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October 2001, Vol 91, No. 10 | American Journal of Public Health 1580-1582
© 2001 American Public Health Association

FIELD ACTION REPORT

Community Environmental Health Assessment in Peru's Desert Hills and Rainforest

Virginia Baffigo, MD, Jorge Albinagorta, MSc, Luis Nauca, BA, Percy Rojas, MD, Rossana Alegre, BA, Brian Hubbard, MPH and John Sarisky, RS, MPH

Virginia Baffigo, Jorge Albinagorta, Luis Nauca, Percy Rojas, and Rossana Alegre are with the CARE Peru Urban Environmental Health Project, Lima. Brian Hubbard is with the University of Michigan, School of Public Health, Ann Arbor. John Sarisky is with the National Center for Environmental Health, Environmental Health Services Branch, Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to Dra. Virginia Baffigo, Coordinadora, Proyecto Salud Ambiental Urbana, Av. Gral Santa Cruz N 659, Jesus Maria, Apartado 11-0628, Lima 11, Peru (e-mail: baffigov{at}carepe.org.pe).

Peru's expanding population and rapid urbanization—a result of migration to its largest cities—have stressed the country's public services infrastructure and the provision of public health and environmental health services. In response, the Ministry of Health established the General Directorate of Environmental Health (DIGESA), the branch charged with assuring adequate environmental health services to populations in rural and urban areas. The magnitude of the environmental health problems in peri-urban settlements, however, has exceeded the capacity of DIGESA to respond. The Urban Environmental Health Project is an effort to develop the ability of local communities to address these problems




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