WHO VBC 79.736 Eng.Pdf

Total Page:16

File Type:pdf, Size:1020Kb

WHO VBC 79.736 Eng.Pdf WORLD HEALTH ORGANIZATION WHO/VBC/79.736 ORGANISATION MONDIAL£ DE LA SANTE ENGLISH ONLY IND£X£;., INSECTICIDE SUSCEPTIBILITY OF VECTORS OF CHAGAS' DISEASE IN VENEZUElA by 1 2 M. J. Nelson, and P. Colmenares ABSTRACT The level of dieldrin susceptibility was determined for the Chagas' disease vector Rhodnius prolixus in 11 Venezuelan states and for Triatoma maculata in 8 states. The only high level of resistance found was in R. prolixus in the state of Trujillo, where resistance was found in 9 out of the 10 villages sampled. That the resistance was genetically determined was shown by the close similiarity of resistance level of the field-collected insects from each village and their F offspring. There was a low level 1 of tolerance to fenthion and propoxur but no tolerance to fenitrothion. INTRODUCTION Chagas' disease in Venezuela is controlled mostly by application of residual insecticides to houses and annexes (animal shelters, sheds, etc.) to kill the main triatomine vector, Rhodnius prolixus, and the less important vector, Triatoma maculata. For many years dieldrin has been used in houses because of its long residual life, and gamma BHC has been used in animal shelters because it is less toxic to poultry and livestock. In 1969, resistance of R. prolixus to dieldrin was found in Trujillo, and varying degrees of tolerance were found in the states of Yaracuy, Tachira, Cojedes and Portuguesa (Busvine, 1970; Gonzalez-Valdivieso et al., 1971; Cockburn, 1972; Nocerino, 1976). Cross-resistance to gamma BHC was found in Trujillo, and tolerance to fenthion and propoxur was observed. Also, tolerance of T. maculata to dieldrin was found in Trujillo. In the present paper, the susceptibility mapping of the two species to dieldrin is extended to several new states, and the susceptibility of several dieldrin-resistance strains to three organophosphorus compounds is determined. MATERIALS AND METHODS During 1976 to 1978 numerous collections of R. prolixus and T. maculata were made from houses and animal shelters throughout Venezuela for studies of taxonomy, distribution and epidemiology. Laboratory colonies were established from each state in 4 1, wide-mouth glass jars with netting tops and folded paper inside, and fed every two weeks on chickens. Some of the original field collections were small, and insufficient insects were available for susceptibility testing until the F generation or later. 1 1 PAHO Research and Reference Center on Vector Biology and Control, Apartado 2171, Las Delicias, Maracay, Venezuela. 2 Ministerio de Sanidad y Asistencia Social, Direccion de Malariologia, Maracay, Venezuela. The issue of this document does not constitute Ce document ne constitue pas une publication. formal publication. lt should not be reviewed, 11 ne doit faire l'objet d'aucun compte rendu ou abstracted or quoted without the agreement of resume ni d'aucune citation sans l'autorisation de the World Health Organization. Authors alone !'Organisation Mondiale de la Sante. Les opinions are responsible for views expressed in signed exprimees dans les articles signes n·engagent articles. que leurs auteurs. WHO/VBC/79. 736 page 2 Two of the strains, the Cojedes dieldrin-susceptible and the Santa Domingo dieldrin­ resistant were chosen as standard reference strains for all insecticide testing, and the susceptibility was monitored each generation. The Cojedes strain was started from collections from various municipalities in the state of Cojedes during 1976. The Santa Domingo strain was first colonized in 1969 by the Pesticide Evaluation Service of Venezuela and had been selected for resistance to dieldrin papers by a process described by Nocerino (1976). This strain was in the tenth generation when the Service provided approximately 50 insects in mid- 1976. Each generation was selected for dieldrin resistance by seven days exposure of fifth instar nymphs to 4% dieldrin papers. Methods for susceptibility testing were adapted from unpublished document WHO/VBc/75.587. Insecticide-impregnated papers, procured from WHO, were cut into strips 3 x 15 cm and inserted into glass test-tubes 20 x 2.5 cm diameter. Fifth instar nymphs were distributed 10 to a tube five days after feeding. Between observations the racks of tubes were held in a dark cabinet in a room without temperature or humidity control. Temperature extremes varied from 24.5 to 33.5°C and humidity from 36 to 55%. Three different kinds of observation regimes were employed. 1. Fixed time, varying concentration: R. prolixus and T. maculata from all of the states except Trujillo were exposed to various concentrations of dieldrin papers for 48 hours, knockdown was recorded, and the insects were transferred to clean test-tubes with untreated paper for another 48 hours before final mortality was recorded. 2. Fixed concentration, varying times: As only one concentration of each of the organophosphorus and carbamate compounds was available, exposure time was more varied. Knock­ down was noted after the appropriate exposure time in each tube, and the insects were transferred to a clean tube for 48 hours holding before final mortality was recorded. 3. Continuous exposure. For the 10 villages from Trujillo, insufficient numbers of insects were available from each village to use either of the above two methods. Also, most Trujillo strains were resistant to dieldrin, and it was of interest to observe the response for periods longer than 48 hours. Therefore, all Trujillo strains were exposed continuously to all of the insecticides and several observations of knockdown were made on each tube. For dieldrin, observations were made daily for seven days. For fenthion, fenitrothion and propoxur, observations were made hourly for eight hours, then every two hours for the next four hours, then every four hours until all insects were dead. All data were graphically plotted by log of dosage against probits of mortality (or knock­ down), and a straight line was fitted to the points by eye. When variable concentration at fixed time was the dosage, the concentrations for 50% and 95% mortality (Lc50 and Lc95 ) and knockdown (KC and Kc ) were read from the graph. When variable time at fixed concentration 5 95 was the dosage? the times for 50% and 95% mortality (LT5o and LT95) and knockdown (KT50 and KT95) were determined. RESULTS Laboratory strains Table 1 shows the results of susceptibility monitoring during five generations of the Cojedes dieldrin-susceptible strain. There was an increase in susceptibility from generation to generation. By the F5 generation the LC5o was less than half that of the F1 generation. The slope (S) of the dosage-mortality curve remained unchanged. WHo/vsc/79.736 page 3 As seen in Table 2, the Santo Domingo strain was highly resistant to dieldrin, and the resistance increased from generation to generation. F numbers refer to number of generations after the sub-colony was brought to the laboratory. Field strains No strains of T. maculata were resistant to dieldrin and only the Trujillo strains of R. prolixus. As seen in Table 3, the diagnostic d0sage of 4% accounted for lOO% mortality for every strain of T. maculata, and 1.6% resulted in 80-100% mortality. For R. prolixus (Table 4), 4% dieldrin caused lOO% mortality in all strains except Cojedes and Guarico, where occasional survivors were observed. The dosage of 1.6% resulted in at least 80% mortality in all strains except Yaracuy (42%). In Table 5 the tests of 4% dieldrin against the 10 strains from the state of Trujillo are shown by village. After the standard two-day exposure, which knocks dowtl all insects of the susceptible Cojedes strain, knockdown was 0-60% in all Trujillo strains except La Cortadora, which had only three insects available for testing. Even after seven days exposure, knock­ down was 4-79% in eight strains and lOO% in only two strains. Geographically, the villages sampled in Trujillo formed roughly three clusters (Fig. 1). For the strains from Rio Morosmoy, El Tablon and Betico, knockdown after two days exposure to dieldrin was 1-5%. In Paramito, Palo Negro and Cuba, approximately 20 km away, knockdown was 0-10%. Between these two groups lay Santo Domingo, La Vera, Montana Peraza and La Cortadora, where knockdowns were much higher, at 33-100%. The percentage knockdown for each strain of field-collected (P) insects was remarkably similar to that of the F1 generation progeny of each strain of field collected insects that had not been exposed to insecticide in the laboratory. Knockdown times of the Fl Trujillo strains against fenthion, fenitrothion and propoxur are shown in Table 6. The Cojedes colonized strain (F4) was tested at the same time, in parallel with the Trujillo strains, and forms the baseline susceptibility for comparison. Results of previous tests with Cojedes strain are also given, and are similar to the F4 tests. The colonized Santo Domingo strain was also run in parallel. The knockdown times for SD were only slightly longer than COJ. The resistance ratio (R) was only 1.1 for each of the three insecticides. For Trujillo, six of the eight strains were less tolerant to fenitrothion than was Cojedes. All were somewhat more tolerant to fenthion (R= from 1.1 to 1.9) and propoxur (R= from 1.2 to 2.5). The propoxur data are less reliable because fewer insects were tested and the impregnated papers were eight months old, three months older than the official WHO expiry date. However, it is notable that all insecticides caused lOO% knockdown, and that there was no appreciable flattening of the dosage-mortality curves. DISCUSSION The occurrence of occasional survivors of R. prolixus to 4% dieldrin after two days exposure for the Cojedes and Guarico strains is not cause for alarm, but susceptibility in these two states should be monitored yearly to detect any increase in tolerance.
Recommended publications
  • A New Locality and Range Extension for the Rancho Grande Leaf Frog Agalychnis Medinae
    Check List 10(2): 392–394, 2014 © 2014 Check List and Authors Chec List ISSN 1809-127X (available at www.checklist.org.br) Journal of species lists and distribution N Leaf Frog Agalychnis medinae ISTRIBUTIO Hylidae)A new locality in northern and range Venezuela extension for the Rancho Grande D (Funkhouser, 1962) (Anura: 1,5 2 RAPHIC , Wendy Bolaños G 2,3 4 3 EO Fernando J. M. Rojas-Runjaic 3,4 , Edward Camargo , Douglas Mora , Luis Aular G N O and Franger García Venezuela. 1 Fundación La Salle de Ciencias Naturales, Museo de Historia Natural La Salle. Apartado Postal 1930, Código Postal 1010-A, Caracas, DC, OTES N 2 Museo de la Estación Biológica de Rancho Grande. Apartado 184, Maracay 2101, estado Aragua, Venezuela. 3 estadoGrupo deCar Exploracionesabobo, Venezuela. Científicas Minas de Aroa, Aroa, estado Yaracuy, Venezuela. 4 Universidad de Carabobo, [email protected] Experimental de Ciencias y Tecnología, Departamento de Biología, Museo de Zoología (MZUC). Valencia, 5 Corresponding author. E-mail: Abstract: Agalychnis medinae is a medium-sized frog endemic to the Cordillera de la Costa, northern Venezuela, and known from only three localities in the cloud forests of this mountain system. Herein we report the fourth locality for this species and extend its distribution to the Sierra de Aroa, Yaracuy state, 29 km northwest of Cerro Zapatero, the westernmost locality previously known. Agalychnis medinae (Funkhouser, 1962) is a medium- sized frog of the family Hylidae. It differs from all other members of the genus by having
    [Show full text]
  • El Instituto Autónomo De La Salud Del Estado Yaracuy (Prosalud
    Resumen El Instituto Autónomo de la Salud del Estado Yaracuy (Prosalud Yaracuy), tiene como objetivo facilitar la gestión estadal en el proceso de transformación del sector salud, ejerciendo la rectoría sobre los establecimientos de salud, de tal manera que se garantice la eficiencia, eficacia y la equidad de una pulcra y honesta administración de los recursos con plena participación de la comunidad y así garantizar la disminución de los indicadores de morbimortalidad, promoviendo en la población el disfrute de la salud con el único propósito de lograr un desarrollo humano sustentable dentro del modelo de atención integral en salud del Estado Yaracuy. Indicadores - Necesidades 14 • Referencias de la OMS. Municipios • SSS (Dr. Pedro Montes) • Investigación • Productos. • Gestión de salud institucional • Difusión de redes de pública informáticas. • Infraestructura • Programas • Atención primaria Inicio Año 2009 Resultados [email protected] Imágenes de las Áreas de la Sala de Situación de Salud Yaracuy [email protected] Sala de Situación de Salud Conceptos Claves Manejados • ”Seguir la realidad a tiempo para poder actuar a tiempo” (Matus). • El desarrollo de sistemas de salud demanda información oportuna y medios de análisis eficaces como soporte a la toma de decisiones. • Pasar del registro de datos a la interpretación de la información. [email protected] Definición “Es un espacio … para la identificación y estudio de situaciones de salud coyunturales o no, el análisis de los factores que las determinan, las soluciones más viables y factibles, el monitoreo y evaluación de los resultados obtenidos después de la aplicación de las decisiones tomadas” (Bergonzoli G. Sala Situacional. Instrumento para la Vigilancia de Salud Pública.
    [Show full text]
  • Contribution of Development of VS in Venezuela Since 2000 to 2011
    Contribution of Development of the Vetiver System in Venezuela since 2000 to 2011 Oswaldo Luque M, General Manager Inversiones Luque M Co. email [email protected] Key words: Handicraft, communitarian development, erosion control, waste water tertiary Treatment. ABSTRACT The author has participated in the development of vetiver several projects in Venezuela, in the pre- sent decade, involving more than 20.000 people, who have learnt the technology, directly from poor communities or through promotion in radio, TV and newspaper interviews. I have promoted Vetiver System to the Mountain Oasis Organization, a group was formed for small organic farmers who were preoccupied for the environment issue, especially in soil and water conservation, in the High Mountains of Miranda State, in early 2.000. I have also introduced the Vetiver System to the Yaracuy Consortium, an organization of poor farmers in Yaracuy State, in the same year. I was the principal Director of Vetiver Polar Foundation Project, who involved more than 11.000 people, first, handicraft and when people become interested and generated money, they were in- duced to grow the plant for soil and water conservation; the Project was consolidated in 21 sites around the country , generated more than 3.500 employees during 7 years, and had the responsibil- ity to convince the Venezuelan Polar Enterprise to hold the Fourth International Conference on Vetiver which took place in 2006, in which I was a member of the Organizing Committee. I played a principal role in the formation of Vetiver Antierosion Company initiated in 2001, and became the technical staff member, and has actively participated in the application of vetiver for soil con- servation a reclamation in Bauxite Mine and the use of vetiver handicraft for more than 14 indige- nous communities who lived in the neighborhood of the mine.
    [Show full text]
  • Handicrafts Market
    September 2016 Survey by AL&C Consulting Group for the Embassy of India in Caracas- Venezuela Contact email: Alfredo Ordoñez: [email protected] Carlos Longa: [email protected] Luis Angarita: [email protected] TABLE OF CONTENTS GLOSSARY OF TERMS PART I: ECONOMIC SITUATION OF THE BOLIVARIAN REPUBLIC OF VENEZUELA PART II: FEATURES OF THE VENEZUELAN HANDICRAFTS MARKET PART III: THE PRODUCT OF VENEZUELAN HANDICRAFT PART IV: MARKETING OF VENEZUELAN HANDICRAFT PRODUCTS PART V: INVESTMENT IN THE VENEZUELAN HANDICRAFT MARKET Glossary of Terms. Term linked to the Meaning document Aesthetic 1. (adjective) Concerned with beauty and art and the understanding of beautiful things. 2. (adjective) Made in an artistic way and beautiful to look at. Association 1. (noun) A number of persons bound together by common social standards, interests; 2. (noun) A group of people organized for a joint purpose and represented by legal person. Authentic 1. (adjective) Of undisputed origin and not a copy, genuine; 2. (adjective) Made or done in the traditional or original way, or in a way that faithfully resembles an original. Autochthonous 1. (adjective) (Of an inhabitant of a place) indigenous rather than descended from migrants or colonists. Blacksmith’s trade 1. (noun) Make and repair things in iron by hand. Capacity 1. (uncountable noun, countable noun, usually singular) The number of things or people that a container or space can hold; 2. (uncountable noun, countable noun, usually singular) The ability to understand or to do something. Clay 1. (mass noun) A stiff, sticky fine-grained earth that can be moulded when wet, and is dried and baked to make bricks, pottery, and ceramics; 2.
    [Show full text]
  • Status of Eastern Equine Encephalitis in Venezuela
    1Figure 1. Incidence rates of pulmonary tuberculosis and of as late mortality in chronic cases, which was delayed deaLths due to tuberculosis per 100,000 population. Costa Rica, but not prevented by the therapy. The ratio (which in 19415-1979. 1965 had been 0.3) continued to fall, which points to an increase in diagnostic coverage and in the quality of the Ro:e treatment of the cases detected. In recent years, the death rate has continued to decline, but the number of cases has increased. which may be due to more intensive case detection. Extrapulmonaryv tuberculosis increased during the course of thc program: in 1945-1949, 10 cases w\ere reported (0.3 per cent) as opposed to 157 cases (7.5 per cent) in 1973-1977. Tuber- culosis incidence fell more rapidly in children under 15 i· ""'., years (from 29.7 per 100.000 population in 1950 to 1.2 b.0i4"· , in 1977) than in the age group 15-44 !ears and in thc agr · - * 'sgroup 45 years and over (137.2 to 24.0 and 119.4 to 40.6 per 100.000 population. respectively). Each year the national control progranm prepares an annual work progranm, quantified hy heiclth scrvice and( by health region (five regions). For 1980, it provides for 1- > 22,000 sputum examinations for the purpose of detecting 119¿0 965 95 80 1945-1,, 1950 1955 1960, 1965 1970, 1975 1980 and treating 639 cases (515 on an outpatient basis). In 1980 short course treatment will be begun, including the Indne.... .....le ooulmono ube,,corlo administration of isoniazid, rifampicin, and pyrazina- .............N.+eDeo'h iii,< mide, with complete supervision in 255 cases.
    [Show full text]
  • DREF Plan of Action Venezuela: Floods
    DREF Plan of Action Venezuela: Floods DREF Operation n° MDRVE005 Glide n°: FL-2021-000132-VEN Expected timeframe: 3 months Date of issue: 2 September 2021 Expected end date: 31 December 2021 IFRC Category allocated to the of the disaster or crisis: Yellow DREF allocated: 214,119 Swiss francs (CHF) Total number of people 54,543 Number of people to be 2,500 (500 families) affected: assisted: States affected: 10 (Mérida, Táchira, Provinces/Regions 3 (Mérida, Bolívar, and Bolívar, Apure, Zulia, Delta targeted: Apure) Amacuro, Carabobo, Yaracuy, Portuguesa, and Sucre) Operating National Society presence (n° of volunteers, staff, branches): The Venezuelan Red Cross (VRC) has 4,000 volunteers and 1,600 employees among 24 branches and 11 subcommittees. In addition, it has 8 hospitals and 34 outpatient clinics. Red Cross Red Crescent Movement partners actively involved in the operation: The Venezuelan Red Cross is coordinating and sharing information with the International Federation of Red Cross Red Crescent Societies (IFRC), the International Committee of the Red Cross (ICRC), and the German Red Cross. Other partner organizations actively involved in the operation: Venezuela Red Cross is coordinating the response with local authorities, the United, Nations System, and the Ministry of Health. A. Situation analysis Description of the disaster On 23 August, heavy rains were registered due to the passage of the Tropical Wave N°38, which caused floods, landslides, road obstructions, loss of housing, damages to basic services such as water and electricity, among others in ten of the 24 states of the country. As shown in the map above the most affected states include Mérida, Apure, Bolivar, Táchira, Zulia, Delta Amacuro, Carabobo, Yaracuy, Portuguesa, and Sucre.
    [Show full text]
  • Indigenous and Afrodescendant Social Movements in Northwestern Venezuela
    THE LEFT-TURN OF MULTICULTURALISM: INDIGENOUS AND AFRODESCENDANT SOCIAL MOVEMENTS IN NORTHWESTERN VENEZUELA Item Type text; Electronic Dissertation Authors Ruette, Krisna Publisher The University of Arizona. Rights Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author. Download date 01/10/2021 10:05:21 Link to Item http://hdl.handle.net/10150/203000 THE LEFT-TURN OF MULTICULTURALISM: INDIGENOUS AND AFRODESCENDANT SOCIAL MOVEMENTS IN NORTHWESTERN VENEZUELA by Krisna Ruette _____________________ Copyright © Krisna Ruette 2011 A Dissertation Submitted to the Faculty of the SCHOOL OF ANTHROPOLOGY In Partial Fulfillment of the Requirements For the Degree of DOCTOR OF PHILOSOPHY In the Graduate College THE UNIVERSITY OF ARIZONA 2011 2 THE UNIVERSITY OF ARIZONA GRADUATE COLLEGE As members of the Dissertation Committee, we certify that we have read the dissertation prepared by Krisna Ruette entitled The Left-Turn of Multiculturalism: Indigenous and Afrodescendant Social Movements in Northwestern Venezuela and recommend that it be accepted as fulfilling the dissertation requirement for the Degree of Doctor of Philosophy _______________________________________________________________________ Date: 10/31/11 Ana Alonso _______________________________________________________________________ Date: 10/31/11 Thomas
    [Show full text]
  • Annual Report 2013
    Venezuela I. introduction 439. Having evaluated the human rights situation in Venezuela, the IACHR decided to include Venezuela in this Chapter because it considers that it falls under Article 59(6)(a)(i) of the IACHR’s Rules of Procedure that came into force on August 1, 2013, which establishes as a criterion for the inclusion of a member state in this chapter the existence of “a. a serious breach of the core requirements and institutions of representative democracy mentioned in the Inter-American Democratic Charter, which are essential means of achieving human rights, including: i. there is discriminatory access to or abusive exercise of power that undermines or denies the rule of law, such as systematic infringement of the independence of the judiciary or lack of subordination of State institutions to the legally constituted civilian authority….” 440. On November 22, 2013, the IACHR transmitted to the State a copy of the preliminary draft of this section of its 2013 Annual Report, pursuant to Article 59.10 of its Rules, and asked that it presented its observations within a month. On December 20, 2013, the Commission received the observations and comments of the State which were incorporated, where pertinente, in the instant report. 441. The Commission has identified structural situations, such as changes in the law that create legal and administrative restrictions that affect the exercise and enjoyment of human rights in Venezuela. In its previous reports on Venezuela, the Commission has repeatedly pointed to structural issues such as the practice of appointing provisional, temporary or interim judges and prosecutors, which weakens the judicial branch and strips it of its Independence and impartiality, thereby adversely affecting the right of access to justice.
    [Show full text]
  • Expanding Affordable Housing in Caracas, Venezuela: a Mixed- Income Housing Policy for the Caracas' Urban Core
    University of Rhode Island DigitalCommons@URI Open Access Master's Theses 2002 Expanding Affordable Housing in Caracas, Venezuela: A Mixed- Income Housing Policy for the Caracas' Urban Core Leonardi A. Aray University of Rhode Island Follow this and additional works at: https://digitalcommons.uri.edu/theses Recommended Citation Aray, Leonardi A., "Expanding Affordable Housing in Caracas, Venezuela: A Mixed-Income Housing Policy for the Caracas' Urban Core" (2002). Open Access Master's Theses. Paper 648. https://digitalcommons.uri.edu/theses/648 This Thesis is brought to you for free and open access by DigitalCommons@URI. It has been accepted for inclusion in Open Access Master's Theses by an authorized administrator of DigitalCommons@URI. For more information, please contact [email protected]. EXPANDING AFFORDABLE HOUSING IN CARACAS, VENEZUELA: A MIXED-INCOME HOUSING POLICY FOR THE CARACAS' URBAN CORE By Leonardi A. Aray A Research Project Submitted in Partial Fulfillment of the Requirements for the degree of Master of Community Planning Department of Community Planning and Landscape Architecture University of Rhode Island Kingston, Rhode Island May2002 Master of Community Planning Research Project of Leonardi A Aray Approved: Major Professor Acknowledged: Director Dr. Farhad Atash ' TABLE OF CONTENTS Table of Contents List of Tables lV List of Figures Vl Acknowledgments lX CHAPTER 1: Expanding Affordable Housing in Caracas, Venezuela 1 Introduction 1 Objective of the Study 3 Significance of the Study 4 Methodology 5 CHAPTER
    [Show full text]
  • Venezuela's Humanitarian Crisis
    VENEZUELA’S HUMANITARIAN CRISIS Severe Medical and Food Shortages, Inadequate and Repressive Government Response Venezuela’s Humanitarian Crisis Severe Medical and Food Shortages, Inadequate and Repressive Government Response Copyright © 2016 Human Rights Watch All rights reserved. Printed in the United States of America ISBN: 978-1-6231-34129 Cover design by Rafael Jimenez Human Rights Watch defends the rights of people worldwide. We scrupulously investigate abuses, expose the facts widely, and pressure those with power to respect rights and secure justice. Human Rights Watch is an independent, international organization that works as part of a vibrant movement to uphold human dignity and advance the cause of human rights for all. Human Rights Watch is an international organization with staff in more than 40 countries, and offices in Amsterdam, Beirut, Berlin, Brussels, Chicago, Geneva, Goma, Johannesburg, London, Los Angeles, Moscow, Nairobi, New York, Paris, San Francisco, Sydney, Tokyo, Toronto, Tunis, Washington DC, and Zurich. For more information, please visit our website: http://www.hrw.org OCTOBER 2016 ISBN: 978-1-6231-34129 Venezuela’s Humanitarian Crisis Severe Medical and Food Shortages, Inadequate and Repressive Government Response Summary and Recommendations ........................................................................................ 1 A Note on Methodology .................................................................................................... 22 Shortages of Medicines and Medical Supplies .................................................................
    [Show full text]
  • ITU Document
    Venezuela (country code +58) Communication of 8.IV.2011: The Comisión Nacional de Telecomunicaciones (CONATEL), Caracas, announces the updated National Numbering Plan of Venezuela. Presentation of National (ITU-T E.164) Numbering Plan of Venezuela Country Code: 58 National Prefix: 0 International Prefix: 00 Number length (excluding country code): 10 digits Detail of numbering scheme: (1) (2) (3) (4) National Destination Code Number length Additional (NDC) or National Usage of number information Significant Number (NSN) Minimum Maximum 212 10 10 Geographic number Area code of for Capital District, fixed telephony Vargas state and services some towns of (area code)) Miranda state 234 10 10 Geographic number Area code of for some towns of fixed telephony Miranda state services (area code)) 235 10 10 Geographic number Area code of for some towns of fixed telephony Guárico state services (area code)) 237 10 10 Geographic number Area code of for some islands fixed telephony (Federal services dependencies (area code)) 238 10 10 Geographic number Area code of for some towns of fixed telephony Guárico state services (area code)) 239 10 10 Geographic number Area code of for some towns of fixed telephony Miranda (1) (2) (3) (4) National Destination Code Number length Additional (NDC) or National Usage of number information Significant Number (NSN) Minimum Maximum services (area code)) 240 10 10 Geographic number Area code of for some towns of fixed telephony states Apure and services Barinas (area code)) 241 10 10 Geographic number Area code of for
    [Show full text]
  • Distrito Capital Amazonas Anzoátegui Apure Aragua Barinas Bolívar
    República Bolivariana de Venezuela Ministerio de Salud y Desarrollo Social Dirección de Epidemiología y Análisis Estratégico Dirección de Vigilancia Epidemiológica Año 54. Semana Epidemiológica Nº 52. Período2 del 26 de Diciembre al 01 de Enero 2005. PROGRAMA DE ERRADICACIÓN DE LA MALARIA CASOS DE MALARIA SEGÚN LUGAR DE ORIGEN DE INFECCION SEMANA EPIDEMIOLÓGICA Nº. 52 PERÍODO DEL 26 DE DICIEMBRE AL 01 DE ENERO DEL 2005 ACUMULATIVO HASTA LA CASOS SEMANA Nro. 52 SEMANA Nro. 52 ENTIDADES FEDERALES AÑOS SITUACIÓN AÑOS SITUACIÓN 2003 2004 ACTUAL* 2.003 2.004 ACUMULATIVA* Distrito Capital 0 0 NSI 0 1 NSI Amazonas 269 210 Alarma 8.955 10.720 Epidemia Anzoátegui 0 3 NSI 75 84 NSI Apure 0 1 NSI 77 52 NSI Aragua 0 0 Éxito 0 1 Seguridad Barinas 6 5 Seguridad 232 310 Seguridad Bolívar 220 703 Epidemia 13.504 27.576 Epidemia Carabobo 0 0 NSI 4 0 NSI Cojedes 0 0 NSI 0 0 NSI Delta Amacuro 1 29 Epidemia 1.465 1.959 Epidemia Falcón 0 0 NSI 0 0 NSI Guárico 0 0 Éxito 3 8 Alarma Lara 0 0 Éxito 0 0 Éxito Mérida 0 0 Éxito 1 1 Seguridad Miranda 0 0 NSI 4 3 NSI Monagas 6 36 Epidemia 63 360 Epidemia Nueva Esparta 0 0 Éxito 0 2 Alarma Portuguesa 0 0 Éxito 151 84 Seguridad Sucre 43 91 Seguridad 5.217 4.746 Éxito Táchira 0 1 Seguridad 12 22 Seguridad Trujillo 0 0 Éxito 26 0 Éxito Vargas 0 0 NSI 19 22 NSI Yaracuy 0 0 Éxito 0 0 Éxito Zulia 8 5 Alarma 493 293 Alarma Venezuela 553 1.084 Epidemia 30.301 46.244 Epidemia Casos Importados 11 Brasil (4), Colombia (7).
    [Show full text]