Abstract

A consequence of the late awareness of Chagas disease in North America is that many early studies were never published in peer-reviewed journals and are not easily accessible for inclusion in systematic reviews. We reviewed data from the state of Guanajuato, Mexico, as an illustration. Three population-based surveys have been performed between 1991 and 2002 and were never fully published. Systematic reviews should recognize this publication bias.

Highlights

  • Chagas disease or American trypanosomiasis is a major cause of cardiac disease in the Americas [1]

  • Most of the efforts to control Chagas disease have been focused on South and Central America, while the awareness of Chagas disease is more recent in North America, including Mexico [2]

  • A consequence of the late awareness of Chagas disease in North America is that many early studies were never published in peer-reviewed journals and are not accessible for inclusion in systematic reviews

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Summary

Introduction

Chagas disease or American trypanosomiasis is a major cause of cardiac disease in the Americas [1]. Most of the efforts to control Chagas disease have been focused on South and Central America, while the awareness of Chagas disease is more recent in North America, including Mexico [2]. A recent systematic review of Mexican population-based data from 2006 to 2017 estimated the Trypanosoma cruzi national seroprevalence at 3.4% [1]. Mexico has been divided into “endemic” and “non-endemic” areas for Chagas disease [3].

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