title: The importance of the multidisciplinary approach to deal with the new epidemiological scenario of Chagas disease (global health).
abstract: There are currently two major factors that have modified the epidemiology of Chagas disease in the last decades: climate change and migration flows. In this new scenario, there are new challenges to control and prevent Trypanosoma cruzi infection in endemic countries, such as the control of a wider distribution of triatomine vectors or the reinforcement of vertical transmission programs. In non-endemic areas, few countries are aware of the emergence of this new disease and have established changes in their health systems. To address this new public health challenge, the priorities should be control programs to avoid new cases of T. cruzi infection acquired through vertical transmission, blood transfusion or organ transplant. In both, endemic and non-endemic areas, the international community and all the actors involved in Chagas disease must join efforts mainly in two directions: better management of the infection in affected individuals and more research to cover the knowledge gap mainly in physiopathology, diagnosis and treatment.
authors.affiliation: Instituto de Salud Global de Barcelona, Hospital Clínic, Universitat de Barcelona, Roselló, 134-4°, 08036 Barcelona, Spain. Electronic address: mariajesus.pinazo@isglobal.org.
authors.forename: Maria-Jesus
authors.initials: MJ
authors.lastname: Pinazo
authors.affiliation: Instituto de Salud Global de Barcelona, Hospital Clínic, Universitat de Barcelona, Roselló, 134-4°, 08036 Barcelona, Spain. Electronic address: jgascon@clinic.ub.es.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Gascon
mesh_terms: D000818:Animals; D014355:Chagas Disease / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission*; D057231:Climate Change; D014943:Global Health; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control* / Q000706:statistics & numerical data*; D012424:Rural Population / Q000706:statistics & numerical data*; D014349:Trypanosoma cruzi / Q000469:parasitology*; D014505:Urban Population / Q000706:statistics & numerical data*
keywords: Benznidazole; Chagas disease; Migration; Oral transmission; Triatoma infestans; Trypanosoma cruzi