At least 8 million people in one world are confirmed by the parasite Trypanosoma cruzi, causing Chagas to cause disease. Nevertheless, some are aware of their conditions and know the political, social and epidemic backgrounds of this disease. Are the pillows the only one responsible for this problem?
After 110 years of his discovery and up to 12 of his earning & # 39; A law of prevention and control of Chagas has gone through these questions without clear answers in any social imaginary. So, the illness is second in & # 39; Neglected Tropical Diseases (NTD), launched by the World Health Organization (WHO).
Especially in Argentina, the situation is critical: while the budget, which prevents and prevents Chagas prevention and treatment, is inexcusable and the research programs are being abandoned, the numbers of the important people are obsolete. The last are from 2007.
Two researchers wake up to the lack of regulation of a Chagas Prevention and Control Act and the lack of interest in & # 39; a state with this problem that, in contrast to what believed, did not reach only the poor people in rural areas.
In 2007, law was taken over 26,218, proclaiming national importance and giving priority to prevention and control of all forms of transformation of Chagas' disease, until the final assembly of the national territory. However, there is virtually nothing to do with this, which arises in the lack of research, drug and treatment development, prestigious figures and actions of education and dissemination.
"Although the law has all the tools to keep up with this situation, it is not yet regulated, which depends on one's national executive power and has no relevant budget," says Mariana Sanmartino, connoisseur and space explorer "We talk about talking about Chagas?" The specialist adds that, in the absence of accurate and updated statistics, the data of this disease is outlined to sketch those that are repeated in papers, desserts and reports. .
There are at least 1,600,000 people in Argentina, but those who investigate the problem warn that this person is out of date. "These numbers are from 2007 and do not give a real dimension to the problem," says Sanmartino.
On the other hand, Konicet and assistant researcher Ana Laura Carbajal de la Fuente also state that the problem of Chagas is not & # 39; A crisis is that science goes through, given that national prevention and control programs, and also the research and development projects, are paved or reduced by the ability of the budget.
If the treatment is usually performed to diagnose it in time and there is no vaccine against this parasite, the sinners say the best way to solve the problem is is to fill and insect the populations of this with special equipment. "Since the National Chagas program has disappeared, these activities have been interrupted. No continuity is a serious error that can increase the chance of infection," says Carbajal, who also belongs to the group: "speak something we when we talk about Chagas? "
Until 2016, the National Chagas Program (PNC) is dependent on Vectors' Direction of Communicable Diseases. Since 2017, this address was shortened in rank to Coordination and the PNC disappeared. Now all vector-borne diseases are core-taught in Vectors' Coordination. "This new program works differently. Some of the coordinates always depend a lot on" "different provinces, for" "they are best in budget, diagnosis, control and treatment," explains Carbajal de la Fuente.
The panorama is also not hopeful on the research. "If financing is, Chagas is not a priority, it is behind projects in other areas," says Carbajal de la Fuente. However, we must continue to offer and offer offers to help all stakeholders. That's what science is for. "
Another problem with the problem is the production and distribution of medicines. At present, only Benznidazole and Nifurtimox are available, both from & nbsp; & nbsp; & nbsp; & nbsp; 60 & nbsp; that are completely useful when starting off the vaccination. "If his antiquity were not much," Konicet researcher reinforces, "there are no pediatric formulas, though treatment is more effective in children or infants, which are just infected."
There are several forms of integration of Chagas' disease: the most common is caused by contact with the & # 39; e vinchuca, vector of the disease, that & # 39; t through the smallpox & # 39; a person is very close and, if infiltrated, contaminates the area. The second is superfluous transmission from mother to child in difficulty, but it can be treated with 30 days, if fruit is found by a blood test after the baby. There are rare infections such as the introduction of foods that have contact with safe vinchuca, the donation of organs of infected patients or labs in the study of the parasite.
Ultimately, the lack of awareness and the good information available to the population includes stigmatization. "We remain in the non-demanding condition that can make stigmatization and discrimination possible. Some people believe that Chagas is from another time or that it is only in some provinces," Sanmartino warns.
With this scissors, from & # 39; What do we talk about when we talk about Chagas? "They also learn to work with the representatives to address a wide variety of actors' problems." We must work with social objects that are about the problem in the health teams , those you & # 39; re researching and other actors. There are problems that happen that events are overcoming the health and, even with the social, "the researcher beats.
For the time being, the groups of patients, researchers and health professionals have formulated WHO to declare April 14 as the International Day of People who are involved in Chagas, that they are launching a campaign on & # 39; a change.org platform to collect subsidies to support the official recognition of this day.
* Agency CTyS-UNLaM.