Fundação Oswaldo Cruz-Fiocruz, Instituto de Pesquisas René Rachou, Belo Horizonte, MG, Brasil.
Universidad Nacional de Córdoba, Instituto de Diversidad y Ecologia Animal, CONICET, Córdoba, Argentina.
Mem Inst Oswaldo Cruz. 2022 May 27;117:e200479. doi: 10.1590/0074-02760200479. eCollection 2022.
The 2030 Agenda for Sustainable Development is a plan of action for people, planet and prosperity. Thousands of years and centuries of colonisation have passed the precarious housing conditions, food insecurity, lack of sanitation, the limitation of surveillance, health care programs and climate change. Chagas disease continues to be a public health problem. The control programs have been successful in many countries in reducing transmission by T. cruzi; but the results have been variable. WHO makes recommendations for prevention and control with the aim of eliminating Chagas disease as a public health problem. Climate change, deforestation, migration, urbanisation, sylvatic vectors and oral transmission require integrating the economic, social, and environmental dimensions of sustainable development, as well as the links within and between objectives and sectors. While the environment scenarios change around the world, native vector species pose a significant public health threat. The man-made atmosphere change is related to the increase of triatomines' dispersal range, or an increase of the mobility of the vectors from their sylvatic environment to man-made constructions, or humans getting into sylvatic scenarios, leading to an increase of Chagas disease infection. Innovations with the communities and collaborations among municipalities, International cooperation agencies, local governmental agencies, academic partners, developmental agencies, or environmental institutions may present promising solutions, but sustained partnerships, long-term commitment, and strong regional leadership are required. A new world has just opened up for the renewal of surveillance practices, but the lessons learned in the past should be the basis for solutions in the future.
《2030 年可持续发展议程》是一份面向人类、地球和繁荣的行动计划。数千年和数百年的殖民化导致了脆弱的住房条件、粮食不安全、缺乏卫生设施、监测受限、医疗保健计划和气候变化等问题。恰加斯病仍然是一个公共卫生问题。在许多国家，控制计划已经成功地减少了 T. cruzi 的传播；但结果各不相同。世界卫生组织提出了预防和控制的建议，旨在消除恰加斯病作为一个公共卫生问题。气候变化、森林砍伐、移民、城市化、森林媒介和经口传播需要整合可持续发展的经济、社会和环境层面，以及目标和部门内部及之间的联系。虽然世界各地的环境情况发生了变化，但本地媒介物种仍然对公共卫生构成重大威胁。人为的大气变化与传播媒介扩散范围的扩大有关，或者与媒介从森林环境向人为建筑的流动性增加有关，或者人类进入森林环境，导致恰加斯病感染增加。与社区的创新和市政当局、国际合作机构、地方政府机构、学术伙伴、发展机构或环境机构之间的合作可能会带来有希望的解决方案，但需要持续的伙伴关系、长期承诺和强有力的区域领导。一个新的世界为更新监测实践开辟了道路，但过去的经验教训应该是未来解决方案的基础。
