The fauna and the geographical distribution of vectors of Chagas' disease were investigated based on the man-hour collection, from mud walls or palm-thatched houses in 236 villages, from the year 1995 through 1997,throughout Guatemala. A total of 1,131 vectors comprising 731 (64.6%) of Triatoma dimidiata, 53 (4.7%) of T. nitida and 347 (30.7%) of Rhodnius prolixus were found. T. dimidiata was collected in 16 out of 22 departments, whereas R. prolixus was collected in five departments, and T. nitida was collected only in three departments. The total number of R. prolixus was not small. 85% of the bugs was collected from 800m to 1,400m above sea level in the present study areas. We collected more bugs in the east and the southeast departments of the country, such as in the borders with Honduras and El Salvador. The rate of positive houses with bugs is the highest in Jutiapa, followed by Alta Verapaz, Chiquimula, Santa Rosa, and Quiche. The bug density in the investigated houses is the highest in Chiquimula, while the geographical dispersion of bugs is the widest in Jutiapa. The natural infection of bugs with Trypanosoma cruzi is the highest in Zacapa. Based on the above-mentioned positive rate of bugs and from the data of the 1994 National Census in Guatemala, we concluded that the departments with high risk to Chagas' disease are Jutiapa, Alta Verapaz, Chiquimula, Quiche and Santa Rosa, followed by Zacapa, Jalapa, Baja Verapaz, El Progreso and Escuintla. We have estimated that approximately 330,000 people live in the areas at high risk to the infection of Chagas' disease in Guatemala.
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