Am. Bonametti et al., SEROPREVALENCE OF TRYPANOSOMA-CRUZI INFECTION IN STUDENTS AT THE 7-14AGE RANGE, LONDRINA, PR, BRAZIL, IN 1995, Memorias do Instituto Oswaldo Cruz, 93(6), 1998, pp. 727-732
Seropositivity for Chagas disease was evaluated in 834 children aged b
etween 7 and 14 from the Municipal Teaching System in the district of
Londrina, State of Parana. A seroprevalence rate of 0.1% was found thr
ough the use of an indirect immunofluorescent test and an enzyme-linke
d immunosorbent assay. This low rate of seroprevalence provides eviden
ce that the vectorial transmission of Chagas disease has been eliminat
ed in Londrina. The main reason for the elimination of vectorial trans
mission of Trypanosoma cruzi infection, as evaluated by serological te
sts, may be a remarkable change in the economic structure of the north
ern region of Parana in the 1960's. At that time coffee production was
almost completely replaced by soy beans, wheat and grazing in the rur
al areas. This change deeply affected the rural ecology and caused an
exodus of the population from rural to urban areas as well as a decrea
se in the total number of the population of that region. The measures
introduced for controlling the disease through the Program of Chagas D
isease Control established by the Fundacao Nacional de Saude of the Br
azilian Ministry of Health, certainly, had a positive impact on the re
duction of American trypanosomiasis prevalence in the area under study
. However, it does not seem that this was the most relevant factor res
ponsible for the elimination of vectorial transmission of Chagas disea
se in Londrina.