Why, in 9 years, the Chagas could start a global public health campaign

The world today is condemned by the emergence of a new government in China. Pero 102 years ago from Latin America also discovered another infection -caused by a parasite- which was silently advancing on the planet: the disease of Chagas. Hay hay entre 6 in 7 million infected people for parasite worldwide, but only 10% are diagnosed. Ahora The World Health Organization is planning a plan to eliminate the Chagas disease as a public health problem in 9 years. It is not a rural sanity of the cities.

The plan for Chagas forms part of the new road of route 2021-2030 that the United Nations Sanitary Agency is working on for the 20 most affected nurses. I know that, As a result of the migrations, the common infection is present in the United States, Canada, in many European countries, such as Spain, and some Africans, from the Oriental Mediterranean to the Occidental Pacific. The parasite is transmitted mainly by insect bites, hogweed, contaminated blood transfusions, as part of receiving organs from people who have infected the infection.

The new road route for the emerging entities such as Chagas is part of the global consultation launched in 2018, with public institutions of different countries, investigators, non-governmental organizations, culminating in the adoption of the document November passed. There will be a challenge to unroll the actions to launch the methods that are proposed because we do not know exactly how the impact of the pandemic on COVID-19 will be”, Dijo a Infobae the doctor Pedro Albajar Viñas, which is part of the Department of Control of Tropical Diseases of the OMS.

The plan is based on pillars that encourage more action. Include more structured investigations about the communities affected by the nurses and walk the middle ground that are based on the scientific evidence. “In addition to introducing gradual modifications to programmatic actions, we also need a more radical change to incorporate and integrate interventions in health care systems and coordinate actions between the various sectors. These crossword puzzles are not a novelty, but they are presented in various planes relative to the ETD, but their practical application has been difficult in some cases ”, the road sign reads.

According to Albajar Viñas, during the last few years there is another road route, but it is necessary to replant what is missing. Get rid of the most disgusting inferiors in the world. In many cases this has not been done with an effective treatment. But in other cases the people – as those who live with Chagas – do not have access to diagnostics and treatment. What is looking for now is that there is a mayor working intersectorial.

“These are not the only ones that involve saluting staff. If the silos inside the health care system are avoided and in its interaction with other sectors, there are more possibilities to improve the situation of the sick. In the case of Chagas, many patients have the infection and can live for decades, but need attention ”, advirtió. What “intersectoral work” means Recognize that in order to better control the nurses, it is intended that 100% of the affected persons also have access to water, sanitation and hygiene.

With respect to the aim of eliminating Chagas as a preoccupation with public health, the Albanian doctor Viñas explained that the infection can be controlled through more tests in women and children, Blood transfusions and organ donations in the regions of the world do not have any parasitic vectors. “Erradicarla is impossible: there will always be species of insects in the environment that can transmit the parasite,” he explained. In addition, the plan for Chagas states that by 2030 there will be an anti-parasitic treatment coverage of 75% of the eligible population, and that 15 countries will interrupt transmission by four transmission (vectorial, transfusion transmission).

Do you really want to know about the new OMS plan for Chagas and other undefeated nurses? “It is an ambitious plan that will allow you to make concrete advances. If it is not logran, it will be possible to evaluate what works and reform for the next few years ”, the doctor values Silvia Gold, President of the Mundo Sano de Argentina Foundation and member of the OMS Foundation’s directive in dialogue with Infobae.

Agreed with Gold, the plan reduces the verticality of previous years to allow each country to implement actions in accordance with its characteristics, including the implementation of education and infrastructure. Chagas’ illness is high on the world agenda. This is an important change. The road to construction is a collective construction in contrast to the global public consultation, and is being conducted at the most compromised by all the sectors involved, ”Gold estimates.

“The route of the OMS route involves various changes based on the Learned Experiences. Promote that the scientific community looks for solutions that address the needs of people with simplified, efficient, and high-quality solutions. What are the facts of being implemented at the first level of medical attention, look at the domiciles ”, commented on Infobae Sergio Sosa Estani, investigator of the Council of Chagas program of the Drugs Initiative for Drug Abuse (DNDi). There will only be an epidemiologist and medical issue. The new approach includes the contribution of experts in “social psychology, anthropology, which allows integration of nutrition-related approaches, mental health, among others”, Sosa Estani. This approach is key to derogating from the stigma and discrimination that live with Chagas and other undeclared workers.

También Sosa Estani underlined that he was pretending to broaden the perspective of “Una Salud”. Human health is not disconnected from what is happening to the health of other species that inhabit the world. “Affected forestry and contribute to the dangers of illiteracy. Entire the environment, intervene or not intervene can mark a difference, increase the risk factors, generating more data and more cases of illness ”, dijo Sosa Estani.

In the case of Chagas, there is much to do. In the zones with insects that transmit the parasite, hay that work in the enhancement of the environment to avoid refuges of the vectors, and apply insecticides with the control programs, supported by Sosa Estani. “It is necessary to make tests of the embassies in the endemic countries for vector transmission, and in countries not endemic with intensive migration of people from endemic countries”, afirmó.

“There is evidence that treatment with benznidazole and nifurtimox has been shown to effectively control the infection. It has a secondary prevention effect of the female because it cures the infection and prevents the progression of the cardiac disease. También is also contributing to the primary prevention preventing the transmission of the hives in need of posterior embargoes on treatment ”, he points out. The Panamericana Organization of Health is promoting the ETMI Plus Program for the control of transmitted infections congenitally integrating the control of syphilis, VIH, Hepatitis B and Chagas.

The tests of the nines and the nines at nacer will be promoted more, account Sosa Estani. “Argentina has a mandatory way of doing things this year. It is promoting its incorporation into all the regions of the region. There are examples of countries that are not endemic, such as Spain, which are now considered to be in their homes ”.

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