“…The municipalities of the mesoregion of the northeastern part of Pará, especially Abaetetuba, Igarapé-Miri, Cametá, Moju and Barcarena, as well in the Marajó Island (Portel, Ponta de Pedras and Anajás) stand out with regard to açaí juice production in Pará, supplying the fruit for local or regional metropolitan consumption, and for distribution after pulp pasteurisation to other states as well as for export. In Belém, an estimated 200,000 litres/day are consumed during the harvest period, being the second-most consumed food in the city ( Rogez 2000 , de Santana et al 2008 , 2012 , MAPA 2017 ). In a recent study on oral ACD by our group (unpublished observations), an epidemiological investigation concerning food consumption revealed that 99% of the 137 patients aged from 18 to 77 years, responded that they consumed açaí in their daily routine (lunch and/or dinner), suggesting that the consumption of juice contaminated by T. cruzi is involved and contributes to the appearance of cases of ACD in the state.…”