Freshwater snails as the intermediate host of trematodes in Iran: a systematic review / 한국역학회지

Freshwater snails, as the first intermediate hosts of trematodes, can cause health hazards in animals and humans. Recently, the World Health Organization has included Iran in a list of 6 countries known to have serious problems with fascioliasis. In addition, cercarial dermatitis is a job-related disease that is seen often in paddy workers, agricultural labourers, and fishermen in Iran, particularly in Mazandaran Province. Many studies have been conducted in Iran to survey larval trematodes in freshwater snails. However, to the best of our knowledge, no comprehensive data exist regarding infections in gastropods. Therefore, the aim of the present study was to estimate the types and prevalence of cercarial infections in snails in Iran. Electronic English-language and Persian-language databases were searched to identify 24 published articles reporting the prevalence of trematode infections in snails (9 species from 6 families) in various provinces of Iran. In total, 4.4% of gastropods were infected with the larval stages of trematodes. According to the studies reviewed in this meta-analysis‚ the highest infection prevalence was found in Radix auricularia (9.9%). Twelve larval species of trematodes were identified, and the highest prevalence of cercariae was found for Echinostomatidae cercariae (4.3%). Among the provinces explored, West Azerbaijan had the highest prevalence of infected snails (16.9%). The presence of trematodes in snails could pose a serious health problem in Iran. Thus, further studies are necessary to characterize these infections in other provinces.

A systematic review and meta-analysis of the genetic characterization of human echinococcosis in Iran, an endemic country / 한국역학회지

Human echinococcosis is an infectious disease caused by tapeworms belonging to the species Echinococcus. This parasite has a worldwide distribution and is considered a neglected tropical disease by the World Health Organization. Due to the diversity of Echinococcus spp. hosts, as well as variation in geographical, climatic, and socio-ethnic conditions, the question of the strains or genotypes of Echinococcus spp. that are involved in human infections is important. The aim of this study was to provide a summary of the available data on genotypes of Echinococcus obtained from the Iranian population. Four international databases (PubMed, Scopus, Science Direct, and Web of Science) and 4 Persian databases (Magiran, Scientific Information Database, Iran Medex, and IranDoc) were searched for cross-sectional studies that reported the genotypes of Echinococcus spp. in human echinococcosis cases using molecular methods in Iran through July 2018. The Newcastle-Ottawa Scale was used to assess the quality of the selected studies. A total of 559 cases of human cystic echinococcosis were reported in the 21 included articles. The majority of cases belonged to genotype G1 (89.2%; 95% confidence interval [CI], 80.1 to 95.8), genotype G6 (8.2%; 95% CI, 2.8 to 15.9), and genotype G3 (2.3%; 95% CI, 1.1 to 3.9). Since genotype G1 of Echinococcus appears to be the most prevalent genotype affecting humans in Iran, disease control initiatives aimed at sheep intermediate hosts may be the most beneficial. In addition, educational programs and serological screening in individuals may help reduce the national impact of the disease.

Freshwater snails as the intermediate host of trematodes in Iran: a systematic review / 한국역학회지

Freshwater snails, as the first intermediate hosts of trematodes, can cause health hazards in animals and humans. Recently, the World Health Organization has included Iran in a list of 6 countries known to have serious problems with fascioliasis. In addition, cercarial dermatitis is a job-related disease that is seen often in paddy workers, agricultural labourers, and fishermen in Iran, particularly in Mazandaran Province. Many studies have been conducted in Iran to survey larval trematodes in freshwater snails. However, to the best of our knowledge, no comprehensive data exist regarding infections in gastropods. Therefore, the aim of the present study was to estimate the types and prevalence of cercarial infections in snails in Iran. Electronic English-language and Persian-language databases were searched to identify 24 published articles reporting the prevalence of trematode infections in snails (9 species from 6 families) in various provinces of Iran. In total, 4.4% of gastropods were infected with the larval stages of trematodes. According to the studies reviewed in this meta-analysis‚ the highest infection prevalence was found in Radix auricularia (9.9%). Twelve larval species of trematodes were identified, and the highest prevalence of cercariae was found for Echinostomatidae cercariae (4.3%). Among the provinces explored, West Azerbaijan had the highest prevalence of infected snails (16.9%). The presence of trematodes in snails could pose a serious health problem in Iran. Thus, further studies are necessary to characterize these infections in other provinces.

A systematic review and meta-analysis of the genetic characterization of human echinococcosis in Iran, an endemic country / 한국역학회지

Human echinococcosis is an infectious disease caused by tapeworms belonging to the species Echinococcus. This parasite has a worldwide distribution and is considered a neglected tropical disease by the World Health Organization. Due to the diversity of Echinococcus spp. hosts, as well as variation in geographical, climatic, and socio-ethnic conditions, the question of the strains or genotypes of Echinococcus spp. that are involved in human infections is important. The aim of this study was to provide a summary of the available data on genotypes of Echinococcus obtained from the Iranian population. Four international databases (PubMed, Scopus, Science Direct, and Web of Science) and 4 Persian databases (Magiran, Scientific Information Database, Iran Medex, and IranDoc) were searched for cross-sectional studies that reported the genotypes of Echinococcus spp. in human echinococcosis cases using molecular methods in Iran through July 2018. The Newcastle-Ottawa Scale was used to assess the quality of the selected studies. A total of 559 cases of human cystic echinococcosis were reported in the 21 included articles. The majority of cases belonged to genotype G1 (89.2%; 95% confidence interval [CI], 80.1 to 95.8), genotype G6 (8.2%; 95% CI, 2.8 to 15.9), and genotype G3 (2.3%; 95% CI, 1.1 to 3.9). Since genotype G1 of Echinococcus appears to be the most prevalent genotype affecting humans in Iran, disease control initiatives aimed at sheep intermediate hosts may be the most beneficial. In addition, educational programs and serological screening in individuals may help reduce the national impact of the disease.

Freshwater snails as the intermediate host of trematodes in Iran: a systematic review / 한국역학회지

Freshwater snails, as the first intermediate hosts of trematodes, can cause health hazards in animals and humans. Recently, the World Health Organization has included Iran in a list of 6 countries known to have serious problems with fascioliasis. In addition, cercarial dermatitis is a job-related disease that is seen often in paddy workers, agricultural labourers, and fishermen in Iran, particularly in Mazandaran Province. Many studies have been conducted in Iran to survey larval trematodes in freshwater snails. However, to the best of our knowledge, no comprehensive data exist regarding infections in gastropods. Therefore, the aim of the present study was to estimate the types and prevalence of cercarial infections in snails in Iran. Electronic English-language and Persian-language databases were searched to identify 24 published articles reporting the prevalence of trematode infections in snails (9 species from 6 families) in various provinces of Iran. In total, 4.4% of gastropods were infected with the larval stages of trematodes. According to the studies reviewed in this meta-analysis‚ the highest infection prevalence was found in Radix auricularia (9.9%). Twelve larval species of trematodes were identified, and the highest prevalence of cercariae was found for Echinostomatidae cercariae (4.3%). Among the provinces explored, West Azerbaijan had the highest prevalence of infected snails (16.9%). The presence of trematodes in snails could pose a serious health problem in Iran. Thus, further studies are necessary to characterize these infections in other provinces.

A systematic review and meta-analysis of the genetic characterization of human echinococcosis in Iran, an endemic country / 한국역학회지

Human echinococcosis is an infectious disease caused by tapeworms belonging to the species Echinococcus. This parasite has a worldwide distribution and is considered a neglected tropical disease by the World Health Organization. Due to the diversity of Echinococcus spp. hosts, as well as variation in geographical, climatic, and socio-ethnic conditions, the question of the strains or genotypes of Echinococcus spp. that are involved in human infections is important. The aim of this study was to provide a summary of the available data on genotypes of Echinococcus obtained from the Iranian population. Four international databases (PubMed, Scopus, Science Direct, and Web of Science) and 4 Persian databases (Magiran, Scientific Information Database, Iran Medex, and IranDoc) were searched for cross-sectional studies that reported the genotypes of Echinococcus spp. in human echinococcosis cases using molecular methods in Iran through July 2018. The Newcastle-Ottawa Scale was used to assess the quality of the selected studies. A total of 559 cases of human cystic echinococcosis were reported in the 21 included articles. The majority of cases belonged to genotype G1 (89.2%; 95% confidence interval [CI], 80.1 to 95.8), genotype G6 (8.2%; 95% CI, 2.8 to 15.9), and genotype G3 (2.3%; 95% CI, 1.1 to 3.9). Since genotype G1 of Echinococcus appears to be the most prevalent genotype affecting humans in Iran, disease control initiatives aimed at sheep intermediate hosts may be the most beneficial. In addition, educational programs and serological screening in individuals may help reduce the national impact of the disease.

Geohelminthic: human ascariasis and trichuriasis in Mazandaran province, northern Iran

Background: ascariasis and trichuriasis are the most common intestinal geohelminthic diseases, and as such they are significant in terms of clinical and public health. This study was done to determine prevalence, status and geographic distribution patterns for Ascariasis and Trichuriasis. The study was done in the period 1991-2014 in northern Iran using Aregis 9.2 software

Methods: this was a review study, using description and analysis, of geographical distribution of Ascaris and Trichuris relating to townships in Mazandran province, northern Iran, covering a 23-year period. Data were collected from a review of the relevant literature, summarized and classified using Arc GIS, 9.2 to design maps and tables

Results: based on results presented in tables and maps, means for prevalence of Ascaris and Trichuris were divided into five groups. The maximum prevalence rate of Ascaris was 16.3% reported in rural areas of Tonkabon in 1981-1982. Prevalence means for Ascaris in the central and western areas of Mazandaran province were 2%-4% and 4%, respectively. The maximum prevalence of Trichuris in the rural area of Tonkabon was 22.5% and the lowest 0.06% was among the cattle breeder's in rural areas of the province at in 2002-2003

Conclusion: data presented in this study provides information useful to health care workers researchers and health administrators, especially for physicians, clinicians and for future research. Also, it is necessary to control and prevent geohelminthic parasitic infections, particularly in rural areas by public education for families, health authorities and health care systems

Seroprevalence of anti-Toxoplasma IgGand IgM among individuals who werereferred to medical laboratories inMazandaran province, northern Iran

Toxoplasma gondii [T. gondii] is a protozoan parasite that can causetoxoplasmosis in humans. However, there is no current data regarding Toxoplasmainfection among individuals who were referred to medical laboratories in Mazan-daran province [northern Iran]. Therefore, we performed a population-based studyof Toxoplasma seroprevalence in this region. A total of 1832 sera samples [from654 men and 1178 women] were collected from people who were referred to medi-cal laboratories in different cities throughout Mazandaran province between Marchand July 2012. The serum titers of anti-T. gondii IgG and IgM were measured usingenzyme-linked immunosorbent assays. The seroprevalence of anti-Toxoplasma IgGwas 55.5%; and 14.4% of the positive samples were seropositive for anti-ToxoplasmaIgM. The highest seroprevalence was observed among people who were >50 yearsold [90.6%], and the lowest seroprevalence was observed among children who were 0-9 years old [9.4%; P < 0.001]. There was no significant difference in the sero-prevalences for each sex in the study population. However, a regional sex-specific difference in seroprevalence was observed between men [54.1%] and women [70.6%;P = 0.003] in the western cities of Mazandaran. As the seroprevalence of T. gondii inwestern and eastern Mazandaran was higher than that in the central cities, there is aneed to evaluate the nature of the infection chain in these areas

Anti-giardial activity of chloroformic extract of tanacetum parthenium and artemisia annua in vitro

Giardiasis is a one of the most prevalent intestinal parasitic diseases in human, treatment of this disease through medicinal plants is very important since parasite resistance to chemical drugs exists. Thus, in this study, the in vitro anti-giardial activity of chloroformic extract of Tanacetum parthenium and Artemisia annua on cyst and trophozoite of Giardia lamblia were separately investigated. In this experimental study chloroformic extracts of Artemisia annua and Tanacetum parthenium on cyst and trophozoite of G. lamblia in vitro were prepared in 1, 10, 50 and 100 mg?ml concentrations for 5, 10, 30, 60 and 180 min. Purified cysts were used for encystations and culture in TYI-S-33 medium. Then, 2 ml of each solution was placed in test tubes, to which 10,000 washed cysts and trophozoites were added. The contents of the tubes were gently mixed and incubated. The percentages of dead parasites were determined by counting 500 cysts. Non treated parasites were considered a control group in each experiment and the viability of the parasites checked with Eeosin staining and statistical analysis were done. The results showed that chloroformic extracts of A. annua at 100 mg/ml concentration affected on Gardia cyst 86% and 100% trophozoite after 1 hour. T. parthenium at 50mg/ml concentration killed cysts [83%] and trophozite [100%] after 1 hour, respectively. T. parthenium chloroformic extract had a better effect on cyst and trophozoite of Giardia at 50 mg/ml after 1 hour exposure than A. annua extract. According to this study, A. annua and T. parthenium chlorofomic extracts could be considered as a more effective anti-giardial agent. Chloroformic extract of T. parthenium was also shown the anti-giardial activity compared with A. annua and control groups at all exposure times. Therefore, in the future research using these plants are recommended against Giardia in low concentration in the in vivo, also to find fractions of the pharmacological effects of these plants

Molecular identification of ovine Babesia spp. in north of Iran

Babesia is a blood-tissue parasite, which is transmitted by hard ticks from Ixodidae family. The parasite is the cause of babesiosis among small ruminants, cattle, human, dogs and other animals. Babesia is one of the main fatal factors among livestock in endemic regions such as Iran. The aim of this study was to identify Babesia spp infection using microscopic and molecular methods among small ruminants in Mazandaran and Golestan provinces, northern Iran, during 2011-2012. In this study, a total of 220 sheep and goats were selected from 22 flocks in different regions of these provinces and blood samples were taken from their ears. The samples were transferred to the laboratory. Then thick and thin smears were prepared, stained with Geimsa and examined under light microscope. Standard PCR and semi nested- PCR was performed to differentiate genus of Theileria and Babesia, also identify the species of Babesia. From a total of 220 blood samples [160 sheep and 60 goats], 34 cases [15.4%] showed Babesia infection using microscopic examination. Whereas, 11 cases [5%] were found positive for Babesia spp using standard PCR. Also, two positive cases were showed mixed infection with Theileria spp. In addition, two microscopic negative samples were positive by PCR assay. Using semi nested- PCR, Babesia ovis [n=10] and B. motasi [n=1] were detected. Our results shows ovine babesiosis is common in the Northern provinces of Iran. Moreover, Babesia ovis is the main causative agent of ovine babesiosis in northern Iran. The relatively high prevalence of Babesia infection in sheep and goats indicates the epizootic stability status of babesiosis in the northern part of Iran

[Genetic variation of Echinococcus granulosus isolates from Indian buffalo and Iranian sheep, cattle and camel]

India and Iran are an important endemic focus of cystic hydatid disease [CHD], where several species of intermediate host are commonly infected with Echinococcus granulosus. Strain characterization of E. granulosus is significant for the development of an effective control programme and to asses the infectivity. In present study, genetic variations in tapeworms causing cystic echinococcosis in the North of India and Iran were investigated and compared. Isolates of E. granulosus were collected from buffalo [India] and sheep, cattle, and camel isolates from Iran. PCR linked RFLP approach of ITS1 region of rDNA. Repeat was used in the present study to characterize buffalo isolates from sheep, cattle and camel. 17 pooled samples of protoscoleces from various animals were used for DNA extraction and PCR-RFLP analysis respectively. The PCR products of each isolates were digested separately with 5 restrictive endonucleases enzymes [AluI, HhaI, MspI, TaqI and EcoRI]. Based on the PCR-ITS1 method, the buffalo [liver and lungs] isolates have shown different genotypes and the sheep, cattle and camel isolates appeared to have the same genotype. The RFLP patterns of buffalo lung isolates differed from liver isolates with Taq1 and Hha1, however, showed a similarity with Msp1, EcoR1 and Alu1. Furthermore, differences in numbers and sizes of bands were also observed between buffalo, sheep and camel isolates with Taq1 and Msp1. The sheep and camel isolates differ in the number and sizes of fragments with Msp1 and Taq1. The buffalo lung isolate were quite different from other isolates, with the liver isolate showing a similarity with the sheep isolate. RFLP pattern of isolates from sheep and camel origin was identical, along with the same patterns. Moreover, the existence of buffalo strains [G1 and G3] and sheep strain [G1] were confirmed and our results support the previous studies in Northern India and Iran. These results are relevant for the possibility of transmission of G1 and G3 genotype, between livestock, animals and humans. It can be speculated that buffalo lung isolates represent G3 genotype and liver isolate as G1 genotype. Further, the existence of sheep [G1] strain was also confirmed in Iran by this study. However, more molecular studies, particularly, mitochondrial gene and amino acid sequencing are required, which can provide valuable data for a better understanding of the differences between different cysts localization