The dimly lit living room that was once filled with a child’s laughter reminded Eleanor over and over again of her profound loss and her inability to move forward. She and her husband, Joseph, lost their daughter Ava to cancer and nothing has been the same ever since. The grief and the pain that settled into Eleanor’s hard was extremely hard to even try to overcome. Eventually, the loss affected her realtionship with Joseph and the two split.
All Eleanor could wish for was to be a mother again.
Five years after Ava’s passing, she decided to adopt a child. Spending hours and hours on adoption sites, Eleanor’s attention was caught by the image of a young girl named Charlotte. This girl’s resemblance to Ava was incredible. They not only had the same hair color, but it seemed to Eleanor that they also shared facial features.
Without hesitating even a bit, Eleanor called Grace Adoption Services.
“Hello, this is Grace Adoption Services. I’m Samantha. How can I assist you today?” a warm voice came on the other end.
“My name is Eleanor. I’m hoping to adopt, and a little girl on your website has caught my attention,” she said, scratching her head.
“We’ll set up an appointment for you to come in and meet us. It’s always best if we do this in person.”
Eleanor was quick to agree. “I’m ready to take that step,” she said. “I want to make a difference in a child’s life.”
On the day of the meeting, Eleanor waited nervously at Samantha’s office.
“It’s wonderful to meet you in person,” Samantha greeted her. “I’ve read your application and can already tell you’d be an amazing parent.”
Eleanor was asked of the reasons she wanted to adopt and plenty of other questions about her background. She was also asked about her partner, with Samantha telling her that two-parent household had greater chances of adopting a child.
Eleanor explained that her relationship with her ex crumbled after the loss of their daughter, but the two were still in contact and trying to mend things between them.
Eleanor then left the agency with high hopes of being able to adopt Charlotte. She was so certain that her wish of becoming a mother again would come true that she even set a child’s room and bought everything Charlotte would need if she becomes her daughter.
What followed was a meeting at the park between Eleanor and Charlotte. Once she laid eyes on her in person, Eleanor was once again struck by the child’s resemblance with late Ava. She bought some coloring books and markers which Charlotte accepted with a quiet “Thank you” as a response.
The day was filled with fun and laughter, and Charlotte even told Eleanor that she would love her to be her mom because she didn’t want to be in the foster care any longer.
In the following weeks, Eleanor and Charlotte developed a stronger bond as Charlotte visited Eleanor’s home, explored her new bedroom, and shared meals with her.
Finally, Eleanor called Joseph. “Ellie,” he greeted warmly. “I’ve been thinking about you.”
“I have some big news to share. Can we meet tomorrow?” she told him.
The following day, Eleanor explained to Joseph that she wanted to adopt. “I can see this means a lot to you. It’s good to see you so alive again,” he responded. “I can’t let grief consume me,” she said. “We can’t let grief consume us.”
In the days to come, Joseph joined Eleanor and Charlotte to dinners and visited them in the house.
Charlotte was happy in what she hoped would be her forever home. “I’ve never had a mom like you. I don’t want to go back to foster care,” she told Eleanor. “I will be, sweetheart. I’ll be your mom forever.”
Finally, the adoption day arrived and Eleanor invited her closest family and friends to witness the beautiful moment. Joseph was also there.
At the hearing, Eleanor and Charlotte stood hand in hand before the judge as he finalized the adoption. Eleanor’s eyes filled with joyful tears as she looked at Charlotte, realizing they were beginning a new chapter together.
In her new environment, Charlotte flourished, serving as a reminder of the love Eleanor and Joseph once lost and the abundant love they still had to offer.
Being part of their lives, Charlotte brought Eleanor and Joseph closer together, and they rekindled their relationship.
One day, out of the blue, Eleanor received a call from Samantha. Her voice sounded strange and Eleanor heart skipped a beat because she could sense something was wrong.
“Eleanor, Charlotte’s biological mother has contacted me,” the adoption agency owner revealed. “She claimed that Joseph could be Charlotte’s biological father.”
“What? Charlotte could be Ava’s half-sister?” Eleanor whispered.
“We need to confront Joseph about this,” Samantha advised. “If he denies it, a paternity test may be necessary.”
“Why does it matter if she gave the kid up?”
“She said that the affair was quick, but if the biological dad suddenly wants to be in the picture, she may want to challenge the adoption,” Samantha explained. “I just want to be sure nothing can mess with Charlotte’s happiness.”
Eleanor hung up the phone and approached Joseph who was gardening outside. She told him what Samantha told her and asked him if he had had an affair with someone. Joseph confessed that he had a one-night thing with a woman whom he met in a support group for grieving parents he had joined after Ava’s death and their separation.
“It was a terrible mistake,” he confessed.
“You mean to say that you might be Charlotte’s father then if this woman gave her up for adoption?” Eleanor asked in horror.
“I left the group soon after she told me she was pregnant. But she might have given the child up for adoption,” Joseph nodded.
Eleanor, overwhelmed, asked about a paternity test which Joseph agreed without hesitation, “I will. I’ll own up to this all the way.”
While they waited for the results, Eleanor spoke to Samantha constantly. “In most jurisdictions, once an adoption is complete, it is generally irreversible,” her now-friend explained softly. When the results finally came Eleanor had a hard time breathing as they were opening the envelope that could change their lives yet again. She read it slowly, “Joseph is…not Charlotte’s father! Thank God!”
Upon hearing this news, Eleanor saw Charlotte’s resemblance to Ava as a miraculous coincidence and a second chance for her family. Through Charlotte, Ava could forever remain a part of them.
These bugs come out at nighttime, and attacking victims, they silently kill or leave them with a lifelong infection
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!
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