{"meta":{"status":200,"messages":[],"pagination":{"max":1,"offset":0,"count":1,"total":1,"pageNum":1,"totalPages":1,"sort":null,"currentUrl":"https://api.digitalmedia.hhs.gov/api/v2/resources/media.json?offset=0&max=1&ignoreHiddenMedia=1&format=json&id=4714","nextUrl":null,"previousUrl":null}},"results":[{"content":"<body>\n <div class=\"syndicate\"> \n  <h1 autofocus=\"true\">How Chagas Disease Spreads</h1> \n </div> \n <div class=\"syndicate\"> \n  <div> \n   <div> \n    <div data-section=\"cdc_causes_page_summary\"> \n     <div> \n      <h2>Key points</h2> \n     </div> \n     <div> \n      <ul> \n       <li>Chagas disease is caused by the parasite <em>Trypanosoma cruzi</em><em>.</em></li> \n       <li>Chagas disease spreads through triatomine bugs that are infected with the <em>T. cruzi </em>parasite.</li> \n       <li>People get Chagas disease through contact with the droppings (poop) of the bugs or by accidentally rubbing the feces into open wounds, eyes, or mouth.</li> \n       <li>Chagas disease is primarily found in rural parts of Mexico, Central America, and South America.</li> \n      </ul> \n      <div> \n      </div> \n     </div> \n     <div> \n      <figure> \n       <div> \n        <img src=\"http://www.cdc.gov/chagas/media/images/t_sanguisuga.jpg\" alt=\"t_sanguisuga\"> \n       </div> \n      </figure> \n     </div> \n    </div> \n   </div> \n   <div> \n    <div data-section=\"cdc_causes_causes\"> \n     <a name=\"How%20it%20spreads\" title=\"How it spreads\" href=\"http://www.cdc.gov\"> \n      <!-- --></a> \n     <h2>How it spreads</h2> \n     <ul> \n      <li>Triatomine bugs, also known as kissing bugs, become infected with the parasite that causes Chagas disease by biting and sucking blood from animals or people carrying the parasite.</li> \n      <li>After feeding, these bugs can pass the parasite in their feces. If the feces enter a person's body through a cut or near the eyes or mouth, it can cause infection.</li> \n      <li>Infection can occur if someone unknowingly scratches or rubs the bug's feces into their bite wounds, eyes, or mouth.</li> \n     </ul> \n     <h3>Less common ways it can spread</h3> \n     <p>Although rare, the parasite that causes Chagas disease can also spread:</p> \n     <ul> \n      <li>From a pregnant woman to her baby (congenital)</li> \n      <li>Through contaminated blood products during transfusions</li> \n      <li>Through an organ transplanted from an infected donor</li> \n      <li>In a laboratory accident</li> \n      <li>By consuming contaminated food or drink</li> \n     </ul> \n    </div> \n    <div data-section=\"cdc_causes_how_it_spreads\"> \n     <a name=\"About%20triatomine%20bugs\" title=\"About triatomine bugs\" href=\"http://www.cdc.gov\"> \n      <!-- --></a> \n     <h2>About triatomine bugs</h2> \n     <p>Triatomine bugs are key in spreading Chagas disease. These bugs hide in walls and roofs during the day and come out to feed on blood at night. </p> \n     <p>Triatomine bugs are typically found in the southern United States, Mexico, Central America, and South America (as far south as southern Argentina). Eleven different species of triatomine bugs have been found in the southern United States.</p> \n     <h3>Triatomine bugs in the United States</h3> \n     <figure> \n      <div> \n       <img src=\"http://www.cdc.gov/chagas/media/images/triatominemapsm.jpg\" alt=\"Map of the United States with states highlighted in purple.\"> \n      </div> \n      <div> \n       <figcaption>\n         States that have reported triatomine bugs (in purple). \n       </figcaption> \n      </div> \n     </figure> \n     <div data-metric-block=\"keep-reading\"> \n      <b>Keep Reading</b> \n      <a href=\"http://www.cdc.gov/chagas/spreads/species.html\">Triatomine Bugs in the United States</a> \n     </div> \n     <h3>Were they live</h3> \n     <p>Triatomine bugs can live both indoors and outdoors. When indoors, they might be found in cracks and holes of poorly constructed houses. Outdoors, they can live in places like:</p> \n     <ul> \n      <li>Beneath porches</li> \n      <li>Between rocky structures</li> \n      <li>Under cement</li> \n      <li>In rock, wood, brush piles, or beneath bark</li> \n      <li>In rodent nests or animal burrows</li> \n      <li>In outdoor dog houses or kennels</li> \n      <li>In chicken coops or houses</li> \n     </ul> \n     <p>In the United States, triatomine bugs rarely infest homes because houses are well-sealed and have plastered walls. However, finding them indoors, especially younger, wingless nymphs, may indicate an infestation. If these bugs are inside, they are often found near where pets sleep, where rodents are present, or around beds and bedrooms, especially under or near mattresses or nightstands. </p> \n     <figure> \n      <div> \n       <img src=\"http://www.cdc.gov/chagas/media/images/triatominestageslg.jpg\" alt=\"Triatomine bugs in different stages of life.\"> \n      </div> \n      <div> \n       <figcaption>\n         Various triatomine bugs in all life stages, from eggs to nymphs to fully grown adults. \n       </figcaption> \n      </div> \n     </figure> \n     <h3>Bugs commonly confused with triatomine bugs</h3> \n     <p><strong></strong>These bugs do not carry the parasite that causes Chagas disease, although they are closely related and commonly confused with triatomine bugs. </p> \n     <div data-loop=\"true\"> \n      <div data-post=\"1318_87\"> \n       <div> \n        <figure> \n         <div> \n          <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Wheelbug.jpg\" title=\"Wheel Bug\"><img src=\"http://www.cdc.gov/chagas/media/images/Wheelbug.jpg\" alt=\"A close-up of a wheel bug (assassin bug) resting on a green leaf, preying on a squash bug.\"></a> \n         </div> \n        </figure> \n        <div> \n         <div> \n          <a title=\"Wheel Bug\" target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Wheelbug.jpg\">Wheel Bug<span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n         </div> \n         <div>\n           Wheel bug (right), Arilus cristatus (Linnaeus) (Hemiptera: Reduviidae), preying on a squash bug. \n         </div> \n         <div> \n          <div> \n           <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Wheelbug.jpg\" aria-label=\"Download\" download=\"Wheelbug.jpg\"><span> </span><span>Download</span><span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n          </div> \n         </div> \n         <time>Feb. 4, 2026</time> \n         <div> \n          <div> \n           <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Wheelbug.jpg\" aria-label=\"Download\" download=\"Wheelbug.jpg\"><span> </span><span>Download</span><span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n          </div> \n         </div> \n        </div> \n        <div> \n         <div> \n          <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Wheelbug.jpg\" aria-label=\"Download\" download=\"Wheelbug.jpg\"><span> </span><span>Download</span><span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n         </div> \n        </div> \n       </div> \n      </div> \n      <div data-post=\"1318_88\"> \n       <div> \n        <figure> \n         <div> \n          <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Westerncorsair.jpg\" title=\"Western Corsair\"><img src=\"http://www.cdc.gov/chagas/media/images/Westerncorsair.jpg\" alt=\"An adult Western corsair rests on a twig.\"></a> \n         </div> \n        </figure> \n        <div> \n         <div> \n          <a title=\"Western Corsair\" target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Westerncorsair.jpg\">Western Corsair<span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n         </div> \n         <div>\n           Adult Western corsair Rasahus thoracicus (Hemiptera: Reduviidae) \n         </div> \n         <div> \n          <div> \n           <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Westerncorsair.jpg\" aria-label=\"Download\" download=\"Westerncorsair.jpg\"><span> </span><span>Download</span><span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n          </div> \n         </div> \n         <time>Feb. 4, 2026</time> \n         <div> \n          <div> \n           <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Westerncorsair.jpg\" aria-label=\"Download\" download=\"Westerncorsair.jpg\"><span> </span><span>Download</span><span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n          </div> \n         </div> \n        </div> \n        <div> \n         <div> \n          <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Westerncorsair.jpg\" aria-label=\"Download\" download=\"Westerncorsair.jpg\"><span> </span><span>Download</span><span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n         </div> \n        </div> \n       </div> \n      </div> \n      <div data-post=\"1318_89\"> \n       <div> \n        <figure> \n         <div> \n          <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Leaffootedbug.jpg\" title=\"Leaf-footed Bug\"><img src=\"http://www.cdc.gov/chagas/media/images/Leaffootedbug.jpg\" alt=\"A leaf-footed bug rests on a green leaf.\"></a> \n         </div> \n        </figure> \n        <div> \n         <div> \n          <a title=\"Leaf-footed Bug\" target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Leaffootedbug.jpg\">Leaf-footed Bug<span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n         </div> \n         <div>\n           Leaf-footed bug, Leptoglossus clypealus (Hemiptera: Coreidae) \n         </div> \n         <div> \n          <div> \n           <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Leaffootedbug.jpg\" aria-label=\"Download\" download=\"Leaffootedbug.jpg\"><span> </span><span>Download</span><span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n          </div> \n         </div> \n         <time>Feb. 4, 2026</time> \n         <div> \n          <div> \n           <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Leaffootedbug.jpg\" aria-label=\"Download\" download=\"Leaffootedbug.jpg\"><span> </span><span>Download</span><span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n          </div> \n         </div> \n        </div> \n        <div> \n         <div> \n          <a target=\"_blank\" href=\"http://www.cdc.gov/chagas/media/images/Leaffootedbug.jpg\" aria-label=\"Download\" download=\"Leaffootedbug.jpg\"><span> </span><span>Download</span><span aria-label=\" jpg icon\" role=\"img\"></span><span aria-hidden=\"true\"></span></a> \n         </div> \n        </div> \n       </div> \n      </div> \n     </div> \n    </div> \n   </div> \n   <div> \n    <aside role=\"complementary\"> \n     <div data-sid=\"\"> \n      <h2> On This Page </h2> \n      <div> \n       <ul> \n        <li><a href=\"#cdc_causes_causes-how-it-spreads\" title=\"How it spreads\">How it spreads</a></li> \n        <li><a href=\"#cdc_causes_how_it_spreads-about-triatomine-bugs\" title=\"About triatomine bugs\">About triatomine bugs</a></li> \n       </ul> \n      </div> \n     </div> \n    </aside> \n    <aside role=\"complementary\"> \n    </aside> \n   </div> \n  </div> \n  <section> \n   <time datetime=\"2026-02-04 00:00:00\"> Feb. 4, 2026 </time> \n  </section> \n  <div> \n   <div> \n    <a data-action=\"summary\" href=\"#content-sources\" role=\"button\" data-bs-toggle=\"collapse\" aria-expanded=\"false\" aria-controls=\"content-sources\" data-cs-toggle=\"\">Sources</a> \n    <a data-action=\"print\" href=\"#print\" aria-label=\"print this page\" onclick=\"window.print()\">Print</a> \n    <a data-action=\"share\" href=\"#share\" data-bs-toggle=\"dropdown\" aria-label=\"share this page\" aria-expanded=\"false\">Share</a> \n    <div data-popper-placement=\"bottom-start\"> \n     <a href=\"#\"><span></span></a> \n     <a href=\"#\"><span></span></a> \n     <a href=\"#\"><span></span></a> \n     <a 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\n    </div> \n   </div> \n  </div> \n  <section> \n  </section> \n </div>\n <script type=\"application/ld+json\">{\"@context\":\"http://schema.org\",\"@type\":\"Article\",\"headline\":\"CDC - Chagas Disease - Disease\",\"datePublished\":\"2016-51-23T21:51:47Z\",\"description\":\"Education and information about Chagas Disease.\",\"about\":\"prevention, policy, cessation, secondhand smoke, Chagas Disease diagnosis, Smoking Use and Tobacco Facts, Quitting Resources, Guidance, Regulations and Compliance, Prevent Smoking and Tobacco Use\",\"audience\":\"\",\"dateCreated\":\"2016-51-23T21:51:47Z\",\"dateModified\":\"2016-01-24T01:01:56Z\",\"sourceOrganization\":\"Centers for Disease Control and Prevention\"}</script>\n</body><div class='syndicate'><span><Strong>Syndicated Content Details:</strong></span><br/><span>Source URL: <a href='http://www.cdc.gov/parasites/chagas/disease.html'>http://www.cdc.gov/parasites/chagas/disease.html</a></span><br/><span>Source Agency: <a 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