A survey for potentially zoonotic gastrointestinal parasites of dogs and pigs in Cambodia.

There is little information available on parasites of zoonotic significance in Cambodia. In 2011, in an effort to obtain data on potentially zoonotic gastrointestinal parasites in domestic animals, 50 dogs and 30 pigs residing in 38 households located in Ang Svay Check village, Takeo province, Cambodia were examined for parasites from faecal samples. The samples were processed using the formalin-ethyl acetate concentration technique (FECT). Hookworms were the most common zoonotic parasite found in dogs (80.0%) followed by Echinostomes (18.0%). While, in pigs, Fasciolopsis buski was the most common zoonotic parasite (30.0%) followed by Ascaris suum (13.3%). This study provides baseline data on gastrointestinal parasites in dogs and pigs from Cambodia and underscores the importance of domestic animals as reservoir hosts for human parasites for Cambodian veterinary and public health agencies. Follow-up studies are required to further taxonomically characterize these dog and pig parasites and to determine their role in human parasites in this community.

Integrated parasite management: path to sustainable control of fishborne trematodes in aquaculture.

Fishborne zoonotic trematodes (FZT) are an emerging problem and there is now a consensus that, in addition to wild-caught fish, fish produced in aquaculture present a major food safety risk, especially in Southeast Asia where aquaculture is important economically. Current control programs target communities at risk through mass drug administration. However, we argue that treatment alone will not reduce the risk from eating infected fish and that sustainable effective control must adopt an integrated FZT control approach based on education, infrastructure improvements, and management practices that target critical control points in the aquaculture production cycle identified from a thorough understanding of FZT and host biology and epidemiology. We present recommendations for an integrated parasite management (IPM) program for aquaculture farms.

The low global burden of trichinellosis: evidence and implications.

Trichinellosis is a cosmopolitan foodborne disease that may result in severe health disorders and even death. Despite international awareness of the public health risk associated with trichinellosis, current data on its public health impact are still lacking. Therefore we assessed, for the first known time, the global burden of trichinellosis using the Disability-Adjusted Life Year metric. The global number of Disability-Adjusted Life Years due to trichinellosis was estimated to be 76 per billion persons per year (95% credible interval: 38-129). The World Health Organization European Region was the main contributor to this global burden, followed by the WHO region of the Americas and the World Health Organization Western Pacific region. The global burden of trichinellosis is much lower than that of other foodborne parasitic diseases and is in sharp contrast to the high budget allocated to prevent the disease in many industrialised countries. To decrease the uncertainty around the current estimates, more knowledge is needed on the level of underreporting of clinical trichinellosis in different parts of the world.

Risks for fishborne zoonotic trematodes in tilapia production systems in Guangdong province, China.

Guangdong province is the most important region for tilapia culture in China. However, it is also an endemic region for fishborne zoonotic trematodes (FZT), which pose a risk to human food safety and health. A study was designed to assess the status of trematode parasite infections in tilapia aquaculture systems as an indicator of potential risks from FZT associated with consumption of tilapia. Tilapia from nursery and grow-out ponds were sampled from monoculture, polyculture and integrated aquaculture systems. The results from 388 tilapia examined revealed a very low prevalence (1.5%) of trematode infections (Heterophyidae and Echinostomatidae). Integrated systems using animal manure and latrine wastes as fertilizer did not show a higher prevalence of FZT. Because it was not clear whether the low risk of infection was attributable to existing effective pond management practices or a low risk of spillover of FZT from area sylvatic reservoir hosts, a survey of local wild-caught fish was conducted. Five species of FZT were discovered from a total of 271 wild-caught fish and a mean infection density of 4.0 metacercariae/100g; FZT discovered included intestinal flukes (Haplorchis spp., Procerovum varium, and Metagonimus spp.) and metacercariae tentatively identified as Clonorchis sinenesis. The common occurrence of FZT in wild-caught fish suggests that the presence of FZT in local wild animal reservoirs is substantial, and that although the current aquaculture management systems for tilapia are generally effective in preventing transmission of these parasites into tilapia production systems, the improvement of pond management practices and biosecurity must be maintained at a high level.

Prevention and control of fish-borne zoonotic trematodes in fish nurseries, Vietnam.

Worldwide, >18 million persons were infected with fish-borne zoonotic trematodes in 2002. To evaluate the effectiveness of interventions for reducing prevalence and intensity of fish-borne zoonotic trematode infections in juvenile fish, we compared transmission rates at nurseries in the Red River Delta, northern Vietnam. Rates were significantly lower for nurseries that reduced snail populations and trematode egg contamination in ponds than for nurseries that did not. These interventions can be used in the development of programs for sustained control of zoonotic trematodes in farmed fish.

Evaluation of the role of rats as reservoir hosts for fishborne zoonotic trematodes in two endemic northern Vietnam fish farms.

Fishborne zoonotic trematodes (FZTs) pose a food safety risk for the aquaculture industry in Vietnam. The risk of being infected from eating raw fish applies not only to humans but also to domestic animals which can serve as reservoir hosts in fish farms. The role of rodents, commonly found in fish farms, as reservoir hosts has not been adequately evaluated. To study this question, commensal and rice field rats were collected from fish farms in Nghia Lac and Nghia Phu communes, Nam Dinh province, Vietnam and examined for FZT infection. A total of 250 rats (Rattus norvegicus, Rattus argentiventer, and Bandicota indica) were collected and examined; the rats were trapped in the farm households (commensal) and in rice fields adjoining the fish ponds (field). The total prevalence of all parasites was 52.8 %: nematodes, 42.4 %; trematodes 18.0 %; and cestodes, (3.6 %), including two zoonotic cestode species, Raillietina celebenisis and Hymenolepis diminuta. Although overall prevalence and intensity of parasite infection did not differ significantly among rat species or between the two communes, the intensity of nematode infection was significantly higher in commensal rats (p < 0.05). The only FZTs recovered were the intestinal flukes Echinostoma cinetorchis and Centrocestus formosanus, both at low prevalence. Because the most common FZTs found in fish from these communes are Haplorchis pumilio and Haplorchis taichui, neither of which were found in the rats, we conclude that rats are not significant reservoir hosts for FZT in these Vietnamese fish farms.

Relationship between snail population density and infection status of snails and fish with zoonotic trematodes in Vietnamese carp nurseries.

BACKGROUND: Fish-borne zoonotic trematodes (FZT) are a food safety and health concern in Vietnam. Humans and other final hosts acquire these parasites from eating raw or under-cooked fish with FZT metacercariae. Fish raised in ponds are exposed to cercariae shed by snail hosts that are common in fish farm ponds. Previous risk assessment on FZT transmission in the Red River Delta of Vietnam identified carp nursery ponds as major sites of transmission. In this study, we analyzed the association between snail population density and heterophyid trematode infection in snails with the rate of FZT transmission to juvenile fish raised in carp nurseries. METHODOLOGY/PRINCIPAL FINDINGS: Snail population density and prevalence of trematode (Heterophyidae) infections were determined in 48 carp nurseries producing Rohu juveniles, (Labeo rohita) in the Red River Delta area. Fish samples were examined at 3, 6 and 9 weeks after the juvenile fish were introduced into the ponds. There was a significant positive correlation between prevalence of FZT metacercariae in juvenile fish and density of infected snails. Thus, the odds of infection in juvenile fish were 4.36 and 11.32 times higher for ponds with medium and high density of snails, respectively, compared to ponds where no infected snails were found. Further, the intensity of fish FZT infections increased with the density of infected snails. Interestingly, however, some ponds with no or few infected snails were collected also had high prevalence and intensity of FZT in juvenile fish. This may be due to immigration of cercariae into the pond from external water sources. CONCLUSIONS/SIGNIFICANCE: The total number and density of potential host snails and density of host snails infected with heterophyid trematodes in the aquaculture pond is a useful predictor for infections in juvenile fish, although infection levels in juvenile fish can occur despite low density or absence infected snails. This suggests that intervention programs to control FZT infection of fish should include not only intra-pond snail control, but also include water sources of allochthonous cercariae, i.e. canals supplying water to ponds as well as snail habitats outside the pond such as rice fields and surrounding ponds.

Worldwide occurrence and impact of human trichinellosis, 1986-2009.

To assess the global incidence and clinical effects of human trichinellosis, we analyzed outbreak report data for 1986-2009. Searches of 6 international databases yielded 494 reports. After applying strict criteria for relevance and reliability, we selected 261 reports for data extraction. From 1986 through 2009, there were 65,818 cases and 42 deaths reported from 41 countries. The World Health Organization European Region accounted for 87% of cases; 50% of those occurred in Romania, mainly during 1990-1999. Incidence in the region ranged from 1.1 to 8.5 cases per 100,000 population. Trichinellosis affected primarily adults (median age 33.1 years) and about equally affected men (51%) and women. Major clinical effects, according to 5,377 well-described cases, were myalgia, diarrhea, fever, facial edema, and headaches. Pork was the major source of infection; wild game sources were also frequently reported. These data will be valuable for estimating the illness worldwide.

Field trial of praziquantel for control of fishborne zoonotic trematodes in reservoir hosts in Vietnam.

This field trial was conducted to determine whether 40 or 75 mg/kg of praziquantel is suitable for treatment of fishborne zoonotic trematodes (FZT) in naturally infected dogs (n=10) and cats (n=11). Three days after treatment all animals at either dose were negative for small trematode eggs. In two cats and one dog treated with 75 mg/kg, however, a few damaged eggs were found 3 days post-treatment; no small trematode eggs were seen in these animals at day 14 post-treatment. In addition, at the 75 mg dose, two cats and two dogs experienced vomiting or diminished appetite. Therefore a praziquantel dose of 40 mg/kg is suggested for treatment of FZT in dogs and cats.

Molecular evidence for sustained transmission of zoonotic Ascaris suum among zoo chimpanzees (Pan troglodytes).

Chimpanzees in the Copenhagen Zoo frequently excrete ascarid worms onto the cage floor in spite of a regular anthelmintic treatment program. Previously it had been shown that the source of the infections was of pig origin. However, it was unknown whether the recurrence of the infection was due to reintroduction of eggs from an external source or to a sustained transmission cycle within the zoo. We found that isolated eggs were able to embryonate to the infective J3 stage and PCR-RFLP analysis on the ITS region amplified from single embryonated eggs suggest these to be Ascaris suum. In addition, sequence analysis of the cox1 gene ('barcoding') on expelled worms followed by cluster analysis revealed that the chimpanzees are infected with pig A. suum which now, in spite of control efforts, has stabilized into a permanent transmission cycle in the zoo's chimpanzee troop.

Poultry as reservoir hosts for fishborne zoonotic trematodes in Vietnamese fish farms.

Fishborne zoonotic trematodes (FZT) are widespread in Vietnam and Southeast Asia. It is now recognized that the risk of being infected from eating raw fish dishes applies not only to humans, but also to domestic animals (e.g., cats, dogs, and pigs) and fish-eating birds. The role of ducks and chicken, commonly raised on fish farms, as reservoir hosts, however, has not been adequately investigated. To study this question, chickens and ducks from integrated poultry-fish farms in Nghia Lac and Nghia Phu communes, Nam Dinh province, Vietnam were surveyed for FZT infections. A total of 50 ducks and 50 chickens from each commune were examined. Results revealed that 12% of chickens and 30% of ducks were infected with various species of trematodes, including two zoonotic species, Centrocestus formosanus and Echinostoma cinetorchis. Both occurred in chickens whereas only E. cinetorchis was found in ducks. Prevalence of these zoonotic species was 12% and 7% in ducks and chickens, respectively. Among other trematodes, Hypoderaeum conoideum, also a zoonotic fluke, was the most prevalent (20-30%). The feeding of snails and fish remains to poultry, either intentionally or by discharge of waste from the slaughter of ducks and chickens into the ponds, was identified as risk factors for trematode infection. The FZT species and low prevalence found in poultry in these communes indicate their role as reservoir hosts is minor.

Fishborne zoonotic trematodes in raw fish dishes served in restaurants in Nam Dinh Province and Hanoi, Vietnam.

Fishborne zoonotic trematode (FZT) parasites are a serious food safety problem in Asian countries because of their tradition of eating raw fish. In northern Vietnam, the prevalence of FZT metacercariae (MC) in wild-caught and cultured fish is quite high. The objective of this study was to assess the risk for acquiring these parasites from raw fish dishes prepared in restaurants. Samples of fish meat (body muscle) and remainder parts (head, gills, fins, skin, and muscle tissue from the tail) were obtained from 39 restaurants located in Nam Dinh province, an area endemic for FZTs, and from 74 restaurants in the capital city of Hanoi. Six species of zoonotic intestinal trematodes were recovered from a total of nine freshwater and brackish water fish species. Overall, the prevalence of MC in meat samples was 6.1% and in remainder samples, 34.9%; freshwater fish were more often infected (39.4%) than brackish water species (16.0%). Dishes from Nam Dinh restaurants were more often infected (11.8%) than those from Hanoi (3.1%). The dominant trematode species, Haplorchis pumilio, exhibited a strong predilection for encystment in remainder fish parts (36.5%) compared with meat (3.9%). The mean density of MC in meat samples overall was low (1.0 to 1.5 MC per 50 g); however, the potential for parasites to accumulate over years of eating raw fish could result in significant clinical disease, as occurs with liver flukes. Also, the high densities of MC in the remainder parts (2.3 to 72.9 MC per 50 g) pose a threat for cross-contamination during dish preparation.

Optimization of an experimental model for the recovery of adult Haplorchis pumilio (Heterophyidae: Digenea).

Recent studies in Vietnam and other Asian countries have shown that fish-borne zoonotic intestinal trematodes (FZT) occur very frequently in humans. The dominant intestinal FZT in Vietnamese fish are species of Haplorchis, in particular H. pumilio. However, basic studies on the biology and pathology of adult H. pumilio are difficult because of the lack of a standardized experimental animal model. The objective of this study was to establish and optimize such an animal-infection model for H. pumilio. Using metacercariae isolated from naturally infected fish, experiments were conducted to identify a suitable experimental animal host species, as well as the optimum metacercariae infection dose, and to determine the post-infection interval for patency. In a series of experiments, mice (Mus musculus) and chickens (Gallus gallus dom.) were infected with different numbers of metacercariae, and worm recoveries were made at varying intervals post-infection (PI). Based on the mean number of adult flukes recovered/number of metacercariae inoculated and the percent of hosts infected, mice were significantly more susceptible to infection than were chickens. The proportion of metacercariae developing to the adult stage increased with dose size. The peak worm recovery (geometric mean) was found to be day 7, although not all recovered flukes were gravid until day 9 PI. These results describe a mouse infection model with good predictability for intestinal flukes, such as H. pumilio, results which could facilitate investigations on important biological and pathological aspects of intestinal fluke infections.

Prevalence and risks for fishborne zoonotic trematode infections in domestic animals in a highly endemic area of North Vietnam.

Fishborne zoonotic trematodes (FZT) are endemic in humans and cultured fish in Vietnam but little is known about FZT in domestic animals. A study was designed to determine FZT prevalence and species diversity, and risk factors for infection, in dogs, cats and pigs. Faecal samples from 186 dogs, 94 cats and 168 pigs belonging to 132 households in Nghia Hung district, Nam Dinh province, were examined for small trematode eggs; those were trematode eggs with length less than 50 microm. Prevalence of FZT varied significantly between cats (70.2%), dogs (56.9%) and pigs (7.7%). Forty-nine of the egg-positive animals (25 dogs, 20 cats and 4 pigs) were necropsied to obtain adult trematodes for identification. The liver fluke, Clonorchis sinensis, and 11 species of intestinal flukes including Haplorchis, Stellantchasmus, Stictodora and Centrocestus were recovered from the infected animals. The practice of feeding raw fish to the animals was a significant risk factor for infection; this risk was reduced if the animals were periodically treated with anthelmintics. Based on the high prevalence of FZT and certain risky husbandry practices, domestic animals are likely to be major contributors of FZT eggs to the environment. Therefore, education of farmers to avoid feeding raw fish and to perform regular anthelmintic treatment of dogs, cats and pigs is needed in integrated FZT control programs.

Survey for fishborne zoonotic metacercariae in farmed grouper in Vietnam.

Because of the common and growing practice of consuming raw grouper in Vietnam, the potential for transmission of zoonotic parasites is unclear. An investigation of the prevalence of zoonotic parasites in cage-reared grouper (Epinephelus coioides and Epinephelus bleekeri) from marine waters of Cat Ba Island, Hai Phong city, Northern Vietnam, revealed the presence of two zoonotic trematode metacercariae species, Procerovum varium and Heterophysopsis continua. The identity of the metacercariae was confirmed from adult flukes recovered from mice experimentally inoculated with metacercariae. The prevalence of zoonotic parasites in 40 E. coioides was 10.0% and 1.2% in 172 E. bleekeri. Since little is known of their ecology and epidemiology, further investigation of these zoonotic parasites is needed to develop prevention guidelines.

Animal reservoir hosts and fish-borne zoonotic trematode infections on fish farms, Vietnam.

Fish-borne zoonotic trematodes (FZT) pose a risk to human food safety and health and may cause substantial economic losses in the aquaculture industry. In Nghe An Province, Vietnam, low prevalence of FZT for fish farmers but high prevalence for fish indicate that reservoir hosts other than humans may play a role in sustaining transmission. To determine whether domestic animals may be reservoir hosts, we assessed prevalence and species composition of FZT infections in dogs, cats, and pigs in a fish-farming community in Vietnam. Feces from 35 cats, 80 dogs, and 114 pigs contained small trematode eggs at 48.6%, 35.0%, and 14.4%, respectively; 7 species of adult FZT were recovered from these hosts. These results, combined with data from previous investigations in this community, imply that domestic animals serve as reservoir hosts for FZT and therefore must be included in any control programs to prevent FZT infection in humans.

Prevalence of Gnathostoma spinigerum infection in wild and cultured swamp eels in Vietnam.

Human infections with Gnathostoma spinigerum frequently occur in southern Vietnam. Previous investigations have implicated infected swamp eels (Monopterus albus) as an important source of infection to humans. Because aquaculture of M. alba is an important farming activity in Vietnam, a 2-yr study was carried out to assess the relative importance of farmed and wild eels as potential sources of gnathostome infections in humans. Eels sold for public consumption in markets in southern provinces were examined between November 2005 and August 2007. Although no infections were detected in 1,020 cultured eels and 1,021 wild-caught eels collected from November 2005 to September 2006, larval G. spinigerum (AL3) infections were first detected in September 2006 in 28 of 230 wild-caught eels (12.2%) obtained from markets in Long An province and the Hoc Mon district of Ho Chi Minh City. Subsequently, monthly surveillance of wild-caught eels from these markets was carried out through August 2007. Prevalence of AL3 varied monthly, ranging from 0.8 to 19.6%. Both prevalence and infection intensity were higher during the latter part of the rainy season (August- October). These results demonstrate that potentially zoonotic G. spinigerum larvae are common in wild eels in southern Vietnam and present a risk to consumers of raw fish dishes, especially during the annual rainy season. This information could help target public health education efforts in the region. The basis for the seasonal variation on eel infections is not known, but may be related to climate effects (flooding, higher temperatures) on intermediate host species ecology.