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PubMedDate not supplied

[Helminthiasis morbidity in an organized pediatric population in one of the regions of the Far North].

In 1991-1992, higher affection rates of diphyllobothriasis and enterobiasis were notified in some groups of the organized children living on the Pur River (the Yamalo-Nenets Autonomous Okrug). The children are infected by Diphyllobothrium in infancy, the risk of infection is rather high, reinfections are observed. Among other things, this makes it necessary to perform systematic educational studies among the population in their different forms.

Adolescent↗
PubMed1997

[Control of gastrointestinal helminthiasis in pasture-reared lambs].

Two sheep herds kept in different geographic conditions with spring lambing by the end of March and April (herd No. 1: 400 ewes, 600 metres above sea level; herd No. 2: 450 ewes, 300 metres above sea level) were examined. The dynamics of gastrointestinal nematode and Moniezia spp. cestode egg counts in samples taken regularly every 4 to 5 weeks was studied during the year 1995 with the intention to verify the system of effective control of these helminth infections under pasture conditions of lamb rearing. In ewes a significant rise in gastrointestinal nematode egg counts was proved during the lambing season, "spring rise phenomenon", and during the summer pasture until autumn months with maximum EPG values reaching 150 (Figs. 1 and 2). In lambs that started grazing at 1 to 4 weeks of age, the excretion steeply rose to maximum EPG values 350 and 290, respectively, after 4 to 5 weeks of grazing (Figs. 1 and 2). In order to control these rising infections, ewes were treated with antihelmintic albendazol by the end of February (herd No. 1) and in March (herd No. 2) and lambs during the first or third decade of July. This anthelmintic treatment significantly lowered egg excretion to EPG values lower than 30 in ewes and 50 or 60, respectively, in lambs. Later, during the summer and autumn months, a mild rise of egg counts was found in lambs. These maxima were liquidated anthelmintis treatment in both herds in late autumn months and it also lowered helminth infections to minimum during winter months (EPG values lower than 50). The excretion of Moniezia spp. eggs had the same dynamics as that gastrointestinal nematodes. Values of lamb infection prevalence reached 21% in herd No. 1 and 29% in herd No. 2. Anthelmintic treatment during July controlled cestode findings in lambs. Albendazol (Vermitan susp. 2.5%), dosed 5 mg/kg of body weight, proved highly effective in the control of gastrointestinal nematodes and Moniezia spp. cestodes.

Albendazole↗
PubMed2006

[Indigenous helminthiasis].

Worldwide an estimated 1.5-2 billion people are infested with helminths. Over the last decades, in industrialized countries prevalence rates of human helminthic infections were decreased by means of wastewater and food control. In this article, we review the geographic distributions as well as the impact on the public health system of the most prevalent helminthiases. Special emphasis is given to Echinococcus, Enterobiasis, and Toxocariasis. Intestinal larvae or eggs of helminths can be detected in faeces. Pinworms are collected with a strip of cellophane tape with the sticky side towards the anus. Tissue helminthosis, like Toxocariasis or Trichinosis are associated with eosinophilia and can be diagnosed with sensitive immunological methods or by biopsy. Infection with Echinococcus multilocularis is the most serious parasitic disease in central Europe. Although current therapeutic options are limited, 5 year survival rates were markedly improved by the combination of medical and surgical treatment.

Demography↗
PubMed1981

A preliminary survey of malnutrition and helminthiasis among schoolchildren in one mountain and one lowland ujamaa village in Northern Tanzania.

The nutritional status, parasite prevalence and immediate skin hypersensitivity to Ascaris and Schistosoma antigens were determined for 185 schoolchildren living in two ujamaa villages in Northern Tanzania. In the lowland village of Kwamsisi the parasite ova found were Schistosoma haematobium (53.8%), Ascaris (26.0%) and hookworm (24.7%). 57.5% of the children examined were regarded as malnourished, being less than 80% of their expected weight for age. In the mountain village of Ubiri the parasite prevalence rates were 15.2% for Schistosoma haematobium, 1.6% for S. mansoni, 65.2% Ascaris and 24.1% hookworm. Malnutrition was found in 81.9% of the boys and in 41.2% of the girls. This sex difference is considered to be due to the physiological effects of living in a hilly environment. Correlation between malnutrition and multiple infections of Ascaris, hookworm and Schistosoma gave a chi-square value of 5.972 (p = 0.02). All other statistical comparisons between parasite prevalence and nutritional status were insignificant. Immediate skin hypersensitivity tests proved unreliable with 23.3% false negatives (negative skin test with parasite ova found). The serum IgE levels were extremely high with a mean of 3174 units per ml suggesting that the immune mechanisms were not retarded by undernutrition.

Adolescent↗
PubMed1983

Albendazole: placebo-controlled study in 870 patients with intestinal helminthiasis.

A total of 870 patients, both males and females, from 3 to 79 years old, received either albendazole or a placebo for the treatment of nematode and cestode infections. Each patient was interviewed and underwent a complete physical examination on the initial visit. In addition, complete blood count, clinical blood chemistry values and routine urinalysis were performed before and at least 24 hours after the last treatment. Stool examinations were performed before, 7 and 21 days after treatment. Direct examination, an egg count using the Kato technique and faecal concentration were carried out for each patient. In ancylostomiasis and strongyloidiasis, faeces were cultured by the Harada-Mori technique. Albendazole, as a single 400 mg oral dose, was highly effective against Ascaris lumbricoides, Necator americanus, Ancylostoma duodenale and Trichuris trichiura; efficacy against Strongyloides stercoralis was observed after three consecutive days of treatment at the same daily dose level. Efficacy against Hymenolepis nana was fair. Based on both clinical signs and biological values, albendazole did not produce any significant side effects.

Adolescent↗
PubMed2005

Progress towards countrywide control of schistosomiasis and soil-transmitted helminthiasis in Uganda.

Schistosomiasis caused by infection with Schistosoma mansoni is a serious public health burden in 38 of the 56 districts of Uganda. This article reviews the initial experience of the national control programme. Launched in 2003, this started with a pilot phase with the main aim of utilizing the experience to formulate feasible and appropriate methods of drug delivery. Overall, 432,746 people were treated and coverage was 91.4% in schools and 64.7% in communities. The issues raised by independent evaluators included that most communities did not participate in the selection of community drug distributors (CDD) and that teachers and CDDs needed refresher training mainly on health education and the management of side effects. As a way forward, it is suggested that the Ministry of Health should integrate deworming into the existing health infrastructure so that every time a child is reached for any health service, the child is also de-wormed.

Adolescent↗
PubMed2006

Controlling lymphatic filariasis and soil-transmitted helminthiasis together in South Asia: opportunities and challenges.

Lymphatic filariasis (LF) and the major soil-transmitted helminth (STH) infections are co-endemic in many countries, particularly in Asia. Control strategies for both groups of infections have increasingly focused on the use of mass chemotherapy. With the use of albendazole, there is now a tool that is common to both. However, there are also important differences in their modes of transmission and epidemiology, and, as a result, in the overall control strategies. The Global Programme for the Elimination of Lymphatic Filariasis aims to eliminate LF through time-limited mass drug administration programmes. Control activities for STH are more diffuse, aiming to piggy-back de-worming onto existing services, such as school health activities; controlling morbidity, rather than eliminating infection, is the stated goal. In order to maximize health benefits to communities that are endemic for one or both of these infections, it is vitally important that policy makers and programme managers have a clear understanding of both commonalities and differences, and implement control strategies that allocate available resources in an optimal manner.

Albendazole↗
PubMed2003

Use of benzimidazoles in children younger than 24 months for the treatment of soil-transmitted helminthiasis.

Considerable experience and limited quantitative evidence indicate that infections with the soil-transmitted helminths Ascaris lumbricoides and Trichuris trichiura usually start to become established in children aged 12 months and older. Since children living in countries where the infections are endemic are at risk of morbidity, even those as young as 12 months may need to be considered for inclusion in public health programmes designed to reduce morbidity by means of regular anthelminthic chemotherapy. This situation raises the question as to whether such young children should be given anthelminthic drugs. Systems for the absorption, distribution, metabolism and elimination of drugs do not fully develop until children are in their second year of life. Current knowledge, however, reveals that the incidence of side effects linked to benzimidazole drugs in young children is likely to be the same as in older children. Accordingly, we conclude that albendazole and mebendazole may be used to treat children as young as 12 months if local circumstances show that relief from ascariasis and trichuriasis is justified.

Animals↗
PubMed2003

The cost of delivering and sustaining a control programme for schistosomiasis and soil-transmitted helminthiasis.

Large-scale chemotherapy programmes for helminth control continue to rely heavily on donor support. This is despite more than a 10-fold reduction in delivery costs from integrating drug distribution through the school system rather than using mobile teams and a marked decline in the price of albendazole and praziquantel. Even at these low prices (<US dollars 0.25 per child treated with albendazole), it seems that school-based programmes may not be affordable to governments or communities. It is estimated, for instance, that mass albendazole treatment of school-aged children in Kenya could cost over US dollars 3 million each year, which is 4% of current national expenditure on all health care. It has been suggested that a cost retrieval system could help ensure sustainability of these programmes. Some studies have shown that parents may be willing-to-pay for the treatment of their children but the actual amount that could be recovered and the ability of households to pay these amounts is uncertain. Furthermore, the costs incurred in implementing school-based delivery are likely to be much higher than the frequently quoted US dollars 0.03 per child by the Partnership for Child Development (PCD) programmes, as this estimate does not include the 'external costs' for the scientific co-ordinating centre which was responsible for supporting these approaches. Whether these school health programmes could run independently of this system at such a low cost remains to be seen.

Albendazole↗
PubMed1997

Auto IgG anti-IgE and IgG x IgE immune complex presence and effects on ELISA-based quantitation of IgE in canine atopic dermatitis, demodectic acariasis and helminthiasis.

Atopic dermatitis is a common allergic disease manifestation in dogs; however, there is no correlation between clinical disease and detectable total serum IgE. Auto antibodies of the IgG subclass against IgE may affect the detection of serum IgE by immunoassay and may be important in the regulation of IgE production by B cells. ELISA were developed to detect serum antibodies specific for IgE using a newly available canine monoclonal IgE of known antigen specificity, generated from a canine x murine heterohybridoma. To test for correlation of auto IgG anti-IgE levels with manifestation of atopic dermatitis, the sera from 101 atopic dogs were compared with sera from non-atopic dogs of various breeds, foxhounds manifesting clinical signs of demodectic acariasis and helminth parasitized random bred dogs for quantities of IgG anti-IgE measured in units/ml compared to a high titer standard serum. To test for serum effects on quantitation of IgE, known amounts of canine monoclonal IgE were added to various sera and measured by capture ELISA with detecting monoclonal antibodies specific for heat labile or heat stabile epitopes. Unheated sera from dogs manifesting clinical atopic dermatitis and helminth parasitized dogs had levels of IgG anti-IgE that were significantly lower than various breeds of dogs not manifesting dermatologic lesions and foxhounds manifesting demodectic acariasis. Heating sera at 56 degrees C for 3 h to denature the high affinity binding site on the IgE heavy chain caused a marked increase over non-heated sera in detectable IgG anti-IgE in almost all dogs. This increase was most profound in helminth-infected dogs and foxhounds manifesting demodectic mange with 7 fold increases each, respectively, and in atopic dogs with a 5 fold increase compared to 3 fold increases for clinically-normal springer spaniels and all soft coated wheaten terriers. The terriers demonstrated an association of lower heated serum values of IgG anti-IgE with manifestation of a familial syndrome of protein-losing enteropathy and protein-losing nephropathy. The ability of mouse anti-canine IgE monoclonal antibodies specific for either heat labile or heat stabile epitopes to detect canine monoclonal IgE added to sera in known amounts varied from serum to serum and at different concentrations of the same serum, but did not correlate with IgG anti-IgE values for these sera. The range of absolute levels of serum IgE in dogs showing little or no inhibition of detection of added IgE was < 0.5 ng/micromilligram to 2 micrograms/micromilligram. It was concluded that the increase in detectable IgG anti-IgE after heating sera indicates that IgG x IgE immune complexes are normally present in most dogs; however, the increase over uncomplexed IgG anti-IgE was most pronounced in dogs manifesting atopic dermatitis and demodectic acariasis. A quantitative comparison of IgG anti-IgE or IgG x IgE to total serum IgE was not made because the ability of monoclonal antibodies specific for either heat labile or heat stable epitopes on the IgE heavy chain to detect IgE added to serum, as well as innate serum IgE, was highly variable in different dilutions of serum from individual to individual.

Animals↗