Int J Health Geogr - A country bug in the city: urban infestation by the Chagas disease vector Triatoma infestans in Arequipa, Peru.

Tópicos

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Resumo

CKGROUND: Interruption of vector-borne transmission of Trypanosoma cruzi remains an unrealized objective in many Latin American countries. The task of vector control is complicated by the emergence of vector insects in urban areas.METHODS: Utilizing data from a large-scale vector control program in Arequipa, Peru, we explored the spatial patterns of infestation by Triatoma infestans in an urban and peri-urban landscape. Multilevel logistic regression was utilized to assess the associations between household infestation and household- and locality-level socio-environmental measures.RESULTS: Of 37,229 households inspected for infestation, 6,982 (18.8%; 95% CI: 18.4 - 19.2%) were infested by T. infestans. Eighty clusters of infestation were identified, ranging in area from 0.1 to 68.7 hectares and containing as few as one and as many as 1,139 infested households. Spatial dependence between infested households was significant at distances up to 2,000 meters. Household T. infestans infestation was associated with household- and locality-level factors, including housing density, elevation, land surface temperature, and locality type.CONCLUSIONS: High levels of T. infestans infestation, characterized by spatial heterogeneity, were found across extensive urban and peri-urban areas prior to vector control. Several environmental and social factors, which may directly or indirectly influence the biology and behavior of T. infestans, were associated with infestation. Spatial clustering of infestation in the urban context may both challenge and inform surveillance and control of vector reemergence after insecticide intervention.

Resumo Limpo

ckground interrupt vectorborn transmiss trypanosoma cruzi remain unreal object mani latin american countri task vector control complic emerg vector insect urban areasmethod util data largescal vector control program arequipa peru explor spatial pattern infest triatoma infestan urban periurban landscap multilevel logist regress util assess associ household infest household localitylevel socioenvironment measuresresult household inspect infest ci infest t infestan eighti cluster infest identifi rang area hectar contain one mani infest household spatial depend infest household signific distanc meter household t infestan infest associ household localitylevel factor includ hous densiti elev land surfac temperatur local typeconclus high level t infestan infest character spatial heterogen found across extens urban periurban area prior vector control sever environment social factor may direct indirect influenc biolog behavior t infestan associ infest spatial cluster infest urban context may challeng inform surveil control vector reemerg insecticid intervent

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