| Increased human migration and the prevalence
of a cross-border sex trade industry
|
Contributes to an increase incidence of HIV/AIDS
in the San Diego-Tijuana area. In 2002, Baja California had the
6th highest incidence of AIDS among Mexican states, at 68.89 cases
per 100,000. In the period 1999-2001, San Diego had the 6th highest
incidence of AIDS among California counties.
|
In the San Diego/Tijuana region, the Binational
AIDS Advocacy Project is working to improve binational
HIV/AIDS prevention and treatment. UCSD Medical School
is also now exploring ways to increase their outreach and support
to this critical area with plans to work collaboratively with UABC
Medical School across the border. Additional HIV/AIDS related
outreach is being undertaken by Project Concern's Border
Health Initiative and Fronteras Unidads Pro Salud. |
Growth of slums or colonia populares in Tijuana and migrant worker
camps in San Diego County. |
Increased incidence of water borne and infectious diseases including
TB and Hepitatis. Poverty is a key driver in cross border migration.
Rising migration results in an increase in cross-border transmission
of infectous diseases. |
Project Concern's Border Health Initiative (BHI)
and San Ysidro Health Clinic have been working pro-actively
to counter-act the spread of tuberculosis in the San Diego-Tijuana
region. |
|
Under investment in culturally competent health education in Baja
California and in migrant communities of San Diego County |
Increased incidence of otherwise preventable diseases
on both sides of the San Diego/Tijuana Border. |
Tijuana based Fronteras Unidads Pro-Salud
is providing culturally competent health education to migrant communities
in Greater Tijuana and is providing teaching materials to Planned
Parenthood of San Diego and Riverside Counties. |
Rising healthcare costs in San Diego |
San Diegans purchase medicine and medical services in Tijuana.
Results in "crowding out" of available medical services
for Tijuanenses. |
Hospital Infantil de las Californias in Tijuana
is providing a growing number of San Diego Hispanic residents with
cost effective, culturally competent care at its facility in Tijuana.
In San Diego County, North County Health Services
and San Ysidro Health Center provides health care
and health education to low to moderate-income people including: Prenatal
care, pediatrics, general medicine, AIDS care, seniors and health
education. |
| Medi-Cal policies for uninsured creates growing
unfunded mandates for San Diego area health care providers |
For some uninsured, undocumented residents
and Tijuana resident border crossers, Medi-Cal provides emergency
medical services that would otherwise be unaffordable. |
This issue remains unresolved with unfunded mandates
growing for U.S. border counties like San Diego and Imperial. |
Lack of enforcement against and promotion of under-age
drinking in Tijuana/Rosarito bars/night clubs |
Increased youth delinquency, substance abuse and driving
under the influence impacts both sides of the border. |
Public Strategies (National City)
and the Drug-Free Border Coalition are two NGOs
that are working pro-actively to address this binational problem. |