Updated Estimates and Mapping for Prevalence of Chagas Disease among Adults, United States

We combined American Community Survey data with age-specific Trypanosoma cruzi prevalence derived from US surveys and World Health Organization reports to yield estimates of Chagas disease in the United States, which we mapped at the local level. In addition, we used blood donor data to estimate th...

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Main Authors: Amanda Irish, Jeffrey D. Whitman, Eva H. Clark, Rachel Marcus, Caryn Bern
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2022-07-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/28/7/21-2221_article
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author Amanda Irish
Jeffrey D. Whitman
Eva H. Clark
Rachel Marcus
Caryn Bern
author_facet Amanda Irish
Jeffrey D. Whitman
Eva H. Clark
Rachel Marcus
Caryn Bern
author_sort Amanda Irish
collection DOAJ
description We combined American Community Survey data with age-specific Trypanosoma cruzi prevalence derived from US surveys and World Health Organization reports to yield estimates of Chagas disease in the United States, which we mapped at the local level. In addition, we used blood donor data to estimate the relative prevalence of autochthonous T. cruzi infection. Our estimates indicate that 288,000 infected persons, including 57,000 Chagas cardiomyopathy patients and 43,000 infected reproductive-age women, currently live in the United States; 22–108 congenital infections occur annually. We estimated ≈10,000 prevalent cases of locally acquired T. cruzi infection. Mapping shows marked geographic heterogeneity of T. cruzi prevalence and illness. Reliable demographic and geographic data are key to guiding prevention and management of Chagas disease. Population-based surveys in high prevalence areas could improve the evidence base for future estimates. Knowledge of the demographics and geographic distribution of affected persons may aid practitioners in recognizing Chagas disease.
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spelling doaj.art-5fe9376272334bccbf41904bb0270e2c2022-12-22T02:33:51ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592022-07-012871313132010.3201/eid2807.212221Updated Estimates and Mapping for Prevalence of Chagas Disease among Adults, United StatesAmanda IrishJeffrey D. WhitmanEva H. ClarkRachel MarcusCaryn Bern We combined American Community Survey data with age-specific Trypanosoma cruzi prevalence derived from US surveys and World Health Organization reports to yield estimates of Chagas disease in the United States, which we mapped at the local level. In addition, we used blood donor data to estimate the relative prevalence of autochthonous T. cruzi infection. Our estimates indicate that 288,000 infected persons, including 57,000 Chagas cardiomyopathy patients and 43,000 infected reproductive-age women, currently live in the United States; 22–108 congenital infections occur annually. We estimated ≈10,000 prevalent cases of locally acquired T. cruzi infection. Mapping shows marked geographic heterogeneity of T. cruzi prevalence and illness. Reliable demographic and geographic data are key to guiding prevention and management of Chagas disease. Population-based surveys in high prevalence areas could improve the evidence base for future estimates. Knowledge of the demographics and geographic distribution of affected persons may aid practitioners in recognizing Chagas disease. https://wwwnc.cdc.gov/eid/article/28/7/21-2221_articleChagas diseaseTrypanosoma cruziepidemiologyparasitesUnited States
spellingShingle Amanda Irish
Jeffrey D. Whitman
Eva H. Clark
Rachel Marcus
Caryn Bern
Updated Estimates and Mapping for Prevalence of Chagas Disease among Adults, United States
Emerging Infectious Diseases
Chagas disease
Trypanosoma cruzi
epidemiology
parasites
United States
title Updated Estimates and Mapping for Prevalence of Chagas Disease among Adults, United States
title_full Updated Estimates and Mapping for Prevalence of Chagas Disease among Adults, United States
title_fullStr Updated Estimates and Mapping for Prevalence of Chagas Disease among Adults, United States
title_full_unstemmed Updated Estimates and Mapping for Prevalence of Chagas Disease among Adults, United States
title_short Updated Estimates and Mapping for Prevalence of Chagas Disease among Adults, United States
title_sort updated estimates and mapping for prevalence of chagas disease among adults united states
topic Chagas disease
Trypanosoma cruzi
epidemiology
parasites
United States
url https://wwwnc.cdc.gov/eid/article/28/7/21-2221_article
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