Universidad Autónoma de Chile, Facultad de Ciencias Sociales y Humanidades, San Miguel, Chile.
Universitat Rovira i Virgili, Medical Anthropology Research Center, Tarragona, Catalonia.
Mem Inst Oswaldo Cruz. 2022 Jul 8;117:e210151. doi: 10.1590/0074-02760210151. eCollection 2022.
Currently, Chagas disease is a complex global health problem with local and global implications. In the present article, we approach this complexity from the perspective of human mobility and its effects on people's health in places of origin and in transit and destination. We raise key concepts such as human mobility - understood as a possible socio-structural and economic determination of health -, the associated social and institutional barriers and the processes of social exclusion related to Chagas disease. We also propose what we identify as emerging opportunities from the perspective of health as a right. Finally, we propose strategies aimed at addressing Chagas disease from a multidimensional and intersectional perspective in complex, diverse and interconnected territories through migration.
目前，恰加斯病是一个具有地方和全球影响的复杂全球健康问题。在本文中，我们从人类流动的角度以及其对原籍地、中转地和目的地人民健康的影响来探讨这种复杂性。我们提出了一些关键概念，如人类流动——被理解为健康的一种可能的社会结构和经济决定因素、相关的社会和制度障碍以及与恰加斯病相关的社会排斥过程。我们还从健康作为一项权利的角度提出了我们认为是新出现的机会。最后，我们提出了一些策略，旨在通过移民，从多维和交叉的角度在复杂、多样和相互关联的地区解决恰加斯病问题。
