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Chagas disease in Italy: breaking an epidemiological silence

2011; European Centre for Disease Prevention and Control; Volume: 16; Issue: 37 Linguagem: Inglês

10.2807/ese.16.37.19969-en

1560-7917

Andrea Angheben, Mariella Anselmi, Federico Gobbi, Stefania Marocco, Geraldo Badona Monteiro, Dora Buonfrate, Stefano Tais, Martín Tálamo, G. Zavarise, M. Strohmeyer, Filippo Bartalesi, Antonia Mantella, Mariarosaria Di Tommaso, Katie Aiello, G Veneruso, Grazia Graziani, Marlon Ferrari, I Spreafico, Ezio Bonifacio, Giovanni Gaiera, Massimiliano Lanzafame, Marta Mascarello, Gabriella Cancrini, Pedro Albajar-Viñas, Zeno Bisoffi, Alessandro Bartoloni,

Synthesis and Biological Evaluation

Chagas disease, a neglected tropical disease that due to population movements is no longer limited to Latin America, threatens a wide spectrum of people(travellers, migrants, blood or organ recipients,newborns, adoptees) also in non-endemic countries where it is generally underdiagnosed. In Italy, the available epidemiological data about Chagas disease have been very limited up to now, although the country is second in Europe only to Spain in the number of residents from Latin American. Among 867 at-risk subjectsscreened between 1998 and 2010, the Centre for Tropical Diseases in Negrar (Verona) and the Infectious and Tropical Diseases Unit, University of Florence found 4.2% patients with positive serology for Chagas disease (83.4% of them migrants, 13.8% adoptees).No cases of Chagas disease were identified in blood donors or HIV-positive patients of Latin American origin. Among 214 Latin American pregnant women,three were infected (resulting in abortion in one case).In 2005 a case of acute Chagas disease was recorded in an Italian traveller. Based on our observations, we believe that a wider assessment of the epidemiological situation is urgently required in our country and public health measures preventing transmission and improving access to diagnosis and treatment should be implemented.