1. [To treat or not to treat? Scientific controversy about the treatment for chronic Chagas' disease patients.].
- Author
-
Kreimer P, Romero LA, and Bilder P
- Subjects
- Argentina ethnology, Chronic Disease ethnology, Chronic Disease psychology, Delivery of Health Care ethnology, Delivery of Health Care history, Endemic Diseases history, History of Medicine, History, 20th Century, Latin America ethnology, Public Health economics, Public Health education, Public Health history, Case-Control Studies, Chagas Disease ethnology, Chagas Disease history, Patients history, Patients psychology, Therapeutics economics, Therapeutics history, Therapeutics psychology, Treatment Outcome
- Abstract
Chagas disease is one of the main endemic illnesses in Latin America. Since 1969 up to the present, the treatment of chronic Chagas patients has been the object of a scientific-medical controversy mobilizing several bodies of knowledge and actors. The resolution of the controversy has direct effects on the health of patients; however, they have been systematically excluded of public debates. In this paper we identified and specified four different steps of the controversy, showing the different positions adopted by the actors implicated, analyzing their statements, the scientific knowledge mobilized during the debates and the consequences for the establishment of norms for the treatment. We conclude showing that what makes up the central issue of the controversy is not what the actors implicated explicitly state as it but the criteria (technical and cognitive) through which are measured and defined "illness" and "cure" states. This research is about a case study in Argentina.
- Published
- 2010
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