Emerging Chagas disease in Amazonian Brazil

Coura, JR; Junqueira, ACV; Fernandes, O; Valente, SAS; Miles, MA; (2002) Emerging Chagas disease in Amazonian Brazil. Trends in parasitology, 18 (4). pp. 171-6. ISSN 1471-4922 DOI: https://doi.org/10.1016/S1471-4922(01)02200-0

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In the Amazon Basin, Trypanosoma cruzi infection is enzootic, involving a variety of wild mammals and at least 10 of the 16 reported silvatic triatomine bug species. Human cases of Chagas disease are increasing, indicating that the disease may be emerging as a wider public health problem in the region: 38 cases from 1969 to 1992, and 167 in the past eight years. This article reviews the status of Chagas disease in Amazonian Brazil, including known reservoirs and vectors, and the genetic diversity of T. cruzi. At least three subspecific groups of T. cruzi-T. cruzilZ1, T. cruziZ3 and T. cruziZ3/Z1 ASAT--are present. It appears that T. cruzil has an extant capacity for genetic exchange. Attention is also drawn to the risk of domestic endemicity, in addition to the tasks facing the disease control authorities.

Item Type: Article
Keywords: Trypanosoma-cruzi, mini-exon, heterogeneity, identification, lineages, basin, Animal, Brazil, epidemiology, Chagas Disease, epidemiology, prevention & control, Communicable Diseases, Emerging, epidemiology, prevention & control, Disease Reservoirs, Human, Insect Vectors, physiology, Risk Factors, Support, Non-U.S. Gov't, Triatominae, physiology, Trypanosoma cruzi, classification, genetics, growth & development
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Pathogen Molecular Biology
PubMed ID: 11998705
Web of Science ID: 174511900010
URI: http://researchonline.lshtm.ac.uk/id/eprint/16253


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