Southern Cone Initiative for the elimination of domestic populations of Triatoma infestans and the interruption of transfusional Chagas disease. Historical aspects, present situation, and perspectives

• Published in: Memórias do Instituto Oswaldo Cruz 2007-10, Vol.102 Suppl 1, p.11-18
• Main Author: Dias, João Carlos Pinto
• Format: Article
• Language: English
• Subjects: Animals; Blood Banks - legislation & jurisprudence; Blood Transfusion - legislation & jurisprudence; Chagas Disease - epidemiology; Chagas Disease - prevention & control; Chagas Disease - transmission; Humans; Insect Control - legislation & jurisprudence; Insect Vectors; International Cooperation; Pan American Health Organization; South America - epidemiology; Transfusion Reaction; Triatoma; Triatoma infestans
• ISSN: 0074-0276
• DOI: 10.1590/S0074-02762007005000092

Created in 1991 by the governments of Argentina, Bolivia, Brazil, Chile, Paraguay, and Uruguay, the Southern Cone Initiative (SCI) has been extremely important for Chagas disease control in this region. Its basic objective was to reach the interruption of this disease, chiefly by means of the elimination of the principal vector Triatoma infestans and by the selection of safe donors in the regional blood banks. After a summarized historic of SCI, the text shows the advance of technical and operative activities, emphasizing some factors for the initiative success, as well as some difficulties and constraints. The future of SCI will depend of the continuity of the actions and of political priority. Scientific community has been highly responsible for this initiative and its maintenance. At the side of this, national and international efforts must be involved and reinforced to assure the accomplishment of the final targets of SCI. Very specially, the Pan American Health Organization has cooperated with the Initiative in all its moments and activities,being the most important catalytic and technical factor for SCI success.