It authorizes the holder to teach in the area of specialization listed on the credential in the following settings: special day classes, special schools, home/hospital settings, correctional facilities, nonpublic schools and agencies, and resource rooms.
14â16 The neuronal loss in Chagas heart disease has been postulatedto occur predominantly during the acute phase of the infec-tion, with participation of 3 mechanisms: direct parasitism ofneurons, degeneration caused by periganglionic inflamma-tion, and antineuronal autoimmune reaction.nly inthe late 1940s, through improved specific serological tests todetect antibodies against T cruzi, the clinical syndromes ofmegaesophagus, megacolon, and heart failure, by then ofunknown cause, were ascribed to Chagas disease, and the firstreport of cardiac neuronal damage appeared in the literature.
Almost all known species reside in the New World. They are best known as vectors of Chagas disease, a disease caused by transmission of the blood parasite, Trypanosoma cruzi, through their feces. Vector transmission of Chagas disease occurs with a number of endemic kissing bugs. Chagas is largely confined to Mexico, Central America and South America. Although only a few cases of insect-transmitted Chagas disease have occurred in the US, these bugs are common in southern, southeastern and southwestern states.