ABSTRACT
La Sociedad Chilena de Medicina Física y Rehabilitación funciona hace más de 50 años y esta especialidad se ha consolidado en el país de forma gradual. Así, el modelo de rehabilitación en Chile ha cambiado desde uno centrado en hospitales hacia una red de instituciones de rehabilitación basada en la comunidad, y el actuar de los médicos fisiatras en el país va desde la atención primaria hasta la atención en unidades de paciente crítico. En la actualidad hay 334 médicos fisiatras acreditados con la especialidad en el país y se ha registrado un aumento de uno a cinco programas de formación en esta especialidad en los últimos diez años, esto en respuesta a la creciente demanda de servicios de rehabilitación y, en consecuencia, de profesionales en el área. El desarrollo en investigación en el área de medicina física y rehabilitación es aún discreto y su producción es predominantemente en revistas nacionales. Además, la contingencia sanitaria mundial por el COVID-19 exigió una adaptación del rol de los médicos fisiatras, por lo que hoy en día sus principales retos son profundizar en el desarrollo sanitario de las personas con discapacidad y respaldar políticas y estrategias locales e internacionales de rehabilitación.
The Chilean Society of Physical Medicine and Rehabilitation has been operating for more than 50 years and this spe-cialty has been gradually consolidated in the country. Thus, the rehabilitation model in Chile has changed from one centered in hospitals to a network of community-based rehabilitation institutions, and the actions of the physiatrists in the country range outpatient healthcare to attention of patients in critical care units. There are currently 334 physiatrists accredited with the specialty in the country and in the last ten years it has been registered an increase from one to five training programs in this specialty, as a response to the growing demand for rehabilitation services and, consequently, for professionals in the area. The development of research in the area of physical medicine and rehabilitation is still discrete and its production is pre-dominantly in national journals. Furthermore, the global health contingency due to the COVID-19 pandemics demanded an adaptation of the role of the physiatrists, which is why today their main challenges are to deepen in the health improve-ment of the individuals with disabilities and to support local and international rehabilitation policies and strategies
Subject(s)
Humans , ChileABSTRACT
Flaviviruses are arthropod-borne viruses, mainly by mosquitoes of the genera Aedes and Culex (Culicidae) that are detected in tropical and subtropical areas. Main flaviviruses of public health importance are: dengue, West Nile virus, yellow fever, among others. In continental Chile, flaviviruses has not been detected. However, there are indigenous cases of dengue detected in Easter Island since 2002, as the presence of its vector Aedes aegypti. The aim of this study was: To determine diversity of flavivirus mosquitoes present in Easter Island. Thirty pools of mosquitoes collected in Hanga Roa were analyzed; a RT-PCR nested flavivirus was performed. Thirteen positive samples were detected and the amplification products were sequenced, identifying two specific flavivirus Insect, the Cell fusing agent virus and other related viruses Kamiti River. This is the first study in Chile showed the presence of flavivirus in vectors in Easter Island.