Chagas Disease – A Silent Threat to South America

Chagas disease, also known as American trypanosomiasis, is a neglected tropical disease caused by the parasite Trypanosoma cruzi. It affects an estimated 8 million people worldwide, including approximately 280,000 individuals in the United States, many of whom remain unaware of their infection. Despite its widespread impact, only around 10% of cases are diagnosed, contributing to nearly 12,000 deaths annually and leaving approximately 75 million people at risk globally.

Infographic overview of Chagas Disease and it's impact on public health, with serious long-term impact.
Figure: Chagas Disease as a global concern and public health challenge

The disease remains a major public health concern across Latin America due to its significant social, economic, and healthcare burden. In endemic regions of the Americas, approximately 28,000 new infections are reported each year. Chronic infection can lead to severe complications, particularly affecting the cardiovascular system, with nearly 1 in 10 infected individuals developing serious cardiac disease. In highly affected countries such as Bolivia, prevalence rates may reach as high as 6 cases per 100 people.

Visualization map of endemicity of Chagas Disease, showing major prevalence in the North and South America.
Figure: Geographic endemicity of Chagas Disease

According to the Centers for Disease Control and Prevention (CDC), Chagas disease is endemic in 21 countries across Latin America. These include Mexico, Belize, Costa Rica, El Salvador, Honduras, Guatemala, Nicaragua, Panama, Argentina, Brazil, Chile, Colombia, Ecuador, Guyana, Suriname, French Guiana, Paraguay, Peru, Uruguay, and Venezuela. The disease is increasingly recognized as a global health issue due to migration, urbanization, and international travel.

Early diagnosis, improved screening programs, vector control, and access to treatment remain essential strategies for reducing the long-term impact of Chagas disease and preventing life-threatening complications.

Reference

Chagas disease (American trypanosomiasis). World Health Organization. Updated 2026. Available at: WHO Chagas Disease Fact Sheet

About Chagas Disease. CDC. Updated September 4, 2024. Available at: CDC About Chagas Disease

Winters R, Nguyen T, Waseem M. . In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025

Chagas Disease. CDC Parasites and Health. Available at: CDC Chagas Disease Overview

Chagas disease overview and epidemiology. Available at: WHO Health Topic: Chagas Disease

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