2019
DOI: 10.1186/s13071-019-3546-0
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Cultural perception of triatomine bugs and Chagas disease in Bolivia: a cross-sectional field study

Abstract: Background Chagas disease remains a major public health risk in Bolivia, particularly among rural indigenous communities. Here we studied the cultural perception of the triatomine vectors and Chagas disease among selected rural and urban ethnic groups from different socio-economic and geographical milieus. We focused on the indigenous communities in the Bolivian Chaco where the disease is hyperendemic. Methods A cross-sectional study using field observations and structu… Show more

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Cited by 25 publications
(30 citation statements)
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References 88 publications
(97 reference statements)
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“…In fact, most of the botanical drugs applied for CD related symptoms were also used for other therapeutic purposes involving inflammatory conditions ( Table 2). We thus conclude that tangible ethnomedical concepts about CD were absent until recently and developed only during the last decades, which is in agreement with the cultural perception of T. cruzi vectors (41). This clearly hampers the application and selection of botanical drugs targeting T. cruzi parasitemia and its symptoms, and probably explains in part why the majority (> 80%) of the extracts derived from botanical drugs with reported use against CD and its symptoms were not active.…”
Section: Biological Profiling Of Plant Extracts and Assessment Of Thesupporting
confidence: 60%
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“…In fact, most of the botanical drugs applied for CD related symptoms were also used for other therapeutic purposes involving inflammatory conditions ( Table 2). We thus conclude that tangible ethnomedical concepts about CD were absent until recently and developed only during the last decades, which is in agreement with the cultural perception of T. cruzi vectors (41). This clearly hampers the application and selection of botanical drugs targeting T. cruzi parasitemia and its symptoms, and probably explains in part why the majority (> 80%) of the extracts derived from botanical drugs with reported use against CD and its symptoms were not active.…”
Section: Biological Profiling Of Plant Extracts and Assessment Of Thesupporting
confidence: 60%
“…The main economic activity was subsistence farming. Traditional dwellings were predominantly constructed of adobe walls, earthen floors and thatched roofs, and constitute an ideal habitat for the CD vector T. infestans (41). T. cruzi transmission was hyperendemic showing the highest infection rates in the Chaco region and Inter-Andean valleys (42)(43)(44)(45)(46).…”
Section: Ethnopharmacological Fieldworkmentioning
confidence: 99%
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“…For the implementation of sustainable interventions, the setting needs to be thoroughly understood and the community actively involved. However, there is a lack of up-to-date data on knowledge, perceptions, practices and experiences concerning CD from the study area [ 16 ], as well as factors for adoption of preventative measures such as early diagnosis and treatment [ 17 ]. Through assessing the local situation in the municipality of Monteagudo two years after the interventions of MSF, additional factors relevant for sustained control as well as protective behaviours within communities should be identified, and valuable lessons learned for future projects.…”
Section: Introductionmentioning
confidence: 99%