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PubMed1985

Helminthiasis, mite-allergy and IgE in a homogenous tropical population.

Of 77 eosinophilic male adolescents studied, 12% were found to have helminthiasis and high circulating serum levels of IgE to Dermatophagoides pteronyssinus. This shows that worm-infested individuals can still mount high IgE responses to atopic non-helminthic allergens. The total serum IgE levels of these individuals were not significantly different from those with helminthiasis only, suggesting that there may be some form of repression of helminth-induced non-specific IgE in the presence of atopy; alternatively, allergen-related IgE may be repressed when an individual is worm-infested.

Adolescent↗
PubMedDate not supplied

Mass treatment for intestinal helminthiasis control in an Amazonian endemic area in Brazil.

The objective of the present study was to estimate the prevalence of soil-transmitted helminthiasis and evaluate the sanitary conditions and the role of a mass treatment campaign for control of these infections in Santa Isabel do Rio Negro. A cross-sectional survey was carried out in 2002, to obtain data related to the sanitary conditions of the population and fecal samples for parasitological examination in 308 individuals, followed by a mass treatment with albendazole or mebendazole with coverage of 83% of the city population in 2003. A new survey was carried out in 2004, involving 214 individuals, for comparison of the prevalences of intestinal parasitosis before and after the mass treatment. The prevalences of ascariasis, trichuriasis and hookworm infection were 48%; 27% and 21% respectively in 2002. There was a significant decrease for the frequency of infections by Ascaris lumbricoides (p < 0.05; OR / 95% CI = 0.44 / 0.30 - 0.65), Trichuris trichiura (p < 0.05; OR / 95% CI = 0.37 / 0.22 - 0.62), hookworm (p < 0.05; OR / 95% CI = 0.03 / 0.01 - 0.15) and helminth poliparasitism (p < 0.05; OR / 95% CI = 0.16 / 0.08 - 0.32). It was also noticed a decrease of prevalence of infection by Entamoeba histolytica / dispar (p < 0.05; OR / 95% CI = 0.30 / 0.19 - 0.49) and non-pathogenic amoebas. It was inferred that a mass treatment can contribute to the control of soil-transmitted helminthiasis as a practicable short-dated measure. However, governmental plans for public health, education and urban infrastructure are essential for the sustained reduction of prevalences of those infections.

Albendazole↗
PubMed2005

Paradoxical helminthiasis and giardiasis in Cape Town, South Africa: epidemiology and control.

BACKGROUND: South Africa has endorsed a World Health Assembly (WHA) resolution calling for control of soil-transmitted helminths (STHs). In Cape Town, services and housing that exist in old-established suburbs should minimise the prevalence of intestinal parasitic infections, even when residents are poor. Where families live in shacks in densely-populated areas without effective sanitation, more than 90% of children can be infected by STHs. The humoral immune response to worms theoretically favours infection by Mycobacterium tuberculosis and HIV. OBJECTIVES: Obtain estimates of gender-, age-, school-related and overall prevalence of helminthiasis and giardiasis in a low-income but well-serviced community. Assess possible sources of infection. Alert health services to the need for control measures and the threat from protozoal pathogens. Warn that the immune response to intestinal parasites may favour tuberculosis (TB) and HIV/AIDS. METHODS: A cross-sectional study of the prevalence of helminthiasis and giardiasis was carried out in a large, non-selective sample of children attending nine schools. Gender, school and age effects were related to non-medical preventive services, sewage disposal practices and possible sources of infection. RESULTS: The overall STH infestation rate was 55.8%. Prevalence was inluenced by school and age but not by gender. Eggs and cysts were seen at the following prevalence: Ascaris 24.8%; Trichuris 50.6%; Hymenolepis nana 2.2%; Enterobius 0.6%; Giardia 17.3%; hookworm 0.08%; and Trichostrongylus 0.1%. Approximately 60% of sewage sludge is used in a form that will contain viable eggs and cysts. CONCLUSION: Prevalence trends in this old community in Cape Town could indicate infection by swallowing eggs or cysts on food or in water, more than by exposure to polluted soil. Sewage sludge and effluent might be sources of infection. In adjacent, under serviced, newer communities, promiscuous defecation occurs. Probable vectors are discussed. The immune response to intestinal parasites might be a risk factor for HIV/AIDS and TB.

Adolescent↗
PubMed1999

The prevalence and intensity of soil-transmitted helminthiasis among pre-school children in Orang Asli resettlement villages in Kelantan.

A study of the prevalence and intensity of soil-transmitted helminthiasis among pre-school children aged 0 to 7 years from an Orang Asli village resettlement scheme in Gua Musang, Kelantan was undertaken. The overall prevalence of soil transmitted helminthic (STH) infections was 56.0%. The predominant helminth found was Ascaris lumbricoides while the commonest type of infection was a mixed infection with Ascaris lumbricoides and Trichuris trichiura. The prevalence rates of Ascaris, Trichuris and hookworm infections were 47.5%, 33.9% and 6.2% respectively. The intensity of Ascaris infections were 64.5% light, 27.3% moderate and 8.3% heavy whilst the intensity of Trichuris infections were 80.5% light, 18.3% moderate and 1.2% heavy. However, the intensity of hookworm infections were 86.7% light, 13.3% moderate and no heavy infection. The prevalence of helminthiasis (STH) shows an-age dependent relationship, with the lowest prevalence in 0-< 1 year age group and highest in the 6-< 7 year age group.

Child↗
PubMed2003

[Anemia prevalence in pregnant and breast-feeding women in Lubumbashi (Democratic Republic of the Congo). Impact of malaria and intestinal helminthiasis].

OBJECTIVE: To determine the prevalence of anemia and associated factors (malaria and intestinal helminthiasis) in high risk groups of Lubumbashi, Congo, particularly in pregnant and breast-feeding women and children aged 1-2 years. MATERIAL AND METHODS: From March to May 2002, 632 pregnant women, 570 breast-feeding women, and 570 infants (1-2 years) were examined in three medical centers in Lubumbashi, Congo. Some of the subjects lived in deprived semi-urban areas (Bongonga and Sendwe), others in urban areas with a satisfactory socio-economic situation (University Clinic). RESULTS: Overall frequency of anemia was estimated between 50 and 80% in the study populations. The proportion of anemic cases was clearly higher in the Sendwe and Bongonga populations (70-80%) than in the other urban populations (50%) (P<0.01). For the three categories of examined subjects, anemia was found to be most prevalent among pregnant women (P<0.05). Anemia was found to be associated with malaria in 40% of the patients and with intestinal parasitism (ascaris / ankylostoma) in 9%. CONCLUSION: Considering these results, systematic screening and treatment of anemia and associated factors such as malaria and intestinal helminthiasis is needed for the Lubumbashi population.

Anemia↗
PubMed2003

Human helminthiasis in Wondo Genet, southern Ethiopia, with emphasis on geohelminthiasis.

A parasitological survey was made in 1999 and 2002 to determine the magnitude of geohelminthiasis (soil-transmitted helminthiasis) and generate reference baseline helminthological data for Wondo Genet area, southern Ethiopia. Stool specimens were collected using Kato technique from 3167 schoolchildren, 92 schoolteachers, and 1160 residents of two Peasant Associations (PAs) and microscopically examined. The prevalence of infection for Ascaris lumbricoides and Trichuris trichiura among schoolchildren was 83.4% and 86.4%, respectively, and the respective intensity of infection was 7343 eggs per gram of stool (EPG) and 461 EPG. The prevalence of infection for Ascaris lumbricoides, Trichuris trichiura, and Schistosoma mansoni among schoolteachers was 33.7%, 35.9% and 17.4%, respectively, with the respective intensity of 1089 EPG, 194 EPG and 89 EPG. Similarly, the prevalence of infection among the residents of Shesha Kekele and Wondo Wosha Peasant Associations for Ascaris lumbricoides, Trichuris trichiura, and Schistosoma mansoni was 77%, 88% and 30%, respectively, with the respective intensity of 4673 EPG, 452 EPG and 125 EPG. Both the prevalence and intensity of infection were low among the schoolteachers possibly due to a better personal hygiene. The most prevalent soil-transmitted helminth in the area was Trichuris trichiura. Other rare helminths encountered were Taenia species, hookworms, Enterobius vermicularis and Hymenolepis nana, all occurring in less than 4% prevalence of infection. The heavy helminth burden among the schoolchildren calls for immediate intervention to reduce morbidity and transmission of helminthiasis in Wondo Genet.

Adolescent↗
PubMed2005

Paradoxical helminthiasis and giardiasis in Cape Town, South Africa: epidemiology and control.

BACKGROUND: South Africa has endorsed a World Health Assembly (WHA) resolution calling for control of soil-transmitted helminths (STHs). In Cape Town, services and housing that exist in old-established suburbs should minimise the prevalence of intestinal parasitic infections, even when residents are poor. Where families live in shacks in densely-populated areas without effective sanitation, more than 90% of children can be infected by STHs. The humoral immune response to worms theoretically favours infection by Mycobacterium tuberculosis and HIV. OBJECTIVES: Obtain estimates of gender-, age-, school-related and overall prevalence of helminthiasis and giardiasis in a low-income but well-serviced community. Assess possible sources of infection. Alert health services to the need for control measures and the threat from protozoal pathogens. Warn that the immune response to intestinal parasites may favour tuberculosis (TB) and HIV/AIDS. METHODS: A cross-sectional study of the prevalence of helminthiasis and giardiasis was carried out in a large, non-selective sample of children attending nine schools. Gender, school and age effects were related to non-medical preventive services, sewage disposal practices and possible sources of infection. RESULTS: The overall STH infestation rate was 55.8%. Prevalence was influenced by school and age but not by gender. Eggs and cysts were seen at the following prevalences: Ascaris 24.8%; Trichuris 50.6%; Hymenolepis nana 2.2%; Enterobius 0.6%; Giardia 17.3%; hookworm 0.08%; and Trichostrongylus 0.1%. Approximately 60% of sewage sludge is used in a form that will contain viable eggs and cysts. CONCLUSIONS: Prevalence trends in this old community in Cape Town could indicate infection by swallowing eggs or cysts on food or in water, more than by exposure to polluted soil. Sewage sludge and effluent might be sources of infection. In adjacent, under-serviced, newer communities, promiscuous defaecation occurs. Probable vectors are discussed. The immune response to intestinal parasites might be a risk factor for HIV/AIDS and TB.

Adolescent↗
PubMed2006

[Human helminthiasis transmitted by fishes].

The consumption of dishes made from raw fresh- or see-water fishes exposes many individuals (residents, visitors or migrants) from tropical to arctic regions to the risk of helminthiasis. Anisakiasis, diphyllobothriasis, clonorchiasis, opistorchiasis and gnathostomiasis have distinct parasitic cycles and various clinical presentations, from sub-clinical infections to life-threatening hemorragic or tumoral complications. In-depth history, clinical presentation, stool examination for ova and parasites and serology usually allow for a specific diagnosis to be made. The common anti-parasitic drugs, such as albendazole, ivermectin and praziquantel, are efficacious against most of these helminthiasis. Sufficient cooking or freezing of fishes before consumption are very efficient preventive measures.

Animals↗
PubMed2000

Effect of intestinal helminthiasis on nutritional status of schoolchildren.

This study was conducted in a rural agricultural area in Siniloan, Republic of the Philippines. The subjects were the school children. The nutritional status of 58 children infected with helminthiasis (Ascaris lumbricoides and Trichuris trichiura) was compared with that of 19 uninfected controls. Prevalence of Ascaris and Trichuris was 40.3% and 71.4% respectively, and 36.4% of infected children had both Ascaris and Trichuris infections. Statistically significant evidence of an adverse effect of helminthiasis on serum albumin levels was found, but no child had inadequate levels of other nutrients. Although helminthic infections increase the level of immunoglobulin E (IgE) in children endemically exposed to these parasites, there was no significant difference in the serum IgE among Ascaris or Trichuris infected groups in this study.

Adolescent↗
PubMed2000

[Longitudinal observation on the control of intestinal helminthiasis].

OBJECTIVE: To search suitable measure for rapid control intestinal helminthiasis and long-term strengthen efficacy. METHODS: The treatment was taken in egg-positive population of intestinal helminthiasis in 1986-1988. The treatment was carried out only in the selected population in 1989-1992. No measure was taken in 1993-2000. RESULTS: (1) The prevalence rate of hookworm, Ascaris and Trichuris decreased to 3.2%, 37.3% and 3.5% respectively after administration of albendazole twice a year for 3 years. (2) The prevalence rate of hookworm continued to decrease to 0.5% after treatment on selected population. (3) The prevalence rate and the intensity of hookworm has been less than 1% and 10/LPG for 8 years. No hookworm larvae had been isolated from the soil. CONCLUSION: The hookworm transmission was effectively controlled in the study site.

Albendazole↗
PubMed1988

The prophylactic effect of ivermectin treatments on gastrointestinal helminthiasis of calves turned out early on pasture or late on mown pasture.

A study was undertaken to ascertain the prophylactic effect on gastrointestinal helminthiasis of (1) a single ivermectin treatment of calves 3 weeks after a late turnout on mown pasture and (2) two ivermectin treatments of calves 3 and 8 weeks after an early turnout. The single ivermectin treatment after a late turnout on mown pasture appeared to be an effective control measure for infections of Cooperia and, in particular, Ostertagia. The two treatments after an early turnout were also effective, although less so than the single treatment combined with the late turnout on mown pasture. Ivermectin treatment had no effect on the faecal egg output or the pasture larval counts of Nematodirus helvetianus. The proportion of inhibited early fourth stage larvae of Ostertagia was much higher in the control group than in either of the experimental groups.

Animals↗
PubMed1988

Ivermectin in the control of helminthiasis in guinea fowl Numida meleagris galeata Pallas.

Guinea fowls (Numida meleagris galeata Pallas) were treated with subcutaneous injection of Ivomec at dose rate of 0.14 mg/kg to control and reduce mortalities due to helminthiasis. Ten hours after treatment faecal droppings contained both adult and larval stages of Ascaridia galli, Heterakis gallinarum, Subulura suctoria and fragments of Raillietina spp. Recovery was found 48 hours later. Drug efficacy was 100%.

Animals↗
PubMed1976

An economic analysis of two schemes for the anthelmintic control of helminthiasis in weaned lambs.

The economic benefit obtained from 2 schemes for the strategic control of helminthiasis in weaned lambs has been assessed in the Western District of Victoria. The results were compared with those from sheep in control groups which were given a single anthelmintic treatment during an outbreak of helminthosis. Mortality in sheep receiving the critical treatment scheme of 2 appropriately timed anthelmintic treatments was 12%, compared with 22% in the group receiving the traditional series of summer and autumn treatments, and 26% in the control group. As a result of this difference in mortality rate, the critical treatment scheme was the most profitable control strategy at 1970-71 prices, yielding a net benefit of $70 per 100 sheep in comparison with the control group which received no strategic treatment. This is 538% return on funds invested in anthelmintic treatment. The benefit from this scheme was not unduly affected by variation in wool or sheep prices, nor to possible differences in mortality rate within the expected range. The traditional treatment scheme also yielded positive net returns, but the results were adversely affected by a small change in mortality rate and therefore could not be recommended for routine use on commerical farms.

Animals↗
PubMed1989

Ivermectin in the treatment of helminthiasis in caged raised adult guinea-fowl (Numida meleagris galeata Pallas).

The treatment of natural infections of helminthiasis in caged raised guinea-fowls indicates a high efficacy of ivermectin in the elimination of infection due to both juvenile and adult stages of Heterakis gallinarum, Ascaridia galli, Subulura suctoria, Raillietina spp. and Capillaria caudinflata at dose levels of 0.07 mg/kg and 0.14 mg/kg per adult bird, subcutaneously administered. Guinea-fowls treated responded with no observable side effect and remained clean of any helminth infection for over 6 weeks. Discussion on the broad-spectrum and cost-effectiveness of the drug are briefly mentioned.

Animals↗
PubMed1978

Changes in blood values of sheep suffering from acute and chronic helminthiasis.

Systematic blood changes in two groups of sheep, one suffering from acute and the other from chronic helminthiasis were studied. In the group with acute infection, there was a rapid increase in helminth egg output coupled with rapid decline in the values of packed cell volume (PCV), haemoglobin (Hb) and red blood cells (RBC). Fluctuations were observed in the value of white blood cells (WBC). In the group with chronic infection, a slow and unsteady increase in helminth egg output was accompanied by a slow and steady fall in the values of PCV, Hb and RBC. As with acute infection, the value of WBC was unsteady.

Animals↗
PubMed1995

[Epidemiology of gastrointestinal helminthiasis in small ruminants in the tree-cropping pasture zone in Senegal].

An epidemiological survey on gastrointestinal helminthiasis in 51 sheep and 51 goats was held in the tree-cropping pasture region in Senegal from October 1990 to September 1991. All the animals examined were infected with at least 1 helminth species. Three trematodes (Fasciola gigantica, Schistosoma bovis, Amphistomatids), 2 cestodes (Moniezia expansa, Cysticercus tenuicollis) and 9 nematodes were identified. The most important parasite in sheep was Haemonchus contortus while Trichostrongylus colubriformis predominated in goats. The worm burden in sheep was significantly higher than in goats (P < 0.001). L4 larvae of H contortus were found in 85-87% of the small ruminants. There was a negative correlation between haematocrit, number of worms and egg per gram of faeces during the rainy season. These results show that the gastrointestinal nematode burden is high during the rainy season. During the dry season (9 months) nutritional problems are aggravated by adult worms and residual larvae.

Animals↗
PubMed1982

An epidemiological study of helminthiasis in cattle in subtropical Argentina.

Nine farms were each visited regularly for a year in 1979 and 1980 in Salta Province in the subtropics of Argentina. A necropsy was done at each visit and faecal and blood samples were taken from other animals mostly aged between 6 and 18 months. Ninety necropsies were done and nearly 1,500 faecal samples collected. Gastro-intestinal helminthiasis was most general and severe in autumn when calves were about 9 months old and this was followed by a dramatic fall in numbers of worms by the end of winter. Helminths were found in other organs but were not considered important. At peak periods 20% of the animals had worm egg counts of more than 750 epg and contained more than 1,000 Haemonchus worms. This species was considered to be the most important but other frequently encountered species were Oesophagostomum, Cooperia and Trichostrongylus spp. A list is given of all species found. Tracer calves were used to determine the periods of infestation. No hypobiosis was encountered. It was concluded that the sharp fall in numbers of worms after the autumn peak was due to the development of immunity by the majority of the young animals.

Animals↗
PubMed1979

Eosinophilia, elevated immunoglobulin E level and chronic enteritis due to intestinal helminthiasis.

Recurrent urticaria, abdominal pain, peripheral eosinophilia, hyperimmunoglobulin E and small bowel abnormalities on roentgenograms prompted evaluation of a 36 year old man for intestinal parasitism. Evidence for helminthiasis as the cause of his symptoms included changing antibody titers to helminth antigens and a dramatic response to therapy. Helminth larvae or eggs were not recovered. Diagnosis of strongyloidiasis, the most likely cause of the illness, is discussed.

Adult↗