What is Chagas disease? Also called American trypanosomiasis, Chagas disease is an infection caused by the parasite Trypanosoma cruzi. Chagas disease primarily affects low income people living in rural areas. It is estimated that 16-18 million people are infected with Chagas disease; of those infected, 50,000 will die each year. Chagas disease is locally transmitted in Argentina, Belize, Bolivia, Brazil, Chile, Colombia, Costa Rica, Ecuador, El Salvador, French Guiana, Guatemala, Guyana, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Suriname, Uruguay, and Venezuela.

How do I get it? Small critters called “kissing bugs” that live in cracks and holes of substandard housing primarily found in South and Central America. Insects become infected after biting an animal or person who already has Chagas disease. Infection is spread to humans when an infected bug deposits feces on a person’s skin, usually while the person is sleeping at night. The person often accidently rubs the feces into the bite wound, an open cut, the eyes, or mouth.

How do I know if I have it? There are three stages of infection with Chagas disease; each stage has different symptoms. Some people may be infected and never develop symptoms. Acute symptoms only occur in about 1% of cases and most people infected do not seek medical attention. The most recognized symptom of acute Chagas infection is the Romaña’s sign, or swelling of the eye on one side of the face, usually at the bite wound or where feces were rubbed into the eye. Other symptoms are usually not specific for Chagas infection. These symptoms may include fatigue, fever, enlarged liver or spleen, and swollen lymph glands. Sometimes, a rash, loss of appetite, diarrhea, and vomiting occur. In infants and in very young children with acute Chagas disease, swelling of the brain can develop in acute Chagas disease, and this can cause death. In general, symptoms last for 4-8 weeks and then they go away, even without treatment.

What should I do if I have Chagas disease? See your doctor for a blood tests to determine whether there are parasite or antibodies in your blood. Medication for Chagas disease is usually effective when given during the acute stage of infection. Once the disease has progressed to later stages, medication may be less effective. In the chronic stage, treatment involves managing symptoms associated with the disease.

How can I prevent Chagas disease? Avoid sleeping in thatch, mud, or adobe houses, and use insecticides to kill insects and reduce the risk of transmission. There is neither a vaccine nor recommended drug available to prevent Chagas disease.

Michael Rakower, an attorney in New York with long-standing wanderlust gave a talk on November 1^st about his latest trip in which he and his wife (also a lawyer) left the comfortable confines of law jobs in exchange for a one-way ticket to Cape Town in March 2002. They bought a car, some camping equipment and drove around, over and through South Africa, Zimbabwe, Zambia, Malawi, Mozambique, Tanzania and Rwanda. Along the way, they encountered fascinating people, went on several safaris, worked for three months in the Prosecutor’s Office of the United Nation’s International Criminal Tribunal for Rwanda and even learned a little about auto mechanics. After a year-long journey, Michael and his wife returned to New York with newfound inspiration and a lifetime of memories. Michael’s latest passion is working with the American Friends for the Kigali Public Library to build Rwanda’s first-ever public library. Michael is also a regular contributor to our very own Globetrotters e-newsletter.

For details of forthcoming meetings email newyork@globetrotters.co.uk or register for email updates, click here at our website.

New York meetings are held at The Wings Theatre, 154 Christopher Street (btw Greenwich St and Washington St ), to the right of Crunch Fitness, in the Archive on the first Saturday of each month at 4 pm .

U. S. Soldiers Home, Washington: during a century of travel (well 78 years!) both in and out of service I have travelled to over 150 countries (I count both North and South Dakota as countries) and for some reason have jotted signs and happenings that I thought funny at the time (and now wonder why). So here is the perfect opportunity to share some of my anecdotes.

In the New Delhi, India YMCA (takes men, women, children etc) a group of travellers travelling together from many different countries arrived. They were part of a project to show different nationalities could travel in peace and work and travel together. There were people from Hawaii, the States, Europe, Philippines etc. By the time they got to India they had formed into cliques and some were not talking to others, and some wanted to share room only with their own nationality etc. None of them trusted the Indian personnel at the front desk and when they found out I had been in India for awhile they came to me with their questions. They asked me if it was safe to drink the water from faucet in courtyard. I had been drinking it with no ill effects and there was a contraption on it that I thought purified the water so I foolishly assured them it was safe. They all got sick. I had been eating with the dining room with them but from them on walked several blocks to the YWCA to avoid their dirty looks!

A friend of mine at the Soldiers Home used to collect business cards so I would try to collect them from all around the world for him. I went into a gift shop in a hotel in New Delhi, India. They had a particularly nice card and so I told a white lie and told them I was a director of a tour group and could I have more than one to give to my clients. I forgot I was going to be in that hotel five days. The next day I was asked when is your tour group arriving? I said “What tour group” I then recovered my self and announced that I had been fired.

An English girl who claimed she had become a Hindu in England told me some of the Hindu temples that required you to be a Hindu (not all) would not let her in as they did not believe her. How do you prove you are a Hindu?

Armd Reg. In prayer that God may bless the souls of those who laid down their lives during India Pakistan War Dec 1971.

Mahatma (Soul) Gandhi is one of my heroes. Mother Teresa is another one (she visited the Soldiers Home. She asked that no collection be taken for her but I think one was.) Gandhi is one of the few lawyers I respect. When he travelled throughout India he often stayed in friend’s homes. In the one he often stayed in Bombay (now called Mumbai) the house has been made into a museum. Along with some of his stuff they have a lending library where you can check out some of the books he wrote. The sign on the desk reads: “Please return out books after reading. For we observe that though people may be very poor accountants they are very good bookkeepers”. At the Jain Temple there was a sign: “Women in menstrual period may not enter”. Our guide says that Jains wear a gauze mask over face so they will not kill any flies or insects accidentally. At the hanging garden the guide explained that Parsees instead of burying dead put them in a Tower of Silence and the vultures eat the meat off the corpse. It takes about twenty minutes. (Unless a fat actor.) Indians like their actors fat so they will look prosperous. (I look very prosperous!) They sometimes make American actors’ pictures on billboards fatter than they are. Paul Newman in one poster looked more like Orson Wells. Back to the Tower of Silence and the vultures. The bones then fall into a pit where lime and charcoal turns them into ashes. I asked how often they do this and was told: “Whenever they die” The Indians are so logical. It was explained to me that there are so few Parsees left that they had to feed the vultures meat in the meanwhile and she looked directly at me or they would become a nuisance in the neighbourhood. There is a water reservoir next door the droppings from the vultures would fall in the water so they covered the top of reservoir and made a hanging garden there. The soil is not deep enough for trees, just bushes and flowers. The Jain religion uses a swastika (a Nazi symbol, only Indians had it first, and the Nazi reversed the symbol) and rice in their ceremony. I will now take up a collection for the vultures.

A rickshaw driver is trying to fix me up with a prostitute. He said she is in the untouchable class. An untouchable prostitute??

Another time I went into a temple and the people went out of the way to welcome me. I asked what kind of temple is was and was told A temple for untouchables, (although I think this was outlawed.)

The other day in India I realized all my coats were missing. My raincoat, nylon jacket, sweater etc. I thought maybe I had left them on the airplane. Then when I went to look for my shoes under the bed and there they all were. My room was so small that I had put them under my bed to get them out of the way.

Some Indians after talking to you when they get ready to leave will say “May I leave now?” I always graciously give them permission

Next month, Mac discusses India again.

If you would like to contact Mac, he can be e-mailed on: macsan400@yahoo.com

For information on Ontario meetings, please contact Svatka Hermanek: shermanek@schulich.yorku.ca or Bruce Weber: tel. 416-203-0911 or Paul Webb: tel. 416-694-8259.

Meetings are held on the third Friday of January, March, May, September and November. Usually at the Woodsworth Co-op, Penthouse, 133, Wilton Street in downtown Toronto at 8.00 p.m.