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Published Online July 23, 2001 Science
DOI: 10.1126/science.1060638
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Reports
Submitted on March 12, 2001
Accepted on June 5, 2001
Modeling Household Transmission of American Trypanosomiasis
Joel E. Cohen 1*
Ricardo E. Gürtler 2
1 Laboratory of Populations, Rockefeller University and Columbia University, 1230 York Avenue, Box 20, New York, NY 10021,USA.
2 Laboratorio de Ecologia General, Faculatad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Ciudad Universitaria, C1428EHA Buenos Aires, Argentina.
* To whom correspondence should be addressed. E-mail: cohen{at}rockefeller.edu.
American trypanosomiasis, or Chagas disease, caused by the protozoan parasite Trypanosoma cruzi and transmitted by blood-feeding triatomine bugs, is a chronic, frequently fatal infection that is common in Latin America. Neither adequate drugs nor a vaccine is available. A mathematical model calibrated to detailed household data from three villages in northwest Argentina shows that householders could greatly reduce the risk of human infection by excluding domestic animals, especially infected dogs, from bedrooms; removing potential refuges for bugs from walls and ceilings; and using domestically applied insecticides. Low-cost, locally practicable environmental management combined with intermittent use of insecticides can sustainably control transmission of T. cruzi to humans in rural Argentina and probably elsewhere.
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