The Kiss of Death

decreased productivity and, 149-53;

environment of, 154-57;

epidemiology of, 46-64;

housing and physical proximity of parasites, vectors, and hosts, 88-106, 179-83;

housing and prevention programs, 107-23, 124-33;

integration of biomedicine and ethnomedicine, xvi-xvii;

interdisciplinary approach to prevention, 146-49;

Kallawaya herbalists and ethnomedicine, 30-45;

public awareness of, xv, 113;

restoration of traditional culture and prevention of, 29;

triatomine vectors of T. cruzi in, 191-93

Borda Pisterna, Mario, 196

Borrelia burgdorferi, xv

Bourdy, Gene, 229 n.6

Brazil:

blood transfusions and Chagas’ disease, 59;

chagasic esophageal problems, 231n.7;

Chagas’ research on malaria, 3-6;

infestation of houses with T. infestans, 184;

oral transmission of T. cruzi, 62;

socioeconomic impact of Chagas’ disease, 84;

xenodiagnosis and nifurtimox treatment of Chagas’ disease, 221

Breast-feeding, and transmission of T. cruzi, 62-63

Briceno-Leon, Roberto, xxi, 89, 147, 184-85

Browne, Janet, 10

Bryan, Ralph, 229n.3

Bureaucracy, and prevention programs, 109-10

C

Calamus drago, 40

Campesino (peasants):

health education and, 132;

housing in urban Bolivia, 100, 101

Canada, blood transfusions and Chagas’ disease, 230n.5

Cancer, and herbal medicine, xvii

Carbon dioxide, and

T. infestans, 174

Cardenas, Victor Hugo, 100

Cardiomegaly, 19, 85, 197

Cargo system, 112-13

Caritas (Roman Catholic relief organization), 144, 235n.2

Carrasco, Nicolas, 39-42, 44

Carrasco, Roxanna, 199-200

Carrying capacity, for T. infestans, 180

La Casa Enferma: Sociologia de la Enfermedad de Chagas

(Briceno-Leon, 1990), xxi

Casanovas, Alberto, 81, 82-83, 203

Castor oil, 44, 228n.1

Catholic Church, 109-10, 144.

See also Caritas; Proyecto Britanico Cardenal Maurer

Cats, infection with T. cruzi, 47, 194

Cattle, as hosts for T. cruzi, 195

Centers for Disease Control (CDC), 45, 128, 233n.2, 236n.1

Central America:

infestation of houses with T. infestans, 184;

rates of T. cruzi vectors in, 190. See also specific countries

Centro de Investigacion y Diagnostico de la Enfermedad de Chagas-Sucre, 81-82

Cestrum mathewsi, 43

Chagas, Carlos:

congenital transmission of Chagas’ disease and, 230 n.6;

description of symptoms of Chagas’ disease, 196;

discovery of Chagas’ disease, xiii, 1-18, 194, 217;

Romafia’s sign and, 49

Chagas’ disease:

Andean ethnomedicine and, 30-45;

author’s personal awareness of, xviii-xx;

autoimmune components ofpathogenesis, 213-16;

baseline studies in Chuquisaca, 226-27;

case studies of enlarged colon, 20-22, 65-75;

case study of esophagus, 75-76;

case study of heart disease, 78-87;

chemotherapy for, 220-25;

chronic heart disease and symptoms of, 203-204;

cultural context model for control of, 134-45;

decreased productivity in Bolivia and, 149-53;

diagnostic tests for, 217-19;

discovery of, 1-18;

epidemiology of, 46-64;

geographic distribution of in Latin America, xiv;

history of in Andes, 19-29;

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

housing in Bolivia and prevention programs, 107-23, 124-33;

immunization against T. cruzi and, 166-72;

interdisciplinary approach to prevention of, 146-49;

pathology of acute, 196-202;

public awareness of in Bolivia, xv;

review of literature on, xx-xxiii;

scope of as public health problem in Latin America, xiii;

in United States, xxi-xxii, 60, 63, 94, 230 n.5;

statistics on infestation of houses with T. infestans, 184-85.

See also Trypanosoma cruzi

Chagas’Disease in Bolivia: The Work of the SOH/CCH Chagas Control Pilot Program (1994), xxi

Chagas’ Disease and the Nervous System (Pan American Health Organization, 1994), xxi

Chagoma, 7, 8, 49, 196-97

Chemotherapy, for Chagas’ disease:

benznidazole, 45, 50, 61, 222-23, 224;

D0870, 225;