warmiyachaj — A woman diviner and ritualist in the Kallawaya region of Bolivia who performs rituals to the river to remove sicknesses.
X
xenodiagnosis — A method of diagnosis in which an uninfected (sterile) vector is fed on a suspected host and later examined for the presence of the parasite. In the case of Chagas’ disease, this is done by placing about twenty-five sterile triatomine insects in a jar under the arm of a person and allowing the insects to blood feed for thirty minutes. Thirty and sixty days later, the feces of the bugs are inspected microscopically to see if they contain T. cruzi. This examination is usually done after someone has tested positive with ELISA tests; and it is effective in determining the parasites’ population size and strains (zymodeme). (See Appendix 12.)
Y
yachaj — Quechua for diviner or soothsayer in the Andes; (yatiri is Aymara for the same). Literally, “one who knows.” Yachajkuna (pl.) and yatirinaca (pl.) perform divination rituals with coca leaves and the intestines of guinea pigs to determine causes of illness. They also perform rituals to remove the causes of the illness.
Yungas — Region of eastern Andean slopes from around 2,000 to 6,000 feet; it receives ample rainfall and is noted for its lush vegetation and production of fruits, vegetables, and coca leaves.
Z
zymodemes — Classifications of T. cruzi based upon enzymatic profiles of parasite strains, over 100 of which have been classified. It is suggested that certain zymodemes prefer particular organs and manifest varying degress of sickness. Also referred to as isoenzymatic strains (IS) of T. cruzi. (See Appendix 12.)
Abbreviations
AT — Padenosine triphosphate
CCH — Community and Child Health Project (1989-1994), sponsored by USAID-Bolivia and the Bolivian Secretariat of Health (SOH). This project included primary health care, nutritional care, vaccinations, water projects, maternal and child health care, and Chagas’ control in 1990.
CCCP — Cross-cultural community participation
CCT — Culture Context Triangle
CDC — Centers for Disease Control (Atlanta, Georgia)
CEDEC — Centro por Estudios por Desarollo Chuquisaca
CENDA — Centro de Comunicación y Desarollo Andino, Cochabamba
CHW — Community Health Worker
DALYs — disability-adjusted life years
ECG — electrocardiography
Habitat — United Nations Center for Human Settlements
HICs — House Improvement Committees
IBBA — French/Bolivian Institute for High Altitude Biology and Parasitology, affiliated with Pasteur Institute in France.
IS — isoenzymatic strains of T. cruzi
MPSSP — Ministerio de Previsión Social y Salud Pública, Bolivia’s ministry of health until 1993, when its name was changed to Secretaria Nacional de Salud (SNS).
NGOs — Nongovernmental organizations, privately operated but often with funding from international agencies that are involved in development projects. Bolivia currently has over fifty NGOs working in public health matters.
PAHO — Pan American Health Organization
PBCM — Proyecto Británico-Cardenal Mauer; name later changed to Cardenal Mauer (CM) after Britain discontinued funding this project in the Department of Chuquisaca.
PL. 480 — U.S. Public Law 480 allows for funds in host-country currency derived from the sale of U.S. agricultural products to be used in the host country in development projects. Some $2.5 million was provided to pilot projects of SOH/CCH Chagas program in Bolivia.
Pro-Habitat — United Nations Center for Human Settlements in Bolivia
PROCOSI — Programa de Coordinación en Supervivencia Infantil Organizaciones Privadas Voluntarias, which assumes the role of coordinating NGOs in Bolivia by allocating funds contributed by USAID and other agencies and by evaluative studies.
SNS — Secretaria Nacional de Salud (Spanish name for Secretariat of HealthSOH)
SOH — Secretariat of Health. New name replacing MPSSP in 1993, after the Bolivian government enacted legislation to decentralize the administration of health from La Paz to regional locations.
SOH/CCH — Secretariat of Health (SOH) and Community and Child Health (CCH) Chagas Control Program in Bolivia (1991-1994), sponsored by USAID-Bolivia and the Bolivian Secretariat of Health.
USAID — United States Agency for International Development
VBC — Vector Biology and Control Project (USAID, Washington, D.C.)
WHO — World Health Organization
References
Acquatella H., J. Gomez-Mancebo, F. Catalioti, V. Davalos, L. Villalobos, J. Alvarado 1987 Long-term control of Chagas’ disease in Venezuela: Serologic findings, electrocardiographic abnormalities and clinical outcome. Circulation 76:556-62.
Adler, S. 1959 Darwin’s illness. Nature 184:1102-3.
Alarico, Jemio, and Ariel Sempertegui 1991 Interview by J. Bastien, Sucre, Bolivia, June 18, tape recording.
Albo, Xavier 1985 Desafios de la solidaridad aymara. La Paz: CIPCA.
Allen, J.R.F., and B.R. Holmsted 1980 The simple beta-carboline alkaloids. Phytochemistry 19:1573-82.
Almeida, Maria T., L.S. Filardi, and Z. Brener 1984 Alteraçoes ultra-estruturais dos estagios intracelulares e efeito sobre as formas sanguineas induzidas in vivo pelo 2-amino-5-(1-methyl-5-nitro-2-imidazoly10-1,2,3-thiadiazole. Revista Sociedade Brasileira de Medicina Tropical 17:89-93.
Alvarenga, N.J., and P.D. Marsden 1975 Estudos sobre persistencia de infectividade do Trypanosoma cruzi. 1. Efeito da termperature sobre a infectividade de flagelados de amostra Peru de T. cruzi obtridos de fezes de triatomíneos. Revista Sociedade Brasileira de Medicina Tropical 9:283-87.
Amando Phillippi, Rodolfo 1860 Viaje al Desierto de Atacama hecho de orden del Gobierno de Chile en el verano 1853-54, publicado bajo los auspicious del Gobierno de Chile. Sajonia: Liberia de Eduardo Anton.
Andrade, Z. 1958 Anatomic patologia da doena da Chagas. Revista Goiana Medicine 4:103-19.
. 1994 Pathology of the autonomic nervous system in Chagas’ cardiopathy. In Chagas’ Disease and the Nervous System, 212-22. Washington, D.C.: Pan American Health Organization.
Apt, Werner 1978 Ciclo evolutivo del Trypanosoma cruzi. In Enfermedad de Chagas, Alfredo Romero Davalos, ed., 69-77. La Paz: Editorial Los Amigos del Libro.
. 1986 Letter. Transactions of the Royal Society of Tropical Medicine and Hygiene 80:1010.
Apt, W, A. Arribada, H. Sagua, J. González, and J. Araya 1987 Cardiopatia chagásica en el altiplano chileno. Estudio clinico, epidemiológico y electrocardiográfico. Revista Médica de Chile 115:616-23.
Apt, Werner, C. Naquira, A. Tejada, and L. Atrozz 1968 Transmisión congénita del Trypanosoma cruzi. II. En ratas con infección aguda y crónica. Boletin Chileno de Parasitología 23:9-15.
Arata, Andrew A. 1992 Work Plan and Technical Assistance to Bolivian Chagas’ Disease Control Program of the CCH Project (511 -0594). In Vector Biology and Control Project Report No. 82236A. Arlington, VA: Vector Biology and Control Project.
Arias, A.R., J.M. Rosner, M.E. Ferreira, P. Galeano, M. Maldonado, and R. Henning 1988 Chagas’ Disease in Paraguay. XII International Congress for Tropical Medicine and Malaria.
Arnold, D.Y. 1992 La casa de adobes y piedras del Inka. In Hacia un orden andino de las cosas, ed. Denise Arnold, D. Jünénez and Juan de Dios Yapita, 31-108. La Paz: Hisbol.
Arriaza, B. 1995 Chile’s Chinchorro mummies. National Geographic (March): 71-88.
Arribada, A., W. Apt, X. Aguilera, A. Solari, and J. Sandoval 1990 Cardiopatía chagásica en la Primera Región de Chiloe. Estudio clinico, epidemiologico y parasitologico. Revista Médica de Chile 118:846-54.
Ashburn, Percy M. 1947 The Ranks of Death: A Medical History of the Conquest of America. New York: Coward McCann.
Astruc, J.A. 1754 A Treatise of Venereal Disease. London: Innis, Richardson, Davis & Cox.
Atias, A. 1980 Enfermedad de Chagas digestiva en Chile, experiencia de 20
afios. Boletin Hospital Civil de San Juan de Dios (Quito) 27:251-57.
Ault, Steven, Jesse Hobbs, Robert Klein, and Rodrigo Zeledón 1992 Technical Evaluation of USAID CCH-Chagas’ Disease Control Project BoliviaAugust 1992. In Vector Biology and Control Project Report No. 82061. Arlington, VA: Vector Biology and Control Project.
Avila, José Luis 1994 Molecular mimicry between Trypanosoma cruzi and host nervous tissue. In Chagas’ Disease and the Nervous System. Scientific Publication No. 547, 250-72. Washington, D.C.: Pan American Health Organization.
Azara, Félix de 1809 Voyages dans l’Amérique méridionale, par don Félix de Azara, commissaire et commandant des limites espagnoles dans le Paraguay depuis 1781 jusqu’en 1800. 4 vols. & atlas. Paris: Dentu.
Azogue, E. 1982 Transmisión congenita de la enfermedad de Chagas en Santa Cruz, Bolivia II-hallazgos patológicos. Boletin Informativo del CENETROP 7 (1): 19-23.
Azogue, E., and G. Urioste. 1985 Transmisión congenita de la enfermedad de Chagas. III aspectos clínicos y anatomo-patológicos del recien nacido. Boletín Informativo del CENETROP II (I): 21-30.
Azogue, E., C. La Fuente, and Ch. Darras 1981 Transmisión congénita de la enfermedad de Chagas en Santa Cruz Bolivia. I: Epidemiologia. Boletin Informativo del CENETROP 7(I): 23-29.
. 1985 Congenital Chagas’ disease in Bolivia: Epidemiological aspects and pathological findings. Transactions of the Royal Society of Tropical Medicine and Hygiene 79:178-80.
Bachelard, Gaston 1969 The Poetics of Space. Trans. by Maria Jolas. Boston: Beacon Press.
Balderrama, H., A. Romero, J.A. Garcia, H. Bermúdez, R. Serrano, C. La Fuente, and F. Romero 1981 Estudio epidemiológico de Chagas crónico en la población de El Trigal, Santa Cruz, Bolivia. Boletin Informativo del CENETROP 7:16-22.
Barclay, C., J. Cerisola, H. Lugones, O. Ledesma, J. Silva, and C. Morego 1978 Aspectos farmacológicos e resultados terapéuticos do Benznidazol novo agente quimioterápico para tratamiento de infección de Chagas. Prensa Médica Argentina 65:239-44.
Barrera Moncada, G. 1987 Desarrollo mental en niños con infección chagásica crónica. Archivos Venezolanos de Puericultray Pediatria 50:106-11.
Barreto, Ananias 1993 Costumbresy Creencias del Campo Tarijeño. Tarija: Editorial de la Universidad Juan Misael Saracho.
Bastien, Joseph W. 1973 Qollahuaya Rituals: An Ethnographic Account of the Symbolic Relations of Man and Land in an Andean Village. Ithaca: Cornell Latin American Studies Program.
. 1978 Mountain of the Condor: Metaphor and Ritual in an Andean Ayllu. American Ethnological Society, Monograph 64. St. Paul: West Publishing Company. (Reissued in paperback by Waveland Press in 1987.)
. 1981 Metaphorical relations between sickness, society, and land in a Qollahuaya ritual. In Health in the Andes, ed. Joseph W. Bastien and John Donahue, 19-37. Monograph 12. Washington, D.C.: American Anthropological Association.
. 1982 Herbal curing by Qollahuaya Andeans. Journal of Ethnopharmacology 6:1328.
. 1983a Lasplantas medicinales de los kallawayas. Oruro, Bolivia: Proyecto Concern.
. 1983b Pharmacopeia of Qollahuaya Andeans. Journal of Ethnopharmacology 8:97III.
. 1985 Qollahuaya-Andean body concepts: A topographical-hydraulic model of physiology. American Anthropologist 87:595-611.
. 1987a Healers of the Andes: Kallawaya Herbalists and Their Medicinal Plants. Salt Lake City: University of Utah Press.
. 1987b Cross-cultural communication between doctors and peasants in Bolivia. Social Science and Medicine 24:1109-18.
. 1988 Cultural perceptions of neonatal tetanus and programming implications, Bolivia. Resources for Child Health Project. Arlington: REACH, John Snow, Inc.
. 1989 A shamanistic curing ritual of the Bolivian Aymara. Journal of Latin American Lore 15 (I): 73-94.
. 1990 Community health workers in Bolivia: Adapting to traditional roles in the Andean community. Social Science and Medicine 30:281-88.
. 1992 Drum and Stethoscope: Integrating Ethnomedicine and Biomedicine in Bolivia. Salt Lake City: University of Utah Press.
Bastien, J.W., W. Mahler, M. Reinecke, W. Robinson, J. Zalles-Asin, and Yong-Hua Shu 1990 Testing of anti-HIV compounds from Bolivian-Kallawaya medicinal plants. Paper presented at the 2nd International Congress of Ethnobiology, Kunming, China, October 22-28.
Bastien, J.W., W. Mahler, M. Reinecke, W. Robinson, F. Valeriote, J. Zalles, and Qi Jia 1994 Phytochemical studies of Kallawayan medicinal plants as potential anti-tumor drugs. Abstracts, Southwest Regional Meeting of the American Chemical Society 50:165.
Bastien, J.W., S. Abdel-Malek, Jia Qi, M. Reinecke, T.H. Corbett, F. Valeriote, WF. Mahler, W. Edward Robinson, and J. Zalles-Asín 1996 New drug leads from Kallawaya herbalists of Bolivia: Background, rationale, protocol and anti-HIV leads. Journal of Ethnopharmacology 50:157-66.
Battaglia, P.A., M. del Bue, M. Otaviano, and M. Ponzi 1983 A puzzle genome: kinetoplast DNA. In Molecular Biology of Parasites, ed. J. Guardiola, L. Luzatto, and W. Trager, 107-24. New York: Raven Press.
Beauchamp, Tom L., and James F. Childress 1983 Principles of Biomedical Ethics (2nd ed.). New York: Oxford University Press.
Behrhorst, Carroll 1983 Introduction. In Health in the Guatemalan Highlands, ed. Ulli Stelzer, xixxxv. Seattle: University of Washington Press.
Beltrán, José 1991 Interview by J. Bastien, Tarija, Bolivia, June 12, tape recording.
. 1997 Interviews by J. Bastien, Tarija, Bolivia, May 15-25, tape recordings.
Bermúdez, H., A. Garrón, and A. De Muynck 1978 Infestatión del peridomicilio por T. infestans en Gutiérrez (Prov. Cordillera, Depto. Santa Cruz). Boletin Informativo del CENETROP 4 (1-2): 48-51.
Bernstein, Richard J. 1992 The New Constellation: The Ethical-Political Horizons of Modernity/Postmodernity. Cambridge: MIT Press.
Berryman, Philip 1987 Liberation Theology: The Essential Facts About the Revolutionary Movement in Latin America and Beyond. New York: Pantheon.
Bertha (pseudonym) 1991 Interview by J. Bastien, July 22, tape recording.
Bittencourt, A.L. 1975 Aspectos anatomo-patológicos da pele na enfermedade de Chagas congénita. Estudo de 29 casos. Revista do Instituto de Medicina Tropical de Sao Paulo 17: 135-39.
. 1976 Congenital Chagas disease. American Journal of Diseases of Children 130: 97-103.
Bittencourt, A.L., and H.S. Barbosa 1972 Incidencia da transmissao congenita da doenca de Chagas em abortos. Revista do Instituto de Medicina Tropical de Sao Paulo 14:257-59.
Bittencourt, A.L., H.S. Barbosa, T. Rocha, I. Sodre, and A. Sodre 1972 Transmissao congenita da doença de Chagas em partos prematuros na maternidad Tsylla Balbino (Salvador-Bahia). Revista do Instituto de Medicina Tropical de Sao Paulo 14:131-34.
Bittencourt, A.L., H.S. Barbosa, I. Santos, M.A. Ramos 1974 Incidencia da transmissao congenita da doença de Chagas em partos a termo. Revista do Instituto de Medicina Tropical de Sao Paulo 1 6:197-99.
Bittencourt, A.L., L.A. Rodriguez de Freitas, M.O. De Araujo Galvao, and K. Jacomo 1981 Pneumonitis in congenital Chagas disease. A study of ten cases. American Journal of Tropical Medicine and Hygiene 30:38-42.
Bittencourt, A.L., M. Sadigursky, A.A. Da Silva, C.A. Menezes, M.M. Marianetti, S.C. Guerra, and I. Sherlock 1988 Evaluation of Chagas’ disease transmission through breast-feeding. Memórias do Instituto Oswaldo Cruz 83:37-39.
Boainain, E. 1979 Tratamento etiologico da doença de Chagas na fase crônica. Revista Goiana de Medicina 25:1-60.
Bock, M., A. Haberkorn, H. Herlinger, K.H. Mayer, and S. Petersen 1972 The structure-activity relationship of 4-(’-nitro-furfurylidene-amino)-tetrahydro-4H-1,4-thiazine-1, 1-dioxides active against Trypanosoma cruzi. Arzeimittel-Forschung (Aulendorf) 22:1564-69.
Borda Pisterna, Mario 1978 Breves referencias a la sistemática, bioecología, y morfología externa de los triatomineos. En especial Triatoma infestans y Triatoma sordida. In Enfermedad de Chagas, ed. A.R. Davalos, 83-97. La Paz: Los Amigos Del Libro.
. 1981 Conozca El Mal De Chagas. Coch
abamba: Centro de Investigaciones Ecológicas del mal de Chagas, Universidad Mayor De San Simón.
Borges, Jorge Luis 1977 Obras Completas. Buenas Aires: Emecé Editores.
Bos, R. 1988 The importance of peridomestic environmental management for the control of the vectors of Chagas’ disease. Revista Argentina de Microbiologia (Buenos Aires) 50:56-62.
Bottasso, O.A., N. Ingledew, M. Keni, J. Morini, J.E Pividori, G.A.W. Rook, and J.L. Stanford 1994 Cellular immune response to common mycobacterial antigens in subjects seropositive for Trypanosoma cruzi. The Lancet 344 (December 3): 1540-41.
Boyle, T.C. 1990 If the River Was Whiskey. New York: Penguin.
Brasil, A. 1956 Etiopatogenía da aperistalsis do esófago. Revista Brasileira de Medicina (Rio de Janeiro) 13:577-90.
Braunwald, Eugene 1988 Heart Disease: A Textbook of Cardiovascular Medicine 1:1445-48. Philadelphia: W.B. Saunders Company.
Brener, Zigman 1975 Chemotherapy of Trypanosoma cruzi infections. Advances in Pharmacology and Chemotherapy 13:1-44.
. 1979 Present status of chemotherapy and chemoprophylaxis of human trypansomiasis in the western hemisphere. Pharmacology and Therapeutics 7:71-90.
. 1994 The pathogenesis of Chagas’ disease: An overview of current theories. In Chagas’ Disease and the Nervous System, Scientific Publication No. 547, 30-46. Washington, D.C.: Pan American Health Organization.
Brénière, S.F., M. Bailly, R. Carrasco, and Y. Carlieranti 1983 Transmission transplacentaire des anti-corps anti-Trypanosoma cruzi. Serie Entomologie Médecine et Parasitologie 21:139-40. Montpellier, France: Cahier UMR CNRS/ORSTOM. Also in Spanish in Annuario IBBA (La Paz) 1986-1987, 207-8.
Brénière, S.F., M.F. Bosseno, C. Barnabe, S. Urdaneta-Morales, M. Tibayrenc 1993 Population genetics of Trypanosoma cruzi and Trypanosoma rangeli: Taxonomical and epidemiological purpose. Biological Research (BSA) 26 (1-2): 27-33.
Brénière, S.F., P. Braquemond, A. Solari, J.F. Agnese, and M. Tibayrenc 1991 An isoenzyme study of naturally occurring clones of Trypanosoma cruzi isolated from both sides of the West Andes highland. Transactions of the Royal Society of Tropical Medicine and Hygiene 85:62-66.
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