Parasitosis intestinales en Altragracia de la Montaña, Estado Miranda, Venezuela: Influencia del programa para la eliminación de oncocercosis / Intestinal parasites in Altragracia de la Montaña, Miranda State, Venezuela: Influence of the program for onchocerciasis elimination

El objetivo general de este trabajo fue determinar la prevalencia de parasitosis intestinales y sus características epidemiológicas en cuatro comunidades de la parroquia Altagracia de la Montaña, Estado Miranda (Venezuela). Se desarrolló un estudio de corte transversal con una muestra constituida por 492 en su mayoría niños, en febrero de 2011. Previo consentimiento informado, se realizó una encuesta clínico-epidemiológica, extracción de sangre y exámenes coproparasitológicos con los métodos directo, Kato y cultivo en agar. El 60% de la población tenía al menos un parásito de transmisión hídrica y/o alimentos contaminados por heces de humanos y/o animales. La elevada frecuencia de protozoarios intestinales, especialmente Blastocystis sp., con predominio entre quienes viven con fallas en la disposición de excretas y baja calidad del agua para consumo humano, demuestran la persistencia de parasitosis intestinales como problema de salud pública; sin embargo, la influencia indirecta de la administración semestral de ivermectina y educación sanitaria con visión etnográfica impartida por el Programa para la Eliminación de Oncocercosis en Bucarito, una de las comunidades evaluadas, tuvo como efecto colateral no sólo disminuir la prevalencia de helmintos intestinales, sino de los protozoarios, a pesar de estar sometida a los mismos factores de riesgo que las comunidades restantes.

The aim of this study was to determine the prevalence of intestinal parasites and their epidemiological characteristics in four rural communities from Altagracia de la Montaña, Miranda State (Venezuela). A cross sectional study was conducted in February 2011 where 492 subjects were evaluated, mostly children. Informed consent was previously obtained. A clinical and epidemiological survey was done. Patients voluntarily brought a fresh stool sample for analysis with direct smear, Kato and agar culture; blood was extracted for eosinophil count. 60% of the evaluated people had at least one parasite transmitted by water or food contaminated by human or animal feces. The high prevalence of protozoa, specially Blastocystis sp., among those who live under poor living conditions such as inadequate feces disposal and low quality of drinking water, shows the persistence of intestinal parasites as a public health problem; nevertheless, indirect influence of ivermectin treatment every six months and health education with an ethnographic orientation given by the Onchocerciasis Elimination Programme in Bucarito, one of the evaluated communities, had an unexpected outcome not only diminishing the prevalence of helminthes but also the prevalence of intestinal protozoa, being this community under the same risk factors as the rest of the evaluated communities.

Prevalence of Intestinal Parasitic Helminths from Fingernails of “Almajiris” in Birnin Kudu Local Government Area, Jigawa State, Nigeria.

Aims: This study aimed to investigate the prevalence of intestinal parasitic helminth eggs in the fingernails of “Almajiris” in Birnin Kudu Local Government Area in Jigawa State, Nigeria and to determine the source of the infection as an indicator of the overall hygienic standard of “Almajiris” from such areas. Study Design: Cross-sectional Survey. Place and Duration of Study: The study area was Birnin Kudu Local Government Area in Jigawa State, Nigeria. However, the research was conducted in the Faculty of Science and Science Education, Department of Biology, Kano University of Science and Technology, Wudil, Nigeria between January 2014 and April 2014. Methodology: The study was conducted among Qur’anic school pupils (Almajiris) attending three different Qur’anic schools in Birnin Kudu, Jigawa state. Simple random sampling technique was employed in selecting the 383 “Almajiris” (age ranges from 7 years to 30 years) recruited for this study. Swab samples from the fingernails were subjected to Salt Floatation Technique and the nail clippings were analyzed using concentration method and eggs of parasites were identified by characteristic egg morphology using standard procedures. Results: The prevalence of intestinal parasitic helminthes among the overall population studied was 54.8% (210 of 383). The parasites isolated from the fingernails of the Almajiris are: 29.5% Ascaris lumbricoides, 24.3% Hookworm, 19.0% Enterobius vermicularis, 8.1% Trichuris trichuria as well as mixed infections involving Ascaris lumbricoides and Hookworm, 6.7%; Hookwom and T. trichuira, 5.7%; Ascaris lumbricoides and Enterobius vermicularis, 4.2% and that between Ascaris lumbricoides, Enterobius vermicularis and Trichuris trichuria, 2.3%. The difference between the intestinal helminths was not significant (P-value = 1.00). There were significant variation in relation to the infection among the three qur’anic schools (P-value=.001). Age group between 11-15 years had the highest infection of 60.2% but this was not significant (P-value = 1.00). Conclusion: The study revealed high prevalence of intestinal helminth parasites in the fingernails of “Almajiris” and if not controlled, it may cause colossal health challenges to the community. This underscores the importance of teaching hand washing and personal hygiene to “Almajiris” and their teachers, otherwise known as “Malams” as well as inculcating the habit of periodic deworming exercise.

Prevalence of gastrointestinal helminthic infections and associated risk factors among schoolchildren in Tilili town, northwest Ethiopia

OBJECTIVE@#To determine the prevalence of gastrointestinal helminthes and associated risk factors among schoolchildren in Tilili town, northwest Ethiopia.@*METHODS@#A cross-sectional study involving 385 schoolchildren was conducted between November 2011 to February 2012. Each student was selected using systematic random sampling method. Questionnaire and observation were used to identify socio-demographic and associated risk factors. Fresh stool samples were observed using formal-ether concentration technique. Data were analyzed using SPSS 16.0 statistical software.@*RESULTS@#Four species of intestinal helminthes were identified with an overall prevalence of 44.2% (170 of 385 schoolchildren). The predominant parasites were Ascaris lumbricoides (A. lumbricoides) 153 (39.7%) and Trichuris trichiura (T. trichiura) 30 (7.8%). One hundred thirty five (35.1%) had single infections and 35 (9.2%) were infected with more than one helminthic parasites in which 32 (8.4%) were double infections and 3 (0.8%) were triple infections. Significant associations were observed between intestinal helminth infection and those of age, grade level, and school variables. Prevalence of hookworm infection was significant in children who did not wear shoes regularly (P<0.05).@*CONCLUSIONS@#Intervention programs and education on personal and environmental hygiene should be implemented for the prevention and control of helminthic infections in the study area.

Helminth parasites of the African lizard Agama agama (Squamata: Agamidae), in Lagos, Nigeria

Agama agama, the agamid rainbow lizard, has been reported to serve as transport and reservoir host to several protozoan and helminth parasites. We randomly sampled 310 specimens between May and July, 2005, at Oyingbo, Lagos, Nigeria (6°34’60’’ N-3°19’59’’ E and 6°34’60’’ N-3°19’59’’ E).They harboured four species of nematodes: Strongyluris brevicaudata, Parapharyngodon awokoyai, Capillaria sp. and Oxyuris sp.; one of Cestoda, Oochoristica agamae; one of Trematoda, Mesocoelium monas; and one of Pentastomida, Raillietiella sp. Strongyluris brevicaudata had the highest prevalence of infection (82.3 %), followed by P. awokoyai (74.5 %), Raillietiella (10.3 %), Capillaria sp. (8.4 %) and O. agamae (7.4 %). M. monas and Oxyuris sp. had low prevalences: 1.61 % each. Raillietiella sp. and Capillaria sp. can cause localized inflammation and intestinal infections in humans. The prevalence of infection was higher in larger adult lizards. Prevalence in males was 97.6 % (94.1 % in females). in four of the helminth species, intensity of infection was higher in male lizards. Parasite intensity was highest in the rectum, followed by the intestine (p<0.05). infection intensity was, to a large extent, dependent on the type of parasite, and age of lizard. During May, P. awokoyai had its highest mean intensities and prevalence. The prevalence and mean intensity of helminthes varied with the month of collection (both p<0.05). For the three months studied, prevalence and mean intensity of S. brevicaudata were highest in June (July for the other species). Rev. Biol. Trop. 55 (2): 417-425. Epub 2007 June, 29.

La lagartija Agama agama actúa como medio de transporte y hospedero para varios protozoos y helmintos parásitos. Capturamos 310 lagartijas, muestreadas aleatoriamente, entre mayo y julio 2005, en Oyingbo, Lagos, Nigeria (6°34’60’’ N-3°19’59’’ E y 6°34’60’’ N-3°19’59’’ E). Hallamos cuatro especies de nematodos: Strongyluris brevicaudata, Parapharyngodon awokoyai, Capillaria y Oxyuris; un céstodo intestinal, Oochoristica agamae; un trematodo, Mesocoelium monodi; y un pentastómido, Raillietiella. S. brevicaudata tuvo la mayor prevalencia de infección (82.26 %), seguida por P. awokoyai (74.52 %), Raillietiella (10.32 %), Capillaria (8.38 %) y O. agamae (7.41 %). M. monodi y Oxyuris tuvieron baja prevalencia con 1.61 % cada uno. Raillietiella y Capillaria causan inflamación localizada e infección intestinal en humanos. La prevalencia de infección estuvo positivamente relacionada con el tamaño de las lagartijas adultas. Los machos tuvieron mayor prevalencia, con 97.58 % (hembras 94.09 %). La infección intestinal en los machos fue mayor para cuatro de las especies de helmintos. La intensidad parasitaria fue mayor en el recto, seguida por el intestino (p<0.05). La intensidad de la infección fue dependiente del tipo de parásito y la edad de la lagartija. En mayo, P. awokoyai tuvo el mayor promedio de intensidad y prevalencia. La prevalencia y la intensidad promedio de S. brevicaudata fue mayor en junio (julio en las demás especies). La prevalencia y la intensidad variaron con el mes (ambos p<0.05).