Subsecretaria de Salud Publica

Santiago, Chile

Subsecretaria de Salud Publica

Santiago, Chile

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Bello C.C.,University of Chile | Burgos S.C.,Subsecretaria de Salud Publica | Cardenas C.D.,University of Chile | Gonzalez S.B.,University of Chile
Revista Medica de Chile | Year: 2012

Herpes folliculitis is a rare manifestation of herpes virus infection. It usually represents a diagnostic challenge, due to the absence of characteristic skin manifestations such as vesicles or pustules. The reported cases are mainly associated with varicella zoster virus (VZV) and less commonly with herpes simplex viruses (HSV-1 y HSV-2). We report a 51-year-old male with a relapsing non-Hodgkin Lymphoma under chemotherapy, with history of extensive follicular lesions lasting one month. The pathologic study of the lesions was consistent with necrotizing herpes folliculitis. The patient was treated with Valacyclovir, achieving remission of the lesions. The appearance of folliculitis, especially in an immunocompromised patient, should raise the suspicion of herpes virus infection. Polymerase chain reaction may help to elucidate the diagnosis when pathologic findings are non-specific.


Angela Contreras M.,Subsecretaria de Salud Publica | Herrera Y.,Subsecretaria de Salud Publica | Lorena Rodriguez O.,Subsecretaria de Salud Publica | Tito P.Q.,Subsecretaria de Salud Publica | And 2 more authors.
Revista Chilena de Nutricion | Year: 2011

Background: The Ministry of Health incorporated in 2008 in the national supplementary feeding program a milk based drink for pregnant and nursing women fortifed with EPA and DHA. The product initially presented some degree of rejection in the population, which led to modify its organoleptic characteristics. Objective: To evaluate in a national sample the acceptability and consumption of the modifed product a year after starting distribution. Methodology: Random sample of 1,272 benefciaries in 62 clinics and 21 rural health posts across the country. A semi-structured survey to assess withdrawal, acceptability and consumption by the benefciary and other household members was applied. Results: Ninety point seven % of mothers regularly withdrew the product. There were important problems in the preparation of "Purita Mama" by lower dilution (22%) or excessive concentration (50.8%). The overall assessment of the product showed an average of 3 (regular) on a scale of 1 to 5 in pregnant and lactating women, highlighting negative opinions about the excessive sweetness (19.2%) and strong aroma (49.9%). The median overall assessment of the mothers was 3 (regular) on a scale of 1 to 5, without signifcant differences between pregnant and lactating women. The median consumption of the benefciaries was 250 ml/day, close to schedule and higher in the nursing women, although they receive more product. Eighty % of mothers appreciate the nutritional benefts of the product to the mother or child. About 60% of mothers do not share the milk drink, which indicates a relatively low domestic dilution. Conclusions: there was no signifcant change in the level of acceptability of the product and the consumption levels were relatively adequate. It is important to enhance information on how to prepare the product, to propose different alternatives for consumption and eventually to consider alternatives of favor.


Gomez-Dantes H.,Instituto Nacional Of Salud Publica | Castro M.V.,Observatorio de la Salud | Franco-Marina F.,Instituto Nacional Of Enfermedades Respiratorias | Bedregal P.,University of Chile | And 16 more authors.
Salud Publica de Mexico | Year: 2011

Objective. To describe the burden of disease studies made in the region, identify the main priorities in health from the indicator Disability Adjusted Life Years (DALYs). Material and Methods. By the use of DALYs identify the burden of disease in the countries in the network. Results. DALYs emphasize the emergency of mental disorders, diabetes mellitus in women and the disorders associated with alcohol consumption and injuries in men. Conclusions. Latin America is the region with more national studies of burden of disease, using a standardized methodology, that allows identifying new health priorities which are pressing to the health services; for that reason these results constitute an element to take into account in the establishment of public policies in each country.


Castillo-Riquelme M.,Subsecretaria de Salud Publica | Castillo-Riquelme M.,Imperial College London
Revista Medica de Chile | Year: 2010

The use of mathematical modeling in economic evaluation is a frequent practice seeking to inform priority setting in healthcare. The main advantages are the possibilities of extending the analyses of randomized controlled trails to specific population groups, and in routine conditions. Likewise, modeling allows transforming intermediate outcomes (such as subrogate markers) into final health outcomes. Models, help estimating the potential impact of an intervention in the population prior implementation, and for different scenarios. In the case of diseases with complex epidemiological characteristics, such as transmission dynamics of infectious diseases, models allow to reproduce these dynamics based on assumptions of the relationships among the variables. In this way, cost-effectiveness analysis of control interventions can be estimated. Additionally, models allow evaluating the uncertainty associated to the limitations of the available evidence, in a systematic, comprehensive and economic way. Nonetheless, the use of modeling is not free of criticisms, being the main ones related to the high number of assumptions and the luck of transparency of the internal processes (black box).


Raimann X.,Clinica Las Condes | Lorena Rodriguez O.,Corporacion para la Nutricion Infantil CONIN | Chavez P.,Subsecretaria de Salud Publica | Torrejon C.,University of Chile
Revista Medica de Chile | Year: 2014

The contamination of fish with methylmercury (MeHg) could hamper the health promoting properties of fish. Currently, there is strong evidence about the health benefits of seafood consumption. When consumed by the mother before and during pregnancy it improves neurodevelopment of infants and toddlers. Thereafter it reduces the risk of cardiovascular and other chronic diseases. The benefits of fish are mainly due to its content of omega-3 long chain polyunsaturated fatty acids, including eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Other constituents, such as high biological value proteins, fatsoluble vitamins, minerals and trace elements contribute to the benefits. On the other hand, there is also convincing evidence about the adverse effects of MeHg on neurodevelopment both during gestation and in early childhood. We herein review the effects of mercury on health. Based on international evidence and new data on the mercury content in Chilean fish, we also propose a recommendation for fish consumption for our population. © 2014, Sociedad Medica de Santiago. All rights reserved.


Valenzuela M.T.,Institute Salud Publica Of Chile | Moreno G.,Division de Planificacion Sanitaria | Vaquero A.,Institute Salud Publica Of Chile | Seoane M.,Institute Salud Publica Of Chile | And 3 more authors.
Revista Medica de Chile | Year: 2013

The epidemiologic behavior of the Invasive Meningococcal Disease (IMD) in Chile has changed. At the end of 2011, the W135 serogroup belonging to the hypervirulent clone ST-11 emerged. It affected diverse countries of the world, after the Mecca pilgrimage in 2000. In Chile, there have been 133 IMD cases during 2012. These figures represent an incidence of 0.7 per 100,000 inhabitants, which is 30% higher than expected. Eighty eight percent of cases were confirmed by the National Reference Laboratory at the Chilean Public Health Institute. The serogroup was determined in 103 strains and 58% belonged to the W135 serogroup, surpassing for the first time the B serogroup (37%). The Metropolitan Region concentrated 80% of these cases, and the remaining 20% affected other seven regions of the country. Forty seven percent of cases corresponded to children less than 5 years of age. The predominant clinical presentation of the W135 serogroup was a sepsis in 67% of cases. The fatality ratio of IDM during 2012 was 27%, the highest in the past 20 years. With this information, the Chilean Ministry of Health decreed a sanitary alert and implemented an integrated approach to control and prevent W-135 IDM, denominated "W-135 Action Plan".


Becerra C.,Subdireccion Medica | Herrera T.,Subsecretaria de Salud Publica
Medwave | Year: 2014

Health workers are crucial to the performance of a health system. Their situation is critical and this has been recognized as a global problem. The main challenges are their number, distribution, skills and performance conditions. Addressing these issues must necessarily involve a multifactorial, intersectoral and international approach, where determinant factors are: educational policies, forms of recruitment, permanency and termination of contract, issues that arise throughout their working cycle. In Chile, the management of health workers does not follow a comprehensive outlook. The type, number and distribution of technicians and professionals do not respond to a nationwide planning strategy, and there is no coordination between health authorities and universities. The result is that the system is not responding to the health needs of the population, nor is fulfilling the promise of a public service career that encourages good performance, investing in its human resources.Abstract available from the publisher.


PubMed | Subsecretaria de Salud Publica
Type: Journal Article | Journal: Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia | Year: 2013

During 2012 in Chile, there were 60 cases of serogroup W135 meningococcal disease, which accounts for 57.7% of identified serogroup cases.To describe main clinical features of patients with serogroup W135 meningococcal disease confirmed in 2012.Descriptive study of case series based on retrospective review of medical records.Male patients represented 61.7% and 46.7% were children under 5 years. At first clinical attention, 3.4% of patients were suspected of meningococcal disease, while 83.3% had meningococcemia as final diagnosis. Also at first attention, the most common symptoms or clinical signs were fever 38.0 C (60.3%), cold symptoms (52.5%), and nausea or vomiting (46.7%). Meningeal signs had a low frequency (8.7%). Diarrhea was the second most common symptom found among deceased patients (55.6%) and statistically higher than survivors (26.8%; p = 0.034). Six cases reported with sequelae: limb amputation, hearing loss or neurological damage, and mortality was 31.7%.In 2012, serogroup W135 meningococcal disease reported high mortality, atypical clinical presentation, low initial meningococcal disease diagnosis, and a high number of cases with poor clinical course.


PubMed | Subdireccion Medica and Subsecretaria de Salud Publica
Type: Journal Article | Journal: Medwave | Year: 2014

Health workers are crucial to the performance of a health system. Their situation is critical and this has been recognized as a global problem. The main challenges are their number, distribution, skills and performance conditions. Addressing these issues must necessarily involve a multifactorial, intersectoral and international approach, where determinant factors are: educational policies, forms of recruitment, permanency and termination of contract, issues that arise throughout their working cycle. In Chile, the management of health workers does not follow a comprehensive outlook. The type, number and distribution of technicians and professionals do not respond to a nationwide planning strategy, and there is no coordination between health authorities and universities. The result is that the system is not responding to the health needs of the population, nor is fulfilling the promise of a public service career that encourages good performance, investing in its human resources.

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