1921
image of Chagas Disease Infection among Migrants at the Mexico/Guatemala Border
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645
USD

Abstract

Chagas disease results in the largest burden in terms of disability-adjusted-life-years of any parasitic disease in the Americas. Monitoring Chagas disease among migrants is critical to controlling its spread and to serving the needs of the migrant community. Therefore, we determined the prevalence and correlates of Chagas disease in regional and international migrant populations at the Mexico/Guatemala border. Data were collected as part of a larger study of human immunodeficiency virus (HIV) and migration. Participants were a sample of recent regional and international migrants who used an illicit substance or had recent problem drinking. infection was classified as testing positive on two different enzyme-linked immunosorbent assays (ELISAs). Interviewer-administered surveys captured sociodemographics, migration history, Chagas disease knowledge, and access to care. We enrolled 389 recent migrants, and the prevalence of Chagas disease was 3.1%. Only 19% of the participants reported having ever heard of the disease and less than 1% had been previously tested. –positive participants were more likely to have been born in a rural area or town than a city (92% yes versus 59% no, = 0.02) and have recently lived in a house with a makeshift roof (33% yes versus 8% no, < 0.01), walls (42% yes versus 13% no, < 0.01), or floor (50% yes versus 21% no, < 0.02), or cinderblock walls (92% yes versus 63% no, = 0.04). With migration rapidly changing the distribution of Chagas disease, more work needs to be done to create targeted surveillance programs and provide access to affordable treatment among Latin American migrants.

Loading

Article metrics loading...

/content/journals/10.4269/ajtmh.16-0777
2017-09-05
2017-09-22
Loading full text...

Full text loading...

http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.16-0777
Loading
  • Published online : 05 Sep 2017
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error