Spatial stratification of house infestation by Triatoma infestans in La Rioja, Argentina.

Vectorial transmission of Chagas disease has been decreasing over the past few decades because of effective vector control programs in the southern cone of South America. However, the disease is still actively transmitted within the Gran Chaco region. In this area, vector populations are abundant and highly prevalent in poor rural houses. This study analyses the spatial pattern of rural house infestation by Triatoma infestans in a 56,000 km(2) area in the province of La Rioja, Argentina, before the re-initiation of systematic activity on vector control intervention. Data on 5,045 rural houses show that infestation has high spatial heterogeneity, with highly infested localities concentrated in a few areas. House infestation has a negative significant relationship with locality size. Rural houses in the region are highly dispersed and this feature has been and will remain a challenge for any vigilance system to be installed in the region.