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The Pan American Health Organization (PAHO) is a specialized agency of the
United Nations The United Nations (UN) is the Earth, global intergovernmental organization established by the signing of the Charter of the United Nations, UN Charter on 26 June 1945 with the stated purpose of maintaining international peace and internationa ...
(UN) in charge of international health cooperation in the
Americas The Americas, sometimes collectively called America, are a landmass comprising the totality of North America and South America.''Webster's New World College Dictionary'', 2010 by Wiley Publishing, Inc., Cleveland, Ohio. When viewed as a sing ...
. It fosters technical cooperation among member countries to fight communicable and noncommunicable diseases, strengthen health systems, and respond to emergencies and disasters. PAHO has 35 Member States and four Associate Members in the region. Headquartered in Washington, D.C., PAHO is the regional office for the
World Health Organization The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...
in the Americas, and the health organization of the Inter-American System. It is known in
Latin America Latin America is the cultural region of the Americas where Romance languages are predominantly spoken, primarily Spanish language, Spanish and Portuguese language, Portuguese. Latin America is defined according to cultural identity, not geogr ...
as the OPS () or OPAS ().


Description

PAHO has scientific and technical expertise at its headquarters, in its 27 country offices, and its three Pan American centers, all working with the countries of the americas in dealing with priority health issues. The health authorities of PAHO's Member States set PAHO's technical and administrative policies through its governing bodies. The PAHO Member States include all 35 countries in the Americas;
Puerto Rico ; abbreviated PR), officially the Commonwealth of Puerto Rico, is a Government of Puerto Rico, self-governing Caribbean Geography of Puerto Rico, archipelago and island organized as an Territories of the United States, unincorporated territo ...
is an associate member.
France France, officially the French Republic, is a country located primarily in Western Europe. Overseas France, Its overseas regions and territories include French Guiana in South America, Saint Pierre and Miquelon in the Atlantic Ocean#North Atlan ...
, the
Kingdom of the Netherlands The Kingdom of the Netherlands (, ;, , ), commonly known simply as the Netherlands, is a sovereign state consisting of a collection of constituent territories united under the monarch of the Netherlands, who functions as head of state. The re ...
, and the
United Kingdom of Great Britain and Northern Ireland The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a country in Northwestern Europe, off the coast of European mainland, the continental mainland. It comprises England, Scotlan ...
are the participating states, and
Portugal Portugal, officially the Portuguese Republic, is a country on the Iberian Peninsula in Southwestern Europe. Featuring Cabo da Roca, the westernmost point in continental Europe, Portugal borders Spain to its north and east, with which it share ...
and
Spain Spain, or the Kingdom of Spain, is a country in Southern Europe, Southern and Western Europe with territories in North Africa. Featuring the Punta de Tarifa, southernmost point of continental Europe, it is the largest country in Southern Eur ...
are the observer states. The Organization's mission is to strengthen national and local health systems and improve the health of the peoples of the Americas, in collaboration with Ministries of Health, other government and international agencies,
nongovernmental organizations A non-governmental organization (NGO) is an independent, typically nonprofit organization that operates outside government control, though it may get a significant percentage of its funding from government or corporate sources. NGOs often focus ...
, universities, social security agencies, community groups, and many others. PAHO promotes universal health coverage and universal access to health and strengthening of health systems based on primary health care strategies. It assists countries in fighting infectious diseases such as
malaria Malaria is a Mosquito-borne disease, mosquito-borne infectious disease that affects vertebrates and ''Anopheles'' mosquitoes. Human malaria causes Signs and symptoms, symptoms that typically include fever, Fatigue (medical), fatigue, vomitin ...
,
cholera Cholera () is an infection of the small intestine by some Strain (biology), strains of the Bacteria, bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea last ...
,
dengue Dengue fever is a mosquito-borne disease caused by dengue virus, prevalent in tropical and subtropical areas. Asymptomatic infections are uncommon, mild cases happen frequently; if symptoms appear, they typically begin 3 to 14 days after ...
,
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
and
tuberculosis Tuberculosis (TB), also known colloquially as the "white death", or historically as consumption, is a contagious disease usually caused by ''Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can al ...
as well as the region's growing epidemic of noncommunicable diseases such as cardiovascular disease, cancer and diabetes. PAHO engages in technical cooperation with ministries of health and facilitates coordination with other sectors to promote health in all policies. PAHO also promotes the use of research evidence to inform health care decisions and policymaking through the implementation of knowledge translation strategies such as the Evidence-Informed Policy Network (EVIPNet). Through the Elimination Initiative, it targets HIV/AIDS. Specific initiatives spearheaded by PAHO include the expanded program on immunization, which played a major role in the elimination of smallpox and polio from the Americas; the Tobacco-Free Americas initiative; the Regional Coalition for Water and Sanitation to Eliminate Cholera in Hispaniola; the Salt Smart Consortium; the Pan American Network for Drug Regulatory Harmonization; and a blood safety initiative that seeks to improve blood safety and efficiency by helping countries reach 100% blood supplies from unpaid voluntary donors. The Pan American approach is a part of PAHO history and the spirit of pan-americanism continues to stimulate technical cooperation among countries in health. PAHO has helped countries work together toward common goals, and to initiate multi-country health ventures in
Central America Central America is a subregion of North America. Its political boundaries are defined as bordering Mexico to the north, Colombia to the southeast, the Caribbean to the east, and the Pacific Ocean to the southwest. Central America is usually ...
, the
Caribbean The Caribbean ( , ; ; ; ) is a region in the middle of the Americas centered around the Caribbean Sea in the Atlantic Ocean, North Atlantic Ocean, mostly overlapping with the West Indies. Bordered by North America to the north, Central America ...
, the Andean Region, and the
Southern Cone The Southern Cone (, ) is a geographical and cultural subregion composed of the southernmost areas of South America, mostly south of the Tropic of Capricorn. Traditionally, it covers Argentina, Chile, and Uruguay, bounded on the west by the Pac ...
. Experience has shown practical benefits such as the solidarity that helped Central America after
hurricane Mitch Hurricane Mitch was an extremely deadly and catastrophic Atlantic hurricane, which became the second-deadliest tropical cyclone in the Atlantic basin on record. Mitch caused 11,374 fatalities in Central America in 1998, including approximately ...
, and there are numerous other examples. Health collaboration found expression at the highest political level when American heads of state in their Summit in Santiago accepted a health initiative called "Health Technology Linking the Americas". The countries of
Latin America Latin America is the cultural region of the Americas where Romance languages are predominantly spoken, primarily Spanish language, Spanish and Portuguese language, Portuguese. Latin America is defined according to cultural identity, not geogr ...
and the
Caribbean The Caribbean ( , ; ; ; ) is a region in the middle of the Americas centered around the Caribbean Sea in the Atlantic Ocean, North Atlantic Ocean, mostly overlapping with the West Indies. Bordered by North America to the north, Central America ...
joined together over 20 years ago to buy vaccines through a revolving fund. These are among the Organization's most notable successes, starting with the eradication of smallpox from the Americas in 1973, a triumph followed five years later by global eradication of the dreaded disease. A major effort committing the Americas to embark on
polio eradication Polio eradication, the goal of permanent global cessation of circulation of the poliovirus and hence elimination of the poliomyelitis (polio) it causes, is the aim of a multinational public health effort begun in 1988, led by the World Healt ...
in 1985 succeeded in September 1994, when a distinguished International Commission declared the Americas officially polio-free. The last case of polio in the
Americas The Americas, sometimes collectively called America, are a landmass comprising the totality of North America and South America.''Webster's New World College Dictionary'', 2010 by Wiley Publishing, Inc., Cleveland, Ohio. When viewed as a sing ...
was identified on August 23, 1991, in a young boy named Luis Fermín Tenorio Cortez, in Junín, Peru. Since then, despite intensive surveillance, no cases of
polio Poliomyelitis ( ), commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 75% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe ...
have been detected anywhere in the Americas, and the
World Health Organization The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...
is now working toward the goal of eradicating polio globally. PAHO assists the countries in mobilizing the necessary resources to provide immunization and treatment services for all
vaccine-preventable diseases A vaccine-preventable disease is an infectious disease for which an effective preventive vaccine exists. If a person acquires a vaccine-preventable disease and dies from it, the death is considered a vaccine-preventable death. The most common and ...
. PAHO is close to accomplishing the goal of eliminating
measles Measles (probably from Middle Dutch or Middle High German ''masel(e)'', meaning "blemish, blood blister") is a highly contagious, Vaccine-preventable diseases, vaccine-preventable infectious disease caused by Measles morbillivirus, measles v ...
from this hemisphere and is pressing on with the introduction of new vaccines that are currently available, such as ''
Haemophilus influenzae ''Haemophilus influenzae'' (formerly called Pfeiffer's bacillus or ''Bacillus influenzae'') is a Gram-negative, Motility, non-motile, Coccobacillus, coccobacillary, facultative anaerobic organism, facultatively anaerobic, Capnophile, capnophili ...
'' B. to reduce
meningitis Meningitis is acute or chronic inflammation of the protective membranes covering the brain and spinal cord, collectively called the meninges. The most common symptoms are fever, intense headache, vomiting and neck stiffness and occasion ...
and respiratory infections. PAHO works to reduce the toll of death and illness from diarrheal diseases, including cholera, through case management and
oral rehydration therapy Oral rehydration therapy (ORT) also officially known as Oral Rehydration Solution is a type of fluid replacement used to prevent and treat dehydration, especially due to diarrhea. It involves drinking water with modest amounts of sugar and salt ...
to prevent deaths from dehydration, and to provide adequate diagnosis and treatment of acute respiratory infections, thus saving the lives of hundreds of thousands of children each year. The Organization provides technical collaboration in a variety of specialized public health fields and organizes emergency preparedness and disaster relief coordination. It supports efforts to strengthen national health systems, develop national health research systems, control
malaria Malaria is a Mosquito-borne disease, mosquito-borne infectious disease that affects vertebrates and ''Anopheles'' mosquitoes. Human malaria causes Signs and symptoms, symptoms that typically include fever, Fatigue (medical), fatigue, vomitin ...
, Chagas' disease, urban
rabies Rabies is a viral disease that causes encephalitis in humans and other mammals. It was historically referred to as hydrophobia ("fear of water") because its victims panic when offered liquids to drink. Early symptoms can include fever and abn ...
,
leprosy Leprosy, also known as Hansen's disease (HD), is a Chronic condition, long-term infection by the bacteria ''Mycobacterium leprae'' or ''Mycobacterium lepromatosis''. Infection can lead to damage of the Peripheral nervous system, nerves, respir ...
, and other diseases that affect the people of the Americas. PAHO collaborates with governments, other agencies, and private groups to address major nutritional problems including protein-energy malnutrition, and is now working to eliminate iodine and vitamin A deficiencies. PAHO engages in and facilitates health promotion to help countries deal with health problems typical of development and urbanization, especially non-communicable diseases (NCDs) such as
cardiovascular diseases Cardiovascular disease (CVD) is any disease involving the heart or blood vessels. CVDs constitute a class of diseases that includes: coronary artery diseases (e.g. angina, heart attack), heart failure, hypertensive heart disease, rheuma ...
,
cancer Cancer is a group of diseases involving Cell growth#Disorders, abnormal cell growth with the potential to Invasion (cancer), invade or Metastasis, spread to other parts of the body. These contrast with benign tumors, which do not spread. Po ...
, accidents,
smoking Smoking is a practice in which a substance is combusted, and the resulting smoke is typically inhaled to be tasted and absorbed into the bloodstream of a person. Most commonly, the substance used is the dried leaves of the tobacco plant, whi ...
,
addiction to drugs Addiction is a neuropsychological Mental disorder, disorder characterized by a persistent and intense urge to use a Psychoactive drug, drug or engage in a behavior that produces natural reward, despite substantial harm and other negative con ...
and
alcohol Alcohol may refer to: Common uses * Alcohol (chemistry), a class of compounds * Ethanol, one of several alcohols, commonly known as alcohol in everyday life ** Alcohol (drug), intoxicant found in alcoholic beverages ** Alcoholic beverage, an alco ...
, and injuries among others. Beyond health promotion, PAHO also addresses health systems and quality of care issues in support of national efforts to respond to the NCD pandemic. The Organization also executes projects for other
United Nations The United Nations (UN) is the Earth, global intergovernmental organization established by the signing of the Charter of the United Nations, UN Charter on 26 June 1945 with the stated purpose of maintaining international peace and internationa ...
agencies, for
international organizations An international organization, also known as an intergovernmental organization or an international institution, is an organization that is established by a treaty or other type of instrument governed by international law and possesses its own leg ...
such as the
World Bank The World Bank is an international financial institution that provides loans and Grant (money), grants to the governments of Least developed countries, low- and Developing country, middle-income countries for the purposes of economic development ...
and
Inter-American Development Bank The Inter-American Development Bank (IDB or IADB) is an international development finance institution headquartered in Washington, D.C., United States of America. It serves as one of the leading sources of development financing for the countri ...
, for official development cooperation agencies of various governments, and for philanthropic foundations. The Organization recognizes the role of the private sector in the delivery of services and fosters dialogue and partnerships with the Ministries of Health. In addition to its core budget financed by quota contributions from its Member Governments, PAHO also seeks outside funding to help implement special programs and initiatives in response to vital health needs. Voluntary tax-deductible contributions for PAHO health and education projects in the Americas may be made to the PAHO Foundation. Dr. Jarbas Barbosa of Brazil was elected as PAHO Director on September 28, 2022, and took office on January 31, 2023. PAHO's Deputy Director is Dr. Mary Lou Valdez, of the United States, and the Assistant Director is Marcos Espinal, from the Dominican Republic.


History

The organization was founded in December 1902. It was originally called the Pan-American Sanitary Bureau. It has been described as the world's first international public health organization. In 1949, PAHO and WHO signed an agreement making PAHO the American Regional Office (AMRO) of WHO. Today the usual phrasing is "Regional Office for the Americas". The first
hemisphere Hemisphere may refer to: In geometry * Hemisphere (geometry), a half of a sphere As half of Earth or any spherical astronomical object * A hemisphere of Earth ** Northern Hemisphere ** Southern Hemisphere ** Eastern Hemisphere ** Western Hemi ...
-wide effort to eradicate
smallpox Smallpox was an infectious disease caused by Variola virus (often called Smallpox virus), which belongs to the genus '' Orthopoxvirus''. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (W ...
was made in 1950 by the PAHO. The campaign was successful in eliminating smallpox from all countries of the Americas except Argentina, Brazil, Colombia, and Ecuador. In October 2024, health authorities in the Americas expanded PAHO's funding to help the Organization accelerate access to health technologies, particularly in response to public health emergencies and disease outbreaks.


Headquarters building

In March 1960, President Eisenhower signed into law a bill passed by the U.S. Congress authorizing the U.S. government to purchase and donate a lot for the PAHO headquarters in Washington, D.C. After a competitive bid, in October 1961, the PAHO declared
Uruguayan Uruguayans () are people identified with the country of Uruguay, through citizenship or descent. Uruguay is home to people of different ethnic origins. As a result, many Uruguayans do not equate their nationality with ethnicity, but with citizen ...
architect Román Fresnedo Siri the winner of its competition. At the ceremony announcing him as a winner, the organization's Director Abraham Horwitz said "this beautiful building will become a monument to the ideal of better health for the peoples of the Americas." He described the winning design as one of "both grace and utility", and said, "it reflects the high ideals of the Pan-American spirit in an age when we must move ahead to build a better future for our peoples." The building was designed in a
modernist style Modern architecture, also called modernist architecture, or the modern movement, is an architectural movement and style that was prominent in the 20th century, between the earlier Art Deco and later postmodern movements. Modern architecture wa ...
. Constructed in 1965, the exterior features 29 round bronze seals of the founding nations of the Pan American Health Organization, designed by American sculptor Michael Lantz. In 1993 the seals were surveyed by the
Smithsonian Institution The Smithsonian Institution ( ), or simply the Smithsonian, is a group of museums, Education center, education and Research institute, research centers, created by the Federal government of the United States, U.S. government "for the increase a ...
's Save Outdoor Sculpture! program and were described as needing conservation treatment. Constructed of reinforced concrete over a steel frame with an exterior of glass and marble, the building is one of Washington's most recognized examples of midcentury modern architecture. The building is divided into two distinct volumes: a gracefully curved ten-story building that hosts the organization's main offices, and an adjoining four-story cylindrical annex that serves as the congress hall for formal assemblies of the PAHO member state delegates, as well as other meetings and events. It is surrounded by George Washington University to the north and east, the Columbia Plaza office/residential complex to the west, and the State Department to the south across the E street expressway underpass.


List of directors-general

Source: Official website


Public Health Heroes of the Americas

PAHO recognizes individuals as "Public Health Heroes" to honour noteworthy contributions to public health in the Americas. On the occasion of its 100th anniversary in 2002, PAHO named 12 individuals to the list. The award is considered PAHO's highest honour.


List of honourees, by year

* 2018 - Dr. Tabaré Vázquez, Uruguay * 2018 - Dr. Merceline Dahl-Regis, Bahamas * 2015 - Dr. María Isabel Rodríguez, El Salvador * 2014 - Dr. Ciro de Quadros, Brazil * 2012 - Dr. David Tejada de Rivero, Peru * 2002 - Dr. José Jordán, Cuba * 2002 - Dr. Zilda Arns Neumann, Brazil * 2002 - Dr. Carlos Canseco González, Mexico * 2002 - Dr. Jacinto Convit, Venezuela * 2002 - Dr. Myrna Cunningham, Nicaragua * 2002 - Dr. José Roberto Ferreira, Brazil * 2002 - Hon.
Marc Lalonde Marc Lalonde (; July 26, 1929 – May 6, 2023) was a Canadian politician who served as a cabinet minister, political staffer and lawyer. A lifelong member of the Liberal Party, he is best known for having served in various positions of govern ...
, Canada * 2002 - Dr. Donald A. Henderson, US * 2002 - Dr. Edgar Mohs, Costa Rica * 2002 - Dr. Elsa Moreno, Argentina * 2002 - Dr. Ruth Puffer, US * 2002 - Sir Kenneth Standard, Barbados


See also

* Guatemala syphilis experiment * '' Pan American Journal of Public Health'' * Vaccination Week In The Americas


References

* * *


External links


PAHO website
{{Authority control Organizations established in 1902 Medical and health organizations based in Washington, D.C. Health sciences organizations International organizations based in the Americas International medical and health organizations Organization of American States World Health Organization Intergovernmental organizations established by treaty