ArticleBMJ open2017
Cross-sectional, descriptive study of Chagas disease among citizens of Bolivian origin living in Munich, Germany.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- The epidemiology and clinical features of HIV and Trypanosoma cruzi (Chagas disease) co-infection: A systematic review and individual patient data analysis.PLoS neglected tropical diseases · 2026Pooled it
- Towards effective coverage of Chagas disease: a community-based approach in migrant populations.International journal for equity in health · 2026Article
- Knowledge, Attitudes, and Practices toward Chagas Disease: A Cross-Sectional Survey of Bolivians in the Gran Chaco and Latin American Migrants in London.The American journal of tropical medicine and hygiene · 2025Article
- Prevalence of Chagas disease among Latin American immigrants in non-endemic countries: an updated systematic review and meta-analysis.The Lancet regional health. Europe · 2024Article
- Chagas disease is a low health priority among high-risk Latin American migrants in Geneva, a qualitative study.Journal of migration and health · 2024Article
- Article
- Chagas disease and perceived quality of life: a cross-sectional study.Revista da Sociedade Brasileira de Medicina Tropical · 2023Article
- COVID-19: an opportunity of systematic integration for Chagas disease. Example of a community-based approach within the Bolivian population in Barcelona.BMC infectious diseases · 2022Article
- Knowledge, attitudes, behaviors, and serological status related to Chagas disease among Latin American migrants in Germany: A cross-sectional study in six German cities.Frontiers in cellular and infection microbiology · 2022Article
- Adding a piece to the puzzle of Latin American blood donors and the potential risk ofFrontiers in cellular and infection microbiology · 2022Article
- The Importance of Screening for Chagas Disease Against the Backdrop of Changing Epidemiology in the USA.Current tropical medicine reports · 2022Review
- Mapping health behaviour related to Chagas diagnosis in a non-endemic country: Application of Andersen's Behavioural Model.PloS one · 2022Article
- Community-based screening of Chagas disease among Latin American migrants in a non-endemic country: an observational study.Infectious diseases of poverty · 2021Observational
- Key Chagas disease missing knowledge among at-risk population in Spain affecting diagnosis and treatment.Infectious diseases of poverty · 2021Article
- Analytical Evaluation of Dried Blood Spot and Rapid Diagnostic Test as a New Strategy for Serological Community Screening for Chronic Chagas Disease.Frontiers in cellular and infection microbiology · 2021Article
- Temporal changes in the clinical-epidemiological profile of patients with Chagas disease at a referral center in Brazil.Revista da Sociedade Brasileira de Medicina Tropical · 2021Article
- Describing nearly two decades of Chagas disease in Germany and the lessons learned: a retrospective study on screening, detection, diagnosis, and treatment of Trypanosoma cruzi infection from 2000 - 2018.BMC infectious diseases · 2020Article
- "We have already heard that the treatment doesn't do anything, so why should we take it?": A mixed method perspective on Chagas disease knowledge, attitudes, prevention, and treatment behaviour in the Bolivian Chaco.PLoS neglected tropical diseases · 2020Article
- Article
- Healthcare Professionals and Students' Awareness of Chagas Disease: Design and Validation of Chagas Level of Knowledge Scale (ChaLKS).The American journal of tropical medicine and hygiene · 2020Article
Corrections and comments
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Authors and funding
14 authors at 5 institutions in 4 countries.
Funding
Abstract
purposeChagas disease (CD) has become a global health issue mainly due to migration. Germany lacks surveillance data and is home to a large Latin American immigrant population. Recognising that Bolivia is the country with the highest CD prevalence in Latin America, this cross-sectional, descriptive pilot study investigated CD and associated factors among citizens of Bolivian origin living in Munich, Germany.
methodsParticipants completed a questionnaire in order to collect socioeconomic and health-related data. In addition, serology was performed. In case of positive serological tests, PCR diagnostic and clinical staging together with disease management was initiated. Qualitative research was conducted to identify personal and community barriers as well as strategies to increase CD awareness among the population at risk.
resultsBetween June 2013 and June 2014, 43 people from Bolivia (or descendants) were enrolled. A total of 9.3% (4/43), of whom two women were of childbearing age, tested seropositive (ELISA and IFAT), and one also by PCR. For 2/4 positive participants, clinical evaluation was performed and the indeterminate form of CD was diagnosed. Knowledge about CD symptoms and ways of transmission were completely absent among 55.8% (24/43, 2/4 with CD) and 30.2% (13/43, 1/4 with CD) of participants, respectively. A total of 27.9% (12/43, 0/4 with CD) of participants had donated blood prior to the study, whereas 62.8% (27/43, 3/4 with CD) were motivated to donate blood in the future. The qualitative research identified lack of knowledge as well as stigma and fears related to CD.
conclusionsDespite the small number of participants, the prevalence of CD as well as the potential risk of non-vectorial transmission was alarming. Campaigns adapted for Latin American migrants as well as control strategies should be developed and put in place in order to prevent non-vectorial transmission and actively detect cases of CD in Germany.
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