18.104.22.168 Human health
In Latin America, adaptation measures in the health sector should basically be considered as isolated initiatives. A project on adaptation to climate variability and change undertaken in Colombia is oriented towards formulating measures to reduce human health vulnerability and cope with impacts. The project includes the development of an integrated national pilot adaptation plan (INAP), for high mountain ecosystems, islands, and human health concerns related to the expansion of areas for vectors linked to malaria and dengue (Arjona, 2005). The project includes the development of a comprehensive and integrated dengue and malaria surveillance control system, aiming to reduce the infection rate from both diseases by 30% (Mantilla, 2005). Other isolated measures have been identified for several countries. For example, in Bolivia, adaptation measures regarding the health impacts of climate change include activities on vector control and medical surveillance. The aim is also to have community participation and health education, entomological research, strengthened sanitary services and the development of research centres dealing with tropical diseases. Government programmes would also focus on high-risk areas for malaria and leishmaniasis under climate change (Aparicio, 2000).