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To promote and respond efficiently to vector bug reports from inhabitants, the managerial focal point of the surveillance system was placed at the local health centres with a full-time or part-time Environmental Health technician (Table 1).
The registry recorded the name of family chief of infested houses, dates of reception of reports, village names, vector bug species, dates of response, and the name of responder for each report.
To maintain the risk of infection at a minimum level throughout broad endemic areas, the Honduran Ministry of Health implemented a vector surveillance system consisting of vector bug reporting by the community and institutional response to the reports at local health centres.
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Most persons acquire this infection through contact with vector bugs carrying T. cruzi in endemic areas of Latin America.
Inhabitants of the six pilot sites sent vector bugs caught in houses to the local health centre (Table 3).
It is not known how often congenital or vector-borne transmission of T. cruzi occurs in the United States, although it is known that infected mothers and infected vector bugs are found in this country.
2, 8 Vector bugs, infected animals, and the parasite T. cruzi are found in many parts of the southern half of the United States and rare vector-borne infections acquired domestically have been reported in humans.
Vulnerable populations mostly live in rural and impoverished areas, since more than 80% of the cases are transmitted by vector bugs that preferentially infest mud walls and thatched roofs [ 17].
It is the latter of these mechanisms that allows T. cruzi to proliferate within a developed country where the vector bugs are not common or where human contact with them is limited.
This is remarkable, considering that its vectors (triatomine bugs, also known as kissing bugs) do not bite in lighted areas, and artificial lighting has always been considered a good defense against them.
Transmission of T. cruzi to humans occurs via a blood-sucking vector, the triatomine bug, a.k.a. the assassin bug, which is part of the Reduviidae subfamily.
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