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Title: Perspective piece: In search of congenital Chagas disease in the Sierra Nevada de Santa Marta, Colombia
Author: Parra Henao, Gabriel Jaime
Oliveros Gamez, Horacio Mario
Hotez P.J.
Motoa G.
Franco-Paredes C.
Henao-Martínez A.F.
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Issue Date: 2019
Keywords: Article
congenital Chagas disease
disease burden
disease carrier
disease transmission
early diagnosis
geographic distribution
health care access
health care planning
health service
indigenous people
mortality rate
perinatal mortality
placental transfer
point of care testing
polymerase chain reaction
pregnancy outcome
pregnant woman
public health
social stigma
treatment planning
vertical transmission
vulnerable population
Chagas disease
Trypanosoma cruzi
Chagas Disease
Infectious Disease Transmission
Public Health
Trypanosoma cruzi
Abstract: Chagas disease remains a major impediment to sustainable socioeconomic development in Latin America. Transplacental transmission explains the persistence of transmission in urban areas, in non-endemic regions, and in areas with an established interrupted vectorial transmission. One of every five cases of congenital Chagas disease in the world occurs in Colombia and Venezuela. The massive migration of impoverished populations from neighboring Venezuela has worsened the situation creating a humanitarian crisis in Northeastern Colombia, including the Sierra Nevada de Santa Marta. The prevalence of Chagas infection among pregnant women in these areas is higher than the national average, and the public health resources are insufficient. This perspective discusses the associated increased morbidity and mortality of congenital Chagas in this region, where stigmatization contributes to the impression among health authorities and the general population that it affects indigenous communities only. The monitoring and control of congenital Chagas disease in the Sierra Nevada of Santa Marta is a public health necessity that demands urgent and effective interventions. Copyright © 2019 by The American Society of Tropical Medicine and Hygiene.
Publisher: American Society of Tropical Medicine and Hygiene
metadata.dc.type: Artículo
Citation: Parra G,Oliveros H,Hotez PJ,Motoa G,Franco C,Henao AF. Perspective piece: In search of congenital Chagas disease in the Sierra Nevada de Santa Marta, Colombia. AM J TROP MED HYG. 2019. 101. (3):p. 482-483. .
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Appears in Collections:Artículos Científicos

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