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Euro Surveill. Chagas disease in Switzerland: history and challenges

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  • Euro Surveill. Chagas disease in Switzerland: history and challenges

    [Source: Eurosurveillance, full text: (LINK). Abstract, edited.]

    Eurosurveillance, Volume 16, Issue 37, 15 September 2011
    Surveillance and outbreak reports

    Chagas disease in Switzerland: history and challenges

    Y Jackson ()<SUP>1</SUP>, F Chappuis<SUP>2</SUP>
    1. Division of primary care medicine, Department of community medicine, primary care and emergency medicine. Geneva University Hospitals and University of Geneva, Switzerland
    2. Division of humanitarian and international medicine, Department of community medicine ,primary care and emergency medicine. Geneva University Hospitals and University of Geneva, Switzerland
    <HR>
    Citation style for this article: Jackson Y, Chappuis F. Chagas disease in Switzerland: history and challenges. Euro Surveill. 2011;16(37):pii=19963. Available online: http://www.eurosurveillance.org/View...rticleId=19963
    Date of submission: 10 November 2010
    <HR>Chagas disease, endemic in Latin America, is an emerging health problem in Europe affecting an estimated 80,000 persons. Around 60,000 Latin American migrants live in Switzerland, and cases of Chagas disease have been reported since 1979. As of June 2011, 258 cases have been diagnosed, mostly adults in the indeterminate phase of the chronic stage of the disease. Vertical transmission has been identified and there is a high potential for blood- and organ-borne transmission in the absence of systematic screening. Major challenges include (i) raising awareness among migrants and healthcare professionals, (ii) developing national protocols for screening and treatment targeting high-risk groups such as pregnant woman, newborns, migrants from highly endemic areas (e.g. Bolivia), and immunocompromised migrants, (iii) preventing blood- and organ-borne transmission by appropriate screening strategies, (iv) taking into account the social vulnerability of individuals at risk in the design and implementation of public health programmes, and (v) facilitating contacts with the communities at risk through outreach programmes, for example in churches and cultural groups.
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