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Published in: Journal of Immigrant and Minority Health 1/2007

01-01-2007 | Original Paper

The Sero-Prevalence of Antibodies to Trypanosoma cruzi in Latin American Refugees and Immigrants to Canada

Authors: L. S. Steele, D. W. MacPherson, J. Kim, J. S. Keystone, B. D. Gushulak

Published in: Journal of Immigrant and Minority Health | Issue 1/2007

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Abstract

Background: Chagas’ disease is caused by infection with the protozoan agent Trypanosoma cruzi. An estimated sixteen to eighteen million people are infected in Latin America. Outside of endemic regions, Chagas’ disease may be transmitted through the transfusion of infected blood components, congenital infection and organ transplantation. We sought to determine the sero-prevalence of antibodies to T. cruzi in a community sample of Latin American refugees and immigrants to Canada.
Methods: This was a sero-prevalence study in Latin American refugees and immigrants living in Canada. Eligible subjects were born in South America, Central America or in Mexico. Participants were recruited from a variety of community settings, as well as from medical clinics. Serum was tested by enzyme-linked immunoassay for antibodies to T. cruzi.
Results: A total of 102 participants were enrolled. One sample tested positive for antibodies for T. cruzi. The seroprevalence in our sample was 1.0% (95% CI: 0.2%- 5.3%).
Interpretation: We found a low sero-prevalence of Chagas’ disease in a community sample of Latin American immigrants and refugees. Physicians who treat Latin American immigrants should consider the risk profile and clinical status of the individual in their decision to screen for Chagas’ disease.
Literature
1.
go back to reference Moncayo A: Chagas disease: Current epidemiological trends after the interruption of vectorial and transfusional transmission in the Southern Cone countries. Mem Inst Oswaldo Cruz 2003; 98:577–91PubMedCrossRef Moncayo A: Chagas disease: Current epidemiological trends after the interruption of vectorial and transfusional transmission in the Southern Cone countries. Mem Inst Oswaldo Cruz 2003; 98:577–91PubMedCrossRef
2.
go back to reference Prata A: Clinical and epidemiological aspects of Chagas’ disease. Lancet Inf Diseases 2000; 1:92–100CrossRef Prata A: Clinical and epidemiological aspects of Chagas’ disease. Lancet Inf Diseases 2000; 1:92–100CrossRef
3.
go back to reference Schmunis GA: Trypanosoma cruzi, the etiologic agent of Chagas’ disease: status in the blood supply in endemic and non-endemic countries. Transfusion 1991; 31:547–555PubMedCrossRef Schmunis GA: Trypanosoma cruzi, the etiologic agent of Chagas’ disease: status in the blood supply in endemic and non-endemic countries. Transfusion 1991; 31:547–555PubMedCrossRef
4.
go back to reference Kerndt PR, Waskin HA, Kischhoff LV, Steurer F, Waterman SH, Nelson JM, et al.: Prevalence of antibody to Trypanosoma cruzi among blood donors in Los Angeles, California. Transfusion 1991; 31:814–818PubMedCrossRef Kerndt PR, Waskin HA, Kischhoff LV, Steurer F, Waterman SH, Nelson JM, et al.: Prevalence of antibody to Trypanosoma cruzi among blood donors in Los Angeles, California. Transfusion 1991; 31:814–818PubMedCrossRef
5.
go back to reference Leiby DA, Read EJ, Lenes BA, Yund AJ, Stumpt RJ, Kirchhoff LV, et al.: Seroepidemiology of Trypanosoma cruzi, etiologic agent of Chagas’ disease, in US blood donors. J Infect Dis 1997; 176:1047–1052PubMedCrossRef Leiby DA, Read EJ, Lenes BA, Yund AJ, Stumpt RJ, Kirchhoff LV, et al.: Seroepidemiology of Trypanosoma cruzi, etiologic agent of Chagas’ disease, in US blood donors. J Infect Dis 1997; 176:1047–1052PubMedCrossRef
6.
go back to reference Shulman IA, Appleman MD, Saxena S, Hiti AL, Kirchhoff LV: Specific antibodies to Trypanosoma cruzi among blood donors in Los Angeles, California. Transfusion 1997; 37:727–818PubMedCrossRef Shulman IA, Appleman MD, Saxena S, Hiti AL, Kirchhoff LV: Specific antibodies to Trypanosoma cruzi among blood donors in Los Angeles, California. Transfusion 1997; 37:727–818PubMedCrossRef
7.
go back to reference Barrett VJ, Leiby DA, Odom JL, Otani MM, Rowe JD, Root JT, et al.: Negligible prevalence of antibodies against Trypanosoma cruzi among blood donors in the Southeastern United States. Am J Clin Path 1997; 108:499–503PubMed Barrett VJ, Leiby DA, Odom JL, Otani MM, Rowe JD, Root JT, et al.: Negligible prevalence of antibodies against Trypanosoma cruzi among blood donors in the Southeastern United States. Am J Clin Path 1997; 108:499–503PubMed
9.
go back to reference Nickerson P, Orr P, Schroeder ML, Sekla L, Johnston JB: Transfusion-associated Trypanosoma cruzi infection in a non-endemic area. Ann Intern Med 1989; 111:851–853PubMed Nickerson P, Orr P, Schroeder ML, Sekla L, Johnston JB: Transfusion-associated Trypanosoma cruzi infection in a non-endemic area. Ann Intern Med 1989; 111:851–853PubMed
10.
go back to reference World Health Organization: Control of Chagas’ Disease. WHO Technical Report Series, World Health Organization 1991; 811:1–94 World Health Organization: Control of Chagas’ Disease. WHO Technical Report Series, World Health Organization 1991; 811:1–94
11.
go back to reference Kirchhoff LV, Gamm AA, Gilliam FC: American trypanosomiasis (Chagas’ disease) in Central American immigrants. Am J Med 1987; 82:915–920PubMedCrossRef Kirchhoff LV, Gamm AA, Gilliam FC: American trypanosomiasis (Chagas’ disease) in Central American immigrants. Am J Med 1987; 82:915–920PubMedCrossRef
12.
go back to reference Frank M, Hegenscheid B, Janitschke K, Weinke T: Prevalence and epidemiological significance of Trypanosoma cruzi infection among Latin American immigrants in Berlin, Germany. Infection 1997; 25:355–358PubMedCrossRef Frank M, Hegenscheid B, Janitschke K, Weinke T: Prevalence and epidemiological significance of Trypanosoma cruzi infection among Latin American immigrants in Berlin, Germany. Infection 1997; 25:355–358PubMedCrossRef
13.
go back to reference Braschear RJ, Winkler MA, Schur JD, Lee H, Burczak JD, Hall HJ, et al.: Detection of antibodies to Trypanosoma cruzi among blood donors in the southwestern and western United States. I. Evaluation of the sensitivity and specificity of an enzyme immunoassay for detecting antibodies to T. cruzi. Transfusion 1995; 35:213–218CrossRef Braschear RJ, Winkler MA, Schur JD, Lee H, Burczak JD, Hall HJ, et al.: Detection of antibodies to Trypanosoma cruzi among blood donors in the southwestern and western United States. I. Evaluation of the sensitivity and specificity of an enzyme immunoassay for detecting antibodies to T. cruzi. Transfusion 1995; 35:213–218CrossRef
14.
go back to reference Chagas’ Disease: Frequency and geographical distribution. Weekly Epidemiol Rec 1990; 65:257–264 Chagas’ Disease: Frequency and geographical distribution. Weekly Epidemiol Rec 1990; 65:257–264
15.
go back to reference Statistics Canada: Immigrant population by place of birth for Canada. 2001 Census Statistics Canada: Immigrant population by place of birth for Canada. 2001 Census
16.
17.
go back to reference Freilij H, Altchech J: Congenital Chagas’ disease: Diagnostic and clinical aspects. Clin Infect Dis 1995; 21:551–555PubMed Freilij H, Altchech J: Congenital Chagas’ disease: Diagnostic and clinical aspects. Clin Infect Dis 1995; 21:551–555PubMed
Metadata
Title
The Sero-Prevalence of Antibodies to Trypanosoma cruzi in Latin American Refugees and Immigrants to Canada
Authors
L. S. Steele
D. W. MacPherson
J. Kim
J. S. Keystone
B. D. Gushulak
Publication date
01-01-2007
Published in
Journal of Immigrant and Minority Health / Issue 1/2007
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-006-9014-x

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