Interdisciplinary Journal of Nursing and Health (eISSN 3103-537X) continues Infermieristica Journal (eISSN 2785-7018).
Control of mother-to-child transmission of Chagas disease: the Tuscany Region model
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Keywords

Chagas Disease
Pregnancy
Screening
Latin America
Neglected Tropical Disease

How to Cite

Control of mother-to-child transmission of Chagas disease: the Tuscany Region model. (2023). Interdisciplinary Journal of Nursing and Health, 2(2), 73-78. https://doi.org/10.36253/if-2004

Abstract

Chagas disease is an endemic parasitosis in Latin America where the main route of transmission is vectorial. In Europe, due to migration phenomena, Chagas disease cases are increasing and the main way of transmission is mother-to-child, perpetuating the infection from one generation to the other. Congenital Chagas disease is in most cases asymptomatic at birth, but, if not diagnosed and treated early, it puts the child at risk of developing severe cardiac and gastrointestinal problems throughout life. According to the Regional Resolution throughout the territory of Tuscany, pregnant women born in continental Latin America (or born to a mother born in that area) should be offered free of charge serological test for Chagas disease during pregnancy or at delivery, with the main objective of controlling and stopping the transmission of the disease.

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References

Rassi A, Rassi A, Marin-Neto JA. Chagas disease. Lancet Lond Engl. 2010;375(9723):1388-1402. doi:10.1016/S0140-6736(10)60061-X

Chagas disease. World Health Organization. Published 2022. Accessed August 9, 2022. https://www.who.int/news-room/fact-sheets/detail/chagas-disease-(american-trypanosomiasis)

Colombo V, Giacomelli A, Casazza G, et al. Trypanosoma cruzi infection in Latin American pregnant women living outside endemic countries and frequency of congenital transmission: a systematic review and meta-analysis. J Travel Med. 2021;28(1):taaa170. doi:10.1093/jtm/taaa170

Messenger LA, Miles MA, Bern C. Between a bug and a hard place: Trypanosoma cruzi genetic diversity and the clinical outcomes of Chagas disease. Expert Rev Anti Infect Ther. 2015;13(8):995-1029. doi:10.1586/14787210.2015.1056158

Torrico F, Alonso-Vega C, Suarez E, et al. Maternal Trypanosoma cruzi infection, pregnancy outcome, morbidity, and mortality of congenitally infected and non-infected newborns in Bolivia. Am J Trop Med Hyg. 2004;70(2):201-209.

Antinori S, Galimberti L, Bianco R, Grande R, Galli M, Corbellino M. Chagas disease in Europe: A review for the internist in the globalized world. Eur J Intern Med. 2017;43:6-15. doi:10.1016/j.ejim.2017.05.001

Statistiche demografiche ISTAT. Accessed August 10, 2022. https://demo.istat.it/str2020/index.html

Campolmi I, Angheben A, Aliani FB, Spinicci M, Bartoloni A, Zammarchi L. Chagas disease in Italy: updated estimates. Intern Emerg Med. 2020;15(7):1339-1343. doi:10.1007/s11739-020-02387-z

Angheben A, Anselmi M, Gobbi F, et al. Chagas disease in Italy: breaking an epidemiological silence. Euro Surveill Bull Eur Sur Mal Transm Eur Commun Dis Bull. 2011;16(37):19969.

Requena-Méndez A, Aldasoro E, de Lazzari E, et al. Prevalence of Chagas disease in Latin-American migrants living in Europe: a systematic review and meta-analysis. PLoS Negl Trop Dis. 2015;9(2):e0003540. doi:10.1371/journal.pntd.0003540

World Health Organization. Working to Overcome the Global Impact of Neglected Tropical Diseases: First WHO Report on Neglected Tropical Diseases. World Health Organization; 2010. Accessed August 8, 2022. https://apps.who.int/iris/handle/10665/44440

Zammarchi L, Angheben A, Galli L, et al. Ongoing mother-to-child transmission of Chagas disease in Italy: 2014-18 estimates. J Travel Med. 2021;28(1):taaa201. doi:10.1093/jtm/taaa201

Navarro M, Reguero L, Subirà C, Blázquez-Pérez A, Requena-Méndez A. Estimating chagas disease prevalence and number of underdiagnosed, and undertreated individuals in Spain. Travel Med Infect Dis. 2022;47:102284. doi:10.1016/j.tmaid.2022.102284

Verani JR, Montgomery SP, Schulkin J, Anderson B, Jones JL. Survey of obstetrician-gynecologists in the United States about Chagas disease. Am J Trop Med Hyg. 2010;83(4):891-895. doi:10.4269/ajtmh.2010.09-0543

Should obstetricians working in non-endemic countries care about emerging tropical diseases? - ClinicalKey. Accessed August 17, 2022. https://www.clinicalkey.com/#!/content/journal/1-s2.0-S030121152030779X

Zammarchi L, Vellere I, Stella L, Bartalesi F, Strohmeyer M, Bartoloni A. Spectrum and burden of neglected tropical diseases observed in an infectious and tropical diseases unit in Florence, Italy (2000-2015). Intern Emerg Med. 2017;12(4):467-477. doi:10.1007/s11739-016-1597-1

WHO-World Health Organization. Control and prevention of Chagas disease in Europe. In: Report of a WHO Informal Consultation (Jointly Organized by WHO Headquarters and the WHO Regional Office for Europe). ; 2009.

Requena-Méndez A, Albajar-Viñas P, Angheben A, et al. Health Policies to Control Chagas Disease Transmission in European Countries. PLoS Negl Trop Dis. 2014;8(10):e3245. doi:10.1371/journal.pntd.0003245

Generalitat de Catalunya: Departement de Salut. Protocol de cribrtage i diagnostic de malatia de Chagas en dones embarassades llatinoamericanesi en els seus nadons. Published online 2010. https://canalsalut.gencat.cat/web/.content/_A-Z/C/chagas/documents/arxius/protcolcribratgeidiagnostic_angl.pdf

M.J. Bartolomè Dominguez, M.D. Martìnez Dolores, J. Varela Santamaria, J.J. Ventosa Rial, R. Zubizarreta Alberdi. PROTOCOLO DE CRIBADO DA ENFERMIDADE DE CHAGAS EN MULLERES EMBARAZADAS. https://www.sergas.es/gal/Publicaciones/Docs/AtEspecializada/PDF-2215-ga.pdf

Bayón Rueda A [et al, Sanitat GVC de. Enfermedad de Chagas importada : protocolo de actuación en la Comunitat Valenciana. Published online 2009. Accessed August 10, 2022. http://www.sp.san.gva.es/DgspPortal/docs/Manual_Enfermedad_Chagas.pdf

Rodari P, Angheben A, Gennati G, et al. Congenital Chagas disease in a non-endemic area: Results from a control programme in Bergamo province, Northern Italy. Travel Med Infect Dis. 2018;25:31-34. doi:10.1016/j.tmaid.2018.04.011

Regione Toscana - Atti della Giunta. Accessed August 8, 2022. http://www301.regione.toscana.it/bancadati/atti/DettaglioAttiG.xml?codprat=2019DG00000000619

Moya P, Basso B, Moretti E. [Congenital Chagas disease in Córdoba, Argentina: epidemiological, clinical, diagnostic, and therapeutic aspects. Experience of 30 years of follow up]. Rev Soc Bras Med Trop. 2005;38 Suppl 2:33-40.

Corso: PREVENZIONE E IL CONTROLLO DELLA MALATTIA DI CHAGAS CONGENITA: IL PROGRAMMA DELLA REGIONE TOSCANA. Accessed August 12, 2022. https://fad2.formas.toscana.it/course/view.php?id=1144

Sicuri E, Muñoz J, Pinazo MJ, et al. Economic evaluation of Chagas disease screening of pregnant Latin American women and of their infants in a non endemic area. Acta Trop. 2011;118(2):110-117. doi:10.1016/j.actatropica.2011.02.012

Requena-Méndez A, Bussion S, Aldasoro E, et al. Cost-effectiveness of Chagas disease screening in Latin American migrants at primary health-care centres in Europe: a Markov model analysis. Lancet Glob Health. 2017;5(4):e439-e447. doi:10.1016/S2214-109X(17)30073-6

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Interdisciplinary Journal of Nursing and Health (eISSN: 3103-537X) continues Infermieristica Journal (eISSN 2785-7018).