Investigation of two outbreaks of suspected oral transmission of acute Chagas disease in the Amazon region, Pará State, Brazil, in 2007

Author:

de Barros Moreira Beltrão Henrique1,de Paula Cerroni Matheus1,de Freitas Daniel Roberto Coradi12,das Neves Pinto Ana Yecê3,da Costa Valente Vera3,Valente Sebastião Aldo3,Costa Elenild de Góes4,Sobel Jeremy15

Affiliation:

1. Field Epidemiology Training Program, Secretariat of Health Surveillance, Ministry of Health, Brasília, DF

2. National Agency for Sanitary Surveillance, Ministry of Health, Brasília, DF

3. Evandro Chagas Institute, Secretariat of Health Surveillance, Ministry of Health, Belém, PA

4. Secretariat of Public Health, Pará State, Belém, PA, Brazil

5. Centers for Disease Control and Prevention, Atlanta, GA, USA

Abstract

Acute Chagas disease (ACD) is caused by Trypanosoma cruzi. ACD outbreaks due to probable oral transmission occur regularly in small family gatherings that are exposed to contaminated foods. We studied two cohorts of residents on islands in the Breves and Bagre municipalities, in July and August 2007, to identify risk factors of transmission and to recommend preventative measures. Of the 25 cases identified in both cohorts, 13 (52%) were men, and the most frequent symptoms were fever (96%),asthenia (80%), myalgia (76%), abdominal pain (64%), retro-orbital pain, headaches and asthma (52%). We recommend detailed investigation of future outbreaks and other studies to better understand and control oral transmission of T. cruzi.

Publisher

SAGE Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health

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