High toxicity of agro-industrial wastewater on aquatic fauna of a South American stream: Mortality of aquatic turtles and amphibian tadpoles as bioindicators of environmental health.

The aim of this study was to characterize an aquatic system of Santa Fe province (Argentina) receiving wastewater from agro-industrial activities (mainly dairy) by in situ assessment (fauna mortality, physicochemical, microbiological, and pesticide residues measurement), and ecotoxicity bioassays on amphibian tadpoles. Water and sediment samples were obtained from the Los Troncos Stream (LTS), previous to the confluence with the "San Carlos" drainage channel (SCC), and from the SCC. Biological parameters (mortality and sublethal biomarkers) were used to evaluate ecotoxicity during 10-day exposure of Rhinella arenarum tadpoles to LTS and SCC samples. Nine pesticides were detected in both LTS and SCC. Chemical and biochemical oxygen demand, ammonia, and coliform count recorded in SCC greatly exceeded limits for aquatic life protection. At SCC and LTS after the confluence with SCC, numerous dying and dead aquatic turtles (Phrynops hilarii) were recorded. In the ecotoxicity assessment, no mortality of tadpoles was observed in LTS treatment, whereas total mortality (100%) was observed in SCC treatments in dilution higher than 50% of water and sediment. For SCC, median lethal concentration and the 95% confidence limits was 18.30% (14.71-22.77) at 24 h; lowest-observed and no-observed effect concentrations were 12.5% and 6.25%, respectively. Oxidative stress and neurotoxicity were observed in tadpoles exposed to 25% SCC dilution treatment. In addition, there was a large genotoxic effect (micronuclei test) in all sublethal SCC dilution treatments (6.25%, 12.5%, and 25%). These results alert about the high environmental quality deterioration and high ecotoxicity for aquatic fauna of aquatic ecosystems affected by agro-industrial wastewater. PRACTITIONER POINTS: Great mortality of turtles was observed in a basin with a high load of agro-industrial wastewater. San Carlos Channel (SCC), where effluents are spilled, is environmentally deteriorated. The water-sediment matrix of SCC caused 100% lethality in tadpoles. SCC dilutions caused neurotoxicity, oxidative stress, and genotoxicity on tadpoles.

Chagas Disease: Seroprevalence and Associated Factors in Indigenous Communities of the Southern Limit of Argentine Chaco.

Chagas disease is more prevalent in socially vulnerable communities in the Gran Chaco Eco-region. The study evaluated the seroprevalence of Chagas disease and associated factors between May 2014 and September 2015, in indigenous communities of Santa Fe, Argentina, in the southern Chaco. Lysate ELISA and indirect hemagglutination tests were used to detect antibodies against Trypanosoma cruzi, and recombinant ELISA was used in the case of disagreement. Household surveys were conducted with the head of household about risk factors for the disease. Serological tests were conducted on 298 people from three indigenous communities, 127 male and 171 female. Seroprevalence was 18.5%. A total of 64 surveys were conducted; 82.8% of the heads of household were male, with a median age of 39 years, and 61.0% had not completed primary school. In 35.9% of the households, there was at least one member of the cohabiting group infected with T. cruzi. The level of education of the head of household showed a statistically significant association with Chagas disease (OR = 3.43), among all the risk factors studied. The prevalence of infection is lower than that of other indigenous communities of the Gran Chaco, probably because environmental conditions are moderating and disfavoring the establishment of the insect vector in homes, but also because of socioeconomic differences with the rest of the eco-region. Beyond this, serological controls are needed to prevent vertical transmission.

Seroprevalence of Chagas disease in urban and rural indigenous populations of the south of Gran Chaco.

BACKGROUND: In Latin America, Chagas disease is endemic, with a high prevalence in rural indigenous communities and an increasing prevalence in urban areas owing to migration from rural areas with active vector transmission. This study aimed to assess differences in the prevalence of Chagas disease in urban and rural moqoit communities, one of the main ethnic indigenous groups in the south of Gran Chaco. METHODS: A seroprevalence study was conducted in six moqoit populations in the Santa Fe province, Argentina. The variables studied were serology results for Chagas disease, residents of urban or rural areas, age, and sex. RESULTS: The results showed that 9.26% of the 702 volunteers evaluated and 18.32% of the 131women of childbearing potential were seropositive. According to the calculated prevalence ratio, the prevalence of Chagas disease in urban communities was6.41 (95% confidence inverval: 3.73-11.02) times higher than that in rural communities: 21.59% in urban communities vs. 3.37%in rural communities. CONCLUSIONS: The seroprevalence found in the moqoit community was higher than the estimated level for the general population of the same region, with a greater impact in urban areas than in rural areas. The urbanization of groups of people with poor socio-sanitary conditions in the second half of the 20th century could have caused this higher seroprevalence of Chagas disease.

Seroprevalence of Chagas disease in urban and rural indigenous populations of the south of Gran Chaco

ABSTRACT Background: In Latin America, Chagas disease is endemic, with a high prevalence in rural indigenous communities and an increasing prevalence in urban areas owing to migration from rural areas with active vector transmission. This study aimed to assess differences in the prevalence of Chagas disease in urban and rural moqoit communities, one of the main ethnic indigenous groups in the south of Gran Chaco. Methods: A seroprevalence study was conducted in six moqoit populations in the Santa Fe province, Argentina. The variables studied were serology results for Chagas disease, residents of urban or rural areas, age, and sex. Results: The results showed that 9.26% of the 702 volunteers evaluated and 18.32% of the 131women of childbearing potential were seropositive. According to the calculated prevalence ratio, the prevalence of Chagas disease in urban communities was6.41 (95% confidence inverval: 3.73-11.02) times higher than that in rural communities: 21.59% in urban communities vs. 3.37%in rural communities. Conclusions: The seroprevalence found in the moqoit community was higher than the estimated level for the general population of the same region, with a greater impact in urban areas than in rural areas. The urbanization of groups of people with poor socio-sanitary conditions in the second half of the 20th century could have caused this higher seroprevalence of Chagas disease.

First evaluation of novel potential synergistic effects of glyphosate and arsenic mixture on Rhinella arenarum (Anura: Bufonidae) tadpoles.

The toxicity of glyphosate-based herbicide (GBH) and arsenite (As(III)) as individual toxicants and in mixture (50:50 v/v, GBH-As(III)) was determined in Rhinella arenarum tadpoles during acute (48 h) and chronic assays (22 days). In both types of assays, the levels of enzymatic activity [Acetylcholinesterase (AChE), Carboxylesterase (CbE), and Glutathione S-transferase (GST)] and the levels of thyroid hormones (triiodothyronine; T3 and thyroxine; T4) were examined. Additionally, the mitotic index (MI) of red blood cells (RBCs) and DNA damage index were calculated for the chronic assay. The results showed that the LC50 values at 48 h were 45.95 mg/L for GBH, 37.32 mg/L for As(III), and 30.31 mg/L for GBH-As(III) (with similar NOEC = 10 mg/L and LOEC = 20 mg/L between the three treatments). In the acute assay, Marking's additive index (S = 2.72) indicated synergistic toxicity for GBH-As(III). In larvae treated with GBH and As(III) at the NOEC-48h (10 mg/L), AChE activity increased by 36.25% and 33.05% respectively, CbE activity increased by 22.25% and 39.05 % respectively, and GST activity increased by 46.75% with the individual treatment with GBH and by 131.65 % with the GBH-As(III) mixture. Larvae exposed to the GBH-As(III) mixture also showed increased levels of T4 (25.67 %). In the chronic assay at NOEC-48h/8 (1.25 mg/L), As(III) and GBH-As(III) inhibited AChE activity (by 39.46 % and 35.65%, respectively), but did not alter CbE activity. In addition, As(III) highly increased (93.7 %) GST activity. GBH-As(III) increased T3 (97.34%) and T4 (540.93%) levels. Finally, GBH-As(III) increased the MI of RBCs and DNA damage. This study demonstrated strong synergistic toxicity of the GBH-As(III) mixture, negatively altering antioxidant systems and thyroid hormone levels, with consequences on RBC proliferation and DNA damage in treated R. arenarum tadpoles.

[Seroprevalence of Chagas´Disease in older than 14 years old in rural Chaco areas of Santa Fe Province.] / Seroprevalencia de Chagas en mayores de 14 años de áreas rurales del Chaco Santafesino.

Introduction: Chagas´Disease (CD) is endemic en Chaco Región. It is unknown the seroprevalence in population older than 14 years old from rural Chaco areas of Santa Fe Province. This study aimed to determine the seroprevalence of and socio-environmental factors associated with CD in inhabitants >14 years old of rural Chaco areas of Santa Fe, Argentina. Methods: A cross-sectional study was conducted between 2010 and 2015, in people over 14 years old, in the rural districts of the Chaco region, in the North of Santa Fe Province, Argentina. Blood serology for Trypanosoma cruzi antibodies based on two serological tests, and a third in case of discordance, were analized. Semi-structured survey was administered. Association between CD and socio-environmental variables were analyzed using prevalence ratios with 95% confidence intervals. Results: A total of 749 individual were analyzed, with an average of 29.5 years. The seroprevalence was 24.70% (26.69% in women and 20.26% in men). Socio-environmental variables showed association with Trypanosoma cruzi seropositive. The seroprevalence was 7.83 times higher in the children of mothers who had not reached secondary education. Conclusions: Chaco region of Santa Fe is endemic for CD, as well as other provinces of the Region. The low level of education is the more important conditioning for this endemic disease.

Introducción: Introducción. La Enfermedad de Chagas (ECh) es endémica en la Región del Chaco. Se desconoce su seroprevalencia en mayores de 14 años de áreas rurales del Chaco Santafesino. El objetivo del trabajo fue determinar la seroprevalencia de ECh en mayores de 14 años de áreas rurales del Chaco Santafesino, Argentina, y su asociación con factores de riesgo epidemiológico. Métodos: Se realizó un estudio transversal entre 2010 y 2015, en personas mayores de 14 años, los distritos rurales de la región del Chaco, en el Norte de la Provincia de Santa Fe, Argentina. Se determinó la prevalencia de anticuerpos contra Trypanosoma cruzi mediante dos pruebas serológicas, realizando una tercera en caso de discordancia. Se realizaron encuestas semiestructuradas sobre variables socioambientales. Se analizó la asociación entre ECh y variables socioambientales mediante la razón de prevalencias con un intervalo de confianza del 95%. Resultados: Se estudió una muestra de 749 personas, con una media de edad de 29,5 años. La seroprevalencia fue de 24,70% (26,69% en mujeres y 20,26% en hombres). Se halló asociación estadísticamente significativa entre las variables socioambientales y la seroprevalencia. La seroprevalencia fue 7,83 veces mayor en los hijos de madres que no habían alcanzado la educación secundaria. Conclusiones: La región del Chaco Santafesino es endémica para Chagas, al igual que otras provincias de la Región. El bajo nivel de instrucción materno es el condicionante más importante para esta endemia

Insecticide pyriproxyfen (Dragón®) damage biotransformation, thyroid hormones, heart rate, and swimming performance of Odontophrynus americanus tadpoles.

Odontoprynus americanus tadpoles were used to determine the safety concentration of pyriproxyfen (PPF) insecticide by acute and sublethal toxicity tests (nominal range tested 0.01 to 10 [± 15%] PPF mg/L). Median lethal concentration (LC50) and no, and lowest-observed-effect concentrations (NOEC and LOEC, respectively) were calculated. We also assessed the effect on the activities of glutathione S-transferse (GST), acetylcholinesterase (AChE), and carboxylesterase (CbE) and compared to control (CO) tadpoles. Based on the 48-h NOEC value, two sublethal concentrations of PPF (0.01 and 0.1 mg/L) were assayed to detect effects on enzymes activities (GST and CbE), thyroid hormone's levels (triiodothyronine; T3 and thyroxine; T4), heart function, and tadpoles swimming behaviour. The results showed that the LC50 values of O. americanus tadpoles were 3.73 PPF mg/L and 2.51 PPF mg/L at 24-h and 48-h, respectively (NOEC = 0.1 mg/L; LOEC = 1 mg/L, for both times). PPF concentrations at 48 h, induced enzymatic activities such as GST (212.98%-242.94%), AChE (142.15%-165.08%), and CbE (141.86%-87.14%) significantly respect to COs. During the 22 days of chronic PPF exposure, GST (0.01 mg/L 88%-153% NOEC), AChE (177.82% NOEC), and T4 (70% NOEC) also significantly increased respect to COs. Similarly, heart rate (fH) and ventricular cycle length (VV interval) in CO tadpoles were significantly higher than PPF treated. Finally, at NOEC tadpoles exhibited significant effects on the behavioral endpoint (swimming distance, mean speed, and global activity; P < 0.05).

Simultaneous use of two rapid diagnostic tests for the diagnosis of Chagas disease.

The sensitivity of rapid diagnostic tests (RDT) for Chagas disease is not great enough for their single use. The aim of this paper was to evaluate the performance of two RDTs for Chagas disease, used simultaneously. Two different RDTs (A and B) were performed in 64 and 42 serum samples that were negative and positive, respectively, by conventional serological techniques. Validity and reliability of both tests were evaluated individually and simultaneously. Sensitivity was 90.5% and 97.6%, and specificity was 100% and 93.8%, for RDT A and B, respectively. The κ statistic was 0.96. When both RDTs were used simultaneously, sensitivity was 97.4%, specificity was 100% and the discordance percentage 6.6%. The combined use of two RDTs with serum samples is an acceptable application in healthcare centres.

Blood biomarkers of common toad Rhinella arenarum following chlorpyrifos dermal exposure.

Chlorpyrifos (CPF) is a broad spectrum pesticide commonly used for insect control, has great affinity for lipids and is thus a potential for bioaccumulation in aquatic organisms. The aim of this study was to evaluate the toxicity of CPF using the common toad Rhinella arenarum via dermal uptake in plastic bucket to simulate their natural exposition in ponds. R. arenarum toads were exposed individually to solutions containing a nominal concentration of a commercial formulation of CPF insecticide (5 and 10 mg/L). Different enzyme biomarkers (BChE: butyrylcholinesterase, CbE: carboxylesterase, and CAT: catalase) were measured in blood tissue after exposition. The capacity of pyridine-2-aldoxime methochloride (2-PAM) to reverse OP-inhibited plasma BChE and the ratio of heterophils and lymphocytes (H/L) as hematological indicators of stress were also determined. The normal values of plasma B-sterases (BChE and CbE) were highly inhibited (until ≈ 70%) in toads 48 h after exposure to CPF. The results indicate that 2-PAM produced BChE reactivation as well. The activity of CAT was also inducted for dermal exposure at more than double of that in the control toads (CPF; 5 mg/L). H/L ratios did not reveal a significantly increased stress. The study suggests that CPF via dermal uptake induced neurotoxicity and oxidative stress in the common toad R. areanum. Thus, some blood biomarkers employed in our study (i.e. BChE, CbE, 2-PAM, and CAT) might be used as predictors in health and ecological risk assessment of amphibian populations exposed to CPF.

Exposición a arsénico en agua de bebida y asociación con cáncer y con ERC, genotoxicidad y daño neurocognitivo en Argentina / Exposure to arsenic in drinking water and association with cancer and CKD, genotoxicity and neurocognitive damage in Argentina

Se realizó un estudio ecológico con el objetivo evaluar la asociación entre los niveles de arsénico (As) en agua de bebida con la mortalidad por cáncer de piel, vejiga, pulmón, hígado y riñón y con la IN (IN) y prevalencia (PR) de enfermedad renal crónica de etiología desconocida (ERCd). Se construyó un mapa con datos de As en agua de 167 departamentos de la Argentina. Se analizó la asociación entre los valores de As en agua y las tasas de mortalidad por los distintos cánceres, y la IN y PR de ERCd, mediante la autocorrelación espacial I Moran, el modelo regresión de Poisson, la prueba de Kruskal Wallis y el modelo de regresión lineal. En localidades seleccionadas de dos provincias argentinas (Santa Fe y Jujuy) se realizaron sendos estudios transversales para investigar la asociación entre la exposición a As y el daño genético en adultos (mediante el conteo de micronúcleos y el ensayo cometa), y el daño neurocognitivo (mediante la aplicación de pruebas neuroconductuales) en niños y adultos. No se encontró asociación estadísticamente significativa entre la concentración de As en el agua y las tasas de mortalidad para ninguno de los cánceres estudiados, ni con la IN o la PR de ERCd. Solo para las tasas de mortalidad por cáncer de pulmón se observó una asociación marginal. Tampoco se observaron diferencias significativas entre los grupos control y tratamiento en cuanto al daño genético, ni para el daño neurocognitivo. Se concluye que la ausencia de asociación entre mortalidad por cánceres específicos y ERCd con los valores de As en el agua pudo deberse a que tanto la base de datos de As en agua, como la de la mortalidad por cánceres y la de ERCd no fueron lo suficientemente desagregadas como para encontrar asociación. En cuanto a los estudios transversales se propone profundizar el análisis, aumentando el número de individuos estudiados

Chagas pediátrico en áreas rurales de la provincia de Santa Fe / Pediatric chagas disease in rural areas of Santa Fe province

INTRODUCCIÓN: la enfermedad de Chagas continúa siendo un importante problema de salud pública en la ecoregión del Gran Chaco. El norte de la provincia de Santa Fe, correspondiente al Sur de dicha región, se encuentra bajo control entomológico. Dado que se trata de una infección crónica, la seroprevalencia de esta endemia enniños es un marcador de la situación actual de la infección. OBJETIVOS:Determinar la seroprevalencia de infección chagásica en poblaciónpediátrica del Chaco santafesino. MÉTODOS: Se realizó un estudiodescriptivo de corte transversal sobre seroprevalencia de infección chagásica en niños de 5 a 14 años de edad. Comprendió un área aproximada de 38 000 km2 de distritos rurales de los departamentos 9 de Julio y Vera en la provincia de Santa Fe, y se llevó a cabo entre noviembre de 2010 y abril de 2013. RESULTADOS: Se muestreó al71,5% de los niños de la región (3765/5266). La prevalencia fue de1,8% (67/3765). Varió de 5,5% a 0% entre los distintos distritos. De5 a 9 años, fue 1,2% (21/1769); de 10 a 14 años, 2,3% (46/1996).CONCLUSIONES: La seroprevalencia hallada fue inferior a la de otrosestudios en el Gran Chaco. Se observa una gran heterogeneidad en laprevalencia entre los distritos, aun entre los vecinos. La distribución noobedecería a factores climáticos, sino a factores sociales y a la influenciade la actividad antrópica en cada localidad.

INTRODUCTION: chagas disease remains a major public health problem in the Gran Chaco region. The north of Santa Fe province, being the south of this region, is under entomologicalsurveillance. Being a chronic infection, the seroprevalence of this endemic disease in children serves as a marker of the current status. OBJECTIVES: To determine the seroprevalence of Chagasdisease in the pediatric population of Chaco region in Santa Fe. METHODS: A descriptive, cross-sectional seroprevalence study on Chagas infection was conducted for children aged 5-14 years old. It considered an area of 38 000 km2 belonging to ruraldistricts of 9 de Julio and Vera departments in Santa Fe province,between November 2010 and April 2013. RESULTS: The sampling included 71.5% of the children in the region (3765/5266). There was a prevalence of 1.8% (67/3765), ranged from 5.5% to 0% among districts. For 5-9 years, it was 1.2% (21/1769); for 10-14 years, 2.3% (46/1996). CONCLUSIONS: The seroprevalence was lower than in other studies performed in the Gran Chaco. A large heterogeneity is observed in the prevalence among districts, even among neighboring districts. The distribution does not seem to be due to climatic factors, but to social factors and the influence of human activity in each location.

Diagnostic reliability of an immunochromatographic test for Chagas disease screening at a primary health care centre in a rural endemic area.

Many patients with Chagas disease live in remote communities that lack both equipment and trained personnel to perform a diagnosis by conventional serology (CS). Thus, reliable tests suitable for use under difficult conditions are required. In this study, we evaluated the ability of personnel with and without laboratory skills to perform immunochromatographic (IC) tests to detect Chagas disease at a primary health care centre (PHCC). We examined whole blood samples from 241 patients and serum samples from 238 patients. Then, we calculated the percentage of overall agreement (POA) between the two groups of operators for the sensitivity (S), specificity (Sp) and positive (PPV) and negative (NPV) predictive values of IC tests compared to CS tests. We also evaluated the level of agreement between ELISAs and indirect haemagglutination (IHA) tests. The readings of the IC test results showed 100% agreement (POA = 1). The IC test on whole blood showed the following values: S = 87.3%; Sp = 98.8%; PPV = 96.9% and NPV = 95.9%. Additionally, the IC test on serum displayed the following results: S = 95.7%; Sp = 100%; PPV = 100% and NPV = 98.2%. Using whole blood, the agreement with ELISA was 96.3% and the agreement with IHA was 94.1%. Using serum, the agreement with ELISA was 97.8% and the agreement with IHA was 96.6%. The IC test performance with serum samples was excellent and demonstrated its usefulness in a PHCC with minimal equipment. If the IC test S value and NPV with whole blood are improved, then this test could also be used in areas lacking laboratories or specialised personnel.

Diagnostic reliability of an immunochromatographic test for Chagas disease screening at a primary health care centre in a rural endemic area

Many patients with Chagas disease live in remote communities that lack both equipment and trained personnel to perform a diagnosis by conventional serology (CS). Thus, reliable tests suitable for use under difficult conditions are required. In this study, we evaluated the ability of personnel with and without laboratory skills to perform immunochromatographic (IC) tests to detect Chagas disease at a primary health care centre (PHCC). We examined whole blood samples from 241 patients and serum samples from 238 patients. Then, we calculated the percentage of overall agreement (POA) between the two groups of operators for the sensitivity (S), specificity (Sp) and positive (PPV) and negative (NPV) predictive values of IC tests compared to CS tests. We also evaluated the level of agreement between ELISAs and indirect haemagglutination (IHA) tests. The readings of the IC test results showed 100% agreement (POA = 1). The IC test on whole blood showed the following values: S = 87.3%; Sp = 98.8%; PPV = 96.9% and NPV = 95.9%. Additionally, the IC test on serum displayed the following results: S = 95.7%; Sp = 100%; PPV = 100% and NPV = 98.2%. Using whole blood, the agreement with ELISA was 96.3% and the agreement with IHA was 94.1%. Using serum, the agreement with ELISA was 97.8% and the agreement with IHA was 96.6%. The IC test performance with serum samples was excellent and demonstrated its usefulness in a PHCC with minimal equipment. If the IC test S value and NPV with whole blood are improved, then this test could also be used in areas lacking laboratories or specialised personnel.

Infección chagásica en niños de cuatro distritos de riesgo de la provincia de Santa Fe / Chagas infection in children of four districts at risk in Santa Fe province / Infecgáo chagasica em changas de quatro distritos de risco da provincia de Santa Fe

El objetivo del presente estudio fue investigar infección chagásica en niños de 1 a 15 años que residen en zona de riesgo vectorial o con antecedentes migratorios en la provincia de Santa Fe, estimar la/s vía/s más probable/s de infección y comparar la prevalencia con trabajos anteriores. Se realizó un estudio seroepidemiológico en escuelas de los Distritos Garabato, Fortín Olmos y Gato Colorado y la escuela de la comunidad Com Caia del Departamento La Capital. A los seropositivos se les realizó una encuesta para determinar las probables vías de infección. Se comparó la prevalencia actual con la del último control de cada distrito. No se hallaron seropositivos en Com Caia (prevalencia 0%, 0/130). La prevalencia en Garabato fue 1,0% (6/604), Fortín Olmos 1,9% (13/688), Gato Colorado 3,0% (12/399). Disminuyó respecto de los últimos estudios: Garabato 11,2% (año 2000), Fortín Olmos 14,6% (2004), Gato Colorado 6,3% (2006). La vía de infección que se sospecha más frecuente es la congÞnita, seguida por la vectorial. Se concluye que, a pesar de la disminución de la prevalencia, se deben continuar las acciones de control, principalmente por vías vectorial y congÞnita.(AU)

The aim of the present study was to diagnose Chagas infection in children 1 to 15 years of age living in a risk area or with migrant background in Santa Fe province, to estimate the most probable way of infection and to compare the prevalence with previous works. A seroepidemiological study was conducted in schools in the districts Garabato, Fortin Olmos and Gato Colorado and the community Com Caia in La Capital Department. An inquiry was conducted in positive patients to determine the most probable way of infection. The current prevalence was compared with the last control in each district. No seropositive were found in Com Caia (prevalence 0%, 0/130). In Garabato the prevalence was 1.0% (6/604), Fortin Olmos 1.9% (13/688), Gato Colorado 3.0% (12/399). It decreased in comparison with the latest study: Garabato 11.2% (2000), Fortin Olmos 14.6% (2004), Gato Colorado 6.3% (2006). The most suspected way of infection was congenital, followed by vector one. We conclude that, although the prevalence decreased, it must be continued mainly vector and congenital controls actions.(AU)

O objetivo deste estudo foi investigar a infecgáo chagásica em criangas de 1 a 15 anos que moram em zona de risco vetorial ou com antecedentes de migragáo na provincia de Santa Fe, estimar a/as via/s mais provável/veis de infecgáo e comparar prevalencia com trabalhos anteriores. Foi realizado um estudo soroepidemiológico em escolas nos distritos Garabato, Fortin Olmos e Gato Colorado e na escola da comunidade Com Caia no departamento La Capital. Os soropositivos foram entrevistados para determinar as prováveis vias da infecgáo. A prevalencia atual foi comparada com a do último controle em cada distrito. Náo foram encontrados soropositivos em Com Caia (prevalencia 0%, 0/130). A prevalencia em Garabato foi 1,0% (6/604), Fortin Olmos 1,9% (13/688), Gato Colorado 3,0% (12/399). Diminuiu a respeito dos últimos estudos: Garabato 11,2% (ano 2000), Fortin Olmos 14,6% (2004), Gato Colorado 6,3% (2006). A via de infecgáo que se suspeita como sendo a mais frequente é a congenita, seguida pela vetorial. Concluise que, apesar da diminuigáo da prevalencia, devem continuar sendo realizadas agoes de controle, principalmente por vias vetorial e congenita.(AU)

Infección chagásica en niños de cuatro distritos de riesgo de la provincia de Santa Fe / Chagas' infection in children of four districts at risk in Santa Fe province / Infecgáo chagasica em changas de quatro distritos de risco da provincia de Santa Fe

El objetivo del presente estudio fue investigar infección chagásica en niños de 1 a 15 años que residen en zona de riesgo vectorial o con antecedentes migratorios en la provincia de Santa Fe, estimar la/s vía/s más probable/s de infección y comparar la prevalencia con trabajos anteriores. Se realizó un estudio seroepidemiológico en escuelas de los Distritos Garabato, Fortín Olmos y Gato Colorado y la escuela de la comunidad Com Caia del Departamento La Capital. A los seropositivos se les realizó una encuesta para determinar las probables vías de infección. Se comparó la prevalencia actual con la del último control de cada distrito. No se hallaron seropositivos en Com Caia (prevalencia 0%, 0/130). La prevalencia en Garabato fue 1,0% (6/604), Fortín Olmos 1,9% (13/688), Gato Colorado 3,0% (12/399). Disminuyó respecto de los últimos estudios: Garabato 11,2% (año 2000), Fortín Olmos 14,6% (2004), Gato Colorado 6,3% (2006). La vía de infección que se sospecha más frecuente es la congènita, seguida por la vectorial. Se concluye que, a pesar de la disminución de la prevalencia, se deben continuar las acciones de control, principalmente por vías vectorial y congènita.

The aim of the present study was to diagnose Chagas infection in children 1 to 15 years of age living in a risk area or with migrant background in Santa Fe province, to estimate the most probable way of infection and to compare the prevalence with previous works. A seroepidemiological study was conducted in schools in the districts Garabato, Fortin Olmos and Gato Colorado and the community Com Caia in La Capital Department. An inquiry was conducted in positive patients to determine the most probable way of infection. The current prevalence was compared with the last control in each district. No seropositive were found in Com Caia (prevalence 0%, 0/130). In Garabato the prevalence was 1.0% (6/604), Fortin Olmos 1.9% (13/688), Gato Colorado 3.0% (12/399). It decreased in comparison with the latest study: Garabato 11.2% (2000), Fortin Olmos 14.6% (2004), Gato Colorado 6.3% (2006). The most suspected way of infection was congenital, followed by vector one. We conclude that, although the prevalence decreased, it must be continued mainly vector and congenital controls actions.

O objetivo deste estudo foi investigar a infecgáo chagásica em criangas de 1 a 15 anos que moram em zona de risco vetorial ou com antecedentes de migragáo na provincia de Santa Fe, estimar a/as via/s mais provável/veis de infecgáo e comparar prevalencia com trabalhos anteriores. Foi realizado um estudo soroepidemiológico em escolas nos distritos Garabato, Fortin Olmos e Gato Colorado e na escola da comunidade Com Caia no departamento La Capital. Os soropositivos foram entrevistados para determinar as prováveis vias da infecgáo. A prevalencia atual foi comparada com a do último controle em cada distrito. Náo foram encontrados soropositivos em Com Caia (prevalencia 0%, 0/130). A prevalencia em Garabato foi 1,0% (6/604), Fortin Olmos 1,9% (13/688), Gato Colorado 3,0% (12/399). Diminuiu a respeito dos últimos estudos: Garabato 11,2% (ano 2000), Fortin Olmos 14,6% (2004), Gato Colorado 6,3% (2006). A via de infecgáo que se suspeita como sendo a mais frequente é a congenita, seguida pela vetorial. Concluise que, apesar da diminuigáo da prevalencia, devem continuar sendo realizadas agoes de controle, principalmente por vias vetorial e congenita.