Active Transmission of Human Chagas Disease in Colima Mexico

Despite efforts to eradicate American trypanosomiasis (AT) and Chagas disease from the Americas, there are still areas of active transmission that can eventually become a source of reinfection in previously controlled regions. Mexico could be one of those areas, where there are no formal preventive...

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Published in:	Memórias do Instituto Oswaldo Cruz Vol. 99; no. 4; pp. 363 - 368
Main Authors:	Rafael Coll-Cárdenas, Francisco Espinoza-Gómez, Arcadio Maldonado-Rodríguez, Pedro A Reyes-López, Miguel Huerta-Viera, Fabián Rojas-Larios
Format:	Journal Article
Language:	English
Published:	Brazil Fundação Oswaldo Cruz, Fiocruz 01-06-2004 Instituto Oswaldo Cruz, Ministério da Saúde Fundação Oswaldo Cruz (FIOCRUZ)
Subjects:	Adolescent Adult Aged American trypanosomiasis Animals Chagas disease Chagas disease - American trypanosomiasis - Colima, Mexico Chagas Disease - diagnosis Chagas Disease - epidemiology Chagas Disease - transmission Child Child, Preschool Colima Female Humans Insect Vectors - parasitology Male Mexico - epidemiology Middle Aged PARASITOLOGY Prevalence Reduviidae Seroepidemiologic Studies Triatominae Triatominae - parasitology TROPICAL MEDICINE Trypanosoma cruzi Trypanosoma cruzi - isolation & purification Mexico American trypanosomiasis Chagas disease Colima
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Abstract	Despite efforts to eradicate American trypanosomiasis (AT) and Chagas disease from the Americas, there are still areas of active transmission that can eventually become a source of reinfection in previously controlled regions. Mexico could be one of those areas, where there are no formal preventive control programs despite the presence of communities infested by Triatominae bugs infected with Trypanosoma cruzi . This study explored the prevalence of T. cruzi infection in 405 habitants of 17 communities in the state of Colima, on the Pacific Mexican coast, through a seroepidemiological probabilistic survey. The results revealed a point seroprevalence of 2.4% positive for anti-T. cruzi. In addition, 2 clinical cases of chronic and 2 of acute Chagas disease were detected in the explored communities. These findings confirm the risk of active transmission of AT in Western Mexico, especially in rural and suburban communities infested with intra-domestic triatominae, where control programs should be implemented.
AbstractList	Despite efforts to eradicate American trypanosomiasis (AT) and Chagas disease from the Americas, there are still areas of active transmission that can eventually become a source of reinfection in previously controlled regions. Mexico could be one of those areas, where there are no formal preventive control programs despite the presence of communities infested by Triatominae bugs infected with Trypanosoma cruzi. This study explored the prevalence of T. cruzi infection in 405 habitants of 17 communities in the state of Colima, on the Pacific Mexican coast, through a seroepidemiological probabilistic survey. The results revealed a point seroprevalence of 2.4% positive for anti-T. cruzi. In addition, 2 clinical cases of chronic and 2 of acute Chagas disease were detected in the explored communities. These findings confirm the risk of active transmission of AT in Western Mexico, especially in rural and suburban communities infested with intra-domestic triatominae, where control programs should be implemented. Despite efforts to eradicate American trypanosomiasis (AT) and Chagas disease from the Americas, there are still areas of active transmission that can eventually become a source of reinfection in previously controlled regions. Mexico could be one of those areas, where there are no formal preventive control programs despite the presence of communities infested by Triatominae bugs infected with Trypanosoma cruzi . This study explored the prevalence of T. cruzi infection in 405 habitants of 17 communities in the state of Colima, on the Pacific Mexican coast, through a seroepidemiological probabilistic survey. The results revealed a point seroprevalence of 2.4% positive for anti-T. cruzi. In addition, 2 clinical cases of chronic and 2 of acute Chagas disease were detected in the explored communities. These findings confirm the risk of active transmission of AT in Western Mexico, especially in rural and suburban communities infested with intra-domestic triatominae, where control programs should be implemented.
Author	Francisco Espinoza-Gómez Pedro A Reyes-López Arcadio Maldonado-Rodríguez Rafael Coll-Cárdenas Fabián Rojas-Larios Miguel Huerta-Viera
AuthorAffiliation	Instituto Nacional de Cardiología Ignacio Chávez Centro Universitario de Investigaciones Biomédicas Universidad de Colima
AuthorAffiliation_xml	– name: Instituto Nacional de Cardiología Ignacio Chávez – name: Centro Universitario de Investigaciones Biomédicas – name: Universidad de Colima
Author_xml	– sequence: 1 fullname: Rafael Coll-Cárdenas – sequence: 2 fullname: Francisco Espinoza-Gómez – sequence: 3 fullname: Arcadio Maldonado-Rodríguez – sequence: 4 fullname: Pedro A Reyes-López – sequence: 5 fullname: Miguel Huerta-Viera – sequence: 6 fullname: Fabián Rojas-Larios
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/15322624$$D View this record in MEDLINE/PubMed
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CitedBy_id	crossref_primary_10_1016_j_actatropica_2013_04_007 crossref_primary_10_1371_journal_pntd_0002505 crossref_primary_10_1089_vbz_2019_2580 crossref_primary_10_1186_1471_2334_14_117 crossref_primary_10_1590_S0074_02762006000400001 crossref_primary_10_1016_j_vetpar_2006_04_020 crossref_primary_10_4269_ajtmh_2010_08_0624 crossref_primary_10_7705_biomedica_v30i1_161
Cites_doi	10.1128/JCM.18.2.327-330.1983 10.1590/S0074-02762002000100002 10.4269/ajtmh.1999.61.308 10.1126/science.1060638 10.4269/ajtmh.1999.60.215 10.1016/0035-9203(78)90160-8 10.1016/S0188-4409(02)00381-8 10.1590/S0036-46651999000500007 10.1590/S0074-02761999000700010 10.1016/S1471-4922(01)01952-3 10.1590/S0036-36341999000400010 10.1590/S0036-36342003000200010 10.1590/S0074-02762003000500004 10.1128/JCM.35.12.3316-3319.1997 10.1590/S0074-02762001000200001 10.1128/JCM.34.5.1171-1175.1996 10.1590/S0074-02762002000700004 10.1590/S0102-311X200200060002400028 10.1016/S1473-3099(01)00065-2 10.1590/S0074-02762003000500001
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Keywords	American trypanosomiasis Chagas disease Colima
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Snippet	Despite efforts to eradicate American trypanosomiasis (AT) and Chagas disease from the Americas, there are still areas of active transmission that can... Despite efforts to eradicate American trypanosomiasis (AT) and Chagas disease from the Americas, there are still areas of active transmission that can...
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SubjectTerms	Adolescent Adult Aged American trypanosomiasis Animals Chagas disease Chagas disease - American trypanosomiasis - Colima, Mexico Chagas Disease - diagnosis Chagas Disease - epidemiology Chagas Disease - transmission Child Child, Preschool Colima Female Humans Insect Vectors - parasitology Male Mexico - epidemiology Middle Aged PARASITOLOGY Prevalence Reduviidae Seroepidemiologic Studies Triatominae Triatominae - parasitology TROPICAL MEDICINE Trypanosoma cruzi Trypanosoma cruzi - isolation & purification
Title	Active Transmission of Human Chagas Disease in Colima Mexico
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