicios en otros ensayos. Su postura crítica, en términos generales, no defiende la originalidad ni la forma del texto por sí mismas, sino el valor del contenido, el humanismo empieza a ser el hilo conductor de su narrativa e iluminador de su estética. Por otro lado, siente la necesidad de resignificar lo local en su contacto con lo universal, reconociendo el afán de contemporaneidad de su generación, su defensa de lo mestizo está presente en sus reflexiones sobre el barroquismo latinoamericano. Finalmente, resulta interesante que Pareja aproxime dos grandes momentos del arte ecuatoriano: la pintura y escultura colonial de la llamada escuela de Quito, y la propuesta estética de su generación.

Promoting the health of marginalized populations in Ecuador through international collaboration and educational innovations

This paper examines two innovative educational initiatives for the Ecuadorian public health workforce: a Canadian-funded Masters programme in ecosystem approaches to health that focuses on building capacity to manage environmental health risks sustainably; and the training of Ecuadorians at the Latin American School of Medicine in Cuba (known as Escuela Latinoamericana de Medicina in Spanish). We apply a typology for analysing how training programmes address the needs of marginalized populations and build capacity for addressing health determinants. We highlight some ways we can learn from such training programmes with particular regard to lessons, barriers and opportunities for their sustainability at the local, national and international levels and for pursuing similar initiatives in other countries and contexts. We conclude that educational efforts focused on the challenges of marginalization and the determinants of health require explicit attention not only to the knowledge, attitudes and skills of graduates but also on effectively engaging the health settings and systems that will reinforce the establishment and retention of capacity in low- and middle-income settings where this is most needed.

Health Impact Assesment: Hints and Cautions from Critical Epidemiology

Under the format of this conference, to convey the possibilities for health impact assessment of Latin American Critical Epidemiology, sometimes referred to under the tautological designation of “social epidemiology”, I will try to sum up in the next few minutes some reflections based on them.