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CAMDI I Workshop on Diabetes Surveillance and Control:
Ecuador, El Salvador, Guatemala, Honduras & Nicaragua

CAMDI/DOTA

(San Salvador, El Salvador, 8–9 March 2000)

Workshop Report (25 pp): PDF   |   Word
CAMDI Workshops:   V   |   IV   |   III   |   II
About CAMDI   |   About DOTA

Diabetes is a health problem of global proportions. It is estimated that the number of people with diabetes will reach 65 million by 2025.

It has been observed that with adequate treatment, people who suffer from diabetes still have a high frequency of chronic complications. Furthermore, it has been verified that mortality is much greater among diabetics that among non-diabetics. Despite a scarcity of studies, there is evidence that in Latin America and the Caribbean, mortality among the diabetic population is much higher. The Diabetes Control and Complication Trial (DCCT) Study and United Kingdom Prospective Diabetes Study (UKPDS) have both modified the objectives for treating diabetes. These studies have demonstrated that strict control of glucose and blood pressure will notably improve the prognosis for diabetics, reducing the frequency of certain complications as well as of mortality.

The PAHO Program on Non-Communicable Diseases recently held a regional workshop on diabetes surveillance and control, at the Hotel Camino Real in San Salvador, El Salvador, from 8-9 March 2000. It was attended by representatives from Honduras, Nicaragua, Guatemala, Ecuador, and El Salvador. This activity is part of the PAHO Diabetes Initiative of the Americas (DIA) and is linked to the Declaration of the Americas on Diabetes (DOTA).

General Objective: Begin coordination of activities for epidemiological surveillance and control of diabetes in the participating countries.

Specific Objectives

  • Determine the feasibility of a survey on diabetes, hypertension, obesity, and their risk factors.
  • Study the possibility of compiling data on various aspects of diabetes, including direct and indirect costs and co-morbidity (related to hypertension and other chronic complications of diabetes).
  • Evaluate what it will take to put a national program of diabetes into operation.
  • Strengthen cooperation among countries in the field of diabetes surveillance and the control.

This project is a seed initiative of seed that should lead to the development of a National Diabetes Program in the participating countries, consistent with the Project on Risk-Factor Surveillance being conducted by the PAHO Program on Non-Communicable Diseases.