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               :content {:text " 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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               :content {:text " pre-established wellness labs through which Chagas screening could be conducted in all high-risk individuals"},
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               :content {:text "effort to ensure all relatives of positive patients be screened"},
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               :content {:text "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"},
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               :content {:text "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"},
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               :content {:text " integrating Chagas efforts into the existing care infrastructure and operational procedures, such as including Chagas in newborn screening and prenatal care"},
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               :content {:text "These activities create an opportunity to “end the neglect” for Chagas disease"},
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               :content {:text "Support efforts to strengthen and scale-up existing models of care in the US, through the use of Chagas disease trained patient-care navigators (promotoras), integration of disease-specific activities into both prenatal and primary care more broadly, and inclusion in efforts to improve the total health and well-being of affected communities."},
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               :content {:text "Explore the development of new centers of excellence for diagnosis and treatment in other areas of the US with large immigrant communities from Latin America (such as Chicago)"},
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               :content {:text "Seek avenues to advocate for policies that will enhance scalability of these efforts and improve care for populations with or at high risk of Chagas disease"},
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               :content {:text "Re-engage Ortho in discussions to make its T. cruzi ELISA commercially available."},
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               :content {:text "Explore opportunities to reduce the entry barrier for new tests, including rapid tests"},
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               :content {:text "Some unpublished research indicates that commercial tests may be missing more than half of infections acquired in southern Mexico. In addition, there is a pressing need to explore new technologies(e.g. CRISPR) that could facilitate diagnosis"},
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