House-Level Risk Factors for Triatoma dimidiata Infestation in Colombia

Gabriel Parra-Henao Red Chagas, Bogotá, Colombia; Instituto Colombiano de Medicina Tropical, Medellín, Colombia; Grupo de Epidemiología y Bioestadística, Universidad CES, Medellín, Colombia; Centro de Investigación en Enfermedades Tropicales, Universidad Industrial de Santander, Bucaramanga, Colombia; London School of Hygiene and Tropical Medicine, London, United Kingdom

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Ángela Segura Cardona Red Chagas, Bogotá, Colombia; Instituto Colombiano de Medicina Tropical, Medellín, Colombia; Grupo de Epidemiología y Bioestadística, Universidad CES, Medellín, Colombia; Centro de Investigación en Enfermedades Tropicales, Universidad Industrial de Santander, Bucaramanga, Colombia; London School of Hygiene and Tropical Medicine, London, United Kingdom

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Oscar Quirós-Gómez Red Chagas, Bogotá, Colombia; Instituto Colombiano de Medicina Tropical, Medellín, Colombia; Grupo de Epidemiología y Bioestadística, Universidad CES, Medellín, Colombia; Centro de Investigación en Enfermedades Tropicales, Universidad Industrial de Santander, Bucaramanga, Colombia; London School of Hygiene and Tropical Medicine, London, United Kingdom

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Víctor Angulo Red Chagas, Bogotá, Colombia; Instituto Colombiano de Medicina Tropical, Medellín, Colombia; Grupo de Epidemiología y Bioestadística, Universidad CES, Medellín, Colombia; Centro de Investigación en Enfermedades Tropicales, Universidad Industrial de Santander, Bucaramanga, Colombia; London School of Hygiene and Tropical Medicine, London, United Kingdom

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Neal Alexander Red Chagas, Bogotá, Colombia; Instituto Colombiano de Medicina Tropical, Medellín, Colombia; Grupo de Epidemiología y Bioestadística, Universidad CES, Medellín, Colombia; Centro de Investigación en Enfermedades Tropicales, Universidad Industrial de Santander, Bucaramanga, Colombia; London School of Hygiene and Tropical Medicine, London, United Kingdom

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In Colombia, the main vectors of Trypanosoma cruzi, the causative agent of Chagas disease, are Rhodnius prolixus and Triatoma dimidiata. T. dimidiata is present in the east region of Colombia as domestic, peridomestic, and sylvatic populations, resulting in difficulties for its control. A cost-effective way to prioritize houses for treatment is to stratify houses based on risk factors. In this study, risk factors were evaluated for potential associations with domicile infestation of T. dimidiata. There was an increased likelihood of domestic infestation associated with the presence of mixed roofs (odds ratio [OR] = 36.14, 95% confidence interval [95% CI] = 12.21–106.97), cats (OR = 3.94, 95% CI = 1.36–11.38), rock piles (OR = 5.28, 95% CI = 1.64–16.98), and bushes with height above 10 m (OR = 11.21, 95% CI = 2.08–60.45). These factors could be used to target surveillance and control of T. dimidiata to houses with an increased risk of being infested.

Author Notes

* Address correspondence to Gabriel Parra-Henao, Red Chagas Colombia, Avenue Calle 26 No 51-20, Bogotá, Colombia. E-mail: gparrahenao@gmail.com

Financial support: Funding for this work was provided by Colciencias Colombia Contracts 410–2005 and 380–2011. N.A. received support from the United Kingdom Medical Research Council and Department for International Development Grant MR/K012126/1.

Authors' addresses: Gabriel Parra-Henao, Red Chagas Colombia, Grupo de Epidemiología y Bioestadística, Universidad CES, Medellín, Colombia, and Instituto Colombiano de Medicina Tropical, Medellín, Colombia, E-mail: gparrahenao@gmail.com. Ángela Segura Cardona and Oscar Quirós-Gómez, Grupo de Epidemiología y Bioestadística, Universidad CES, Medellín, Colombia, E-mails: asegura@ces.edu.co and quiromez@hotmail.com. Víctor Angulo, Centro de Investigación en Enfermedades Tropicales, Universidad Industrial de Santander, Bucaramanga, Colombia, E-mail: pitorio@hotmail.com. Neal Alexander, London School of Hygiene and Tropical Medicine, London, United Kingdom, E-mail: neal.alexander@lshtm.ac.uk.

Reprint requests: Gabriel Parra-Henao, Avenue Calle 26 No 51-20, Bogotá, Colombia, E-mail: gparrahenao@gmail.com.

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