By WHO Technical Report Series
This document of a WHO professional Committee reports present wisdom of Chagas affliction and its pathogenesis discusses the causative parasite the triatomine vectors and the typical reservoirs of an infection and considers the epidemiology and prevalence developments of the illness. Prevention and regulate innovations are defined as are a few of the formal projects for interruption of disorder transmission. The file concludes via settling on priorities for study and supplying information for the making plans implementation and strengthening of nationwide regulate courses.
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Additional info for Control of Chagas Disease: 2nd Report of the WHO Expert Committee on Chagas Disease (Technical Report Series)
Rubrofasciata, are less likely to colonize human dwellings. , in piles of rocks, in the leaves of various plants such as palms and bromeliads, in birds’ nests, and in burrows made by animals such as armadillos. In the absence of a warm-blooded feeding source, some triatomines can also feed on reptiles and amphibians. Certain species, such as T. rubrovaria, have preserved their ancestral predatory habits and can feed on the larvae of other insects. Triatomines that colonize houses permanently and are markedly anthropophilic are considered to be of primary epidemiological importance.
However, 18 species of triatomines are known to occur in the Amazon basin, which is now at risk of domiciliation mainly because of poorly planned colonization of the region by immigrants from other areas, and uncontrolled deforestation. The behaviour of R. brethesi is especially noteworthy; this species lives in piaçava palms, emerging to attack palm-nut collectors. The presence of P. geniculatus, widely distributed in Brazil and other countries, in the artificial environment is so far restricted to occasional invasions by flying adults.
Heart failure is treated conventionally with sodium restriction, diuretics, and digitalis. Patients with heart damage are prone to develop cardiac arrhythmias in response to regular doses of digitalis, mainly when serum potassium is low. Betablockers, angiotensin-converting enzyme inhibitors, and angiotensin A1 receptor blockers, as well as spironolactone, are also used. Tachyarrhythmias are especially resistant to most antiarrhythmic drugs and not all such drugs are well tolerated. Amiodarone has been extensively used and proved to be effective in the treatment of ventricular extrasystoles and tachycardias without interfering with cardiac performance.