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Kissing bugs in Southern Arizona: potential risks for human health,
and development of tools for monitoring and control
Abstract
Kissing bugs threaten human health in Southwestern USA because their
bites can cause severe allergic reactions and they are potential vectors
of Chagas Disease, a potentially deadly disease caused by the protozoan
Trypanosoma cruzi. Although only a few cases have been reported in
the USA, both infected insects and mammals are abundant in Arizona,
and more competent vectors may disperse from endemic areas. We will
study the risk of transmission of Chagas Disease and develop methods
for controlling triatomine populations in Southern Arizona. We will:
(1) study the insect-species distribution, abundance, and infection
rates; (2) find a highly attractive synthetic odor blend based on host
odors; and (3) test this blend in an odor-baited trap under laboratory
and field conditions (aiming at intercepting the insects before they
reach houses). Reducing triatomine-human contacts will benefit Arizonans
by reducing the incidence of allergic reactions and the risks of Chagas
Disease.
Description of the Research Problem
Blood-sucking triatomine bugs, commonly known as kissing bugs, cone-nose
bugs, or Mexican bed bugs, are important to human health in Southwestern
USA because of the mild to severe allergic reactions their bites can
cause and their role as potential carriers of the parasite that causes
Chagas Disease. Kissing bugs could become a more common health problem
in the Southwest, owing to the fact that that human populations are continuously
expanding into the natural habitat of these insects. Indeed, Arizona
is one of the states with the highest reported incidence of contacts
between kissing bugs and humans. Although only a few cases of Chagas
Disease have been reported in the USA, this disease can be deadly: it
affects 18-20 million people in Mexico, Central and South America and
results in ca. 14,000 deaths every year. The possibility of higher rates
of infection by this parasite in Southwest USA, however, cannot be excluded
given that both infected insects and mammalian hosts (e.g., packrats
and other rodents) are present. In addition, species of kissing bugs
that are more efficient carriers of the parasite may disperse from areas
where the disease is common (e.g. neighboring Mexico) and find their
way to Arizona. In neither Arizona nor other parts of the USA are there
up-to-date data on the species of kissing bugs present, their abundance,
and their rates of parasitic infection. Moreover, there are no methods
for trapping kissing bugs and thus reducing human exposure.
Goals and objectives of the Research
We will assess the risks that kissing bugs pose to human health in Southern
Arizona and develop control methods to intercept those insects before
they reach human houses. This will reduce contacts between kissing
bugs and humans. In parallel, we will develop educational tools for
increased, much-needed awareness in the general population about health
risks associated with kissing bugs. To accomplish these goals we will:
(1) study which species of kissing bugs are present in the periphery
of Tucson (an area of high incidence of allergic reactions due to kissing
bug bites) and their geographical distribution, abundance, and infection
rates by the parasites that cause Chagas Disease; (2) study biological
aspects of these insects that are relevant to their capacity to locate,
contact, and bite humans and to transmit the Chagas Disease parasite
to humans (e.g., feeding habits, low domiciliation capability, preference
for feeding on vertebrates other than humans); (3) identify odors that
are highly attractive to the insects by means of state-of-the-art chemical
analysis and studies of insect smell function; (4) develop a trap baited
with attractive odor blends identified under aim (3), which will be
tested under laboratory and field conditions and will help to reduce
contacts between kissing bug and human; (5) establish a referential
Website for educational and informational purposes with information
specific for Arizonans; and (6) pursue educational outreach activities
in selected school districts (pilot program). Accomplishment of our
goals will help reduce contacts between kissing bugs and humans and
thus benefit Arizonans by reducing the risk of Chagas Disease and of
severe allergic reactions.
This project is being funded by the Arizona Biomedical Research Commission
for the period 8-06 to 8-09.
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