Desde el ISET al InDRE. IV. Instituto de Diagnóstico y Referencia Epidemiológicos: nueva orientación, 1990-2012

espanolDe 1990 a 2012, el Instituto de Salubridad y Enfermedades Tropicales experimento los cambios mas importantes. En 1989 modifico su nombre y orientacion a Instituto Nacional de Diagnostico y Referencia Epidemiologicos. Poco antes se habia formalizado como cuspide de la Red Nacional de Laboratorios en Salud Publica y habia incorporado los laboratorios de pro- gramas preventivos como el de citologia exfoliativa y los de diagnostico de rabia, paludismo, tuberculosis; posteriormente incorporaria otras redes que surgieron como parte de la respuesta a brotes epidemicos y al nuevo panorama epidemiologico. En este periodo, 27 algoritmos diagnosticos se definieron y organizaron en 18 redes, algunas de las cuales comenzaron a colaborar con redes globales. En 2001, en el Instituto se empezo a trabajar con patogenos relacionados con el bioterrorismo. Para entonces, las restricciones del edificio sede fueron evidentes; en 2008, se decidio construir nuevas instalaciones. El Instituto y sus redes diagnosticas constituyen un hito en la salud publica latinoamericana del siglo XXI. EnglishFrom 1990 to 2012, the Sanitary and Tropical Diseases Institute experienced the most important changes. In 1989, its name and orientation were modified to become the National Institute of Epidemiological Diagnosis and Reference (InDRE). Short- ly before, it had been formalized as the apex of the National Network of Public Health Laboratories and had incorporated laboratories for preventive programs such as exfoliative cytology and rabies, malaria and tuberculosis diagnosis; subse- quently, it would incorporate other networks that emerged as part of the response to major epidemic outbreaks and to the new epidemiological outlook. In this period, 27 priority diagnostic algorithms were defined and organized in 18 networks, some of which began to collaborate with global networks. In 2001, the Institute started working with pathogens related to bioterror- ism. By then, space restrictions of the headquarters’ building were evident; in 2008, starting the construction of new facilities was decided. The institute and its diagnostic networks constitute a milestone in Latin American public health of the 21st century.