ArticlePLoS neglected tropical diseases2015
Neglect of a Neglected Disease in Italy: The Challenge of Access-to-Care for Chagas Disease in Bergamo Area.
Article in PLoS neglected tropical diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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30 citing papers in PubMed, 50 citations in OpenAlex.
- Towards effective coverage of Chagas disease: a community-based approach in migrant populations.International journal for equity in health · 2026Article
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- Cost-effectiveness analysis of screening for congenital Chagas disease in a non-endemic area.Nature communications · 2025Article
- Heart failure patients' experiences of self-care neglect: a content analysis.BMC cardiovascular disorders · 2024Article
- Prevalence of Chagas disease among Latin American immigrants in non-endemic countries: an updated systematic review and meta-analysis.The Lancet regional health. Europe · 2024Article
- Community-based actions in consulates: a new paradigm for opportunities for systematic integration in Chagas disease detection.BMC infectious diseases · 2023Article
- Diagnostic pathways of Chagas disease in Spain: a qualitative study.BMC public health · 2023Article
- A Questionnaire Integrated with the Digital Medical Record Improved the Coverage of a Control Program for Congenital Chagas Disease in Tuscany, Italy.Microorganisms · 2023Article
- Chagas disease in Italy: an update of epidemiological studies.Le infezioni in medicina · 2023Article
- Worldwide Control and Management of Chagas Disease in a New Era of Globalization: a Close Look at Congenital Trypanosoma cruzi Infection.Clinical microbiology reviews · 2022Review
- COVID-19: an opportunity of systematic integration for Chagas disease. Example of a community-based approach within the Bolivian population in Barcelona.BMC infectious diseases · 2022Article
- Mapping health behaviour related to Chagas diagnosis in a non-endemic country: Application of Andersen's Behavioural Model.PloS one · 2022Article
- Mapping the morbidity and mortality of Chagas disease in an endemic area in Brazil.Revista do Instituto de Medicina Tropical de Sao Paulo · 2022Article
- Population movements, borders, and Chagas disease.Memorias do Instituto Oswaldo Cruz · 2022Article
- How people affected by Chagas disease have struggled with their negligence: history, associative movement and World Chagas Disease Day.Memorias do Instituto Oswaldo Cruz · 2022Article
- Community-based screening of Chagas disease among Latin American migrants in a non-endemic country: an observational study.Infectious diseases of poverty · 2021Observational
- AutochthonousPathogens (Basel, Switzerland) · 2021Review
- Chagas disease screening in pregnant Latin American women: Adherence to a systematic screening protocol in a non-endemic country.PLoS neglected tropical diseases · 2021Article
- Temporal changes in the clinical-epidemiological profile of patients with Chagas disease at a referral center in Brazil.Revista da Sociedade Brasileira de Medicina Tropical · 2021Article
- Analytical Evaluation of Dried Blood Spot and Rapid Diagnostic Test as a New Strategy for Serological Community Screening for Chronic Chagas Disease.Frontiers in cellular and infection microbiology · 2021Article
Corrections and comments
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Authors and funding
17 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesChagas disease (CD) represents a growing problem in Europe; Italy is one of the most affected countries but there is no national framework for CD and access-to-care is challenging. In 2012 Médecins Sans Frontières (MSF) started an intervention in Bergamo province, where many people of Latin American origin (PLAO) are resident. A new model-of-care for CD, initiated by Centre for Tropical Diseases of Sacro Cuore Hospital, Negrar (CTD), the NGO OIKOS and the Bolivian community since 2009 in the same area, was endorsed. Hereby, we aim to describe the prevalence of CD and the treatment management outcomes among PLAO screened from 1st June 2012 to 30th June 2013.
methodsRetrospective cohort study using routine program data. Screening sessions were done in Bergamo at OIKOS outpatient service and serological confirmation, staging and treatment for CD was offered at the CTD. MSF provided health education on CD, awareness generation prior to screening days, pre-test and post-test counselling through cultural mediators of Latin American origin.
resultsOf 1305 PLAO screened, 223(17%) had CD. Among 210 patients eligible for treatment, 102(49%) were lost-to-follow-up before treatment. The median delay from diagnosis to treatment was 4 months (range 0.7-16.6 months). Among 108 started on treatment, 63(58%) completed treatment, 36(33%) interrupted treatment, (33 for drug side-effects, two for patients decision and one due to pregnancy), 6(6%) were lost-to-follow-up and 3(3%) were on treatment at study censuring.
conclusionIn this first study focusing on process of care for CD in Italy, less than 30% of patients completed treatment with drop-outs along the cascade of care. There is an urgent need to involve affected communities and local regional health authorities to take part to this model-of-care, adapting it to the local epidemiology. The Italian health authorities should take steps in advocating for a change in the current paradigm.
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