Parasitosis In Children Research Articles

Prevalence of enteroparasitoses in children enrolled in a municipal day care center of São José dos Campos in the neighborhood of Buquirinha

Parasitic diseases represent a major public health problem, affecting people of all ages, but do not arouse medical investigative interest. Children are the most affected due to poor hygiene and poor health education. This work aims to analyze the prevalence of parasitosis in children, correlating it with socioeconomic data. Cross-sectional study, carried out in a rural daycare center in the municipality of São José dos Campos, located in the Paraíba Valley, covering children enrolled from 1 to 6 years old regardless of sex. Totaling 57 children; 5% positive for Giardia duodenalis. It is concluded that although the neighborhood has rural characteristics, the number of positive tests can be masked due to the routine prescription and self-medication of antiparasitic drugs.

Intestinal Parasitosis in Children among Internally Displaced Persons in the Hauts-Bassins Region of Burkina Faso

Intestinal Parasitosis in Children among Internally Displaced Persons in the Hauts-Bassins Region of Burkina Faso

Prevalence of parasitosis and its influence on the intestinal microbiota of school children from rural communities in the province of Chimborazo, Ecuador

Introduction: Parasitosis is an infectious disease that puts the life of patients at risk, with higher prevalence in vulnerable groups, such as the infant population. Objective: For this reason, the present research aims to indicate the influence of parasites in the intestinal microbiota of Ecuadorian infants. Methods: The sample population consisted of 264 boys and girls, aged 5 to 10 years, belonging to rural communities of Chimborazo, Ecuador. Stool samples were collected for analysis by the coproparasitic examination technique, and for confirmation of results, 8% of the total samples were analyzed by the Willis flotation concentration method. For the determination of microbiota, massively parallel NGS sequencing was performed, and statistical analysis was performed by chi-square to determine risk factors.Results: The prevalence of parasitosis in children was 44.32%, the most prevalent species being: Entamoeba coli (58.86%), Entamoeba histolytica (17.72%), and Giardia lamblia (10.13%). The presence of Trichuris trichiura eggs was identified by the Willis flotation method. The risk factors for intestinal parasitosis in the study population were: contact with pets, decay in the sanitary service infrastructure, lack of hygienic habits and garbage collection. The most prevalent bacterial population of the intestinal microbiota are: Prevotellaceae (55%), Proteobacteria (47%), Firmicutes (27%), and Treponema (17%). Conclusion: There is a significant relationship between predisposing factors and intestinal parasitosis, and it directly affects intestinal symbiosis.

Prevalence and risk factors related to intestinal parasitosis in children under 18 years of age in four populations of Colombia: a cross-sectional study

Objective: To identify the profile of intestinal parasitosis in children of four populations in the municipalities of Quibdó, Apartadó, Guachené, and Granada, Colombia, in 2012.
 Material and methods: A cross-sectional study was conducted using a secondary source of information, in which sociodemographic factors associated with the presence of parasites were analyzed in a univariate and bivariate manner.
 Results: A total of 240 individuals were analyzed. Two thirds of them were parasitized. The most frequent species were Entamoeba histolytica/dispar (22.9%), Endolimax nana (19.2%), Blastocystis hominins (19.2%), and Giardia intestinalis (20.8%). An association between inadequate excreta disposal (latrine or septic tank) and the presence of parasitic colonization was found with a prevalence ratio (PR) of 1.34 [1.14, 1.59] (p=0.005). Similarly, housing construction with wood or baharequewas 1.31 times more frequent in subjects with parasitic forms in their stool samples than those with brick houses.Discussion: A higher frequency of intestinal parasites was found for the different age groups compared to several reports worldwide and in Latin America. The most frequent species of parasites were similar to those reported in the literature.Conclusions: Isolated populations in Colombia, such as those studied, have a higher frequency of intestinal parasites than other populations.

Cutan leishmaniasis gyermekkorban

Clinical symptoms and dermoscopic features of an early cutaneous leishmaniosis diagnosed in a 5-year-old girl are presented. The symptoms started 5-6 months ago, following an earlier short visit to the Middle-East. The report also summarizes the diagnosis, dermatoscopic features and the treatment of this cutaneous parasitosis in children.

Intestinal parasitosis in children from a rural Caribbean area in Colombia

In Colombia, the prevalence of intestinal parasitosis varies throughout its regions, social classes, and living conditions. We performed a cohort study (2017–2018) on children from 1–10 years old in El Cedro, Ayapel, Colombia. We tested a convenience sampling of those who accepted and signed the consent form. The National Intestinal Parasite Survey was applied; feces and water source sampling were tested for coprological and microbiology analysis, respectively. Education and pharmacologic treatment to the minor and co-inhabitants were performed. After the recruiting, we followed up at 7 and 12 months. Statistical analysis was performed using IBM® SPSS22. Participants 47, 61,7% male, average age 5,7 years. The caretakers had a low educational background. The monthly income of 72,3% of households was < USD 87. The coprological test showed 61,7% with at least one type of parasite; 32,2% with two or more. Trichuris trichiura was the most frequent. Water sources were positive for Escherichia coli. The population tested showed a high frequency of parasitic infection. We did not find a reduction of intestinal parasitosis with education and pharmacologic treatment at the end of the follow-up. It must be necessary to impact social determinants of public health to achieve intestinal parasitosis control.

Prevalence of intestinal parasites in children from public preschool in the Triple Border Brazil, Argentina, and Paraguay

Introduction: The prevalence of parasitosis in children from Brazilian border cities is unknown. Objective: To identify the prevalence of intestinal parasites in children from public pre-school on the Brazilian border and their socioeconomic and health profile. Methods: Fecal samples were obtained from 178 children from public early childhood educational center (CMEI) in Brazilian border municipalities in Foz do Iguaçu, Brazil. Samples were processed by Hoffman sedimentation and zinc sulfate centrifugation and flotation methods. A questionnaire was administered to children´s parents or guardians regarding parasitic diseases, socioeconomic status, and sanitary habits. Results: The prevalence of intestinal parasites was 26.9% (n=48). A high prevalence of Giardia duodenalis was found (16.3%), followed by Endolimax nana (8.4%), Enterobius vermiculares (1.7%), Ascaris lumbricoides, and Entamoeba coli (0.5%). Forty-seven children (26.4%) presented monoparasitism. The percentage of parasitosis was significantly higher among male children (33.7% - p<0.036) who exhibited weight loss (50.0%), were from low-income families (35.4%- p=0.05), and had mothers with a low education (54.0%-p=0.0001). The highest percentage of Giardia was in children who exhibited weight loss (42.9% - p<0.05) and had mothers with low education (35.0%- p=0.0001). Multivariate analysis indicated that in the variable gender (male gender), weight loss and low maternal education contributed to the variability of parasitosis in children from the surveyed MCEC. Conclusion: The higher prevalence of Giardia was due to child and family variables. The detection of Enterobius vermiculares and Ascaris lumbricoides, despite the low frequency, indicates the need for better basic sanitation policies. Keywords: child; parasites; prevalence; border areas; giardiasis.

Intestinal parasites in child and youth populations of Argentina: Environmental factors determining geographic distribution

The transmission of intestinal parasites is generally considered to be “mediated by the environment” which suggests that they are particularly sensitive to the changes that occur in it. The aim of the present study was to evaluate the environmental variables that act as risk factors for intestinal parasitosis in children and youths in Argentina. The association between environmental variables related to temperature, precipitation and soil and parasitosis found in children and youths from different provinces was evaluated, including land use/cover classes obtained from satellite images. Of the total population analyzed, 66.9% of the participants were parasitized. The total number of identified parasite species was 17 and the most prevalent were Blastocystis sp. (42.2%), Enterobius vermicularis (33.6%) and Giardia lamblia (17.0%). Infection by protozoa, and by G. lamblia in particular, was greater when the mean summer temperature was higher (OR=1.2 for both). Blastocystis sp. and geohelminths were greater due to an increase in isothermality (OR=1.1 and 1.2, respectively). The risk of infection with Ascaris lumbricoides was associated with an increase in the temperature in the wettest quarter (OR=1.2). Hookworm infection was associated with an increase in the normalized difference vegetation index (OR=32.5). Most of participants infected with hookworms lived in areas with abundant arboreal-shrubby and agropastoral use vegetation. The heterogeneous distribution of enteric parasites is indicative of the wide environmental variability of Argentina.

Prevalence of Intestinal Parasitosis in Children of a Primary School in Pedro Juan Caballero - PY

Introduction: Parasitosis is a type of endoparasitism, which is directly related to sanitary conditions and is an important public health problem in developing countries. Objective: To determine the prevalence of intestinal parasites in children attending a primary public school in Pedro Juan Caballero - PY. Materials and Methods: 85 (eighty-five) stool samples were analyzed using the centrifugal sedimentation technique. Results: Cysts and/or parasite eggs were observed in the stool samples of 67 (78.8%) children. Giardia lamblia cysts were those that showed the highest incidence in the children. Conclusion: The high Giardia lamblia index demonstrates the lack of access to drinking water for consumption, inadequate sanitation and the absence of a public health network. This study highlights the importance of encouraging the use of serial analysis of stool, strengthening preventive measures for parasitosis, developing protocols for their approach, and designing a strategy that includes the preschool population in the programs that periodically evaluate the development of children.

FREQUENCY OF ENTEROPARASITOSES IN PRESCHOOL CHILDREN ATTENDING DAYCARE CENTERS: A SURVEY APPLYING PARASITOLOGICAL AND IMMUNOLOGICAL METHODS

The present study evaluated the frequency of intestinal parasitoses in children in public day care centers applying parasitological and immunological diagnostic methods. Fecal samples from 121 children from six public daycare centers were analyzed using parasitological techniques. Epidemiological data were obtained through a questionnaire, where parents and / or guardians were asked, for instance, whether the children had contact with soil, ate raw food, such as vegetables or raw or undercooked meat, normally walked around barefoot or had contact with animals. Fecal samples from 82 children were also tested for Giardia intestinalis and Cryptosporidium sp. coproantigen using the enzyme-linked immunosorbent assay (ELISA) which was also used for Entamoeba coproantigen detection only in samples that tested positive for the parasite by parasitological stool exam/optical microscopy. Intestinal parasite infection was noted in 23.1% (28/121) of the children. The most frequent parasite was Giardia intestinalis (13.2%), followed by Entamoeba coli (5.8%), Blastocystis spp. (1.7%), Endolimax nana (1.7%), Enterobius vermicularis (1.7%), Cystoisospora belli (0.8%),Entamoeba histolytica/E. dispar complex (0.8%), and Ascaris lumbricoides (0.8%). Positivity for parasite infection using parasitological stool exams was significantly associated with age groups, with a higher frequency in 4 to 6 year old children (p=0.03). No association or significant variations were noted in the prevalence of intestinal parasites in relation to the epidemiological variables studied. All samples were negative for Cryptosporidium sp. and Entamoeba histolytica detected by immunological testing, and 17.1% (14/82) children tested positive for Giardia intestinalis, although using parasitological exam/optical microscopy, only 14.6% (12/82) tested positive. The high incidence of intestinal parasites, especially protozoans, suggests probable interpersonal transmission among the children, environmental contamination, or even contaminated food/water intake. Thus, consolidation of preventive measures and efficient diagnostic resources as well as control of intestinal parasites and patient treatment are of utmost importance.

Intestinal parasitosis in children from 1 to 3 years of the good living centers of children in zone 7 - Ecuador

Introduction. Nowadays parasitic diseases represent a public health problem that causes morbidity and mortality rate in child population. Objective.To determine the prevalence of intestinal parasites of the child population from 0 to 3 years old that belong to the CIBV of zone number 7 in Ecuador. Materials and method.A retrospective and analytic study was carried out. The population consisted of 5032 children and 432 were considered as the sample of this study. The analysis of the data was done by means of the Chi-square. Results.62,2% of the studied population had intestinal parasites with a high prevalence of protozoa which represents 57,4%. Conclusion.The child population is more susceptible to get this type of infection due to multiple factors.

Prevalence and risk factors of intestinal parasites among children under two years of age in a rural area of Rutsiro district, Rwanda - a cross-sectional study.

IntroductionThis study aimed to assess the prevalence and associated risk factors of intestinal parasite infections among children less than two years of age in Rutsiro, Rwanda.MethodsA cross-sectional parasitological survey was conducted in Rutsiro in June 2016. Fresh stool samples were collected from 353 children and examined using microscopy to detect parasite. A questionnaire was administered to collect data on hygiene, sanitation, socio-demographic and economic characteristics.ResultsApproximately one in two children (44.8%) were found to be infected with at least one intestinal parasite. Ascaris (28.5%) was the most prevalent infection followed by Entamoeba histolytica (25.95%) and Giardia lamblia (19.6%). Infection with more than one pathogen was noted e.g. presence of Ascaris and yeasts (8.9%), and amoeba with Trichocephale (4.4%), respectively. Children from non-farming families were less likely to be at risk of intestinal parasite infections (AOR = 0.41, p = 0.028) compared to children from farming families. Children from households with access to treated drinking water were less likely to contract intestinal parasite infections (AOR = 0.44, p = 0.021) compared with those who used untreated water. Children from families with improved sources of water were twice as likely to be diagnosed with intestinal parasitoses compared to those who did not. We postulate that the majority of families (50.1%) who have access to improved water sources do not treat water before consumption.ConclusionThe high prevalence of intestinal parasitoses in children warrants strict control measures for improved sanitation, while treatment of drinking water should be considered.

INTESTINAL PARASITOSIS AND PEDIATRIC HEPATIC DISEASE: COPROSCOPY AND IMMNO MOLECULAR ASSAYS

Parasitic infections in children with liver diseases could be a serious health problem. This study documented a true prevalence of intestinal parasitosis in children with pediatric liver diseases and estimate risk factors for parasitic infection. Faecal samples were collected from 95 children suffering liver diseases. Samples were examined microscopically for parasitic stages and coproscopy of acid fast (AF) stained fecal smear for Cryptosporidium oocysts, by ELISA for E. histolytica and Giardia and by PCR genotyping for E. histolytica and Cryptosporidium spp. copro-DNA. G. intestinalis was the prevailing protozoa (14.7%) followed by Hymenolepis nana (8.4%) and C. hominis (4.2%). The pathogenic E. histolytica was not detected by genetic differentiation or ELISA. Only age group (P value .004) was a risk factor for intestinal parasitosis among these children. Giardiasis, hymenolepiasis nana and cryptosporidiosis are the most prevailing parasites in children with liver disease that physicians must consider. Accurate diagnosis using molecular technique is a must with E.histolytica and helpful with Cryptosporidium genotyping for epidemiological purposes.

Intestinal parasitosis in children and adults “Maka” of the settlement “Corumba Cué” of the Mariano Roque Alonso City, Paraguay, 2018

La parasitosis es un problema de salud publica muy frecuente a nivel mundial, y especialmente en paises subdesarrollados, es una infeccion intestinal causada por protozoarios y/o helmintos. En el estudio se describio la presencia de parasitosis, realizados mediante tecnicas de Ritchie Willis y Kato Katz para muestras fecales consistentes en numero de 50, se encontro que un 74% de personas parasitadas correspondientes a un 59% de parasitacion en ninos y 41% de parasitacion en adultos, mientras que, 26% no estaban parasitados, esto segun la tabla de clasificacion de grupo etario de la OMS. Se evidencio parasitosis mas frecuente en mujeres que en hombres, a diferencia de datos hallados en indigenas asentados en zonas rurales donde la parasitosis es mayor en hombres. En el examen coproparasitologico los parasitos encontrados en adultos (n=15): Blastocystis hominis en ocho; Giardia Lamblia en cuatro mientras que tres para Endolimax nana y Hymenolepis nana. En ninos (n=22): Giardia Lamblia en un 40%; Blastocystis hominis en un 40%; Endolimax nana en un 18% y un 2% para Entamoeba coli y Ascaris Lumbricoides. La elevada prevalencia de Blastocystis hominis en comparacion con un porcentaje menor de Giardia Lamblia en los adultos aborigenes contrasta con lo observado en la poblacion periurbana, donde la Giardia lamblia es mas comun. Considerando que estos indigenas viven hoy en zonas urbanas, su porcentaje de parasitacion es elevado comparado con estudios realizados a otros indigenas, pero asentados en zonas rurales. La educacion sanitaria apropiada, la ensenanza y puesta en practica de habitos de higiene personal tal vez sea lo necesario para disminuir la afectacion por organismos parasitantes, ademas de un programa de saneamiento por parte de las autoridades competentes.

Risk factors for human fascioliasis in schoolchildren in Baños del Inca, Cajamarca, Peru.

The aim of the investigation was to determine the risk factors for human fascioliasis in schoolchildren in five localities of the Baños del Inca district in Cajamarca, Peru. Secondarily, the prevalence of infection among this population was also studied. A questionnaire was applied to 270 schoolchildren from 6-12 years of age and to their parents with the aim of collecting information related to risk factors predisposing the children to Fasciola hepatica infection. Faecal samples from all the children were tested for F. hepatica using the modified rapid sedimentation method of Lumbreras and the technique of Kato-Katz for egg counts. Risk factors were identified as follows-raising cattle, consumption of radishes and chewing grass. The prevalence of F. hepatica in Baños del Inca was 6.30%; there was no significant difference by sex or age. Risk factors associated with this parasitosis in children in this area of Cajamarca were the raising of cattle, the consumption of radish and the habit of chewing grass. The prevalence results in this district suggest a mesoendemic level of infection, with local variations between meso- and hyper-endemic levels.

Survey and analysis of epidemic status of principal human parasitosis in ecological region of Huaiyang hills of Henan Province in 2015

To understand the epidemic status of principal human parasitosis in the ecological region of Huaiyang hills of Henan Province. According to the scheme of The 3rd National Survey of Principal Human Parasites made by National Institute of Parasitic Diseases, the survey was performed based on the ecological regions. The stratified cluster sampling was made combined with the economic and geographical conditions. The infections of intestinal helminths and protozoans in permanent residents were respectively detected by Kato-Kats technique and iodine solution. Trichuris trichiura infection was detected by the cellophane swab method in children aged 3 to 6 years. Totally 6 710 residents in 26 survey spots from 9 counties were detected, in which 528 children aged 3 to 6 years were detected for T. trichiura infection. Eleven kinds of parasites were found in this survey, including 5 species of helminthes and 6 species of protozoans. The infection rates of overall parasites, helminthes and protozoans were respectively 1.65%, 1.07% and 0.61%. The infection rate of T. trichiura in the children aged 3 to 6 years was 3.79%. Only 0.10 percent of the infections were co-infection, and all were infected by 2 kinds of parasites. The principal parasites in this district were Ascaris lumbricoides (0.31%), Blastocystis hominis (0.28%) and hookworm (0.27%). The T. trichiura infection rate among children was 3.79% by the cellophane swab method. The infections of protozoans were found in all age groups. In the group aged 9 years and below, the maximum kinds of parasites were found. The infection rates of principal human parasites in Huaiyang hilly ecological region of Henan have decreased sharply, but more efforts still should be paid on the prevention and control of parasitosis in children.

An analytical study of intestinal parasitosis in children

Background: Intestinal parasitosis (IP) is an important public health problem worldwide, most commonly seen in school age children and lead to nutritional deficiency, anemia and impaired cognition. Dearth of data regarding parasitic prevalence in the pediatric population triggered such a retrospective study planned by the Departments of Pediatrics and Microbiology, of two Medical Colleges whereby all the symptomatic children (>1 year and <12 years, divided into less than 5 year and 5-12 year groups) were examined for IP.Methods: Total 1000 parasite positive stool samples were collected for a period of two years and included for the study. Routine macroscopic and microscopic (saline and Lugol’s iodine wet mounts) examinations were carried out for the presence of ova, cysts and parasites.Results: Out of the 1000 positive samples, Enterobius vermicularis was predominant with 287 (28.7%) of all cases. The next in order were Giardia lamblia 243 (24.3%), Entamoeba histolytica 219 (21.9%), Ascaris lumbricoides 143 (14.3%), Ancylostoma duodenale 39 (3.9%), Taenia 27 (2.7%) and others 42 (4.2%). The distribution of parasites were heavier among the 5 to 12 year group (74.6%) than the below 5 year one (25.4%), with single parasitic isolate. Lack of hygienic practices like open field defecation, faecal contamination of water and improper hand washing aggravate infestation.Conclusions: Thus our study revealed that steps are to be taken by both the government and society to promote healthcare awareness in mothers, and mass scale deworming through school campaigns in order to lower the parasitic burden in children.

Estudio transversal de las parasitosis intestinales en poblaciones infantiles de Argentina

RESUMENObjetivo.Determinar la distribución de las enteroparasitosis en niños de nueve provincias representativas del mosaico de ambientes contrastantes de Argentina.Métodos.Estudio descriptivo, observacional y transversal en niños preescolares (de 5 años o menos) y escolares (de 6 a 14 años) de las provincias de Buenos Aires (muestra tomada entre 2005 y 2013), Chubut (2010-2013), Corrientes (2012), Entre Ríos (2010-2012), Formosa (2014), La Pampa (2006), Mendoza (2008-2011), Misiones (2005-2008 y 2013) y Salta (2012-2013). Se procesaron muestras seriadas, fecales y de escobillado anal, mediante técnicas de concentración. Los resultados se analizaron por sexo, intervalo de edad y provincia. Se calcularon la frecuencia de parasitosis (monoparasitosis y parasitosis múltiple), la riqueza de especies y el coeficiente de similitud de Sørensen.Resultados.Misiones presentó la mayor frecuencia de niños parasitados y Chubut la menor (82,0% vs. 38,4%; p < 0,01). El número de especies fue mayor en Misiones y Buenos Aires y menor en Chubut y La Pampa. Los varones estuvieron más parasitados que las mujeres solo en Buenos Aires. Las mayores frecuencias se encontraron en los preescolares de Buenos Aires y los escolares de Mendoza y Misiones (p < 0,05). La monoparasitosis fue más frecuente en Chubut (67,9%) y las parasitosis múltiples en Formosa (69,2%). Las especies más frecuentes en la mayoría de las provincias fueron Blastocystis sp. y Enterobius vermicularis. De los geohelmintos, Misiones presentó la mayor frecuencia (23,3%) y Mendoza la menor (0,6%); no se hallaron en Chubut, La Pampa y Salta. Buenos Aires, Formosa y Misiones presentaron una composición de especies similar, al igual que Chubut y La Pampa.Conclusiones.Las frecuencias de parasitosis en Argentina responden al complejo mosaico de variabilidad climática y socioeconómica del país y revelan una tendencia descendente de norte a sur y de este a oeste.

Coexistence of Helicobacter pylori and Intestinal Parasitosis in Children with Chronic Abdominal Pain.

The aim of this study was to determine the incidence of coinfection with Helicobacter pylori and intestinal parasitosis in children with chronic abdominal pain (CAP) and to investigate the common risk factors in the development of both infections. Ninety patients with CAP were enrolled in this study. Blood samples of each case were screened for human preformed IgG (HpIgG) antibodies, and stool samples were tested for HpSA and also examined for intestinal parasites by direct wet-mount, formalin-ethyl-acetate concentration, and Trichrome staining procedures. Cellophane tape test was used for Enterobius vermicularis. Children tested positive for HpIgG and/or HpSA were accepted as H. pylori positive. The risk factors were compared with a questionnaire. The incidence of Giardia intestinalis was 14.8% in the H. pylori-positive group and was found to be statistically higher than that in the H. pylori-negative group (1.6%). The positivity rates of H. pylori were found to be statistically higher in children attending school and using drinking water from taps. The incidences of parasitosis were significantly higher in children with a low maternal education level and with a history of parasitosis treatment in the family. The most common etiologies of CAP in children are H. pylori infection and intestinal parasitosis. İmprovement of hygienic conditions would be beneficial in preventing both infections.

Caracterización de la anemia en niños menores de cinco años de zonas urbanas de Huancavelica y Ucayali en el Perú

Characterize anemia in children aged between 12 and 59 months from urban areas in the provinces of Coronel Portillo and Huancavelica in Peru. Cross-sectional study carried out in two stages: a) population-based study to identify children with anemia using multistage probability sampling, and b) characterization of the serum levels of ferritin, vitamin B12, intraerythrocytic folic acid and presence of parasitosis in children with anemia. For the statistical analysis, expansion factors calculated from the sampling plan were applied. The prevalence of anemia was 55.9% in Huancavelica and 36.2% in Coronel Portillo. In Huancavelica, the coexistence of anemia with iron deficiency was 22.8% and anemia with vitamin B12 deficiency was 11%. In Coronel Portillo, the coexistence of anemia with iron deficiency and vitamin B12 deficiency was 15.2% and 29.7%, respectively. The most common types of anemia in Huancavelica were anemia with concurrent parasitosis (50.9%), iron deficiency anemia and parasitosis (12.3%), and iron deficiency alone (6.4%). In Coronel Portillo, it was anemia and parasitosis (54.4%), vitamin B12 deficiency and parasitosis (18.4%), and iron deficiency anemia and parasitosis (6.3%). The prevalence of anemia is higher than the national average, with anemia concurrent with parasitosis and anemia concurrent with two or more causes as the most common type. Consideration should be given to different causes other than iron deficiency in the programs of anemia contol for Peruvian children.