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Acute Chagas disease in the state of Pará, Amazon Region: is it increasing?

Abstract Acute Chagas disease (ACD) has a distinct epidemiological profile in the Amazon Region, with cases and outbreaks of Trypanosoma cruzi infection being possibly related to the ingestion of contaminated food. Data on ACD in the state of Pará retrieved from 2000 to 2016 from the Brazilian Notifiable Diseases Information System (SINAN) were evaluated. During this period, 2,030 of the 16,807 reported cases were confirmed, with a higher incidence between the months of August and December, thus characterising a seasonal pattern of acute infection, and coinciding with the higher production of "açaí", one fruit likely involved in the oral transmission of the disease. Evaluation of the absolute numbers of confirmed ACD cases secondary to oral infection suggests that infection through this route increased during the 2010-2016 period, differing from what was recorded in terms of vectorial or other infection routes. These findings point to the need of intensifying strategies to prevent or substantially reduce oral transmission.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title memorias do instituto oswaldo cruz
Publication Year Start




PMID- 29742200
OWN - NLM
STAT- MEDLINE
DCOM- 20180524
LR  - 20180524
IS  - 1678-8060 (Electronic)
IS  - 0074-0276 (Linking)
VI  - 113
IP  - 5
DP  - 2018
TI  - Acute Chagas disease in the state of Para, Amazon Region: is it increasing?
PG  - e170298
LID - S0074-02762018000500306 [pii]
LID - 10.1590/0074-02760170298 [doi]
AB  - Acute Chagas disease (ACD) has a distinct epidemiological profile in the Amazon
      Region, with cases and outbreaks of Trypanosoma cruzi infection being possibly
      related to the ingestion of contaminated food. Data on ACD in the state of Para
      retrieved from 2000 to 2016 from the Brazilian Notifiable Diseases Information
      System (SINAN) were evaluated. During this period, 2,030 of the 16,807 reported
      cases were confirmed, with a higher incidence between the months of August and
      December, thus characterising a seasonal pattern of acute infection, and
      coinciding with the higher production of "acai", one fruit likely involved in the
      oral transmission of the disease. Evaluation of the absolute numbers of confirmed
      ACD cases secondary to oral infection suggests that infection through this route 
      increased during the 2010-2016 period, differing from what was recorded in terms 
      of vectorial or other infection routes. These findings point to the need of
      intensifying strategies to prevent or substantially reduce oral transmission.
FAU - Santos, Valeria Regina Cavalcante Dos
AU  - Santos VRCD
AD  - Secretaria de Estado de Saude do Para, Belem, PA, Brasil.
FAU - Meis, Juliana de
AU  - Meis J
AD  - Laboratorio de Pesquisas sobre o Timo, Instituto Oswaldo Cruz, Fundacao Oswaldo
      Cruz-Fiocruz, Rio de Janeiro, RJ, Brasil.
FAU - Savino, Wilson
AU  - Savino W
AD  - Laboratorio de Pesquisas sobre o Timo, Instituto Oswaldo Cruz, Fundacao Oswaldo
      Cruz-Fiocruz, Rio de Janeiro, RJ, Brasil.
FAU - Andrade, Jorge Alberto Azevedo
AU  - Andrade JAA
AD  - Secretaria de Estado de Saude do Para, Belem, PA, Brasil.
FAU - Vieira, Jose Ricardo Dos Santos
AU  - Vieira JRDS
AD  - Instituto de Ciencias Biologicas, Universidade Federal do Para, Belem, PA,
      Brasil.
FAU - Coura, Jose Rodrigues
AU  - Coura JR
AD  - Laboratorio de Doencas Parasitarias, Instituto Oswaldo Cruz, Fundacao Oswaldo
      Cruz-Fiocruz, Rio de Janeiro, RJ, Brasil.
FAU - Junqueira, Angela Cristina Verissimo
AU  - Junqueira ACV
AD  - Laboratorio de Doencas Parasitarias, Instituto Oswaldo Cruz, Fundacao Oswaldo
      Cruz-Fiocruz, Rio de Janeiro, RJ, Brasil.
LA  - eng
PT  - Journal Article
DEP - 20180507
PL  - Brazil
TA  - Mem Inst Oswaldo Cruz
JT  - Memorias do Instituto Oswaldo Cruz
JID - 7502619
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Brazil/epidemiology
MH  - Chagas Disease/*epidemiology/transmission
MH  - Disease Notification
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Seasons
MH  - Young Adult
PMC - PMC5951676
EDAT- 2018/05/10 06:00
MHDA- 2018/05/25 06:00
CRDT- 2018/05/10 06:00
PHST- 2017/07/25 00:00 [received]
PHST- 2017/12/20 00:00 [accepted]
PHST- 2018/05/10 06:00 [entrez]
PHST- 2018/05/10 06:00 [pubmed]
PHST- 2018/05/25 06:00 [medline]
AID - S0074-02762018000500306 [pii]
AID - 10.1590/0074-02760170298 [doi]
PST - ppublish
SO  - Mem Inst Oswaldo Cruz. 2018;113(5):e170298. doi: 10.1590/0074-02760170298. Epub
      2018 May 7.