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Society
and Culture
The
Social Costs
Social
costs of Chagas' disease are huge for peoples of Latin
America. It is a debilitating disease that fatigues
peasants, especially those working at higher altitudes,
where they often must stop farming their plots or leave
the work to relatives and children. The inability to
work results in decreased crops, which cause malnourishment
that leads to susceptibility to Chagas' disease. Even
more costly, many adult victims die during their most
productive years. (This is documented as Disease
Adjusted Life Years, or DALYs.) Children are left
without mentors and families without breadwinners. Remaining
members of the community then must assume responsibility
for the survivors. For this reason, Chagas' disease
is a major obstacle to development in Latin America.
The World Bank considers it the fourth most serious
health problem in Latin America as measured by years
of life lost adjusted for disability.
Social
stratification creates divisions in Latin America that
are difficult to bridge. Chagas' disease is mistakenly
considered a disease of peasants and Indians, as if
T. cruzi respects class differences. Rich and
middle classes do not recognize that vinchucas
inhabit their houses, as easily as cockroaches invade
ours. Argentineans call chagas "The Unrecognized Disease,"
being not only detected but considered something "others"
suffer, especially poor people and peasants. Social
stratification combines with racism in Latin America
to influence the political economy that represents upper
classes and whiter races and that neglects supporting
chagas campaigns identified with lower classes (Indians
and peasants). Because Latin America is targeted for
investment and tourism, information about contagious
diseases, such as chagas, might deter this.
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Other
social issues
Another social issue affecting chagas is the attitude
of peasants that they are not in control of their destiny.
Locus of control implies that an individual's general
expectations about his or her ability of control the
future greatly influence that individual's response
to house improvement programs. People's notion of whether
the future is controlled by themselves, the state, fate,
or luck greatly influences their desire to act to prevent
anything or improve houses. R. Briceño-León and S. González
have dealt with the fatalistic attitudes of peasants.
They found that, after they improved their houses, many
people gained a sense of empowerment. Peasants need
to rediscover a sense of empowerment through cousciousness-raising
education.
Chagas' prevention depends upon community participation.
Too frequently, housing projects are purely vertically
structured programs. Community participation refers
to community members making decisions about, accepting,
and complying with certain behavioral changes necessary
to combatting chagas. Obstacles to this are superior
attitudes of project supervisors and technicians towards
peasants, not being able to speak the language of the
community, and not including community members into
planning phases.
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