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Chagas: An Unfamiliar and Emerging Disease

Ms. Stevens is a 32-year-old humanitarian aid worker. She recently returned to the United States after spending a month volunteering in rural Guatemala, where she was assisting with community housing construction. She reports having had multiple insect bites during her stay and occasional insects in her sleeping quarters. Six months after returning to the U.S., she developed intermittent low-grade fevers, malaise, and mild right eyelid swelling.

Chagas disease—also called American trypanosomiasis—is a potentially life‑threatening infection caused by the parasite Trypanosoma cruzi. The parasite is transmitted primarily through contact with an infected “kissing bug.” Transmission occurs when an infected bug feeds at night and defecates near the bite.

The bitten individual scratches or rubs the bite site and enables the parasites to enter the skin, or the eyes if rubbed. Other transmission routes include congenital (mother‑to‑fetus), blood transfusion, organ transplantation, laboratory accidents, and foodborne outbreaks from contaminated juices or foods. Illness has an acute phase that is often mild or asymptomatic and a chronic phase that can manifest decades later with a variety of cardiac and gastrointestinal symptoms.

Global and U.S. epidemiology

WHO map of global Chagas case distribution (based […]

2025-11-07T15:01:57-05:00November 7th, 2025|infectious diseases, Nursing, Public health|0 Comments

Turmoil at the CDC Endangers Public Health

Sowing distrust in the science behind CDC guidance.

The turmoil roiling the Centers for Disease Control and Prevention (CDC) was on full view last Thursday at the Senate hearing convened to review the Trump administration’s health care agenda. The proceedings quickly descended into a shouting match as senators, both Republican and Democrat, challenged health secretary Robert F. Kennedy Jr. on his policies and recent actions, particularly regarding vaccines and the firing of CDC director Susan Monarez. Kennedy defended his positions while attacking the agency, as he has done repeatedly, accusing its medical experts and scientists of corruption and collusion with the pharmaceutical industry.

In late August, Kennedy called Monarez into his office and pressured her to resign, a mere 29 days after appointing her. At the time of her appointment, Kennedy lauded Monarez as “a public health expert with unimpeachable scientific credentials,” stating that he had “full confidence in her ability.”

Photo credit: Shutterstock

According to White House press secretary Karoline Leavitt, Monarez was fired […]

Ticks and Tick-Borne Diseases: A Comprehensive Nursing-Focused Overview

Virtually all of us who have spent time in the outdoors have either heard about or experienced an encounter with a tick. Diseases transmitted through the bite of a tick represent a growing health concern in the United States and around the world. Tick bites can affect individuals who live in, work in, or travel to wooded, grassy, or brush-filled environments. Ticks are generally more active during warmer months of the year (usually April through September), but they can be active any time the temperature is above freezing. Therefore, taking precautions can be close to a year-round activity, including an increased emphasis during vacation travel when the climate may differ from that of your usual environment. Nurses play an essential role in patient education, prevention, early recognition, clinical management, and public health surveillance of these diseases—and their credibility and trusted relationships enable impactful opportunities.

Adult deer tick, Ixodes scapularis/via Wikimedia Commons

The following summary outlines key facts about tick biology and transmission, clinical manifestations of major tickborne diseases [TBDs], prevention strategies, post-bite care, public health reporting, and updates on vaccines—particularly for domestic and international travelers.

Understanding ticks and disease transmission

Ticks are blood-feeding arachnids capable of transmitting pathogens, including bacteria, viruses, and protozoa, […]

Some Gentle Reminders for Ensuring Appropriate Language Interpretation for Patients

Photo by Ling App on Unsplash

When I began nursing school, I never could have imagined how quickly I would be thrust into the heart of health care, quite literally. During my first semester, I started clinical rotations on a cardiovascular unit, where I began to understand the phenomenal intricacies of the human heart. It was a time of discovery, as I learned to navigate the complexities of blood pressure readings, mean arterial pressures (MAP), electrocardiograms (ECGs), cardiac catheterizations, and even the life-changing left ventricular assistive devices (LVADs).

By the time I began my second semester, I found myself in a cardiovascular surgical intermediate care unit, a place that would push me further into the depths of cardiac care. There, under the watchful eye of my clinical preceptor, I had the responsibility of caring for patients who had undergone some of the most intricate and high-stakes procedures imaginable. It was during this semester that I encountered a powerful lesson that has stayed with me long after graduation and well into my early years as a registered nurse.

A lesson in why clear communication really matters.

A Spanish-speaking Hispanic woman with coronary artery disease was admitted to our cardiac unit. Her electronic medical record noted […]

Nurses as Vital Partners in the Fight Against Antimicrobial Resistance

Photo: Shutterstock

Reducing the impact of antimicrobial therapy is a part of fundamental practice for health care providers, pharmacists, microbiologists, and public health professionals. Inclusion of nurses in the conversation regarding actions and implementation to achieve this end has often been an afterthought.

However, the number of nurses practicing across every health care setting makes us critical and active partners. What, specifically, are the roles and actions of nurses in addressing antimicrobial resistance, antimicrobial stewardship (AMS), and safe patient care and outcomes? Let’s first review the basics of the problem.

Nursing Activities Relevant to Antimicrobial Use and Stewardship

The approximately 5.77 million active nurses in the United States are widely trusted and well positioned to provide education on antibiotic use and influence behavior related to antimicrobial therapy. Their universal presence in health care settings empowers them to play a role as frontline actors in antimicrobial stewardship across inpatient, outpatient, and community settings. To make this happen, programs supporting appropriate use require commitment from health care leadership, available expertise in antimicrobial drug use, regular performance […]

2025-07-14T10:38:24-04:00July 14th, 2025|Nursing, patient safety|0 Comments
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