Globalização, iniqüidade e doença de Chagas

Chagas disease (American trypanosomiasis) bears a close relationship to multiple social and political aspects involving issues of globalization and inequity. Such relations concern the process of disease production and control in parallel with medical management. Despite the poverty in Latin America and various problems related to inequities and globalization, Chagas disease has been controlled in several areas, a fact that reinforces the countries' self-reliance. Several problems and challenges related to the disease can be expected in the future, mainly concerning medical care for already infected individuals and the sustainability of effective epidemiological surveillance. Both points depend heavily on improved performance by the national health systems, principally in terms of their efficiency and their capacity to overcome inequity. A particularly important role has been attributed to the Latin American scientific and academic community in the implementation and sustainability of efficient control policies. Control activities have now evolved towards internationally shared initiatives, a major new stride forward in the region's political context.

[1]  H. F. Neto,et al.  Considerations on the epidemiology and transmission of Chagas disease in the Brazilian Amazon. , 1999, Memorias do Instituto Oswaldo Cruz.

[2]  A. Prata,et al.  [Chagas' disease in the Amazon: an overview of the current situation and perspectives for prevention]. , 2002, Revista da Sociedade Brasileira de Medicina Tropical.

[3]  C. Vieira Globalización, comercio internacional y equidad en materia de salud , 2002 .

[4]  O. P. Forattini Biogeografia, origem e distribuição da domiciliação de triatomíneos no Brasil , 1980 .

[5]  E. Bucher,et al.  Economie assault on Chagas disease. , 1981 .

[6]  J. Dias,et al.  [General situation and perspectives of chagas disease in Northeastern Region, Brazil]. , 2000, Cadernos de saude publica.

[7]  J. C. P. Dias Doença de Chagas , 1945 .

[8]  G. Alleyne Reforma del sector salud , 1996 .

[9]  J. C. Dias Rural resource development and its potential to introduce domestic vectors into new epidemiological situation. , 1988, Revista Argentina de Microbiología.

[10]  C. Almeida [Health systems reform and equity in Latin America and the Caribbean: lessons from the 1980s and 1990s]. , 2002, Cadernos de saude publica.

[11]  O. P. Forattini [Biogeography, origin, and distribution of triatominae domiciliarity in Brazil. Revista de Saúde Pública, 14(3):265-99, 1980]. , 1980, Revista de saude publica.

[12]  J. Dias,et al.  The evolution of Chagas disease (American trypanosomiasis) control after 90 years since Carlos Chagas discovery. , 1999, Memorias do Instituto Oswaldo Cruz.

[13]  J. C. Dias,et al.  La reforma del sector salud, descentralización, prevención y control de enfermedades transmitidas por vectores , 2000 .