Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0024530 (malaria)
 44,886 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Health care in Nicaragua has drastically deteriorated since the United Opposition (UNO) came to power in April of 1990. During the previous decade, when the Sandinistas were in power, Nicaragua saw vast improvement in primary health care. The number of auxiliary health workers, including birth attendants and hygiene and nutrition advisors, increased significantly. With the aid of volunteers, vaccination campaigns succeeded in eradicating polio and in greatly reducing the incidence of measles, tetanus, and typhoid. Malaria and diphtheria were also drastically reduced. But these days, vaccination campaigns have failed to take place or to reach the intended audience, and health clinics have been short on supplies. As a result, the last 6 months have seen a recurrence of all the diseases, some in the form of epidemics. As the new Nicaraguan health minister, Dr. Salmeron, explains, 1300 children have died over the last 8 months due to an outbreak of measles. Furthermore, he says, many more children are ill due to a lack of inoculation or oral rehydration solutions. Salmeron, a middle-of-the-road private practitioner, has been critical of the new government's health policies. The government has said it will close local clinics so that it can concentrate health care in 12 "centers of excellence" -- but these hospitals have yet to appear. Furthermore, not only has the Chamorro government failed in its pledge to bring inflation down to 0, it hasn't been able to stop it from climbing to 100%.month. Health authorities have not received their monthly budgets, there are medicine and supply shortages, and patients are having to share beds. As Salmeron points out, the new government is abandoning one of the most successful health care systems in the Third World.
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PMID:Whither Nicaragua? 226 27