Visit the Chagas Disease (American Trypanosomiasis) page for an organized listing of the materials available on this topic.

   Technical Documents

Technical Documents

Color the chinches! Salvadorean Primary School Project to Educate Children on How to Prevent Chagas Disease
Illustrated on this page is a simple tool used by elementary schools in El Salvador to teach children how to identify chinches picudas, or the specific triatomine insect Triatoma dimidiata that is the main vector transmitting the Trypanosoma cruzi parasite and hence, Chagas disease. Below is the sheet given to the pupils to color and a photo of the children engaged in the activity. This material was developed by the PAHO/JICA collaborative project with the Ministry of Health of El Salvador.(9/Oct/2008)
In English       HTML(2.91k)  
en español     HTML(2.97k)  

El Salvador: Activities to Fight Chagas Disease
This page serves as a resource with links to all online PAHO information on Chagas disease in El Salvador and current prevention and control activities taking place there: the subregional initiative, events, missions, photos, maps, etc.(8/Oct/2008)
In English       HTML(6.1k)  
en español     HTML(6.56k)  

IPCA: Initiative of the Countries of Central America for Control of Vector-Borne and Transfusional Transmission and Medical Care for Chagas Disease
This information sheet describes the activities of the subregional initiative to fight Chagas Disease in Central America, where PAHO and the Japanese International Cooperation Agency (JICA) collaborate with the country health authorities. It contains links to proceedings from meetings, project facts, maps, IEC materials, photos, etc.(7/Oct/2008)
In English       HTML(14.71k)  
en español     HTML(15.13k)  

CD48/11- Improving Blood Availability and Transfusion Safety in the Americas
CD48/11 Improving Blood Availability and Transfusion Safety in the Americas(14/Aug/2008)
In English       PDF(123.58k)  
en español     PDF(173.93k)  
en Français    PDF(182.5k)  
em Português PDF(127.64k)  

CD48/13 - Integrated Vector Management: A Comprehensive Response to Vector-borne Diseases
CD48/13Integrated Vector Management: A Comprehensive Response to Vector-borne Diseases(14/Aug/2008)
In English       PDF(68.03k)  
en español     PDF(71.64k)  
en Français    PDF(72.58k)  
em Português PDF(68.46k)  

Emmanuel Dias: Súmula biográfica
O Doutor João Carlos Pinto Dias, destacado pesquisador e sanitarista brasileiro em doença de Chagas de reconhecimento mundial, tem nos feito chegar na ocasião dos 100 anos do natalício de seu pai o referente do século XX em matéria de doença de Chagas, Doutor Emmanuel Dias, este resumo biográfico comemorativo.(28/Jul/2008)
em Português PDF   

Health Surveillance and Disease Prevention and Control at PAHO
This page describes the PAHO Technical Area for Health Surveillance and Disease Prevention and Control(HSD), its mission and objectives, what it does in terms of projects and activities. It contains links to the four technical groups and the Pan American Center under its umbrella. Note: Prior to June 2006, the Area was named Disease Prevention and Control.(3/Jun/2008)
In English       HTML(5.65k)  
en español     HTML(6.44k)  

Workshop to Design a Comprehensive Strategy for Primary Health Care (PHC) for Controlling Chagas Disease in the Chaco Region: Elaboration of a Protocol and Intervention Guidelines in Three Pilot Areas (La Paz, Bolivia, 14–16 May 2008)
The objective of this meeting was to Validate a comprehensive and sustainable intervention strategy for the prevention, control, and treatment of Chagas disease in the biogeographical region of the Bolivian Chaco, which will contribute to the development of the region and improvement of the quality of life of its inhabitants. This page offers a summary in English and access to the 28-page meeting report in Spanish.(16/May/2008)
In English       HTML(12.59k)  
en español     HTML(12.6k)   PDF(1803.44k)  

Update of American Trypanosomiasis and Leishmaniasis Control and Research: Final Report (Rio de Janeiro, Brazil, 6–7 November 2007)
The objective of this meeting was to set up an information platform on control and research gaps in American Trypanosomiasis and Leishmaniasis in order to establish a road map for academia and control programs. This 176-page report contains a series of technical papers in two parts: (I) Chagas disease (American trypanosomiasis), with 20 short papers and abstracts; and (II) Leishmaniasis, with 8.(7/Nov/2007)
In English       PDF(1965.27k)  

CSP27.R10: Regional Policy and Strategy for Ensuring Quality of Health Care, Including Patient Safety
This resolution from the 27th Pan American Sanitary Conference in 2007 sets forth the PAHO mandate for providing effective, safe, efficient, accessible, appropriate, and satisfactory care for users, recognizing that policies are needed in the health sector that will impact the health care continuum, foster citizen involvement, and promote a culture of quality and safety in health care institution.(3/Oct/2007)
In English       CSP27.R10  
en español     CSP27.R10  
en Français    CSP27.R10  
em Português CSP27.R10  

Global Plan to Combat Neglected Tropical Diseases, 2008–2015
The WHO Global Plan to Combat NTDs Global Plan has been formulated according to the following key principles: the right to health; existing health systems as a setting for interventions; a coordinated, multi-disease response by the health system; integration and equity; and intensified control of diseases alongside pro-poor policies. This page contains the executive summary plus a link to the full text.(24/Aug/2007)
In English       HTML(8.99k)  
en español     HTML(10.88k)  
en Français    HTML(10.49k)  
em Português HTML(11.18k)  

WHA60.25: Integrating Gender Analysis and Actions into the Work of WHO: Draft Strategy
This resolution from the 60th World Health Assembly in 2007 sets forth the WHO mandate to analyze the data and act in ensuring and integrating gender equality into all health-related areas and all levels of health-care delivery and services for women and girls of all ages.(23/May/2007)
In English       WHA60.25  
en español     WHA60.25  
en Français    WHA60.25  

Report of the Regional Consultation on Information, Education and Communication (IEC) on Congenital Chagas Disease (CLAP, Montevideo, 17-18 May 2007)
In epidemiological importance, congenital Chagas disease constitutes the third mode of Trypanosoma cruzi transmission to humans. This consultation lays the foundations for information, education, and communication on which to raise consciousness among individuals, families, communities, society at large, professionals, and policy-makers, in order to act in a timely and sustainable way to diagnose and treat newborns infected by T. cruzi. This 12-page report gives an update, 20 recommendations, the list of participants, agenda, and brief bibliography.(18/May/2007)
In English       WORDL(205.31k)   PDF(174.93k)  
en español     WORDL(198.66k)   PDF(178.86k)  
en Français    WORDL(238.08k)   PDF(178.04k)  

PAHO Regional Program on Chagas Disease
This page provides a short description of the PAHO program to fight Chagas disease in the Americas: mission, areas of work, and the four subregional initiatives: CONOSUR for the Southern Cone, IPCA for Central America, IPA for the Andean subregion, and AMCHA for the Amazon basin.(30/Apr/2007)
In English       HTML(3.77k)  
en español     HTML(3.69k)  

A Turning Point 2007: Report of the Global Partners' Meeting on Neglected Tropical Diseases (Geneva, Switzerland, 19-20 April 2007)
An estimated one billion people--one sixth of the world’s population--are infected with one or more neglected tropical diseases. These diseases are largely ancient infectious diseases that thrive in impoverished settings, especially in the heat and humidity of tropical climates. This meeting of 200 key international partners declared to the world that control of these diseases deserves high priority on the global public health agenda and still greater determination to deliver appropriate health care to the millions of poor people in need.(20/Apr/2007)
In English       WHO  

Honduras: Activities to Fight Chagas Disease
This page serves as a resource with links to all online PAHO information on Chagas disease in Honduras and current prevention and control activities currently being carried out there: the subregional initiative, events, missions, educational materials, photos, maps, etc.(14/Mar/2007)
In English       HTML(6.77k)  
en español     HTML(7.79k)  

Manual for Indoor Residual Spraying: Application of Residual Sprays for Vector Control (3rd ed.)
The objective of this handbook is to ensure the safe and correct application of a residual insecticide to indoor surfaces on which vectors may rest. Indoor residual spraying is extensively used, especially for malaria and Chagas disease vector control. However, vector control programmes frequently lack well-trained field staff to apply the insecticides and to maintain the application equipment. With good skills and quality application equipment, hazards to human health and the environment, as well as financial losses, can be avoided. It can be used as a model to develop training materials in the countries.(31/Dec/2006)
In English       WHOPES  
en español     WHOPES  

Chagas Diseases (TDR Fact Sheet and Research Resource Page)
This page provides basic information and access to WHO resources. Chagas disease, found only in Latin America, is caused by the parasite Trypanosoma cruzi, transmitted by insects of the Triatoma species, often through small mammals that act as reservoir hosts.(20/Oct/2006)
In English       WHO/TDR  

Neglected Diseases: The Diseases of Poverty
Neglected Diseases strike populations already cripped by poverty and inequity: women, children, indigenous populations, the poor. This bilingual poster, the text of which appears in both HTML and Word in fact-sheet format, outlines the health and economic impact of Neglected Diseases and the current response in terms of prevention and treatment and intersectoral solutions.(10/Oct/2006)
In English       HTML(8.55k)   WORDL(218.62k)   PDF(2786.76k)  
en español     HTML(9.96k)   WORDL(178.69k)   PDF(2786.76k)  

The Burden of Neglected Diseases in Latin America and the Caribbean Compared with Some Other Communicable Diseases
This graph makes a case for increased attention to neglected diseases by illustrating their tremendous disease burden as compared to other communicable diseases that receive a higher level of attention from health systems.(10/Oct/2006)
In English       HTML(2.46k)  
en español     HTML(2.69k)  

CD47.R18: Health of the Indigenous Peoples in the Americas
Taking note of the existence of inequities in health and access to health care services that affect more than 45 million indigenous people living in the Americas; and because the United Nations Millennium Declaration cannot be reached unless the specific health needs of excluded populations, such as indigenous peoples, are addressed, this resolution of the 47th PAHO Directing Council in 2006 sets for the mandate to take a multicultural approach to include these groups and work towards greater equity and better health for all.(29/Sep/2006)
In English       CD47.R18  
en español     CD47.R18  
en Français    CD47.R18  
em Português CD47.R18  

Conclusions and Recommendations from the Joint IPA-AMCHA Annual Meeting (Quito, Ecuador, 18–20 September 2006)
This joint Meeting constitutes the VIIth Annual Meeting of the Andean Initiative for Chagas Disease Control (IPA) and the IIIrd Annual Meeting of the Initiative for Chagas Disease Surveillance and Prevention in the Amazon Region (AMCHA), where the official government delegates from Brazil, Colombia, Ecuador, Guyana, French Guiana, Peru, Suriname, and Venezuela analyzed the current epidemiological situation as well as that of their control programs, arriving at the 30 conclusions and recommendations in this 4-page document.(20/Sep/2006)
In English       PDF(235.46k)  
en español     PDF(237.02k)  
en Français    PDF(236.14k)  
em Português PDF(238.83k)  

XVth Meeting of the Southern Cone Intergovernmental Commision to Eliminate Triatoma infestans and Interrupt the Transmission of Transfusional Trypanosomiasis (INCOSUR-Chagas) (Brasília, Brazil, 6-9 June 2006)
This meeting reviewed the progress made by the six countries making up the initiative, issued a set of recommendations and conclusions, and made various decisions for the coming year. Highlighted was the situational diagnosis for Brazil, which achieved interruption of vector-borne transmission of Trypanosoma cruzi via Triatoma infestans throughout all of the 13 states where the vector is present.(29/Jun/2006)
In English       HTML(5.47k)  
en español     HTML(5.26k)   PDF(690.08k)  

Communicable Disease Prevention and Control at PAHO: Aims, Strategies and Lines of Action
This page summarizes the mission, objectives, strategies and lines of action of the PAHO Communicable Disease Unit and describes what it hopes to accomplish through technical cooperation.(20/Jun/2006)
In English       HTML(5.57k)  
en español     HTML(5.91k)  

INCOSUR-Chagas: Southern Cone Initiative to Control and Eliminate Chagas Disease
Created in 1991 by the Ministers of Health of Argentina, Bolivia, Brasil, Chile, Paraguay and Uruguay, with its Technical Secretariat in PAHO, INCOSUR has made significant progress in combatting Chagas disease. This page tells about INCOSUR and offers access to INCOSUR documentation: reports, maps, directories, guides, etc.(9/Jun/2006)
In English       HTML(6.65k)  
en español     HTML(7.05k)  

Chagas Disease: Harmonization Model for Inter-Agency Cooperation
Public-health programs have one common characteristic: few resources, which keep them from providing definitive solutions to these problems. The start of this joint effort came about relatively recently, but the results obtained to date permit some optimism in making it possible to foresee the future in positive terms vis-à-vis the resolution of this important health problem. The great challenge is to maintain the sustainability. This page offers a summary and access to the full text in Spanish. (15/Mar/2006)
In English       HTML(6.37k)  
en español     HTML(6.42k)   PDF(8102.62k)  

Proyecto Regional de Control de la Enfermedad de Chagas
Este folleto de 16 páginas describe el proyecto entre la OPS y la Agencia de Cooperación Internacional del Japón (JICA) y sus avances en la subregión centroamericana, con secciones dedicados a El Salvador, Guatemala y Honduras y a los Objetivos de Desarrollo del Milenio (ODM/MDGs).(13/Mar/2006)
en español     HTML(6.92k)   PDF(1772.49k)  

Disease Information, Chagas Disease
This page provides basic information on Chagas disease in the form of a fact sheet with summary information on distribution, causative agent, transmission, symptoms, and prevention and control.(13/Feb/2006)
In English       WHO/TDR  

Capacity Development under Program-Based Approaches: LENPA Spring Forum 2005: Synthesis Report (Washington, DC, 25–27 April 2005)
This report synthesizes key ideas and conclusions emerging from above-mentioned forum on strengthening capacities under program-based approaches (PBAs) sponsored by the Learning Network on Program-Based Approaches (LENPA). The page contains a summary, four case studies from Latin America, the full executive summary, and the full-text report.(31/Oct/2005)
In English       HTML(22.23k)   PDF(488.72k)  

PAHO/MSF Regional Consultation on the Organization and Structure of Health Care for the Sick or Infected by Trypanosoma cruzi (Chagas Disease) (Montevideo, Uruguay, 13–14 October 2005)
The objectives of this meeting were to define the scope and structure of omedical care; develop alternative and optional care models; outline the care provided to Chagas patients; establish aspects of concern in the areas of pediatric, mother-child, and transfusion care, etc.; define diagnostic needs and scope; establish both the scope and the facilities that patients should have within the health-care systems; define the total panorama of patient availability and access to etiological treatment; plan concepts and frameworks on the cost, impact, and effectiveness of developing a component for Chagas morbidity and care; establish the needs for operational research and for management.(14/Oct/2005)
In English       HTML(17.07k)   PDF(163.42k)  
en español     HTML(17.06k)   PDF(2290.33k)  
en Français    HTML(18.16k)   PDF(153.74k)  

Pedrito y la enfermedad de Chagas
Campaña contra el Chagas. Esta historieta fue diseñada para el proyecto OPS-JICA en El Salvador, junto con el Ministerio de Salud Pública y UNICEF, para educarles a los niños sobre la enfermedad de Chagas en la forma que a la vez los entretiene tanto como cuento que como juego.(12/Oct/2005)
en español     PDF(3271.31k)  

IInd Regional Meeting of the CDIA-EC Project: Surveillance tools for Triatoma infestans and other triatomines (Santiago, Chile, 6–8 October 2005)
The purposes of this meeting were to support control and surveillance tasks in Chile and Uruguay, with the objective of eliminating T. infestans; develop protocols and models for control/surveillance and research aimed at elimination in the Southern Cone subregion; and recommend tools, methods and operational practices that operate effectively, sensitively, and with adequate applicability, to deal with the new realities of infestation, colonization, and dispersion of triatomines in the household environment (intra-, peri- and extradomiciliary areas). This page offers an introduction as well as the purposes, objectives, recommendations and conclusions of the meeting, along with the list of participants and links to project partners. (8/Oct/2005)
In English       HTML(13.76k)   PDF(699.83k)  
en español     HTML(13.82k)   PDF(695.12k)  

CD46.R16: PAHO Gender Equality Policy
Resolution adopted at the 46th PAHO Directing Council in September 2005, which lays down the PAHO mandate for gender equality in health and development in the Americas, in accordance with the United Nations Millennium Development Goals (MDGs).(30/Sep/2005)
In English       PDF(22.47k)   CD46.R16  
en español     PDF(24.08k)   CD46.R16  
en Français    PDF(24.21k)   CD46.R16  
em Português PDF(23.84k)   CD46.R16  

CD46.R5: Progress Report on the Global Safe Blood Initiative and Plan of Action for 2005-2010
This resolution from the PAHO Directing Council sets forth its Organizational mandate and plan of action to guarantee blood safety and prevent diseases transmitted by blood transfusion.(29/Sep/2005)
In English       CD46.R5  
en español     CD46.R5  
en Français    CD46.R5  
em Português CD46.R5  

Pilot Exercise on Integrated Triatomine Control (Huatulco, Oaxaca, Mexico, 23 September 2005)
The objective of this meeting was to develop an integrated triatomine control model for an endemic area in Mexico. This fact sheet indicates the organization and experts, the conclusions and recommendations, and the commitments made.(23/Sep/2005)
In English       HTML(4.57k)   PDF(43.53k)  
en español     HTML(4.9k)   PDF(43.14k)  

IPA: Initiative of the Andean Countries to Control Vectoral and Transfusional Transmission of Chagas Disease
This subregional initiative provides a the space in which each participating country took on commitments aimed at meeting the objectives of eliminating vector-borne and transfusion transmission of American trypanosomiasis in the Andean Region. (20/Jun/2005)
In English       HTML(13.59k)  
en español     HTML(14.82k)  

Safety of Pyrethroids for Public Health Use
Pyrethroids are widely used in public health because of their relative safety for humans, high insecticidal potency at low dosages and rapid knock-down effects. WHO has assessed the safety and efficacy of pyrethroids for different applications in vector control, as well as in disinsection of aircrafts. The purpose of this document is to critically review current knowledge on the safety of pyrethroids and whether existing WHO recommendations for pyrethroid applications should be revised or modified. (This review does not consider the use of pyrethroids in space spraying and vapour applications, e.g. in mosquito coils and aerosols.)(31/May/2005)
In English       HTML(5.06k)  

Global Insecticide Use for Vector-Borne Disease Control (2nd ed.)
Vector control constitutes an important element in the current global strategy for the control of major vector-borne diseases, and chemical control remains an important element in an integrated approach to vector control. This publication attempts to document the use of insecticides for vector control at the global level concerning the evelopment of guidelines on safe and effective use of insecticides and on resistance management, agreements for international use of insecticides, investment for development of alternatives, and review and formulation of policies for insecticide usage at different levels.(31/May/2005)
In English       HTML(3.99k)  

Public Health Pesticide Management Practices by WHO Member States: Report of a Survey, 2003–2004
Survey objectives were to study key features of public health pesticide management practices by WHO Member States; assist national and international organizations in developing activities to address weaknesses in their management practices; and serve as a baseline for monitoring progress in such activities. In the Americas, 14 countries responded comprising 55% of the at-risk population for major vector-borne diseases: Bolivia, Brazil, Chile, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Guyana, Panama, Paraguay. The Caribbean Epidemiology Centre / CAREC assisted with data collection and validation.(31/May/2005)
In English       HTML(5.83k)  

VIth Meeting of the Andean Initiative to Control Chagas Disease (IPA) (Bogotá, Colombia, 5–6 May 2005)
The objective of this meeting was to approach three thematic areas: (a) implementing greater coverage and quality of anti-vectoral activities, according to risk criteria already published by the IPA Technical Advisory Group, taking into account the following: (i) diversity of species, with updated and integrated taxonomy criteria; (ii) interpreting the various epidemiological situations and (iii) the acceptability and viability of the proposals; (b) optimizing management and methodology in blood banks with regard to blood tests, with the goal of eliminating contaminated blood and treating infected individuals detected during testing, within the framework of blood-safety goals; and (c) generating in the member countries a component of morbidity and care for persons infected with or ill from Chagas in an accessible, timely, effective and effecient manner. This page offers the recommendations and decisions plus access to the full-text report in Spanish.(6/May/2005)
In English       HTML(10.13k)  
en español     HTML(10.7k)  

XIVth Meeting of the Intergovernmental Commission of the Southern Cone (INCOSUR) for the Elimination of T. infestans and the Interruption of Transfusional American Trypanosomiasis (Santa Cruz de la Sierra, Bolivia, 28–31 March 2005)
This page includes the recommendations of the meeting, which include (a) upcoming advances in Brazil in interruping vectoral transmission of T. cruzi via T. infestans throughout all endemic areas in the country; (2) approval of a patient care component for Chagas victims; (3) a possible regional meeting of subregional initiatives in 2006; and (4) strengthening of partnerships with MSF-Spain, CIDA and Belgian Cooperation.(31/Mar/2005)
In English       HTML(10.48k)  
en español     HTML(10.9k)  

Area Covered by JICA Projects in Central America
This map shows the geographical extent of the collaboration project between PAHO and the Japan International Cooperation Agency (JICA) for the control of Chagas disease in Central America (within the framework of the subregional initiative of Central American countries, IPCA).(18/Feb/2005)
In English       HTML(2.97k)   PDF(1039.12k)  
en español     HTML(3.04k)   PDF(1000.78k)  

PAHO-JICA Collaboration on Chagas Disease Control in Central America
This page provides a summary of the international partnership between PAHO and the Japan International Cooperation Agency (JICA) for Chagas control in the Central American countries. Within the framework of the IPCA (Initiative of Central American Countries), the project involves interagency cooperation with various other partners.(17/Feb/2005)
In English       HTML(14.48k)   WORDL(145.92k)   PDF(537.47k)  
en español     HTML(15.64k)   WORDL(135.68k)   PDF(498.19k)  

Distribution of Rhodnius prolixus and Triatoma dimidiata (Central America, 2004)
This map shows the geographical distribution of the two main vectors for Chagas Disease in Central America, R. prolixus and T. dimidiata.(14/Feb/2005)
In English       HTML(2.35k)  
en español     HTML(2.48k)  

Manual para capacitadores sobre la enfermedad de Chagas: Conocimientos generales, prevención y vigilancia con participación comunitaria
Este manual, escrito para presentación en colegios y en reuniones comunitarias, sirve a los capacitadores para enseñar cómo controlar y prevenir la enfermedad de Chagas. Con lo aprendido, podrán orientar a los demás sobre las medidas de vigilancia con participación comunitaria. Esta página brinda una descripción más amplia y acceso a la libreta de aprendizaje, en colores, con ilustraciones que refuerzan el material didáctico.(25/Jan/2005)
en español     HTML(4.32k)   PDF(758.11k)  

Sin chinches, no hay Chagas: Chinches picudas, transmisoras de la Enfermedad de Chagas
Este folleto fue diseñado para educarle al público general en forma directa y sencilla, breve y concisa, sobre la enfermedad de Chagas: definición, síntomas, lugares vulnerables, transmisión, prevención y cómo colaborar con las autoridades de Salud para evitar la enfermedad. Esta página brinda el texto del folleto y da acceso al folleto mismo en colores para imprimir y distribuir.(19/Jan/2005)
en español     HTML(7.77k)   PDF(5869.11k)  

¡¡Alerta!! Chinches picudas ...
Afiche producido por el Proyecto para el Control de Chagas para la educación pública: "¡¡Alerta!! 'Chinches picudas' son transmisores de la enfermedad de 'Chagas' que causa problemas de corazón y hasta la muerte. Por eso ¡¡permiten le le rocíen su vivienda!!(19/Jan/2005)
en español     HTML(2.53k)  

¡Se buscan chinches picudas! porque transmiten la Enfermedad de Chagas
Esta herramienta de educación pública, en tamaño de una tarjeta postal, fue el resultado de una colaboración internacional antichagásico centroamericana, para distribución masiva en las zonas endémicas. La meta fue lograr la participación de la comunidad en la lucha contra los dos vectores de la Enfermedad de Chagas, Rhodnius prolixus y Triatoma dimidiata. La tarjeta le enseña a la gente cómo identificar y capturar los chinches y entregarlos a los centros involucrados en actividades de detección, eliminación y tratamiento, al brindar instrucciones pictográficas en seis pasos de forma breve, clara y concisa.(14/Jan/2005)
en español     HTML(3.17k)  

AMCHA: Initiative of the Amazon Countries for Surveillance and Control of Chagas Disease
The delegates of the countries of the Amazon region, participating in the International Workshop on Surveillance and Prevention of Chagas Disease (Manaus, 2004), propose creation of an Initiative of the Amazon Countries for Surveillance and Control of Chagas Disease (AMCHA) to be formally constituted by decision and political agreement of the Ministers of Health.(11/Jan/2005)
In English       HTML(7.88k)  
en español     HTML(8.61k)  
en Français    HTML(9.92k)  
em Português HTML(9.58k)  

Report on Activities and Results of the National Chagas Program (with support from JICA and Pro-Mesas/IRDC, 2004)
With regard to the objective of improving housing as part of the aforementioned National Strategic Plan against Chagas Disease, part of the management objectives of the PNCh is to work with institutions from the health sector devoted to the construction and improvement of rural dwellings, e.g. the Our Roots Program (Nuestras Raíces) of the Honduran Social Investment Fund (Fondo Hondureño de Inversión Social / FHIS), which coordinates its activities with support from nongovernmental organizations (NGOs), among which are World Vision-Honduras, the Technical Council for the Integral Development of Honduras (COTEDIH), CARE, and the Liorna Foundation in Spain, among others. This page offers a summary, related links, and access to the full-text report in Spanish.(31/Dec/2004)
In English       HTML(9.33k)  
en español     HTML(8.95k)   PDF(1065.14k)  

International Meeting on Surveillance and Prevention of Chagas Disease in the Amazon Region (Manaus, Amazonas State, Brazil, 19-22 September 2004)
The purpose of this meeting was the implementation of the Intergovernmental Initiative for Surveillance and Control of Chagas Disease in the Amazon Region (AMCHA), focusing on surveillance, prevention and research.(22/Sep/2004)
In English       HTML(5.52k)  
en español     HTML(5.73k)  
en Français    HTML(6.93k)  
em Português HTML(6.68k)  

PAHO Consultation on Congenital Chagas Disease, Its Epidemiology and Management (Montevideo, Uruguay, 24–25 June 2004, in collaboration with the Latin American Center for Perinatology and Human Development, CLAP)
In this meeting there assembled a select group of researchers, clinicians, and those operating disease-managment programs, mostly from the Southern Cone and with the participation of the Free University of Brussels, Belgium. The objectives were to arrive at and update a situational diagnosis of the disease and its management; to develop guidelines for a management guide; to establish a risk and impact projection on the disease in the Region; and to generate guidelines to regularly and sustainably implement the necessary actions in the countries. This page offers the report with its 14 recommendations, the agenda, and the list of participants. (25/Jun/2004)
In English       HTML(8.91k)   PDF(362.59k)  
en español     HTML(8.62k)   PDF(359.79k)  
en Français    HTML(9.15k)   PDF(356.6k)  

Vth Meeting of the Andean Chagas Initiative (IPA) (Lima, Peru, 6–7 May 2004)
The objectives of this annual IPA meeting were to analyze the situation of Chagas' disease in the countries that form the Andean subregion; define intervention strategies in accordance with entomological, epidemiological, and cost-effectiveness criteria; agree on lines of action related to vector control among the countries of the subregion; and strengthen ties and integration among the National Surveillance and Control Programs in the countries of the Andean subregion. This page offers the conclusions, recommendations, and decisions as well as access to the full-text report in Spanish. (7/May/2004)
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XIIIa Reunión de la Comisión Intergubernamental del Cono Sur para la Eliminación de Triatoma infestans y la Interrupción de la Transmisión Transfusional de la Tripanosomiasis Americana (INCOSUR/Chagas) (Buenos Aires, Argentina, 29–31 marzo 2004)
La Comisión Intergubernamental de la iniciativa de INCOSUR/Chagas se reune anualmente para revisar y monitorear la situación de prevención y control de la enfermedad de Chagas en los países del Cono Sur. Está página brinda las recomendaciones y decisiones que resultaron de la XIIIareunión. El informe final aparecerá en breve a través de esta página.(2/Apr/2004)
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National Strategic Plan for Chagas Disease, 2003–2007
This page provides an executive summary of the plan and access to the full text. It contains a general introduction where the preparation of the PENCHAGAS is explained and justified, in addition to the strategic-planning process; a situation analysis; a response analysis with regulatory principles and strategies proposed to address this problem, plans of action per strategic area following a logical-framework methodology as well as maps of the areas where work will be carried out with international cooperation from 2003 to 2007; and a bibliography.(14/Feb/2004)
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Sampling Guidelines for Surveillance and Vector-Control Activities Related to Chagas Disease
In monitoring and controlling vector-borne transmission of Chagas disease, there are various situations in which sampling techniques can offer sufficient and reliable information when it comes to guiding action. This means greater operational rationality and cost reduction. The degree of possible selectivity is limited because current techniques used in entomological research offer low sensitivity—above all in situations in which vector density is low or minimal, as tends to happen in advanced control phases. Also in the case of seroprevalence studies used to scale the problem or performance auditing, it is not justifiable to include the entire population. These are the reasons justifying the proposal for and production of these Sampling Guidelines for Chagas disease surveillance and vector control. This page offers a summary in English and access to the full text in Spanish and Portuguese.(31/Dec/2003)
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Informe final: Taller Técnico de Estudio sobre Rhodnius pallescens, su Vigilancia y Control (Ciudad Panamá, Panamá, 16–17 septiembre 2002)
Esta página brinda el informe completo (42 pp) sobre R. pallescens, el vector principal para enfermedad de Chagas en Panamá, con estudios sobre el insecto, su epidemiología y entomología, y conclusiones y recomendaciones. También hay presentaciones especiales del Perú sobre R. ecuatoriensis y una contribución del Ecuador.(14/Nov/2003)
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Informe final: XIIa Reunión de la Comisión Intergubernamental del Cono Sur para la Eliminación de Triatoma infestans y la Interrupción de la Transmisión Transfusional de la Tripanosomiasis Americana (INCOSUR/Chagas) (26-28 marzo 2003)
Este documento (159 pp, PDF, mas un anexo en forma de una presentación en Powerpoint) se brinda en texto completo de la reunión de Santiago de Chile, por partes. Se incluyen--además de las recomendaciones y decisiones, antecedentes--los informes de la situación general y la de los países, y actualizaciones sobre la iniciativa en Centroamérica.(4/Nov/2003)
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Informe Final: VIa Reunión de la Comisión Intergubernamental de la Iniciativa de los Países de Centro América para la Interrupción de la Transmisión Vectorial y Transfusional de la Enfermedad de Chagas (IPCA) (Tegucigalpa, Honduras, 8–10 octubre 2003)
La VIa Reunión de la Comisión Técnica Intergubernamental se plantea la necesidad de buscar los mecanismos que le den sostenibilidad al proceso para alcanzar la meta de eliminación de la transmisión vectorial y transfusional, fijada para el año 2010 e incorporar el componente de tratamiento etiológico de la infección reciente en población menor de 15 años de áreas endémicas intervenidas como un objetivo colateral de la IPCA en vista de los avances de control de la transmisión vectorial. Esta página brinda el resumen y las recomendaciones y acceso al informe en texto completo.(10/Oct/2003)
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Southern Cone Workshop on Chagas Disease: Conceptualization of Epidemiological Surveillance (Buenos Aires, Argentina, September 2003)
Epidemiological surveillance is understood to be a set of actions that are carried out both regularly and continually, that provide enough of the necessary information for timely intervention through adequate means of prevention and control. With Chagas disease, epidemiological surveillance needs to take into consideration both entomological (vectoral) surveillance and non-vectoral surveillance. The objective of this workshop was to incorporate into the INCOSUR-Chagas initiative a system of evolving instruments, strategies, and results of the surveillance systems that have been implemented in each country, as can be seen in the report that can be accessed via this page.(30/Sep/2003)
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CD44.R6: Primary Health Care in the Americas: Lessons Learned over 25 Years and Future Challenges
This resolution from the 44th PAHO Directing Council in 2003, taking into consideration the Declaration of Alma-Ata and past PAHO resolutions, sets forth the mandate of improving the quality of primary care in the Americas: more equitable access to health services, improved surveillance and information systems in this context, improved training for healthcare workers, a health promotion approach, better policy implementation, local community-based approaches and models, working towards the Millennium Development Goals, etc.(25/Sep/2003)
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V Reunión de la Comisión Intergubernamental (CI) de la Iniciativa Andina de Control de la Transmisión Vectorial y Transfusional de Chagas (Guayaquil, Ecuador, 7-9 mayo 2003)
Con la finalidad de reactivar la Iniciativa Andina de Control de Chagas, se procedió a convocar esta Reunión de delegados nacionales de Perú, Ecuador, Colombia y Venezuela, con Secretaría Técnica de de OPS. Los objetivos eran trazar prioridades de control antivectorial en la subregión y en los países, delinear estrategias y metodologías de acción, y conjuntar esfuerzos nacionales par la acción internacional de control de Chagas. Esta página ofrece un resumen, las recomendaciones e información sobre los participantes.(9/May/2003)
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XII Reunión de la Comisión Intergubernamental del Cono Sur para la Eliminación de Triatoma infestans y la Interrupción de la Transmisión Transfusional de la Tripanosomiasis Americana (INCOSUR/Chagas) (Santiago de Chile, 26-28 marzo 2003)
Esta XII Reunión de INCOSUR/Chagas tuvo por objetivo el revisar la situación subregional, desarrollar estrategias, y seguir con la lucha contra la enfermedad. Este año hubo una mesa de trabajo especial focalizada en la transmisión transfusional. Esta página brinda las recomendaciones generales y del grupo transfusional, las decisiones, un resumen, y la lista de los que participaban en la reunión.(28/Mar/2003)
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Guía de Evaluación de los procesos de control de triatomineos y del control de la transmisión transfusional de T. cruzi (Montevideo, Uruguay, 2002)
La enfermedad de Chagas afecta en la Región de las Américas a 18 millones de personas, entre infectados por T. cruzi y enfermos en etapas sintomáticas o paucisintomáticas de la afección. Otros 40 millones viven en áreas rurales o suburbanas bajo el riesgo de contraer esta parasitosis. El presente documento (disponible por partes en PDF) es un guía opcional, para desarrollar estos trabajos, basada en la experiencia de más de treinta evaluaciones internacionales desarrolladas en los seis países del Cono Sur, con equipos técnicos internacionales e interdisciplinarios. Se incluyen los formularios.(31/Dec/2002)
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Manual for Indoor Residual Spraying: Application of Residual Sprays for Vector Control
This WHO guide is meant to instruct pest-control workers on how to safely and effectively administer residual insecticides. It was published in 2002 by WHO Communicable Disease Control, Prevention and Eradication as part of the WHO Pesticide Evaluation Scheme, to provide uniform international standards for administration of pesticides to eliminate insects/vectors that transmit disease in an indoor setting. This summary links to the full-text WHO report.(31/Dec/2002)
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Progress Report: Chagas Disease Vector Control Project, Republic of Guatemala (2000-2002)
This report provides details on progress made in the prevention and control of Chagas Disease in Guatemala: outcomes, financial input, cost-benefit analysis, advances in regional cooperation and other areas, and recommendations. The page provides a summary and access to the full text. It was collaboratively produced by PAHO, the Japan International Cooperation Agency (JICA), and the Ministry of Public Health and Social Assistance (MSPAS) of Guatemala.(31/Dec/2002)
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Iniciativa Intergubernamental del Cono Sur para la eliminación de Triatoma infestans y la interrupción de la transmisión de la tripanosomiasis americana transfusional: Once años de prevención, control y cooperación entre países
Este informe de 7 páginas, acompañada por una presentación de 13 diapositivas, brinda un resumen de los resultados concretos de once años de cooperación entre países por parte de la Comisión Intergubernamental del Cono Sur para el control y la eliminación de la enfermedad de Chagas.(1/Jul/2002)
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Relevamiento de insecticidas de control de la enfermedad de Chagas del Cono Sur de América: Datos básicos (2a ed., marzo de 2002)
Esta nueva edición contiene información básica, sobre estos insumos de control, que ha sido señalada como útil y de interés por los Directores de los Programas Nacionales de Control. Se organiza por insecticida, nombre comercial, firma productora, concentración, formulación, dosis por m2, peso por carga en gramas, y costo.(31/Mar/2002)
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Grupo de Trabajo OPS para Consulta en Planificación, Operativa, Estrategia y Evaluación de Etapas Avanzadas del Control Antivectorial en Enfermedad de Chagas (Montevideo, Uruguay, 13-14 noviembre 2001)
Para un programa nacional de control de Chagas, un estado avanzado de control, es aquel donde se ha logrado esta meta de interrupción. Hoy esta situación es una realidad en la totalidad o en áreas parciales de su territorio para cuatro países de la Iniciativa Chagas del Cono Sur: Uruguay (1997), Chile (1999), Brasil (2000) y Argentina (2001). Es necesario entonces preparar a los Programas Nacionales de Chagas para posicionarse y actuar en escenarios de baja prevalencia, con nula ó mínima transmisión, creando condiciones de sustentabilidad adecuada, eficaz, eficiente y oportuna, a los efectos de desarrollar la imprescindible vigilancia. Esta página brinda acceso a la colección de doce trabajos (introducción, 10 artículos, recomendaciones), cada uno en archivo PDF.(14/Nov/2001)
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Chagas Disease Vector Control Project in Guatemala: Progress Report, January-May 2001
The year 2000 marked the implementation of the Chagas Disease Vector Control Project, whose general objective is to eliminate transmission of the disease in Guatemala by 2010 and whose specific objective is to interrupt vector-borne transmission in eight Health Districts. Activities are carried out by the Ministry of Public Health and Social Welfare (MSPAS), by means of its Vector-Borne Disease Program, and strengthened by support from the Japanese government through the Japan International Cooperation Agency (JICA), working in coordination with the University of San Carlos of Guatemala (USAC), Del Valle University of Guatemala (UVG)/CDC-MERTUG, PAHO/WHO, the European Union-APRESAL, UNICEF and local NGOs. This page summarizes the activities and achievements during the period and offers access to the full-text report in Spanish (36 pp, PDF). (31/May/2001)
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X Reunión de la Comisión Intergubernamental para la Eliminación de T. infestans y la Interrupción de la Tripanosomiasis Americana Transfusional (Montevideo, Uruguay, 26-28 marzo 2001)
Este informe (disponible en archivos PDF) constituye un libro con secciones separadas sobre la situación en cada país del Cono Sur además de Colombia y Nicaragua; más de 40 cuadros, mapas y figuras; evaluaciones de los países; secciones sobre laboratorios y bancos de sangre y sobre la resistencia a insecticidas; y recomendaciones de la Comisión y su cumplimiento hasta ahora.(28/Mar/2001)
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CD41.R15: Strengthening Blood Banks in the Region of the Americas
On pages 26-28 of this final report of the 41st PAHO Directing Council in 1999, you will find Resolution 15 on strengthening blood banks in the Americas to prevent disease transmitted by blood transfusion, as is the case with transfusional Chagas disease. This resolution constitutes the PAHO mandate to combat transfusional transmission of Chagas.(1/Oct/1999)
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WHA51.14: Elimination of Transmission of Chagas Disease
In 1998, the 51st World Health Assembly passed this resolution to interrupt the transmission of Chagas disease (American trypanosomiasis) in the Americas. It constitutes the WHO mandate and was adopted by PAHO for the Americas and implemented through four subregional initiatives (AMCHA, IPCA, IPA, and INCOSUR).(16/May/1998)
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Tratamiento etiológico de la enfermedad de Chagas
Este documento contiene las conclusiones de un consulta técnica realizada en Brasil. Se convocó a investigadores de varios países de América Latina para que informaran sus experiencias y para colaborar en la elaboración de las recomendaciones pertinentes, que se encuentran al final de esta publicación.(28/Apr/1998)
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