Screening for Metabolic Diseases in Public Health System in Brazil
|
|
|
- Derek Davidson
- 7 years ago
- Views:
Transcription
1 Screening for Metabolic Diseases in Public Health System in Brazil Paula R. Vargas Technical Advisory Committee in Newborn Screening Health Ministry Brazil
2 LATIN AMERICA - 20 countries - Great diversity: geographic, demographic, ethnic, economic, health system.
3 TOTAL AREA (Km 2 ): Brazil Argentina México Perú Colombia Bolivia Venezuela Chile Paraguay Ecuador % Uruguay Nicaragua Honduras Cuba Guatemala Panamá Costa Rica Dominicana Haití El Salvador
4 POPULATION: inhab. Brazil México Colombia Argentina Perú Venezuela Chile Ecuador Guatemala Cuba % Bolivia Haití Dominicana Honduras El Salvador Paraguay Nicaragua Costa Rica Uruguay Panamá
5 NEWBORNS / YEAR: Brazil México Colombia Argentina Perú Venezuela Guatemala Ecuador Haití Bolivia % 19 % Chile Dominicana Honduras Paraguay El Salvador Nicaragua Cuba Costa Rica Panamá Uruguay
6 Newborn Screening in Brazil: Some Difficulties 8,511,965 km² 187,552,942 inhabitants 20.5 inhabitants/km² 3,552,992 births per year 27 states in 5 different regions
7 Population - Brazil
8 Demographic Density - Brazil
9 College Degree - Brazil
10 Weather - Brazil
11 NBS Brazil (began in1976) Difficulties: - heterogeneity of screened pathologies - absence of standardised routines - low population coverage - lack of economic resources and public health funding - other health problems considered priorities over NBS - lack of integration NBS health care system (70-80% dependent of public health system) - economic restritions for expansion of panel - lack of education about NBS
12 NBS BRAZIL In Public Heatlh System (Health Ministry): No registry about diseases panel No registry about nº of patients No registry about treatment / follow-up Only one registry: nº of tests payed!
13 NBS - Brazil Jan / 2001 NORTH 47 % NORTHEAST 24% CENTRAL WEST 27% SOUTHEAST 82% SOUTH 70%
14 NBS BRAZIL June 2001 Creation of National Newborn Screening Program (NNSP) Health Ministry Decree Federal resources allocation for new actions - neonatal screening - diagnostic confirmation - treatment and follow-up
15 NNSP Objectives - Achieve 100% coverage of live births - Define and broaden the screened disorders spectrum - Implement and standardise the child care - Increase the resources allocation - Partnership: federal/state/regional - Ordering and guiding the health actions: Newborn Screening Reference Services (NSRS)
16 Newborn Screening Reference Services (NSRS)
17 Newborn Screening Reference Services (NSRS) Multidisciplinary Approach Minimum NSRS team: endocrinologist pediatrician nutricionist psychologist social worker
18 National Newborn Screening Program (NNSP) Current test panel includes screening for PKU, congenital hypothyroidism, hemoglobinopathies and cystic fibrosis. NNSP recommended step-wise expansion: - Phase 1 : PKU + CH - Phase 2 : PKU + CH + HB - Phase 3 : PKU + CH + HB + CF
19 NNSP
20 NNSP Results (1) Establishment of NSRS in 27 states (100 %) New 34 accredited NSRS working in the NNSP Quantitative increase of national coverage Greater procedure uniformity among the states Children detected in NNSP now have guaranteed assistance, follow-up and medications needed for the treatment.
21 NNSP Coverage Results (2) Journal of Inherited Metabolic Disease, August 2007, Volume 30, Number 4, p ISSN: (Print) (Online)
22 Newborn Screening Brazil NORTH 47% 86% NORTHEAST 24% 68 % CENTRAL WEST 27% 83% SOUTHEAST 82% 89% SOUTH 70% 87% Journal of Inherited Metabolic Disease, August 2007, Volume 30, Number 4, p ISSN: (Print) (Online)
23 NNSP Results (4) 2001/2006 Screened Diseases PKU (1:25,326) CH (1: 2,457) SC (1: 1,917) CF (1:10,975) Total New Cases ( ) 742 4,364 5, ,722 NSRS treatment (2005) 2,184 10,316 6, ,880 Journal of Inherited Metabolic Disease, August 2007, Volume 30, Number 4, p ISSN: (Print) (Online)
24 NNSP 7 years enabled us to: Perform epidemiologic study of the selected diseases Educate health workers and students (multidisciplinary team) for research, detection, prevention and treatment in this area Give support treatment to the detected patients and genetic counselling to their families Evaluate the need of neonatal screening for other diseases
25 NBS Brazil - Conclusions Despite great disparity, last seven years: implementation of public health program increase in coverage expansion of NBS panel increase in governmental involvement integration: NBS teams scientific societies external quality assurance (CDC)
26 NBS Brazil - Future coverage of 100% newborn expansion of NBS panel phases evolution increase in NNSP quality - pre-analytical aspects - post-analytical management Tandem Mass Spectrometry
27 Thank You! Technical Group of Consultants in Newborn Screening Health Ministry, Brazil Paula Vargas - Porto Alegre (RS) paula_triagem_neonatal@yahoo.com.br Tania Marini de Carvalho - São Paulo (SP) taniamc@ccti.com.br Helena Pimentel - Salvador (BA) genetica@apaesalvador.org.br
Human Resources Development and Training in Comprehensive Evaluation
Human Resources Development and Training in Comprehensive Evaluation Cuarto Foro Global de los Centros para el Aprendizaje en Evaluación y Resultados (CLEAR) November 19, 2013 Conduct evaluations Train
Open access policies: What can we learn from Latin America? Roxana Barrantes Instituto de Estudios Peruanos
Open access policies: What can we learn from Latin America? Roxana Barrantes Instituto de Estudios Peruanos 8.00 GDP growth 1999 2009 (percetual variation) 6.00 4.00 2.00 0.00-2.00-4.00-6.00 1999 2000
Goal 4. Reduce child mortality
Goal 4. Reduce child mortality 4.1. Introduction Target 4.A of MDG 4 reads: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate. Monitoring of this Goal consists of three indicators
WHAT S NEXT FOR MOBILE PAYMENTS?
WHAT S NEXT FOR MOBILE PAYMENTS? ? INSIGHT FROM LATIN AMERICA: WHAT S NEXT FOR MOBILE PAYMENTS? Mobile technology opens new opportunities for both financial institutions and merchants in Latin America.
Recognition of Judgments 2016
The United Nations High Commissioner for Refugees, Sin Fronteras, the Inter-American Commission on Human Rights, and the Asociación Mexicana de Impartidores de Justicia A.C. CALL FOR PROPOSALS Recognition
research brief A Profile of the Middle Class in Latin American Countries 2001 2011 by Leopoldo Tornarolli
research brief The International Policy Centre for Inclusive Growth is jointly supported by the United Nations Development Programme and the Government of Brazil. August/2014no. 47 A Profile of the Middle
Accounting Education in Latin America and the Caribbean
REPARIS A REGIONAL PROGRAM Accounting Education in Latin America and the Caribbean Henri Fortin, Program Manager, CFRR THE ROAD TO EUROPE: PROGRAM OF ACCOUNTING REFORM AND INSTITUTIONAL STRENGTHENING (REPARIS)
THE. moving. Your point of encounter Tu punto de encuentro Seu ponto de encontro. International Latino Cultural Center of Chicago
THE Art of moving Forward International Latino Cultural Center of Chicago Your point of encounter Tu punto de encuentro Seu ponto de encontro Introduction The International Latino Cultural Center of Chicago
Investors Day. 14th September 2010 Roger Alm - President. AB Volvo Volvo do Brasil, Investor s Day September, 2010 1
Investors Day 14th September 2010 Roger Alm - President September, 2010 1 ROGER ALM President / Trucks ROSANA POLLIS Legal YOSHIO KAWAKAMI Construction Equipment MONICA BECKERT CFO CARLOS MORASSUTTI Human
Agrimonitor: PSE Agricultural Policy Monitoring System in LAC INE/RND
Agrimonitor: PSE Agricultural Policy Monitoring System in LAC INE/RND WHAT POLICY MONITORING IS,WHY IS IMPORTANT AND WHAT HAS ALREADY BEEN DONE IN OUR COUNTRIES? Monitor and evaluate developments in agricultural
Capacity building for non communicable disease prevention and control in Latin America and Caribbean
Capacity building for non communicable disease prevention and control in Latin America and Caribbean Advances and challenges Branka Legetic, Anselm Hennis Pan American Health Organization- World Health
Table 1. Growth of Latin American and Caribbean Medical Schools
Table 1. Growth of Latin American and Caribbean Medical Schools Country 1969 1975 1988 1992 2004 Argentina 9 9 9 13 24 Antigua and Barbuda 1 Bolivia 3 3 3 7 10 Belize 2 Brazil 30 75 78 80 112 Chile 4 10
Health Care Expenditure and Financing in Latin America and the Caribbean [Fact sheet]
![Health Care Expenditure and Financing in Latin America and the Caribbean [Fact sheet]](/thumbs/40/20950063.jpg "Health Care Expenditure and Financing in Latin America and the Caribbean [Fact sheet]")
Health Care Expenditure and Financing in Latin America and the Caribbean [Fact sheet] December 2012 Overview of Health Expenditure and Financing Current Situation and Trends In 2011, the national or total
Preventing through education
Ministerial Declaration Preventing through education The Ministerial Declaration Preventing through Education, was approved in Mexico City in the framework of the 1st Meeting of Ministers of Health and
Coordinating national investment promotion with subnational investment promotion
. Coordinating national investment promotion with subnational investment promotion Investment climate, World Bank Global Market Access from an International Economy Spain: your partner in Europe Business
SUPPLY PROCUREMENT NOTICE CONTRACT SPECIFICATIONS
SUPPLY PROCUREMENT NOTICE Connectivity services, equipment and maintenance services for RedCLARA Location Latin America 1. Publication reference ALICE2-CII-2009 2. Procedure Open 3. Programme @LIS2 (Project
Evolution of EU exports and imports of goods with CELAC, 2004-2014 (in billion)
100/2015-9 June 2015 EU Community of Latin American and Caribbean States (CELAC) summit CELAC represents the fifth most important trading partner of the EU More than 200 bn total trade The 28 Member States
Chapter3. Human Opportunities in a Global Context: Benchmarking LAC to Other Regions of the World
Chapter3 73 Human Opportunities in a Global Context: Benchmarking LAC to Other Regions of the World 74 Chapter 3 Human Opportunities in a Global Context: Benchmarking LAC to Other Regions of the World
MOBILE BROADBAND GROWTH IN LATIN AMERICA
11-12 Nov, 2014 MOBILE BROADBAND GROWTH IN LATIN AMERICA JOSE F. OTERO DIRECTOR LATIN AMERICA & CARIBBEAN 4G Americas 4G AMERICAS 4G Americas will advocate for and foster the advancement and full capabilities
SUBCOMMITTEE ON PLANNING AND PROGRAMMING OF THE EXECUTIVE COMMITTEE
PAN AMERICAN HEALTH ORGANIZATION WORLD HEALTH ORGANIZATION SUBCOMMITTEE ON PLANNING AND PROGRAMMING OF THE EXECUTIVE COMMITTEE 31st Session, 23-24 November 1998 Provisional Agenda Item 8 SPP31/8, Rev.1
IPv6 in Latin America
IPv6 World Congress Meeting Las Vegas, Nevada, U.S. Azael Fernández Alcántara February 2006 CONTENTS 1. Introduction. 2. (6Bone) 3. IPv6 in Mexico 4. IPv6 in CLARA Network 5. IPv6 current status in Latin
INTERNATIONAL FACTORING
INTERNATIONAL FACTORING November 3, 2011 1 L. Gabriel Segura President and founding officer of CVCredit Inc, a Miami-based company which focuses in USA-domestic and international factoring services. Nine
Survey of LAC agricultural research institutes on technical information management.
Survey of LAC agricultural research institutes on technical information management. FORAGRO Technical Secretariat Area of Technology and Innovation Directorate of Technical Leadership and Knowledge Management,
TABLE 2 CONSANGUINEOUS MARRIAGE IN THE AMERICAS
TABLE 2 CONSANGUINEOUS MARRIAGE IN THE AMERICAS Region/country Location Collection Study Sample Consanguinity Consanguinity Coefficient of Reference period population size (%) types inbreeding (α) Caribbean
The recent decline in income inequality in Brazil: magnitude, determinants and consequences. Ricardo Paes de Barros (IPEA)
The recent decline in income inequality in Brazil: magnitude, determinants and consequences Ricardo Paes de Barros (IPEA) Cuidad de Guatemala, July 2007 1. Magnitude 0.610 Evolution of inequality in per
AmericasBarometer Insights: 2009(No.22) * Municipal Corruption Victimization 1
This is the third paper (I0803, I0813) in the AmericasBarometer Insight Series to analyze the sources of corruption victimization, focusing on another question included in the 2008 round of the Latin American
Prepanet Monterrey Tech Community High School
Prepanet Monterrey Tech Community High School Monterrey Tech Private institution founded in 1943. Non-profit Non-government operational support 27 non-profit sponsoring organizations 565 members on the
MOBILE ADS. HUNT Mobile Ads Traffic Q2-2011
HUNT Mobile Ads Traffic Q2-2011 Report #2-2011 Intro Continuing with the quarterly reports from HUNT Mobile Ads, the leading mobile advertising network in Latin America and the Spanish speaking markets,
SOUTHERN EXPOSURE PERFORMING ARTS OF LATIN AMERICA
APPLICATION RECEIPT DEADLINE February 28, 2014 PROJECT PERIOD September 1, 2014 August 31, 2015 PROGRAM DESCRIPTION Southern Exposure: Performing Arts of Latin America is a national initiative that supports
Latin America s s Foreign Debt
Latin America s s Foreign Debt Causes and Effects Internal Causes of the Debt Overvalued currency associated with ISI Returns on projects in future, but payments now: Debt trap Populist economic policies:
Contact Centers Worldwide
A Contact Centers Worldwide Country Tel.no. Supported lang. Contact Center Albania Algeria 852 665 00 +46 10 71 66160 Angola 89900 +34 91 339 2121 (Port) and Portuguese +34 913394044 +34 913394023 (Por)
Recommendations for implementing sustainable energy activities in the regions: LAC
Recommendations for implementing sustainable energy activities in the regions: LAC NESTOR LUNA DIRECTOR OF STUDIES AND PROJECTS ICSU: GLOBAL REGIONAL INTEGRATION WORSHOP ON SUSTAINABLE ENERGY April 9th,
The Healthcare and Health Tourism. Sector
The Healthcare and Health Tourism Sector Introduction For Bancolombia being an ally of healthcare institutions means to accompany, advise, and offer alternatives to make your projects become a reality.
FCPA and Anti-Corruption in Latin America
FCPA and Anti-Corruption in Latin America May 2011 FCPA Enforcement "FCPA enforcement is stronger than it's ever been and getting stronger. We are in a new era of FCPA enforcement; and we are here to stay."
Argentina s Economy: A death foretold again, or a surprise rescue? Claudio M. Loser Centennial- Latin America March 2014
Argentina s Economy: A death foretold again, or a surprise rescue? Claudio M. Loser Centennial- Latin America March 214 Argentine performance tended to be ahead the world and even the Emerging Economies
Receivables Management Solutions
Receivables Management Solutions Unlock trapped liquidity, reduce costs and make collections more predictable Citi Transaction Services Latin America and Mexico Citi Transaction Services Latin America
Mathematics in Latin America and the Caribbean:
Mathematics in Latin America and the Caribbean: Project Proposals Commission for Developing Countries, International Mathematical Union I. Name of the project: Central American Regional Doctoral Program
Company Presentation. Corporate Motor Show
Company Presentation Corporate Motor Show 1 Company Overview 1. Company Overview Technology & Service Provider Network Operator 2 FY 2010 Financial Highlights 1. Company Overview Revenues Ebitda 60.9 19.2
Preparing Tomorrow's Teachers with Web 2.0 Tools and 21st Century Skills 1
Professional Development Scholarship Program Preparing Tomorrow's Teachers with Web 2.0 Tools and 21st Century Skills 1 OAS/DHDEC/CIR.031/2012 1) Study venue: The course will be delivered entirely online
Making Spiritual Care part of Healthcare Worldwide
Making Spiritual Care part of Healthcare Worldwide LILIANA DE LIMA, MHA EXECUTIVE DIRECTOR INTERNATIONAL ASSOCIATION FOR HOSPICE AND PALLIATIVE CARE Bearing in mind that palliative care is an approach
Appendix 1: Full Country Rankings
Appendix 1: Full Country Rankings Below please find the complete rankings of all 75 markets considered in the analysis. Rankings are broken into overall rankings and subsector rankings. Overall Renewable
Q.nomy Case Study: Telefonica Page 1. Case Study: Telefonica, April 2008. Overview
Case Study: Telefonica, April 2008 Overview Telefonica ended 2007 consolidating its position as one of the world s leading telecommunications operators, largely thanks to the success of its commercial
Latin America - Mobile Operators
Brochure More information from http://www.researchandmarkets.com/reports/2417568/ Latin America - Mobile Operators Description: he report provides key information about the mobile operators in Latin America
Carlos Sigueyuki Sediyama Universidade Federal de Viçosa Departamento de Fitotecnia 36570-000 Viçosa - Minas Gerais Brasil. csediyama@ufv.
POTENTIALS FOR JOINT EFFORTS OF FEDERAL UNIVERSITY OF VIÇOSA AND JAPANESE UNIVERSITIES AND RESEARCH INSTITUTES FOR TECHNICAL ASSISTANCE TO DEVELOPING COUNTRIES Universidade Federal de Viçosa Carlos Sigueyuki
DuchenneConnect. www.duchenneconnect.org
DuchenneConnect www.duchenneconnect.org 1 What is DuchenneConnect? Web based patient self report registry to link the resources and needs of the Duchenne/Becker muscular dystrophy community, including:
Research Research and and Development Vice-Presidency
Research Research and and Development Vice-Presidency Social Social Programs Programs Division Division Social Sustainable Development Mission 2015 The Tecnologico de Monterrey, aware of its social responsibility
Trends, News and Events that are Shaping the AML Arena in Latin America
Trends, News and Events that are Shaping the AML Arena in Latin America Presented by: Octavio Betancourt- Managing Director 1 MoneyLaundering.com 15 th Annual International Anti-MoneyLaundering Conference
Latin America - Digital Media and Pay TV Market
Brochure More information from http://www.researchandmarkets.com/reports/1937256/ Latin America - Digital Media and Pay TV Market Description: This market report provides a comprehensive overview of convergence,
Luke Haggarty General Manager, IFC Advisory Service Office, Latin America and the Caribbean
Improving the Business Environment through Sub-national Regulatory Simplification Luke Haggarty General Manager, IFC Advisory Service Office, Latin America and the Caribbean OECD, Global Forum for Governance.
Education Goals in the Latin American and Caribbean Region. Compiled by Lorecia Roland LAC Education and Human Resources Technical Services Project
Education Goals in the Latin American and Caribbean Region Compiled by Lorecia Roland LAC Education and Human Resources Technical Services Project 1994 Acknowledgements In preparation for the December
UNHCR, United Nations High Commissioner for Refugees
Belgium 22 Jul 1953 r 08 Apr 1969 a Belize 27 Jun 1990 a 27 Jun 1990 a Benin 04 Apr 1962 s 06 Jul 1970 a Bolivia 09 Feb 1982 a 09 Feb 1982 a Bosnia and Herzegovina 01 Sep 1993 s 01 Sep 1993 s Botswana
LAND TENURE DATA AND POLICY MAKING IN LATIN AMERICA
LAND TENURE DATA AND POLICY MAKING IN LATIN AMERICA by Mariana Herrera 1 Project Specialist Organization of American States Office for Sustainable Development and Environment 1889 F ST. NW GSB-616A Washington,
National Autonomous University of NICARAGUA Center for Research and Health Studies SCHOOL OF PUBLIC HEALTH NICARAGUA. Presentation of CIES-UNAN
National Autonomous University of NICARAGUA Center for Research and Health Studies SCHOOL OF PUBLIC HEALTH NICARAGUA Presentation of CIES-UNAN June 2015 1 Legal Nature Founded in September 1982 under the
Admission to UNICAMP. 1. The Undergraduate Program. 1.1. Regular students. 1.1.1 The vestibular examination. 1.1.2.
Admission to UNICAMP 1. The Undergraduate Program 1.1. Regular students To enroll as a regular student in one of UNICAMP's undergraduate courses, foreign students have to pass the entrance examination
Education and Training
Education and Training Education The William J. Harrington Medical Training Programs for Latin America and the Caribbean 1967 August 2011 Total 3939 Residency Program for Internal Medicine 397 Elective
Sub- Regional Workshop and Consulta;ons on Capacity- Building in Travel Document Security: Colombia, 2013
Sub- Regional Workshop and Consulta;ons on Capacity- Building in Travel Document Security: Colombia, 2013 Carlos Gómez Head of R&D and Innova.on, FNMT- RCM, Spain ICAO TRIP: Building Trust in Travel Document
Obtaining Finance in Latin America and the Caribbean 1
Obtaining Finance in Latin America and the Caribbean 1 World Bank Group latin America and the Caribbean Series Note No. REV. 8/14 Basic Definitions Countries surveyed in and how they are grouped for analysis:
CLARA: Security in Latin American Academic Networks
Jornadas sobre Seguridad Informática Buenos Aires, 1-7 Octubre, 2005 Liliana Velásquez Solha CAIS/RNP - Brazil Juan Carlos López Guel UNAM-CERT Mexico (on behalf of CLARA Latin American Cooperation of
Quarterly Financial Report
Quarterly Financial Report September 30, 2009 Table of Contents I. Financial Statements 1 Balance Sheet Income Statements II. Main Financial Ratios 2 III. Details of Loan Portfolio 3 IV. Details of Paid-in
Senate Committee: Education and Employment. QUESTION ON NOTICE Budget Estimates 2015-2016
Senate Committee: Education and Employment QUESTION ON NOTICE Budget Estimates 2015-2016 Outcome: Higher Education Research and International Department of Education and Training Question No. SQ15-000549
States Parties to the 1951 Convention relating to the Status of Refugees and the 1967 Protocol
States Parties to the 1951 Convention relating to the Status of Refugees and the 1967 Protocol Date of entry into force: 22 April 1954 (Convention) 4 October 1967 (Protocol) As of 1 October 2008 Total
How To Tax A Holding Company
Investing in Latin America through Spain: Planning Opportunities 11th Annual Latin American Tax Conference Miami, Florida 10-11 March 2010 Luis Carbajo, Isabel Otaola, Joaquin Kersman, Clarissa Machado,
Overview menu: ArminLabs - DHL Medical Express Online-Pickup: Access to the Online System
Access to the Online System Overview menu: Create shipment: Preselected - Here you can order your shipment including the Pickup 0049 821 78093150 ArminLabs DHL Medical Express Online-Pickup-Manual DHL
The changing view of the priority of dengue disease as seen by WHO and its regional office
The changing view of the priority of dengue disease as seen by WHO and its regional office Organización Panamericana De la Salud Dr. José Luis San Martin Regional advisor of dengue program. OPS/OMS America
Dr. Laura Ruiz Pérez Director, Social Programs Tecnológico de Monterrey, Mexico
Building Strong Local Governments New perspectives p in Learning and Capacity Building 1 January, 2010 Dr. Laura Ruiz Pérez Director, Social Programs Tecnológico de Monterrey, Mexico Mr. Gerardo Guajardo
INTEGRATION AND TRADE CAPACITY BUILDING PROGRAM. Joaquim Tres and Alvaro Garcia Integration and Trade Sector Vice President of Sectors and Knowledge
INTEGRATION AND TRADE CAPACITY BUILDING PROGRAM Joaquim Tres and Alvaro Garcia Integration and Trade Sector Vice President of Sectors and Knowledge INDEX 1# 2# 3# 4# 5# 6# 7# 8# 9# What is the Origin?
24 SEPTEMBER 24 TH 2009-9:00 hrs TO 12:30 hrs
INTERNATIONAL DIRECTORY MEETING # 542 September 24 th, 2009 09:00 hrs to 12:30 hrs / 14:00 hrs to 17:30 hrs September 25 th, 2009 08:00 hrs to 17:30 hrs September 26 th, 2009 14:00 hrs to 17:30 hrs Sheraton
BRAIN DRAIN IN LATIN AMERICA*
UN/POP/EGM-MIG/2005/10 5 February 2006 EXPERT GROUP MEETING ON INTERNATIONAL MIGRATION AND DEVELOPMENT IN LATIN AMERICA AND THE CARIBBEAN Population Division Department of Economic and Social Affairs United
Grupo PRISA Overview An integrated media and education company
October, 2013 Disclaimer In addition to figures prepared in accordance with IFRS, PRISA presents non-gaap financial performance measures, e.g., EBITDA, EBITDA margin, adjusted EBITDA, adjusted EBITDA margin,
Supplement to the Guide to Benefits Gold Card Only Policy Language Changes for 2016 Renewal
Supplement to the Guide to Benefits Gold Card Only Policy Language Changes for 2016 Renewal Gold MasterCard Gold Credit Card Program Supplement Guide to Benefits Important information: Please read and
More than two-thirds (68%) of Hispanics are Roman Catholics. The next largest category, at 15%, is made
Chapter 1 Religion and Demography More than two-thirds (68%) of Hispanics are Roman Catholics. The next largest category, at 15%, is made up of born-again or evangelical Protestants. Although their numbers
Information for applicants from Latin America and the Caribbean for study commencing in 2014
Information for applicants from Latin America and the Caribbean for study commencing in 2014 Development Scholarships The Development Scholarships (NZDS) scheme offers the opportunity to people from targeted
ALICE: The Europe-Latin America Academic Networking Landscape. Florencio I. Utreras <futreras@reuna.cl> Vice President of CLARA June 8, 2004
ALICE: The Europe-Latin America Academic Networking Landscape Florencio I. Utreras Vice President of CLARA June 8, 2004 Academic Networking in LA NREN s Present Status Argentina RETINA
UNITED KINGDOM/ BRITISH PASSPORT SERVICE for Adults Ages 16 & Over
British, UK, United Kingdom Passport Renewal Call us for assistance Toll-free: (866) 378-1722 Local: (202) 684 7150 Fax: (866) 511-7599 1802 Vernon Street, NW Washington, DC 20009 Email: dc@travelvisapro.com
ARMENIA. Albert Matevosyan MD,PhD
Albert Matevosyan MD,PhD Neurohereditary Diseases Charity Association Head of Republic Center of Medical Genetic and Department of Medical Genetic Yerevan State Medical University Rome EUROPLAN (Italy)
External Trade. An Introduction to the EU Scheme of Generalised Tariff Preferences. DG Trade July 2008
An Introduction to the EU Scheme of Generalised Tariff Preferences DG Trade July 2008 What is the GSP? The GSP is a scheme of generalised tariff preferences that offers preferential access to imports into
National Survey of Pre- and Post- Analytical Performance Measures Used in Newborn Screening Programs
National Survey of Pre- and Post- Analytical Performance Measures Used in Newborn Screening Programs Simran Tiwana, MBA* Susan Tanksley, PhD* Brad Therrell, PhD Donna Williams, BS* Mirsa Douglass, MBA*
Expression of Interest in Research Grant Applications
INTERNATIONAL CENTRE FOR GENETIC ENGINEERING AND BIOTECHNOLOGY THE ACADEMY OF SCIENCES FOR THE DEVELOPING WORLD UNITED NATIONS EDUCATIONAL, SCIENTIFIC AND CULTURAL ORGANIZATION ICGEB-TWAS-UNESCO/IBSP Joint
Colombia in the world
Colombia in the world Proexport around the world Process of attracting Foreign Direct Investment Proexport offers detailed and professional assistance for investors that find interesting business opportunities
THE EFFECT OF CRIME VICTIMIZATION ON ATTITUDES TOWARDS CRIMINAL JUSTICE IN LATIN AMERICA
THE EFFECT OF CRIME VICTIMIZATION ON ATTITUDES TOWARDS CRIMINAL JUSTICE IN LATIN AMERICA Gabriel Demombynes Draft of May 2009 ABSTRACT This paper examines the effects victimization on criminal justice
How To Understand The Relationship Between Free Trade And Meat Production In Mexico
FREE TRADE AND MEXICO S MEAT SECTOR September 27, 2012 Contents I. Trade Agreements signed by Mexico II. Benefits of Foreign Trade III. External Challenges of Foreign Trade IV. Foreign Trade and the Mexican
The remainder of this handbook is divided into the following sections: Getting Started (p. 2); Beginner Mode (pp. 3 5); Expert Mode (pp. 5 11).
User Guide to LAPOP s System for Online Data Analysis (v1) The following guide is designed to help users navigate through and use LAPOP s System for Online Data Analysis (SODA). The system allows individuals
Information and communication
S E R I E políticas sociales 165 Information and communication technologies in the health sector: opportunities and challenges for the reduction of inequalities in Latin America and the Caribbean Andrés
H1N1 Vaccine Deployment and Vaccination update
H1N1 Vaccine Deployment and Vaccination update Outline Donor Commitments Vaccine Prequalification Country Preparedness Vaccine Deliveries Vaccine utilization and coverage Some lessons learned 2 H1N1 Pandemic
ECON 4311: The Economy of Latin America. Debt Relief. Part 1: Early Initiatives
ECON 4311: The Economy of Latin America Debt Relief Part 1: Early Initiatives The Debt Crisis of 1982 severely hit the Latin American economies for many years to come. Balance of payments deficits and
COMMISSION IMPLEMENTING DECISION. of 24.5.2016
EUROPEAN COMMISSION Brussels, 24.5.2016 C(2016) 3040 final COMMISSION IMPLEMENTING DECISION of 24.5.2016 amending Commission Implementing Decision C(2015) 8936 of 15.12.2015 on the financing of humanitarian
Excerpt Sudan Fixed Telecommunications: Low Penetration Rates Get a Boost from Broadband Internet and VoIP Services
Excerpt Sudan Fixed Telecommunications: Low Penetration Rates Get a Boost from Broadband Internet and VoIP Services This report is part of Pyramid Research s series of Africa & Middle East Country Intelligence
APEC Information Privacy Principles in the Development of Outsourcing Business: Contact Center in Peru
2008/SOM1/ECSG/SEM/018 APEC Information Privacy Principles in the Development of Outsourcing Business: Contact Center in Peru Submitted by: Peru Technical Assistance Seminar on International Implementation
Clinical Trials in Latin America. A Region of Diversity, A World of Opportunity
Clinical Trials in Latin America A Region of Diversity, A World of Opportunity Latin America: A Region of Diversity, a World of Opportunity for Clinical Trial Sponsors Latin America is hardly the latest
Chapter 3: The Budgets
Chapter 3: The Budgets A Comparative Atlas of Defence in Latin America and Caribbean / 2010 Edition 52 Defence Budget (in US$) Country 2006 2007 2008 2009 2010 Argentina 1,952,165,821 2,120,829,805 2,628,157,098
The Economic Impact of a U.S. Slowdown on the Americas
Issue Brief March 2008 Center for Economic and Policy Research 1611 Connecticut Ave, NW Suite 400 Washington, DC 20009 tel: 202-293-5380 fax:: 202-588-1356 www.cepr.net The Economic Impact of a U.S. Slowdown
Public Policy and Development Masters Programme
Public Policy and Development Masters Programme Paris School of Economics Course on Social Policies in Developing Countries Lecture 3: Policy objectives, constraints and domains. Francisco H. G. Ferreira
Benefits From the Internet of Things For Your Organization
2014 IT Risk/Reward Barometer Latin America Results November 2014 www.isaca.org/risk-reward-barometer Number of respondents (n) = 102 Respondents are business and IT professionals who are members of ISACA.
OPORTUNIDADES SALES & MARKETING DE OPPORTUNITIES
OPORTUNIDADES SALES & MARKETING DE OPPORTUNITIES MARKETING Y VENTAS 2014 2014 EVENTS ALAS is present at the main security trade shows in our region, and additionally it hosts its flag event the Management
OF THE INTERGOVERNMENTAL WORKING GROUP ON THE MULTILATERAL EVALUATION MECHANISM (MEM)
THIRD MEETING OF THE INTERGOVERNMENTAL OEA/Ser.L./XIV.4.3 WORKING GROUP ON THE MULTILATERAL CICAD/MEM/doc.14/98 rev. 1 EVALUATION MECHANISM (MEM) 4 December 1998 October 26-28, 1998 Original: Spanish Tegucigalpa,
FDI performance and potential rankings. Astrit Sulstarova Division on Investment and Enterprise UNCTAD
FDI performance and potential rankings Astrit Sulstarova Division on Investment and Enterprise UNCTAD FDI perfomance index The Inward FDI Performance Index ranks countries by the FDI they receive relative
Resolution. Background to the support of the Ombudsman Offices for women s human rights
Resolution Seminar-Workshop The Promotion and Protection of Reproductive Rights through the Work of the National Human Rights Institutions for Latin America, the Caribbean and Canada. Representatives of
Association of Panamerican Veterinary Medical Colleges
Association of Panamerican Veterinary Medical Colleges Animal Welfare and ONE HEALTH concept Dr. Juan de Jesus Taylor Preciado jjtaylorp2003@yahoo.com.mx PANVET Panamerican Veterinary Sciences Association
Cooperation Agreements for SAR Service and COSPAS-SARSAT STATUS OF SAR AGREEMENTS IN THE NAM/CAR/SAM REGIONS. (Presented by the Secretariat) Summary
SAR/NAM/CAR/SAM WP/08 International Civil Aviation Organization 07/04/09 Search and Rescue (SAR) Meeting for the North American, Caribbean and South American Regions (SAR/NAM/CAR/SAM) (Puntarenas, Costa
University of Twente Business Travel Reimbursement Scheme
University of Twente Business Travel Reimbursement Scheme Kenmerk: 401.829/HR Datum: 11-03-2014 Auteur: Miessen Index ARTICLE 1 DEFINITIONS... 2 ARTICLE 2 APPLICABILITY... 2 ARTICLE 3 GENERAL PROVISIONS...