Politica sobre etnicidad y salud (29. a Conferencia Sanitaria Panamericana) / Política sobre etnia e saúde (29a Conferência Sanitária Pan-Americana) / Politique en matière d'ethnicité et de santé (29e Conférence Sanitaire Panaméricaine) / Policy on Ethnicity and Health (29th Pan American Sanitary Conference)

En septiembre del 2017, los Estados Miembros de la OPS aprobaron por unanimidad la Política sobre etnicidad y salud en la 29.ª Conferencia Sanitaria Panamericana, 69.ª sesión del Comité Regional de la Organización Mundial de la Salud para las Américas. Con esta política, los Estados Miembros han acordado garantizar el enfoque intercultural en la salud y el tratamiento equitativo de los pueblos indígenas, los afrodescendientes, los romaníes y los miembros de otros grupos étnicos. Además, plantearon la necesidad de adoptar soluciones que sean inclusivas y promuevan la colaboración, a fin de cerrar las brechas en el acceso a los servicios de salud que afectan a estas poblaciones. Numerosos representantes de los pueblos indígenas, los afrodescendientes y los romaníes, los ministerios de salud y las organizaciones multilaterales participaron en la elaboración de esta política y se comprometieron a apoyar su aplicación. Con la aprobación de la Política sobre etnicidad y salud, la Región de las Américas se convierte en la primera región de la Organización Mundial de la Salud en reconocer la importancia de adoptar un enfoque intercultural para abordar las inequidades en la salud. Creo firmemente que esta política será una importante herramienta en los esfuerzos de toda la comunidad de la salud pública para avanzar hacia la cobertura universal de salud al reducir las desigualdades e inequidades en materia de salud de los distintos grupos étnicos.

Em setembro de 2017, na 29a Conferência Sanitária Pan-Americana (69a Sessão do Comitê Regional da Organização Mundial da Saúde para as Américas), os Estados Membros da OPAS aprovaram por unanimidade a Política sobre etnia e saúde. Com esta política, os Estados Membros concordaram em garantir o enfoque intercultural em saúde e a paridade de tratamento dos povos indígenas, dos afrodescendentes, dos roma e dos membros de outros grupos étnicos. Também abraçaram a busca por soluções colaborativas e inclusivas para contemplar as lacunas no acesso destas populações à saúde. Representantes dos povos indígenas, dos afrodescendentes, dos roma, dos ministérios da Saúde e de organizações multilaterais colaboraram na elaboração desta política e comprometeram-se a apoiar sua implementação. A Política sobre etnia e saúde torna a Região das Américas a primeira da Região da Organização Mundial da Saúde a reconhecer a importância de adotar o enfoque intercultural para enfrentar as iniquidades em saúde. Acredito firmemente que esta política servirá como uma importante ferramenta nos esforços de toda a comunidade da saúde pública de avançar rumo à saúde universal ao reduzir as desigualdades e iniquidades em saúde entre os grupos étnicos

En septembre 2017, à la 29e Conférence sanitaire panaméricaine (69e session du Comité régional de l'Organisation mondiale de la Santé pour les Amériques), les États Membres de l'OPS ont unanimement approuvé la Politique sur l'ethnicité et la santé. Par cette politique, les États Membres ont convenu de garantir une approche interculturelle de la santé et un traitement équitable des Autochtones, des Roms, des populations d'ascendance africaine, ainsi que des membres d'autres groupes ethniques. Ils ont également reconnu le besoin de solutions solidaires et collaboratives pour combler les lacunes d'accès à la santé de ces populations. Des représentants des Autochtones, des Roms et des populations d'ascendance africaine, des ministères de la Santé et des organisations multilatérales ont participé à l'élaboration de cette politique et se sont engagés à appuyer sa mise en œuvre. La Politique sur l'ethnicité et la santé fait de la Région des Amériques la première Région de l'Organisation mondiale de la Santé à reconnaître l'importance d'adopter une approche interculturelle pour répondre aux inégalités en matière de santé. Je crois profondément de cette politique constituera un outil essentiel dans les efforts déployés par l'ensemble de la communauté de la santé publique pour progresser vers la santé universelle en réduisant les inégalités et les iniquités de santé dans les groupes ethniques de la population.

In September 2017, at the 29th Pan American Sanitary Conference (69th Session of the Regional Committee of the World Health Organization for the Americas), PAHO Member States unanimously approved the Policy on Ethnicity and Health. With this policy, the Member States agreed to guarantee an intercultural approach to health and equitable treatment of indigenous peoples, Afro-descendants, Roma populations, and members of other ethnic groups. They also embraced the need for inclusive, collaborative solutions to address the gaps in access to health for these populations. Representatives from indigenous peoples, Afrodescendants, and Roma populations, ministries of health, and multilateral organizations participated in the development of this policy and committed to supporting its implementation. The Policy on Ethnicity and Health makes the Region of the Americas the first World Health Organization Region to acknowledge the importance of adopting an intercultural approach to address inequities in health.

Dead infants, cruel mothers, and heroic popes: the visual rhetoric of foundling care at the hospital of Santo Spirito, Rome.

The fresco cycle painted at the behest of Pope Sixtus IV in the late 1470s in the main ward of the hospital of Santo Spirito in rome comprises an extended pictorial biography of Sixtus, prefaced by scenes representing the legendary foundation of the hospital by his predecessor Innocent III. The legend, which tells how Innocent established Santo Spirito as a foundling hospital in response to the discovery of victims of infanticide in the Tiber River, positions the pope as the savior of the city's unwanted children. This article elucidates how the construction and renovation of the hospital is presented in the cycle as a generative product of papal will, with the care of foundlings situated as an integral part of the image of the pope as both Father of the Church and restorer of past glory to the city of Rome. While the frescoes engage with both widespread conventions for representing infanticide and commonplace notions of the social value of caring for abandoned children, I demonstrate that the ideologically potent visual rhetoric of foundling care was also flexible, and could be adapted to meet the specific needs of a particular institutional and patronal context.

[Human cutaneous myiasis: a case report]. / Miasi cutanea umana: un caso clinico.

Myiasis is a self-limiting infestion of tissues by fly larvae commonly referred as maggots. A case of cutaneous myiasis in a 61 year old woman admitted to the Department of Emergency of S. Giovanni Hospital in Rome (Italy) is reported in the present note. The patient, a religious sister, returned to Rome from a mission trip of few weeks in Edea (Cameroon, Africa), was suffering from a subclavicular furuncular skin lesion; one maggot was surgically removed and submitted for parasitological examination. Based on the maggot shape and size, the travel history and the clinical presentation, a maggot of Cordylobia spp. has been identified (Calliphoridae, Diptera). This case calls for an awareness of its possibility as a cause of furuncular skin lesion, particularly in subjects returning from an endemic country for Cordylobia spp. (Africa).

Ultrastructure of melanocytes in chronically sun-exposed skin of elderly subjects.

Chronically sun-exposed facial skin of three females aged 68, 71, and 78 years, and of a male aged 78, was examined by electron microscopy in order to study the condition of the epidermal melanocytes. Considerable heterogeneity of morphological and functional characteristics of the cells was observed. The majority of melanocytes were large, active, with occasionally lobulated or double nuclei, an appearance indicative of hyperstimulation. Some cells exhibited an appearance of having reached the end of an active life cycle and were labelled "aged." Others, in the upper end of the outer root sheath of hair follicles and adjacent interfollicular epidermis, presented a typically inactive appearance, indistinguishable from that of fetal melanocytes, or of those in unexposed skin of younger subjects. A cell with indented nucleus, fully melanised melanosomes, and hypertrophic Golgi apparatus was sporadically seen. Minute foci of dissociation of keratocytes were present, and melanocytes included in these were frequently disrupted. Swelling of mitochondria and cytoplasmic lipid droplets occurred sporadically within all the above variants of melanocytes. It proved difficult to establish criteria of specific sun damage of melanocytes. It is suggested that either the melanocytes exhibiting stimulation or the relatively inactive ones could be the precursors of the proliferating cells of lentigo maligna.