The Flores of Miraflores

It’s our last day in Lima, Peru. This trip has been exciting and productive although brief. It has been a privilege to collaborate with Socios en Salud which has a 20 year history of working on behalf of people living with tuberculosis.  We are hopeful that by implementing FAST, we will be able to demonstrate a decreased rate of TB infection in health care workers in a large urban hospital. This is because most nosocomial TB transmission comes from the unsuspected TB cases and by finding those patients FAST and getting them on effective therapy, health workers will be infected with TB less frequently. This is extremely important in the context of drug-resistant TB. Finally, today we are going to visit a prison for a possible research project implementing FAST.

I’m going to leave you with a few thoughts from the exclusive, seaside neighborhood of Miraflores, where our hotel is located. Miraflores reminds me of La Jolla, California, except with more high-rises.

Are there flores in Miraflores? I asked the taxi driver. 

No, he laughed. In Miraflores, there are no flores to mira.

No flores? How sad. 

But not true. There are many flores in Miraflores.

Where there are no flores is in Carabayllo. 

Miraflores, by the Pacific Ocean
T he rich neighborhood of Miraflores, by the Pacific Ocean…There are beautiful vistas of the ocean, parks, and apartments that apparently/homes that apparently cost hundreds of thousands of dollars.
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Flores of Miraflores
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Flores of Miraflores
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Flores of Miraflores. I forget the name of these flowers… but I have seen them so many times in my life, starting in Pittsburgh. Can you help me?
Flores of miraflores. Geraniums?
Flores of miraflores. Geraniums?
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Geraniums of Miraflores. What are the other plants here?
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Carabayllo hillside. This is where the poor people live. They have extremely high rates of tuberculosis.

*Carabayllo is a poor slum with high rates of tuberculosis where Socios en Salud has been working for two decades.

Thanks so much for reading! Writing/reading blog posts does take time and we all know that time is in short supply. We’ll all get much more out of them if they lead to discussion/dialogue. If you found this post useful and wouldn’t mind leaving a comment/sharing on social media, that would be great. Thank so much! Best regards, Phil

One thought on “The Flores of Miraflores

  1. Jails and prisons are such important venues for public health screening, as well as interventions! You have a ‘captive audience,’ and there is a great opportunity to provide screening (esp. TB, HIV, STDs, etc.), as well as public health prevention to the people and the staff potentially exposed there!

    In my early CDC years, I worked at Cook County Jail for two years in Chicago (10,000 jailees!), and that one site accounted for 27% of the city’s syphilis, as well as a slew of a number of other diseases (HIV, Chlamydia, Gonorrhea, etc.). We really did have an impact on the various epidemics, working there! It was a very interesting place to work, as well! I discovered that most of those incarcerated were pretty “main stream,” not like one might think (pre-conceived) about incarcerated persons. It was not the intimidating environment that I had thought it might be before I worked there.

    I have not worked in prisons, which are very different than jails, as the jails are quite transitory, whereas the prisons are much longer term, and often run very differently (minimum, medium, maximum and super-max security levels).

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