The Kiss of Death

Lymph nodes, and acute Chagas’ disease, 198

Lymphocytes, 198

Lytic antibodies (LA), 210-11

M

Macrophages:

acute phase of Chagas’ disease and, 198;

immune response to T. cruzi infection and, 208, 209, 210, 215

Malaria, 3-6

Marsden, Philip D., xx, 176, 237 n.1

Martinez, Freddy, 109, 113

Marx, Karl, 234 n.8

Maurer, Cardinal, 107

Mayda, Evaristo, 131, 144, 233 n.3, 236 n.5

Maynas (Peru), 37

Measles, 27

Medical history, and discovery of Chagas’ disease, 1-18

Megacolon, 72-75

Megaesophagus, 75

Melisa officinalis, 42

Melogno, Roberto, 141, 236n.6

Mendez Acufia, Johnny, 73-74

Meningoencephalitis:

acute phase of Chagas’ disease and, 197;

AIDS and T. cruzi infection, 229 n.1;

Chagas’ disease in children and, 48

Mestizos: herbal medicine and, 39;

housing in urban areas and, 99, 101

Metacyclic trypanosomes, of T. cruzi, 58-59, 160, 161, 162, 212

Midwives, and Culture Context Model for Chagas’ prevention, 136

Migration, of humans:

housing and spread of Chagas’ disease, 94-95;

as vectors of ecological exchange, 23-24

Milk, contamination of with T. cruzi, 62, 178

Ministry of Public Health (Bolivia), 217

Misqui (Bolivia), 104

Misfortune ritual, of Kallawaya herbalists, 30-34

Model, for Chagas’ control in Bolivia, 110-12

Molecular mimicry, by T. cruzi, 214

Monckeberg, J. G., 200

Monocytes, and T. cruzi infection, 208-209

Mortality rates, for Chagas’ disease:

acute phase and, 197;

children and, 48;

congenital transmission and, 60-62

Mosquitos, and Chagas’ research on malaria, 4

Mountain of the Condor: Metaphor and Ritual in an Andean Ayllu (Bastien, 1978), xvi

Mucins, 168

Multiform chagasic syndrome, 203

Mummies, and archaeological evidence of Chagas’ disease in Andes, 19, 24, 27, 164, 206

Myocarditis, 197, 203-204, 213, 216

Myosin, 86, 232 n.7

N

National Academy of Medicine (Brazil), 16

National Chagas’ Control Committee (Bolivia), xviii

National University at Cochabamba, 52

Natural resistance, to T. cruzi, 205-207

Nervous system:

chronic stage of Chagas’ disease and, 85;

neuronal degeneration during acute phase of Chagas’ disease, 213-14

Nicotiana spp., 37

Nifurtimox, and treatment of Chagas’ disease:

cost of, 71;

dosages of, 50, 220;

efficacy of, 224;

ethnomedicine and, 45;

maternal transmission to fetus, 61;

recommendations on use of, 220-22

Nitroimidazole (2-amino-5-[methyl-5-nitro2-imidazolyl]-1, 3, 4 thiadiazole), 223

Noel Kempf Preserve (Bolivia), 155

Nongovernmental organizations (NGOs), and Culture Context Model for Chagas’ prevention, 143-44

North American Free Trade Agreement (NAFTA), 103

Nufiez, L., 19

Nurses, as principal biomedical personnel in rural Bolivia, 67. See also Community health workers

Nutrition, and resistance of infants to T. cruzi, 62

Nymphs, of T. infestans, 174, 175, 176

O

Obligate bloodsucking, and T. infestans, 173

Opossums (Didelphis marsupialis), 163, 189, 195

Opsonization, and phagocytosis of T. cruzi, 209

Oral transmission, of T. cruzi, 62-64

Organ transplants, and transmission of T. cruzi, 62, 63

Ortloff, Charles, 146-47

Oswaldo Cruz Institute, 2, 12, 14

P

Pacemaker, and chagasic heart disease, 80, 83

Pacha Kuteq Yupanki (Inca king), 25

Pachamama (Mother Earth), 109-10

Paints, and slow-release insecticide, 120, 234 n.12-13

Paleopathology, 24

Pan American Health Organization, xiii

Panstrongulus lignarius, 189

Panstrongylus megistus, as vector for T. cruzi:

defecation rate, 59;

feeding activities, 176;

importance of compared to other species of vectors, 186, 188, 189, 191;

sylvatic zymodemes and, 163

Papaya juice, 42