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The Spanish Crown gave the name legal status with the 1529 Capitulación de Toledo, which designated the newly encountered Inca Empire as the province of Peru.[27] In 1561, the rebel Lope de Aguirre declared himself the "Prince" of an independent Peru, which was cut short by his arrest and execution. Under Spanish rule, the country adopted the denomination Viceroyalty of Peru, which became the Peruvian Republic after its independence until 1979, adopting its current name of Republic of Peru.[28]

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Eventually, the viceroyalty would dissolve, as with much of the Spanish empire, when challenged by national independence movements at the beginning of the nineteenth century. These movements led to the formation of the majority of modern-day countries of South America in the territories that at one point or another had constituted the Viceroyalty of Peru.[55] The conquest and colony brought a mix of cultures and ethnicities that did not exist before the Spanish conquered the Peruvian territory. Even though many of the Inca traditions were lost or diluted, new customs, traditions and knowledge were added, creating a rich mixed Peruvian culture.[51] Two of the most important Indigenous rebellions against the Spanish were that of Juan Santos Atahualpa in 1742, and Rebellion of Túpac Amaru II in 1780 around the highlands near Cuzco.[56]

In the early 19th century, while most South American nations were swept by wars of independence, Peru remained a royalist stronghold. As the elite vacillated between emancipation and loyalty to the Spanish Monarchy, independence was achieved only after the occupation by military campaigns of José de San Martín and Simón Bolívar.

The Viceroy of Peru, Joaquín de la Pazuela named José de la Serna commander-in-chief of the loyalist army to protect Lima from the threatened invasion by San Martin. On 29 January, de la Serna organized a coup against de la Pazuela, which was recognized by Spain and he was named Viceroy of Peru. This internal power struggle contributed to the success of the liberating army. To avoid a military confrontation, San Martin met the newly appointed viceroy, José de la Serna, and proposed to create a constitutional monarchy, a proposal that was turned down. De la Serna abandoned the city, and on 12 July 1821, San Martin occupied Lima and declared Peruvian independence on 28 July 1821. He created the first Peruvian flag. Upper Peru (Bolivia) remained as a Spanish stronghold until the army of Simón Bolívar liberated it three years later. José de San Martin was declared Protector of Peru. Peruvian national identity was forged during this period, as Bolivarian projects for a Latin American Confederation floundered and a union with Bolivia proved ephemeral.[58]

In 1879, Peru entered the War of the Pacific which lasted until 1884. Bolivia invoked its alliance with Peru against Chile. The Peruvian Government tried to mediate the dispute by sending a diplomatic team to negotiate with the Chilean government, but the committee concluded that war was inevitable. Chile declared war on 5 April 1879. Almost five years of war ended with the loss of the department of Tarapacá and the provinces of Tacna and Arica, in the Atacama region. Two outstanding military leaders throughout the war were Francisco Bolognesi and Miguel Grau. Originally Chile committed to a referendum for the cities of Arica and Tacna to be held years later, to self determine their national affiliation. However, Chile refused to apply the Treaty, and neither of the countries could determine the statutory framework. After the War of the Pacific, an extraordinary effort of rebuilding began. The government started to initiate a number of social and economic reforms to recover from the damage of the war. Political stability was achieved only in the early 1900s.

Peru engaged in a two week long conflict with Ecuador during the Paquisha War in early 1981 as a result of territorial dispute between the two countries. The economic policy President Alan García distanced Peru from international markets further, resulting in lower foreign investment in the country.[65] After the country experienced chronic inflation, the Peruvian currency, the sol, was replaced by the Inti in mid-1985, which itself was later replaced by the nuevo sol in July 1991, at which time the new sol had a cumulative value of one billion old soles. The per capita annual income of Peruvians fell to $720 (below the level of 1960) and Peru's GDP dropped 20% at which national reserves were a negative $900 million. The economic turbulence of the time acerbated social tensions in Peru and partly contributed to the rise of violent rebel rural insurgent movements, like Sendero Luminoso (Shining Path) and MRTA, which caused great havoc throughout the country.[66][67] The Shining Path had appeared in the universities in the 1970s. These students, many of them from peasant backgrounds, then returned to their communities and organized local party committees. The abandonment by the state of certain rural regions favored the establishment of the party. In June 1979, demonstrations for free education were severely repressed by the army: 18 people were killed according to the official report, but non-governmental estimates put the death toll at several dozen. This event led to a radicalization of political protests in the countryside and eventually to the outbreak of armed struggle. After the beginning of the armed struggle, the new recruits of the Shining Path were generally peasants with little political background, rather than truly political militants.[68]

In early 1995, once again Peru and Ecuador clashed in the Cenepa War, but in 1998 the governments of both nations signed a peace treaty that clearly demarcated the international boundary between them. In November 2000, Fujimori resigned from office and went into a self-imposed exile, initially avoiding prosecution for human rights violations and corruption charges by the new Peruvian authorities.[82]

Peru uses a multi-party system for congressional and general elections. Major groups that have formed governments, both on a federal and legislative level, are parties that have historically adopted economic liberalism, progressivism, right-wing populism (specifically Fujimorism), nationalism, and reformism.[121]

Over recent decades, Peru's foreign relations has historically been dominated by close ties with the United States and Asia,[135] particularly through the Asia-Pacific Economic Cooperation (APEC), the World Trade Organization, the Pacific Alliance, Mercosur, and the Organization of American States (OAS).[136][137]Peru is an active member of several regional trade blocs and is one of the founding members of the Andean Community of Nations. It is also a member of international organizations such as the OAS and the United Nations.[138] Javier Pérez de Cuéllar, a celebrated Peruvian diplomat, served as United Nations Secretary General from 1981 to 1991.

Peru maintains an integrated relationship with other South American nations, and is a member of various South American intergovernmental agreements, more recently the Organization of American States, Mercosur, the Andean Community of Nations, the Pacific Alliance, and the APEC. Peru has historically experienced stressed relations with Chile, including the Peru v Chile international court resolution and the Chilean-Peruvian maritime dispute, but the two countries have agreed to work in improving relations.[143]

The combination of tropical latitude, mountain ranges, topography variations, and two ocean currents (Humboldt and El Niño) gives Peru a large diversity of climates. The coastal region has moderate temperatures, low precipitation, and high humidity, except for its warmer, wetter northern reaches.[160] In the mountain region, rain is frequent in summer, and temperature and humidity diminish with altitude up to the frozen peaks of the Andes.[161] The Peruvian Amazon is characterized by heavy rainfall and high temperatures, except for its southernmost part, which has cold winters and seasonal rainfall.[162]

To aid policy-makers and programme managers, we have now estimated neonatal causes of death separately for the early and late neonatal periods, and added injuries as a distinct cause for low-mortality countries. The input data have also been updated and the modelling strategy has been modified, particularly for the split of neonatal infections between pneumonia and sepsis. We present global, regional, and national estimates of proportions, risks, and numbers of deaths for programmatically relevant neonatal causes of death by the early and late neonatal periods.

In the early period, preterm birth (40.8%) and intrapartum complications (27.0%) accounted for the majority of deaths while in the late neonatal period nearly half of all deaths occurred from infectious causes (47.6%; Table 2). The proportion of deaths from congenital disorders was relatively stable across the periods. Higher neonatal mortality rates and lower national income levels were associated with a higher proportion of deaths attributable to intrapartum complications and infectious causes (Appendix M, available from: ). The variation between the 10 MDG regions appears to reflect the differences in neonatal mortality rate between these regions. In low-mortality settings, injuries accounted for less than 1% of neonatal deaths, and this fraction increased slightly from the early to late period (Appendix M). See Appendix N (available from: ) for model-specific results, Appendix O (available from: ) for country-specific results and Appendix P (available from: ) for a comparison of results for China.

We developed comparable estimates of programmatically relevant causes of death in the early and late neonatal periods for 194 countries. The proportional neonatal cause distribution varied with several factors, including the age of death, the national neonatal mortality rate and over time. To reduce neonatal deaths, these variations must be understood and incorporated into decisions regarding the selection of appropriate interventions. With the launch of the Every newborn: an action plan to end preventable deaths, this is the time to tailor interventions to the individual circumstances of countries. 041b061a72

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