Chagas Disease, Migration and Community Settlement Patterns in Arequipa, Peru

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Chagas Disease, Migration and Community Settlement Patterns in Arequipa, Peru

BACKGROUND Chagas disease is one of the most important neglected tropical diseases in the Americas. Vectorborne transmission of Chagas disease has been historically rare in urban settings. However, in marginal communities near the city of Arequipa, Peru, urban transmission cycles have become established. We examined the history of migration and settlement patterns in these communities, and thei...

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BACKGROUND Chagas disease, caused by Trypanosoma cruzi infection, is an urban problem in Arequipa, Peru, and the epidemiology of Chagas disease is likely to be quite different in this area, compared with in rural zones. METHODS We conducted a serosurvey of 1615 children <18 years old in periurban districts that included hillside shantytowns and slightly more affluent low-lying communities. In...

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A Field Trial of Alternative Targeted Screening Strategies for Chagas Disease in Arequipa, Peru

BACKGROUND Chagas disease is endemic in the rural areas of southern Peru and a growing urban problem in the regional capital of Arequipa, population ∼860,000. It is unclear how to implement cost-effective screening programs across a large urban and periurban environment. METHODS We compared four alternative screening strategies in 18 periurban communities, testing individuals in houses with 1...

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COMMUNITY BASED EPIDEMIOLOGICAL STUDY OF CHAGAS DISEASE IN RURAL PERU. Paul C. Walker, Robert H. Gilman, and Michael Z. Levy. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. (Sponsored by Michele Barry, Department of Medicine, Yale University School of Medicine, New Haven, CT.) The purpose of this study was to evaluate the epidemiology of Tryp...

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BACKGROUND Interruption of vector-borne transmission of Trypanosoma cruzi remains an unrealized objective in many Latin American countries. The task of vector control is complicated by the emergence of vector insects in urban areas. METHODS Utilizing data from a large-scale vector control program in Arequipa, Peru, we explored the spatial patterns of infestation by Triatoma infestans in an ur...

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ژورنال

عنوان ژورنال: PLoS Neglected Tropical Diseases

سال: 2009

ISSN: 1935-2735

DOI: 10.1371/journal.pntd.0000567