2026-06-14T06:44:00Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/87412025-05-30T16:16:09Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19611
Repisalud
author
Navarro, Miriam
author
Berens-Riha, Nicole
author
Hohnerlein, Stefan
author
Seiringer, Peter
author
von Saldern, Charlotte
author
Garcia, Sarah
author
Blasco-Hernandez, Teresa
author
Navaza, Bárbara
author
Shock, Jonathan
author
Bretzel, Gisela
author
Hoelscher, Michael
author
Löscher, Thomas
author
Albajar-Viñas, Pedro
author
Pritsch, Michael
funder
German Centre for Infection Research
2019-12-05T12:01:19Z
2019-12-05T12:01:19Z
2017
BMJ Open. 2017 Jan 16;7(1):e013960.
10.1136/bmjopen-2016-013960
2044-6055
2044-6055
BMJ open
28093440
http://hdl.handle.net/20.500.12105/8741
PURPOSE: Chagas disease (CD) has become a global health issue mainly due to migration. Germany lacks surveillance data and is home to a large Latin American immigrant population. Recognising that Bolivia is the country with the highest CD prevalence in Latin America, this cross-sectional, descriptive pilot study investigated CD and associated factors among citizens of Bolivian origin living in Munich, Germany. METHODS: Participants completed a questionnaire in order to collect socioeconomic and health-related data. In addition, serology was performed. In case of positive serological tests, PCR diagnostic and clinical staging together with disease management was initiated. Qualitative research was conducted to identify personal and community barriers as well as strategies to increase CD awareness among the population at risk. RESULTS: Between June 2013 and June 2014, 43 people from Bolivia (or descendants) were enrolled. A total of 9.3% (4/43), of whom two women were of childbearing age, tested seropositive (ELISA and IFAT), and one also by PCR. For 2/4 positive participants, clinical evaluation was performed and the indeterminate form of CD was diagnosed. Knowledge about CD symptoms and ways of transmission were completely absent among 55.8% (24/43, 2/4 with CD) and 30.2% (13/43, 1/4 with CD) of participants, respectively. A total of 27.9% (12/43, 0/4 with CD) of participants had donated blood prior to the study, whereas 62.8% (27/43, 3/4 with CD) were motivated to donate blood in the future. The qualitative research identified lack of knowledge as well as stigma and fears related to CD. CONCLUSIONS: Despite the small number of participants, the prevalence of CD as well as the potential risk of non-vectorial transmission was alarming. Campaigns adapted for Latin American migrants as well as control strategies should be developed and put in place in order to prevent non-vectorial transmission and actively detect cases of CD in Germany.
eng
Chagas Disease
Germany
Migration
Trypanosoma cruzi
Cross-sectional, descriptive study of Chagas disease among citizens of Bolivian origin living in Munich, Germany
research article
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URL
https://repisalud.isciii.es/bitstreams/22e51ac1-78bb-4221-8d06-e016e23c4c43/download
File
MD5
303829f04124609e7f449696f47ab60e
826631
application/pdf
CrossSectionalDescriptiveStudy_2017.pdf
URL
https://repisalud.isciii.es/bitstreams/ae479965-607a-46c5-a7df-d18de9154ab4/download
File
MD5
909e39b46270dea142bd39a563eb806d
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text/plain
CrossSectionalDescriptiveStudy_2017.pdf.txt