Transmission of Enterobius vermicularis eggs through hands of school children in rural South Africa.

Enterobius vermicularis is a helminth that is difficult to control, is found globally, especially in crowded conditions, and can be transmitted from person to person by contaminated hands. A newly developed method for the quantification of helminth eggs on hands was tested among schoolchildren in a rural South African region to look at the role hands play in helminth infection, and to determine the risk factors for hand contamination. The study found 16.6% of participants' hands positive for helminth eggs, with E. vermicularis most commonly identified. Egg concentrations on hands ranged from 0 to 57 eggs/2 hands. Gender, toilet type used at home, and not reporting to wash hands with soap before eating were all associated with the presence of eggs on hands. The study highlights the need to improve sanitation facilities, and promote handwashing with soap in schools to prevent transmission of E. vermicularis.

[Monitoring of Enterobius vermicularis infection among children from 2006 to 2010 and SWOT analysis].

OBJECTIVE: To understand the infection status and variation tendeNcy of Enterobius vermicularis infection among children at national monitoring spots of soil-transmitted nematodosis from 2006 to 2010, and master the epidemic regularity, so as to provide the evidence for making control strategy and evaluating the control effect. METHODS: A total of 22 national monitoring spots of soil-transmitted nematodosis were established according to the National Surveillance Program of Soil-Transmitted Nematodiasis (Trial), and the children aged 3-12 years were examined through adhesive cellophane anal swabs, thenthe infection rates of children with different ages, genders, nationalities and education levels were analyzed. In addition, the advantage, disadvantage, opportunity and threat of the monitoring work were analyzed by SWOT analysis. Results: A total of 17 068 children were examined in 22 monitoring spots from 2006 to 2010, and 1 363 of them were found being infected with E. vermnicularis, the average infection-rate was 7.99%, and the infection rates of male and female children were 7.39% and 8.70%, respectivel; the average infection rates in each year were 10.01%, 9.68%, 7.41%, 6.96% and 6.57%, respectively. From 2006 to 2009, the infection rates of E. vermicularis in children in Fujian Province was the highest, which were 56.15%, 53.42%, 37.82% and 49.53%, respectively, but in 2010, the infection rate in Guangdong Province (46.06%) was the highest. The fur- ther analysis demonstrated that the female children, 3-6 age group, Li nationality and children at kindergarten stage had relatively high infection rates. The SWOT analysis showed that the advantage of E. vermicularis monitoring in China was its wide coverage and continuity, and the disadvantage was the relatively small investment from the government, the opportunity was that the national monitoring Spot could drive the monitoring work at the provincial, county and other levels, and the threat was that the work was paid less and less attention to in recent years. CONCLUSION: Though the infection rate of E. vermicularis in children at national monitoring spots of soil-transmitted nematodosis has been decreased year by year, high-endemic areas still exist, and thus the work on enterobiasis control and prevention still needs to be strengthened.

[Parasitological monitoring as part of epidemiological surveillance of helminthiasis in the Russian Federation].

The paper presents data on the prevalence of helminthiasis in Russia on the basis of the State Reports on the sanitary and epidemiological situation in the Russian Federation. It comparatively characterizes morbidity rates in 2010-2012. Morbidity analysis has revealed the main reasons for the prevalence of parasitic diseases and the possible ways of their elimination.

Detection of pinworm eggs in the dust of laboratory animals breeding facility, in the cages and on the hands of the technicians.

Pinworms (Nematoda: Oxyurida) are common contaminants in most laboratory rodent colonies. The aim of the study was to monitor the transmission of Syphacia muris eggs in laboratory rat breeding facilities. Dust in a breeding room was investigated using special grids (free fallout, or through the help suction chamber). Furthermore, the ventilation system, breeding cages and the hands of the laboratory technical staff were examined. In the case of free fallout, the percentage of positive grids increased slightly over time: from 5.5% (after 24 h) to 8.2% (72 h). Similar values were also found when using the suction chamber (7.6%). Many more pinworm eggs were found in samples collected every second month from suction holes of the ventilation system (28.7%). One-half of the samples taken from the breeding cages (before washing) exhibited pinworm eggs (50.8%). Examination of the hands of technical staff showed positive detection in 37.9% of cases. In this study, certain transmission factors (dust, unclean cages and technicians) were proved to be significant in the distribution of pinworm infection in laboratory rodent facilities.

Age-associated variability in susceptibility of Swiss Webster mice to MPV and other excluded murine pathogens.

Detection of mouse parvovirus (MPV) and other murine pathogens in research colonies is dependent on the transmissibility of the agents and the sensitivity of sentinels to those agents. Transmissibility is based on several agent-dependent properties including mode of transmission, infectivity, and environmental stability, whereas host susceptibility can vary according to mouse age, strain, and sex. In this study, 4-wk-old, 12-wk-old, and aged Swiss Webster female sentinel mice were compared for their ability to detect infectious agents by using a standardized health surveillance program, to determine whether sentinels should be replaced more frequently to improve the efficiency of detection of infectious agents within a murine colony. Both experimentally and naturally infected mice were used to transmit MPV and other infectious agents from index mice to sentinels. First, Swiss Webster mice were inoculated with MPV, and transmission to 4-, 12-, and 24-wk-old contact and soiled-bedding sentinels was determined. Second, mice naturally infected with 9 infectious agents were obtained from 2 local pet stores, and transmission to 4-wk-old contact sentinels and 4-, 12-, and 44-wk-old soiled-bedding sentinels was determined. For agents that were transmitted via soiled bedding (MPV, mouse hepatitis virus, murine norovirus, Theiler murine encephalomyelitis virus, and pinworms), transmission did not differ in regard to the age of the sentinels. In conclusion, susceptibility to several infectious agents did not differ according to sentinel age in a health-surveillance protocol that used mice older than 12 wk.

Parents' knowledge about enterobiasis might be one of the most important risk factors for enterobiasis in children.

To know the prevalence of Enterobius vermicularis infection and what are the most important risk factors, we evaluated the incidence and risk factors of enterobiasis among children attended in kindergartens in Busan metropolitan city, Republic of Korea. A total of 1,674 children from 21 kindergartens in 11 of 16 autonomous districts of Busan were evaluated for E. vermicularis infection by the cellotape anal swab technique. The overall egg-positive rate for E. vermicularis was 10.7% (179/1,674), and the prevalence of enterobiasis in each kindergarten ranged between 0% and 32.4%. There was an increasing tendency of the egg positive rate according to the population density; the higher the population density communities had, the higher egg-positive rate for E. vermicularis was detected (P = 0.001). Among personal hygiene factors involving children, thumb-sucking (P = 0.036) and fingernail-trimming (P = 0.024) were highly associated with enterobiasis. In addition, taking anthelmintic medications against E. vermicularis infection was strongly associated with enterobiasis (P = 0.014). Moreover, parents' knowledge of enterobiasis was correlated significantly with the incidence of enterobiasis of their children (P = 0.006). In conclusion, we need to consider not only personal hygiene but also parents' knowledge about enterobiasis as a factor in order to develop new strategies for elimination or to complete reduction of enterobiasis in Korea.

Echinococcosis granulosus in stray dogs and Echino-IHAT in the hunters in Cairo, Egypt.

A total of fifty stray dogs of both sex and of different ages were examined for natural infection with Echinococcus granulosus after post-mortem. Three main intestinal helminthes were recovered. These were in descending order of abundance Dipylidium caninum, Toxocara canis and E. granulosus. The latter worm was demonstrated in eight of them (16%). The sera of three out of 21 dog-hunters (14.3%) showed positive Echino-IHAT. Two of the hunters suffered Enterobius vermicularis and one of them had Taenia saginata as well. But, the abdominal X-ray of the two hunters was more or less normal and did not show any hydatid cyst.

[Enterobius vermicularis in preschool children from a suburban area in San Félix, Bolívar State, Venezuela]. / Enterobius vermicularis en pre-escolares de un área suburbana en san Félix, estado Bolívar, Venezuela.

To determine the enterobiosis prevalence in preschool children, a study was carried out from may-july 2003, in the SEU "Teresa de la Parra" in San Félix, Bolívar State, Venezuela. Three samples from the perianal region were obtained from every child, by applying the Graham method, and one sample was obtained of the subungucal deposit by scraping and cutting off their finger nails. These samples were preserved in 10% formol and processed by the formol-ether method. Also, a stool sample was collected and analyzed by direct examination and the formol-ether method. The prevalence of Enterobius vermicularis was 45.8% (27/59). No differences in relation to age (chi2 = 1.23 d. f. = 2) and sex (p > 0.05) were observed between the infected children. The eggs E. vermicularis were not observed in the 59 samples of subungueal deposits. In conclusion, although the enterobiosis prevalence was high, as determined by the Graham method, a relationship could not be found between E. vermicularis in the scotch tape and the finger nail samples of the children evaluated.

Assessment of frequency, transmission, and genitourinary complications of enterobiasis (pinworms).

BACKGROUND: Pinworms are the most common helminth infection in the USA and Western Europe, with prevalence rates in some communities of as high as 30-50%. Pinworms generally live in the gastrointestinal tract, and helminth infestations have been noted in over one-quarter of acute appendectomies on histologic examination. RESULTS & CONCLUSIONS: Although transmission is often attributed to the ingestion of infective eggs by nail biting and inadequate hand washing, inhalation and ingestion of airborne eggs also occur. The female Enterobius vermicularis migrates nightly to the perianal area to deposit her eggs, but some worms find their way into adjacent orifices, most commonly the female genitourinary tract, producing an array of symptoms. More consideration of this entity is justified in patients presenting with genitourinary complaints not responding to normal therapies. In the treatment of pinworms affecting genitourinary organs, treatment with possibly two oral agents, namely mebendazole and ivermectin, and a topical therapy for the eggs may be warranted.

Chemotherapy of enterobiasis (oxyuriasis).

Enterobius vermicularis (syn. Oxyurus vermicularis), also known as pinworm or seatworm, is the causative agent of human enterobiasis (oxyuriasis). The disease is more prevalent in temperate regions and is facilitated by factors such as overcrowding in schools and family groupings, as well as inadequate personal and community hygiene. Although the infection is more likely to occur in lower socioeconomic groups, enterobiasis has been reported to affect virtually every level of the general population and especially children. In the great majority of cases, enterobiasis is asymptomatic. One common symptom is intense pruritus ani that in some patients can lead to insomnia, restlessness and irritability. Scratching may cause skin irritation, and in more serious cases, eczematous dermatitis, haemorrhage or secondary bacterial infections. Ectopic migration of E. vermicularis often results in pinworm infestation of the female genital tract often causing granulomas of the uterus, ovary and the fallopian tubes and pelvic peritoneum. Anthelmintic therapies for enterobiasis are successful and include mebendazole, albendazole and pyrantel pamoate. Mass medication of affected groups reduced symptoms rapidly, progressively and in a cost-effective way.

[Intestinal parasitosis and environmental pollution: 1343 pediatric cases in Beni-Mellal, Morocco]. / Parasitoses intestinales et pollution de l'environnement: cas de 1343 enfants à Beni-Mellal--Maroc.

This study was undertaken to determine the possible health risk associated with raw wastewater use in agricultural purposes, particularly, the transmission of parasite infections among children of five regions in Beni-Mellal, Morocco. In a randomly-selected sample of 1343 children, 740 of them were from five regions using raw wastewater for agriculture, and 603 were from 4 control regions that do not practice wastewater irrigation. One or more parasite infections were identified in 50.8% of the children living in the wastewater re-use regions and in 8.2% only of the others. The seven parasites identified were Entamoeba histolytica, Giardia intestinalis, Ascaris lumbricoides, Trichuris trichiura, Enterobius vermicularis, Hymenolepis nana, Taenia saginata, which infected 34.3%, 5.1%, 20.5%, 0.4%, 5.2%, 7.2%, 0.5% in the exposed population and 4.3%, 0.3%, 3.8%, 0.3%, 1.0%, 0.6% and 0.0% in the control population respectively. In conclusion, raw wastewater use in Beni-Mellal lead to a high risk of parasite infections. Adequate treatment of wastewater is highly recommended.

Human enterobiasis in evolution: origin, specificity and transmission.

The co-evolutionary pathway seems to be the most plausible hypothesis for the explanation of the origin of human pinworms. Of the two modes of transmission of oxyurids among humans which have been documented, the direct oral/anal route is also observed in other Primates and seems to have been favoured by selection. As indirect air-borne transmission has also been shown for human enterobiasis, the question of "How this alternative to the standard transmission method could have arisen" is examined. The results of comparative studies of prevalence of Enterobius in human coprolites, in villages of Neolithic age of the arid west of North America, show that a higher prevalence of pinworms is correlated with the lower total amount of air-exchange in caves relative to other structures. The air-borne route of transmission of pinworms among humans is interpreted as an innovation in the human/Enterobius pair. This mode of transfer could have been favoured during the time when humans changed their behaviour from a hunting-gathering to a more sedentary existence, initially associated with cave habitats.

[Enterobiosis in kindergarden and school children from selected institutions from Olsztyn and surroundings]. / Owsica u dzieci przedszkolnych i szkolnych z wybranych placówek Olsztyna i jego okolicy.

The studies were conducted during the school year of 1996/1997 among the children at the age of 5, 6 and 7 years old from Olsztyn and nearby municipality of Purda. In total, 151 children were examined by Graham's method. The presence of eggs of the parasite was confirmed in 13.3% of the total examined population. The infestation was lower in Olsztyn (12.0%) and the lowest in Purda (9.4%) but in the former state-owned Farm village Prajlowo it reached 27.8%. In general, the pinworms were found more frequently in 7 year old children (23.33%) than in case of the others (8.69% and 7.14% for 5 and 6 year old children respectively). In the study, younger boys were more frequently infested than the girls.

[Comparative study of the incidence and dissemination of intestinal parasites in child day care centers of the district capital Schwerin]. / Eine vergleichende Untersuchung über Vorkommen und Verbreitung von Intestinalparasiten in Kindertagesstätten der Landeshauptstadt Schwerin.

Faecal specimens from 1166 children and also from 143 educators in day-nurseries of Schwerin-City were analysed for intestinal parasites. Analsmeers from 1147 children and 137 educators were proved for the evidence of Enterobius vermicularis. The results are compared with those of an earlier paper covering the same subject. Résumé: The intestinal parasites found are disseminated mostly faecal-oral. These dirt- and smear infections are an indicator on hygienical short-comings in the facility concerned. There is a correlation between existing outside circumstances in the facility, infection rate of the children and subsequent exposure towards the educators. However, since reunification the quality of day-nurseries has clearly improved, the extent of investigated intestinal parasites has dropped significantly. No more can be spoken of a dangerous situation for the educators to become infected.

Enterobius vermicularis and finger sucking in young Swedish children.

OBJECTIVE: To study the prevalence of Enterobius vermicularis and its association with finger sucking in young Swedish children. DESIGN: Cross-sectional survey with a questionnaire for symptoms of infestation with Enterobius vermicularis, and the children's habit of finger sucking (including fingernail biting). Perianal tape-test for identification of eggs of Enterobius vermicularis. SETTING: Primary care, day-care centres, and schools in a Swedish middle-sized town (approx. 80,000 inhabitants). PARTICIPANTS: 172 children of both sexes, 4-10 years old. MAIN OUTCOME MEASURES: The prevalence of Enterobius vermicularis and its association with finger sucking. RESULTS: 21% of the children were symptom-free carriers of Enterobius vermicularis, and finger sucking was strongly associated with a positive tape-test (p = 0.01). CONCLUSION: More children than previously known seemed to be symptom-free carriers of Enterobius vermicularis. Finger sucking should be considered when treating infested children and especially those with relapsing symptoms.