IDENTIFYING HEALTH CENTERS IN HONDURAS INFESTED WITH RHODNIUS PROLIXUS USING THE SEROPREVALENCE OF CHAGAS DISEASE IN CHILDREN YOUNGER THAN 13 YEARS

GEOFFREY SPURLING University of Queensland, Brisbane, Australia; Médecins Sans Frontières, Paris, France

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ROMUALD LUCAS University of Queensland, Brisbane, Australia; Médecins Sans Frontières, Paris, France

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JENNY DOUST University of Queensland, Brisbane, Australia; Médecins Sans Frontières, Paris, France

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The objective of this study is to determine if a Chagas disease protocol starting with a serological survey is as reliable at identifying insect-infested areas as one using the gold standard entomological survey. The study found that health center areas infested with Rhodnius prolixus were identified using a threshold seroprevalence of 0.1%. The serological survey took half the time and was 30% less expensive than the entomological survey. Developing countries with limited resources may find this strategy useful in combating Chagas disease. This strategy also identifies seropositive children, which facilitates their treatment.

Author Notes

Reprint requests: Geoffrey Spurling, Discipline of General Practice, Level 2, Edith Cavell Building, Royal Brisbane Hospital, Herston, Qld 4029, Australia, Telephone: 3346 4831, Fax: 3365 5130, E-mail: g.spurling@uq.edu.au.
  • 1

    Control of Chagas disease. World Health Organ Tech Rep Ser 2002;905:i–vi, 1–109, back cover.

  • 2

    de Andrade AL, Zicker F, Luquetti AO, Oliveira RM, Silva SA, Souza JM, Martelli CM, 1992. Surveillance of Trypanosoma cruzi transmission by serological screening of schoolchildren. Bull World Health Organ 70 :625–629.

    • PubMed
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    • Export Citation
  • 3

    Dujardin JP, Munoz M, Chavez T, Ponce C, Moreno J, Schofield CJ, 1998. The origin of Rhodnius prolixus in Central America. Med Vet Entomol 12 :113–115.

  • 4

    Dias JC, Silveira AC, Schofield CJ, 2002. The impact of Chagas disease control in Latin America: a review. Mem Inst Oswaldo Cruz 97 :603–612.

  • 5

    Villar JC, Marin-Neto JA, Ebrahim S, Yusuf S. Trypanocidal drugs for chronic asymptomatic Trypanosoma cruzi infection. Cochrane Database Syst Rev2002(1):CD003463.

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    • Export Citation
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