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Published on: January 27, 2019
Risk factors for Trypanosoma cruzi human infection in Barinas State, Venezuela
M Dora Feliciangeli1, Maria J Sánchez-Martín, Benny Suárez
1Facultad de Ciencias de la Salud, Centro Nacional de Referencia de Flebótomos y Otros Vectores, Universidad de Carabobo, Maracay, Venezuela. mdora@movistar.net.ve
Insights
Chagas disease transmission in Venezuelan children is low but linked to environmental factors like dirt floors and proximity to palm trees. Congenital transmission may also occur, necessitating new control strategies beyond insecticides.
Area of Science:
- * Infectious Diseases
- * Tropical Medicine
- * Public Health Epidemiology
Background:
- * Chagas disease, caused by Trypanosoma cruzi, is a significant public health concern in Latin America.
- * Understanding transmission dynamics and risk factors is crucial for effective control programs.
Purpose of the Study:
- * To quantify Trypanosoma cruzi transmission in children under 15 in Barinas State, Venezuela.
- * To identify key risk factors associated with Chagas disease infection in this population.
Main Methods:
- * Cross-sectional study involving serological testing of 3,296 children.
- * Environmental assessment including detection of Rhodnius prolixus and dwelling characteristics.
- * Multivariate logistic regression analysis to determine infection predictors.
Main Results:
- * Low seroprevalence of 0.12% (4/3,296) in children, with one case suggesting congenital transmission.
- * Overall seroprevalence of 3.3% in 10 studied localities.
- * Infection associated with child's age, dirt floors, and proximity to palm trees; Rhodnius prolixus presence noted.
Conclusions:
- * Chagas disease transmission in the studied pediatric population is low.
- * Environmental factors and potential congenital transmission are significant considerations.
- * Current insecticide strategies may be insufficient, highlighting the need for novel control approaches.
Abstract:
This study attempted to quantify the transmission of Trypanosoma cruzi in children less than 15 years of age in Barinas State, Venezuela and investigate risk factors for infection. Among 3,296 children, 4 (0.12%) were seropositive. The mother of one child also was also seropositive, which suggested that congenital transmission is a possible risk factor for Chagas disease in this area. Seroprevalence among the dwellers of 10 localities was 3.3%. Rhodnius prolixus was detected in 7 localities and in 8% of 125 dwellings. A multivariate logistic regression model showed that infection was associated with age, a dirt floor, and distance from houses to palm trees. The risk of infection is increased by the presence of adventitious sylvatic R. prolixus and transient or residual colonies. Insecticide spraying does not seem justified in this scenario, a finding that was also observed in other Latin American countries. New methods are therefore needed for Chagas disease control programs.
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