When Emiliana Rodriguez was a little girl, she recalls watching friends play a nighttime soccer match when one of the players abruptly died on the pitch.
Unaware of what had transpired, Rodriguez, a native of Bolivia, developed a phobia of the dark and the “monster”—the silent killer known as Chagas—that she had been told only appears at night.
Chagas disease is a unique sort of illness that is spread by nocturnal insects. It is also known as the “silent and silenced disease” that infects up to 8 million people annually, killing 12,000 people on average.
Emiliana Rodriguez, 42, discovered she had to live with Chagas, a “monster,” after relocating to Barcelona from Bolivia 27 years ago.
“Night is when the fear generally struck. I didn’t always sleep well,” she admitted. “I was worried that I wouldn’t wake up from my sleep.”
Rodriguez had specific tests when she was eight years old and expecting her first child, and the results indicated that she carried the Chagas gene. She recalled the passing of her buddy and remarked, “I was paralyzed with shock and remembered all those stories my relatives told me about people suddenly dying.” “I wondered, ‘What will happen to my baby?’”
Rodriguez was prescribed medicine, though, to prevent the parasite from vertically transmitting to her unborn child. After her daughter was born, she tested negative. Elvira Idalia Hernández Cuevas, 18, was unaware of the Mexican silent killer until her 18-year-old son was diagnosed with Chagas.
Idalia, an eighteen-year-old blood donor from her birthplace near Veracruz, Mexico, had a positive diagnosis for Chagas, a disease caused by triatomine bugs, often known as vampire or kissing bugs and bloodsucking parasites, when her sample was tested.
In an interview with the Guardian, Hernandez stated, “I started to research Chagas on the internet because I had never heard of it.” When I read that it was a silent murderer, I became really afraid. I had no idea where to go or what to do.
She is not alone in this; a lot of people are ignorant of the diseases that these unpleasant bugs can spread. The term Chagas originates from Carlos Ribeiro Justiniano Chagas, a Brazilian physician and researcher who made the discovery of the human case in 1909.
Over the past few decades, reports of the incidence of Chagas disease have been made in Europe, Japan, Australia, Latin America, and North America.
Kissing bugs are mostly found in rural or suburban low-income housing walls, where they are most active at night when humans are asleep. The insect bites an animal or person, then excretes on the skin of the victim. The victim may inadvertently scratch the area and sever the skin, or they may spread the excrement into their mouth or eyes. This is how the T. cruzi infection is disseminated.
The World Health Organization (WHO) estimates that between 6 and 7 million people worldwide—roughly 8 million people in Mexico, Central America, and South America—have Chagas disease; the majority of these individuals remain oblivious to their illness. These estimates are provided by the Centers for Disease Control and Prevention (CDC). The persistent infection might be fatal if untreated. According to the Guardian, Chagas disease kills over 12,000 people year, “more people in Latin America than any other parasite disease, including malaria.”
Despite the fact that these bugs have been found in the United States—nearly 300,000 people are infected—they are not thought to be endemic.
While some people never experience any symptoms, the CDC notes that 20 to 30 percent experience gastrointestinal or heart problems that can cause excruciating pain decades later.
Furthermore, only 10% of cases are detected globally, which makes prevention and treatment exceedingly challenging.
Hernández and her daughter Idalia went to see a number of doctors in search of assistance, but all were also uninformed about Chagas disease and its management. “I was taken aback, terrified, and depressed because I believed my kid was going to pass away. Above all, Hernandez stated, “I was more anxious because I was unable to locate any trustworthy information.”
Idalia finally got the care she required after receiving assistance from a family member who was employed in the medical field.
“The Mexican government claims that the Chagas disease is under control and that not many people are affected, but that is untrue,” Hernández asserts. Medical practitioners misdiagnose Chagas disease for other heart conditions because they lack knowledge in this area. Most people are unaware that there is Chagas in Mexico.
The World Health Organization (WHO) has classified chagas as a neglected tropical disease, which means that the global health policy agenda does not include it.
Chagas is overlooked in part because, according to Colin Forsyth, a research manager at the Drugs for Neglected Diseases Initiative (DNDi), “it’s a silent disease that stays hidden for so long in your body… because of the asymptomatic nature of the initial part of the infection.”
Forsyth went on to say, “The people affected just don’t have the power to influence healthcare policy,” making reference to the impoverished communities. It’s kept hidden by a convergence of social and biological factors.
Chagas, however, is becoming more well recognized as it spreads to other continents and can also be transferred from mother to child during pregnancy or childbirth, as well as through organ and blood transfusions.
The main objective of the Chagas Hub, a UK-based facility founded by Professor David Moore, a doctor at the Hospital for Tropical Diseases in London, is to get “more people tested and treated, and to manage the risk of transmission, which in the UK is from mother to child,” according to Professor Moore.
Regarding the WHO’s 2030 aim for the eradication of the disease, Moore stated that progress toward it is “glacial” and added, “I can’t imagine that we’ll be remotely close by 2030.” That seems improbable.
Two medications that have been available for more than 50 years to treat chagas are benznidazole and nifurtimox, which according to Moore are “toxic, unpleasant, not particularly effective.”
Although the medications are effective in curing babies, there is no guarantee that they will prevent or halt the advancement of the condition in adults.
Regarding severe adverse effects, Rodriguez remembers getting dizziness and nausea as well as breaking out in hives. She completed her therapy, and she gets checked out annually.
Moore goes on to say that while creating stronger anti-Chaga drugs is crucial to stopping the disease’s spread, pharmaceutical companies are currently not financially motivated to do so.
As president of the International Federation of Associations of People Affected by Chagas condition (FINDECHAGAS), Hernández is on a mission to raise awareness of the condition until there is a greater need on the market for innovative treatments.
In Spain, Rodriguez is battling the “monster” as part of a campaign to increase public awareness of Chagas disease being conducted by the Barcelona Institute for Global Health.
“I’m tired of hearing nothing at all,” Rodriguez declares. “I want Chagas to be discussed and made public. I’m in favor of testing and therapy for individuals.
They are being heard, too.
World Chagas Disease Day was instituted by the WHO on April 14, 1909, the day Carlos discovered the disease’s first human case.The WHO states that “a diversified set of 20 diseases and disease categories are set out to be prevented, controlled, eliminated, and eradicated through global targets for 2030 and milestones.” And among them is Chagas.
To prevent a possible infestation, the CDC suggests taking the following steps:
Close up any gaps and fissures around doors, windows, walls, and roofs.
Clear out the rock, wood, and brush piles close to your home.
Put screens on windows and doors, and fix any tears or holes in them.
Close up gaps and crevices that lead to the exterior, crawl areas beneath the home, and the attic.
Keep pets inside, especially during the evening.
Maintain the cleanliness of your home and any outdoor pet resting places, and check for bugs on a regular basis.
If you believe you have discovered a kissing insect, the CDC recommends avoiding crushing it. Alternatively, carefully put the bug in a jar, fill it with rubbing alcohol, and then freeze it. It is then recommended that you bring the bug’s container to an academic lab or your local health authority so that it can be identified.
Please tell this tale to help spread the word about an illness that goes unnoticed!
Pianist Always Leaves a Free Ticket for a Special Guest and Breaks Down in Tears the Day Someone Finally Takes It
Miley could listen to Ian’s music for hours. However, as she finds herself falling in love with the young pianist, she learns about Nora, a woman for whom he has been reserving a ticket at every performance. When the ticket is finally claimed, Ian is forced to confront his past.
Ian sat alone at the grand piano, the faint echoes of his notes filling the empty concert hall.
His fingers danced over the keys with precision, yet his movements carried a natural fluidity, as if the music were flowing straight from his soul.
Each note lingered in the air, a delicate thread weaving through the silence. His eyes, nearly closed, gave him the appearance of being lost in a dream.
At the entrance, Miley stood quietly, her breath catching each time Ian struck a particularly moving chord.
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She felt a warmth in her chest, an admiration that made her heart beat just a little faster.
The way he poured his heart into the music mesmerized her. She didn’t dare move, not wanting to interrupt the magic.
A soft shuffle of footsteps broke the silence. Rosa, the kind-hearted older woman who had worked at the theater for decades, approached Miley with a knowing smile.
“He’s good, isn’t he?” Rosa whispered, her voice barely audible, as if speaking louder would break the spell.
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Miley nodded quickly, then stumbled over her words.
“He’s very good… I mean, he plays very well. That’s what I meant.”
Rosa chuckled softly, her eyes twinkling.
“Don’t be shy, sweetheart. You’re young—this is the time for such feelings.”
Miley’s cheeks flushed a deep pink.
“You’ve got it all wrong. I just like how he plays, that’s all.”
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“Sure, sure,” Rosa teased, her smile widening.
As Ian’s final note faded into the air, he exhaled deeply, turning to look around the hall.
Spotting Rosa and Miley, he broke into a wide smile and waved, jogging over to them.
“Great performance, Ian, as always,” Rosa praised warmly.
“Thank you, Rosa,” Ian replied. Then, almost as an afterthought, he added, “Did you remember to set aside the ticket?”
“As always, Ian—one ticket for Nora,” Rosa said with a reassuring nod.
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Ian’s face softened, a look of quiet gratitude flickering across his features. “Thank you,” he said sincerely before heading out of the building.
Curiosity burned in Miley’s chest.
“What’s this ticket about?” she asked Rosa.
Rosa leaned closer, her voice lowering as if sharing a secret. “As long as I’ve known Ian, he always sets aside one ticket before every performance. It’s always for Nora.”
Miley frowned slightly.
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“Who is she? His mom? Sister? Girlfriend?” Her voice wavered with unease.
Rosa shrugged.
“I don’t know. She’s never come to any of his performances. But Ian keeps leaving a ticket for her, never explaining who she is.”
“That’s so sad,” Miley murmured, her heart aching for Ian.
“Yes, it is,” Rosa agreed. Then, with a small smile, she added, “But maybe it’s for the best—keeps a bit of mystery in his performances.”
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Miley nodded, but her thoughts lingered on the name: Nora. Who was she, and why did she hold such a place in Ian’s heart?
Miley stood frozen in front of Ian’s dressing room door, her palms damp with nervous sweat.
She wrung her hands together, muttering under her breath, rehearsing the words that refused to come out smoothly.
“Just say it. ‘Ian, do you want to go for a walk?’ It’s not that hard,” she whispered, but her voice trembled even in the quiet.
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Taking a shaky breath, she straightened her shoulders and stepped forward, her hand reaching for the door.
Before she could knock, it swung open. Ian stood there, his hand still on the doorknob, his surprised eyes meeting hers.
“Miley… Hi,” he said, his voice warm but puzzled.
“Hi, Ian,” she replied, her throat suddenly dry. She swallowed hard, her mind scrambling for the words she had practiced.
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“Is something wrong?” Ian asked, concern flickering across his face. “Did you need something?”
“No… I mean, yes. Yes, I did.” Miley’s voice was unsteady, and she hated how unsure she sounded.
“Listen, Ian, I’ve been wanting to ask you something for a long time.”
Ian tilted his head, curious. “Ask me what?”
She hesitated, then blurted out, “Would you like to… I mean, do you want to, after your performance…”
“Do I want to what?” he prompted gently.
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“Go to the park with me,” she said quickly, her cheeks flushing. “For a walk. With me.”
Ian stared at her for a moment, and she felt her heart thudding loudly in her chest.
He opened his mouth, then closed it, looking thoughtful. Finally, he sighed, and his expression turned somber.
“I’m sorry, Miley. I’d really like to, but I can’t.”
Her brow furrowed. “I don’t understand… Why not?”
“I can’t say,” he said softly, avoiding her gaze.
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“Is it because of Nora?” she asked, the name slipping out before she could stop it.
Ian flinched slightly, his jaw tightening.
“You don’t understand… I’m sorry, the performance is starting soon. I need to prepare.”
Before she could say anything else, Ian brushed past her, walking briskly down the hall.
Miley stood there, her heart sinking, tears threatening to spill as his words echoed in her mind.
She sat on the cold bench near the cloakroom, her face buried in her hands. Quiet sobs shook her shoulders as she tried to make sense of everything.
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Her tears blurred the familiar surroundings, but she barely noticed. All she could think about was Ian—his music, his distant smile, and his refusal.
From across the room, Rosa noticed the young woman and hurried over. Her soft footsteps were comforting in the otherwise silent space.
“Miley, dear, what happened?” Rosa asked gently, sitting beside her. Her warm hand rested lightly on Miley’s shoulder.
“I’m such a fool. A complete fool,” Miley blurted out between sobs. “Why did I ever think I deserved this?”
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Rosa frowned, her kind eyes filled with concern.
“Don’t say that! You’re a smart and beautiful young woman. Tell me what happened.”
Miley sniffled, wiping her face with her sleeve.
“I talked to Ian,” she began, her voice shaking. “I wanted to ask him out.”
“And what did he say?” Rosa asked carefully.
“He said he’d like to but couldn’t,” Miley said, her voice breaking.
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“He didn’t explain anything. He just walked away! It’s all because of that Nora! But she doesn’t even care about him! She doesn’t even come to his performances! And I do! I appreciate him!”
“Oh, sweetie,” Rosa said, her voice soothing. “Don’t be upset. It’s not the end of the world. You’ll find your true love.”
Miley shook her head, her tears slowing but her resolve hardening. “No!” she said firmly. “I’m going to fight for him.”
Before Rosa could respond, Miley stood, wiped her face, and marched toward Ian’s dressing room.
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Determination burned in her eyes as she reached the door. She knocked softly. No answer. Carefully, she turned the knob and stepped inside.
The room was neat, almost too neat, as though Ian had been trying to keep everything in perfect order to hide the chaos within.
Miley scanned the desk, her gaze landing on a leather-bound journal. Her hands trembled as she picked it up.
“This isn’t right,” she whispered to herself, but the thought of understanding Ian pushed her forward.
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She opened the journal and flipped through the pages, searching for the name that had haunted her thoughts: Nora.
Her breath hitched when she found it. The words leaped off the page:
“I’ve been invited to audition at the theater. They want to hear me play and evaluate my skills. I didn’t want to go—I didn’t see the point in embarrassing myself again—but Nora thought differently. She convinced me to go. I don’t know what I’d do without her…”
Miley’s eyes widened as she read. She turned another page:
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“I got the part! I don’t know how it happened, but they want me to play there. An agent even took my number and promised to set up performances for me. I can’t believe it—it’s all thanks to Nora!”
She kept flipping until she reached the final page. Her heart stopped when she saw the yellowed newspaper clipping glued to it.
The headline read: “After a tragic fire, 26-year-old Nora Gates has passed away…”
Miley’s hands fell to her sides as tears streamed down her cheeks. Now she understood.
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Nora wasn’t some distant, uncaring figure—she was Ian’s late girlfriend, the woman who had believed in him when he didn’t believe in himself.
Miley gently placed the journal back on the desk and left the room, her heart heavy with the weight of her discovery.
The theater buzzed with quiet anticipation as the lights dimmed and Ian prepared to take his place at the piano.
His heart raced, not from stage fright, but from Rosa’s words just moments earlier.
“Ian, someone finally took your ticket,” she had whispered.
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“What!? That can’t be!” he had exclaimed, his voice sharp with disbelief.
Rosa had only shrugged, her expression a mix of curiosity and amusement, before walking away.
The melody filled the room, soft yet powerful, like waves crashing and retreating.
Still, his eyes darted toward the reserved seat every few minutes. At first, it was empty, just as it always had been.
A pang of relief—or was it disappointment?—settled in his chest.
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Then, partway through a piece, he caught sight of someone sitting there. It was Miley.
His breath hitched as he stared, stunned.
Miley’s face, partially hidden behind the bouquet of flowers she held, looked at him with both fear and determination. Ian’s heart ached in a way he hadn’t felt in years.
Tears blurred his vision, but he kept playing, pouring every ounce of emotion into the music. By the time the final note rang out, the audience erupted into applause.
Miley waited for the crowd to settle before approaching him. She handed him the flowers, her voice trembling.
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“Ian, it was wonderful. Thank you for the performance.”
“You took the ticket,” he said, his voice low and uncertain.
“Yes… I’m sorry. It was for Nora, right?.”
Ian nodded slowly, his expression unreadable. “Yes.”
“But Nora is no longer here, Ian,” Miley said gently. “I know what she did for you, and I know how much you loved her.”
“You don’t understand,” he said, his voice cracking.
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“I do,” Miley replied, her eyes glistening. “I’m sorry, but I read a few pages of your journal. She wanted you to live, Ian. To follow your dreams. To be happy.”
Ian lowered his gaze, the weight of her words sinking in.
“But she’s gone…”
Miley stepped closer.
“But you’re still here. Do you think she would want your life to stop with hers?”
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For a long moment, Ian said nothing, the silence between them thick with unspoken pain. Finally, Miley placed the flowers in his hands.
“You’re a wonderful person, Ian. Please, allow yourself to be happy.”
She turned to leave, but his voice stopped her. “Wait!”
Miley spun around, her eyes wide.
“I want to take a walk with you in the park,” Ian said, his voice quiet but sure.
A small, hopeful smile spread across Miley’s face as she nodded.
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If you enjoyed this story, read this one: Teenage boy Charlie struggles to understand why his peers receive expensive presents while he’s left listening to his mother’s excuses. Then he discovers that his mother had prepared 15 gifts for his future birthdays. But after learning the reason behind it, he finally realizes what he truly wants.
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