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Chagas Disease: What U.S. Clinicians Need to Know

Chagas Disease in the United States

It is estimated that approximately 23 million people currently living in the United States were born in Chagas disease-endemic countries in Central and South America and Mexico.

Based on the prevalence of Chagas disease in their countries of origin, CDC estimates that 300,000 or more of these individuals are infected with T. cruzi. Most are unaware of their infection status.

However, T. cruzi-infected triatomine bugs and reservoir animals are found in many parts of the southern United States. Nevertheless, few cases of Chagas disease acquired through local vectorborne transmission have been reported to date. The U.S. map indicates the locations of seven of these cases.

Better housing conditions and less efficient vectors may explain the low risk of vectorial transmission in the U.S. compared to Latin America.

Map of the United States showing states where Chagas Disease infected reservoirs and vectors have been reported (California, Arizona, New Mexico, Texas, Oklahoma, Kansas, Missouri, Arkansas, Louisiana, Tennessee, Alabama, Georgia, Florida, North Carolina, South Carolina, Virginia, Ohio and Maryland). It also shows states where only Chagas Disease vectors but not infected reservoirs have been reported (Pennsylvania, New Jersey, Kentucky, Indiana, Illinois, Mississippi, Colorado, Utah and Nevada).
Version: 1.1 Pub: Oct 2010 Rev: Aug 2012

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