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A multidisciplinary, collaborative, inter-agency and comprehensive approach for the control of Chagas Disease as a public health problem in Guatemala
- Source :
- Acta Tropica. 225:106157
- Publication Year :
- 2022
- Publisher :
- Elsevier BV, 2022.
-
Abstract
- The Pan American Health Organization (PAHO) has defined Chagas Disease hotspots in Central America associated with the vector Triatoma spp. Triatoma dimidiata is a native vector adapted to multiple environments, including intra-domestic and peri-domestic habitats. A multi-institutional project named "Alliances for the elimination of Chagas in Central America" was created to help reduce the incidence of the disease in the region. Activities performed in the field as part of the project included aspects of vector surveillance and control, improvement of houses, diagnosis and treatment of individuals, health promotion, training of human resources and identification of access barriers to diagnosis and treatment. As a base line study, eleven villages, comprised of 1,572 households, were entomologically evaluated (83.4% overall participation); five were found to have very high infestation rates (20%), three had high infestation rates (8-20%) and three had low-infestation rates (8%), coinciding with the category of infestation-risk of the houses within each village. Serological tests were carried out in 812 people (80% participation) in two of the 11 villages and none of the 128 children tested, less than 5 years of age, were positive for Trypanosoma cruzi infection. Community participation in all the activities was high (70%). The collaboration between several subnational, national, and international institutions, each with specific roles, promoted community participation in the activities of vector control and patient care, thus, establishing a baseline to continue implementing and monitoring project progress.
- Subjects :
- Chagas disease
medicine.medical_specialty
Trypanosoma cruzi
Veterinary (miscellaneous)
Disease
Insect Control
Environmental health
parasitic diseases
medicine
Animals
Humans
Chagas Disease
Triatoma
Triatoma dimidiata
Child
Human resources
biology
business.industry
Public health
Guatemala
medicine.disease
biology.organism_classification
Insect Vectors
Infectious Diseases
Health promotion
Geography
Insect Science
Vector (epidemiology)
Parasitology
Public Health
business
Subjects
Details
- ISSN :
- 0001706X
- Volume :
- 225
- Database :
- OpenAIRE
- Journal :
- Acta Tropica
- Accession number :
- edsair.doi.dedup.....ab16fb584937bea47ae526d502097495
- Full Text :
- https://doi.org/10.1016/j.actatropica.2021.106157