We appreciate the comments by Ramos to our review on Chagas' disease (CD) in Europe [1,2]. We congratulate the Author and his group for the efforts made to identify people of Latin American (LA) origin who are infected by Trypanosoma cruzi and unaware of it using creative strategies.. Indeed, our intention was precisely to raise the attention of the medical community in Europe working out our specialty (i.e., Infectious Diseases) to the growing problem of CD in all its protean manifestations (Fig.