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dc.contributor.authorKölliker-Frers R.A.
dc.contributor.authorInsua I.
dc.contributor.authorRazzitte G.
dc.contributor.authorCapani F.
dc.date.accessioned2020-09-02T22:21:10Z
dc.date.available2020-09-02T22:21:10Z
dc.date.issued2016
dc.identifier10.3855/jidc.7118
dc.identifier.citation10, 9, 895-901
dc.identifier.issn20366590
dc.identifier.urihttps://hdl.handle.net/20.500.12728/5018
dc.descriptionIntroduction: Argentina has been a preferential target for Bolivian immigrants for decades. The relatively recent migratory flux includes Germany, France, the United States, Australia, Japan, and some Latin American countries. The aim of this cross-sectional study was to describe the prevalence of Chagas disease in pregnant women, analyzing the Bolivian-specific Chagas prevalence as the main contributor of migratory populations from Chagas disease-endemic areas to Buenos Aires city, Argentina, and to evaluate the impact of these migrant influxes on the process of the "urbanization" of the disease in reference hospital José Maria Ramos Mejia (JMRM). Methodology: Overall, 21,332 pregnant women (100%) between 15 and 49 years of age derived from the public maternity service of JMRMH were studied. Serology data was obtained from registered serological diagnosis data, consisting of three different serological tests performed at the Public Parasitology Unit. Results: Although general prevalence decreased during the analyzed period, the specific prevalence of pregnant women from Bolivian origin showed a sustained growth during 1983–2013. Solely 5% of the total pregnant women population from Bolivia contributed to one third of the total Chagas prevalence. Conclusions: This study showed that a cohort of pregnant women from Bolivia who attended JMRMH during the period 1983–2007 constituted a population at risk for congenital transmission. Increased migration from endemic areas of Bolivia might potentially increase the prevalence of Chagas disease among pregnant women. In addition, this study highlights the importance to analyze specific prevalence according to endemic areas to determine the profiles of potential hidden prevalence. © 2016 Kölliker-Frers et al.
dc.language.isoen
dc.publisherJournal of Infection in Developing Countries
dc.subjectCongenital transmission
dc.subjectMigration
dc.subjectPregnant women
dc.subjectPrevalence
dc.subjectadolescent
dc.subjectadult
dc.subjectArticle
dc.subjectChagas disease
dc.subjectcross-sectional study
dc.subjectdisease transmission
dc.subjectenzyme linked immunosorbent assay
dc.subjectfemale
dc.subjectgeographic distribution
dc.subjecthemagglutination
dc.subjecthuman
dc.subjectimmunofluorescence
dc.subjectmiddle aged
dc.subjectpopulation migration
dc.subjectpregnant woman
dc.subjectprevalence
dc.subjectArgentina
dc.subjectBolivia
dc.subjectChagas disease
dc.subjectmigration
dc.subjectpregnancy
dc.subjectPregnancy Complications, Infectious
dc.subjectrisk assessment
dc.subjectseroepidemiology
dc.subjecttransmission
dc.subjectvertical transmission
dc.subjectyoung adult
dc.subjectAdolescent
dc.subjectAdult
dc.subjectArgentina
dc.subjectBolivia
dc.subjectChagas Disease
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subjectHuman Migration
dc.subjectHumans
dc.subjectInfectious Disease Transmission, Vertical
dc.subjectMiddle Aged
dc.subjectPregnancy
dc.subjectPregnancy Complications, Infectious
dc.subjectRisk Assessment
dc.subjectSeroepidemiologic Studies
dc.subjectYoung Adult
dc.titleChagas disease prevalence in pregnant women: Migration and risk of congenital transmission
dc.typeArticle


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