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Sabajo Baseline – Health Status Baseline Health Status Suriname Managing Partner, Suriname Gold Project CV November 2017 Managing Partner, Suriname Gold Project CV Baseline Health Status: Suriname, November 2017 Disclaimer This report is written as a general guide only and the information stated therein is provided on an “as is” and “as available” basis. International SOS (hereinafter referred to as “Intl.SOS”) will take reasonable care in preparing this report. However, Intl.SOS, its holding, subsidiary, group companies, affiliates, third-party content providers or licensors and each of their respective officers, directors, employees, representatives, licensees and agents hereinafter collectively referred to as the “Intl.SOS Parties”) do not make any representations or warranties of any kind, express or implied, about the completeness, accuracy, authenticity, reliability, or suitability with respect to this report. Intl.SOS hereby disclaims and Suriname Gold Project CV hereby waives on its behalf and on behalf of its holding, subsidiary, group companies, affiliates and each of their respective officers, directors, employees, representatives and agents its and their respective rights to claim against any or all of the Intl.SOS Parties for any or all liability including, without limiting the generality of the foregoing, any loss or damage to property; bodily injury or death; loss or anticipated loss of profit, loss or anticipated loss of revenue, economic loss or loss of data, whether or not flowing directly or indirectly from the information, act or omission in question; business interruption, loss of use of equipment, loss of contract or loss of business opportunity; or indirect, special, incidental, consequential, exemplary, contingent, penal or punitive damages, howsoever arising, including out of negligence or willful default or out of the information contained in or omitted from the report or other information which is referenced by, or linked to this report. The entire liability of Intl.SOS under or in connection with this report, whether for negligence, breach of contract, misrepresentation or otherwise is limited to the charges paid for the services of Intl.SOS for producing this report up to a maximum amounting to charges paid during the period of 1 year preceding the claim. www.internationalsos.com © 2017 AEA International Holdings Pte. Ltd. All rights reserved. This report is prepared solely for the benefit of and use by Suriname Gold Project CV and may not be sold, reproduced or in any other way copied or transferred by the customer to anyone else, whether in whole or in part. Intl.SOS owns and retains all intellectual property rights in this report including, without limiting the generality of foregoing, all copyrights. © 2018 AEA International Holdings Pte. Ltd. 2 All rights reserved. Unauthorized copies or distribution prohibited. Managing Partner, Suriname Gold Project CV Baseline Health Status: Suriname, November 2017 Author This document was prepared by: Francesca Viliani, Head of Public Health Consulting Services and Community Health Programs Aarti Srivastava, Analyst, Global Knowledge Support Centre Reviewer This document was issued for review to: Name Title Date Dr Lars Petersen Medical Director 16 November 2017 Document Details Document ID: Baseline Health Status: Suriname Desktop Research: Aarti Srivastava Editing: Anvita Singh Formatting: Randhir Kumar © 2018 AEA International Holdings Pte. Ltd. 3 All rights reserved. Unauthorized copies or distribution prohibited. Managing Partner, Suriname Gold Project CV Baseline Health Status: Suriname, November 2017 Table of Contents Acronyms .............................................................................................................................. 6 Glossary ............................................................................................................................... 12 1 Introduction ................................................................................................................... 14 1.1 Methodology .......................................................................................................... 14 1.2 Project Location (from TOR Sabajo ESIA) ............................................................ 15 1.3 Focus of Health Baseline ....................................................................................... 15 1.4 Limitation of the Health Baseline ........................................................................... 16 2 Suriname Health Context ............................................................................................. 17 2.1 General .................................................................................................................. 17 2.2 Project Area ........................................................................................................... 24 3 Environmental Health Areas (EHAs) ........................................................................... 28 3.1 Vector-Borne Diseases .......................................................................................... 28 3.2 Respiratory and Housing Issues ............................................................................ 41 3.3 Veterinary Medicine and Zoonotic Issues .............................................................. 45 3.4 Sexually Transmitted Infections (STIs) .................................................................. 49 3.5 Soil, Water and Sanitation-Related Diseases ........................................................ 55 3.6 Food and Nutrition-Related Issues ........................................................................ 63 © 2018 AEA International Holdings Pte. Ltd. 4 All rights reserved. Unauthorized copies or distribution prohibited. Managing Partner, Suriname Gold Project CV Baseline Health Status: Suriname, November 2017 3.7 Accidents and Injuries............................................................................................ 68 3.8 Exposure to Potentially Hazardous Materials ........................................................ 71 3.9 Social Determinants of Health (SDOH) ................................................................. 76 3.10 Cultural Health Practices ....................................................................................... 82 3.11 Health System Infrastructure and Capacity ........................................................... 86 3.12 Non-Communicable Diseases (NCDs) .................................................................. 98 4 Local Communities/Information about local area .................................................... 105 4.1 Project Area ......................................................................................................... 105 5 Appendix ...................................................................................................................... 122 5.1 Index of Figures ................................................................................................... 122 5.2 Index of Tables .................................................................................................... 124 6 References ................................................................................................................... 125 © 2018 AEA International Holdings Pte. Ltd. 5 All rights reserved. Unauthorized copies or distribution prohibited. Managing Partner, Suriname Gold Project CV Baseline Health Status: Suriname, November 2017 Acronyms A/H1N1 Influenza A virus subtype H1N1 A/H3N2 Influenza A virus subtype H3N2 ACT Amazon Conservation Team AFOLU Agriculture, Forestry and Other Land Use AIDS Acquired Immunodeficiency Syndrome ALCOA Aluminum Company of America AMI Amazon Malaria Initiative Anti-HBs Hepatitis B Antibody API Active Pharmaceutical Ingredient ARI Acute Respiratory Infection AZP Academisch Ziekenhuis BGVS Bedrijf Geneesmiddelen Voorziening Suriname (government-owned drug supply company in Suriname) BMI Body Mass Index BOG Bureau Openbare Gezondheidszorg (Bureau of Public Health) CAREC Caribbean Epidemiology Centre CARICOM Caribbean Community CARPHA Caribbean Public Health Agency CBO Community-Based Organization CEDAW Convention to End all Discrimination against Women CHIKV Chikungunya Virus CO2 Carbon Dioxide © 2018 AEA International Holdings Pte. Ltd. 6 All rights reserved. Unauthorized copies or distribution prohibited. Managing Partner, Suriname Gold Project CV Baseline Health Status: Suriname, November 2017 CL Cutaneous Leishmaniasis CVD Cardiovascular Disease DALY Disability-Adjusted Life Year DC District Commissioner DHF Dengue Hemorrhagic Fever DPT Diphtheria, Pertussis (Whooping Cough), and Tetanus DOTS Directly Observed Treatment, Short Course EHA Environmental Health Area EML Essential Medicines List EPI Expanded Program of Immunization ESIA Environmental And Social Impact Assessment EW Epidemiological Week GBS Guillain–Barré Syndrome GEF Global Environmental Finance GHG Greenhouse Gas GP General Practitioner GSHS Global School Health Survey GYTS Global Youth Tobacco Survey Hb Hemoglobin HBsAg Hepatitis B Antigen HBV Hepatitis B Virus HCPS Hantavirus Cardiopulmonary Syndrome HCV Hepatitis C Virus © 2018 AEA International Holdings Pte. Ltd. 7 All rights reserved. Unauthorized copies or distribution prohibited. Managing Partner, Suriname Gold Project CV Baseline Health Status: Suriname, November 2017 HDL High-Density Lipoprotein HELISUR Healthy Life In Suriname HFRS Hemorrhagic Fever with Renal Failure Syndrome Hib Hemophilus Influenza Type
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