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https://www.arca.fiocruz.br/handle/icict/12048
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2015-12-31
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- IOC - Artigos de Periódicos [12791]
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CHAGAS DISEASE AND HOUSING IMPROVEMENT IN NORTHEASTERN BRAZIL: A CROSS-SECTIONAL SURVEY
Author
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Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Ecoepidemiologia da Doença de Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ, Brasil / Escritório Técnico Regional Fiocruz Piauí. Terezina, PI, Brasil.
Universidade Federal do Rio de Janeiro. Laboratório de Diagnóstico Molecular e Hematologia. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Doenças Parasitárias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Ecoepidemiologia da Doença de Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Ecoepidemiologia da Doença de Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ, Brasil / Escritório Técnico Regional Fiocruz Piauí. Terezina, PI, Brasil.
Universidade Federal do Rio de Janeiro. Laboratório de Diagnóstico Molecular e Hematologia. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Doenças Parasitárias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Ecoepidemiologia da Doença de Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Ecoepidemiologia da Doença de Chagas. Rio de Janeiro, RJ, Brasil.
Abstract
Chagas disease was investigated in two new settlements
of landless rural workers inhabiting prefabricated,
triatomine-proof houses and in four neighboring older communities
where mud huts were still well suitable for vectors.
Through a cross-sectional survey and entomological assessment,
we surveyed 148 houses/families in the two new settlements
and in 47 houses/families in the four older localities.We
determined seroprevalence of Chagas disease through IFI and
Elisa (eluates) assays and searched for vectors in the domestic
and peridomestic environments. Seroprevalence reached
0.6 % (3/466) in the new settlements and 0.8 % (1/115) in
the older communities. Triatomines were not found in the
new settlements, while 7 Triatoma brasiliensis, 4
T. pseudomaculata, 1 Panstrongylus lutzi, and 145 Rhodnius
nasutus were collected in the older localities. In addition, a
colony of T. brasiliensis (n=55) was encountered inside a
school attended by children of the region. Parasite strains isolated
from the insects were characterized as T. cruzi I. Despite
the low prevalence of Chagas disease in both scenarios, entomological
surveillance must be strengthened and housing improvement
reinforced in order to control vector transmission.
The risk of infection by the vectors was lower in the settlements
of improved homes, where conditions for colonization
of the peridomestic environment by transmitting insects were
not observed.
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