The risk of oral transmission in an area of a Chagas disease outbreak in the Brazilian northeast evaluated through entomological, socioeconomic and schooling indicators

Autor(es):Mostrar menos -

Monsalve-Lara, Jackeline ^[1] ; Lilioso, Mauricio ^[1] ; Valenca-Barbosa, Carolina ^[1] ; Thyssen, Patricia J. ^[1] ; Miguel, Danilo C. ^[1] ; Limeira, Cleanne ^[2] ; Gadelha, Fernanda R. ^[2] ; Fontes, Fernanda V. H. M. ^[1] ; Pires-Silva, Dayane ^[1] ; Dornak, L. Lynnette ^[3] ; Lima, Marli M. ^[4] ; Donalisio, Maria R. ^[5] ; Almeida, Carlos E. ^{[1, 6]}

Afiliação do(s) autor(es)

^[1] Univ Estadual Campinas UNICAMP, Dept Biol Animal, Inst Biol, Campinas - Brazil

^[2] Univ Estadual Campinas, Dept Bioquim & Biol Tecidual, Inst Biol, Campinas - Brazil

^[3] Univ Wisconsin, Platteville, WI - USA

^[4] Fiocruz MS, Inst Oswaldo Cruz, Lab Ecoepidemiol Doenca Chagas, Rio De Janeiro - Brazil

^[5] Univ Estadual Campinas, Fac Ciencias Med, Campinas, SP - Brazil

^[6] Univ Fed Bahia UFBA, Inst Biol, Programa Posgrad Biodiversidade & Evolucao PPGBio, Salvador, BA - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Acta Tropica; v. 215, MAR 2021.
• Citações Web of Science: 0

Resumo

Chagas disease is a neglected tropical disease strongly associated with low socioeconomic status, affecting nearly 8 million people - mainly Latin Americans. The current infection risk is based on acute case reports, most of which are typically associated with oral transmissions. In the semi-arid region of Northeastern Brazil, serious outbreaks of this transmission type have surged in the last years. One of those occurred in 2016 in the state of Rio Grande do Norte. Rural residents of four municipalities surrounding Marcelino Vieira ingested sugar cane juice - which was probably ground with Trypanosoma cruzi-infected insects. Eighteen cases of Chagas disease were confirmed serologically, with two deaths reported. Socioeconomic information, schooling of residents and the structure of peridomestic and domestic environments in the rural area of Marcelino Vieira, along with entomological indicators, were investigated to understand better the factors related to the outbreaks in this region. We found triatomines (mainly Triatoma brasiliensis) in 35% (24/67) of domiciliary units and all rocky outcrops inspected (n = 7). Overall, 25% (91/357) of examined T. brasiliensis were infected by T. cruzi in artificial ecotopes, with almost the same prevalence in the sylvatic environment (22%; 35/154). Among all ecotopes investigated, wood/tile/brick piles were the ones linked to high insect infestations and triatomine T. cruzi infection prevalence. Ninety-five percent of people interviewed recognized the triatomines and knew the classic mute of transmission of disease - triatomine bite-dependent. However, only 7.5% admitted knowledge that Chagas disease can also be acquired orally - which poses a risk this transmission route currently recognized. Here, we highlight the physical proximity between humans and triatomine populations with high T. cruzi infection prevalence as an additional risk factor to oral/vector contaminations. In sum, residents have low income, low level of education, and/or a willful disregard for the mutes of Chagas disease transmission (specifically oral transmission), a combination of factors that may have favored the Chagas disease outbreak. We here provide recommendations to avoid further outbreaks. (AU)

• Processo FAPESP: 16/08176-9 - Abordagem integrada de parâmetros morfo-moleculares para Triatoma brasiliensis, o principal vetor da Doença de Chagas no semiárido brasileiro: a elucidação de elos da cadeia ecoepidemiológica
• Beneficiário: Carlos Eduardo de Almeida
• Modalidade de apoio: Auxílio à Pesquisa - Jovens Pesquisadores