A cost-benefit analysis of Chagas disease control.
(65/169)
Chagas disease transmission can be effectively interrupted by insecticidal control of its triatomine bug vectors. We present here a simple model comparing the costs and benefits of such a programme, designed to eliminate domestic populations of Triatoma infestans throughout its known area of distribution over the seven southernmost countries of Latin America. The model has been simplified to require only four financial estimates relating to the unit cost of housing spraying and benefits due to avoidance of premature death in the acute phase of the disease, avoidance of supportive treatment and care in the chronic phase of the disease, and avoidance of corrective digestive and cardiac surgery. Except for these direct medical costs, all other potential benefits have been ignored. Nevertheless, the model shows that the direct financial benefits of such a programme would far outweigh the costs, and the project would support a remarkably high internal rate of return under the least optimistic estimates. (+info)
Biological and genetic aspects of experimental hybrids from species of the Phyllosoma complex (Hemiptera: Reduviidae: Triatominae).
(66/169)
Environmental determinants of the distribution of Chagas disease vectors in south-eastern Guatemala.
(67/169)
The associations between the presence of triatomines and environmental variables were studied using correlation analysis and logistic regression models for a sample of villages in the south-eastern provinces of Guatemala. Information on the presence of Triatoma dimidiata, T. nitida and Rhodnius prolixus came from entomological surveys carried out by the Ministry of Health of Guatemala as part of its vector control programme. Environmental information for each village was extracted from digital thematic maps developed by the Ministry of Agriculture. The presence of T. nitida was found to be significantly associated with the average minimum temperature. The odds of presence of T. nitida in a village decreased as the average minimum temperature increased. T. nitida exists at altitudes above 1000 m above sea level in temperate regions. The presence of R. prolixus showed a significant positive association with maximum absolute temperature and relative humidity. The logistic regression model for R. prolixus showed a good fit and predicted suitable habitats in the provinces of Chiquimula, Zacapa and Jalapa, which agrees with the known distribution of the species. Habitat partitioning between R. prolixus and T. dimidiata is suggested by their significant and opposite associations with maximum absolute temperature. Improved models to predict suitable habitats for T. dimidiata hold promise for spatial targeting of integrated vector management. (+info)
Environment, interactions between Trypanosoma cruzi and its host, and health.
(68/169)