Shaping the Future of Financial Services in the Digital Economy: Proceedings from the Fourth Policy Knowledge Summit between Latin America and the Caribbean and China

2019 ◽  
Author(s):  
◽  
Keyword(s):  
Latin America ◽  
Financial Services ◽  
Digital Economy ◽  
The Future ◽  
The Caribbean

3 Estimating the Burden of Dementia in Latin America and the Caribbean: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i1-i6
Author(s):  
Y Xiang ◽  
K Chan ◽  
I Rudan
Keyword(s):  
Latin America ◽  
Disease Burden ◽  
Meta Analysis ◽  
Public Health Issue ◽  
Middle Income ◽  
Dementia Prevalence ◽  
Pooled Prevalence ◽  
The Future ◽  
The Caribbean ◽  
Policy And Planning

Abstract Background and Objectives Rapid increase in life expectancy has resulted in an increase in the global burden of dementia that is expected to become a leading cause of morbidity in the future. Low- and middle-income countries are expected to bear an increasing majority of the burden, but lack data for accurate burden estimates that are key for informing policy and planning. Bayesian methods have recently gained recognition over traditional frequentist approaches for modelling disease burden for their superiority in dealing with severely limited data. This study provides updated estimates of dementia prevalence in Latin America and the Caribbean (LAC) for the years 2015, 2020 and 2030. Given the paucity of data, estimates were developed using a Bayesian methodology and confirmed by the traditional frequentist approach, with the aim of providing methodological insights for future disease burden estimates. Methods A comprehensive systematic literature search was conducted to identify all relevant primary studies published between the years 2010–2018. The quality of the included studies was critically assessed. A random-effects model (REM) and a Bayesian normal-normal hierarchical model (NNHM) were used to obtain the pooled prevalence estimate of dementia for people aged 60 and above. The latter model was also developed to estimate age-specific dementia prevalence. Using UN population estimates, total and age-specific projections of the burden of dementia were calculated. Results The prevalence of dementia in LAC was found to be 14% (10–21%) in those above age 60 based on REM, and 8% (5–11.5%) based on NNHM. The prevalence increased from 2% (1–4%) in people aged 60–69 to 29% (20–37%) in people above the age of 80. The number of people living with dementia in LAC in 2015 was estimated at 5.68 million, with future projections of 6.86 million in 2020 and 9.94 million in 2030. Conclusions The findings of this review found that burden of dementia in LAC is substantial and continues to rapidly grow. The projected rise in dementia cases in the future should prompt urgent governmental response to address this growing public health issue. We were also able to demonstrate that given the overall paucity of data, a Bayesian approach was superior for estimating disease prevalence and burden.

Soviet Interests in Latin America: New Opportunities and Old Constraints

1984 ◽  
Vol 26 (2) ◽  
pp. 163-198 ◽  
Author(s):  
W. Raymond Duncan
Keyword(s):  
Latin America ◽  
Caribbean Basin ◽  
Soviet Policy ◽  
Policy Responses ◽  
The Future ◽  
The Caribbean ◽  
The U.S

The October 1983 crisis in Grenada left little doubt that the Soviet and Cuban presence had been expanding in the Caribbean basin. But the October crisis did not answer questions regarding the extent of their actual influence there, nor the direction it might take in the future, nor even what the most appropriate U.S. policy responses should be to that influence elsewhere in the region. Therefore, in the wake of the U.S. occupation of Grenada and the evidence it uncovered about the degree of Soviet and Cuban activity there, it is useful to examine the kind of situations that have encouraged the Soviets to expand their presence and/or influence in Latin America. At the same time, it equally is useful to examine the limitations or constraints on such an expanded presence or influence.Clearly, Soviet policy in Latin America has been the product of two conflicting forces or tendencies.

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