COVID-19 Resources

As the number of cases of COVID-19 increase in our community, so does anxiety associated with the pandemic.  The mental health effects of COVID-19 are as important to address as the physical health effects. To aid individuals and communities during this time, the ReACH Center will be compiling a range of resources and information on our COVID-19 page

ReACH is Hiring!

The ReACH Center is hiring a Program Manager to oversee adminstrative activities supporting our recently funResources Information Support and Education (RISE) Rural Telementoring Training Center. To learn more about this position please visit our Job Opportunities page!

Local Census Response Rate

Are you interested in seeing how many people in your community are responding to the 2020 Census?  As of August 11th the national self-response rate of the 2020 Census is 63.4%. The self-response rate for Texas is 58.5%, and the self-response rate in Bexar County is 62.5%. Stay up to date with self response rates from across the U.S. on the Census Bureau website.  

Contact Us

7411 John Smith Road

Suite 1050

San Antonio, TX



Tel: 210-562-5551

Fax: 210-562-5560

2019-2020 ReACH/IIMS Pilot Grant: Building an ECHO model to increase awareness and prevention of Chagas Disease in South Texas

Project Team:

  • PI: Paula Stigler-Granados, PhD - Assistant Professor, School of Health Administration, Texas State University
  • Community Co-investigator: Paula Winkler, MEd - Director, South Central Area Health Education Center
  • Academic Mentor: Rodney Rohde, PhD - Program Chair, Clinical Laboratory Science, Texas State University
  • Graduate Research Assistant: To Be Named
  • Consultant: Wari Allison, MD, PhD - Assistant Professor, Division of Infectious Diseases, Department of Medicine, UT Health San Antonio

Project Abstract:

Chagas disease is sometimes referred to as a “silent killer”. Most people living with this chronic disease will be without symptoms for years or even decades and go undiagnosed until either they are no longer eligible for treatment or the damage is irreversible and fatal. Chagas disease is an infection with the parasite Trypanosoma cruzi (T. cruzi) and is endemic throughout the Americas resulting in significant morbidity and economic burdens. While the United States (US) is typically considered a non-endemic country, research has found T. cruzi-positive Triatoma vectors in 27 southern states along with evidence of sylvatic transmission and locally acquired human cases. Texas, in particular, is becoming recognized as an endemic area for both sylvatic and domestic transmission and has a disproportionate number of locally acquired human infections. Unfortunately, less than 1% of known Chagas disease cases in the US have been properly diagnosed or received appropriate treatment. This critical treatment gap is likely due to the documented low physician awareness and lack of active surveillance of high-risk groups, demonstrating the current state of Chagas disease as a neglected tropical disease in the United States. The overall aim of this proposal is to increase health care provider awareness of Chagas disease screening and treatment protocols and provide education and outreach materials for communities to assist with prevention activities. The long-term outcomes of our study will have clinical implications regarding Chagas disease for South Texas communities, and will serve as a representation for the larger
Latino and low-income communities living in the southern US. Specifically, this project has the following aims:

Aim 1: Establish a Chagas-specific Project ECHO (Extension for Community Healthcare Outcomes) program to be utilized by south Texas clinicians to increase awareness and enhance patient care;
Aim 2: Establish a Chagas-specific ECHO program for Community Health Workers (CHWs) to be utilized by south Texas CHWs to better assist with patient access to information and care; and
Aim 3: Disseminate Chagas related information to communities and the emerging healthcare workforce via South Texas Area Health Education Centers (AHEC) to help better our understanding of prevalence and prevention measures needed in high-risk communities.

Presentations and Publications: