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VISION 2020 AMERICAS

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  1. VISION 2020 AMERICAS IAPB NORTH AMERICA CHAIR: MRS. PAT FERGUSON IAPB LATIN AMERICA CHAIR: RAINALD DUERKSEN, MD CARIBBEAN REGIONAL VISION 2020 COLLABORATING GROUP: MR. ARVEL GRANT PAHO – WHO JUAN CARLOS SILVA, MD, MPH REGIONAL COORDINATOR VISION 2020 LA: VAN C. LANSINGH, MD, PhD

  2. VISION 2020 LATIN AMERICA FOUNDED IN 2001 IN BUENOS AIRES, ARGENTINA IAPB EXERCISES THE CHAIR PAAO AND PAHO ARE THE CO-CHAIRS TECHNICAL SUBCOMITTEES: CATARACT ROP/CHILDHOOD BLINDNESS DIABETIC RETINOPATHY REFRACTIVE ERRORS LOW VISION GLAUCOMA ADVOCACY MONITORING AND EVALUATION BULLETIN WEBSITE: WWW.V2020LA.ORG

  3. RESPONSIBILITIES OF THE REGIONAL COORDINATOR • PARTICIPATE AS FACULTY IN CEH COURSES • MONITOR AND COLLATE INDICATORS • MAINTENANCE AND DEVELOPMENTE OF THE REGIONAL WEBSITE • EDITORIAL ACTIVITIES OF THE REGIONAL QUARTERLY BULLETIN • EDITIORIAL RESPONSIBILITIES FOR THE FUTURE CEH IN SPANISH • PROMOTE NETWORKING AND ADVOCACY ACTIVITIES • PARTICIPATION IN THE ORGANISING OF THE BINANNUAL REGIONAL • V2020 CONGRESS • REGULAR COMMUNICATION WITH VISION 2020 NATIONAL • COMMITTEES • DEVELOP A REPORT WITH VARIOUS INDICATORS OBTAINED • DURING AN ON SITE VISIT TO THE THREE NOMINATED PRIORITY • COUNTRIES (GUATEMALA, PERU AND THE DOMINICAN REPUBLIC)

  4. RESPONSIBILITIES OF THE REGIONAL COORDINATOR • COORDINATION OF THE TECHNICAL SUBCOMMITTEES • PARTICIPATION IN VARIOUS REGIONAL AND INTERNATIONAL • MEETINGS • PROVIDE TECHNICAL EXPERTISE TO DIFFERENT STAKEHOLDERS • ORGANISE THE LARWG ANNUAL MEETING • PROMOTE ACTIVITIES RELATED TO WSD • PREPARING VARIOUS REPORTS (FINANCIAL, BUDGET • APPLICATION, SEMESTER REPORTS OF ACTIVITIES, MINUTES, • OF VARIOUS MEETING, TABLE OF ACTIVITIES, ETC.) • TRANSLATION AND EDITING RESPONSIBILITIES • ASSIST IAPB NORTH AMERICA REGIONAL CHAIR PERSON AT A • SPECIFIC REQUEST FOR ACTIVITIES IN HER AREA OF INFLUENCE • OR AT THE REQUEST OF VARIOUS PARTNERS

  5. RESPONSIBILITIES OF VISION 2020 LA NATIONAL COMMITTEES • REPORT TO THE REGIONAL OFFICE ALL PBL RELATED • ACTIVITIES AND COLLECTION OF INDICATORS • HELP SELECT VISION 2020 CONTACT PEOPLE • FURTHER DEVELOP NATIONAL EYE HEALTH PLANS OF OR • COMMENCE THEM IF NOT EXISTENT • PROMOTE WSD ACTIVITIES IN THEIR COUNTRIES • REGIONAL AND NATIONAL NETWORKING • ORGANISE VISION 2020 RELATED COURSES • HELP SELECT VISION 2020 AMBASSADORS

  6. STATUS OF COMMITTEES AND PLANS COMMITTEE AND PLAN COMMITTEE AND NO PLAN NO COMMITTEE BUT WITH PLAN NO COMMITTEE ANDNO PLAN

  7. STATUS OF COMMITTEES AND PLANS COMMITTEE AND PLAN COMMITTEE AND NO PLAN NO COMMITTEE BUT WITH PLAN NO COMMITTEE AND NO PLAN

  8. STATUS OF COMMITTEES AND PLANS COMMITTEE AND PLAN COMMITTEE AND NO PLAN NO COMMITTEE BUT WITH PLAN NO COMMITTEE AND NO PLAN

  9. STATUS OF COMMITTEES AND PLANS COMMITTEE AND PLAN COMMITTEE AND NO PLAN NO COMMITTEE BUT WITH PLAN NO COMMITTEE AND NO PLAN

  10. COUNTRIES THAT HAVE PARTICIPATED IN OR HOSTED A VISION 2020 RELATED WORKSHOP

  11. COUNTRIES THAT HAVE PARTICIPATED IN OR HOSTED A VISION 2020 RELATED WORKSHOP

  12. COUNTRIES THAT HAVE PARTICIPATED IN OR HOSTED A VISION 2020 RELATED WORKSHOP

  13. COUNTRIES THAT HAVE PARTICIPATED IN OR HOSTED A VISION 2020 RELATED WORKSHOP

  14. PERU • PBL COMMITTEE LAUNCHED IN 2006 • CONDUCTED REGIONAL RACSS IN 2002 • NATIONAL PLAN LAUNCHED IN JUNE 2006 • CSR 863 • IOL 90% • OPHTHALMOLOGISTS PER MILLON: 30 • SEVERAL CEH COURSES, SEMINARS AND • MEETINGS • SIGNED GLOBAL DECLARATION • NGOS: CBM, ORBIS, SEE INTL., FOAL, LIONS, • PAHO, MMI • TRAINING OF MULTIDISCIPLINARY LV TEEN • 65% OF OPHTHALMOLOGISTS BASED IN LIMA

  15. DOMINICAN REPUBLIC • VISION 2020 COMMITTEE LAUNCHED IN 2005 • NO NATIONAL PLAN • CSR 654 • IOL 95% • OPHTHALMOLOGISTS PER MILLON: 26 • SEVERAL CEH COURSES, SEMINARS AND MEETINGS • SIGNED GLOBAL DECLARATION • NGOS: CBM, LIGHTHOUSE, HELEN KELLER, SEE INTL., • LIGHTHOUSE, LIONS, MMI

  16. EL SALVADOR • NO NATIONAL COMMITTEE • NO NATIONAL PLAN • CSR 1071 • IOL 90% • OPHTHALMOLOGISTS PER MILLON: 18.4 • HAVE ATTENDED CEH COURSES • RECENT ADVOCACY VISIT • POSSIBILITY OF A RAAB IN 2007 • NOT SIGNED GLOBAL DECLARATION • NGOS: CBM, SEE INTL., FOAL, PAHO

  17. DOMINICA • NO NATIONAL COMMITTEE • NATIONAL PLAN • CSR 1746 • HAVE ATTENDED CEH COURSES • ONGOING REGULAR ADVOCACY • VISITS BY CCB-SSI • NOT SIGNED GLOBAL • DECLARATION • NGOS: CCB-SSI, PAHO

  18. GUYANA • NATIONAL VISION 2020 COMMITTEE • NATIONAL PLAN WITH EMPHASIS IN CATARACT AND REFRACTIVE • ERRORS • CSR 1700 • IOL 90% • OPHTHALMOLOGISTS PER MILLON POPULATION: 11.3 • HAVE ATTENDED CEH COURSES • ONGOING REGULAR ADVOCACY VISITS • (PAHO, CBM, CCB AND ORBIS) • SIGNED GLOBAL DECLARATION • NGOS: CBM, ORBIS, CCB-SSI

  19. JAMAICA • NATIONAL PBL COMMITTEE • NO NATIONAL PLAN • CSR 1000 • OPHTHALMOLOGISTS PER MILLON POPULATION: 20.7 • HAVE ATTENDED CEH COURSES • ONGOING REGULAR ADVOCACY VISITS (PAHO, CBM, CCB AND • ORBIS) • SIGNED GLOBAL DECLARATION • NGOS: CBM, ORBIS, CCB-SSI, SEE INTL.

  20. POPULATION 15 YEARS AND YOUNGER 40 – 45 % 30 – 35 % Grenada El Salvador Peru Mexico Venezuela Suriname Ecuador Dom. Rep Colombia Saint. Lucia 25 – 30 % Guatemala Nicaragua Honduras Haiti Paraguay Bolivia Belize St. K & N Ant. & Bar Costa Rica Bahamas Brazil Dominica Chile Argentina Uruguay 19 – 22 % Tri & Tob Cuba Barbados Canada USA

  21. POPULATION 60 YEARS AND OLDER

  22. OPHTHALMOLOGISTS – POPULATION RATIO

  23. 4,9 % 6,5 % 4,4 % 9,3 % 8,2 % 7,3 % 5,4 % 7,2 % 4,0 % 5,5 % 4,6 % 7,2 % 5,9 % 9,2 % PER CAPITA INCOME AND HEALTH EXPENDITURE

  24. 4,5 % 7,1 % 8,8 % 4,7 % 9,1 % 5,6 % 8,4% 5,9% 6,8% 4,8 % PER CAPITA INCOME AND HEALTH EXPENDITURE

  25. CATARACT SURGICAL RATE 1.001 – 1.500 4.000 or more

  26. CATARACT SURGICAL RATE 0 – 500 501 – 1.000 1.001 – 1.500 1.501 – 2.000 2.001 – 2.500 2.501 – 3.000 No data available

  27. CATARACT SURGICAL RATE 0 – 500 501 – 1.000 1.001 – 1.500 1.501 – 2.000 2.001 – 2.500 2.501 – 3.000 No data available

  28. CATARACT SURGICAL RATE 0 – 500 501 – 1.000 1.001 – 1.500 1.501 – 2.000 2.001 – 2.500 No data available

  29. RACSS in LA

  30. TOTAL POPULATION BLINDNESS IN LA ESTIMATED PREVALENCE OF BILATERAL BLINDNESS IN POPULATION 50 YEARS +

  31. NGOs WORKING IN THE REGION CBM ORBIS LIONS HELEN KELLER LIGHTHOUSE SEE INTERNATIONAL ULLS DEL MON FOAL CCB-SSI MIRADA SOLIDARIA MMI

  32. NGOs WORKING IN THE REGION CBM ORBIS LIONS HELEN KELLER LIGHTHOUSE SEE INTERNATIONAL ULLS DEL MON FOAL CCB-SSI MIRADA SOLIDARIA IEF WORLD EYE MISION MMI

  33. NGOs WORKING IN THE REGION CBM ORBIS LIONS HELEN KELLER LIGHTHOUSE SEE INTERNATIONAL ULLS DEL MON FOAL CCB-SSI MIRADA SOLIDARIA WORLD EYE MISION

  34. NGOs WORKING IN THE REGION CBM ORBIS LIONS HELEN KELLER LIGHTHOUSE SEE INTERNATIONAL ULLS DEL MON FOAL CCB-SSI MIRADA SOLIDARIA VISION PARAGUAY LIGHT FOR THE WORLD MMI

  35. NGOs WORKING IN THE REGION LONG TERM PROJECTS: CBM, LIONS, HELLEN KELLER INTERNATIONAL, ORBIS, MIRADA SOLIDARIA, ULLS DEL MON, LIGHTHOUSE, CCB-SSI AND FOAL, MMI SHORT TERM PROJECTS: SEE INTERNATIONAL, ORBIS

  36. CONTROL OF MAJOR CAUSES OF BLINDNESS MEXICO: • ESTABLISHED PBL COMMITTEE IN MARCH 2005 WITH PLAN • FINANCED BY THE GOVERNMENT AND FUNDACION RIO ARRONTE • (FINANCES CATARACT SURGERIES BY STATE, CREATES A • CATARACT SURGERY TRAINING CENTRE) • DR. EVERARDO BAROJAS, IAPB LA CO-CHAIR IS HEAD OF • THIS CENTRE • CHAIR OF DIABETIC RETINOPATHY SUBCOMMITTEE LIVES IN • MEXICO AND WORKS WITH DM SOCIETIES • CONDUCTED RACSS IN GUADALAJARA • (DATA NOT AVAILABLE) IN 2003 • CONDUCTED A REGIONAL RACSS IN • MONTERREY IN DECEMBER 2005 (DATA • NOT YET AVAILABLE) • VOTED IN FAVOUR DURING WHA 2006 • GLAUCOMA TECHNICAL SUBCOMMITTEE • CHAIR BASED IN MEXICO CITY

  37. CONTROL OF MAJOR CAUSES OF BLINDNESS CUBA: • ESTABLISHED A COMMITTEE UNDER GOVERNMENT SUPERVISION • WITH A NATIONAL PLAN IN 2002 • IN 3 YEARS INCREASE OF CSR FROM AROUND 600 TO NEARLY • 2.700 IN 2006 WITH IOL IMPLANTATION RATE OF 98% • SEVERAL CEH COURSES AND WORKSHOPS ON ROP AND LOW • VISION • PROVISION OF LASER UNITS FOR DIABETIC RETINOPATHY AND • ROP WITH UNIVERSAL SCREENING • VOTED IN FAVOUR DURING WHA OF 2006 • GOVERNMENT ACTIVELY FINANCES CATARACT SURGERIES IN • THE COUNTRY AS WELL AS OVERSEAS

  38. CONTROL OF MAJOR CAUSES OF BLINDNESS DOMINICAN REPUBLIC: • FUNCTIONS AS REGIONAL TRAINING CENTER FOR RESIDENTS • AND SUBSPECIALISTS FROM DIFFERENT COUNTRIES (HOSPITAL • DR. ELIAS SANTANA – DR. JUAN BATLLE IAPB LA CO-CHAIR) • NATIONAL COMMITTEE LAUNCHED IN JUNE 2005 WITH • GOVERNMENT FINANCING AND IN AGREEMENT WITH PAHO • LARGE CATARACT SURGERY CAMPAIGNS WITH SUPPORT OF • LIONS AND OTHER NGOs THROUGH ALL THE TEACHING • INSTITUTIONS • MINISTRY OF HEALTH VOTED POSSITIVELY IN THE RECENT • WORLD HEALTH ASSEMBLY • ROP PUBLIC AWARENESS • CAMPAIGN STARTED THIS • YEAR

  39. CONTROL OF MAJOR CAUSES OF BLINDNESS VENEZUELA: • GOVERNMENT ACTIVELY FINANCES CATARACT SURGERIES IN • THE COUNTRY AS WELL AS OVERSEAS • ESTABLISHMENT OF A VISION 2020 OFFICE (NOT PROMOTED NOR • REPORTING TO VISION 2020 LA) WITHIN THE GOVERNMENT • CONDUCTED NATIONAL RACSS IN 2004 • INCREASED SCREENING FOR ROP AND • DONATION OF 2 PORTABLE LASER UNITS BY CBM

  40. CONTROL OF MAJOR CAUSES OF BLINDNESS PARAGUAY (1): • ESTABLISHED THE FIRST VISION 2020 COMMITTEE IN THE REGION • (CONAVIP) • CONDUCTED FIRST NATIONAL RACSS IN THE REGION IN 1999 • HIGHLY SUCCESSFUL REFRACTIVE ERRORS SCREENING • PROGRAMME BY CONAVIP AND FINANCED BY PLAN • INTERNATIONAL. THE PROGRAMME HAS BEEN • EXTENDED WITH CBM FUNDING • HAS INCREASED CSR FROM AROUND 400 TO • NEARLY 900 IN 3 YEARS • EACH OF THE CONAVIP MEMBER INSTITUTIONS • IS RESPONSIBLE FOR SEVERAL NEONATAL UNITS • A NATIONAL PLAN IS CURRENTLY BEING • REDEVELOPED WITH GOVERNMENT PARTICIPATION

  41. CONTROL OF MAJOR CAUSES OF BLINDNESS PARAGUAY (2): • INCREASED COLLABORATION WITH NGOs FOR SPECIFIC • PROJECTS SUCH AS ORBIS, CBM, LIONS • DR. MIRIAM CANO, PRESIDENT OF CONAVIP AND FORMER • PRESIDENT OF THE NATIONAL SOCIETY OF OPHTHALMOLOGY • OBTAINED HER MS IN CEH IN LONDON IN SEPTEMBER 2006 • SEVERAL SURGICAL CAMPAIGNS BY DIFFERENT • INSTITUTIONS, INCLUDING THE CHALLENGE OF 1.000 • EXTRA SURGERIES • FUNDACION VISION IS A REGIONAL TRAINING • CENTER FOR OPHTHALMOLOGY RESIDENTS AND • COMPREHENSIVE OPHTHALMOLOGY FELLOWS • (CURRENTLY CONSTRUCTING ITS OWN DEDICATED • FACILITIES) • VOTED IN FAVOR DURING THE WHA OF 2006

  42. CONTROL OF MAJOR CAUSES OF BLINDNESS ECUADOR: • THERE IS A NATIONAL SOCIETY WITH NO PARTICIPATION OF • THE GOVERNMENT. IT WAS ESTABLISHED IN NOVEMBER 2005 • WITH 6 WORKING GROUPS: PAEDIATRIC OPHTHALMOLOGY, • CATARACT, DIABETIC RETINOPATHY, LOW VISION AND • REFRACTIVE ERRORS • THE GOVERNMENT ESTABLISHED A PBLCOMMITTEE • THREE YEARS AGO • ROP NATIONAL PROGRAMME ONGOING FOR 2 YEARS • COVERING MOST OF THE COUNTRY WITH INCREASED • TRAINING, SCREENING AND TREATMENTS WITH • PARTICIPATION OF THE MINISTRY OF HEALTH

  43. CONTROL OF MAJOR CAUSES OF BLINDNESS PERU: • ESTABLISHED THE FIRST PBL COMMITTEE IN THE EARLY SIXTIES • PROMOTING CATARACT FREE ZONES. ALTHOUGH IT WAS • MOSTLY DORMANT UNTIL LATE LAST YEAR • MANY CEH COURSES AND OTHER RELATED WORKSHOPS • A NATIONAL EYE HEALTH PLANNING COURSE HELD IN MAY 2005 • WITH ACTIVE PARTICIPATION OF CBM, PAHO, NATIONAL • INSTITUTE OF OPHTHALMOLOGY (INO), THE NATIONAL SOCIETY • OF OPHTHALMOLOGY, MINISTRY OF HEALTH AND • VISION 2020 LA • NATIONAL EYE HEALTH PLAN WITH GOVERNMENT • PARTICIPATION LAUNCHED IN JUNE 2006 • CONDUCTED REGIONAL RACSS STUDY IN 2002

  44. CONTROL OF MAJOR CAUSES OF BLINDNESS BRAZIL (1): • LONG STANDING HISTORY OF CATARACT SURGICAL CAMPAIGNS • THROUGH THE BRAZILIAN COUNCIL OF OPHTHALMOLOGY (CBO) • UNDER THE LEADERSHOP OF PROF. NEWTON KARA JOSE WITH • GOVERNMENT FINANCING OF UP TO 50 MILLION US DOLLARS • CONDUCTED REGIONAL RACSS IN CAMPINHAS IN 2003 • INCREASE OF CSR OF UNDER 1.000 IN 2001 UP TO • NEARLY 2.500 IN 2005 • HAS A PBL AND A CEH COMMITTEE WITHIN THE CBO • BUT WITH NO DIRECT GOVERNMENT INTERVENTION • THE GOVERNMENT STARTED FINANCING DIABETIC • RETINOPATHY TREATMENT IN 2004

  45. CONTROL OF MAJOR CAUSES OF BLINDNESS BRAZIL (2): • VARIOUS PROFESSORS HAVE HELPED IN CEH COURSES FOR • LUSOPHONE COUNTRIES IN AFRICA • HAS ESTABLISHED A PROGRAMME TO TRAIN OPHTHALMOLOGISTS • FOR PORTUGUESE SPEAKING COUNTRIES • UNIVERSAL SCREENING FOR ROP IN RIO DE JANEIRO • UNDER THE LEADERSHIP OF DR. ANDREA ZIN • THERE IS A PROJECT TO EXTEND IT BY LAW TO THE REST OF THE • COUNTRY • 6 YEAR SCREENING PROGRAMME FOR REFRACTIVE • ERRORS IN PUBLIC SCHOOLS OF SAO PAULO • THROUGH PROFESSOR NEWTON KARA JOSE • (2 MILLION SCREENED)

  46. CONTROL OF MAJOR CAUSES OF BLINDNESS BRAZIL (3): • HOSTED THE WOC IN FEBRUARY 2006 WITH ORGANIZATION AND • LEADERSHIP OF PROFESSORS RUBENS BELFORT JR. AND NEWTON • KARA JOSE • SEVERAL CEH COURSES CONDUCTED AND PARTICIPATION AS • FACULTY IN OTHERS FOR THE REGION • 12 MAJOR RESIDENCY TRAINING CENTERS STARTED A PILOT • PROGRAMME TO INCLUDE CEH CURRICULA IN MARCH 2006 • 4 TECHNICAL SUBCOMMITTEE CHAIRS OF VISION 2020 LA ARE • BASED IN BRAZIL

  47. CONTROL OF MAJOR CAUSES OF BLINDNESS ARGENTINA (1): • HOSTED THE FIRST VISION 2020 LATIN AMERICAN CONGRESS • WITH OVER 200 PARTICIPANTS FROM THE REGION IN AUGUST • 2004 • MEDICO OFTALMOLOGO (MO), THE OFFICIAL JOURNAL OF THE • ARGENTINIAN COUNCIL OF OPHTHALMOLOGY (CAO) PUBLISHES • ONE ARTICLE OF CEH RELATED ACTIVITIES EVERY MONTH FOR • THE LAST YEAR AND A HALF • THERE IS A FULL SESSION DEDICATED TO CEH • ACTIVITIES IN THE ANNUAL CONGRESS OF • OPHTHALMOLOGY SINCE 2003 • CONDUCTED A RACSS STUDY IN THE BUENOS AIRES • REGION AND A SURVEY FOR THE REST OF THE • COUNTRY IN 2001

  48. CONTROL OF MAJOR CAUSES OF BLINDNESS ARGENTINA (2): • THE ANNUAL COURSE FOR OPHTHALMOLOGY RESIDENTS AND • FELLOWS HAS A MODULE DEDICATED TO CEH AND VISION 2020 • CONCEPTS • IAPB LA CO-CHAIR PROFESSOR HUGO D. NANO AND THE • MONITORING AND EVALUATION TECHNICAL SUBCOMMITTEE OF • VISION 2020 LA ARE BASED IN BUENOS AIRES • INCREASED ITS CSR OF UNDER 1.750 IN 2001 UP TO 2.100 IN 2005 • GOVERNMENT FINANCED CATARACT SURGERIES IN • 2005 WITH 10 MILLION US DOLLARS • NATIONAL COMMITTEE BEING FORMED WITH ACTIVE • PARTICIPATION OF THE GOVERNMENT • SEVERAL COURSES AND WORKSHOPS BUT NOT A • CEH COURSE HELD IN THE COUNTRY AS OF YET

  49. CONTROL OF MAJOR CAUSES OF BLINDNESS COLOMBIA: • HOSTED THE FIRST RESOURCE CENTER FOR THE REGION • HAS SEVERAL RESIDENCY TRAINING PROGRAMMES AND • FOREIGNERS ARE INCLUDED IN THESE PROGRAMMES • IAPB LA CO-CHAIR AND FORMER MINISTER OF HEALTH DR. • VIRGILIO GALVIS IS BASED HERE • THE OFFICE OF THE PAHO EYE HEALTH PROGRAMME • IS BASED IN BOGOTA • HOSTED THE II VISION 2020 LA CONGRESS IN • OCTOBER 2006 AND THE FIRST V2020 LA • COMMITTEES MEETING