How does Chagas disease
affect so many people? The triatomine bugs can be found from the east to west
coasts and as far north as Pennsylvania. There are eleven species of triatomine
in the US. Not only are triatomines found in much of the US but mammalian hosts
with Trypanosoma cruzi have been found almost everywhere the triatomines
live.
What can we do to
prevent the spread of Chagas disease? The first thing is that living in a well-made
dwelling prevents contact with triatomines. Because we do not contact the bugs
there are only 7 known cases of autochthonous transmission to humans on the US.
But currently it is estimated that 300 cases of congenital Chagas transmission happen
each year. The biggest barrier to control is knowledge. Doctors don’t know that
it is and that there are treatments once it is detected. Detection is also
hampered because of the lack of any rapid point of care detection methods.
Bern, Caryn, et al.
"Trypanosoma cruzi and Chagas' disease in the United States." Clinical
microbiology reviews 24.4 (2011): 655-681.
It is hard to believe that the disease is lethal and 25% of the population of Latin America is at risk of acquiring Chagas disease. I have read something interesting about T. Cruzi that transmits T. Cruzi are found in North, Central and South America. Blood banks in selected cities of the continent vary between 3.0 and 53% making the prevalence of T. cruzi infected blood higher than that of Hepatitis B, C, and HIV infection. And currently U.S. blood banks do not routinely screening for T. Cruzi.
ReplyDeleteThis so devastating that Chagas disease is life-threating illness. According to WHO, up to 30% of chronically infected people develop cardiac alterations and up to 10% develop digestive, neurological or mixed alterations, for which specific treatment may become necessary. Disease can be treated with benznidazole and nifurtimox. We can prevent Chagas disease by insecticide spraying of houses and surrounding areas.
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