BACKGROUNDVector transmission of Trypanosoma cruzi appears to be interrupted in Chile; however, data show increasing incidence of Chagas' disease, raising concerns that there may be a reemerging problem.OBJECTIVETo estimate the actual risk in a changing world it is necessary to consider the historical vector distribution and correlate this distribution with the presence of cases and climate change.METHODSPotential distribution models of Triatoma infestans and Chagas disease were performed using Maxent, a machine-learning method.FINDINGSClimate change appears to play a major role in the reemergence of Chagas' disease and T. infestans in Chile. The distribution of both T. infestans and Chagas' disease correlated with maximum temperature, and the precipitation during the driest month. The overlap of Chagas' disease and T. infestans distribution areas was high. The distribution of T. infestans, under two global change scenarios, showed a minimal reduction tendency in suitable areas.MAIN CONCLUSIONThe impact of temperature and precipitation on the distribution of T. infestans, as shown by the models, indicates the need for aggressive control efforts; the current control measures, including T. infestans control campaigns, should be maintained with the same intensity as they have at present, avoiding sylvatic foci, intrusions, and recolonisation of human dwellings.
Chagas disease remains highly prevalent in Chile, especially between the regions of Arica and Parinacota, and Coquimbo. Since 1999 it is considered that in Chile the vector transmission was interrupted. Under this premise, the epidemiological dynamics should be changing. We analyzed the evolution of the prevalence of Chagas' disease analyzing 64,995 xenodiagnosis performed in the laboratory of Parasitology of the Faculty of Medicine of the University of Chile between 1949 and 2014. The evolution of the mortalities and incidences from the databases of the Ministry of Health in the periods in which it was analyzed. The rates of domiciliary infestation and the number of vector insects sent to the Public Health Institute and its trypano-triatomine indices were also analyzed. The prevalence of Chagas' disease in inhabitants of risk areas remained stable in this period as well as mortality. The incidence rate shows a progressive increase with a tendency towards stabilization. A significant decrease in sampling effort was found, declining by two orders of magnitude, especially since 2000. The progressive increase in morbidity had no clear relation to the interruption of the vector chain nor to the greater diagnostic effort occurred in 2009, since it was evident from before. While home infestation declines, reports of intrusion of solitary individuals and wild foci of T. infestans have increased. Trypano-triatomine indices were maintained with high values in all vector species. This study shows a worrying situation, for while on the one hand the interruption of the vector transmission and improvement in the research systems is emphasized, the concern for this disease seems to be decreasing with less diagnostic efforts and lower education at the higher level, and by the other hand the numbers show that the problem if it is not increasing, at least maintains its careless historical magnitude.
Artículo de publicación ISIVariations in the preferred temperatures during the rest periods of Grammostola rosea Walckenaer and Paraphysa parvula Pocock, two mygalomorph spiders occupying different habitats in central Chile, are analyzed. The former inhabits arid and semi-arid lowland near plant communities, composed of shrubs (evergreens with small leathery leaves) and small trees; the latter is found in the central mountains of the Chilean Andes, above 2000 m.a.s.l. The preferred temperatures of these spiders at different times of day and exposure to cold (15 ◦C) and warm (25 ◦C) acclimation temperatures are compared. Body mass does not affect the preferred temperature of the larger spider G. rosea, although P. parvula, a spider with half of the body mass of G. rosea, shows a decrease in preferred temperature with body mass. This can be explained by a higher plasticity and thermal sensitivity of the smaller species as result of increased surface : volume ratio. The preferred temperature increases with the hour of the day under both acclimation conditions in P. parvula and in cold-acclimated G. rosea, which is likely associated with crepuscular and nocturnal behaviour in both species. Grammostola rosea shows temperature preferences lower than those of P. parvula under both acclimation conditions. The increase of the acclimation temperature from 15 to 25 ◦C results in an increment of 2–3 ◦C in the preferred temperature of P. parvula but only 0.2 ◦C in that of G. rosea. Two contrasting lifestyle strategies are found: a small mygalomorph spider with phenotypic plasticity and adaptation to the fluctuating environment of high altitude, and a large mygalomorph spider with higher thermal inertia adapted to the more stable environment of lowlands
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