Abstract

Chagas disease is one of the main endemic illnesses in Latin America. Since 1969 up to the present, the treatment of chronic Chagas patients has been the object of a scientific-medical controversy mobilizing several bodies of knowledge and actors. The resolution of the controversy has direct effects on the health of patients; however, they have been systematically excluded of public debates. In this paper we identified and specified four different steps of the controversy, showing the different positions adopted by the actors implicated, analyzing their statements, the scientific knowledge mobilized during the debates and the consequences for the establishment of norms for the treatment. We conclude showing that what makes up the central issue of the controversy is not what the actors implicated explicitly state as it but the criteria (technical and cognitive) through which are measured and defined "illness" and "cure" states. This research is about a case study in Argentina.

Highlights

  • RESUMEN La enfermedad de Chagas es una de las principales endemias de América Latina

  • Since 1969 up to the present, the treatment of chronic Chagas patients has been the object of a scientific-medical controversy mobilizing several bodies of knowledge and actors

  • In this paper we identified and specified four different steps of the controversy, showing the different positions adopted by the actors implicated, analyzing their statements, the scientific knowledge mobilized during the debates and the consequences for the establishment of norms for the treatment

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Summary

Introduction

RESUMEN La enfermedad de Chagas es una de las principales endemias de América Latina. Estos resultados controversiales provocaron que en 1983 se recomendara tratar exclusivamente a los pacientes con enfermedad de Chagas en fase aguda, tanto en Brasil como en Argentina[13], quedando los enfermos crónicos al margen del tratamiento parasiticida específico.

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