Triatomine control Flashcards

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1
Q

Classification

A

Family - Reduviidae, subfamily - Triatominae

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2
Q

How many are blood feeds and how many are vectors

A

120 obligate vertbrate blood feeders

60 Chagas vectors in South America

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3
Q

Three genera of importance

A

Rhodnius, panstrongylus, triatoma

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4
Q

Why can T. infestans outcompete other species?

A

Short lifecycle, ingests more blood, can outcompete other species in the domestic environment

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5
Q

Treatment of Chagas

A

Nifurtimox and Benznidazole. Adverse effects are worse in adults.

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6
Q

Acute and chronic phase symptoms

A

Acute: romana’s, sign, fever, lymphadenopathy
Chronic: cardiomyopathy and gastrointestinal abnormalities

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7
Q

Chagas transmission by triatomines.

A

T. cruzi enter host via eyes/mucous membranes/abraded skin.
Insects ingest during feed and infected for life.
Parasites develop in gut 9-17 days. Infective metacyclic in hindgut.
Efficient vectors are those defecating whilst feeding up to 25 minutes.
Up to 50% of bugs in 70% of houses are infected.

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8
Q

Key facts about triatomine life cycle

A

Females lay up to 600 eggs in lifetime, all stages blood feed, larval to adult 6 months to 2 years, adults can survive without feed 3-4 months

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9
Q

Detecting triatomine transmission

A

Search for bugs/egg cases/faecal stains on walls of home and peri-domestic area
Nymphs - wingless therefore indicate infestation
Chagoma-Romanas sign in residents
Gomez-Nunez boxes

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10
Q

Factors influencing human transmission

A
Bugs domesticated 
Early defaecation
Bugs infest poor housing/thatched roofs, esp when domestic animals live in close association
Rodent/possum entering domestic cycle
Rhodnius - palm fronds
Bedding and furniture
Adults fly
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11
Q

Triatomine zoonoses

A

Sylvatic - opossums/armadillos/rodent]

domestic - dogs/cats/rats

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12
Q

Benefits of domestication for triatomines

A

Protection against climatic extremes
Protection against some predators
Food - rich/constant

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13
Q

Drawbacks for humans living with triatomines

A

Nuisance
Blood loss
T. cruzi risk

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14
Q

Genetic consequences of triatomine domestication

A

Selection of individuals of greatest energetic efficiency.
Tendency to genetic monomorphy in each population
Tendency to low genetic variability within each population
CONSEQUENCES - body size reduction, evolution of resistance less likely
Although there is extensive morphological variation within species - species plasticity

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15
Q

Goubiere et al. Are all vector species a mix of partially recognised species?

A

Extensive morphological variation, species plasticity. Genetic studies show reduction in species. Highly adapted to ecological niches. Hybrids selected against.

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16
Q

Triatomines spraying

A

Residual spraying = 3 treatments/ year $25. DDT resistance (malaria spraying is effective)
Improve housing
Separate animals and humans

17
Q

What responses are there to the reinfestation problem?

A

Technical - develop formulations of longer residual action

Strategic - eliminate the source population

18
Q

Southern cone initiative success

A

Brazil 2000 - 10/12 endemic states free of vector and transmission
Chile 1983-1999 - 96% reduction house reinfestation. Child incidence from 5.4 to 1.05%. Chile is freee

19
Q

Other countries that have eliminated or interrupted transmission.

A

Elimination 1953 costa rice. Central america free of R. prolixus. Interuption transmission 2008 guatemala, 2009 el salvador, 2010 nicaragua and honduras

20
Q

Operational strategy towards elimination

A

Attack phase requiring mass intervention, vigilance phase only requires selective intervention

21
Q

Cimex and Chagas

A

High prevalence Chagas in homes and that. Mice can harbour (bidirectional transmission)