- an overwhelming majority of the patients are from endemic regions and that providers are familiar with screening for other infectious diseases in this population
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- pre-established wellness labs through which Chagas screening could be conducted in all high-risk individuals
- effort to ensure all relatives of positive patients be screened
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- many aspects of the US efforts to improve care for Chagas disease are similar to those in other non-endemic countries such as Spain or non-endemic regions within Latin America including urban areas
- community health workers or patient care navigators ( promotores de salud) are one important element of successfully ensuring that patients traverse the entire continuum of care and are not lost to follow-up at the stage of evaluation or treatment
- integrating Chagas efforts into the existing care infrastructure and operational procedures, such as including Chagas in newborn screening and prenatal care
