Accepted for Publication, Published online November 17, 2014; doi:10.4269/ajtmh.14-0483. The latest version is at http://ajtmh.org/cgi/doi/10.4269/ajtmh.14-0483 In order to provide our readers with timely access to new content, papers accepted by the American Journal of Tropical Medicine and Hygiene are posted online ahead of print publication. Papers that have been accepted for publication are peer-reviewed and copy edited but do not incorporate all corrections or constitute the final versions that will appear in the Journal. Final, corrected papers will be published online concurrent with the release of the print issue. SALAZAR AND OTHERS BED BUGS AND TRYPANOSOMA CRUZI Bed Bugs (Cimex lectularius) as Vectors of Trypanosoma cruzi Renzo Salazar, Ricardo Castillo-Neyra, Aaron W. Tustin, Katty Borrini-Mayorí, César Náquira, and Michael Z. Levy* Chagas Disease Field Laboratory, Universidad Peruana Cayetano Heredia, Arequipa, Peru; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania * Address correspondence to Michael Z. Levy, 819 Blockley Hall, 423 Guardian Drive, Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104. E-mail:
[email protected] Abstract. Populations of the common bed bug, Cimex lectularius, have recently undergone explosive growth. Bed bugs share many important traits with triatomine insects, but it remains unclear whether these similarities include the ability to transmit Trypanosoma cruzi, the etiologic agent of Chagas disease. Here, we show efficient and bidirectional transmission of T. cruzi between hosts and bed bugs in a laboratory environment.