TOPIC- DISEASE CONTROL IN HUMANITARIAN EMERGENCIES DELEGATE: ALEXANDRA SFIRLEAZA- LICEUL TEHNOLOGIC NR 1 BALS Brazil is the fifth most-populous country on Earth and accounts for one-third of Latin America’s population. Most of the inhabitants of Brazil are concentrated along the eastern seaboard, although its capital, Brasília, is located far inland and increasing numbers of migrants are moving to the interior. Many of Brazil’s health problems stem from widespread undernourishment and endemic diseases such as malaria, yellow fever, dengue, amoebic dysentery, tuberculosis, schistosomiasis, and the dread Chagas disease, which is transmitted by the bite of an insect that infests the walls of wattle-and-daub houses. Most of those diseases are common in lowland areas but rare at higher elevations and in the subtropical climate zones. Although most endemic tropical diseases have been eradicated in the major cities, migrants from infected areas have reintroduced some maladies as far south as São Paulo. Poor sanitary and housing conditions exacerbate health risks, particularly among Brazil’s millions of shantytown dwellers, or afavelados, who are concentrated in and around São Paulo, Rio de Janeiro, and other large cities. In those areas new systems of potable water and sewage have greatly reduced the spread of disease. Government programs and privately supported clinics have been established in many favelas to improve health conditions, particularly prenatal and infant health care.Access to drinking water and sewage treatment is a response to the pressing need to consider health-disease as a process that goes beyond merely a biological concept, but which is, above all, socially determined. Overcoming social inequalities requires public policies fundamentally oriented to reach the largest portion of social groups that, historically, and particularly in recent years, have been deprived of the social rights that ensure citizenship. Ensuring uninterrupted provision of safe drinking water is the most important preventive measure to be implemented. Chlorine is widely available, inexpensive, easily used, and effective against nearly all waterborne pathogens. Settlement planning must provide for adequate access for water and sanitation needs and meet the minimum space requirements per person, in accordance with international guidelines. Access to primary care is critical for prevention, early diagnosis, and treatment of a wide range of diseases, as well as for providing an entry point for secondary and tertiary care. Rapid detection of cases of epidemic-prone diseases is essential to ensure rapid control. A surveillance/early warning system should be quickly established to detect outbreaks and monitor priority endemic diseases. Mass measles immunization and vitamin A supplementation are immediate health priorities in areas with inadequate coverage.