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 Reducing Tooth Decay and Improving Nutrition

 Collaboration between ASAPROSAR and University of California

 
Karen Sokal-Gutierrez, MD, MPH
University of California Berkeley, School of Public Health
 
From 2004 to 2010, ASAPROSAR engaged in a unique collaboration with the University of California (UC) Berkeley and San Francisco to reduce childhood malnutrition by focusing on reducing tooth decay. Over recent decades, with the increase in children’s consumption of sugary snacks and soda, an epidemic of tooth decay has emerged throughout Latin America. Currently, the majority of Salvadoran children suffer from tooth decay, and many of them have such severe decay that it causes mouth pain and difficulty eating, sleeping and playing.
 
For over 5 years, a team of health volunteers from UC—including doctors, dentists, medical/pre-medical students, and teachers—has visited ASAPROSAR for a week in July to work with the promotoras de salud and the children and families in the nucleos and Brotes de Esperanza programs. The project has provided the following:
  • Training for the promotoras on oral health and nutrition, which they incorporate into their work with the children and families.
  • Toothbrushes and toothbrushes for the promotoras to distribute to all of the children and their family members
  • Fluoride varnish, which can be applied to the children’s teeth 3 times a year by dentists from the Ministry of Health and other Salvadoran dentists who have volunteered to help the project.
  • Yearly dental exams of the children and interviews with the mothers about their nutrition and oral health practices. Children found to have tooth decay are referred to their local dentists for treatment. In addition, we help the promotoras develop an individual plan for each child and family for the health education and dental treatment needed.
 
To date, the project has served approximately 1,500 children and 1,000 mothers in the villages where the promotoras work. The results have been impressive:
  • Mothers have increased their knowledge about the causes of tooth decay and how to prevent it by breastfeeding, healthy diets and toothbrushing.
  • Children’s diets have improved.
  • Children and parents are brushing their teeth more.
  • Children have less tooth decay and less mouth pain, and are better able to eat, sleep and play.
  • Children have lower rates of malnutrition, and improved growth and overall health.
 
The project has been well-received by ASAPROSAR’s administration and promotoras. “The partnership with University of California and Dr. Sokal-Guiterrez has been great,” says Lucy Luna, Program Manager for the ASAPROSAR Children’s programs. “We have used our model of reaching the communities with promotoras, house visits and workshops and added the knowledge of proper oral health. We didn’t have a dental aspect in our program before our collaboration with University of California and now we are able to educate children and parents on the importance of oral health and connection between nutrition. We now have a new way to help the children we work with.”
 
Over the 5 years, the families have observed dramatic improvements in their children’s health. One mother summed up the value of this project, “We used to think there was nothing we could do about our children’s rotten teeth and their mouth pain—it was just a fact of life here. But now childhood doesn’t have to be a time of pain and malnutrition—it can be a time of good health and happiness.” 
 
For more information, see the video click here.
 
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 Correo electrónico

REPORT ON HURRICANE IDA DISASTER

By Angelita Madrid
Translated and Edited by Palmer Corson
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On Saturday, November 7, 2009 several municipalities in El Salvador were severely impacted by the storm IDA. The area with the most material and human damage is located in the central region of the country, specifically in the departments of San Vicente and La Paz. ASAPROSAR is taking action in these two departments with the Rural Communities Solidarity Program in the municipality of Verapaz in San Vicente which was the most affected municipality, and in the department of La Paz in four municipalities, Paraiso de Osorio, San Emigdio, San Miguel Tepezontes and Santa Maria Ostuma.
At approximately 11pm on Saturday villagers heard a roar but never sensed this noise was the landslide that was beginning to break away from the volcano Chinchontepec in the department of San Vicente. This landslide ultimately caused the damage in the affected municipalities, destroying homes, crops and claiming the lives of many families.
ida3.jpgOn the morning of Sunday, November 12th people began to realize what had happened and the media began to report of the tragedy that occurred in the country, particularly in the town of Verapaz. Below is a table reflecting the impact on the towns served by ASAPROSAR and the actions developed.
 
               
“It sounded like a thousand tractors going by, and when I jumped from my bed the water reached my knees. Out of the window I saw the landslide and we ran to the roof to save ourselves, but the current took all the rest who could not make it to safety…….”                                                                                     (Wilson, survivor from the community of San Vicente, El Salvador)
 

 
Impact of Disaster
 
Action of ASAPROSAR
 
Verapaz
- 75% of the urban area in the township (town) was totally destroyed by mud and stones.
- 100% of the San Antonio was buried.
- 22 people died
- 2 people missing
- Loss of electricity in its entirety
- Loss of water system in its entirety
- Loss of telephone communication channels
- Loss of 75% of the harvest of beans and corn.
- Loss of 65% of the harvest of cucumbers, onions, cabbage

- 939 families housed in 3 places (2 schools and 1 Church)
- 835 families evacuated for prevention
- 104 families who lost homes and property.
- Total loss of the Health Center
- Total loss of the National Institute of the Municipality.
- Loss of 2 bridges to access the town.
 
Paraíso de Osorio        
- 10% destruction of houses
- 90% loss in maize and bean crops

- 260 families in 4 shelters
- 107 prevention evacuees
 
San Emigdio
- 10% destruction of houses
- 90% loss in maize and bean crops
- 23 families in 2 shelters
- Prevention evacuated 101 Personas
 
San Miguel Tepezontes
- 20% destruction of houses
- 60% loss in maize and bean crops
- 265 families in 2 shelters
- 320 prevention evacuees
- Loss of one school and one urban area in rural area
 
Santa María Ostuma
- 3 people died
- 5% destruction of houses
- 95% loss in maize and bean crops
- 44 families in 5 shelters
- 194 prevention evacuees
 
All actions taken by ASAPROSAR from the first day of the disaster have been the same for all municipalities except the town of Verapaz, where ASAPROSAR is supporting the Environmental Unit Coordinator and Social Promoter in the development of a Risk Management Plan.

- Immediate communication with the ASAPROSAR technical teams and community promoters.
-Immediate presence in town centers on Sunday morning to be at the disposal of the Municipal Mayor.
- A tour of the disaster area to identify problems and assess the steps to be performed.
- Posting of ASAPROSAR promoters for supporting and monitoring the shelters.
- Coordinated with the municipality for the execution of a census on population and dwellings affected by the disaster.
- Negotiations for the donation of food, clothing, water and supplies for personal hygiene.
- Provided vehicles for mobilizing the support of donations and movement of food and water.
- Support for the coordination and control center for collecting donations from the City Hall.
- Development of emergency action plan with Medical Teams International to send 2 engineers specialized in developing a disaster and risk management plan.
- Management of donation of medicines from Medical Teams International.
- Distributed medicines donated by Medical Teams International to the Verapaz Health Center.
- Coordinated meetings with Municipal Mayors and Medical Teams engineers for disaster relief planning.
- Presentation of a short, medium and long term disaster diagnosis for the area to Municipal Mayors with Medical Teams International disaster engineers.
- Participation of ASAPROSAR in the teams formed by the central government for the coordination of disaster relief:
1. Shelter Sector Team
2. Bureau of Food Safety Sector Team
3. Humanitarian Sector Roundtable Team
4. Early Recovery Sector Roundtable Team

 
To date we continue to monitor and support activities according to needs and requests of each of the Municipal Mayors. We continue to communicate with national and international agencies providing assistance and support.
 
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EL SALVADOR: Death of research analyst Leonel Gomez
From Mi Gente Informa
November 26, 2009
 
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The analyst and researcher with the United States Congress, the Salvadoran Leonel Gomez, died yesterday afternoon. The medical report reveals that investigator died of heart failure and complications at a hospital in the capital.

Gomez directly participated in the special investigation for the murder of trade unionist Gilberto Soto, which occurred on 5 November 2004, in Usulutan. His inquiries were used for the company for which they worked Soto and a group of U.S. congressmen asked to reopen a new process to determine the "true" causes the death of Soto which had been ruled that he was killed by the payment of a insurance for one of his ex-wives, but was from other causes. Even in his last interview this afternoon he said that the crime of Soto could be related to the operation of the band called the "Perrones" operating in the east of the country.

The Supreme Court (CSJ) viewed favorably the decision to reopen the case, after a direct request from the President of the Republic, Mauricio Funes. Since the murder of union leader, the researcher and analyst had been very closely involved and waiting for new avenues of investigation.
 
Gomez said that last interview this evening that reopening the case Soto delivered a clear message "that because of a botched investigation, the investigation was a joke" as to what really happened that afternoon of 5 November, in front of the home of a family of Soto where he stayed in Usulutan.

Gomez also was an observer in case of the rape and murder of the girl Katya Miranda, occurred on 4 April 1999.

In other interviews this evening Gomez, who was also part of the investigators of the Democrat   U.S. sector, revealed that behind the case, so far unresolved, there may be an undercurrent of narcotic drugs specifically linked to Godofredo Miranda, the uncle of Katya Miranda.

"In the case of Katya, persons who covered that case, have to do an investigations of drugs, or had to see, all that the information that influenced their decision, because as the press here indicated that the doctor who did the autopsy told them that Katya was killed by immersion, when he had found sand in the trachea and mouth. Someone told him to say no, she was drowned. To give those Orders meant it came from a position of real power, "he said at the time.

At the time also spoke of the situation of organized crime in the country and operability. "Organized crime here is not the owner of the cocaine." Someone here inside of what we call organized crime, would be made up of several groups, small and big. There are some that handle local narco-traffic, but here we are talking about small cocaine. Large trafficking of cocaine, or the 565 tons of cocaine mentions the DEA, is the cocaine passing through El Salvador that is connected to large organized crime.

But cocaine is not theirs, when it is here in El Salvador it is on consignment, payment is made to  download the coca, save it for some time and then transfer it to "containers" 'and that, more or less, has been the business of coca .

Organized Crime here in El Salvador has another great role, which is where the real profit is located.   It is money laundering which is done, more or less, by the same groups, only the money laundering, within these groups, is managed by different people that gives security to coca, or  to the unloading and loading Gomez revealed in that interview.

Gomez, also investigated the case of the Jesuits, and was hired by Congressman Joe Moakley. Gomez was convinced that even former President Alfredo Cristiani had responsibility for multiple murders.

Another high-profile cases that he investigated here in El Salvador was that of Monsignor Romero. While in Guatemala, he also investigated the murder of Bishop Juan Gerardi, a Guatemalan bishop, who was a member of the Truth Commission of that country, murdered on 26 April 1998.

The funeral plans for the investigator and analyst Leonel Gomez, will take place at the Memorial Chapel tomorrow at Miramonte colony in this capital, according to friends.

Gomez, a Salvadoran, who worked with the United States Congress, died of heart failure and complications, on Wednesday afternoon, according to the report of the private medical care center.

Arrangements are awaiting the arrival of relatives living in the United States.

The investigator was directly involved in the investigative processes of murdered unionist Gilberto Soto, which occurred on 5 November 2004.

The sudden death has caused a stir in those who knew him through his work.

His inquiries were used for the company for which Soto worked and a group of U.S. congressmen requested the reopening of the case to determine the "true" causes the death of Soto that had ruled he was killed for the payment of insurance to a former wife, but actually was for other reasons. Even in his last interview this afternoon he said that the crime of Soto could be related to the operation of the band called the "Perrones" operating in the east.

Gomez also was an observer in the investigation in case of rape and murder of the girl Katya Miranda, occurred on 4 April 1999. Gomez, who was part of the investigators of a Democrat in the U.S. sector, revealed that behind the case, so far unresolved, there may be an undercurrent of drugs specifically linked to Godfrey Miranda, uncle of the girl Katya Miranda. He also was known to have helped with the information in the investigation of the murder of Monsignor Oscar Arnulfo Romero.


 
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ASAPROSAR November Newsletter

 
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