Manuel Najera

• MD; MSc
• Universidad del Desarrollo

Background Seroprevalence studies provide an accurate measure of SARS-CoV-2 spread and the presence of asymptomatic cases. They also provide information on the uneven impact of the pandemic, pointing out vulnerable groups to prioritize which is particularly relevant in unequal societies. However, due to their high cost, they provide limited evidenc...

Introducción: La pandemia de COVID-19 surgida en China a fines de 2019, se extendió rápidamente por el mundo, con casi 600 millones de casos y 6,3 millones de fallecidos en la actualidad. Los más afectados fueron los trabajadores de la salud con al menos tres veces más riesgo que la comunidad general de contraer la enfermedad. La mayoría de los est...

Background Syphilis, together with other sexually transmitted infections, remains a global public health problem that is far from controlled. People deprived of liberty are a vulnerable population. Control activities in prisons rely mostly on passive case detection, despite the existence of affordable alternatives that would allow switching to acti...

BACKGROUND: Syphilis, together with other sexually transmitted infections, remains a global public health problem that is far from being controlled. People deprived of liberty are one of the vulnerable population. Control activities in prisons rely mostly on passive case detection, despite the existence of affordable alternatives that would allow s...

BACKGROUND: Syphilis, together with other sexually transmitted infections, remains a global public health problem that is far from being controlled. People deprived of liberty are one of the vulnerable population. Control activities in prisons rely mostly on passive case detection, despite the existence of affordable alternatives that would allow s...

BACKGROUND: Syphilis, together with other sexually transmitted infections, remains a global public health problem that is far from being controlled. People deprived of liberty are one of the vulnerable population. Control activities in prisons rely mostly on passive case detection, despite the existence of affordable alternatives that would allow s...

BACKGROUND: Syphilis, together with other sexually transmitted infections, remains a global public health problem that is far from controlled. People deprived of liberty are a vulnerable population. Control activities in prisons rely mostly on passive case detection, despite the existence of affordable alternatives that would allow switching to act...

Resumen Objetivo: Conocer la percepción de informantes clave pertenecientes a la red de Atención Primaria de Salud en Chile, respecto al proceso de gestión asistencial y el impacto del progra-ma nacional de Garantías Explícticas en Salud (GES) sobre la entrega de ayudas técnicas a personas mayores. Materiales y métodos: Un estudio cualitativo basad...

Objetivo: Conocer la percepción de informantes clave pertenecientes a la red de Atención Primaria de Salud en Chile, respecto al proceso de gestión asistencial y el impacto del programa nacional de Garantías Explícitas en Salud (GES) sobre la entrega de ayudas técnicas a personas mayores. Materiales y métodos: Un estudio cualitativo basado en análi...

Introduction According to the International Labor Organization, Maternity Protection (MP) policies try to harmonize child care and women's paid work, without affecting family health and economic security. Chile Law 20.545 (2011) increased benefits for economically active women and reduced requirements for accessing these benefits. The goals of the...

INTRODUCTION Population aging is a worldwide phenomenon. It is estimated that by 2050, one of five persons will be aged ≥60 years. In Chile, 15.8% of the population is now aged ≥60 years, and this figure will reach 30.7% by 2050. In 2006, a national program was implemented to provide assistive devices to older adults aged ≥65 years with limited mob...

An outbreak of meningococcal disease with a case-fatality rate of 30% and caused by predominantly serogroup W of Neisseria meningitidis began in Chile in 2012. This outbreak required a case–control study to assess determinants and risk factors for infection. We identified confirmed cases during January 2012−March 2013 and selected controls by rando...

INTRODUCTION Health systems are one determinant of health; their role is to facilitate timely and equitable access to quality services. The way in which a health system is organized can profoundly affect achievement of its objectives. The main feature of the Chilean health system is the coexistence of a public health insurance program (based on a s...

Percepciones que tienen informantes clave de la red de atención respecto al proceso de gestión asistencial del GES Órtesis en sus distintas etapas y al impacto que tiene en las personas mayores

Introducción La sífilis es un problema de salud pública en Chile que afecta con más frecuencia a los privados de libertad (PPL), con prevalencia estimada de 2,9%; 1.5 veces más que no-PPL. En Chile no se ha medido este fenómeno. Los tests rápidos pueden subsanar barreras de acceso al diagnóstico de las cárceles. Objetivos Estimar la prevalencia...

Andes hantavirus cardiopulmonary syndrome, transmitted by Oligoryzomys longicaudatus, has no approved treatment, a case fatality rate of 35%, and documented person-to-person transmission. An Andes vaccine, highly needed for prevention, is in development. We aimed to evaluate knowledge, attitudes and practices (KAP) regarding hantavirus disease and...

SETTING: Contact investigation of tuberculosis (TB) patients in Chilean prisons. OBJECTIVE : 1) To estimate TB incidence and the prevalence of latent tuberculous infection (LTBI) among prisoners and their contacts; and 2) to determine factors associated with disease transmission. DESIGN: Cross-sectional study conducted in 46 prisons (51% of the tot...

Introduction: Meningococcal disease (MD) is a major global problem because of its case fatality rate and sequels. Since 2012 cases of serogroup W have increased in Chile, with nonspecific clinical presentation, high case fatality rate and serious consequences. Objective: To characterize the evolution and outcome of MD cases between January 2012...

This paper by Ximena Paz Aguilera and colleagues is a country case study for the Universal Health Coverage Collection, organized by WHO. It illustrates progress towards UHC and its monitoring and evaluation in Chile. Please see later in the article for the Editors' Summary

Introducción: La tuberculosis (TB) sigue siendo importante en Chile y el mundo. Los grupos de riesgo son las personas VIH+, los migrantes y los privados de libertad (PPL), en quienes se centra este estudio. Se estima que la incidencia de TB en PPL en Chile es 15 a 30 veces mayor que en población general, pudiendo constituir un reservorio. En otros...

We address the problem of long-term dynamics of tuberculosis (TB) and latent tuberculosis (LTB) in semiclosed communities. These communities are congregate settings with the potential for sustained daily contact for weeks, months, and even years between their members. Basic examples of these communities are prisons, but certain urban/rural communit...

Objective: To know the natural history of the first wave of pandemic influenza A(H1N1)pdm09 in the Southern hemisphere, through the detection of anti- bodies against influenza A(H1N1)pdm09 in a selected community, to estimate the population attack rate and its variations, the consultation rates, hospitalliza- tion and mortality rates. Methodology:...

The overall aim of this study is to develop a methodology to assess equity and access to care in health systems through a combination of quantitative and qualitative analysis measuring effective coverage of one prevalent tracer condition, trough three complementary studies. This paper report on the supply side assessment, based in a clinical chart...

The overall aim of this study is to develop a methodology to assess equity and access to care in health systems through a combination of quantitative and qualitative analysis measuring effective coverage of one prevalent tracer condition, trough three complementary studies. This paper report on the supply side assessment, based in a clinical chart...

Background: Based on the Tanahashi framework we developed a methodology to assess equity in access to care in health systems through a combination of quantitative and qualitative analysis measuring effective coverage using one prevalent tracer conditions subjected to program as the main outcome indicator. The study was done in Chile, a country with...

Barriers And Facilitators To Health Care Access: A Qualitative Systematic Review

Pandemic (H1N1) 2009 affected Chile during the winter of 2009. The hospitalization rate was 0.56% overall and 3.47% for persons >60 years of age at risk for severe disease and death independent of concurrent conditions. Age >60 years was the major risk factor for death from pandemic (H1N1) 2009.

Unlabelled: INTRODUCTION AND SETTING: Our analysis compares the most comprehensive epidemiologic and virologic surveillance data compiled to date for laboratory-confirmed H1N1pdm patients between 1 April 2009 - 31 January 2010 from five temperate countries in the Southern Hemisphere-Argentina, Australia, Chile, New Zealand, and South Africa. Obje...