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188 Although my academic work goes back into the early 90s as director of a training programme in Public Health I developed for the Basque Ministry of Health in Spain my connection with The UWI started at Cave Hill Barbados in 2007 as the first holder of a newly created Chair in Public Health and Epidemiology established by Senate in response to a long-standing need expressed by the CARICOM Ministers of Health for the university to undertake a major programme of Public Health Leadership Training. In this respect I joined the team assembled by Professor Bain from CHART to found the Caribbean Health Leadership Institute CHLI in order to raise the skills in health leadership of senior health professional throughout the region. Six cohorts of Caribbean health leaders have shared their experiences and set up a fruitful Alumni group to keep developing common interests. After graduating in SpainI practiced family medicine for some time before deciding to become a public health specialist and enrolled for the Masters of Science in Public Health at Edinburgh University Medical School.With training in South West London for Public Health based at St Georges Medical School I became a Public Health Specialist and a Fellow of the Faculty of Public Health Medicine of the Royal Colleges of Physicians and Surgeons of the UK. During that time I engaged in research concerning a new approach to improve clinical practice the introduction of medical audit for which I developed a customized index or inventory of achievements for geriatric day hospitals in the UK. Following my return to Spainin 1992as the director of public health training for the Basque country I continued my work on clinical audit and published a series of five papers on the topic. I also worked on the development and coordination of the Basque Cancer Registry. Sastre B Esparza H Larraaga N Sanzo JM Muniozguren N Ortega J M. Incidencia del cncer infantil en la comunidad autnoma del Pas Vasco1989-1993 Osasunkaria.19981614-19 From the land of the BasqueI then traveled across the world to land in the Pacific paradise Fiji where I help to set up a Health Services Management Unit within the Department of Public Health at the Medical Schooland taught and trained at the turn of the millennium. Soon after that I started working in New Zealand at the Environmental and Sciences Research Institute in Welling- ton as senior epidemiologist and team leader for SARS Surveil- lance and programme leader for the surveillance and control of STIs in New Zealand. Ortega JM ORourke K and Badkar J. Sexually Transmitted Infections in New Zealand Annual Surveillance Report 2002 ESRPoriruaMay 200 Gilmore KMartin MOrtega JMGarret N.Sexually Transmitted Infections in New Zealand Annual Surveillance Report 2001. ESRPoriruaMay 2002 Baker M Ortega-Benito J Garret N Bromhead C Leslie K MacDonald J McNicholas A. Prevalence and risk factors for Chlamydia trachomatis infection in female New Zealand university students. N Z Med J. 121181220 Aug 2005 I also engaged in a novel line of research as project leader for the DNA fingerprinting of all TB isolates in New Zealand since July 2002. This was a 2-3 year project funded by the New Zealand Ministry of Health 500K to use the molecular epidemiology of TB to help in the control outbreak identification and prevention of TB in the countryincluding multi-drug resistant strains. In the UK primarily in London and the south of England and during the two periods between my New Zealand and Caribbean experiences 2003-07 and 2009-14 I was first the Deputy and then the Acting Director of Public Health DPH for NHS Richmond and in 2010 Joint Director of Public Health in NHS Swindon and Swindon Borough Council a unitary local authority in the south- west of England.The DPH is responsible for the health of the local population and the delivery of key public health goals using the opportunities of system reform regulation and performance arrangements to ensure that public health goals are at the heart of the local agendaand supporting the requirements of national and regional preventative strategies.As DPH I had to direct and lead in the investigationresearch of the health and its determinants of the population of Swindon in order to produce a Joint Strategic Needs Assessment JSNA with which to establish the main priorities for the protection and the promotion of health and the prevention of illness. As the Directorate was aiming to tackle the main social and clinical determinants of health it needed to include other than health services the main communitys stakeholders such as education social services law enforcement and the local economy. The JSNA in turn resulted in the produc- tion of an independent annual Director of Public Health report on the health of the local population. Since the starting work in Public HealthI have been involved in national screening programmes both for adults such as cancer screening breast cervical colorectal or diabetic retinopathy screening and abdominal aneurism of aorta and anteneonatal screening Downs syndrome newborn hearing screening MEDICAL SCIENCES Professor of Public Health Department of Para-Clinical Sciences Tel 868 645 6741645 3232 ext. 2838 E-mail PROF. JOSE M. ORTEGA