A multidisciplinary, collaborative, inter-agency and comprehensive approach for the control of Chagas Disease as a public health problem in Guatemala
A multidisciplinary, collaborative, inter-agency and comprehensive approach for the control of Chagas Disease as a public health problem in Guatemala
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DOI：
10.1016/j.actatropica.2021.106157
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发表时间：
2021-10-14
期刊：
影响因子：
2.7
通讯作者：
Chuit, Roberto
中科院分区：
文献类型：
--
作者：
Carlota Monroy, Maria;Penados, Daniel;Chuit, Roberto
泛美卫生组织（PAHO）确定了中美洲恰加斯病与病媒Triatoma spp有关的热点地区。Triatoma dimidiata是一种适应多种环境（包括国内和周边栖息地）的本地病媒。设立了一个名为“中美洲消灭恰加斯病联盟”的多机构项目，以帮助减少该区域的该病发病率。作为该项目的一部分，在实地开展的活动包括病媒监测和控制、改善住房、个人诊断和治疗、促进健康、培训人力资源和查明获得诊断和治疗的障碍。作为基线研究，对11个村庄的1572户家庭进行了昆虫学评估（总参与率为83.4%）；其中5个被发现具有非常高的侵染率（8%），与每个村庄内房屋的侵染风险类别相一致。在11个村庄中的2个对812人（80%的参与率）进行了血清学检测，在128名接受检测的5岁以下儿童中，没有一名克氏锥虫感染呈阳性。所有活动的社区参与率都很高（约70%）。若干次国家、国家和国际机构之间的合作促进了社区对病媒控制和患者护理活动的参与，从而为继续实施和监测项目进展确立了基线。
The Pan American Health Organization (PAHO) has defined Chagas Disease hotspots in Central America asso-ciated with the vector Triatoma spp. Triatoma dimidiata is a native vector adapted to multiple environments, including intra-domestic and peri-domestic habitats. A multi-institutional project named "Alliances for the elimination of Chagas in Central America" was created to help reduce the incidence of the disease in the region. Activities performed in the field as part of the project included aspects of vector surveillance and control, improvement of houses, diagnosis and treatment of individuals, health promotion, training of human resources and identification of access barriers to diagnosis and treatment. As a base line study, eleven villages, comprised of 1,572 households, were entomologically evaluated (83.4% overall participation); five were found to have very high infestation rates ( 8%), coinciding with the category of infestation-risk of the houses within each village. Serological tests were carried out in 812 people ( 80% participation) in two of the 11 villages and none of the 128 children tested, less than 5 years of age, were positive for Trypanosoma cruzi infection. Community participation in all the activities was high (>70%). The collaboration between several subnational, national, and international institutions, each with specific roles, promoted community participation in the activities of vector control and patient care, thus, establishing a baseline to continue implementing and monitoring project progress.