Nematode infection among ruminants in monsoon climate (Ban-Lahanam, Lao PDR) and its role as food-borne zoonosis / Infecção por nematóides em ruminantes nas monções (Ban-Lahanam, RPD do Laos) como zoonose transmitida por alimento

Trichostrongylids infection has gained significant public health importance since Trichostrongylus spp. infections have been reported in humans in Lao PDR. In this study, gastrointestinal nematodes were identified and the intensity of infections was determined in goats and cattle, which are animals greatly used for meat production in Lahanam Village, Lao PDR. The total number of goats and bovines was 23 and 29, respectively, pertaining to 32 households surveyed in the area. Feacal samples were randomly collected from 14 goats and 11 bovines. Ninety three percent (13/14) of goats and 36% (3/11) of cattle were infected, with an average of 1,728 and 86 eggs per gram of faeces (EPG), respectively. Coproculture showed Trichostrongylus spp. (goats 16%; bovines 48%), Haemonchus spp. (goats 69%; bovines 37%), Cooperia spp. (bovines 8%) and Oesophagostomum spp. (goats 15%; bovines 6%). After performing the necropsy on an adult goat, Trichuris spp. was also found. We confirmed the presence of Oesophagostomum spp., H. contortus and T. colubriformis by morphology and DNA sequencing analysis of the ITS region of rDNA. Due to interactions between humans and goats in Lahanam Village and high EPG results, the diagnosis of species and the intensity of gastrointestinal nematode infection in these animals are important public-health issues. Other ruminant parasites, such as Oesophagostomum and Haemonchus, found in caprines and bovines, are reported to be causes of zoonosis and their presence in humans should be investigated in future field surveys in this area.

Infecção por tricostrongilídeos ganhou significativa importância para a saúde pública, desde que infecções por Trichostrongylus spp. foram relatadas em humanos no Laos. Neste estudo, determinou-se a intensidade de verminoses gastrintestinais em caprinos e bovinos, importantes animais de produção na região de Lahanam Village, RPD do Laos. O número total de caprinos e bovinos foi 23 e 29, respectivamente, nas 32 famílias estudadas. Amostras de fezes foram coletadas, aleatoriamente, de 14 caprinos e 11 bovinos. Noventa e três por cento (13/14) dos caprinos e 36% (3/11) dos bovinos encontraram-se parasitados, com uma média de 1728 e 86 ovos por grama de fezes (OPG), respectivamente. Pela coprocultura, identificou-se Trichostrongylus spp. (caprinos 16%; bovinos48%), Haemonchus spp. (caprinos 69%; bovinos 37%), Cooperia spp. (bovinos 8%) e Oesophagostomum spp. (caprinos 15%; bovinos 6%). A necropsia de um caprino registrou também a presença de formas adultas de Trichuris spp. Morfologicamente e por análise do sequenciamento da região ITS do rDNA, foi confirmada a presença de Oesophagostomum spp., H. contortus e T. colubriformis. Devido às interações entre seres humanos e caprinos, em Lahanam Village, o alto OPG demonstrando o grau elevado de infecção por nematóides gastrintestinais nesses animais e a comprovação de espécies causadoras de zoonoses, aponta-se uma importante questão de saúde pública. Outros parasitos de ruminantes, como Oesophagostomum e Haemonchus, encontrados nos caprinos e bovinos estudados, são também relatados como agentes de zoonose, e sua presença em seres humanos deve ser investigada em futuras pesquisas de campo no local.

Risk factors for malaria infection among ethnic minorities in Binh Phuoc, Vietnam.

A cross-sectional study was undertaken to identify the prevalence of malaria infection, behavioral patterns of inhabitants and risk factors for malaria infection in a minority village in an area endemic for malaria in Vietnam. The target population were all the inhabitants of a village in Binh Phuoc Province, Vietnam. Interviews using a structured questionnaire and blood examination for malaria infection were conducted in house-to-house visits. Relationships between malaria infection and variables were examined using uni- and multivariate adjusted analysis. A total of 682 individuals from 159 households participated in both the interview and blood examinations. All households earned income through farming without forest activities at night, and the socio-economic status was generally not very low. The total prevalence of malaria infection was 6.2%, with a peak among 3- to 5-year-old children. Univariate analysis identified 3 - 5 year olds, a family size of > or =5 people, sleeping with >3 people in a bed, and living in a wooden/bamboo house as factors associated with malaria infection. Multivariate adjusted analysis after variable selection identified age 3 - 5 years old, a family size of > or =5 people and living in a wooden/bamboo house were significantly related to malaria infection. Malaria in this area can be controlled by basic activities, such as early diagnosis and treatment and prevention using bednets, since risk factors for malaria infection did not include forest activities, but were young age, living in a wooden/bamboo house and belonging to a large family. Continuous and intensive expansion of existing malaria control activities are required.

Evaluation by villagers of the malaria control project on Lombok and Sumbawa Islands, west Nusa Tenggara Province, Indonesia.

The cooperative malaria control project between Indonesian and Japanese institutions was conducted from 2001 to 2004 at small malaria endemic foci on Lombok and Sumbawa Islands. The aim of this research was to evaluate the effects of the project according to the opinions of the villagers. We conducted a KAP survey of a simple random sample of 300 householders on each island. The conclusion of the study was that the project reduced malaria incidence significantly on Lombok. However, the effects were not as clear on Sumbawa. Poor socio-economic status and lack of school education were important related factors. Therefore, health education, or behavioral change communication, was an essential component of malaria control.

BEHAVIORS ASSOCIATED WITH WATER CONTACT AND SCHISTOSOMA JAPONICUM INFECTION IN A RURAL VILLAGE, THE DONGTING LAKE REGION, CHINA

Although identification of water contact patterns is one of the most important factors for the prevention of <I>Schistosoma japonicum</I> infection, it is still insufficient for clarifying specific high-risk behaviors and their implications. Parasitological studies and behavioral observations were carried out in a rural village, the Dongting Lake region, China. A time-allocation study conducted by a time-saving spot-check method was implemented to quantify the behavioral risks. Of the 122 participants, 18 (14.8%; 95% confidence interval: 8.5, 21.0) were positive for S. japonicum. Among those diagnosed, the median (25−75% quartile) eggs per gram was 8 (8−16). A significant positive correlation with worm intensity was found among people who repair ships on the marshland (p&It;0.001), and this potential risk was consistent with previous suggestions. Although the parasitological techniques and study design require further improvements, our observational methods may be of use to explicitly identify behaviors at the local level that could be relevant to prevention.