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Am. J. Trop. Med. Hyg., 53(5), 1995, pp. 443-447
Copyright © 1995 by The American Society of Tropical Medicine and Hygiene

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*Chagas Disease

Evaluation of Risk Factors for House Infestation by Triatoma infestans in Brazil

Ana Lucia S. Sgambatti de Andrade, Fabio Zicker, Renato Mauricio de Oliveira, Ionizete Garcia da Silva, Simonne Almeida Silva, Soraya Sgambatti de Andrade AND Celina M. T. Martelli
Instituto de Patologia Tropical e Saude Publica, Universidade Federal de Goias, Goiania, Goias, Brazil; Communicable Disease Program, Pan American Health Organization/World Health Organization, Washington, District of Columbia

An active entomologic survey was conducted by a team of trained health workers in a rural area endemic for Chagas' disease in central Brazil. They used pyrethrum as a flushing agent and 4,232 houses were inspected for triatomine bugs both inside and in the immediate environs. Houses with Triatoma infestans or evidence of an established colony were identified and defined as infested houses (cases). The building and environmental characteristics of 161 randomly selected infested houses were compared with 161 matched, noninfested houses (controls) that were the shortest distance from the infested house. Domestic and peridomestic potential risk factors associated with house infestation by Triatoma infestans were assessed by logistic regression analysis. Incomplete house construction (odds ratio [OR] = 2.5, 95% confidence interval [CI] = 1.5–4.1) was confirmed as a risk factor related to the presence or evidence of Triatoma infestans in the dwellings. The study also disclosed a statistically significant association between the presence of rats (OR = 1.6, 95% CI = 1.1–2.6) and indoor crop storage (OR = 2.3, 95% CI = 1.1–5.2) and house infestation. Further experimental field studies using tagged rodents should be conducted to assess their epidemiologic role in the domestic chain of Trypanosoma cruzi transmission.







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Copyright © 1995 by the American Society of Tropical Medicine and Hygiene.