Access to diagnosis and treatment of Chagas disease/infection in endemic and non-endemic countries in the XXI century

In this article, Médicos Sin Fronteras (MSF) Spain faces the challenge of selecting, piecing together, and conveying in the clearest possible way, the main lessons learnt over the course of the last seven years in the world of medical care for Chagas disease. More than two thousand children under th...

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Main Authors: Luís Villa, Sílvia Morote, Oscar Bernal, Daniel Bulla, Pedro Albajar-Vinas
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2007-10-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762007000900014
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author Luís Villa
Sílvia Morote
Oscar Bernal
Daniel Bulla
Pedro Albajar-Vinas
author_facet Luís Villa
Sílvia Morote
Oscar Bernal
Daniel Bulla
Pedro Albajar-Vinas
author_sort Luís Villa
collection DOAJ
description In this article, Médicos Sin Fronteras (MSF) Spain faces the challenge of selecting, piecing together, and conveying in the clearest possible way, the main lessons learnt over the course of the last seven years in the world of medical care for Chagas disease. More than two thousand children under the age of 14 have been treated; the majority of whom come from rural Latin American areas with difficult access. It is based on these lessons learnt, through mistakes and successes, that MSF advocates that medical care for patients with Chagas disease be a reality, in a manner which is inclusive (not exclusive), integrated (with medical, psychological, social, and educational components), and in which the patient is actively followed. This must be a multi-disease approach with permanent quality controls in place based on primary health care (PHC). Rapid diagnostic tests and new medications should be available, as well as therapeutic plans and patient management (including side effects) with standardised flows for medical care for patients within PHC in relation to secondary and tertiary level, inclusive of epidemiological surveillance systems.
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spelling doaj.art-aefc189259de40fda44d69d8279d306e2023-09-02T13:54:25ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602007-10-011028794Access to diagnosis and treatment of Chagas disease/infection in endemic and non-endemic countries in the XXI centuryLuís VillaSílvia MoroteOscar BernalDaniel BullaPedro Albajar-VinasIn this article, Médicos Sin Fronteras (MSF) Spain faces the challenge of selecting, piecing together, and conveying in the clearest possible way, the main lessons learnt over the course of the last seven years in the world of medical care for Chagas disease. More than two thousand children under the age of 14 have been treated; the majority of whom come from rural Latin American areas with difficult access. It is based on these lessons learnt, through mistakes and successes, that MSF advocates that medical care for patients with Chagas disease be a reality, in a manner which is inclusive (not exclusive), integrated (with medical, psychological, social, and educational components), and in which the patient is actively followed. This must be a multi-disease approach with permanent quality controls in place based on primary health care (PHC). Rapid diagnostic tests and new medications should be available, as well as therapeutic plans and patient management (including side effects) with standardised flows for medical care for patients within PHC in relation to secondary and tertiary level, inclusive of epidemiological surveillance systems.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762007000900014Chagas diseaseChagas infectionmedical carediagnosistreatment
spellingShingle Luís Villa
Sílvia Morote
Oscar Bernal
Daniel Bulla
Pedro Albajar-Vinas
Access to diagnosis and treatment of Chagas disease/infection in endemic and non-endemic countries in the XXI century
Memorias do Instituto Oswaldo Cruz
Chagas disease
Chagas infection
medical care
diagnosis
treatment
title Access to diagnosis and treatment of Chagas disease/infection in endemic and non-endemic countries in the XXI century
title_full Access to diagnosis and treatment of Chagas disease/infection in endemic and non-endemic countries in the XXI century
title_fullStr Access to diagnosis and treatment of Chagas disease/infection in endemic and non-endemic countries in the XXI century
title_full_unstemmed Access to diagnosis and treatment of Chagas disease/infection in endemic and non-endemic countries in the XXI century
title_short Access to diagnosis and treatment of Chagas disease/infection in endemic and non-endemic countries in the XXI century
title_sort access to diagnosis and treatment of chagas disease infection in endemic and non endemic countries in the xxi century
topic Chagas disease
Chagas infection
medical care
diagnosis
treatment
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762007000900014
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