Institute for Health Metrics and Evaluation , 2017. GBD Results Tool. Available at: http://ghdx.healthdata.org/gbd-results-tool. Accessed August 17, 2017.
Bowman NM et al., 2008. Chagas disease transmission in periurban communities of Arequipa, Peru. Clin Infect Dis 46: 1822–1828.
Bayer AM , Hunter GC , Gilman RH , Cornejo del Carpio JG , Naquira C , Bern C , Levy MZ , 2009. Chagas disease, migration and community settlement patterns in Arequipa, Peru. PLoS Negl Trop Dis 3: e567.
Delgado S et al., 2011. A history of Chagas disease transmission, control, and re-emergence in peri-rural La Joya, Peru. PLoS Negl Trop Dis 5: e970.
Paz-Soldán VA et al., 2018. To spray or not to spray? Understanding participation in an indoor residual spray campaign in Arequipa, Peru. Glob Public Health 13: 65–82.
Buttenheim AM et al., 2014. Is participation contagious? Evidence from a household vector control campaign in urban Peru. J Epidemiol Community Health 68: 103–109.
Levy MZ , Bowman NM , Kawai V , Waller LA , Cornejo del Carpio JG , Benzaquen EC , Gilman RH , Bern C , 2006. Periurban Trypanosoma cruzi–infected Triatoma infestans, Arequipa, Peru. Emerg Infect Dis 12: 1345–1352.
Levy MZ et al., Chagas Disease Working Group in Arequipa, Peru , 2014. Urbanization, land tenure security and vector-borne Chagas disease. Proc Biol Sci 281: 20141003.
Castillo-Neyra R et al., 2015. The potential of canine sentinels for reemerging Trypanosoma cruzi transmission. Prev Vet Med 120: 349–356.
Herrera S et al., 2012. Prospects for malaria elimination in non-Amazonian regions of Latin America. Acta Trop 121: 315–323.
Stoddard ST et al., 2014. Long-term and seasonal dynamics of dengue in Iquitos, Peru. PLoS Negl Trop Dis 8: e3003.
Rosas-Aguirre A et al., 2016. Epidemiology of Plasmodium vivax Malaria in Peru. Am J Trop Med Hyg 95: 133–144.
Requena-Zúñiga E , Málaga-Chávez F , Ttito EARL , Balta-León R , Valle-Toledo J , 2018. Primera evidencia de Aedes aegypti en la región de Arequipa, Perú 2016. Rev Peru Med Exp Salud Publica 35: 348–349.
Guimarães G et al., 2013. Biochemical and immunological characteristics of Peruvian Loxosceles laeta spider venom: neutralization of its toxic effects by anti-loxoscelic antivenoms. Toxicon 70: 90–97.
Feldmeier H , Heukelbach J , 2009. Epidermal parasitic skin diseases: a neglected category of poverty-associated plagues. Bull World Health Organ 87: 152–159.
Walker SL , Lebas E , De Sario V , Deyasso Z , Doni SN , Marks M , Roberts CH , Lambert SM , 2017. The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia. PLoS Negl Trop Dis 11: e0005808.
Paz-Soldan VA et al., 2016. Factors associated with correct and consistent insecticide treated curtain use in Iquitos, Peru. PLoS Negl Trop Dis 10: e0004009.
Larson AJ et al., 2021. Misuse, perceived risk, and safety issues of household insecticides: qualitative findings from focus groups in Arequipa, Peru. PLoS Negl Trop Dis 15: e0009251.
Gerencia Regional de Salud Arequipa , 2016. Análisis de Situación de Salud 2016. Arequipa, Peru: Gerencia Regional de Salud Arequipa.
Instituto Nacional de Estadistica e Informatica , 2018. Perú: Perfil Sociodemográfico. Censos Nacionales 2017: XI de Población y VI de Vivienda. Lima, Peru: Instituto Nacional de EstadÃstica e Informática.
Salazar-Sánchez RS , Ascuña-Durand K , Ballón-Echegaray J , Vásquez-Huerta V , MartÃnez-Barrios E , Castillo-Neyra R , 2021. Socio-demographic determinants associated with Blastocystis infection in Arequipa, Peru. Am J Trop Med Hyg 104: 700.
Levy MZ et al., 2007. Targeted screening strategies to detect Trypanosoma cruzi infection in children. PLoS Negl Trop Dis 1: e103.
Buttenheim AM et al., 2019. A behavioral design approach to improving a Chagas disease vector control campaign in Peru. BMC Public Health 19: 1–11.
Buttenheim AM et al., 2018. Increasing participation in a vector control campaign: a cluster randomised controlled evaluation of behavioural economic interventions in Peru. BMJ Glob Health 3: e000757.
Salazar R , Castillo-Neyra R , Tustin AW , Borrini-Mayorà K , Náquira C , Levy MZ , 2015. Bed bugs (Cimex lectularius) as vectors of Trypanosoma cruzi. Am J Trop Med Hyg 92: 331–335.
Chatfield A , Javetski G , Fletcher A , Lesh N , 2014. CommCare Evidence Base. CommCare. Available at: https://confluence.dimagi.com/display/commcarepublic. Accessed May 1, 2015.
Bernard HR , 2006. Research Methods in Anthropology: Qualitative and Quantitative Approaches. 4th ed. Lanham, MD: AltaMira Press.
Delaunay P , Blanc V , Del Giudice P , Levy-Bencheton A , Chosidow O , Marty P , Brouqui P , 2011. Bedbugs and infectious diseases. Clin Infect Dis 52: 200–210.
Goddard J , de Shazo R , 2012. Psychological effects of bed bug attacks (Cimex lectularius L.). Am J Med 125: 101–103.
Susser SR , Perron S , Fournier M , Jacques L , Denis G , Tessier F , Roberge P , 2012. Mental health effects from urban bed bug infestation (Cimex lectularius L.): a cross-sectional study. BMJ Open 2: e000838.
Winch PJ , Lloyd LS , Hoemeke L , Leontsini E , 1994. Vector control at the household level: an analysis of its impact on women. Acta Trop 56: 327–339.
Lazzari CR , Pereira MH , Lorenzo MG , 2013. Behavioural biology of Chagas disease vectors. Mem Inst Oswaldo Cruz 108: 34–47.
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Vector-borne diseases continue to impose a major health burden on Peru and neighboring countries. The challenge of addressing vector-borne disease is compounded by changing social, economic, and climatic conditions. Peri-urban Arequipa is an important region to study insect infestations because of ongoing challenges with disease vectors such as triatomines and a variety of other insects. We conducted surveys (N = 1,182) and seven focus groups (average seven participants) in peri-urban Arequipa to explore knowledge of and perception toward various insects that infest the region. Focus group participants reported the presence of a wide variety of insects in and around the home, including disease vectors such as triatomines (also identified by 27.2% of survey households), mosquitoes, spiders, and bed bugs, as well as nuisance insects. Health concerns related to insects included vector-borne diseases, spider bites, allergies, and sequelae from bed bug bites, and hygiene concerns. A majority of participants in the quantitative surveys identified triatomines as the insect they were most worried about (69.9%) and could identify Chagas disease as a health risk associated with triatomines (54.9%). Insect infestations in peri-urban Arequipa present multiple burdens to residents, including injury and illness from triatomines and other insects, as well as potential mental and economic concerns related to insects such as bed bugs. Future initiatives should continue to address triatomine infestations through educational outreach and implement a more holistic approach to address the burden of both disease and nuisance insects.
Financial support: This study was supported by
Disclosure: Institutional review board approval was obtained from Universidad Peruana Cayetano Heredia (approval identification no: 65369), Tulane University (approval identification no: 14-606720), and University of Pennsylvania (approval identification no: 823736). Written consent to participate and to be audiotaped was obtained from all focus group participants.
Authors’ addresses: Ricardo Castillo-Neyra and Michael Z. Levy, Zoonotic Disease Research Lab, One Health Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru, and Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, E-mails: cricardo@upenn.edu and mzlevy@pennmedicine.upenn.edu. Anika J. Larson, University of Washington, School of Medicine, Seattle, WA, E-mail: anikajlarson@gmail.com. Laura D. Tamayo, Claudia Arevalo-Nieto, and Carlos Condori-Pino, Zoonotic Disease Research Lab, One Health Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru, E-mails: lauratamayo41@gmail.com, arenica2@gmail.com, and carlosedcopino@gmail.com. Joanna Brown, Asociacion Benefica Prisma, Lima, Peru, E-mail: joannabrown84@gmail.com. Emma Ortega, Department of Tropical Medicine, Tulane School of Public Health and Tropical Medicine, New Orleans, LA, E-mail: emmaortega27@gmail.com. Valerie A. Paz-Soldan, Zoonotic Disease Research Lab, One Health Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru, and Department of Tropical Medicine, Tulane School of Public Health and Tropical Medicine, New Orleans, LA, E-mail: vpazsold@tulane.edu.
Institute for Health Metrics and Evaluation , 2017. GBD Results Tool. Available at: http://ghdx.healthdata.org/gbd-results-tool. Accessed August 17, 2017.
Bowman NM et al., 2008. Chagas disease transmission in periurban communities of Arequipa, Peru. Clin Infect Dis 46: 1822–1828.
Bayer AM , Hunter GC , Gilman RH , Cornejo del Carpio JG , Naquira C , Bern C , Levy MZ , 2009. Chagas disease, migration and community settlement patterns in Arequipa, Peru. PLoS Negl Trop Dis 3: e567.
Delgado S et al., 2011. A history of Chagas disease transmission, control, and re-emergence in peri-rural La Joya, Peru. PLoS Negl Trop Dis 5: e970.
Paz-Soldán VA et al., 2018. To spray or not to spray? Understanding participation in an indoor residual spray campaign in Arequipa, Peru. Glob Public Health 13: 65–82.
Buttenheim AM et al., 2014. Is participation contagious? Evidence from a household vector control campaign in urban Peru. J Epidemiol Community Health 68: 103–109.
Levy MZ , Bowman NM , Kawai V , Waller LA , Cornejo del Carpio JG , Benzaquen EC , Gilman RH , Bern C , 2006. Periurban Trypanosoma cruzi–infected Triatoma infestans, Arequipa, Peru. Emerg Infect Dis 12: 1345–1352.
Levy MZ et al., Chagas Disease Working Group in Arequipa, Peru , 2014. Urbanization, land tenure security and vector-borne Chagas disease. Proc Biol Sci 281: 20141003.
Castillo-Neyra R et al., 2015. The potential of canine sentinels for reemerging Trypanosoma cruzi transmission. Prev Vet Med 120: 349–356.
Herrera S et al., 2012. Prospects for malaria elimination in non-Amazonian regions of Latin America. Acta Trop 121: 315–323.
Stoddard ST et al., 2014. Long-term and seasonal dynamics of dengue in Iquitos, Peru. PLoS Negl Trop Dis 8: e3003.
Rosas-Aguirre A et al., 2016. Epidemiology of Plasmodium vivax Malaria in Peru. Am J Trop Med Hyg 95: 133–144.
Requena-Zúñiga E , Málaga-Chávez F , Ttito EARL , Balta-León R , Valle-Toledo J , 2018. Primera evidencia de Aedes aegypti en la región de Arequipa, Perú 2016. Rev Peru Med Exp Salud Publica 35: 348–349.
Guimarães G et al., 2013. Biochemical and immunological characteristics of Peruvian Loxosceles laeta spider venom: neutralization of its toxic effects by anti-loxoscelic antivenoms. Toxicon 70: 90–97.
Feldmeier H , Heukelbach J , 2009. Epidermal parasitic skin diseases: a neglected category of poverty-associated plagues. Bull World Health Organ 87: 152–159.
Walker SL , Lebas E , De Sario V , Deyasso Z , Doni SN , Marks M , Roberts CH , Lambert SM , 2017. The prevalence and association with health-related quality of life of tungiasis and scabies in schoolchildren in southern Ethiopia. PLoS Negl Trop Dis 11: e0005808.
Paz-Soldan VA et al., 2016. Factors associated with correct and consistent insecticide treated curtain use in Iquitos, Peru. PLoS Negl Trop Dis 10: e0004009.
Larson AJ et al., 2021. Misuse, perceived risk, and safety issues of household insecticides: qualitative findings from focus groups in Arequipa, Peru. PLoS Negl Trop Dis 15: e0009251.
Gerencia Regional de Salud Arequipa , 2016. Análisis de Situación de Salud 2016. Arequipa, Peru: Gerencia Regional de Salud Arequipa.
Instituto Nacional de Estadistica e Informatica , 2018. Perú: Perfil Sociodemográfico. Censos Nacionales 2017: XI de Población y VI de Vivienda. Lima, Peru: Instituto Nacional de EstadÃstica e Informática.
Salazar-Sánchez RS , Ascuña-Durand K , Ballón-Echegaray J , Vásquez-Huerta V , MartÃnez-Barrios E , Castillo-Neyra R , 2021. Socio-demographic determinants associated with Blastocystis infection in Arequipa, Peru. Am J Trop Med Hyg 104: 700.
Levy MZ et al., 2007. Targeted screening strategies to detect Trypanosoma cruzi infection in children. PLoS Negl Trop Dis 1: e103.
Buttenheim AM et al., 2019. A behavioral design approach to improving a Chagas disease vector control campaign in Peru. BMC Public Health 19: 1–11.
Buttenheim AM et al., 2018. Increasing participation in a vector control campaign: a cluster randomised controlled evaluation of behavioural economic interventions in Peru. BMJ Glob Health 3: e000757.
Salazar R , Castillo-Neyra R , Tustin AW , Borrini-Mayorà K , Náquira C , Levy MZ , 2015. Bed bugs (Cimex lectularius) as vectors of Trypanosoma cruzi. Am J Trop Med Hyg 92: 331–335.
Chatfield A , Javetski G , Fletcher A , Lesh N , 2014. CommCare Evidence Base. CommCare. Available at: https://confluence.dimagi.com/display/commcarepublic. Accessed May 1, 2015.
Bernard HR , 2006. Research Methods in Anthropology: Qualitative and Quantitative Approaches. 4th ed. Lanham, MD: AltaMira Press.
Delaunay P , Blanc V , Del Giudice P , Levy-Bencheton A , Chosidow O , Marty P , Brouqui P , 2011. Bedbugs and infectious diseases. Clin Infect Dis 52: 200–210.
Goddard J , de Shazo R , 2012. Psychological effects of bed bug attacks (Cimex lectularius L.). Am J Med 125: 101–103.
Susser SR , Perron S , Fournier M , Jacques L , Denis G , Tessier F , Roberge P , 2012. Mental health effects from urban bed bug infestation (Cimex lectularius L.): a cross-sectional study. BMJ Open 2: e000838.
Winch PJ , Lloyd LS , Hoemeke L , Leontsini E , 1994. Vector control at the household level: an analysis of its impact on women. Acta Trop 56: 327–339.
Lazzari CR , Pereira MH , Lorenzo MG , 2013. Behavioural biology of Chagas disease vectors. Mem Inst Oswaldo Cruz 108: 34–47.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1588 | 1320 | 804 |
Full Text Views | 862 | 32 | 4 |
PDF Downloads | 160 | 37 | 4 |