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https://www.arca.fiocruz.br/handle/icict/69269
HUMAN MIGRATIONS, ANTHROPOGENIC CHANGES, AND INSECT-BORNE DISEASES IN LATIN AMERICA
Chagas disease
Chikungunya
Dengue
Epidemiology
Epidemics
Leishmaniasis
Malaria
Migration
Mosquito
Trypanosomiasis
Yellow fever
Zika virus
Author
Affilliation
Indiana University School of Public Health. Department of Epidemiology and Biostatistics. Laboratory for Computational Epidemiology and Public Health. Bloomington, IN, USA.
University of Pisa. Department of Agriculture, Food and Environment, Pisa, Italy.
Indiana University School of Public Health. Department of Epidemiology and Biostatistics. Laboratory for Computational Epidemiology and Public Health. Bloomington, IN, USA.
University of Pisa. Department of Agriculture, Food and Environment, Pisa, Italy.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Imunologia. Recife, PE, Brasil.
University of Bari. Department of Veterinary Medicine. Valenzano, Italy / City University of Hong Kong. Department of Veterinary Clinical Sciences. Hong Kong, China.
University of Pisa. Department of Agriculture, Food and Environment, Pisa, Italy.
University of Pisa. Department of Agriculture, Food and Environment, Pisa, Italy.
Indiana University School of Public Health. Department of Epidemiology and Biostatistics. Laboratory for Computational Epidemiology and Public Health. Bloomington, IN, USA.
University of Pisa. Department of Agriculture, Food and Environment, Pisa, Italy.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Departamento de Imunologia. Recife, PE, Brasil.
University of Bari. Department of Veterinary Medicine. Valenzano, Italy / City University of Hong Kong. Department of Veterinary Clinical Sciences. Hong Kong, China.
University of Pisa. Department of Agriculture, Food and Environment, Pisa, Italy.
Abstract
Rapid urbanization and migration in Latin America have intensifed exposure to insect-borne diseases. Malaria, Chagas disease, yellow fever, and leishmaniasis have historically aficted the region, while dengue, chikungunya, and Zika
have been described and expanded more recently. The increased presence of synanthropic vector species and spread into previously unafected areas due to urbanization and climate warming have intensifed pathogen transmission
risks. This review examines recent outbreaks and reemergence of insect-borne diseases through fve case studies: (i) malaria transmission linked to political instability and large-scale migration through the Amazon jungle; (ii) the expan‑
sion of triatomine bug habitats into overcrowded, substandard urban settlements, increasing Chagas disease incidence; (iii) the infuence of movement and ecotourism in the Amazonia on yellow fever transmission in peri-urban
areas; (iv) the spread of visceral leishmaniasis driven by deforestation and human–canine movement; and (v) dengue outbreaks in rural Amazon regions, spurred by urbanization and rural development. The fndings underscore the com‑
plex interactions among vectors, pathogens, and shifting environmental and social conditions, complicating predictability and control. Addressing the social, economic, and political determinants of health is crucial to reducing disease
transmission. Key measures include scaling vaccine coverage, especially for dengue and yellow fever; developing vaccines and treatments for neglected diseases; improving housing and sanitation; strengthening vector surveillance
and control; fostering community engagement; enhancing data-driven interventions.
Keywords
ArbovirusChagas disease
Chikungunya
Dengue
Epidemiology
Epidemics
Leishmaniasis
Malaria
Migration
Mosquito
Trypanosomiasis
Yellow fever
Zika virus
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