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Disease Prevention and Control / Communicable Diseases / Chagas Disease

Field Photos: Guatemalan Anti-Chinche Campaign through Community-Based Integrated Vector Control (IVM)

OPS-MSPAS-JICA IPCA

The 15 photographs below illustrate activities aimed at integrated vector control in relation to the prevention and control of Chagas disease in poverty-prone rural areas of Guatemala. This initiative was launched by the Ministry of Public Health and Social Assistance (MSPAS) as part of the collaboration agreement between PAHO and the Japan International Cooperation Agency (JICA), within the Framework of the Initiative of Central American Countries against Chagas Disease (IPCA). Photos sent by Lic. Jun Nakagawa, PAHO-JICA Regional Advisor on Chagas, PAHO-Honduras, and taken by Lic. Ken Hashimoto, UNV (United Nations Volunteer) attached to PAHO Guatemala office. Click on the thumbnail images to view them in original size (in JPG).

infested walls
Supervisor shows how to detect and spray for chinches on infestad wall
searching
Ministry personnel conducting household search for vectors
looking for chinches
Looking for chinches
residual spraying
Ministry personnel applying insecticides in an infested household

The vectors responsible for transmitting the parasite Trypanosoma cruzi in Guatemala are the so-called 'chinches' Triatoma dimidiata and Rhodnius prolixus. These insects infest the adobe walls and thatched roofs of the dwellings occupied by poor people in rural areas.

spraying
Applying insecticides to the walls where the chinches hide
housing
Staff training on the type of dwelling vulnerable to infestation
hiding places
Searching in every nook and cranny
detection
Detection requires systematic searching

Integrated vector control means more than detection and spraying, however. It involves complementary IEC (information-education-communication) activities from human-resource development, teaching the populace how to work with the authorities to identify chinches and prevent infection, to teaching health workers, entomologists and epidemiologists the newest and most efficient techniques for dealing with the problem. Blood-testing is also carried out in infested areas. More photos on the Guatemalan project

captured vectors
Triatoma dimidiata found in an infested household
schoolkids
Schoolchildren learn how to identify vectors
IEC materials
Production and distribution of educational materials
outreach
Community outreach: taking the campaign to the people themselves
health promotion
Community health promotion
epi-workshop
Workshop for epidemiologists
ento-workshop
Workshop for entomologists

More photos:

Guatemala:
project | blood testing

El Salvador | Honduras

PAHO Chagas page