The Kiss of Death

Symbols, in Kallawaya misfortune ritual, 33

Symptoms, of Chagas’ disease:

acute phase and, 49;

case study of chagasic esophagus, 75-76;

case study of enlarged colon, 20-22, 65-77;

case study of heart disease, 78-87;

chronic heart disease and, 203-204;

Kallawaya herbalists and interpretation of, 34-36;

progression of, 16-18.

See also Pathology

Synanthropic animals, and triatomines, 194

Syphilis, 6, 217

T

Tabacal (Cochabamba, Bolivia), 81

Taber, C.W., 228 n.1

Tapia, Gonzalo, 229 n.6

Tarija, Department of (Bolivia), 95, 124-33, 176, 182, 183

Tawantinsuyo (Inca empire), 25

Taxonomy, of Trypanosoma cruzi, 159-62

T-cells, 199, 210, 232 n.6

T. cruzi. See Trypanosoma cruzi

Teaching aids, for Chagas’ prevention programs, 130-32

Technology, and Culture Context Model for Chagas’ prevention, 142

Temporality, and Culture Context Model for Chagas’ prevention, 140-41

Tertiary Chagas’ disease, 16

Tibayrenc, M., 164

T. infestans. See Triatoma infestans

Tobacco, as traditional cure for Chagas’ disease, 36-37

Tonn, Bob, xx, 229 n.3

Treatment. See Chemotherapy

Triatoma brasiliensis, 186, 188, 189

Triatoma dimidiata, 177, 184, 186, 188, 189

Triatomaguasyana, 51

Triatoma infestans (T. infestans):

adaptation of in Bolivia, 52-58, 187-88;

archaeological evidence of, 24;

Chagas’s discovery of Chagas’ disease and, 6-9;

efficiency of as vector, 159-60;

epidemiology of Chagas’ disease in Bolivia, 46-64;

housing and physical proximity of with parasites and hosts in Bolivia, 88-106, 179-83;

Inca empire and spread of, 25;

life cycle of, 173-78;

slow-release insecticide paints, 120, 234 n.12-13;

Spanish conquest and colonialism, 26-28;

strains of T. cruzi and, 164

Triatoma maculata, 189

Triatoma melanocephala, 51

Triatoma oswaldoi, 15

Triatoma patagonica, 193

Triatoma pseudomaculata, 189

Triatoma rubrofasciata, 187

Triatoma sordida, 51, 59, 186, 188, 189

Triatoma venosa, 51, 189

Triatominae, subfamily, 190-91

Trypanosoma brucei group, 1, 13, 160, 166, 212, 225

Trypanosoma conorrhini, 187

Trypanosoma cruzi (T. cruzi):

adaptation of in Bolivia, 52-58;

adaptation to gut of T. infestans, 176;

animal reservoirs and hosts for, 194-95;

author’s first impression of, xiii;

chemotherapy and evasive strategies of, 229 n.2;

discovery of by Chagas, 11;

forms of, 12;

housing and physical proximity of with vectors and hosts in Bolivia, 88-106;

immune response to infection with, 205-16;

immunization against, 166-72;

Inca empire and spread of, 25;

long-term adaptation of in Andes, 20;

parasitic cycle of, 15;

strains of, 163-65;

taxonomy and life cycle of, 159-62;

vector species of in the Americas, 186-93.

See also Chagas’ disease

Trypanosoma minasensi, 11

Trypanosoma rangeli, 160, 162, 187, 190, 217

Trypanosomatidae, 159

Trypanosoma vespertilionis, 187

Copyright

©1998 by The University of Utah Press

All rights reserved

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Printed on acid-free paper

LIBRARY OF CONGRESS CATALOGING-IN-PUBLICATION DATA

Bastien, Joseph William, 1935-

The kiss of death: Chagas’ disease in the Americas / Joseph

William Bastien.

p. cm.

Includes bibliographical references and index.

ISBN 0-87480-559-7 (alk. paper)

1. Chagas’ disease--Bolivia--Epidemiology. 2. Chagas’ disease--Latin America--Epidemiology. 3. Chagas’ disease--Social aspects--Bolivia. 4. Chagas’ disease--Social aspects-Latin America. 5. Chagas’ disease--Bolivia-- Prevention. 6. Chagas’ disease--Latin America--Prevention. 7. Housing and health--Bolivia. 8. Housing and health--Latin America. 9. Public health surveillance--Bolivia. 10. Public health surveillance--Latin America.

I. Title.