1. Which are the neglected or emerging aspects inthe discussed issue that need information and addi-tional knowledge for the formulation of a policy forsurveillance and Chagas disease control?Vector control - There are two recognized basic strat-egies for vector control and prevention of Chagas dis-ease. The first one is the destruction of intra andperidomiciliary foci of triatomines through chemicalcontrol with insecticides and the other is to avoid theinstallation of vectors inside dwellings by improvinghousing conditions and/or using tools of early detectionof triatomine populations that make possible theirprompt elimination (Schofield 1985, 1992, Schofield& Dias 1991, Rojas de Arias 1995, Rios 1997, Rojas deArias et al. 1999, 2005).The first strategy currently leads initiatives of tria-tomine elimination in the countries of the Southern Coneand Central America focused in the application of insec-ticide mass campaigns with different modalities accord-ing to the country’s plans. The latter is focused in theestablishment of a surveillance program in the hands ofthe communities themselves and case-finding with toolsof early detection of triatomines in order to avoid re-infestations. This surveillance phase implies monitor-ing and supervision with technology transfer that shouldgive sustainability to the actions. Additionally, there isthe fundamental importance of the coverage and qualityachieved in the application of insecticides and the dura-bility of their effect at different post-application times(Diotaiutti & Texeira Pintos 1991, Gurtler et al. 1994,Ferro et al. 1995, Rojas de Arias 1995, 2004, 2005,Guillen et al. 1997). The surveillance phase is longer,expensive and difficult to maintain (Paulone et al. 1988).Besides, there are neglected aspects that need additionalknowledge. The massive insecticide application has re-cently shown the presence of populations with impor-tant levels of resistance in the North of Argentina andSouthern Bolivia. The mechanisms that have triggeredthis resistance are still unknown, as well as the approachsystems for control measures and if the phenomenon ispresent in other regions where massive chemical con-trol has been applied. On the other hand, there are fewstudies that have been performed about the remainingaspects of the early detection of triatomine populations,especially in the peridomiciliary area and the technol-ogy development of new tools that permit the early de-tection and timely elimination.An important advance in entomological surveillancehas been the incorporation of the geographic informa-tion system (GIS) for the location of triatomine infesta-tions, reinfestations, species distribution, and interven-tion monitoring. This tool has made possible a broaderand more dynamic vision of the behaviour of triatominepopulations impacted by control measures. It has alsoshown the behaviour of species that play an importantrole as secondary species.In recent years, there has been much progress in vec-tor genetics and potential vector species. The applica-tion of techniques of advanced cytogenetics, molecularbiology, cuticle hydrocarbons, and biological studies ofstructure, conformation and sensillas, have contributedto the knowledge of different species, especially in theSouthern Cone, where the actions and studies are in moreadvanced stages (SSA-EC 2005). However, potential vec-tor species still remain to be known as well as the vari-ability of the populations in relation to the impact of thechemical control.Transplacentary and transfusional transmission -Concerning other modes of transmission, although a pro-cess of vector elimination will give a significant impacton the transmission of Chagas disease, the transfusionaland congenital transmissions that are independent of thisshould be addressed in a public health context by the re-gional health services. For congenital transmission, thecontrol of chagasic pregnant women and the monitoringand treatment of their infected children should be con-sidered (Russomando et al. 1998). However, there arenot simple and economically accessible techniques thatwould make possible to discard a congenital Chagas in-fection at birth time in those children where parasito-logical infection is not detected. The screening in bloodbanks has been established in all Latin American coun-tries using diagnosis methods with high sensitivity andspecificity but sustainability must be guaranteed.Social aspects - The socio-cultural dimension ofChagas disease is undeniable because there is an asso-ciation between the forms of social organization andprecarious lifestyles. For this reason, it is necessary tostem from a conceptualization of health-disease as well