Re. Gurtler et al., INFLUENCE OF HUMANS AND DOMESTIC-ANIMALS ON THE HOUSEHOLD PREVALENCE OF TRYPANOSOMA-CRUZI IN TRIATOMA-INFESTANS POPULATIONS IN NORTHWEST ARGENTINA, The American journal of tropical medicine and hygiene, 58(6), 1998, pp. 748-758
Citations number
38
Categorie Soggetti
Public, Environmental & Occupation Heath","Tropical Medicine
In three rural villages of northwest Argentina, the overall proportion
of domiciliary Triatoma infestans infected with Trypanosoma cruzi was
49% among 1,316 bugs individually examined for infection in March and
October 1992). Most of the variation among individual households in t
he proportion of infected triatomines was explained by variations amon
g houses in the proportion of bugs that fed on dogs or cats, the preva
lence of infected dogs or cats, and the proportion of bugs that fed on
humans, according to a logistic multiple regression analysis. The eff
ects of human infection rates on bug infection rates were not statisti
cally significant. After adjusting for the effects of other predictors
, the presence of chickens in bedroom areas had negative and significa
nt effects on the proportion of infected Triatoma infestans, and posit
ive and significant effects on the number of T, cruzi-infected triatom
ines collected per person-hr per house. Dog or cat infection rates and
the proportion of bugs that fed on dogs or cats and on chickens expla
ined 80% of the total variance of infected-bug numbers in a linear mul
tiple regression modal. This is the first study to use detailed field
data to show that variations in triatomine infection rates depend on b
ug host feeding patterns and dog or cat infection rates, while the pre
sence of chickens in bedroom areas exerts opposite effects on the prop
ortion and number of infected triatomines. Domestic animals play a cru
cial role in the domiciliary transmission of T. cruzi.