Abstract in English:In August 2001, the XVII Meeting of the Health Sector in Central America and the Dominican Republic (RESSCAD) was held in Managua, Nicaragua. At the meeting, a resolution was adopted in support of strengthening and furthering the Central American initiative for the Promotion of Food and Nutritional Security. This paper examines the conceptual framework behind the initiative, which was approved by the XIV Central American Presidents Summit Meeting (Guatemala City, Guatemala) and launched in 1994 at the regional, national, and municipal levels (Guacimo, Costa Rica, 1994). It focuses on the accomplishments attributable to this initiative, the challenges it has faced over 2001 and those it will be facing over the next biennium, and the measures taken or recommended so far in order to ensure its long-term success.
Abstract in English:This document presents the most recent recommendations issued by the Task Force on the Antiretroviral and Medical Treatment of Children with HIV Infection on the management of HIV-infected children and adolescents with antiretroviral drugs. Topics discussed include the diagnosis of the infection in newborns, surveillance of pediatric HIV infection (immunologic and viral criteria), specific problems surrounding treatment with antiretroviral agents and compliance in children and adolescents, therapeutic recommendations in symptomatic and asymptomatic patients, and the use of tests for detecting resistance to antiretorviral drugs. In general, the Task Force recommends at least three antiretroviral agents combining two reverse transcriptase nucleoside inhibitors (RTNI) plus one protease inhibitor (PI) or combining efavirenz (a reverse transcriptase non-nucleoside inhibitor) plus one or two RTNI and one PI. Finally, recommendations are made on when to change an antiretroviral treatment due to lack of efficacy or toxicity or to the development of more effective treatments.