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In this article, Médicos Sin Fronteras (MSF) Spain faces the
challenge of selecting, piecing together, and conveying in the clearest
possible way, the main lessons learnt over the course of the last seven
years in the world of medical care for Chagas disease. More than two
thousand children under the age of 14 have been treated; the majority
of whom come from rural Latin American areas with difficult access. It
is based on these lessons learnt, through mistakes and successes, that
MSF advocates that medical care for patients with Chagas disease be a
reality, in a manner which is inclusive (not exclusive), integrated
(with medical, psychological, social, and educational components), and
in which the patient is actively followed. This must be a multi-disease
approach with permanent quality controls in place based on primary
health care (PHC). Rapid diagnostic tests and new medications should be
available, as well as therapeutic plans and patient management
(including side effects) with standardised flows for medical care for
patients within PHC in relation to secondary and tertiary level,
inclusive of epidemiological surveillance systems
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