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The incidence of cardiovascular, respiratory and water-borne diseases is rising in Uruguay in tandem with climate change, while dengue fever and malaria lurk at the country's borders. Higher temperatures are encouraging the presence of insect vectors carrying diseases that were eradicated decades ago, experts say.Increasingly frequent spells of extreme weather particularly affect the health of the poorest, who live in overcrowded conditions in precarious dwellings lacking sanitation, in the shantytowns that have sprung up at an exponential rate since the 1990s in the Montevideo metropolitan area. Many of them are on low-lying land exposed to flooding. Diarrhoea, hepatitis A and leptospirosis are some of the most common illnesses resulting from flooding and inadequate disposal of human waste, the head of the Health Ministry's Environmental and Occupational Health Division, Carmen Ciganda, told IPS. "These diseases are not exactly caused by climate change, but they are associated with it and become more prevalent when there are floods or droughts," she said. At the Pereira Rossell Hospital, the country's main children's hospital, respiratory diseases climbed from 17.7 percent in 2003 to 23.3 percent in 2007, and leptospirosis cases increased from 64 in 2006 to 106 in 2007. But Ciganda warned of threats that so far have been kept at bay beyond the country's borders. "If our climate becomes more tropical, conditions will be more favourable for the vectors that transmit diseases like dengue, yellow fever and malaria," she said. The average yearly temperature in Uruguay has risen by 0.8 degrees Celsius in the last 100 years, and spring and summer average temperatures are now higher than they were in the early 20th century, while rainfall has become heavier and more frequent in the last 50 years.

"Since 2007, the mosquito has been detected in the capital city. Longer summers, and the delayed onset of cold weather (in the southern hemisphere winter) until late May, mean that the mosquitoes do not go into hibernation and continue to reproduce for a longer time," the coordinator of the Departmental Emergency Committee in Montevideo, Daniel Soria, told IPS. He said frequent heavy rainfall, a result of climate variability, hampers the struggle to prevent dengue and other diseases entering the country. "When 50 or 60 millimetres of rainwater falls in less than half an hour, it overwhelms the sewer system in Montevideo, and people in the shanty towns suffer most," he said. "Flooding of the Miguelete, Pantanoso and Carrasco rivers, which flow across the city, causes a lot of erosion, so people are constantly having to be evacuated." In Uruguay, nearly 60,000 people were evacuated between 1997 and 2008, and over half a million were affected in various ways from floods following a 30 percent increase in rainfall. The trend is expected to worsen in future, according to official reports.