Medical Anthropology Research Center, Universitat Rovira i Virgili. Av. da Catalunya 35. 43002 Tarragona Espanha.
Cien Saude Colet. 2022 Mar;27(3):871-879. doi: 10.1590/1413-81232022273.33482020. Epub 2020 Dec 25.
Drawing on observation-based ethnography, interviews of health personnel and document review, this article describes and examines how, in clinical handling of Chagas disease, infection is treated as latent risk. It suggests that how this risk is managed has enabled a clinical practice to be conducted among people classified as at the indeterminate stage, by adding a dimension of possibility (Is it going to happen?) and potentiality (When and where?). This allows measures to be taken, including administration of medication or permanent monitoring. The reification of latent risk as a phenomenon that is manageable through a process of medicalisation engages, in turn, with other conceptions and specific experiences of risk among the affected groups. Framing the clinical practices deployed to address this risk as objects of study is a first step towards being able to describe and include them concretely in health system organisation.
本文通过基于观察的民族志、卫生人员访谈和文献回顾，描述和探讨了在恰加斯病的临床处理中，感染是如何被视为潜在风险的。文章认为，这种风险是如何被管理的，使得一种临床实践得以在被归类为不确定阶段的人群中进行，通过增加一种可能性（它会发生吗？）和潜在性（何时何地？）的维度。这使得可以采取措施，包括药物治疗或永久监测。将潜在风险具体化，使其成为通过医学化过程可以管理的现象，反过来又与受影响群体中其他风险观念和具体经验相联系。将用于解决这种风险的临床实践作为研究对象来构建，是能够具体描述并将其纳入卫生系统组织的第一步。
