Health informatics model for helminthiasis in Thailand.

At the beginning of the new millennium, helminth infections continue to be prevalent, particularly among impoverished populations. This study attempts to create the first health informatics model of helminthiasis in Thailand. The authors investigate how a health informatics model could be used to predict the control and eradication in a national control campaign. Fish-borne helminthiasis caused by Opisthorchis viverrini remains a major public health problem in many parts of South-East Asia, including Thailand, Lao PDR, Vietnam and Cambodia. The epicentre of this disease is located in north-east Thailand, where high prevalence coexists with a high incidence of cholangiocarcinoma (CHCA). The current report was conducted to determine a mathematical model of surveillance for helminthiasis while also using a geographic information system. The fish-borne helminthiasis model or the predicted equation was Y1 = 3.028 + 0.020 (elevation) - 2.098 (clay). For soil-transmitted helminthiasis, the mathematical model or the predicted equation was Y2 = -1.559 + 0.005 (rainfall) + 0.004 (elevation) - 2.198 (clay). The Ministry of Public Health has concluded that mass treatment for helminthiasis in the Thai population, targeting high-risk individuals, may be a cost-effective way to allocate limited funds. This type of approach, as well as further study on the correlation of clinical symptoms with environmental and geographic information, may offer a novel strategy to the helminth crisis.

Early stage biliary and intrahepatic migration of Opisthorchis viverrini in the golden hamster.

In Thailand, infection with the liver fluke Opisthorchis viverrini is a serious health problem, with over 8.6 million human infections each year. Early stage biliary intrahepatic migration and infection of O. viverrini in the Syrian golden hamster were used to study the growth and development of this fluke. Fifty metacercariae of O. viverrini were introduced into each hamster by gastric intubation. Worms were found to migrate rapidly from the stomach to the gall bladder and hepatic duct, where they remained in relatively constant numbers until the end of week 8. Sexual development of worms was rapid, with full development of the uterus and testes by one and one half weeks and the appearance of eggs in the uterus by the beginning of the third week of infection. Worm growth as indicated by body length had ceased by week 8. Hamsters demonstrated development of a full reproductive cycle with in three to four weeks, and this generation continued until 8 weeks.

Impact of health educational programmes on the prevalence of enterobiasis in schoolchildren in Thailand.

Enterobiasis is a worldwide prevalent disease particularly in low income areas. The budget needed for the prevention, treatment and eradication of the disease has thus far frustrated the limited budgets of global public health systems. A study was undertaken to determine if education in addition to medical treatment of enterobiasis could make a difference to the rates of infection. A total of 777 children (399 male and 378 female) from 11 elementary schools in five districts of Samut Prakan Province, Thailand were examined between December 2000 and March 2002. In five of the 11 schools studied, medical treatments were applied, followed by a programme of educating the children in the prevention of infection. Children in the remaining six schools received medical treatment only. The study showed a decrease in infections among children who received supplementary education. This decrease was significant in comparison to the decrease shown among children who received medical treatment only. The study therefore showed that educating high risk individuals played a key role in the prevention of enterobiasis.

Ixodid ticks on domestic animals in Samut Prakan Province, Thailand.

The prevalence of tick-harboring domestic animals, tick density, and the species of ticks were studied throughout the year 2000, in Muang Samut Prakan, Bang Phli and Phra Pradaeng districts of Samut Prakan Province. The animals examined were Canis lupus familiaris (450), Bos indicus (cross-bred) (189), Bos taurus (30), Bubalus bubalis (171) and Sus scrofa domestica (450). The total number of collected ticks was 1,491. The pigs did not harbor ticks. The stages of ticks collected were larvae, nymphs and adults. The prevalence rates of tick-harboring were 46% (Canis lupus familiaris), 42.86% (Bos indicus, cross-bred), 33.33% (Bos taurus) and 9.35% (Bubalus bubalis). The tick densities were 2.22 (Bos indicus, cross-bred), 2.16 (Canis lupus familiaris), 1.16 (Bos taurus) and 0.36 (Bubalus bubalis). Only 2 species of ixodid ticks, Boophilus microplus and Rhipicephalus sanguineus, were found. R. sanguineus was the dominant species of tick. The percentage of R. sanguineus was 65.2% and B. microplus was 34.8%. In Muang district, R. sanguineus was the dominant species in C. lupus familiaris; in Bang Phli district, B. microplus was the dominant species in Bos indicus (cross-bred). The density of B. microplus was high in the summer season; the density of R. sanguineus was high in the winter season. The number of ticks depended on the geographic location, animal host and season.

Enterobiasis in primary schools in Bang Khun Thian District, Bangkok, Thailand.

A study of enterobiasis and its correlation with various factors that could potentially influence the rate of infection was conducted among 3,621 primary school children (five to ten years old), drawn from sixteen schools in Bang Khun Thian District, Bangkok. Diagnosis was by the transparent tape swab technique, which was used to recover Enterobius vermicularis eggs from the perianal region. The transparent tape swabs were then placed on slides for examination by light microscopy. The average rate of infection for the group was 21.57%. No statistically significant differences were found between the male and female children. The younger children had a higher rate of infection. Subjects from schools located in industrial and metropolitan areas showed slightly higher rates of infection than those from agricultural areas. Data from the questionnaires in the study indicated that factors such as parental socio-economic status (occupational, income and education) and the children's personal hygiene contributed to the varying rates of infection.

The prevalence of Enterobius vermicularis among primary school students in Samut Prakan Province, Thailand.

A prevalence survey of Enterobius vermicularis in primary school students aged 6-10 years in Bang Plee district, Samut Prakarn Province, Thailand was undertaken from January to March 2000. There were 783 subjects, 395 males and 388 females. Diagnosis was done by transparent tape swab technique. It revealed that 1) worms were found in 38.82% of the students, 2) there was a correlation between prevalence of parasite infection and student sex and age and 3) family socio-economic background (income and occupation) had no relationship with the prevalence of the enterobiasis (p < 0.05).

The prevalence of enterobiasis in children attending mobile health clinic of Huachiew Chalermprakiet University.

A cross sectional survey of Enterobius vermicularis was carried out in 808 children in the Bangkok metropolis and nearby provinces. This was accomplished in a mobile health clinic from Huachiew Chalermprakiet University provided for communities in the areas during April 1999 to May 2000. Children 5-10 years of age were investigated for infestation of Enterobius vermicularis. Diagnosis was done by means of the transparent tape swab technique to recover eggs in the perianal region for examination under a light microscope. The average infection rate in children was 21.91%. The highest infection rate (38.59%) was found in Ang Thong Province, while the lowest one (11.66%) was found in Chonburi Province. The rate of infection seemed to relate to household environmental factors. The infection rate was significantly higher (p<0.05) in agricultural areas and areas farthest from urban Bangkok. Industrial and urban areas had the lower rates of infection. There was no significant difference (p>0.05) in the incidence of infection between males and females.