Central America
President Bukele’s government has transformed El Salvador’s integrated national health system
May 31 |
The National Integrated Health System (SIS) has been transformed during the administration of the President of the Republic, Nayib Bukele, through different actions that include modernization of infrastructure, equipment and digitalization of processes.
For decades, Salvadorans suffered from lack of care, hospitals and health units in poor condition and lack of suitable equipment for diagnosis and medical procedures, digitized care and modern technology.
Currently, modern, state-of-the-art equipment has been provided for X-rays, MRIs and cardiac interventions with a biplanar arc that is unique in the country and in the region.
“Assured connectivity. The Integrated Health System is changing the care we provide in hospitals, health units and in the territory, since it allows us to keep better control of the patient and give him/her the appropriate follow-up regardless of the facility where he/she goes to consult,” said the Minister of Health, Francisco Alabi, recently.
The issue of connectivity was raised by the Vice-Minister of Health Management and Development, Carlos Alvarenga, during his participation in the 76th World Health Assembly, held in Geneva, Switzerland.
“We have interconnected all health facilities, generated the electronic health record and other important elements of digital transformation that are the basis for transforming the country with a leap in quality,” said Alvarenga.
Similarly, in terms of infrastructure, the government of President Bukele built a walkway with all the conditions for the transfer of patients between the tower of the Benjamin Bloom National Children’s Hospital and the outpatient building of this medical center.
This has also been equipped with a biplanar arc angiograph for cardiac catheterization.
Likewise, after 30 years, the Zacamil National Hospital was intervened and equipped with technology and new areas, as well as artificial intelligence through Temi, a robot assistant.
On the other hand, another of the debts settled has been the inauguration of the Specialized Outpatient Care Center La Ceiba, of the Salvadoran Social Security Institute (ISSS), which has a capacity to care for more than 1,100 patients per day.
Due to the security measures implemented by President Bukele, health services have also been brought closer to communities that for decades were dominated by gangs.
Similarly, the teaching sector will benefit from the construction of the first Magisterial Hospital of the Instituto Salvadoreño de Bienestar Magisterial (ISBM), for which more than $2.2 million was approved by the Legislative Assembly for the purchase of the land.
Central America
Mulino Vows Tougher Crackdown as Homicides Increase in Panama
Panamanian President José Raúl Mulino said Thursday that his administration will not negotiate with gangs in an attempt to curb the wave of violence that has recently shaken the country and fueled growing public concern over insecurity.
“I am not going to sit down, nor is the security minister going to sit down with the leader of any gang to negotiate,” Mulino stated while rejecting any possibility of dialogue with criminal organizations.
According to statistics from the Public Ministry of Panama, the country recorded 62 homicides in April, nearly double the 34 reported during the same month last year. In March, authorities registered 53 killings, representing a 20% increase compared to the same period in 2025.
Panamanian authorities say the country’s two main gangs, among more than 180 criminal organizations identified nationwide, are behind the recent escalation in violence.
The National Police of Panama stated that disputes over territorial control, recruitment of new members, and drug theft between rival gangs are driving the increase in murders and armed attacks.
Mulino also expressed concern about innocent civilians becoming victims of the violence.
“They are in restaurants, they are in schools, and they become victims of these shootings,” the president said.
The Panamanian leader further called for tougher judicial measures against gang leaders and drug trafficking operators, criticizing court decisions that grant house arrest to suspects linked to contract killings and organized crime.
“We are going to act as we must to defend the overwhelming majority of Panamanian citizens, who are not criminals and are not drug traffickers,” Mulino stated.
Authorities believe that rising cocaine production in South America and Panama’s role as a transit route for drugs destined for the United States and Europe continue to strengthen gangs involved in narcotics trafficking.
Central America
Arévalo Announces Overhaul of Guatemala’s Prison System Amid Security Crisis
Guatemalan President Bernardo Arévalo said Thursday that his administration is working on a major transformation of the country’s prison system in an effort to end what he described as a “feast of corruption” inside Guatemala’s jails.
Speaking during an official ceremony in which Guatemala received 20 new inmate transport vehicles with support from the United States and the Central American Bank for Economic Integration (CABEI), Arévalo stressed that prisons must no longer remain under the control of criminal organizations.
“Prisons should not be places where crime is perfected, but places where rehabilitation becomes possible,” the president said during his speech.
Arévalo explained that the addition of the new vehicles will strengthen security, surveillance, and operational control within the penitentiary system, which is considered one of the most overcrowded in the region.
Guatemala’s prisons currently hold more than 25,000 inmates in facilities originally designed for approximately 7,000 people, representing overcrowding levels exceeding 300%. Authorities acknowledge that these conditions have enabled gangs and criminal groups to coordinate extortion schemes, murders, and other crimes from inside prison facilities.
The crisis reached one of its most critical moments in January, when government attempts to regain control of several prisons triggered riots in three detention centers across the country.
Following the operations, members of the Barrio 18 gang allegedly carried out armed attacks in different areas of the country, leaving 11 officers from Guatemala’s National Civil Police dead.
Central America
Panama confirms drug contamination of El Salvador coffee shipment occurred on its territory
A container originating from El Salvador and carrying coffee for export was contaminated with more than 1,152 packages of drugs while in transit through Panama, according to official information confirmed by the Panamanian government this Tuesday.
The case, which had previously generated political controversy in April 2025 after opposition sectors attempted to link the Salvadoran government to drug trafficking, has now been clarified through renewed investigations.
Authorities confirmed that the container departed from the port of Acajutla after being properly inspected, with no illicit substances detected at the time of export.
According to statements previously provided by El Salvador’s Minister of Defense, René Merino Monroy, the shipment traveled first to the port of Balboa in Panama, where it remained stored for several days before being transferred to another vessel bound for Manzanillo in Colón.
It was at that terminal that Panamanian authorities discovered the drugs and identified tampering with the container seals, indicating that the illicit alteration occurred during its transit in Panama rather than in Salvadoran territory.
The findings align with earlier explanations provided by Salvadoran officials and confirm that the contamination of the cargo took place outside of El Salvador’s jurisdiction.
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