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#95 De: Gustavo Alcala <galcala.vwaisman@interredes.com.ar>
Enviado: Domingo 19 de Marzo de 2000 23:23
Asunto: Abandone y Gane/Quit and Win
Sponsored by: Agilent Technologies
Un concurso como estrategia inicial para una accion antitabaquica mas amplia:
Medicina basada en la evidencia
Concurso Internacional
Paises Participantes
1994 13 60000
1996 25 70000
1998 48 200000
Se esperan para este anio
2000 100 1000000
Han pasado mas de 15 anios desde que el primer concurso Quit & Win se implemento para fumadores como un programa de demostracion para la prevencion de enfermedades cardiovasculares. La idea provino de antiguos intentos en Greenfield, Iowa en 1969; y en una fabrica en Newport, Texas en 1975.
Luego del primer concurso en el Minessota Heart Health Program en 1982, el concepto Q&W fue rapidamente captado por otros: Stanford Five City Project y Pawtucket Heart Health Program en EEUU y el North Karelia Project en Europa (1986). El modelo Q&W ahora es  ampliamente conocido, y existe experiencia bien documentada. La estrategia ha sido adoptada por grandes programas de prevencion de cancer como The Community Intervention Trial for Smoking Cessation (COMMIT) que se llevo a cabo en EEUU patrocinado por el Instituto Nacional del Cancer de ese pais y se le ha dado prioridad tambien en la OMS. El Director General de la OMS Dr Gro Harlem Brundtland ha identificado el tabaco como area de preocupacion prioritaria a traves de la Tobacco Free Initiative, siendo el abandono del cigarrillo una tarea principal esta iniciativa apoya Quit and Win. La principal razon para la rapida diseminacion del modelo es la extensa investigacion por parte de programas (de  intervencion en gran escala, basados en la comunidad) con buena credibilidad y la presentacion en conferencias internacionales y publicacion   en prestigiosas revistas.
Desde los programas surgidos como resultado de la iniciativa politica y el compromiso de la poblacion como el North Karelia Project, el Stockholm Cancer Prevention Program sueco o el Heart Beat Wales Project gales; hasta los que fueron diseniados principalmente con fines de investigacion y por tanto tienen algunas diferencias con los anteriores: The Stanford Five-City Project, The Minnesota Heart Health Project y Pawtucket Heart Health Program. Cada uno tuvo su componente de cesacion tabaquica en donde el Q&W ocupo un lugar entre los mas EFICIENTES.
- Korhonen HJ, Niemensivu H, Piha T et al. National TV smoking cessation program and contest in Finland. Prev Med 1992;21:74-87
- Tillgren P, Haglund BJA, Gilljam H et al. A tobacco Quit and Win model in the Stockholm Cancer Prevention Program. European Journal of Cancer Prevention. 1992;1:361-6
- Roberts C, Smith C, Catford J. Quit and Win Wales: an evaluation of the 1990 pilot contest. Tobacco Control 1993;2:114-9.
- Lando HA, Loken B, Howard-Pitney B. Community impact of a localized smoking cessation contest. Am J Public Health 1990;80:601-3.
- Glasgow RE, Klesges RC, Mizes JS. Quitting smoking: Strategies used and variables associated with success in a stop-smoking contest. J Consult Clin Psychol 1985;53:905-12
-Altman DG, Flora JA, Fortmann SP. The cost-effectivenes of three smoking cessation programs. Am J Public Health 1987;77:162-5
- Elder JP, McGraw SA, Rodrigues A, et al. Evaluation of two community-wide smoking cessation contests. Prev Med 1987;16:221-34
- Cummings KM, Kelly J, Sciandra R. Impact of a community-wide stop smoking contest. Am J Health Promot 1990;4(6):429-34
- Elder JP, Campbell NR, Mielchen SD. Implementation and evaluation of a community-sponsored smoking cessation contest. Am J Health Promot 1991;5(3):200-7.
-Lando HA, Pechacek TF. The Minnesota Heart Health Program community Quit and Win contests. American Journal of Health Promotion 1994;9:85-124
-Pechacek TF, Lando HA. Quit and Win: a community-wide approach to smoking cessation. Tobacco Control 1994;3:236-41

A contest as initial strategy for a wider anti-smoking action:
Medicine based in evidence
International Contest
Countries that participate
1994 13 60000
1996 25 70,000
1998 48 200,000
For this year it is expected
2000 100 1,000,000
More than 15 years have gone by since the first contest Quit & Win was implemented for smokers, as a program for demonstration to prevent cardiovascular diseases. The idea came from old attempts in Greenfield, Iowa in 1969; and in a factory in Newport, Texas in 1975.
After the first contest at the Minnesota Heart Health Program in 1982, the Q&W concept was quickly caught by others: Stanford Five City Project and Pawtucket Heart Health Program in USA and the North Karelia Project in Europe (1986). The Q&W model is now widely known, and there is experience properly documented. The strategy has been adopted by great programs for cancer prevention, as The Community  Intervention Trial for Smoking Cessation (COMMIT) that was carried out in USA, sponsored by the National Institute of Cancer from that country, and it has been given priority in the WHO, too. The General Director of the WHO, Dr. Gro Harlem Brundtland has identified the tobacco as an area of concern that has been given priority through the Tobacco Free Initiative, quitting smoking being the main task that this Quit and Win enterprise supports.
The main reason for the quick dissemination of the model is the extensive investigation by programs (of intervention on a large scale, based in the community) with good credibility and presentation in international conferences and publication in prestigious journals.
Since the programs that arose as a result of political initiative and people's commitment, as the North Karelia Project, the Swedish Stockholm Cancer Prevention Program, or the Welsh Heart Beat Wales Project; to those that were mainly designed with the purpose of researching, and therefore have some differences with the previous ones: The Stanford Five-City Project, The Minnesota Heart Health Project, and Pawtucket Heart Health Program.
Each one has a component part for quitting smoking, where the Q&W held a place as one of the most EFFICIENT ones.
- Korhonen HJ, Niemensivu H, Piha T et al. National TV smoking cessation program and contest in Finland. Prev Med 1992;21:74-87
- Tillgren P, Haglund BJA, Gilljam H et al. A tobacco Quit and Win model in the Stockholm Cancer Prevention Program. European Journal of Cancer Prevention. 1992;1:361-6
- Roberts C, Smith C, Catford J. Quit and Win Wales: an evaluation of the 1990 pilot contest. Tobacco Control 1993;2:114-9.
- Lando HA, Loken B, Howard-Pitney B. Community impact of a localized smoking cessation contest. Am J Public Health 1990;80:601-3.
- Glasgow RE, Klesges RC, Mizes JS. Quitting smoking: Strategies used and variables associated with success in a stop-smoking contest. J Consult Clin Psychol 1985;53:905-12
-Altman DG, Flora JA, Fortmann SP. The cost-effectivenes of three smoking cessation programs. Am J Public Health 1987;77:162-5
- Elder JP, McGraw SA, Rodrigues A, et al. Evaluation of two community-wide smoking cessation contests. Prev Med 1987;16:221-34
- Cummings KM, Kelly J, Sciandra R. Impact of a community-wide stop smoking contest. Am J Health Promot 1990;4(6):429-34
- Elder JP, Campbell NR, Mielchen SD. Implementation and evaluation of a community-sponsored smoking cessation contest. Am J Health Promot 1991;5(3):200-7.
-Lando HA, Pechacek TF. The Minnesota Heart Health Program community Quit and Win contests. American Journal of Health Promotion 1994;9:85-124
-Pechacek TF, Lando HA. Quit and Win: a community-wide approach to smoking cessation. Tobacco Control 1994;3:236-41
Dr Gustavo Alcala

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#96 De:  Baltasar Aguilar <baguilar@adinet.com.uy>
Enviado: Miércoles, 22 de Marzo de 2000 07:44 p.m.
Asunto: Re:Prevencion mediante evaluacion de riesgo absoluto/Re: Prevention trough evaluation of absolute risk
Sponsored by: Agilent Technologies
Estimado colega:
En relación a tu mensaje sobre riesgo cardiovascular absoluto, te diré que en Uruguay, una organización privada, la Federación Médica del Interior, a la cual pertenezco, se encuentra abocada, desde hace un año, a la puesta en práctica de un programa sobre detección precoz e intervención oportuna de factores de riesgo cardiovasculares. Dicho programa, en sus aspectos operativos, se basa en el llenado de una ficha   para pacientes sin antecedentes cardiovasculares --prevención primaria--, y el cálculo mediante una tabla, del riesgo cardiovascular absoluto. Tenemos estudiados más de tres mil pacientes. Si interesan los resultados del corte efectuado, se los puedo enviar.
Saludos.

Dear colleague:
In regard to your message about absolute cardiovascular risk, let me tell you than in Uruguay, a private organization, the Medical Federation of the Interior, to which I belong, has been channeling its efforts for a year, to put into practice a program about early detection and timely intervention of cardiovascular risk factors. This program, in its operative aspects, is based in filling a file for patients without cardiovascular history -primary prevention-, and the estimation through a table, of the absolute cardiovascular risk. We have studied more than three thousand patients. If you are interested in the results of the partial results obtained, I can send them to you.
Regards,
Dr. Baltasar Aguilar Fleitas
San José, Uruguay

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#97 De: Gustavo Alcala <galcala.vwaisman@interredes.com.ar>
Enviado: Jueves 23 de Marzo de 2000 00:54
Asunto: Abandone y Gane, el ejemplo polaco/Quit and Win, the Polish example
Sponsored by: Laboratorios Bago
Es un dilema etico no poder, (o no estamos haciendo nuestro mejor esfuerzo?), aplicar intervenciones de advertencia masiva probadamente utiles en relacion al cambio saludable que implica dejar de consumir tabaco.
La campania "Stop Smoking Together" en Polonia
Los directores del Departamento de Epidemiologia y Prevencion del Cancer, Instituto de Oncologia y Centro de Cancer Maria Sklodowska-Curie Memorial, Polonia, comunicaron que esta campania se organiza cada anio en ese pais desde 1992. Su culminacion es el Dia Internacional sin Humo de Tabaco iniciado por la Union Internacional contra el Cancer. El proposito principal de esta campania nacional es estimular a tantos fumadores como sea posible para que se abstengan de fumar por lo menos por un dia. La idea de la campania nace en el Great American Smokeout que comenzo en los ' 70 en Estados Unidos. Ligada con las elecciones presidenciales de 1995, la campania de salud de ese anio fue encabezada con el slogan: "Elecciones 95: Fumar o No Fumar"
La campania incluyo:
1) una difusion nacional por los medios masivos,
2)Concursos "Abandone y Gane" para las personas que declararon que deseaban dejar de fumar,
3)concursos para chicos y adolescentes,
4) lineas telefonicas con consejos sobre adiccion y para dejar de fumar,
5) seminarios de capacitacion nacionales e internacionales para profesionales relacionados con la salud,
6) reuniones, eventos, festivales organizados para ninios,
7) monitoreo de la efectividad de las actividades de intervencion.
Encuestas nacionales mostraron que esta campania es una de las acciones mas populares y efectivas de promocion de la salud en Polonia.
En 1995, 87% de los polacos adultos (27 millones de personas) escucharon en television, radio o leyeron en la prensa al respecto. 2.7 millones de fumadores intentaron dejar de fumar como resultado de la campania, de los cuales 300.000 tuvieron exito.

It is an ethical dilemma not be able (are we not making our best effort?) to apply interventions of massive warnings of proven usefulness concerning the healthy change that implies quitting tobacco consumption.
The "Stop Smoking Together" campaign in Poland
The directors from the Department of Epidemiology and Prevention of Cancer, the Institute of Oncology, and the Maria Sklodowska-Curie Memorial Center of Cancer, Poland, informed that this campaign is organized each year in that country since 1992.  Its summit is the International Day without Tobacco Smoke, that was started by the International Union against Cancer. The main purpose of this national  campaign is to stimulate as many smokers as possible to abstain from smoking for at least a day. The idea of the campaign was born at the Great American Smokeout that began in the 70's in the United States. Linked to the presidential election from 1995, the health campaign from this year was headed by the slogan: "Elections '95: To Smoke or not to Smoke".
The campaign included:  1) national diffusion by massive media,
2) contests "Quit and Win" for individuals who declared that they wished to quit smoking,
3) contests for children and teenagers,
4) phone lines with advice about addiction and quitting smoking,
5) national and international training seminars for professionals related to health,
6) meetings, events, festivals organized for children,
7) monitoring of effectiveness of activities of intervention
National surveys showed that this campaign is one of the most popular and effective actions for promotion of health in Poland. In 1995, an 87% of Polish adults (27 million people) heard on television, radio, or read on newspapers about it. A total of 2.7 millions of smokers tried to quit smoking as a result of the campaign, from which 300,000 were successful.
Gustavo Alcala

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#98 De:  Gustavo Alcala <galcala.vwaisman@interredes.com.ar>
Enviado: Jueves 23 de Marzo de 2000 00:55
Asunto: Abandone y Gane, Antecedentes/Quit and Win, Precedents
Sponsored by: Laboratorios Bago
Existen muchos métodos para estimular a los fumadores a dejar y ayudarlos una vez que lo hacen. Durante la última década ha habido una tendencia a pasar de los abordajes predominantemente clínicos en favor de la perspectiva de la salud pública. Los esfuerzos para convencer a la gente se benefician mas de la estrategia orientada a toda la población, de esta manera se alcanzará a muchas mas personas dispuestas a dejar de   fumar comparado con el pequeño segmento que desea asistir y puede ser atendido por programas basados en clínicas especializadas. Estas estrategias van desde la simple información entregada en mano, la sugerencia para asistir a clases para dejar de fumar, las campañas comunitarias o de promoción nacional del abandono.
Para lograr una gran reducción en la prevalencia del tabaquismo es necesario exponer a muchos fumadores al mensaje educativo y al mismo tiempo brindar guías prácticas y oportunidades para el abandono.
El "Great American Smokeout" es un evento a traves de los medios masivos que ha sido extremadamente exitoso como ayuda para la cesación de fumar. Fue patrocinado por primera vez por la Sociedad Americana del Cancer en 1977 para todo EEUU. El evento incito a los fumadores a "dejar por un dia" y se ha diseminado a otros paises. Una encuesta de Gallup realizada en 1989 reporto que el 85% conocia el Great American Smokeout. Mas del 30% de los 50 millones de fumadores de ese pais participaron dejando de fumar o disminuyendo el consumode cigarrillos al menos por un dia.
En 1988 la OMS inicio el Dia Mundial sin Tabaco. Organizado de modo similar, este dia tiene extensa cobertura televisiva y de la prensa escrita y muchos fumadores han usado este dia como fecha para dejar el habito.

There are many methods to stimulate smokers to quit, and help them once they do it. During the last decade there has been a tendency to overlook approaches predominantly clinical in favor of public health perspective. The efforts to convince people get more benefited from the strategy addressed to the whole population, thus much more individuals willing to quit smoking will be reached, in comparison to the small segment that wishes to attend and may be assisted by programs based in specialized clinics. These strategies range from the simple information given in hand, the suggestion to attend to classes to quit smoking, to community or national promotion campaigns for quitting. To achieve a great reduction in prevalence of smoking is necessary to present to many smokers the educational message, and at the same time to providepractical guidelines and chances to quit. The "Great American Smokeout" is an event published through massive media, that has beenextremely successful as help for quitting smoking.It was sponsored for the first time by the American Society of Cancer in 1977 for all USA. The event incited smokers to "quit for a day", and it has spread to other countries. A survey from Gallup carried out in 1989 reported that an 85% knew about the Great American Smokeout. More than a 30% of the 50 millions of smokers from this country took part by quitting smoking or by diminishing cigarette consumption at least for a day.
In 1988, the WHO began the World Day without Tobacco. It is organized in a similar way, and this day has wide television and press coverage, and many smokers have used this day as date to quit the habit.
Gustavo Alcala

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#99 De: Beatriz Champagne <beatrizc@ix.netcom.com>
Enviado: Jueves 23 de Marzo de 2000 23:46
Asunto: Re:Abandone y Gane/Re: Quit and Win
Sponsored by: Laboratorios Bago
Organizacion: Fundacion Interamericana del Corazon
Estimados PCVCeros:
En relacion al proyecto "Quit and Win", me gustaria mencionar que la Organizacion Panamericana de la Salud ha publicado el manual "Quit and Win" en Espaniol, y se puede solicitar en cronic@paho.org . Este manual no solamente proporciona informacion sobre antecedentes, sino que tambien ofrece detalles sobre como organizar el programa en su pais o region. Es un buen material.
Saludos,
Beatriz

Organization: InterAmerican Heart Foundation
Dear PCVCers:
With regards to the Quit and Win project, I would like to mention that the Pan American Health Organization has published the Quit and Win manual in Spanish and is available by request to cronic@paho.org. This manual not only provides background info but also details about how to organize the program in your country or region. It is a good resource.
Greetings
Beatriz
Beatriz Champagne Marcet, Ph.D.
InterAmerican Heart Foundation
7272 Greenville Ave, Dallas, TX 75231-4596 USA
OR P.O. Box 1272, McKinney, TX 75070
Phone: 972 562 3806 or 214 706 1218
Fax: 972 562 3807 or 214 373 0268
beatrizc@ix.netcom.com

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#100 De:  Gustavo Alcala <galcala.vwaisman@interredes.com.ar>
Enviado: Domingo 26 de Marzo de 2000 18:14
Asunto: Abandone y Gane, marco teorico/Quit and Win, theoretical framework
Sponsored by: Productos Roche
Esta herramienta disfrazada de concurso apunta a una cuestion estrategica evidente. Unas pocas tabacaleras incitan a millones de personas a fumar con publicidad enganiosa por los MEDIOS MASIVOS, nunca se va a poder competir tratando de convencer a la gente una por una, tampoco se encontraran soluciones dentro del sector salud; o se logra espacio en radio, TV y prensa escrita o se sigue perdiendo.
Peor aun, la ausencia gubernamental y de las instituciones encargadas de la salud se convierte en la principal barrera para la prevencion ya que la gente infiere que el tabaco no debe ser tan peligroso como algunos lo pintan; en una encuesta llevada a cabo en Gran Bretaña en 1986 el 44% de los ciudadanos afirmo que si los cigarrillos fueran realmente peligrosos se hubiese lanzado una advertencia masiva o directamente el gobierno hubiese prohibido completamente la propaganda.
Se necesita entonces la llamada "contra-propaganda" y existe alguna evidencia de que este abordaje puede ser efectivo. En EEUU, 1967 cuando la publicidad de las tabacaleras aun se permitia, la Comision Federal de Comunicaciones dispuso que se debia asignar espacio a los Anuncios del Servicio Publico para contrabalancear el mensaje de la publicidad a favor de fumar. Estos avisos aparentemente tuvieron considerable impacto, durante los 3 anios en que esta politica tuvo efecto (1968-1970) la venta de cigarrillos per capita cayo 6.9% y el tabaquismo entre los adolescentes disminuyo un 3%. En 1971 se prohibio la propaganda en medios electronicos, desaparecieron tambien los mensajes del Servicio Publico y el consumo aumento nuevamente.
Es dificil lograr apoyo permanente de los medios masivos ya que existe un conflicto de prioridades entre las instituciones responsables de la salud publica, que intentan educar y favorecer las condiciones para que existan opciones saludables, y los medios que tienen como objetivo entretener o persuadir para que se adquieran los productos de sus anunciantes e informar. Como compiten entre ellos por la atencion del publico necesitan primicias y novedades .

This tool disguised as a contest, aims at an evident strategic matter. A few tobacco companies incite millions of people to smoke with deceitful advertising through MASSIVE MEDIA, we will neither be able to compete by trying to convince people one by one ever, nor solutions within the health sector will be found; either we obtain a space in radio, TV, and the press, or we go on losing. Worse yet, the absence from government and institutions in charge of health becomes the main barrier against prevention since people infer that tobacco may not be as dangerous as some say, in a survey carried out in Great Britain in 1986, a 44% of citizens stated that if cigarettes were really dangerous a massive warning would have been launched, or government would have directly and completely banned its advertising.
Then, we need the so-called "counter-advertisement", and there is some evidence that this approach may be effective. In USA, in 1967, when  advertisements from tobacco companies were still allowed, the Federal Committee of Communications stipulated that space should be assigned to Public Service Advertisement to counterbalance the message of publicity in favor of smoking. These advertisements appeared to have quite   an impact: during the 3 years in which this policy was effective (1968-1970) per capita sales of cigarettes fell a 6.9%, and smoking between teenagers diminished in a 3%. In 1971, publicity in electronic media was banned, messages from Public Service disappeared as well, and consumption increased again.
It is hard to obtain permanent support in massive media, since there is a conflict of priorities between institutions responsible for public health, which attempt to educate and favor conditions so that there should be healthy options, and the media that have as goal to entertain or persuade to buy their advertising companies' products and to inform. As they compete among themselves for public's attention, they need scoops and innovation.
Gustavo Alcala

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#101 De: Gustavo Alcala <galcala.vwaisman@interredes.com.ar>
Enviado: Domingo 26 de Marzo de 2000 18:47
Asunto: Abandone y Gane, organizacion comunitaria/Quit and Win, community organization
Sponsored by: Productos Roche
Aunque la propuesta de la contrapropaganda suena bien identificar la fuente de los fondos necesarios ha sido mucho mas dificil. El disenio innovador de Abandone y Gane tiene alta visibilidad y ha demostrado que logra amplia atencion por parte de la prensa, como esto no se puede mantener a largo plazo la campania dura dos meses: abril y mayo. El final coincide con el Dia Mundial sin Humo de Tabaco (31/05), se realiza cada dos anios.
-Moviliza recursos existentes identificando instituciones cientificas, gubernamentales, obras sociales, ONG, y empresas privadas (industria farmaceutica -bupropion, nicotina-, seguros de vida por ej) interesadas en participar.
-Genera coaliciones que quedan activas para emprender otras intervenciones preventivas, aumenta la oportunidad para el intercambio de informacion y habilidades practicas
-Propicia alianzas para un trabajo INTEGRADO (no tiene sentido que algunas pocas oficinas gubernamentales, cardiologos, oncologos, neumonologos, ONG y sus instituciones asociadas realicen pequenios esfuerzos aislados y en momentos diferentes relacionados con el tabaco). Los factores de riesgo para enfermedades cronicas nos llevan ventaja porque se interrelacionan, los programas preventivos NO.
-Llega tambien a los menos educados, a grupos de pequenias poblaciones no solo grandes ciudades e incluso a los que no tienen acceso al sistema de salud que en nuestros paises no es NI universal NI gratuito.
-Cuando se consigue involucrar organizaciones clave en el marco de una accion internacional (50 paises en 1998) el resultado afectara a la  comunidad en su conjunto
EXPO2000 Hannover: Ceremonia de entrega del premio internacional
El 29 de agosto el ganador recibira los 10000 dolares de premio de manos del Dr Bruntland Director General de la OMS, Pekka Puska Director del Instituto Nacional de Salud Publica de Finlandia que coordina el concurso en todo el mundo y el Ministro aleman de Salud: Andrea Fischer.

Although the proposal of counter-advertisement sounds well, to identify the source of necessary funds has been much harder. The innovative design of Quit and Win, has high visibility, and has demonstrated that it achieves wide attention by the press; as this cannot be maintained in long term, the campaign lasts two months: April and May. The end coincides with the World Day without Tobacco Smoke (May 31st), and it iscarried out every two years.
-It employs resources already existing, identifying scientific and governmental institutions, medical care funds, non governmental organizations, and private companies (e.g.: pharmacological industries -bupropion, nicotine-, life insurance) interested in taking part.
-It generates coalitions that remain active to undertake other preventive interventions, it increases the opportunity for exchanging information, and practical skills.
-It creates alliances for an INTEGRATED work (it does not make sense that some few governmental offices, cardiologists, oncologists, pneumonologists, non governmental organizations, and associated institutions make small isolated efforts, and in different moments in regard to smoking). Risk factors for chronic diseases are ahead of us because they interrelate, preventive programs DO NOT.
-It also reaches less learned people, groups of small populations, not only big cities, and even those who do not have access to the health system that in our countries is NEITHER universal NOR free.
-When key organizations get involved in the framework of an international action (50 countries in 1998), the result will affect community as a whole.
EXPO2000 Hannover: International Prize Presentation Ceremony
On August 29th, the winner will receive 10,000 dollars as a prize from Dr Bruntland, General Director of the WHO, Pekka Puska, Director of the National Institute of Public Health from Finland, that coordinates the contest all over the world, and the German Minister of Health: Andrea Fischer.
Gustavo Alcala

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#102 De:  Moderador de epi-pcvc <fgaro@satlink.com>
Enviado: Miércoles, 29 de Marzo de 2000 12:15 p.m.
Asunto: Forum Epi-pcvc
Estimado colega:
El PCVC culmina sus actividades el dia 31 de marzo y con ello a partir del 1ro de abril el Foro EPI continuara sus actividades unicamente en idioma castellano. Para nosotros fue un honor poder contarlo como participante y seria muy grato si deseara continuar recibiendo los mensajes del Foro en idioma castellano. Por favor, haganos saber si desea desuscribirse, que nosotros lo haremos. A partir del mes de abril mantendremos una edicion en ingles del Newsletter que se distribuye por correo electronico, con informaciones y conferencias publicadas durante el desarrollo del Congreso.
Si desea recibirla, por favor hagalo saber que procederemos a suscribirlo.
Cordialmente.

Dear colleague:
The FVCC ends its activities on March 31st, and since April 1st the EPI Forum will continue its activities only in Spanish. For us, it was a honor to have you as participant, and we would be pleased if you wish to continue receiving messages from the Forum in Spanish. Please, let us know if you  wish to subscribe to it, and we will do it. Since April we will issue an edition in English of the Newsletter that is distributed by e-mail, with information and lectures published during the course of the Congress. If you wish to receive it, please let us know about it and we will proceed to subscribe you.
Cordially,
Dr. Florencio B. Garofalo M.D. F.A.C.C.
Miembro del C.Organizador del PCVC
Moderador de epi-pcvc
Rosario - ARGENTINA
fgaro@satlink.com
fgaro@pcvc.sminter.com.ar

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Mar/30/2000