24 abril 2005

El mal de Chagas, una enfermedad silenciosa, pero no olvidada




Médicos Sin Fronteras acaba de publicar un libro sobre el Mal de Chagas, esta enfermedad, apenas conocida para el público general, lleva muchos años asolando zonas empobrecidas y de una salubridad muy baja en América Latina.

Particularmente me alegro de que MSF de a conocer esta 'plaga olvidada', sin embargo si he de decir que hay ONG que llevan muchos años trabajando para erradicarla, yo concretamente conozco el caso de Ayuda en Acción.

Ya desde mediados de los 90, cuando trabajaba con Ayuda en Acción, esta era una de las áreas fundamentales de trabajo de esta organización. La lucha contra la Chirimacha, Barbeiro, Vinchuca o Cocomacha, como se le llama en Perú, Bolivia o Ecuador era ya por aquel entonces una prioridad para esta organización.

El mal de Chagas se transmite a través de un mosquito (Vinchuca) nombre común de los insectos Reduvidaeque técnicamente se denomina Tripanosoma Cruci, es algo así como primo hermano del Tripanosoma Infestans que es el que transmite la mosca Tse Tse.

La Vinchuca es un parasito que chupa la sangre (normalmente en animales domésticos) y a su vez transmite la enfermedad. Es habitual que la picadura se produzca también en las personas, ya que las familias al tener tan pocos recursos, deben convivir con sus animales dentro del mismo espacio.
Es muy difícil encarar un plan de erradicación de mal de Chagas, pero no hay que dejar de pensarlo. Cuando la OMS, pensó y logro, erradicar la polio y la viruela, se consiguieron los fondos que resultaron unas monedas, si se compara con los costos de las ultimas guerras, como la de Vietnam, el Golfo o la de Irak.

Esto ultimo indica que hay que primero hay que "querer hacer" y después hacer; un amigo solía decir "son mas los que vivieron del Chagas que los que murieron por su causa", tal sea cierto se han hecho muchas veces despilfarros de fondos públicos en compras de camionetas, equipos de fumigación, pago de recursos humanos, insecticidas, reactivos diagnósticos, y los resultados no fueron tan buenos.

Para cortar la trasmisión , hay que:

  • Educar
  • Cambiar las viviendas
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En definitiva, combatir la pobreza, alfabetizar, gastar en viviendas, gastar menos en
preparativos militares y dejar de transferir riqueza pueden ser la solución.

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Muy bueno tu artículo, pero te haría algunos agregados y correcciones. El agente vector es un insecto del orden Hemiptera, redúvido, hematófago, que se adaptó a vivir en las casas de adobe y techo de paja entre las grietas, se alimenta con la sangre de animales de sangre caliente (entre ellos el hombre)aunque "si le dieran a elegir, escogería a las gallinas" porque le es más cómodo, está en los nidos y chupa tranquilo. A propósito, las aves no se infectan de Chagas. Comúnmente llamada "Vinchuca"(Arg., Chile, Bol., Perú), "Barbeiro, Bicho da parede, chupanga" (Brasil), Pito (Col.),"Chinche Besucona"; Chinche gaucha (Arg.), Chinche Cono-Nariz, Chinche hocicona, Kissing bug, etc.
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El parásito es un protozoo flagelado: Trypanosoma cruzi, emparentado con los otros tripanosomas africanos (T. brucei vaiedades (gambiense)y (rhodesiense))transmitidos por la mosca Tsé - Tsé (Glossina sp.) responsables de la enfermedad del sueño que bien conoces. Todo lo demás es cierto, cambiando las casas,construyéndolas con buenos materiales, que no se resquebrajen fácilmente formando grietas dando lugar al insecto un escondrijo perfecto (sobre esto habría que ejercer un control excesivo con los materiales pues es sabido que si compras uno bueno no falta uno que te lo cambia por otro más barato, cuento viejo por estos lados), educando, y erradicando mediante prevención con la limpieza de los alrededores, a veces fumigando (sin olvidarse de la posible resistencia que podrían adquirir los insectos si se abusa de los plaguicidas)fumigación racional sería lo ideal (¿Utópico?, No tanto), cada vez que a los gobiernos hispanoamericanos e incluyo al argentino, les tocan este tema se dan de lleno con una realidad que no quieren ver y que quieren guardar bajo el tapete. Chocan de frente con algo viejo, transmitido por generaciones sin resolver pero con una solución simple: Si se dispone de los recursos, y obviamente NO SE LOS MALGASTA, canalizados como corresponde, se cortaría la transmisión vectorial, se cumpliría el sueño de !Don Carlos Chagas!(sí, él mismo, pues él lo propuso en su momento, pero como pasa no le hicieron caso, comentando "que había un designio fatídico en esta enfermedad cada vez que se descubre algo nuevo sobre ella, era más conveniente investigar sobre mariposas y batracios que sobre el hemoflagelado y su vector")
Te felicito por este espacio que nos das para expresarnos y por expresar tus ideas, vas por buen camino, hermano. Un abrazo.

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