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-The wild motor festival that transforms the desert into something ‘like Mad Max’ [[https://trip-scan44.co|трипскан сайт]]
+‘Kissing bug’ disease is here to stay in the US, experts say. Here’s why it’s spreading [[https://tripscan44.cc|трипскан сайт]]
-You hear it before you see it. Hundreds of all-terrain vehicles tearing across the desert, the roar of their engines echoing over the sand dunes. The noise goes all night long, making it impossible to grab any shuteye.
+Chagas disease, a potentially deadly condition caused by a parasite carried by insects called kissing bugs, should now be considered endemic in the United States, experts say – and without recognition that it’s a constant presence in some parts of the country, more people will suffer unnecessarily.
-Not that anyone does.
+A report on the topic was published last week in the US Centers for Disease Control and Prevention’s journal Emerging Infectious Diseases, and the authors say they hope that growing global attention on the new paper means Chagas could finally get the surveillance, prevention and testing efforts and research funding it deserves in the United States.
-“There is no sleep in Liwa,” says Ginger Krook, a 23-year-old motorsport enthusiast from the Netherlands. “It’s crazy.”
+“We’ve been waiting forever; all of us Chagas people have been waiting for people to recognize this disease is in our communities,” said Dr. Norman Beatty, coauthor of the report and a clinical associate professor at the University of Florida College of Medicine’s Division of Infectious Diseases & Global Medicine who has studied Chagas for the past decade.
+The World Health Organization considers Chagas a neglected tropical disease, and the Pan American Health Organization says it is endemic – with a constant presence or usual prevalence – in 21 other countries in the Americas, not including the United States. Chagas is one of the leading causes of heart disease in Latin America, and it causes more disability than other insect-borne infections, even more than malaria and Zika, studies show.
-Each year, the Liwa International Festival draws crowds of car fanatics deep into the Empty Quarter, the vast desert stretching from the United Arab Emirates into Saudi Arabia.
+Chagas largely spreads when triatomine bugs, commonly known as kissing bugs, bite a human while they’re sleeping. The bug defecates in that bite or on a person’s face, and the person unwittingly wipes the feces into their eyes, nose or mouth. The feces can carry a parasite, Trypanosoma cruzi, that causes the disease.
-Three hours’ drive from Abu Dhabi, the landscape is almost empty for most of the year, save for a new ribbon of blacktop and towering dunes.
+Chagas can also spread through contaminated food or blood, organ transplants and pregnancy.
-In December, it becomes a dreamscape for motorheads.
+Early symptoms can include fever, body aches, headaches, rash, vomiting and tiredness. They may last weeks or even months after initial infection.
-“They come together and they drive,” says Krook, who plans to return for her fourth festival this December. “Everything you can think of related to off-road driving, you can find there.”
+According to the CDC, about 20% to 30% of people who’ve been infected develop more serious problems like long-term digestive and nervous system conditions, heart failure, stroke or death.
-‘Full throttle or nothing’
+If it’s caught early, the disease can be cured with benznidazole or nifurtimox, medicines that kill the parasite. But the drugs become less effective the longer a person has been infected, and most people remain unaware of the disease. Many doctors don’t think to look for it in patients in the US, the new report noted.
-The Liwa International Festival has been running for just over two decades.
-The Liwa International Festival has been running for just over two decades. Karim Sahib/AFP via Getty Images
-Local Emiratis first recognized the motorsport potential of the Liwa Oasis more than two decades ago. They began gathering with their off-road vehicles at Moreeb Dune, the tallest in the region at more than 300 meters (about 1,000 feet). The challenge was simple: reach the top.
-An official festival was created in 2004 and has grown steadily. In 2024, it drew more than 600,000 visitors, according to the event’s organizers. Alongside motorsports, a cultural program has taken shape, complete with fireworks each night.
+In fact, some people who are infected find out some time later, when they donate blood, since the US has been testing its blood supply for Chagas since 2007.
-But the central attraction — racing up the Moreeb Dune — remains the same.
-“Everyone watches each other as they go up,” says Krook. “They are waiting for things to happen.”
 Related article
-Surf-Abu-Dhabi-6.jpg
+A health inspector holds a beaked bug ( Triatoma dimidiata ) in Carpenter , Department of Francisco Morazan , 20 km north of Tegucigalpa on 17 May 2005. According to official statistics of the Ministry of Health , through the National Program for Chagas , 300 000 people including children and adults are infected with the " Chagas disease " transmitted by this species , registering the highest infection rate in rural areas of the west
-$150 for a wave: the Abu Dhabi wave pool targeting the ultra-rich
+EL CARPINTERO, HONDURAS:  Un inspector sanitario sostiene una chinche picuda (Triatoma Dimidiata) en El Carpintero, departamento de Francisco Morazan, 20 km al norte de Tegucigalpa el 17 de mayo de 2005. Segun estadisticas oficiales de la Secretaria de Salud, a traves del Programa Nacional de Chagas, 300 mil personas incluyendo ninos y adultos estan infectados con el "Mal de Chagas" transmitido por esta especie, registrandose el mayor indice de infeccion en las areas rurales del oeste.   AFP PHOTO/ELMER MARTINEZ  (Photo credit should read ELMER MARTINEZ/AFP/Getty Images)
+‘Kissing bug’ disease more deadly than thought
-Spectators cheer drivers on, but the dune is daunting. In Arabic, Moreeb means “terrifying.”
-“If your tires are not big enough, your suspension is not good enough, you’re not able to come up,” she says. “You cannot be scared because it’s full throttle or nothing.”
+Surveillance is limited, but the CDC estimates that about 280,000 people in the US have Chagas at any given time. It’s unclear how many have the more serious form of the disease or how many deaths are caused by Chagas each year.
-Smaller, less terrifying dunes serve as obstacles in “dune-bashing” races, where cars and trucks dart and drift across the desert, leaving exhaust and plumes of sand in their wake.
+Scientists have found kissing bugs in 32 states, the new report says. The blood-sucking insect mostly lives in warmer Southern states, but with climate change causing more bug-friendly temperatures, there’s a good chance they have spread farther.
-© Mapbox © OpenStreetMap Improve this map
+Scientistst have identified at least 17 states with infected mammals, including Virginia opossums, raccoons, banded armadillos, striped skunks, coyotes and wood rats, according to the latest report. Veterinarians have seen infections in zoo animals and pets, including cats, dogs and a horse.
-Liwa
-It was “this kind of Mad Max-feeling city,” says Christian LeBlanc, 32, a Canadian influencer who attended last year. “There were these huge lights illuminating the dunes, and as we got closer you could see there were these (cars) driving up and down and up and down. We kept getting closer and closer, and (then) I could hear the chaos.”
-Mixing with the locals
+Doctors have reported Chagas cases in humans in eight states: Arkansas, Arizona, California, Louisiana, Missouri, Mississippi, Tennessee and Texas. There are probably more cases, the new report says, but doctors are not required to report Chagas infections in most states.