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J Parasit Dis Diagn Ther 2017
Volume 2 Issue 3
Tropical Medicine 2017
Notes:
Page 38
September 7-8, 2017 | Edinburgh, Scotland
4
th
International Conference on
Tropical Medicine, Infectious Diseases & Public Health
VETORIAL-ORALAND VETORIAL
TRANSMISSION OF CHAGAS DISEASE
IN CHILDREN FROMAMAZON REGION,
BRAZIL-THE NEED FOR NEW TOOLS TO
STRENGTH THE EPIDEMIOLOGICAL
SURVEILLANCE SYSTEMS
Ana Yecê das Neves Pinto
a
, Maria Cleonice Aguiar Justino
a
, Sebastião
Aldo Silva Valente
a
, Paulo Fernando Pimenta de Souza
b
, Vera da Costa
Valente
b
, Rosinete Maciel Rodrigues
c
and
Wendell Gomes
c
a
Instituto Evandro Chagas- Secretariat of Health Surveillance, Brazil
b
State University of Para, Brazil
c
Municipal Health Department of Abaetetuba, Brazil
Introduction:
Recent environmental changes and failures
designed a new epidemiological scenario for some
re-emerging infectious disease in Brazil, as example, infections
by Trypanosoma cruzi. Frequently described as acute Chagas
disease with high morbidity, which is directly assigned to the
main form of transmission (oral transmission), but almost
invariable involves sylvatic vectors of the parasite with
unknown behavior. New epidemiological approaches are
necessary to search strategies against this emergent disease
that exposes riverian and neglected populations since early
ages.
Method:
Descriptive study applied to surveillance systems to
Chagas disease (CD) control in children from riverine areas
of Amazon region, Brazil.
Results:
Children with acute Chagas disease were diagnosed
by parasitological and serological tests in Evandro Chagas
Institute. Four children with 1 to 8 years-old were treated and
had evidences of vectorial-oral transmission. All children
had prolonged sick fever and half of them evolved acute
myopericarditis with total resolution after treatment. None
of the cases was identified during outbreaks. Entomological
searches identified sylvatic vectors of T. cruzi (Rhodnius
pictipes species) in their house’s periphery. One mother
informed us that found her child with an insect squeezed in
his mouth two days before the febrile illness. The children
were treated and followed for a long time. We didn´t found
evidences of evolution to cardiac disease.
Conclusion:
It is emphasized the necessary accuracy of
clinical suspicion and precocious diagnosis of CD in view
to eliminate the potential cardiac commitment of children
in your adulthood. Insects with an unknown behavior were
registered in these cases report. New epidemiological and
educational tools to avoid the contact of triatomine vectors
of CD and increases food security for people living in forests
and riverside of Amazon areas are excellent perspectives to
surveillance systems.
Biography
Ana has a Degree in medicine by Universidade Federal do Pará (UFPa);
medical training in infectious and parasitic diseases by UFPa, master's degree in
Tropical Medicine. PhD degree in Tropical Medicine - Fundação Oswaldo Cruz
Institute, with thesis about autochthonous Acute Chagas disease in the Amazon
region, occurred by oral transmission. Public health Assistant researcher of
Instituto Evandro Chagas, since 1992, experience with biomedical research
applied to health sciences, with emphasis on infectious and parasitic diseases,
especially Chagas disease, Malaria, Toxoplasmosis and Leishmaniasis. Main
topics: Public Health in the Amazon, Tropical Medicine applied to the health of
riverine populations; Chagas disease autochthonous from Amazon rainforest;
responses to treatment of patients with Chagas disease; treatment and
control of malaria; Parasitic diseases applied Immunology and Vaccinology;
Field epidemiology and investigation of outbreaks of febrile and exanthematic
syndromes. Research group: Neglected diseases and poverty causation.
ayece@iec.pa.gov.brAna Yecê das Neves Pinto et al., J Parasit Dis Diagn Ther 2017