Triatomine home invasions in active foci of Chagas disease in Abaetetuba, Pará, Brazil

First report of Rhodnius amazonicus Almeida, Santos & Sposina, 1973 (Hemiptera, Reduviidae, Triatominae) invading a dwelling in the state of Amapá, Brazil

Rhodnius amazonicus has been previously reported in the Brazilian states of Amazonas and Pará, as well as in French Guiana. However, this is the first recorded presence of this species in Amapá, which is situated in the northern region of Brazil. The specimen was collected from a house in the rural area of the municipality of Porto Grande. Other triatomines, such as Panstrongylus geniculatus, Rhodnius pictipes, and Eratyrus mucronatus, were also found in the same locality in different houses. These species are vectors of Trypanosoma cruzi, which causes Chagas disease. Therefore, this report may contribute to understanding transmission in the state of Amapá, where new infections and outbreaks of Chagas disease have been recorded.

Community-based entomological surveillance in three Chagas disease-endemic regions in sub-Andean Bolivia

BACKGROUND

Chagas disease is endemic throughout most of Bolivia, with prevalence rates of 25% observed in some geographic areas located mainly in the sub-Andean region.

METHODS

Community-based entomological surveillance was carried out in the sub-Andean departments of Cochabamba (municipalities of Cochabamba, Punata and Sacaba), Tarija (municipality of Tarija) and Chuquisaca (municipality of Sucre). The surveillance parameters evaluated were: (i) the proportion of cards with the presence of triatomines; (ii) the distribution of positive cards by area; and (iii) the proportion of cards with the presence of infected triatomines.

RESULTS

Of the cards returned, in 852 (3.1%) there was a mention of the presence of triatomines. The species Triatoma infestans, Triatoma sordida and Triatoma guasayana were identified in 812 (95.3%), 39 (4.6%) and 1 (0.1%), respectively. The median monthly positivity rate of the cards during 2011-2018 was higher in Punata (9.1%; IQR=3.2-15.4%). The median monthly rate was highest in 2012 (2.7%; IQR=0-5.6%). Fifty positive cards (5.8%) presented insects that were positive for trypanosomatids, mainly in Cochabamba and Punata.

CONCLUSIONS

The report of triatomines foci by inhabitants represents an effective surveillance system coordinated by a network of specialized and multidisciplinary health centers. These strategies, which should be included in the health policies of endemic countries, enable extending and deepening the dialogue among technicians, communities and their local authorities.