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      Intrusive versus domiciliated triatomines and the challenge of adapting vector control practices against Chagas disease

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          Abstract

          Chagas disease prevention remains mostly based on triatomine vector control to reduce or eliminate house infestation with these bugs. The level of adaptation of triatomines to human housing is a key part of vector competence and needs to be precisely evaluated to allow for the design of effective vector control strategies. In this review, we examine how the domiciliation/intrusion level of different triatomine species/populations has been defined and measured and discuss how these concepts may be improved for a better understanding of their ecology and evolution, as well as for the design of more effective control strategies against a large variety of triatomine species. We suggest that a major limitation of current criteria for classifying triatomines into sylvatic, intrusive, domiciliary and domestic species is that these are essentially qualitative and do not rely on quantitative variables measuring population sustainability and fitness in their different habitats. However, such assessments may be derived from further analysis and modelling of field data. Such approaches can shed new light on the domiciliation process of triatomines and may represent a key tool for decision-making and the design of vector control interventions.

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          Analysis of an acute Chagas disease outbreak in the Brazilian Amazon: human cases, triatomines, reservoir mammals and parasites.

          An outbreak of Chagas disease occurred in Mazagão, Amapá, Brazilian Amazon in 1996. Seventeen of 26 inhabitants presented symptoms compatible with acute Chagas disease and were submitted to parasitological and serological tests. All 17 were positive in at least one parasitological test and 11 were also IgM or IgG anti-Trypanosoma cruzi positive. The nine asymptomatic patients were negative for parasites and one was positive for IgG anti-T. cruzi. Sixty-eight triatomines were captured (66 Rhodnius pictipes; two Panstrongylus geniculatus); 45 were infected with T. cruzi (43 R. pictipes; two P. geniculatus). Thirteen trypanosomatid strains were isolated: eight from humans and five from R. pictipes. Four were genotyped as T. cruzi I (two from humans; two from R. pictipes), seven as T. cruzi Z3 (six from humans; one from R. pictipes) and two as T. cruzi Z3 and T. rangeli (from R. pictipes). Treatment started for all patients leading to a decrease in parasitaemia in 16 during the follow-up period (6 months, 1, 5 and 7 years). All were serologically negative 7 years post-treatment. There was an overlap of genotypes in the same ecotope, raising the possibility of transmission through the oral route and the need for early therapeutic intervention for better patient management in the Brazilian Amazon.
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            Genetics and evolution of triatomines: from phylogeny to vector control.

            Triatomines are hemipteran bugs acting as vectors of the protozoan parasite Trypanosoma cruzi. This parasite causes Chagas disease, one of the major parasitic diseases in the Americas. Studies of triatomine genetics and evolution have been particularly useful in the design of rational vector control strategies, and are reviewed here. The phylogeography of several triatomine species is now slowly emerging, and the struggle to reconcile the phenotypic, phylogenetic, ecological and epidemiological species concepts makes for a very dynamic field. Population genetic studies using different markers indicate a wide range of population structures, depending on the triatomine species, ranging from highly fragmented to mobile, interbreeding populations. Triatomines transmit T. cruzi in the context of complex interactions between the insect vectors, their bacterial symbionts and the parasites; however, an integrated view of the significance of these interactions in triatomine biology, evolution and in disease transmission is still lacking. The development of novel genetic markers, together with the ongoing sequencing of the Rhodnius prolixus genome and more integrative studies, will provide key tools to expanding our understanding of these important insect vectors and allow the design of improved vector control strategies.
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              Geographic distribution of Triatoma dimidiata and transmission dynamics of Trypanosoma cruzi in the Yucatan peninsula of Mexico.

              Chagas disease represents a major public health concern in most of Latin America, and its control is currently based on vector control and blood bank screening. We investigated the geographic distribution and seasonal variations in triatomine populations in the Yucatan peninsula of Mexico to obtain entomologic data for the optimization of potential control programs. We collected domiciliated and peri-domiciliated Triatoma dimidiata from 115 houses in 23 villages distributed throughout most of the peninsula. A high abundance of bugs was observed in the northern part of the peninsula, indicating a prioritary area for vector control. Part of this distribution could be attributed to the type of vegetation. We also documented strong seasonal variations in T. dimidiata populations, with a higher abundance during the hot and dry season in April-June. These variations, associated with reduced year-round colonization of houses and the analysis of developmental stage structure, suggest that flying adults seasonally invading houses may play a larger role than domiciliated bugs in transmission of Trypanosoma cruzi to humans. The importance of this transmission dynamics may not be limited to the Yucatan peninsula, but may be a general mechanism contributing to natural transmission that should be taken into account in other regions for the design and optimization of control strategies.
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                Author and article information

                Journal
                Mem Inst Oswaldo Cruz
                Mem. Inst. Oswaldo Cruz
                Memórias do Instituto Oswaldo Cruz
                Instituto Oswaldo Cruz, Ministério da Saúde
                0074-0276
                1678-8060
                May 2015
                May 2015
                : 110
                : 3
                : 324-338
                Affiliations
                [1 ]Laboratorio de Parasitología, Centro de Investigaciones Regionales Dr Hideyo Noguchi, Universidad Autónoma de Yucatán, Mérida, Yucatán, Mexico
                [2 ]Institut de Modélisation et d’Analyses en Géo-Environnement et Santé, Université de Perpignan Via Domitia, Perpignan, France
                Author notes
                [+ ] Corresponding author: edumonte@ 123456tulane.edu
                Article
                10.1590/0074-02760140409
                4489470
                25993504
                eca359b3-8df3-4933-b447-bc0da164cdca

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 31 October 2014
                : 9 March 2015
                Page count
                Figures: 1, Tables: 2, Equations: 0, References: 165, Pages: 15
                Funding
                Funded by: UNDP/World Bank/WHO-TDR/IDRC
                Award ID: A90276
                Financial support: UNDP/World Bank/WHO-TDR/IDRC (A90276)
                Categories
                Articles

                triatomine,domiciliation,intrusion,vector control,ecohealth,integrated vector management

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