Evidence map›Paper›PMID 41180358›Full record

ArticleBMJ public health2025

Community-based serological screening for Chagas disease in London: a cross-sectional, observational pilot study.

Natalie Elkheir, Liliana Sanchez Zelaya, Laura Valderrama Penagos, Laura Lopez, Rodrigo Ville, Estefania Sienra-Iracheta, Temitope Fisayo, Pat Lok, Fionnuala Ryan, Ana Bayona and 29 more

Abstract read
In one paragraph

Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Primary care and community-based screening for Chagas disease in London, United Kingdom, August 2023 to January 2025.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

39 authors.

Natalie ElkheirClinical Research Department, London School of Hygiene & Tropical Medicine, London, UK.ORCID https://orcid.org/0000-0002-1786-8530
Liliana Sanchez ZelayaUK Chagas Hub, London, UK.
Laura Valderrama PenagosUK Chagas Hub, London, UK.
Laura LopezUK Chagas Hub, London, UK.
Rodrigo VilleUK Chagas Hub, London, UK.
Estefania Sienra-IrachetaUK Chagas Hub, London, UK.
Temitope FisayoUK Chagas Hub, London, UK.
Pat LokUK Chagas Hub, London, UK.
Fionnuala RyanUK Chagas Hub, London, UK.
Ana BayonaUK Chagas Hub, London, UK.
Jose Garcia RomeroUK Chagas Hub, London, UK.
Clare E WarrellClinical Research Department, London School of Hygiene & Tropical Medicine, London, UK.
Nicolas MassieUK Chagas Hub, London, UK.
Cristina Fernandez-TurienzoUK Chagas Hub, London, UK.
Valentina De SarioUK Chagas Hub, London, UK.
Jenna AbaakoukUK Chagas Hub, London, UK.
Karina Guzman MirandaUK Chagas Hub, London, UK.
Amel AlfulaijUK Chagas Hub, London, UK.
Cristina SuarezUK Chagas Hub, London, UK.
Maria-Cristina LoaderUK Chagas Hub, London, UK.
Catherine DominicUK Chagas Hub, London, UK.
Maykon Diego MeloUK Chagas Hub, London, UK.
Marcelle Costa MarinhoUK Chagas Hub, London, UK.
Marcela Bojorquez SeguraHospital for Tropical Diseases, University College London Hospitals, London, UK.
Heloise GerberHospital for Tropical Diseases, University College London Hospitals, London, UK.
Anna Bote-CasamitjanaUK Chagas Hub, London, UK.
Patricia MiralhesUK Chagas Hub, London, UK.
Alyssa Chase-VilchezUK Chagas Hub, London, UK.
Declan CrillyUK Chagas Hub, London, UK.
Jaimie Wilson-GoldsmithUK Chagas Hub, London, UK.
Barbara de BarrosClinical Research Department, London School of Hygiene & Tropical Medicine, London, UK.
Jessica CarterUK Chagas Hub, London, UK.ORCID https://orcid.org/0000-0001-9590-3146
Helen LiddyDiagnostic Parasitology Laboratory, London School of Hygiene & Tropical Medicine, London, UK.
Niamh MurphyDiagnostic Parasitology Laboratory, London School of Hygiene & Tropical Medicine, London, UK.
Debbie NolderUK Chagas Hub, London, UK.
Amaya BustinduyClinical Research Department, London School of Hygiene & Tropical Medicine, London, UK.
Laura E NabarroHospital for Tropical Diseases, University College London Hospitals, London, UK.
Peter L ChiodiniUK Chagas Hub, London, UK.
David MooreClinical Research Department, London School of Hygiene & Tropical Medicine, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Chagas disease (CD) is increasingly recognised as a public health problem in non-endemic settings. The UK is home to a large Latin American migrant population; yet, there is no formal screening programme for CD.The aim of this study was to co-design and evaluate a community-based screening initiative for CD in Latin American migrants in London, UK. Methods: This was a cross-sectional, observational pilot study, using questionnaires and point of care tests (POCTs: finger-prick lateral flow assays for qualitative detection of Immunoglobulin G (IgG) to Results: 334 adult participants (254 at CD-specific events and 80 at other events) participated in screening between December 2021 and May 2023. All were first-generation or second-generation migrants from South America, Central America or Mexico. 206 (62%) were born in Bolivia and 223 (67%) were women.A total of 79 out of 334 (24%) participants screened positively, of whom 77 (97%) attended for confirmatory laboratory serology and 70 (21% total population screened) were confirmed as true cases (two laboratory-performed serological assays positive). The POCT-PPV overall was 91%. 90% of the true confirmed cases detected through community screening were still engaged in specialist care at a mean of 2.5 years follow-up. The number needed to screen to link one confirmed case into specialist care was 5.3. Conclusions: Active case finding through delivery of targeted community-based screening using POCTs at either dedicated events or as pop-up testing at other events can effectively identify people with CD, with a high yield and minimal loss to follow-up.

Indexed as

Community HealthEpidemiologyPublic Health

Identifiers

PMID41180358
PMCPMC12574376

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.