Development and application of anthelminthic drugs in China.

China was once a country plagued by parasitic diseases. At the beginning of the founding of the People's Republic of China, nearly 80% of the population suffered from parasitic diseases because of poverty and poor sanitary conditions. After nearly 70 years of development, China has made remarkable achievements in the prevention and control of parasitic diseases, and the prevalence of parasitic diseases has been greatly reduced. In addition to organizational leadership from the government and various preventive measures, drug treatment and drug research & development are important and irreplaceable links in prevention and control work. Since the 1950s, China has begun to introduce, produce and imitate antiparasitic drugs from abroad, such as santonin, benzimidazole, and praziquantel. Chinese scientists have also contributed to the optimization of production techniques, improvements in drug formulation, the application in the clinic and the mechanisms of actions of generic drugs. At the same time, China has independently developed tribendimidine (TrBD, a broad spectrum anthelminthic), and its anthelminthic spectrum has been comprehensively studied. It is active against almost 20 parasites, is especially superior to benzimidazoles against Necator americanus, and surpasses the effectiveness of praziquantel against Clonorchis sinensis. In the treatment of tapeworm disease, the traditional Chinese medicines pumpkin seeds and betel nuts have good curative effects for taeniasis. Chinese scientists have explored the action modes and clinical administration methods of pumpkin seeds and betel nuts, which is still the main clinical regimen for the disease. This paper reviews the history and progress of the study of anthelmintics in intestinal helminth infections since the founding of the People's Republic of China and aiming to support clinicians and drug researchers in China and other countries.

Historical Details about the Meat Consumption and Taeniases in Joseon Period of Korea.

Previous paleoparasitological studies of Joseon specimens established that the prevalence of Taenia infection was not much different from that of the early 20th century Korean population. As many of taeniases originally diagnosed as Taenia saginata in South Korea were revealed to be actually Taenia asiatica, which share a common intermediate host with T. solium (the pig), Joseon people must have ingested raw pork frequently. However, the current examination of extant Joseon documents revealed that the population ate significant amounts of beef even if the beef ban was enforced; and pork was not consumed as much as we thought. Considering the meat consumption pattern at that time, Joseon people should have been infected by T. saginata more frequently than T. asiatica. This may suggest a low prevalence of T. saginata metacestodes in cattle compared to that of T. asiatica metacestodes in pigs, possibly due to the traditional way of rearing pigs (using human feces). This letter gives us a chance to reconsider the existing preconception about parasitic infections in Korean history though we are still hard to accurately estimate the historical patterns of taeniases at this stage.

Historical overview of Taenia asiatica in Taiwan.

An overview of the epidemiological, biological, and clinical studies of Taenia and taeniasis in Taiwan for the past century is presented. The phenomenal observations that led to the discovery of Taenia asiatica as a new species, which differ from Taenia solium and Taenia saginata, are described. Parasitological surveys of the aborigines in Taiwan revealed a high prevalence of taeniasis, which might be due to the culture of eating raw liver of hunted wild boars. Chemotherapeutic deworming trials involving many patients with taeniasis were discussed. Praziquantel was found to be very effective, but sometimes complete worms could not be recovered from the feces after treatment, probably due to the dissolution of the proglottids. Atabrine, despite some side effects, can still be used, in properly controlled dosages, as the drug of choice for human T. asiatica infection if we need to recover the expelled worms for morphological examinations. Research results on the infection of T. asiatica eggs from Taiwan aborigines in experimental animals were also noted. Since the pig serve as the natural intermediate host of T. asiatica and the predilection site is the liver, a differential comparison of other parasitic pathogens that might cause apparently similar lesions is also presented.

Human taeniasis in the Republic of Korea: hidden or gone?

History and current status of human taeniasis in the Republic of Korea, due to Taenia solium, Taenia asiatica, and Taenia saginata, are briefly reviewed. Until the 1980s, human taeniasis had been quite common in various localities of Korea. A study from 1924 reported 12.0% egg prevalence in fecal examinations. Thereafter, the prevalence of Taenia spp. ranged from 3% to 14% depending on the time and locality. Jeju-do, where pigs were reared in a conventional way, was the highest endemic area of taeniasis. An analysis of internal transcribed spacer 2 and mitochondrial cytochrome c oxidase 1 genes of 68 taeniasis cases reported from 1935 to 2005 in Korea by a research group revealed the relative occurrence of the 3 Taenia spp. as follows: T. solium (4.4%), T. asiatica (75.0%), and T. saginata (20.6%). However, national surveys on intestinal helminths conducted every 5 years on randomly selected people revealed that the Taenia egg prevalence dropped from 1.9% in 1971 to 0.02% in 1997 and finally to 0.0% in 2004. With the exception of 3 egg-positive cases reported in 2008 and 2 worm-proven cases in 2011, no more cases have been officially recorded. Based on these surveys and also on other literature, it can be concluded that taeniasis has virtually disappeared from Korea, although a few sporadic cases may remain hidden. Human cysticercosis is also expected to disappear within a couple of decades in Korea.

Identification of Taenia sp. in a natural human mummy (third century BC) from the Chehrabad salt mine in Iran.

Tapeworm eggs from the genus Taenia sp. were identified during the study of mummy remains dated to 2,286 ± 28 BP from the Chehrabad salt mine in northwestern Iran. The presence of tapeworm in this salt mine provides paleopathological information. Moreover, it brings new information on ancient diet, indicating the consumption of raw or undercooked meat. Cultural aspects as well as archaeozoological data are discussed in order to try to detail meat consumption. Paleoparasitological data are rare in the Middle East, and this case study presents the first recovery of parasites in ancient Iran. It constitutes the earliest evidence of ancient intestinal parasites in this country and contributes to the knowledge of gastrointestinal pathogens in the Near East.

First World War German soldier intestinal worms: an original study of a trench latrine in France.

For the first time in the study of ancient parasites, analyses were carried out on samples taken from a First World War settlement in France (Geispolsheim, region of Alsace). Microscopic examination of sediment samples revealed the presence of 3 common human parasites, i.e., Trichuris trichiura , Ascaris lumbricoides , and Taenia sp. A review of paleoparasitological studies in Europe shows that these 3 parasites have infected humanity for centuries. Despite this recurrence, literature shows that knowledge regarding many helminths was limited, and their life cycles were only relatively recently elucidated. Finally, the present study provides additional information about the health of the German soldiers and the sanitary conditions in the trenches during the first modern world conflict.

Identification of Taenia sp. in a mummy from a Christian Necropolis in El-Deir, Oasis of Kharga, ancient Egypt.

For the first time, a palaeoparasitological study was performed on 12 mummies from a Christian cemetery excavated in El-Deir, Oasis of Kharga, Egypt. The analysis revealed the presence of a tapeworm, probably Taenia sp., in a single individual. The presence of just the presumed taeniid egg is surprising and raises the question of the relationship between residents of Egyptian oases and those residing in the Nile Valley. The result suggests information on the health status of the ancient oasis population and re-enforces a hypothesis regarding possible social stratification of the inhabitants. The work must be continued if we are to acquire additional knowledge dealing with life in ancient Egyptian oases.

JMM, past and present. Cysticerci cellulosae of the brain. 1864.

While striving to serve the needs of the international biomedical community of today, we would also like to remember JMM's long past as a venue for medical research. JMM is the successor to the Berlin Clinical Weekly (Berliner Klinische Wochenschrift), established in 1864. Below are excerpts from the Berlin Clinical Weekly's May issue from a hundred and thirty-five years ago, giving hints about the challenges and solutions being addressed by medical research of the time. Following the excerpt is a commentary by Martin Zeitz and Thomas Schneider, experts in gastroenterology at the University Clinic Benjamin Franklin in Berlin, Germany.

Epilepsia Verminosa.

Epilepsy is a major public health threat in the developing world, with much higher prevalence and incidence rates than those observed in developed countries. At present, one of the most common causes for epilepsy worldwide is the parasitic worm, Taenia solium, and the associated neurocysticercosis (NCC) that may often result from this infestation. Worm infestation was already recognized as a cause of epilepsy by the middle of the 18th century. Helminths and their effects on health were a daily medical concern in the 18th and 19th centuries--with prevailing views ranging from the beneficial effects of the presence of adult worms in the gut, to considering them as culprits for a wide variety of diseases. A number of cases followed longitudinally by various nineteenth-century French physicians showed that there was good reason to believe that the verminous influence on seizures was real, as the expulsion of the T. solium often coincided with a notable amelioration of symptoms. Several theories were proposed to account for how the worms could lead to Epilepsia nervosa, including notions of competition for nutritional resources between the host and the parasite, and irritation of the medulla and of peripheral nerve endings predisposing to epileptiform episodes. Recently, after almost a century of quiet, interest in the neurological effects of helminths has been rekindled, due in part to the growing number of cases in the United States with NCC-related neurological disorders. In this article, we review the history of our understanding of the relationship between seizure disorders and parasitic worms, and we relate this history to contemporary epidemiologic and public health issues in developing countries.

Polish and American collaboration on zoonotic parasitic studies, 1960 to 1997.

The Marshall Plan of 1947 kindled interest in research in Europe. The U.S. Public Health Service encouraged the use of blocked national currencies to research disease problems. The parasitic diseases were epidemic/epizootic problems in Poland. The initial project was trichinellosis. The 10-year study emphasized the natural history, epidemiology, diagnosis, and therapy of trichinellosis in Poland. The wildlife source of trichinellosis was widespread. Clinical studies discounted the effectiveness of mebendazole but found steroids useful. Taenia saginata is common in Eastern Europe. T. saginata cystericosis in cattle is not easily diagnosed. Physical examination by meat inspectors missed 50% of the infected carcasses. Taenia solium is uncommon. Giardiasis is declining in Poland. The epidemiology of giardiasis in Poland is different from that in the United States, where water-borne infections are common. A study of toxoplasmosis revealed a low prevalence in women but a high prevalence in cats. No cases were identified in 4,311 newborns.

Archaeoparasitology at a 17th century colonial site in Newfoundland.

Excavations at the 17th century site of Ferryland during the past 2 summers have revealed thousands of artifacts and the remains of several structures. Of particular interest here was the discovery of the remains of a privy and associated stable. Examination of privy contents revealed the presence of eggs of 4 parasites: Ascaris, Trichuris, Taenia, and Dicrocoelium. Their identification represents the first reported discovery of parasite remains in an archeological context in Canada. Due to possible contamination by domestic animal feces, it was not possible to determine with certainty if the eggs are of human origin.

Studies on helminthosis at the Centre for Tropical Veterinary Medicine (CTVM).

The research work relating to helminths, which has been conducted within the Helminthology Section of the CTVM, often in collaboration with colleagues from the tropics is reviewed and placed into a historical perspective. The research has, in the main, concentrated on the trematodes Fasciola hepatica and Fasciola gigantica and the cestodes Taenia saginata and Taenia solium, but work on other parasites including gastro-intestinal nematodes is also considered. All of these parasites are of obvious veterinary/economic importance particularly in the tropics and subtropics. While the zoonotic importance of T. saginata and T. solium has been recognised for many years, it is only more recently that the zoonotic impact of Fasciola spp. has been generally acknowledged.

Guerra nas entranhas

Apresenta orientação de como pais e professores podem conduzir uma conversa com a criança sobre as principais informações relativas aos temas abordados no livro: teníase (solitária), oxiuríase e ancilostomose (amarelão)

Guerra nas entranhas / War in the bowels

Apresenta orientação de como pais e professores podem conduzir uma conversa com a criança sobre as principais informações relativas aos temas abordados no livro: teníase (solitária), oxiuríase e ancilostomose (amarelão)...