Number Of Cryptosporidium Oocysts Research Articles

Preliminary insights regarding water as a transmission vehicle for Cryptosporidium and Giardia in Tigray, Ethiopia

This study was part of a larger One Health project with the aim of investigating the epidemiology of Cryptosporidium and Giardia infections among humans and animals in rural areas of Tigray, Ethiopia. Here we report on the contamination of different drinking water sources in four locations of this region with these Cryptosporidium oocysts and Giardia cysts; 19 samples were from unprotected surface water sources and 18 from protected water sources. A modified version of the standard ISO 15553 technique was used for analysis, and Giardia cysts were detected in 6 of the samples (16%) and Cryptosporidium in two (5%), with one of these samples containing both parasites. The number of Giardia cysts in positive samples ranged from 3 to 22 cysts per 10 L sample, and the number of Cryptosporidium oocysts in positive samples ranged from 1 to 3 oocysts per 10 L sample. Low numbers of parasites and absence of nuclei, as indicated by the absence of DAPI staining, precluded further molecular analyses. We found no association with contamination and whether the water source was protected or not, but there was an association with location, with one location more likely to have a contaminated sample than the others. These preliminary data suggest that this location should be in focus for further parts of this study.

Epidemiological Characteristics of the First Water-Borne Outbreak of Cryptosporidiosis in Seoul, Korea

The first case of human cryptosporidiosis was reported in Korea in 1995; however, an outbreak of Cryptosporidium has not been reported in Korea until now. This paper describes the first outbreak of cryptosporidiosis in Korea. On May 24, 2012, a local public health center filed a report on 126 residents with gastrointestinal symptoms in an old apartment complex in Seoul. Epidemiological investigations were implemented on 125 of the 126 patients. The patients were reported continuously over a period of 22 days. Diarrhea was the most common clinical symptom, and lasted for 5 days on average. The tap water was the only common exposure of the patients. During the environmental investigation it was discovered that the water and septic tanks were situated closely and that the waste water pipes were corroded where they passed over the water pipes. Cryptosporidium parvum was detected in 3 of the 7 stool specimens by PCR-RFLP. A number of Cryptosporidium oocysts were also detected in the water specimens from the water tank. In conclusion, Cryptosporidium parvum was the key causal pathogen of this outbreak. It is presumed that the tap water was contaminated by a sewage leak from the aged pipelines.

Effectiveness of water treatment for the removal ofCryptosporidiumandGiardiaspp.

Cryptosporidium and Giardia are intestinal parasites of humans and of many other species of animals. Water constitutes an important route of transmission for human infections in both developed and developing countries. In Poland, contamination of water sources with oocysts/cysts is not routinely monitored and scientific research in this field is scarce. Our aim was to compare the contamination of surface and treated water and thus the success of water treatment processes. Water samples (n=94) of between 30 l (surface water) to over 1000 l for tap water, were taken in the period of 2008-2009 using specially constructed equipment with cartridge filtration (Filta-Max; IDEXX, USA). Immunofluorescent assay, and nested polymerase chain reaction were used for the detection of parasites. Cryptosporidium oocysts were found in 85% of surface water and in 59% of raw (intake) water samples. Oocysts were also detected in treated water (16%) but were absent in samples of swimming pool water. The highest mean number of Cryptosporidium oocysts [geometric mean (GM)=61/10 l] was found in samples of rinsing water. Giardia cysts were observed in 61% of surface water samples, in 6% of raw water and in 19% of treated water, with the highest number of cysts noted in rinsing water samples (GM=70 cysts/10 l). Our study highlights the frequent occurrence of parasites in surface waters in Poland and the effectiveness of water treatment for the removal of parasites from drinking water.

Prevalence of Cryptosporidium and Giardia in roe deer ( Capreolus capreolus) and wild boars ( Sus scrofa) in Galicia (NW, Spain)

Faecal samples from 224 roe deer ( Capreolus capreolus) and 381 wild boars ( Sus scrofa) shot during the 2008–2009 hunting season (August–January) in Galicia (NW Spain) were examined to determine the presence and intensity of infection by Cryptosporidium and Giardia. Analysis of a single sample from each of the roe deer revealed that the prevalence of cryptosporidiosis and giardiosis was 1.3% and 5.3% respectively. The prevalence of Giardia infection was significantly higher in juvenile female roe deer than in adult females, but no other significant differences were found in relation to age and sex. In wild boars, the prevalence of cryptosporidiosis and giardiosis was 7.6% and 1.3% respectively. The prevalence of Cryptosporidium infection was significantly higher in juvenile male wild boars than in adult males, but no other significant differences were found in relation to age or sex. In both groups of wild animals, the number of Cryptosporidium oocysts per gram of faeces (OPG) ranged from 5 to 200 and the number of Giardia cysts per gram of faeces (CPG) was between 5 and 47; there were no significant differences between the two groups with respect to number of infections. This is the first large study of Cryptosporidium and Giardia in roe deer and wild boars in hunting areas in Spain and the results demonstrate a low, but widespread prevalence of Cryptosporidium and Giardia in these animals.

Monitoring of Waterborne Pathogens in Surface Waters in Amsterdam, The Netherlands, and the Potential Health Risk Associated with Exposure to Cryptosporidium and Giardia in These Waters

The water in the canals and some recreational lakes in Amsterdam is microbiologically contaminated through the discharge of raw sewage from houseboats, sewage effluent, and dog and bird feces. Exposure to these waters may have negative health effects. During two successive 1-year study periods, the water quality in two canals (2003 to 2004) and five recreational lakes (2004 to 2005) in Amsterdam was tested with regard to the presence of fecal indicators and waterborne pathogens. According to Bathing Water Directive 2006/7/EC, based on Escherichia coli and intestinal enterococcus counts, water quality in the canals was poor but was classified as excellent in the recreational lakes. Campylobacter, Salmonella, Cryptosporidium, and Giardia were detected in the canals, as was rotavirus, norovirus, and enterovirus RNA. Low numbers of Cryptosporidium oocysts and Giardia cysts were detected in the recreational lakes, despite compliance with European bathing water legislation. The estimated risk of infection with Cryptosporidium and Giardia per exposure event ranged from 0.0002 to 0.007% and 0.04 to 0.2%, respectively, for occupational divers professionally exposed to canal water. The estimated risk of infection at exposure to incidental peak concentrations of Cryptosporidium and Giardia may be up to 0.01% and 1%, respectively, for people who accidentally swallow larger volumes of the canal water than the divers. Low levels of viable waterborne pathogens, such as Cryptosporidium and Giardia, pose a possible health risk from occupational, accidental, and recreational exposure to surface waters in Amsterdam.

High Levels of CXCL10 Are Produced by Intestinal Epithelial Cells in AIDS Patients with Active Cryptosporidiosis but Not after Reconstitution of Immunity

Chemokines play key roles in attracting immune cells to sites of infections. However, few data on chemokine expression in the gut during human infections are available. We examined expression of chemokines in intestinal tissues of AIDS patients during active Cryptosporidium infection and during resolution of such an infection. The chemokines and cytokines in cell lysates from jejunal biopsy tissues were assayed by a 22-multiplex bead immunoassay. CXCL10 (IP-10) and its receptor, CXCR3, in sections were studied by immunohistochemistry. In biopsies from AIDS patients with active cryptosporidiosis, four chemokines (CXCL10, CCL11 [eotaxin], CCL5 [RANTES], and CCL2 [monocyte chemoattractant protein 1]) and three cytokines (interleukin-1alpha [IL-1alpha], IL-10, and granulocyte colony-stimulating factor) were detected. The level of CXCL10 was significantly increased in AIDS patients with cryptosporidiosis compared to the level in AIDS patients without cryptosporidiosis or in normal volunteers (median in AIDS patients with cryptosporidiosis, 508 pg/mg protein, compared to 111 pg/mg and 72 pg/mg protein in AIDS patients without cryptosporidiosis and in normal volunteers, respectively [P < 0.05 and P < 0.005, respectively, as determined by a Mann-Whitney test]). The level of CXCL10 correlated with the parasite burden (as measured by the number of Cryptosporidium oocysts in the stools) and also with the IL-1alpha concentration (Pearson correlation values, 0.961 [P < 0.01] and 0.737 [P < 0.05]). As determined by immunohistochemistry, CXCL10 localized to epithelial cells at the site of infection. Following effective antiparasite and antiretroviral therapy, Cryptosporidium infections resolved, and the levels of CXCL10 decreased to normal levels. We hypothesized that CXCL10 plays an important role in the resolution of cryptosporidiosis by attracting immune effector cells to the site of infection. By contrast, in AIDS patients lacking effector cells, CXCL10 may contribute to the immunopathogenesis by recruiting inflammatory cells.

Occurrence of Cryptosporidium oocysts and Giardia cysts in the Nakdong River and their removal during water treatment

This study was conducted in preparation of a pending Cryptosporidium regulation in Korea. The study had two main objectives: 1) to examine the occurrence of Cryptosporidium oocysts in the Nakdong River; and 2) to evaluate their removal during water treatment. Occurrence of Giardia cysts was also examined. Average (arithmetic mean) numbers of Cryptosporidium oocysts and Giardia cysts at the treatment intake site were 2.61(-1) and 4.81(-1), respectively. Generally, the number of Giardia cysts was higher than that of Cryptosporidium oocysts at more sites, but the difference was minimal. Comparison of tributaries indicated that livestock wastes were more serious pollutants than sewage in terms of protozoa contamination. In general, fewer oocysts and cysts were detected during winter. No correlation was found for such water quality parameters as T-N, T-P, TOC, DO, pH and temperature with the numbers of oocysts and cysts except for suspended solids, which showed the highest correlation (R2 = 0.55). Removal of Cryptosporidium oocysts was evaluated using a Cryptosporidium tracer, which has similar characteristics to Cryptosporidium oocysts. The tracer removal depended on turbidity removal. Coagulation followed by sedimentation resulted in 1.2-1.5 log removal of the tracer under optimal conditions. Filtration resulted in 1.3-1.5 log removal of the tracer. These treatability experiments showed that traditional water treatment processes could achieve 2.5-3.0 log removal of the oocysts.

Detection and enumeration of Cryptosporidium sp. oocysts in sewage sludge samples from the city of Florianópolis (Brazil) by using immunomagnetic separation combined with indirect immunofluorescence assay.

In the last few decades, agricultural reclamation of sewage sludge has increased in many countries. However, this practice must be adopted under recommended conditions to limit the risks associated with the presence of potential pathogens, including protozoan parasites such as Cryptosporidium. In the present work, we evaluated immunomagnetic separation (IMS) combined with an indirect immunofluorescence assay (IFA) in order to detect Cryptosporidium oocysts in sewage sludge samples obtained from the Municipal Wastewater Treatment Plant (MWTP) operating in the city of Florianópolis, State of Santa Catarina, Brazil. Integrated application of spontaneous sludge sedimentation and centrifugation of the supernatant, purification and concentration of oocysts through immunomagnetic separation as well as detection and quantification by means of indirect immunofluorescence using highly specific monoclonal antibodies, proved to be an effective multiple-analysis tool for monitoring the presence of Cryptosporidium oocysts in urban sewage sludge samples. Among 27 samples collected from MWTP, 20 (74.07%) were positive for Cryptosporidium sp. The efficiency of recovery by using the internal control ColorSeed (Biotechnology Frontiers Inc., Sydney, NSW, Australia) was medially 39.96 +/- 11.20%. Actually, oocysts were recovered from 100% of the positive samples tested and the number of Cryptosporidium oocysts found in the samples ranged from one to four. These results demonstrated a high recovery rate of Cryptosporidium oocysts in sewage sludge samples by using IMS-IFA analysis. In conclusion, such an approach can be applied to monitor the presence of the parasite and to determine the potential contamination of sludge destined for soil application.

Understanding the fate of Cryptosporidium and Giardia in storage reservoirs: a legacy of Sydney's water contamination incident

High levels of Cryptosporidium oocysts and Giardia cysts (C&G) were detected in the raw and filtered water supply in Sydney, Australia, in July and August 1998. This paper describes the results of daily monitoring in the Sydney water supply catchments between December 1998 and May 1999, as one response to that incident. C&G were most abundant in the largest and most developed catchment. The levels of contamination in Sydney9s raw water supply were of similar magnitude to raw waters in the USA and Europe, but the frequency of contamination was much lower. Physical variables of increased stream flow and turbidity were associated with the presence of C&G. The abundance of Giardia cysts was highly correlated with the number of Cryptosporidium oocysts. Other microbial indicators of faecal contamination (faecal coliforms and C. perfringens ) were not useful indicators of either C or G. Both organisms occurred episodically in brief events, which spread rapidly through the water supply system, following stream rises in the catchment. Lake Burragorang was a poor barrier to the transfer of C&G into the bulk supply. C&G disappeared from Lake Burragorang within 4 weeks after each event. This loss rate was more rapid than predicted from settling theory. We observed settling rate of 5–10 m day −1 , and postulate that sedimentation was accelerated by agglomeration of oo/cysts with other suspended particles. A design for monitoring programmes and management action in lakes to prevent C&G entering the supply to water treatment plants is suggested.