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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.




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  		Top. Many settlements in the district of San Juan de Lurigancho depend on water delivery trucks. Households are often inaccessible by road, however, and 22% of families rely on neighbors for access to drinking water.

Bottom. The Cardozo settlement in Iquitos lacks adequate sewage and drainage systems. The community relies on open sewage canals, as shown here next to the settlement's open market.

 




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