The multiplicity of epidemiological scenarios shown by Chagas Disease, derived from multiple transmission routes of the aetiological agent, occurring on multiple geo-ecobiosocial settings determines the complexity of the disease and reveal the difficulties for its control. From the first description of the link between the parasite, the vector and its domestic habitat and the disease that Carlos Chagas made in 1909, the epidemiological scenarios of the American Trypanosomiasis has shown a dynamic increasing complexity. These scenarios changed with time and geography because of new understandings of the disease from multiple studies, because of policies change at the national and international levels and because human movements brought the parasite and vectors to new geographies. Paradigms that seemed solid at a time were broken down, and we learnt about the global dispersion of Trypanosoma cruzi infection, the multiplicity of transmission routes, that the infection can be cured, and that triatomines are not only a health threat in Latin America. We consider the multiple epidemiological scenarios through the different T. cruzi transmission routes, with or without the participation of a Triatominae vector. We then consider the scenario of regions with vectors without the parasite, to finish with the consideration of future prospects. Disease agent geoecobiosocial geo ecobiosocial control 1909 studies geographies down cured America T prospects 190 19 1

The 2030 Agenda for Sustainable Development is a plan of action for people, planet and prosperity. Thousands of years and centuries of colonisation have passed the precarious housing conditions, food insecurity, lack of sanitation, the limitation of surveillance, health care programs and climate change. Chagas disease continues to be a public health problem. The control programs have been successful in many countries in reducing transmission by T. cruzi; but the results have been variable. WHO makes recommendations for prevention and control with the aim of eliminating Chagas disease as a public health problem. Climate change, deforestation, migration, urbanisation, sylvatic vectors and oral transmission require integrating the economic, social, and environmental dimensions of sustainable development, as well as the links within and between objectives and sectors. While the environment scenarios change around the world, native vector species pose a significant public health threat. The man-made atmosphere change is related to the increase of triatomines’ dispersal range, or an increase of the mobility of the vectors from their sylvatic environment to man-made constructions, or humans getting into sylvatic scenarios, leading to an increase of Chagas disease infection. Innovations with the communities and collaborations among municipalities, International cooperation agencies, local governmental agencies, academic partners, developmental agencies, or environmental institutions may present promising solutions, but sustained partnerships, long-term commitment, and strong regional leadership are required. A new world has just opened up for the renewal of surveillance practices, but the lessons learned in the past should be the basis for solutions in the future. 203 people prosperity conditions insecurity sanitation problem T cruzi variable deforestation migration urbanisation economic social development sectors threat manmade man made triatomines range constructions infection municipalities agencies partners partnerships longterm long term commitment required practices future 20 2

Abstract Vector-borne diseases (VBDs) continue to pose a challenge to the efforts of public health agencies by increasing their impact on the health of the affected communities. The common feature of VBDs is that the only way of preventing them is by avoid ing the contact between vectors and humans. There are no vaccines, and they will not be available shortly as tools for prevention and control in Argentina. Although dengue outbreaks attracted the attention of mass media from 2009, other VBDs have been affecting public health in Argentina for many decades, as Chagas disease and leishmaniasis. Over these, and others that could potentially settle in the national territory (West Nile, Lyme, etc.), there are repeated mass media claims and political declarations justifying their increase because of climate changes. The argument asserts that the “tropicalization” of the climate in temperate regions promotes the instal lation of VBDs in areas previously unfavorable for them. Although much evidence exists showing that the climate is changing, there is very little evidence that the climate is the main factor promoting the increase of VBDs. In this article, the influence of the so-called climate change on the situation of disease vectors in Argentina (with emphasis on triatomines) and vector control activities implemented by governmental public health agencies are discussed.

Resumen Las enfermedades transmitidas por vectores (ETVs) continúan siendo un desafío para los esfuerzos de agencias de salud pública, ya que mantienen o están aumentando su impacto sobre la salud de las comunidades afectadas. La característica común de las ETVs es que la única manera de prevenir exito samente nuevas infecciones es evitar el contacto entre vectores y humanos. No existen vacunas y no existirán en un futuro previsible para las principales ETVs que afectan la salud pública en Argentina. Aunque las epide mias de dengue desde 2009 atrajeron la atención mediática, otras ETVs, tales como Chagas o leishmaniasis, afectan la salud pública en Argentina desde hace décadas. Sobre ellas, y otras que potencialmente podrían instalarse en el territorio nacional (West Nile, Lyme, etc) hay repetidas referencias mediáticas que explican su recrudecimiento por el cambio climático. El argumento se basa en que la “tropicalización” del clima en regiones templadas promueve la instalación de ETVs en áreas previamente no favorables para ellas. Aunque existen muchas evidencias de que el clima está cambiando, son pocas las evidencias de que sea el clima el principal factor que promueve el recrudecimiento de las ETVs en Argentina. En este artículo, se discute la situación de los vectores de enfermedades en Argentina (con énfasis en triatominos), su vinculación con el llamado cambio climático y las actividades de control de vectores implementados por agencias gubernamentales de salud pública.

This is a description of experimental field studies that evaluated the efficacy of Telenomus fariai as a biological control agent of Triatoma infestans, the main vector of Trypanosoma cruzi (the aetiological agent of Chagas disease) in the Southern Cone countries of Latin America. The objective of this note is to report the inefficacy of T fariai to regulate the population abundance of T infestans under field conditions in a narrative way, as the original data have long been lost and unpublished because "negative” results were not published at the time (1980s). The aim is to correct that selective reporting and inform interested colleagues about efforts made on an idea that was (and probably still is) very appealing at the time the work was made.

Esta es una descripción de estudios experimentales hechos en campo para evaluar la eficacia de Telenomus fariai como agente de control biológico de Triatoma infestans, el principal vector de Trypanosoma cruzi (agente etiológico de la enfermedad de Chagas) en países del Cono Sur de Sud América. El objetivo de esta nota es informar la ineficacia de T fariai para regular la abundancia poblacional de T infestans bajo condiciones de campo en forma narrativa, ya que desafortunadamente los datos originales se perdieron hace tiempo, no publicados debido a que los resultados "negativos” no eran usualmente publicados al momento de los estudios (década de 1980). La finalidad de la nota es corregir el reporte selectivo e informar a colegas interesados acerca de los esfuerzos hechos sobre una idea que era (y probablemente aún es) muy atractiva al momento de realizar el trabajo.

Triatoma infestans is the main vector of the parasite that causes the Chagas disease in South America. It is known that T. infestans has different reproductive and development patterns depending on whether they feed on birds or mammals. Using the head of adult insects as an estimator of the specimen development, we attempt to determine if there are any differences in the sexual size dimorphism associated with the availability of the food resource in T. infestansof natural habitats in the Llanos Riojanos region (Argentina). The nutritional status resulted higher in chicken coops and, in both habitats, it was higher for females in relation to males. The centroid size was larger in females than in males from chicken coops, but not in the specimens from goat corrals. Centroid sizes revealed smaller medians in goat insects in comparison to those coming from chicken coops. Sexual size dimorphism occurs associated with differences in the nutritional status only for triatomines from chicken coops in natural habitats. The heads shape was not infuenced by the nutritional status. The sexual morphophysiological differences found in T. infestanshelp us understand aspects of the behavior of the species in diverse environments and its implications in the vectorial transmission o f Trypanosoma cruzi.

Triatoma infestanses el principal vector del parásito que causa la enfermedad de Chagas en Sudamérica. Se sabe que T. infestanstiene diferentes patrones reproductivos y de desarrollo dependiendo de si se alimentan de aves o mamíferos. Utilizando la cabeza de insectos adultos como estimador del desarrollo, se intenta determinar si existen diferencias en el dimorfsmo de tamaño sexual asociado con la disponibilidad del recurso alimenticio e n T. infestans de hábitats naturales en la región de Llanos Riojanos (Argentina). El estado nutricional fue mayor en gallineros y, en ambos hábitats, fue mayor para las hembras en relación con los machos. El tamaño centroide fue mayor en las hembras que en los machos de gallineros, pero no en los especímenes de corrales de cabras. Los tamaños centroide revelaron medianas más pequeñas en insectos de cabra en comparación con los procedentes de gallineros. El dimorfsmo sexual del tamaño se asocia con diferencias en el estado nutricional solo para triatominos de gallineros de habitats naturales. La conformación de las cabezas no se vio infuenciada por el estado nutricional. Las diferencias morfofsiológicas encontradas en T. infestans ayudan a comprender aspectos del comportamiento de la especie en diversos ambientes y sus implicaciones en la transmisión vectorial d eTrypanosoma cruzi.

Urban centers are dominated by species adapted to human presence. The intensity of human activity has a strong influence on habitat selection by animal populations across landscapes. The objectives of this study were to assess the abundance and the spatial distribution of the nests of two species of pigeons (Columba livia and Patagioenas maculosa), and evaluate the effects of human factors on the probability of nesting-site selection in different urban zones within a desert city. Nest abundance increased for Columba livia in city centers and for Patagioenas maculosa in zones away from them, in green areas. The most important variables influencing the probability of nesting-site selection by Columba livia were distance to the main square, distance to food sources and the interaction between distance to food sources and distance to water, along with type and height of buildings. For Patagioenas maculosa, the variables influencing the probability of nestingsite selection were distance to water, human population density, distance to food sources and the interaction between human population density and distance to food sources, along with tree height and diameter of tree canopy. This species selected Platanus×hispanica and Morus spp. as nesting sites. Nesting sites could be a limiting factor for these species, and our results have important implications for choosing appropriate control strategies for the management of urban pigeons in desert environments.

Los centros urbanos están dominados por especies adaptadas a la presencia humana. La intensidad de la actividad humana tiene una fuerte influencia sobre la selección del hábitat en poblaciones animales. Los objetivos de este estudio fueron estimar la abundancia y la distribución espacial de los nidos de dos especies de palomas (Columba livia and Patagioenas maculosa) y evaluar los efectos de factores humanos sobre la probabilidad de selección de sitios de nidificación en diferentes zonas en una ciudad de desierto. La abundancia de nidos de Columba livia aumentó en el centro de la ciudad y para Patagioenas maculosa en zonas alejadas del centro, en áreas verdes. Las variables más influyentes en la probabilidad de selección de sitios de nidificación para Columba livia fueron distancia a la plaza principal, distancia a las fuentes de alimento y la interacción entre la distancia a las fuentes de alimento y la distancia al agua, además del tipo y la altura de los edificios. Para Patagioenas maculosa las variables más influyentes en la probabilidad de selección de sitios de nidificación fueron la distancia al agua, la densidad poblacional humana, la distancia a las fuentes de alimento y la interacción entre la densidad poblacional humana y la distancia a las fuentes de alimento, además de la altura del árbol y el diámetro de la copa. Además, esta especie seleccionó Platanus×hispanica y Morus spp. como sitio de nidificación. Los sitios de reproducción podrían ser un factor limitante para estas especies; los resultados de este estudio tienen importantes implicancias para la elección de estrategias apropiadas de control en el manejo de palomas de ambientes urbanos en zonas desérticas.

BACKGROUND Triatoma sordida and Triatoma pseudomaculata are frequently captured triatomine species in the Brazilian savannah and caatinga biomes, respectively, and in Brazilian domiciles. OBJECTIVES This study identified eco-epidemiological changes in Chagas disease in northern Minas Gerais state, Brazil, and considered the influence of environmental shifts and both natural and anthropogenic effects. METHODS Domicile infestation and Trypanosoma cruzi infection rates were obtained from triatomines and sylvatic reservoirs during the following two time periods: the 1980s and 2007/2008. Entomological and climatic data with land cover classification derived from satellite imagery were integrated into a geographic information system (GIS), which was applied for atmospheric correction, segmentation, image classification, and mapping and to analyse data obtained in the field. Climatic data were analysed and compared to land cover classifications. RESULTS A comparison of current data with data obtained in the 1980's showed that T. sordida colonised domiciliary areas in both periods, and that T. pseudomaculata did not colonise these areas. There was a tendency toward a reduction in T. cruzi infection rates in sylvatic reservoirs, and of triatomines captured in both households and in the sylvatic environment. T. sordida populations have reduced in the sylvatic environment, while T. pseudomaculata showed an expanding trend in the region compared to counts observed in the 1980's in the sylvatic environment. This may be related to high deforestation rates as well as gradual increases in land surface temperature (LST) and temperatures along the years. MAIN CONCLUSIONS Our results suggest a geographical expansion of species into new biomes as a result of anthropogenic and climatic changes that directly interfere with the reproductive and infection processes of vectors.

Reports of triatomine infestation in urban areas have increased. We analysed the spatial distribution of infestation by triatomines in the urban area of Diamantina, in the state of Minas Gerais, Brazil. Triatomines were obtained by community-based entomological surveillance. Spatial patterns of infestation were analysed by Ripley’s K function and Kernel density estimator. Normalised difference vegetation index (NDVI) and land cover derived from satellite imagery were compared between infested and uninfested areas. A total of 140 adults of four species were captured (100 Triatoma vitticeps, 25Panstrongylus geniculatus, 8 Panstrongylus megistus, and 7 Triatoma arthurneivai specimens). In total, 87.9% were captured within domiciles. Infection by trypanosomes was observed in 19.6% of 107 examined insects. The spatial distributions ofT. vitticeps, P. geniculatus, T. arthurneivai, and trypanosome-positive triatomines were clustered, occurring mainly in peripheral areas. NDVI values were statistically higher in areas infested by T. vitticeps and P. geniculatus. Buildings infested by these species were located closer to open fields, whereas infestations of P. megistus andT. arthurneivai were closer to bare soil. Human occupation and modification of natural areas may be involved in triatomine invasion, exposing the population to these vectors.

Triatoma infestans is the most important vector of Chagas disease in Argentina. We report for the first time the presence of T. infestans (Klug) (Hemiptera: Reduviidae) associated with burrowing parrot nests Cyanoliseus patagonus (Psittasiformes: Psittacidae) built on abandoned adobe houses. The possible implications of this finding are discussed, for entomological surveillance of the vector.

Triatoma infestans es el vector más importante de la enfermedad de Chagas de la Argentina. Se cita por primera vez la presencia de T. infestans (Klug) (Hemiptera: Reduviidae) asociado a nidos de loro barranquero Cyanoliseus patagonus (Psittasiformes: Psittacidae) construidos en viviendas de adobe abandonadas. Se discuten las posibles implicancias de este hallazgo para la vigilancia entomológica del vector.

Abstract: INTRODUCTION : Insects of the subfamily Triatominae are vectors of Trypanosoma cruzi , the Chagas disease parasite, and their flying behavior has epidemiological importance. The flying capacity is strikingly different across and within Triatominae species, as well as between sexes or individuals. Many Triatoma infestans individuals have wings but no flying muscles. In other Triatominae species, no clear relationships were found between wing length and flying behavior. If wing presence or size is not reflective of the flying behavior, which other parts of the body could be considered as reliable markers of this important function? METHODS : The genus Mepraia has exceptional characteristics with invariably wingless females and wingless or winged males. We calculated the porous surface exposed to odorant molecules to estimate the olfactory capacity of Mepraia spinolai . The head shape and thorax size were estimated using the geometric morphometric approach and traditional morphometric techniques, respectively. RESULTS : Alary polymorphism in M. spinolai was significantly associated with consistent modification of the thorax size, head shape, and notable change in the estimated olfactory capacity. The macropterous individuals had a larger olfactory surface and thorax size and significantly different head shape compared to those of the micropterous individuals. CONCLUSIONS: We concluded that these structural changes could be associated with the flying potential of Triatominae. Thus, morphological attributes not found on wings could help determine the likely flying potential of the bugs.

Goat production is an important economic activity for rural communities in the Gran Chaco of Argentina. Goat corrals are important for the survival of peridomestic populations of Triatoma infestans. This study evaluated the impact of modifying the traditional structure of goat corrals on T. infestans populations and goat productivity in the region of Los Llanos (La Rioja). Thirty-nine experimental corrals were constructed and 57 traditional corrals were used as controls. We evaluated the infestations of the control and experimental corrals for five years following construction of the structures. The results showed that the new structures did not prevent the colonization, although it enhanced the detection of infestation at low densities of T. infestans. No significant difference was found in T. infestans population abundance between control and experimental corrals, probably because of the different detectability in the two types of structures, especially among the small nymphs. Although goat productivity average was higher in experimental than in control corrals, no significant difference was found because of high variability. The new structures can be used as a complement to promote the development of rural communities. Acceptability and adoption of the new corrals by the owners was high, as the enclosures offered better protection for the goats, increased growth of kids and facilitated herd handling.

The presence of Triatoma infestans in habitats treated with insecticides constitutes a frequent problem in endemic areas. Basing our study on the hypothesis that descendants of a residual population should be more similar to the pre-treatment population than to any other, we compared the indications of two quantitative morphological approaches. This study seeks to find the origin of 247 T. infestans from three populations found in two chicken coops and a goat corral after treatment with insecticides. The results obtained by quantitative morphology suggest that the T. infestans found between three-34 months after the application of insecticides formed mixed populations with insects derived from residual foci and neighbouring habitats. Our analyses also showed the presence of a phenotype which does not resemble neither the pre-treatment phenotype nor the one from neighbouring populations, suggesting the presence of a particular post-treatment phenotype. The heads size showed some variations in males from different populations and remained unchanged in females, which reinforces the hypothesis of an intraspecific competition for food with priority for females. This article presents, for the first time, the combined analysis of geometric morphometry of heads and antennal phenotypes to identify the composition of reinfesting populations.

Triatoma infestans is the main vector of Trypanosoma cruzi, the aetiological agent of Chagas disease in the Gran Chaco region of South America. As a frequent blood meal source for triatomine bugs, domestic goats play a key role in the eco-epidemiology of Chagas disease. The aim of this study was to evaluate the mortality and blood intake of T. infestans fed on goats that had been treated with different doses of pour-on insecticide. Third-instar nymphs were fed on goats that had been treated with 0 cc, 5 cc, 10 cc or 15 cc of a pour-on formulation of cypermethrin. The exposure of T. infestans to animals treated at different post-application intervals revealed a residual activity of the insecticide. The mortality rate in the treated groups was higher than in the control groups until 30 days post-insecticide application (p = 0.03), except in the group treated with 5 cc, in which no mortality was detected after seven days of insecticide application. Rainfall affected the triatomicide effect, reducing the time of residual activity. The cypermethrin pour-on treatment decreased the blood intake of T. infestans. Thirty days after the cypermethrin application, nymph mortality was 16% (± 13) with both doses (10 cc and 15 cc). The 15 cc dose did not result in higher insect mortality or increased persistence compared to the 10 cc dose.

The association between land use and land cover changes between 1979-2004 in a 2.26-million-hectare area south of the Gran Chaco region and Trypanosoma cruzi infection in rural communities was analysed. The extent of cultural land, open and closed forests and shrubland up to 3,000 m around rural communities in the north, northwest and west of the province of Córdoba was estimated using Landsat satellite imagery. The T. cruzi prevalence was estimated with a cross-sectional serological survey conducted in the rural communities. The land cover showed the same patterns in the 1979, 1999 and 2004 satellite imagery in both the northwest and west regions, with shrinking regions of cultured land and expanding closed forests away from the community. The closed forests and agricultural land coverage in the north region showed the same trend as in the northwest and west regions in 1979 but not in 1999 or 2004. In the latter two years, the coverage remote from the communities was either constant or changed in opposite ways from that of the northwest and west regions. The changes in closed forests and cultured vegetation alone did not have a significant, direct relationship with the occurrence of rural communities with at least one person infected by T. cruzi. This study suggests that the overall decrease in the prevalence of T. cruzi is a consequence of a combined effect of vector control activities and changes in land use and land cover.

The aim of this paper was to analyse the active dispersal of Triatoma infestans and the role of chickens as passive carriers of this insect in peridomestic areas of La Rioja, Argentina. To measure active dispersal, monthly catches were made on six consecutive nights for five months (in the warm season) using light traps (for flying insects) and sticky dispersal barriers (for walking insects). The nutritional and reproductive states of adults were evaluated. Over the course of the sampling period, a total of eight flying adults, six walking nymphs and 10 walking adults of the species T. infestans were captured, as well as specimens of Triatoma guasayana, Triatoma eratyrusiformis and Triatoma platensis. Our data demonstrate for the first time that females of T. infestans can disperse by walking. This may be an adaptive strategy because it allows them to move with eggs and/or with good blood reserves, which are not possible when flying. All flying and walking individuals of both genders were of an appropriate physiological state that would allow for colonisation of the target habitat. However, manual inspection of 122 chickens suggests that it is unlikely that these animals passively transport T. infestans. Finally, the dispersal activity of T. infestans was compared with other triatomines using a dispersion index.