Costa Rica introduced the measles-mumps-rubella (MMR) vaccine in 1986. The Ministry of Health adopted the goal of eliminating endemic measles in 1991 by achieving and maintaining high vaccine coverage through routine delivery, mass campaigns and outreach activities, and the strengthening of expanded program on immunization (EPI) surveillance. Measles and rubella immunization strategies shifted ...

OBJECTIVE Data on the prevalence of birth defects and neural tube defects (NTD) in Latin America are limited. The present review summarizes NTD prevalence and time trends in Latin American countries and compares pre- and post-fortification periods to assess the impact of folic acid fortification in these countries. DESIGN We carried out a literature review of studies and institutional reports...

This article presents an analysis of lzye expectancy trends in Costa Rica from the early 1970s to 1976. The methodology employed was developed with the help of the Latin American Center for Demography (CELADE). The findings obtained reveal that the average Costa Rican life span grew very rapidly in this period-a time when major efforts were being made to extend health sel-vices to underserved p...

Thirty-four Leishmania isolates obtained from Costa Rican patients, from different geographical areas, were characterized by isoenzyme electrophoresis and indirect immunofluorescense with monoclonal antibodies. Thirty-two were characterized as L. panamensis strains and two were L. braziliensis variants. We confirm the evident predominance of L. panamensis as the main etiological agent of leishm...

A new Megaselia species, M.shadeae, with a large, central, pigmented and bubble-like wing spot and a greatly enlarged radial wing vein fork, is described from Zurquí de Moravia, Costa Rica. As part of the Zurquí All Diptera Biodiversity Inventory (ZADBI) project, it represents the first of an incredible number of new phorid species to be described from this one Costa Rican cloud forest site. A ...

OBJECTIVE Recent studies have shown an increase of mild serum cobalamin (vitamin B(12)) deficiency in some Latin American countries; however, no data are available from Costa Rica. The purpose of this work was to establish the prevalence of serum vitamin B(12) deficiency among Costa Rican young adults and to study some factors that may help explain the serum cobalamin concentrations. METHODS ...

Amphibians highlight the global biodiversity crisis because ∼40% of all amphibian species are currently in decline. Species have disappeared even in protected habitats (e.g., the enigmatic extinction of the golden toad, Bufo periglenes, from Costa Rica). The emergence of a fungal pathogen, Batrachochytrium dendrobatidis (Bd), has been implicated in a number of declines that have occurred in the...

Risk factors for the onset of cognitive impairment in Costa Rica are not well understood, despite a substantial elderly population stemming from a higher than average life expectancy for the western hemisphere. To investigate the risk factors that predict the onset of cognitive impairment in the rural elderly of Costa Rica, a modified version of the Mini Mental State Exam-designed for illiterat...

Forest area figures. at a given point in time and for a given region of interest, differ considerably, affecting the calculation of deforestation rates and thus confuse the political and scientific discussion on the state and change of the resource forest. This article discusses the variation of published forest cover figures, using Costa Rica as an example. A list of published figures on the f...

The taxonomic status of the four New World species of Salina MacGillivray with bidentate mucro is uncertain. The first two species to be described, S. bidentata (Handschin) and S. wolcotti Folsom, are so poorly described by modern standards that it is unclear if they represent distinct species or the same, colour-pattern variable forms. This contribution presents additions to the description of...