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    Map of Guatemala
    (Click to enlarge)


    QUICK FACTS: GUATEMALA

    Size: 108,890 square kilometers

    Population: 12,728,111

    Ethnic groups: mestizo (mixed Amerindian-Spanish or assimilated Amerindian – in local Spanish called Ladino), 55 percent; Amerindian or predominantly Amerindian; and others

    Languages: Spanish, 60 percent; Amerindian languages – 23 officially recognized

    Average annual income: $2,640 USD

    (Source: U.S. Central Intelligence Agency, World Factbook 2008; The World Bank 2006)



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    "The citizens of Guatemala have for decades borne the brunt of grave violations of their rights and dignity with insufficient attention or assistance from the rest of the world."

    -Former U.S. President
    Jimmy Carter
    Guatemala

    The Carter Center's efforts to help build healthier lives in Guatemala
    have made the Center a trusted resource for the nation as it struggles
    to preserve human rights and hold free and fair elections.

     
    Read about the Center's peace work in Guatemala >
     


    Building Hope
     
    The recent history of Guatemala is fraught with the effects of a 36-year civil war that ended in 1996. During the conflict, 200,000 people were murdered or disappeared. The Carter Center has viewed Guatemala's human rights record with great concern and welcomed the nation's invitation to observe the 2003 presidential elections. The Center also assists Guatemalans in their fight against the suffering caused by river blindness. Together, Guatemala and The Carter Center are building hope for a stronger, healthier, more peaceful nation.


    Fighting Disease
    Regional Eradication of River Blindness in the Americas

    Bordered by the ocean on two sides, Guatemala's hot and humid coastal plains are among the areas most severely affected by a painful and debilitating disease known as river blindness, or onchocerciasis.
     
    River blindness is caused by the bites of small black flies, which breed only in rapidly flowing streams with high oxygen content. When a fly bites, millions of microscopic worm larvae are released into the body, causing incessant, debilitating itching. When the worms enter the eyes, they can cause damage to sight sometimes so severe it leads to permanent blindness.
     
    It is estimated that people in endemic areas are bitten thousands of times each year, thus everyone in an endemic community can harbor the disease. A small child may be bitten more than 50 times a day. Around the world, onchocerciasis has an enormous economic impact, preventing people from working, harvesting crops, receiving an education, or taking care of children.
     
    In coffee-producing countries like Guatemala, contracting onchocerciasis may be considered an occupational hazard. The fast-flowing streams providing irrigation to nearby coffee farms also can be breeding grounds for the black flies that spread the disease.
     
    The Carter Center's Onchocerciasis Elimination Program of the Americas (OEPA) is working with Brazil, Colombia, Ecuador, Guatemala, Mexico, and Venezuela to wipe out the disease from the Western Hemisphere. This is being achieved through health education and twice yearly treatment with the medication Mectizan® (donated by Merck & Co. Inc.) to prevent river blindness in endemic areas.
     
    While onchocerciasis is still a concern for Latin America, the threat of permanent blindness has been eliminated, provided treatment and health education efforts continue. In Guatemala, as well as other nations in the region, suffering has been reduced and overall quality of life has improved. Eradication of onchocerciasis in the Americas not only will be a great success for the six endemic countries, it also will serve as an example for other initiatives seeking to improve public health.
     
    The River Blindness Program began in Guatemala in 1996 after The Carter Center absorbed the River Blindness Foundation. As the most endemic nation for onchocerciasis in the Americas, Guatemala accounts for more than 40 percent of people at risk for the disease in the Americas. The disease is a threat to more than 500 communities in seven departments (states) in some of the poorest areas of Guatemala including: Huehuetenango in the north; Suchitepequez, Chimaltenago, and Solola in the west; and Santa Rosa, Escuintla, and Guatemala in the southwest.
     
    In 2002, Guatemala first achieved the goal of reaching 85 percent of the eligible population with Mectizan treatments—it continues to reach this threshold each year. The national program provided 234,745 treatments in 2008, surpassing the coverage goal for the seventh consecutive year.
     
    In 2006, the Guatemala Ministry of Health concluded that onchocerciasis no longer exists in the Santa Rosa region of the country. The conclusion was based on a 2004-2005 study of entomological, ophthalmologic, and serological field studies completed by the ministry of health, the U.S. Centers for Disease Control and Prevention (CDC), and OEPA. In 2007, the Ministry of Health decided to halt Mectizan treatments in that focus and maintain a post-treatment surveillance program there for at least three years. This was the first of the 13 foci in the Americas where such a decision was made and paved the way for other areas in the Americas preparing for similar withdrawal.
     
    Since then, two more foci suspended treatment after similar field studies and ministerial approval: Escuintla in 2008 and Huehuetenango in 2009.  All three foci have entered the surveillance phase to ensure that infection does not reoccur in the absence of Mectizan distribution.
     
    In 2009, only the Central Endemic Zone (the largest endemic focus in Guatemala) continues Mectizan distribution. The Carter Center encourages the people of the region to continue their hard work and dedication to wiping out this debilitating disease once and for all.
     
     

    The Carter Center is the sponsoring agency for the Onchocerciasis Elimination Program, whose partnership includes the Pan American Health Organization, the U.S. Centers for Disease Control and Prevention, and the ministries of health of affected Latin American countries. A regional coalition working to eliminate illness and transmission of onchocerciasis in the Americas by 2012, the program uses sustained, twice annual distribution of Mectizan® to combat river blindness. The Program Coordinating Committee provides representation for all of these partners and gives broad directives to a program office in Guatemala City, staffed through The Carter Center. Learn more about the Center's work fighting river blindness >



    SEPTEMBER 2009 

    Waging Peace
    Monitoring Elections

    A small Carter Center delegation observed Guatemala's 2003 electoral process, focusing on human rights and campaign finance issues relevant to the presidential, legislative, and mayoral elections. The Center's election project sought to heighten domestic and international attention to a broad range of issues, including concerns about voters' access to the polls, access to the media and public resources for all political parties, and significant pre-electoral intimidation and violence. In addition, Center observers examined the broader human rights environment, such as the lack of accountability for past and present abuses, persistent attacks against human rights defenders, and systemic discrimination against the indigenous population.

    The Center found that the 2003 elections demonstrated the urgent need for full protection of all human rights; economic justice for rural and indigenous people; legislative action, including campaign finance reform; and comprehensive civic education programs. These priorities are essential to the full implementation of the 1996 Peace Accords that ended 36 years of civil war in Guatemala and are necessary for the country's adherence to its international human rights obligations.

    During the November elections, the Center noted significant problems with inadequate preparation among some election officials, disenfranchisement of many voters because of problems with voters lists, limited investigation and prosecution of election-related crime by authorities, and widespread incidents of vote buying and intimidation.

    Problems were most pronounced, according to Carter Center observers, in the Western Highlands and other primarily indigenous areas characterized by high levels of poverty, weak institutions, and other lingering consequences of the armed conflict.

    Election preparations for the runoff presidential election on Dec. 28 showed improvements. The voting process was much more efficient and without violent incidents, though voter turnout was much lower than during the November balloting.

    The Center joined the international community in congratulating President Oscar Berger and Guatemala's newly elected congressional representatives and local mayors. After decades of devastating civil war and with little progress on implementing the Peace Accords, the new administration has an important opportunity to work with political leaders and civil society to make significant progress in fulfilling the longstanding aspirations of all Guatemalans.

    "I am encouraged by President Berger's early public commitments to ensure the Peace Accords are implemented fully, particularly with respect to issues of impunity and equality in advancing the human rights of all Guatemalans," President Carter said at the time. "Guatemala's new leaders have the opportunity and responsibility to fulfill the aspirations of all Guatemalans for genuine equality and justice and the rule of law based upon national and international human rights standards."

    The Center encouraged a strong role for independent civil society organizations in monitoring the performance of all state institutions. Such civic participation would build upon the unprecedented and constructive role of civil society observers during the 2003 electoral process and help deepen Guatemala's democracy.

    In 1999, Carter Center staff also participated in the Organization of American States' observation missions to both rounds of the presidential elections. Election monitors observed election preparations, the pre-election campaign environment, voting, ballot counting, and postelection activities to assess the transparency of an election. The first elections since the signing of the Peace Accords, the 1999 elections were generally free, fair, and orderly, with a larger turnout of eligible voters than in recent past elections. 
     
    Honoring Human Rights
    The Carter-Menil Human Rights Prize was awarded in 1986 to Grupo de Apoyo Mutuo, a Guatemala human rights group founded by relatives of the disappeared. The organization works to locate disappeared persons and reunite them with their families. In 1990, the prize was awarded to The Consejo de Comunidades Etnicas Runujel Junam, a group formed in 1988 by Mayan Indian peasants to monitor and defend human rights and fundamental freedoms.


    President Carter said at the time, "The citizens of Guatemala have for decades borne the brunt of grave violations of their rights and dignity with insufficient attention or assistance from the rest of the world. The growth of the CERJ illustrates once again the importance of individuals of conscience and commitment coming together when government no longer feels obligated to respect the rule of law." President Carter and Dominique de Menil established the $100,000 prize to promote the protection of human rights. It was awarded to individuals or organizations for their outstanding efforts on behalf of human rights, often at great personal sacrifice, enabling human rights activists to continue their work and focusing global attention on their struggles for justice.
     

    Urging a Moratorium on Arms Sales
    Although Latin America spends relatively less on defense than most other regions, expenditures on expensive weapons systems divert scarce foreign exchange from more effective investments, including education. They also compel neighbors to spend more on defense and, by doing so, generate international tensions. Concerned about an arms race in Latin America, the Carter Center's Council of Presidents and Prime Ministers of the Americas urged governments in the region to pause before embarking on major arms purchases. Between April 1997 and March 1998, 28 current heads of government and 14 former heads of government signed a written pledge to accept a moratorium of two years on purchasing sophisticated weapons. Among the signatories were Guatemala President Alavaro Enrique Arzu Irigoyen and former President Vinicio Cerezo.
     
    Learn more about the Carter Center's Americas Program.


    Election Reports
     
    Postelection Statement on Guatemala Elections, Dec. 30, 2003 
    Carter Center representatives observed the second round of national elections in Guatemala on Dec. 28, 2003, in the departments of El Quiché, San Marcos, Totonicapán, Huehuetenango, and Suchitepéquez. The Center congratulates President-elect Oscar Berger and expresses the hope that his government will prioritize full implementation of the 1996 Peace Accords, particularly strengthening the rule of law within the framework of fundamental human rights.  
     
    Declaracion post electoral sobre las elecciones
    en Guatemala, diciembre de 19 del 2003

    Este es el segundo informe difundido por la misión electoral del Centro Carter desde la llegada del equipo de observación el 20 de octubre de 2003.
     
    Postelection Statement on Guatemala Elections, Dec. 19, 2003
    This is the second statement of the Carter Center's electoral mission in Guatemala since the arrival of the observation team on Oct. 20, 2003.
     
    Pre-election Statement on Guatemala Elections,
    Nov. 3, 2003 (English and Spanish)

    A Carter Center election observation team, including four international observers, a human rights expert, and a campaign finance expert, established an office in Guatemala on Oct. 21, 2003, to begin monitoring the Nov. 9 presidential, congressional, and municipal electoral process.
     




    View the poster and text (in Spanish)
    of the onchocerciasis life cycle, used with the Mestizo people of Mexico and
    Guatemala (PDF).




    Read How Guatemalans Are Educating Their Neighbors To Prevent River Blindness

    To learn more about the Center's work fighting river blindness click here.

    Press Release: A Milestone Toward Ending River Blindness in the Western Hemisphere by 2012: Escuintla, Guatemala, Largest Endemic Area Yet to Stop Transmission (English and Spanish versions)



    Photo credit: Carter Center/E.  Staub

    Child taking Mectizan® treatment on a coffee plantation in Guatemala. To eliminate a disease, 85 percent of the eligible population in every village in every country must be reached and repeatedly treated with the medication to prevent river blindness, a parasitic disease that affects people in Africa and six countries in the Americas.