Active transmission of human chagas disease in Colima Mexico.
Despite efforts to eradicate American trypanosomiasis (AT) and Chagas disease from the Americas, there are still areas of active transmission that can eventually become a source of reinfection in previously controlled regions. Mexico could be one of those areas, where there are no formal preventive control programs despite the presence of communities infested by Triatominae bugs infected with Trypanosoma cruzi. This study explored the prevalence of T. cruzi infection in 405 habitants of 17 communities in the state of Colima, on the Pacific Mexican coast, through a seroepidemiological probabilistic survey. The results revealed a point seroprevalence of 2.4% positive for anti-T. cruzi. In addition, 2 clinical cases of chronic and 2 of acute Chagas disease were detected in the explored communities. These findings confirm the risk of active transmission of AT in Western Mexico, especially in rural and suburban communities infested with intra-domestic triatominae, where control programs should be implemented.
Centro Universitario de Investigaciones Biomédicas, Universidad de Colima, Av. Universidad 333, Colonia Las Víboras, Colima, Colima, Mexico.
Rafael
R
Coll-Cárdenas
Francisco
F
Espinoza-Gómez
Arcadio
A
Maldonado-Rodríguez
Pedro A
PA
Reyes-López
Miguel
M
Huerta-Viera
Fabián
F
Rojas-Larios
D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D014355:Chagas Disease / Q000175:diagnosis / Q000453:epidemiology / Q000635:transmission*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007303:Insect Vectors / Q000469:parasitology*; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D016036:Seroepidemiologic Studies; D014225:Triatominae / Q000469:parasitology*; D014349:Trypanosoma cruzi / Q000302:isolation & purification*