

It is about a public health comprehensive work, the most remarkable ever made in the country, with an integrated approach of risks factors common to non transmisible cronic deseases. It is a result of 10 years of work which has been source of knowledge of new original results at the national level, with an impact on population´s health and scientific significance.
This work has constituted an important contribution to sanitary thought in Cuba in the last years; as more valuable impacts, WHO-PHO recognize the following: International dissemination of the project´s experience; advisory to homologous from Valdivia and Valparaíso,in Chile; Manizales de Colombia; Loja and Cuenca, in Ecuador and Apizaco in Mxico.
This project constitutes a demostrating area of CARMEN project (Group of Actions to Reduce Multifactorialy Non Transmisible Deseases). In 1992, Cienfuegos was declared as the first province engaged in the Movement of Helathy Cities of Latin America.
It has been given multiple awards, remarkbly including the Helath Annual Award 2003, due to the comprehensive analysis of the project and the 10 years of implementation and intervention with concrete and practical actions. Results have been published in national and international prestigious journals.