Protecting Children and Families from Tobacco: Leadership Training. Bolivia

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1 Click here for the Table of Contents! Protecting Children and Families from Tobacco: Leadership Training Bolivia XVI Congreso Latinoamericano de Pediatría vember 14, 2012 La Asociación Latinoamericana de Pediatría-ALAPE

2 Table of Contents Click on the links below to access the reports included in this document. WHO Country Profile WHO NCDs GYTS Final Report 2000 GHPSS (Dental) Factsheet 2007 Bolivia Cochabamba GYTS 2003 Factsheet (Ages 13 15) Bolivia El Alto GYTS 2003 Factsheet (Ages 13 15) Bolivia La Paz GYTS 2003 Factsheet (Ages 13 15) Bolivia Santa Cruz GYTS 2003 Factsheet (Ages 13 15) Circular. 174 [1] Administration of FCTC Informe sobre Control del Tabaco 2011 PAHO Economia del Control del Tabaco Additional Resources

3 WHO Report on the Global Tobacco Epidemic, 2011 Country profile Bolivia (Plurinational State of) te: Where no data were available, " " shows in the table. Where data were not required, " " shows in the table. WHO Framework Convention on Tobacco Control (WHO FCTC) status Date of signature 27 February 2004 Date of ratification (or legal equivalent) 15 September 2005 Socioeconomic context Population (thousands) Income group Middle income Prevalence of tobacco use Tobacco use data as provided by the country from the latest survey result available to WHO as at 1 vember 2010 Any smoked tobacco Cigarettes Adult prevalence, smoking (%)* Current Daily Current Daily Male Female Total Adult prevalence, smokeless tobacco use (%)*... Male... Female... Total... * Ages 15+, Centro Latinoamericano de Inves gación Cien fica (CELIN), 2010 " " Data not reported/not available. WHO age-standardized estimated prevalence of smoking among those aged 15 years or more: Year 2009 Adult prevalence, smoking (%) Any smoked tobacco Cigarettes Current Daily Current Daily Male Female Total

4 Country Profile: Bolivia Tobacco control measures and programmes as at 31 December 2010 Smoke-free environments 2010 Public places with smoke-free legislation: Health-care facilities Yes Educational facilities except universities Yes Universities Government facilities Yes Indoor offices Restaurants Pubs and bars Public transport Yes All other public places Compliance score 5 National law requires fines for smoking Yes Fines levied on the establishment Yes Fines levied on the smoker Dedicated funds for enforcement Citizen complaints and investigations A score of 0 10, where 0 is low compliance. Subnational laws on smoke-free environments Subnational jurisdictions do not have the authority to adopt and implement smoke-free laws. 2

5 Country Profile: Bolivia Treatment of tobacco dependence Is there a toll-free telephone quit line/help line with a live person available to discuss cessation with callers in your country? 2010 Nicotine replacement therapy (e.g., patch, gum, lozenge, spray or inhaler) Bupropion (e.g., Zyban, Wellbutrin) Varenicline Is this product legally sold in the country? Where and how can this product be legally purchased in your country? Does the national/federal health insurance or the national health service cover the cost of this product? Is any NRT on the country's essential drugs list? Is this product legally sold in your country? Where and how can this product be legally purchased in your country? Does the national/federal health insurance or the national health service cover the cost of this product? Is this product legally sold in your country? Yes In a pharmacy without a prescription Yes In a pharmacy with a prescription... Yes Is smoking cessation support available in the following places in your country? Does the national/federal health insurance or the national health service cover the cost of this support? Where and how can this product be legally purchased in your country? In a pharmacy with a prescription Does the national/federal health insurance or the... national health service cover the cost of this product? Health clinics or other primary care facilities Hospitals Office of a health professional Yes in some In the community Other Health clinics or other primary care facilities Hospitals Office of a health professional In the community Other 3

6 Country Profile: Bolivia Health warnings on tobacco packages Cigarettes 2010 Smokeless tobacco Does the law mandate that health warnings appear on tobacco packages? Yes What percentage of the principal display areas of the package is legally mandated to be 50 covered by health warnings? FRONT AND REAR COMBINED What percentage of the principal display areas of the FRONT of the package is legally 50 mandated to be covered by health warnings? What percentage of the principal display areas of the REAR of the package is legally 50 mandated to be covered by health warnings? Does the law mandate that the warning be placed at the top of the principle display areas of the package? Does the law mandate font style, font size and colour for package warnings? Yes Are the health warnings rotating on packages? Yes Are the health warnings on packages written in the principal language(s) of the country? Yes Does the law require that health warnings on packages are not obscured in any way, including by required markings such as tax stamps? Do the health warnings on packages include a photograph or graphic? Yes Do health warnings appear on each package and any outside packaging and labelling used Yes in the retail sale? Does the law on health warnings apply to products whether manufactured domestically, Yes imported, AND for duty-free sale? Does the law state that warnings on packages do not remove or diminish the liability of the tobacco industry? Do health warnings on packages describe the harmful effects of tobacco use on health? Yes Does the law mandate specific health warnings on cigarette packages? Yes How many specific health warnings are approved by the law? 6 Does the law require or establish fines for violations regarding health warnings on Yes packages? Are there any laws requiring that cigarette packaging and labelling do not use misleading Yes terms which imply the product is less harmful than other similar products, such as low tar, light, ultra-light, or mild? Are there any laws requiring that cigarette packaging and labelling do not use figurative or other signs, including colours or numbers, as substitutes for prohibited misleading terms and descriptors? Are there any laws requiring that cigarette packaging and labelling do not use descriptors depicting flavours? Does the law ban the display of quantitative information on emission yields (such as tar, Yes nicotine and carbon monoxide) on cigarette packaging, including when used as part of a brand name or trademark? Does the law mandate the display of qualitative information on relevant constituents and Yes emissions of tobacco products on cigarette packaging? Does the law mandate that this information is displayed on one or more of the principal display areas (front, rear) of the package? Does the law prevent the display of expiry dates on cigarette packaging? Is it mandatory for the quit line number to appear on packaging or labelling? Does the law mandate plain packaging (ie. prohibit the use of logos, colours, brand images or promotional information on packaging other than brand names and product names displayed in a standard colour and font style)? 4

7 Country Profile: Bolivia Bans on tobacco advertising, promotion and sponsorship 2010 Direct bans National TV and radio Yes International TV and radio Local magazines and newspapers Yes International magazines and newspapers Billboards and outdoor advertising Yes Point of sale Internet Other direct bans Compliance score of direct bans 7 Indirect bans Free distribution Yes Promotional discounts n-tobacco goods and services identified with tobacco brand names Brand name of non-tobacco products used for tobacco product Appearance of tobacco brands in TV and/or films (product placement) Appearance of tobacco products in TV and/or films Sponsored events Yes Other indirect bans Compliance score of indirect bans 4 Are there subnational laws or regulations banning some or all types of tobacco advertising, promotion and sponsorship mentioned in the above questions? A score of 0 10, where 0 is low compliance. 5

8 Country Profile: Bolivia Tobacco taxation policy as at 31 July 2010 Price of lowest-cost brand of cigarettes (Astoria y Casino) A Tax inclusive retail sales price (TIRSP) for a pack of 20 cigarettes BOB BOB Price of Marlboro or similar brand of cigarettes (Marlboro) A Tax inclusive retail sales price (TIRSP) for a pack of 20 cigarettes BOB BOB Taxes on the most popular brand of cigarettes (Derby) ᄌ Price of most sold brand, pack of 20 cigarettes In currency reported by country In US$ at official exchange rate Taxes on this brand (% of retail price) 6 WHO's comparable estimate for 2008 WHO's comparable estimate for 2010 BOB BOB USD USD Total ᄌ taxes Specific excise 0 0 Ad valorem excise Value added tax (VAT) Import duty Other taxes Individual categories of tax may not add to total due to rounding. National tobacco control programme 2010 Specific national government objectives in tobacco control Yes National agency or technical unit for tobacco control Yes Number of full-time equivalent staff 2 Government expenditure on tobacco control: In currency reported by country... Year of expenditure... In US$ at official exchange rate US$... *****

9 WHO Report on the Global Tobacco Epidemic, 2011

10 NCDs IN BOLIVIA Sociodemographic indicators Men Women Total population (thousands): 10,088.1 Average annual deaths (thousands): 72.9 Life expectancy at birth (years): Total: 66.8 Male: 64.5 Female: 69.1 Adult literacy rate (%): 90.7 Gross National Income US$ per capita: 1,630.0 % of population covered by any type health insurance:... Burden of disease PROPORTIONAL MORTALITY (2008)* RISK FACTORS 35 % Communicable, maternal, perinatal and nutritional conditions 8 % Injuries 19 % Other NCDs 22 % Cardiovascular Disease 8 % Cancers 5 % Respiratory Diseases 3 % Diabetes NCDs are estimated to account for 57 % of all deaths * Estimates based on a combination of country life tables, cuase of death models, regional cause of death partterns, and WHO and UNAIDS program estimates Prevalence (%) of: Total Males Females Current adult tobacco smokers Adolescent tobacco smokers Fruit and vegetable intake in adults a Fruit and vegetable intake in adolescents a Binge drinking among adults Low physical activity in adults b Low physical activity in adolescents c Overweight among adults (BMI ) Obesity among adults (BMI 30) Overweight among adolescents (BMI>+1SD) Obesity among adolescents (BMI>+2SD) Children <5 overweight Adults with diabetes mellitus Adults with raised BP and/or taking medication tes: a: % who eat 5 servings of fruit and vegetables per day; b: physically active for <600 met minutes; c: physically active less than 60 min per day in 5-7 of the last 7 days; BP: Blood pressure. Country capacity POLICIES & ACTION PLANS SURVEILLANCE Is there an integrated NCD policy? Yes Is there a budget? Yes Is there an operational multisectoral mechanism to coordinate the NCD policies? Is there an integrated NCD action plan? If the answer is yes, does it have: Budget? Measurable outcomes? Monitoring and evaluation component? Communications component? Yes Yes Yes Yes Yes Yes Is there dedicated staff? Yes Does the information system include specific data on? Specific cause of mortality Hospital based morbidity Yes Risk factors surveys Are there disease specific registries? Yes Is there a unique personal identifier? Yes Use of data for policy making and planning? Yes Are there plans for specific diseases? Yes Established mechanisms for data dissemination? Yes 11

11 Country capacity PREVENTIVE HEALTH SERVICES AT THE PRIMARY LEVEL OF CARE CVD RISK ASSESSMENT Available? All patients Free? Limited resources BMI Yes t specified Blood pressure Yes t specified Blood glucose t applicable Blood lipids Yes t specified Individual risk management with a validated CV risk score DM AND CVD MANAGEMENT Yes t specified Blood pressure monitoring Yes t specified Blood glucose monitoring Yes t specified Blood lipids monitoring t applicable HbA1C t applicable Diabetic foot examination Yes t specified Electrocardiogram t applicable CERVICAL CANCER Cervical cytology or PAP HPV DNA testing Visual inspection techniques (VIA) VIA & cryotherapy in a single visit BREAST CANCER Available? All patients t specified t specified t specified t specified Free? tes: HPV: Human Papillomavirus; DM: Diabetes mellitus; CVD: Cardiovascular disease; CV: Cardiovascular. Limited resources Clinical examination t applicable Mammography t applicable COLORECTAL CANCER Fecal occult blood test t applicable Digital exam t applicable SPECIALIZED CARE Available? All patients Free? Limited resources CANCER DIAGNOSIS AND TREATMENT Colposcopy Yes t free Diagnostic mammography Yes t free Chemotherapy Yes t free Radiotherapy Yes t free CVD MANAGEMENT Cardiac bypass Yes t specified Angioplasty Yes t specified DIABETES MANAGEMENT Available? All patients Free? Limited resources Eye exams Yes t specified Photocoagulation for retinopahty Dialysis OTHER Home care for patients with terminal or advanced disease Yes Yes t specified t applicable NON COMMUNICABLE DISEASES MEDICINES Available? Free? All patients Limited resources Insulin Yes t free Aspirin Yes t free Metformin Yes t free Glibenclamide Yes t free Thiazide diuretics Yes t free ACE inhibitors Yes t free Available? All patients Free? Calcium channels blockers Yes t free Beta blockers Yes t free Statins Yes t free Tamoxifen Yes t free Oral morphine Yes t free Limited resources 12 Sources:»» Sociodemographic indicators and risk factors: Pan American Health Organization. n communicable disease project, health information and analysis project and sustainable development and environment area: n communicable diseases in the Americas: Basic indicators 2011, Washington DC, USA, 2011.»» Proportional mortality: WHO. NCD Country Profiles, 2011.»» Country capacity: 2012 Country Capacity Survey in preparation for the CARMEN meeting, completed by Absalón Pacheco Mercado, NCD National Program Coordinator, Ministry of Health and Sports, Bolivia.

12 Centro Latinoamericano de Investigación Científica REPORT ON THE GLOBAL YOUTH TOBACCO SURVEY (GYTS)

13 The GYTS is a school-based tobacco specific survey that focuses on adolescents aged years. It is being carried out in several countries. Each country identifies the grades, forms, levels, secondary(s), or standards corresponding to their students who are aged years. These grades (forms, levels, secondary(s), or standards) are the target for the GYTS. Sample selection The GYTS utilizes a two-stage sample strategy: Stage 1 consists of selected (with probability proportional to size) schools. The schools selected are from a list of all schools containing the representative grades (forms, levels, secondary(s), or standards). Stage 2 consists of a random selection of classes (sections) from the selected schools. All students in the selected classes (sections) are eligible to participase in the GYTS. The GYTS assesses students' attitudes, knowledge and behaviors related to tobacco use, exposure to environmental tobacco smoke (ETS), as well as school curriculum in school, community programs, and media messages aimed at preventing and reducing tobacco use among youth. The GYTS provides information about where tobacco products are obtained and used, and information related to the effectiveness of enforcement measures. School surveys are useful tools in gathering data as they are relatively inexpensive and easy to administer, tend to report reliable results, and refusals are significantly lower than in household surveys. The most common research approach for this specific population has been a selfadministered questionnaire. Therefore, all the above, reasonably justifies why a schoolbased survey has proved to be most appropriate, hence selected for the UNF Project on Youth and Tobacco. Selected Schools in Bolivia This process had been made in coordination with CDC. CELIN had sent a list of private and public schools from the cities of Santa Cruz, Cochabamba and La Paz, therefore, the sample was stratified this way (public and private schools). The CDC made the selection of schools where the questionnaire had to be applied. The selected schools were the following: (see next page)

14 PUBLIC SCHOOLS REGISTERED STUDENTS CONTRY: BOLIVIA - CITY: COCHABAMBA One primary class and two secondary classes N SCHOOL TURN 8th. 1st. 2nd. Male Female Total Male Female Total Male Female Total 1 Nacional 6 de Agosto M Nal. Eduardo AMaleoa M Liceo Boliva T Don Bosco T Internado Juan XXIII M JORGE CARRERA ACUNA T ANDRES BELLO M COCHABAMBA M PETROLERO SANADITA T LUÍS ESPINAL T VICTOR CABRERA M SANTO DOMINGO SAVIO M/T VICTOR CABRERA LOZADA M SIMON BOLIMALE M TECNICO HUMANISTICO NAL. M ELENA ARZE DE ARZE M MARÍA CRISTINA T GUNDALINA LOAIZA M VALLE HERMOSO T INSTITUTO LAREDO M/T TOTAL M = Mornig T = Tarde (Afternoon) REGISTERED STUDENTS

15 PRIVATE SCHOOLS CONTRY: BOLIVIA - CITY: COCHABAMBA One primary class and two secondary classes N SCHOOL TURN 8th. 1st. 2nd. Male Female Total Male Female Total Male Female Total 1 LA SALLE M/T ANGLO AMERICANO M/T PEDRO POVEDA M/T DON BOSCO M MARYKNOLL M INS."DOMINGO SAVIO" M INST. AMERICANO M/T LOYOLA M/T SANTA MARÍA MICAELA M/T SANTO TOMAS DE AQUINO M PAULO VI M DE MARZO PETROLERO M ITALO BOLIVIANO M INST. EDU. BANCARIA M GERONIMO DE OSORIO T LA PROVIDENCIA T COLEGIO EV. EMANUEL M LIBERTADOR S. BOLIMALE M MY DESIDERIO ROCHA M SAN SILVESTRE M CENTRO EDU. VILLA OROPEZA M GUIDO VILLAGOMES M C.E.N.D.I. M DESPERTAD M DE JUNIO M TOTAL PARTICIPATING STUDENTS

16 COUNTRY: BOLIVIA - CITY: COCHABAMBA One primary class and two secondary classes PUBLIC SCHOOLS N SCHOOL TURN CLASS 8th. 1st. 2nd. Male Female Total Male Female Total Male Female Total 1 Nacional 6 de Agosto M Nal. Eduardo AMaleoa M Liceo Boliva T Don Bosco T Internado Juan XXIII M JORGE CARRERA ACUNA T ANDRES BELLO M COCHABAMBA M PETROLERO SANADITA T LUÍS ESPINAL T VICTOR CABRERA M SANTO DOMINGO SAVIO M/T VICTOR CABRERA LOZADA M SIMON BOLIMALE M TECNICO HUMANISTICO NAL. M ELENA ARZE DE ARZE M MARÍA CRISTINA T GUNDALINA LOAIZA M VALLE HERMOSO T INSTITUTO LAREDO M/T TOTAL PARTICIPATING STUDENTS

17 PRIVATE SCHOOLS COUNTRY: BOLIVIA - CITY: COCHABAMBA One primary class and two secondary classes SCHOOL TURN CLASS 8th. 1st. 2nd. Male Female Total Male Female Total Male Female Total LA SALLE M/T ANGLO AMERICANO M/T PEDRO POVEDA M/T DON BOSCO M MARYKNOLL M INS."DOMINGO SAVIO" M INST. AMERICANO M/T LOYOLA M/T SANTA MARÍA MICAELA M/T SANTO TOMAS DE AQUINO M PAULO VI M DE MARZO PETROLERO M ITALO BOLIVIANO M INST. EDU. BANCARIA M GERONIMO DE OSORIO T LA PROVIDENCIA T COLEGIO EV. EMANUEL M LIBERTADOR S. BOLIMALE M MY DESIDERIO ROCHA M SAN SILVESTRE M CENTRO EDU. VILLA OROPEZA M GUIDO VILLAGOMES M C.E.N.D.I. M DESPERTAD M DE JUNIO M TOTAL

18 SUMMARY (COCHABAMBA): PUBLICS PRIVATES N of participating schools 17 N of participating schools 24 Refusing schools 3 Refusing schools 1 TOTAL 20 TOTAL 25 REGISTERED STUDENTS COUNTRY: BOLIVIA - CITY: SANTA CRUZ

19 PUBLIC SCHOOLS One primary class and two secondary classes 8th. 1st. 2nd. N SCHOOL TURN Male Female Total Male Female Total Male Female Total DE NOVIEMBRE T ALFREDO BARBERY CHAVEZ T ALFREDO BARBERY CHAVEZ T ANGELA PINCKERT M/T ARGENTINA QUIROGA CHAVEZ M CARMEN ORTIZ DE PEREDO T COMPLEJO EDUCATIVO JAPON M COMPLEJO EDUCATIVO VICTORIA M ELFFY RIBERA DE BARBERY M/T HERNANDO SILES REYES T HERNANN GMEINER M/T HEROES DEL CHACO T HILANDERIA SANTA CRUZ T JAIME CANON M/T JOSEFINA GOITIA T LA SALLE T LAS AMERICAS T MAGISTERIO M MARIA GORETTI T MARIA VACA DIEZ M PALERMO 16 DE NOVIEMBRE T PLACIDO MOLINA T RAMON DARIO GUTIERREZ T SOR MARIA CRISTINA PEREZ T ZORAH DE CUELLAR T TOTAL REGISTERED STUDENTS COUNTRY: BOLIVIA - CITY: SANTA CRUZ

20 PRIVATE SCHOOLS One primary class and two secondary classes 8th. 1st. 2nd. N SCHOOL TURN Male Female Total Male Female Total Male Female Total 3 MIXTO SANTA CRUZ M VIDA NUEVA T W. AMADEO MOZART M LAS AMÉRICAS T BOLIVIANO JAPONES M CAMINO DEL SABER M DON BOSCO M ALFA OMEGA M ANIBAL ROJAS PALMA T BETHESDA M BOLIVIANO AMERICANO M/T CORAZÓN DE JESÚS T CRISTO REY M/T DOMINGO SAVIO M/T ENRIQUE FINOT M JOSE MIGUEL DE VELASCO M JESUS GALILEO M/T LA SALLE M/T LIBERTADOR SIMON BOLIMALE M/T MADRE VICENTA UBOLDI M/T LUZ DEL MUNDO M PAHUICHI M NUEVA AMERICA T SAVIA NUEVA M LATINOAMERICANO T PARTICIPATING STUDENTS COUNTRY: BOLIVIA - CITY: SANTA CRUZ

21 PUBLIC SCHOOLS One primary class and two secondary classes 8th. 1st. 2nd. N SCHOOL TURN CLASS Male Female Total Male Female Total Male Female Total DE NOVIEMBRE T ALFREDO BARBERY CHAVEZ T ALFREDO BARBERY CHAVEZ T ANGELA PINCKERT M/T ARGENTINA QUIROGA CHAVEZ M CARMEN ORTIZ DE PEREDO T COMPLEJO EDUCATIVO JAPON M COMPLEJO EDUCATIVO VICTORIA M ELFFY RIBERA DE BARBERY M/T HERNANDO SILES REYES T HERNANN GMEINER M/T HEROES DEL CHACO T HILANDERIA SANTA CRUZ T JAIME CANON M/T JOSEFINA GOITIA T LA SALLE T LAS AMERICAS T MAGISTERIO M MARIA GORETTI T MARIA VACA DIEZ M PALERMO 16 DE NOVIEMBRE T PLACIDO MOLINA T RAMON DARIO GUTIERREZ T SOR MARIA CRISTINA PEREZ T ZORAH DE CUELLAR T PARTICIPATING STUDENTS COUNTRY: BOLIVIA - CITY: SANTA CRUZ

22 PRIVATE SCHOOLS One primary class and two secondary classes 8th. 1st. 2nd. N SCHOOL TURN CLASS Male Female Total Male Female Total Male Female Total 3 MIXTO SANTA CRUZ M VIDA NUEVA T W. AMADEO MOZART M LAS AMÉRICAS T BOLIVIANO JAPONES M CAMINO DEL SABER M DON BOSCO M ALFA OMEGA M ANIBAL ROJAS PALMA T BETHESDA M BOLIVIANO AMERICANO M/T CORAZÓN DE JESUS T CRISTO REY M/T DOMINGO SAVIO M/T ENRIQUE FINOT M JOSE MIGUEL DE VELASCO M JESUS GALILEO M/T LA SALLE M/T LIBERTADOR SIMON BOLIMALE M/T MADRE VICENTA UBOLDI M/T LUZ DEL MUNDO M PAHUICHI M NUEVA AMERICA T SAVIA NUEVA M LATINOAMERICANO T SUMMARY (SANTA CRUZ):

23 PUBLICS PRIVATES N of participating schools 25 N of participating schools 19 Refusing schools 0 Refusing schools 6 TOTAL 25 TOTAL 25 REGISTERED STUDENTS COUNTRY: BOLIVIA CITY: LA PAZ One primary class and two secondary classes

24 PUBLIC SCHOOLS 8th. 1st. 2nd. N SCHOOL TURN Male Female Total Male Female Total Male Female Total 6 AGUSTIN ASPIAZU M ALFONSO PARDO UZEDA T ALFREDO MALEGAS M AYACUCHO M CLAUDIO SANJINEZ T COPACABANA M DANIEL SANCHEZ BUSTAMANTE M DON BOSCO PAMPAJASI M FELIX REYES ORTIZ T FRANZ TAMAYO M FUERZAS ARMADAS T JOSE MANUEL INDABURO T JOSE VICENTE OCHOA N LICEO FRANCIA T LICEO LA PAZ M LUIS ALBERTO PABON M LUIS ESPINAL CAMPS T MARIEN GARDEN MT REPUBLICA DE YUGOESLAVIA T SERGIO M. VILLEGAS T REGISTERED STUDENTS COUNTRY: BOLIVIA - CITY: LA PAZ One primary class and two secondary classes

25 PRIVATE SCHOOLS 8th. 1st. 2nd. N SCHOOL TURN Male Female Total Male Female Total Male Female Total 1 AMOR DE DIOS M AVE MARIA M-T SAGRADOS CORAZONES M SAN ANTONIO M SAN CALIXTO MT DE MAYO M DE MAYO T IGNACIO CALDERON T SAGRADA FAMILIA M MIGUEL DE CERVANTES M PETROLERO M ARGE3NTINO BOLIVIANO M BOLIVIANO NORUEGO M PANAMERICAN SCHOOL M SAN GENARO M SAN JORGE M SAN MARCOS M ADVENTISTA DEL SUR M INST. ADVENTISTA LOS ANDES M INSTITUTO AMERICANO M TOTAL PARTICIPATING STUDENTS COUNTRY: BOLIVIA - CITY: LA PAZ One primary class and two secondary classes

26 PUBLIC SCHOOLS 8th. 1st. 2nd. N SCHOOL TURN CLASS Male Female Total Male Female Total Male Female Total 6 AGUSTIN ASPIAZU M ALFONSO PARDO UZEDA T ALFREDO MALEGAS M AYACUCHO M CLAUDIO SANJINEZ T COPACABANA M DANIEL SANCHEZ BUSTAMANTE M DON BOSCO PAMPAJASI M FELIX REYES ORTIZ T FRANZ TAMAYO M FUERZAS ARMADAS T JOSE MANUEL INDABURO T JOSE VICENTE OCHOA N LICEO FRANCIA T LICEO LA PAZ M LUIS ALBERTO PABON M LUIS ESPINAL CAMPS T MARIEN GARDEN MT REPUBLICA DE YUGOESLAVIA T SERGIO M. VILLEGAS T TOTAL PARTICIPATING STUDENTS COUNTRY: BOLIVIA - CITY: LA PAZ One primary class and two secondary classes

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