CS40Gun Violence in the Americas

Arturo Cervantes Trejo, MD, MPH, DPH

Universidad Anáhuac Méxicocervantes@post.harvard.edu

Teotihuacan, MéxicoYears 100 BCE - 500 CE

Tenochtitlan, México City06/20/1325 – 08/13/1521

Standing Rock in North and South Dakota Lakota - Sioux Territories (Fort Laramie Treaty of 1868)Image © The New York Times

© Mitch Dobrowner

Rudolf Ludwig Karl Virchow(1821-1902)

On the Social Determinants of Disease

¿Do we not always find the diseases of the populace traceable to defects in society?

Rudolf Ludwig Karl Virchow(1821-1902)

On the Social Determinants of Disease

The remedy for epidemics:

• Prosperity• Education• Liberty

• International Bill of Human Rights

• Universal Declaration of Human Rights (1948)

• International Covenant on Civil and Political Rights (1966)

• International Covenant on Economic, Social and Cultural Rights (1966)

1978 Alma Ata Declaration

• Health for all• Primary Health Care• Health a Fundamental Human Right• Equity• Appropriate technology• Inter sectoral development• Community participation

Urie Bronfenbrenner(1917-2005)

The Ecology of Human Development

Aaron Antonovsky(1923-1994)

Salutogenesis- the salutogenic model

Antonovsky saw a continuum rather than a dichotomy

Salutogenesis- the salutogenic model

• Social determinants, Virchow (1850)

• Bill of Human Rights (1948, 1966)

• Alma Ata, Health for All (1978)

• Human Ecology, Bronfenbrenner (1978)

• Salutogenesis, Antonovsky (1979)

• Agenda 2030, United Nations (2015)

Pub·lic nui·sancenoun• An act, condition, or thing that is illegal

because it interferes with the rights of the public generally.

• An obnoxious or dangerous person or group of people.

Burden of Disease in Mexico(age 15-49), deaths in 2017

Main cause of death in México by age groups, 2017

5-14 years 15-24 25-34 35-44 45-54

Build a wall

Vs.

¿United States Governmentas a pub·lic nui·sance to

Mexico and rest of America?

SDG 16+The Roadmap for Peaceful, Just and Inclusive SocietiesA Call to Action to Change our World

© Jan Fabre, Searching for utopia

CS40Gun Violence in the Americas

Arturo Cervantes Trejo, MD, MPH, DPH

Universidad Anáhuac Méxicocervantes@post.harvard.edu