2007
DOI: 10.1017/s0950268807009879
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The elimination of Chagas' disease from Brazil

Abstract: On 9 June 2006 the Pan American Health Organization (PAHO) presented the Minister of Health of Brazil with the International Elimination of Transmission of Chagas' Disease Certificate. This act was the culmination of an intensive process that began in 1991 with the Southern Cone Initiative, a joint agreement between the governments of Argentina, Bolivia, Brazil, Chile, Paraguay, Uruguay and Peru, to control Chagas' disease by the elimination of the main vector, Triatoma infestans. This initiative has been high… Show more

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Cited by 57 publications
(53 citation statements)
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“…In Brazil, the vector control program, established in 1975 and continuing with the South Cone Initiative, eliminated the main vector, Triatoma infestans, from the country (Massad 2007). The seroprevalence of T. cruzi infection in Brazil among children aged 7-14 years fell 99.8% from 1980-1999 and the absence of seropositivity among young children (aged 0-4 years) is evidence of the interruption of vectorial transmission (Massad 2007). In Brazil, the highest prevalence of T. cruzi infection was found in the states of Rio Grande do Sul, Minas Gerais, São Paulo, Paraná, Goiás and Bahia (Silveira & Rezende 1994, Dias 1997.…”
mentioning
confidence: 99%
“…In Brazil, the vector control program, established in 1975 and continuing with the South Cone Initiative, eliminated the main vector, Triatoma infestans, from the country (Massad 2007). The seroprevalence of T. cruzi infection in Brazil among children aged 7-14 years fell 99.8% from 1980-1999 and the absence of seropositivity among young children (aged 0-4 years) is evidence of the interruption of vectorial transmission (Massad 2007). In Brazil, the highest prevalence of T. cruzi infection was found in the states of Rio Grande do Sul, Minas Gerais, São Paulo, Paraná, Goiás and Bahia (Silveira & Rezende 1994, Dias 1997.…”
mentioning
confidence: 99%
“…As a result of these dynamic changes in the population and the coordinated efforts of countries where disease is endemic to interrupt vectorial and trans- Q-R-S and ST-T, Q-R-S and ST-T intervals of the ECG; Q-Tc, the Q-T interval of the ECG corrected for heart rate. (209,222). According to the most recent estimates, there are currently 7.6 million people infected with T. cruzi in Latin America (239).…”
Section: Parasites That Preferentially Involve the Myocardium Or Causmentioning
confidence: 99%
“…However, because of the lack of an effective vaccine and the toxicity and questionable efficacy of the current drug treatments during the chronic stages of the disease, controlling the transmission of Chagas disease remains largely based on controlling the vector population and on blood-bank screening [12], [25], [29], [31]. The spraying uses pyrethroid insecticides and has proven to be effective in retarding the spread of the disease and, in some cases, nearly eliminating the domestic insects [11], [22].…”
Section: Introductionmentioning
confidence: 99%