Water, Food and Human Health in the Galapagos, Ecuador

1. Front Matter

   Pages i-xiv

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2. Introduction

   • Margaret E. Bentley, Jaime Ocampo

   Pages 1-6

3. Water Environment

   1. Front Matter

      Pages 7-7

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   2. Analysis of Water Supply and Demand Management Strategies in Overcoming Water Scarcity in Santa Cruz

      • Maria Fernandes Reyes

      Pages 9-27

   3. Galapagos’ Water Management Evaluation Under a Changing Climate and the Current COVID-19 Pandemic

      • Cristina Mateus, Diego Quiroga

      Pages 29-55

   4. Water Quality and Access in Isabela: Results from a Household Water Survey

      • Nicholas Badhwa, Donald Fejfar, Rodrigo Pozo, Khristopher Nicholas, Alyssa Grube, Jill Stewart et al.

      Pages 57-74

   5. Tourists’ Willingness to Fund Improvements of Local Water Services: A Contingent Valuation Study from the Galapagos

      • William F. Vásquez

      Pages 75-87

4. Food Environment

   1. Front Matter

      Pages 89-89

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   2. Syndemic Water and Food Insecurity: Impacts on the Dual Burden of Disease in Galapagos

      • Amanda L. Thompson, Enrique Teran, Margaret E. Bentley

      Pages 91-105

   3. Overweight and Obesity in Galapagos: Food Consumption Patterns and Globalization in the Encantadas

      • William F. Waters, Wilma B. Freire

      Pages 107-120

   4. Spatial and Social Dimensions of Galápagos Food Environments

      • Khristopher Nicholas, Paul Delamater, Amanda Thompson

      Pages 121-141

5. Environment, Animals and Human Health

   1. Front Matter

      Pages 143-143

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   2. One Health in the Galapagos Social-Ecological System: Not Just the Absence of Disease

      • Alyssa Grube, Jill Stewart

      Pages 145-163

   3. A One Health Approach to Understanding Human-Companion Animal Interactions and Parasitic Infections in San Cristobal, Galapagos Islands

      • Leigh-Ellyn Preston, Colon J. Grijalva, Enrique Teran

      Pages 165-179

   4. Surprising Absence of Antibiotic Resistance in Salmonella enterica Isolates from Galapagos Marine Iguanas (Amblyrhynchus cristatus)

      • Belen Carrillo, Cristina Chavez, Gabriel Trueba

      Pages 181-186

   5. Mosquitoes of the Galapagos Islands: The Risk for Arboviruses Transmission and the Need for a Better Vector Surveillance and Control Program

      • Renato León, Leonardo Ortega-Lopez, Carolina Molina, William F. Waters

      Pages 187-208

6. Health Problems and Services

   1. Front Matter

      Pages 209-209

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   2. Health Across the First 1000 Days in the Galápagos Islands

      • Johanna R. Jahnke, Amanda L. Thompson, Norman T. Archer, Margaret E. Bentley, Kelly M. Houck, María Francisca Murgueitio Fuentes et al.

      Pages 211-228

   3. Galapagos Islands, a Captive Territory with Unique Characteristics for Sexually Transmitted Diseases and Human Immunodeficiency Virus Infection

      • Ana María Gómez-Jaramillo, Juan Ochoa, Isabel Hernandez, Enrique Terán

      Pages 229-242

   4. “You Have to Eat What There Is”: Barriers to Effective Self-Management of Type 2 Diabetes in San Cristóbal, Galápagos

      • C. Hunter Davis, Paulina Lara Marchena, Humberto Gonzalez Rodriguez, Clare Barrington

      Pages 243-256

In this book, we bring together interdisciplinary scholars and clinicians in medicine, public health, anthropology, nutrition, environmental sciences, and geography from the University of North Carolina at Chapel Hill, Universidad San Francisco de Quito, the Ministry of Health and the Hospital Oskar Jandl. Together, these authors provide a comprehensive description of the factors shaping water quality, food availability, and health services on the islands, their implications for human health and well-being, and potential avenues for intervention.

• Anthropology
• Environmental Science
• Microbiology
• Medicine
• Public Health
• Medical Geography

• University of North Carolina, Chapel Hill, USA

  Amanda L. Thompson

• Escuela de Ingenieria, Ciencia y Tecnología, Universidad del Rosario, Bogotá, Colombia

  Valeria Ochoa-Herrera

• Universidad San Francisco de Quito, Colegio de Ciencias de la Salud, Quito, Ecuador

  Enrique Teran

Amanda L. Thompson, Ph.D., MPH, is Professor in the Department of Anthropology, University of North Carolina at Chapel Hill and Professor in the Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill. She is a faculty research director at the Center for Galapagos Studies and a faculty fellow at the Carolina Population Center. Dr. Thompson’s research focuses on the biological pathways linking social and physical environments to the development of obesity, chronic disease and the dual burden of disease across the lifespan in a range of international settings. She has over 60 publications in leading anthropology, nutrition and biomedical journals and her research has been funded by the National Institutes of Health and the National Science Foundation.

Valeria Ochoa-Herrera is the Dean of the School of Engineering, Science and Technology at Universidad del Rosario, Colombia. Previously, she was the Vice Dean of the College of Science and Engineering at Universidad San Francisco de Quito USFQ, Ecuador. Currently, she is an Adjunct Professor at UNC-Chapel Hill, USA and an associated researcher at Universidad San Francisco de Quito. Dr. Ochoa-Herrera’s research areas involve freshwater quality, wastewater treatment, and anaerobic bioremediation and sustainability. She has contributed to promoting technological innovation and action against water pollution in the region. Dr. Ochoa-Herrera has published 46 peer review publications, 3 books, 2 book chapters and her research has been presented at 15 international conferences.

Enrique Teran is an Ecuadorian medical doctor and holds a Ph.D. in pharmacology. He has been working for more than 20 years on vascular factors, infectious and metabolic diseases, oxidative stress, and pharmacogenetics in the Ecuadorian population. Dr. Teran is the author of more than 90 publications in peer review journals and also is a member of the Ecuadorian Academy of Medicine and the Academy of Science from Ecuador. Dr. Teran is currently a professor at the College of Health in the Universidad San Francisco de Quito and also a researcher at the Galapagos Science Center.