Case Story


Click here to read the full case story (in Spanish)

Initiative Name:
Prevention and Control of Chagas Disease on the border between Ecuador and Peru
Initiative Status:

Adaptation, replication or scaling up of a previous initiative?
Modality of the initiative:
Disease Prevention and Control
Enfermedad de Chagas, Chagas disease

Geographic Identifiers

Countries Leading or Providing Technical Cooperation:
Countries Demanding Technical Cooperation:
Participating National Institutions, Organizations and/or Subregional Entities:
Ministerio de Salud, Servicio Nacional de Control de la Malaria, Comunidades de las áreas endémicas de Chagas en la frontera Perú-Ecuador
Participating International and Multilateral Organizations:
Organización Panamericana de la Salud (OPS)/ Organización Mundial de la Salud (OMS)
Initiative Start Date:
Initiative End Date:

Initiative Cost/Budget and Sources of Funding

Initiative Total Cost/Budget: (in US$)
$ 28.460

Initiative Description

Chagas’ disease, or American trypanosomiasis, was discovered in 1909 by Dr. Carlos Chagas in Brazil, who defined it as a parasitic infection that is endemic in and unique to the Americas and that is transmitted through hematophagous insects (insects that subsist on blood). The disease can be transmitted through contact with infected insect feces, blood transfusions using blood from infected donors, organ transplants using organs from infected donors, and consumption of contaminated food. The severity of the problem stems from the fact that the symptoms of Chagas’ disease are less evident than those of other infections. The disease is asymptomatic until it reaches its acute phase, when clinical symptoms are severe and at that point the disease is difficult to diagnose. Furthermore, transmission of the disease is affected by various social, economic, ecological, and cultural factors that often determine a person’s relationship with his or her environment, and certain environmental factors may lend themselves to household infestation by Trypanosoma cruzi, which tends to put more vulnerable communities at a higher risk of infection. Today Chagas’ disease has become a serious public health problem in most Latin American countries.

Following the Andean and PAHO initiative to create the National Program for Surveillance and Control of Chagas’ disease, the main purpose of this project was to redefine and standardize the criteria and procedures necessary for surveillance and control of Chagas’ disease in the border area between Ecuador and Peru, in order to determine the extent of the infestation and levels of risk of infection. In order to achieve this objective, various activities were completed, which included trainings, research, standardization of protocols, meetings, etc. Tangible products resulting from the project were materials for community training, methodologies for monitoring vectors of Chagas’ disease, and technical reports and recommendations provided after each instance of technical assistance or supervision in order to share information among project implementers in both countries. The main and final recommendation was the need for a plan be designed and implemented to interrupt the transmission of Chagas’ disease and eliminate household vectors in Ecuador.

Click here to read more about the project/initiative (in Spanish)

Additional Material:

Links and Additional Resources:

Contact Information:

Name of Contact Person:
Dr. Roberto Salvatella