Prevalence Of Helminths Research Articles

Is a mass drug administration deworming programme for school-aged children enough to reduce the prevalence of soil-transmitted helminths and Schistosoma mansoni in adults: a cross-sectional study from Togo

BackgroundThe world health organization (WHO) introduced the mass drug administration (MDA) strategy in order to reduce the prevalence of soil-transmitted helminths (STHs) and Schistosoma mansoni in endemic areas. However, this strategy is not implemented in adult population in Togo. Thus, the question arose if the present MDA strategy contributes to the reduction of transmission rates. The present study aimed to monitor the prevalence of STHs and S. mansoni among adult’s, between 2017 and 2022, in the central region of Togo.MethodsTwo cross-sectional studies were conducted in six villages in the central region of Togo in 2017 and 2022. Stool samples were collected from adults over the age of 18 years. To assess STHs and S. mansoni infections, real-time multiplex qPCR and Kato-Katz techniques were performed. Data were analysed using SPSS software version 21 and GraphPad PRISM version 9.2.0. A p-value less than 0.05 was considered statistically significant.ResultsA total of 210 and 289 individuals were recruited in 2017 and 2022, respectively. We detected significant increase in the prevalence of STHs and S. mansoni from 7.61% to 24.56% (p=0.0008) and from 27.62% to 46.36% (p=0.0014) by Kato-Katz and RT-qPCR, respectively. The prevalence of Ancylostoma duodenale infection was the highest with an increase from 7.14% to 23.53% by Kato-Katz and 9.09% to 40.0% by RT-qPCR.ConclusionThe prevalence of STHs and S. mansoni increased in the adult population in the central region of Togo from 2017 to 2022, despite the implementation of MDA in school-aged children. Hence, there is an urgent need to include adult individuals and adapt the MDA programme in the central region of Togo.

Diversity and prevalence of zoonotic infections at the animal-human interface of primate trafficking in Peru.

Wildlife trafficking creates favorable scenarios for intra- and inter-specific interactions that can lead to parasite spread and disease emergence. Among the fauna affected by this activity, primates are relevant due to their potential to acquire and share zoonoses - infections caused by parasites that can spread between humans and other animals. Though it is known that most primate parasites can affect multiple hosts and that many are zoonotic, comparative studies across different contexts for animal-human interactions are scarce. We conducted a multi-parasite screening targeting the detection of zoonotic infections in wild-caught monkeys in nine Peruvian cities across three contexts: captivity (zoos and rescue centers, n = 187); pet (households, n = 69); and trade (trafficked or recently confiscated, n = 132). We detected 32 parasite taxa including mycobacteria, simian foamyvirus, bacteria, helminths, and protozoa. Monkeys in the trade context had the highest prevalence of hemoparasites (including Plasmodium malariae/brasilianum, Trypanosoma cruzi, and microfilaria) and enteric helminths and protozoa were less common in pet monkeys. However, parasite communities showed overall low variation between the three contexts. Parasite richness (PR) was best explained by host genus and the city where the animal was sampled. Squirrel (genus Saimiri) and wooly (genus Lagothrix) monkeys had the highest PR, which was ~2.2 times the PR found in tufted capuchins (genus Sapajus) and tamarins (genus Saguinus/Leontocebus) in a multivariable model adjusted for context, sex, and age. Our findings illustrate that the threats of wildlife trafficking to One Health encompass exposure to multiple zoonotic parasites well-known to cause disease in humans, monkeys, and other species. We demonstrate these threats continue beyond the markets where wildlife is initially sold; monkeys trafficked for the pet market remain a reservoir for and contribute to the translocation of zoonotic parasites to households and other captive facilities where contact with humans is frequent. Our results have practical applications for the healthcare of rescued monkeys and call for urgent action against wildlife trafficking and ownership of monkeys as pets.

Protocol for spatial prediction of soil transmitted helminth prevalence in the Western Pacific region using a meta-analytical approach

BackgroundSoil transmitted helminth (STH) infections are estimated to impact 24% of the world’s population and are responsible for chronic and debilitating morbidity. Disadvantaged communities are among the worst affected and are further marginalized as infection prevalence fuels the poverty cycle. Ambitious targets have been set to eliminate STH infections, but accurate epidemiological data will be required to inform appropriate interventions. This paper details the protocol for an analysis that aims to produce spatial prediction mapping of STH prevalence in the Western Pacific Region (WPR).MethodsThe protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol (PRISMA-P) guidelines. The study design will combine the principles of systematic review, meta-analysis, and geospatial analysis. Systematic searches will be undertaken in PubMed, Scopus, ProQuest, Embase, and Web of Science for studies undertaken post 2000, to identify surveys that enable the prevalence of human STH infection within the WPR to be calculated. Covariate data for multivariable analysis will be obtained from publicly accessible sources. Survey data will be geolocated, and STH prevalence and covariates will be linked to produce a spatially referenced dataset for analysis. Bayesian model-based geostatistics will be used to generate spatially continuous estimates of STH prevalence mapped to a resolution of 1 km2. A separate geospatial model will be constructed for each STH species. Predictions of prevalence will be made for unsampled locations and maps will be overlaid for each STH species to obtain co-endemicity maps.DiscussionThis protocol facilitates study replication and may be applied to other infectious diseases or alternate geographies. Results of the subsequent analysis will identify geographies with high STH prevalence’s and can be used to inform resource allocation in combating this neglected tropical disease.Trial registrationOpen Science Framework: osf.io/qmxcj.

Prevalence and intensity of urinary schistosomiasis and soil-transmitted helminths among women of reproductive age in Mwaluphamba, Kwale

Objective: To assess the epidemiology of urinary schistosomiasis and soil-transmitted helminthiasis among women of reproductive age in Mwaluphamba, Kwale County, Kenya. Methods: A community-based cross-sectional study design was employed to randomly sample 422 women of reproductive age (15-<50 years) from four villages in Mwaluphamba location. Stool specimens were collected and examined using the Kato-Katz method, while filtration technique was used to analyze urine specimens. Participants’ sociodemographic details were obtained using a standardized questionnaire. Results: Urinary schistosomiasis prevalence was at 4.7% (20/422, 95% CI 2.8%-6.9%) while the prevalence of soil-transmitted helminthiasis infection was 4.5% (19/422, 95% CI 2.6%-6.7%). The infection intensities of urinary schistosomiasis among the study participants ranged from 1 to 120 eggs/10 mL of urine with median egg count of 18.45 eggs/10 mL. The patients were diagnosed with light infection, of 56.16 egg/gram and 48.48 egg/gram for Trichuris trichiura and hookworms, respectively. Women without latrines had 15.7 times higher risk of having urinary schistosomiasis compared to those with a latrine. Similarly, use of surface water (aOR=1.0, 95% CI 0.2-1.4, P=0.010) and crossing the river to go to a place (aOR=1.1, 95% CI 0.3-1.6, P=0.009) were statistically significant risk factors for getting urinary schistosomiasis. In bivariable regression analysis, defecating around the water source (OR=4.3, 95% CI 1.5-12.9) had a statistically significant association with the prevalence of soil-transmitted helminthiasis (P=0.008). Conclusions: This study has given an insight on the prevalence and intensity of urinary schistosomiasis and soil-transmitted helminthiasis in Mwaluphamba location that form a basis for strengthening the control and elimination programmes for these neglected tropical diseases.

The burden of intestinal parasitic infections in Antioquia, Colombia: impact in childhood growth development and nutritional status

Gastrointestinal protist (GP) and soil-transmitted helminth (STH) infections cause significant morbidity among children in poor-resource settings of tropical and sub-tropical countries including Colombia. Few prospective transversal studies investigating how GP and STH infections affect growth development and nutritional status during childhood have been conducted in this country, none of them in the Antioquia Department. This microscopy-based study estimated the prevalence of GP and helminth (including STH) infections in faecal samples from schoolchildren (n=384) collected during April-May 2019 in three municipalities of the Antioquia Department. Demographic, epidemiological, and household data were elicited through face-to-face interviews. Parasite detection was carried out by direct microscopic examination of both fresh smears and concentrated faecal material. Children (aged 6-15 years) also had their haemoglobin (Hb) levels, height and weight data collected, and BMI estimated. Data were analysed using bivariate and multivariate logistic regression analysis. Overall, 60.7% (233/384) of schoolchildren were infected by at least one intestinal parasitic species. Among GPs, Blastocystis sp. was the most common species found (47.7%, 95% CI: 42.6-52.8), followed by G. duodenalis (15.9%, 95% CI: 12.4-19.9). Cryptosporidium spp. and Cyclospora cayetanensis were sporadically identified (0.3%, 95% CI: 0.1-1.4 each). Among helminths, the most prevalent species found were Trichuris trichiura (6.0%, 95% CI: 3.8-8.9) and Enterobius vermicularis (1.0%, 95% CI: 0.3-2.6). Hookworms, Ascaris lumbricoides, and Strongyloides stercoralis were found at prevalence rates <1%. Underweight, overweigh, or obese schoolchildren had 1.2 times greater chance of being infected with intestinal parasites than their counterparts with a healthy weight (P-value: 0.015). Variables significantly associated with an increased likelihood of being infected by intestinal parasites include living in a household with unfinished flouring, not wearing shoes, being in close proximity to rodents, and having improper waste disposal. Relatively simple interventional measures directed towards the improvement of household conditions, access to sanitary toilets, and promoting shoe wearing can significantly reduce childhood infections by GP and helminths in the Antioquia Department.

Intestinal helminthiasis, anaemia and associated risk factors in a cross-section of the population of Melong, Littorial Region of Cameroon

Assessment of risk factors of intestinal helminths and anaemia in various geographical regions is important for the development of appropriate control strategies. This study aimed at determining the risk factors associated with intestinal helminths and anaemia in Melong, Cameroon. A total of 325 participants were recruited in this study between September–December 2021. Faecal samples were examined using the formol-ether sedimentation technique while haemoglobin level was measured using a HemoCue spectrometer. Data on demographic and behavioural factors was collected and used to determine the risk factors using a pretested structured questionnaire and analysed using SPSS. The overall prevalence of intestinal helminths was 24.6% (80/325). Helminths recovered from the study included hookworm (16%; 52/325), Schistosoma mansoni (10.8% 35/325) Ascaris lumbricoides (1.9%; 6/325), and Trichuris trichiura (0.6%; 2/325) with 15 participants having multiple infections (4.6%). The geometric mean egg density was 77epg and ranged from 20 to 560 epg of faeces. Males and age group ≤ 5 years had the highest parasite intensity (248epg). The overall prevalence of anaemia was 33.5% (109/325). Anaemia was significantly (p = 0.001) high at 48.8% (39/80) in those infected with intestinal parasites compared to non-infected individuals. Age group of 31–45 years; [3.42(1.05–11.21)] and > 65 years [6.21(1.75–12.47)], poor knowledge [0.41(0.67–6.07)], no regular deworming [0.70(1.76–21.96)], mud floors toilet [6.18(1.61–23.79)], toilets made of sticks [16.5(4.24–64.31)], and participants who did not have stomach/abdominal pains [0.22(0.07–0.67)] were significant predictors of helminth infections. Age group < 15 years [2.58(1.09–6.11)], geophagia [3.69(1.91–9.33)], hookworm infection [3.26(1.49–7.11)], S. mansoni [1.72 (1.16–3.41)] and those with multiple infections [1.76(1.04–2.88)] were identified as risk factors for anaemia. Risk factors identified in this study can be used to improve the control mechanism put in place by the government.

Current status of intestinal parasitic infections and associated risk factors in rural population of Guilan province, northern Iran: trichostrongyliasis is the most prevalent helminthic infection.

This study aimed to determine the distribution of enteric parasitic infections and related risk factors among rural communities of Guilan province, Northern Iran, and to compare the results with the situation in the past. Intestinal parasitic infections are still considered as a major public health concern, particularly in human communities with poor economy and sanitation. This cross-sectional study was performed in rural areas of Masal and Shanderman district from February to December 2020. A total of 917 stool samples were collected and examined for presence of intestinal helminthes and protozoa using direct, formalin-ether and Kato-Katz techniques. A total of 156 (17%) out of 917 examined individuals were infected with intestinal parasites. The overall prevalence of protozoa, helminths and mixed infections were 11.8% (108/917), 4.5% (41/917) and 0.8% (7/917), respectively. Blastocystis was the most prevalent intestinal protozoa (9.6%) followed by Giardia lamblia (1.9%), Endolimax nana (1.1%), E. coli (0.8%) and Entamoeba hartmani (0.1%). The highest prevalence of intestinal helminths belonged to Trichostongylus spp. (3.5%) and Strongyloides stercoralis (1.3%). Statistical analysis showed significant association between giardiasis and sex (P<0.03). On the other hand, prevalence of enteric helminths was influenced by close contact with livestock, keeping herbivorous animals at home, job, education, and consumption of uncooked vegetables (P<0.05). The findings indicate a decreasing trend in the prevalence of intestinal parasitic infections in Guilan province in comparison to the past few decades. Hookworm infections, which was very prevalent in the area, are now rare, while trichostrongylosis showed a high prevalence in rural residents of the study area.

Prevalence of gastrointestinal helminth parasites and differences of pathological markers in infected pigeons in Makurdi, Benue State, Nigeria

Aim: This study investigated the prevalence of gastrointestinal helminths and differences in pathological markers in infected domestic pigeons in Makurdi Metropolis. Methods: In a cross - sectional study, 310 pigeons were sampled between January to November, 2020. Prevalence of infection, hematology, serum biochemical parameters and pathological changes were investigated. Results: 275 (88.7%) pigeons were naturally infected with thirteen (13) species of helminths comprising of Cestodes namely; Raillietina echinobothrida 43.5% (135/310), R. tetragona 27.1% (84/310), R. cesticillus 6.4% (20/310), Amoebotaenia cuneata 3.9% (12/310), Choataenia infundibulum 2.6% (8/310), Hymenolepis cantaniana 5.8% (18/310) and Cotugnia proglottina 4.5% (14/310) and Nematodes namely; Ascaridia columbae 12.6% (39/310), Heterakis gallinarum 4.8% (15/310), Capillaria columbae 0.6% (2/310), Subulura brumpti 1% (3/310), Hartertia gallinarum 0.6% (2/310) and Amidostomum anseris 0.3% (1/310). The overall mean (± SD) total leucocyte counts, heterophil, monocyte and eosinophil counts were significantly (P &lt; 0.05) higher in the helminths infected groups than non- infected pigeons. The overall mean (± SD) packed cell volume, total red blood cell counts, hemoglobin concentration, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, lymphocyte counts and serum albumin showed no significant (P &gt; 0.05) differences between non-infected, helminth-infected pigeons. Grossly, live helminths and parasitic nodules were observed in small intestine. Microscopically, there was necrosis of the intestinal epithelium and cypts, villi atrophy and leucocytes infiltration in sections from helminth-infected pigeons. Conclusion: Thus, gastrointestinal helminths are prevalent in pigeons and are capable of causing differences of Pathological markers in infected birds.

Zoonotic Parasites and Their Association With Human Activities in Northern Tanzania: An Integrated Ecosystem Approach for One Health.

The community's awareness of the prevalence and impact of zoonotic diseases has been significantly underestimated, leading to insufficient implementation of control measures. This study was carried out in Northern Tanzania between 2019 and 2023 to investigate zoonotic parasites and the risks associated with human activities that contribute to zoonotic diseases. Cross-sectional surveys were conducted in 12 villages, including nine in Loliondo Division and three in Babati District. Focus Group Discussions and Key Informant Interviews were conducted to assess the community's knowledge and practices regarding the risks associated with zoonotic diseases in the surveyed areas. A total of 255 samples were collected from various sources, including latrines, households, livestock enclosures, domestic dogs, and chickens. Out of these samples, 152 tested positive for identifiable parasite eggs and oocysts. These parasites included hookworms (21.7%), Trichuris sp. (14.5%), Strongyloides sp. (13.8%), Eimeria sp. (19.7%), Taeniids (5.9%), Hymenolepis sp. (3.3%), Spirometra sp. (2.6%), and Dipylidium sp. (0.7%). Taeniids and Spirometra species were predominantly found in villages near protected areas such as Arash Sokoni, Oloipiri, Sukenya, Wasso, Orkuyiene, Haytemba, and Loliondo. Hookworms were most commonly detected in Arash Sokoni, Loliondo, Isuguro, and Hyatemba, while Strongyloides sp. was prevalent in Wasso, Sukenya, and Olobo villages. The quantitative analysis reveals significant associations between hygiene practices, proximity to livestock enclosures, ecological factors, and human-animal interaction, highlighting their pivotal roles in determining soil-transmitted helminth (STH) prevalence across different villages. This study reveals that there was a generally low level of awareness regarding zoonotic diseases and STHs. The detection of STH samples, combined with the limited understanding of zoonotic diseases, emphasizes the importance of taking proactive measures to reduce transmission risks. Prioritizing education and promoting awareness along with implementing comprehensive strategies are essential steps to effectively tackle the problems linked to STH infections and substantially lessen the public health burden caused by zoonotic diseases.

Soil-Transmitted Parasites and Non-Pathogenic Nematodes in Different Regions of Porto Alegre City, Brazil: A Comparison between Winter and Summer

We assessed the prevalence of soil-associated parasites and non-pathogenic nematodes in eight public areas of Porto Alegre (Rio Grande do Sul state, southern Brazil), the most populous city in Rio Grande do Sul. Soil samplings were carried out during the winter of 2022 and summer of 2023: A total of 80 samples were collected in winter and 80 in summer (ten samples from each sampling site per season), totaling 160 soil samples. The frequency of microscopic non-pathogenic nematode larvae was significantly higher (p = 0.048) in winter (93.75%) than in summer (82.50%). Considering the pooled data from winter and summer (n = 160) for human pathogenic parasites, the following frequencies were observed (using microscopy analysis): hookworm (filariform) larvae (1.25%), hookworm (rhabditiform) larvae (11.25%), Strongyloides spp. (filariform) larvae (0.63%), Strongyloides spp. (rhabditiform) larvae (2.5%), hookworm eggs (10.63%), Ascaris spp. eggs (10.00%), and Trichuris spp. eggs (1.25%). Hookworm (rhabditiform) larvae were the most frequent parasitic structures (15.00%) in winter, and A. lumbricoides eggs were the most frequent parasitic structures (8.75%) in summer. No statistically significant difference was observed in the frequency of pathogenic parasites between the seasons (p &gt; 0.05). Toxoplasma gondii DNA was assessed, but all soil samples tested negative in molecular analysis. Our results indicate that soil from many regions of Porto Alegre shows a high prevalence of soil-transmitted helminths, indicating the need for improvements in social conditions and environmental sanitation in the city. Our study also suggests that climate change may affect soil biodiversity, potentially harming non-pathogenic nematodes and favoring human pathogenic parasites.

The long-lasting Ascaris suum antigens in the lungs shapes the tissue adaptation modifying the pulmonary architecture and immune response after infection in mice

Ascariasis is the most prevalent helminth affecting approximately 819 million people worldwide. The acute phase of Ascariasis is characterized by larval migration of Ascaris spp., through the intestinal wall, carried to the liver and lungs of the host by the circulatory system. Most of the larvae subsequently transverse the lung parenchyma leading to tissue injury, reaching the airways and pharynx, where they can be expectorated and swallowed back to the gastrointestinal tract, where they develop into adult worms. However, some larvae are trapped in the lung parenchyma inciting an inflammatory response that causes persistent pulmonary tissue damage long after the resolution of infection, which returns to tissue homeostasis. However, the mechanism by which chronic lung disease develops and resolves remains unknown. Here, using immunohistochemistry, we demonstrate that small fragments and larval antigens of Ascaris suum are deposited and retained chronically in the lung parenchyma of mice following a single Ascaris infection. Our results reveal that the prolonged presence of Ascaris larval antigens in the lung parenchyma contributes to the persistent immune stimulation inducing histopathological changes observed chronically following infection, and clearly demonstrate that larval antigens are related to all phases of tissue adaptation after infection: lung injury, chronic inflammation, resolution, and tissue remodeling, in parallel to increased specific humoral immunity and the recovery of lung function in mice. Additional insight is needed into the mechanisms of Ascaris antigen to induce chronic immune responses and resolution in the host lungs following larval migration.

Intestinal helminth and the predisposing factors in Fufore LGA of Adamawa state

Background &amp; Objective: Helminths have plagued humans since the era of our earliest recorded history. A large part of the world's population are infected with one or more of helminthes infection (WHO, 2016). Helminthes are endemic and have been a major problem in rural settlements in Nigeria this is as a result of poor socio- economic status and lack of basic amenities such as pipe borne water and other sanitary facilities (Okon and Okun, 2001). They also have detrimental effects on animal survival (Silva et al., 2009) and these parasites have the potential of being transmitted to human (Batchelor et al., 2008). To provide information on the prevalence, intensity and predisposing factors of intestinal helminth among School-aged children in relation to their age and gender in Fufore. Methods: A cross sectional study was carried out to determine the prevalence of intestinal helminth and the predisposing factors in Fofure LGA of Adamawa State between October and November 2022 where five Schools were sampled for the study. 300 Students between the ages 0-15 years were randomly selected and grouped into three age groups (0-5, 6-10, 11-15). 300 stool samples were obtained from the students and examined. Each were issued a structured questionnaire so as to obtain their demographic characteristics and to examine the possible risk factors associated with this infection. Result: out of the 300 Students examined, 17(5.7%) were positive for intestinal helminth and the Males (6.7%) had significantly higher prevalence (P &lt; 0.05) than the Females (4.4%). In respect to age, the age group 0-5 (11.5%) were significantly more infected (P &lt; 0.05) followed by the age group 6-10 (7.9%) than the extreme age group 11-15 (1.5%) examined. Three parasites namely Schistosoma mansoni, Ascaris lumbricoides and Trichiuris trichiura were recovered. The most common of these parasites were Schistosoma mansoni and Ascaris lumbricoides which occurred in high intensity in most of the positive samples. Interpretation and Conclusion: The result of this study revealed that, poverty, ignorance, socio-cultural practice, poor hygienic practices, inadequate sanitary/ toiletry facility to be the driving forces of this infection in the study area. Intervention needed to curtail the effect and further transmission of this infection include; massive treating and health education, provision of portable drinking water and provision of good sanitary/ toilet facility.

Prevalence and risk factors associated with gastrointestinal parasites in goats (Capra hircus) and sheep (Ovis aries) from three provinces of China

Gastrointestinal (GI) parasites in small ruminants, especially goats and sheep, have caused significant socio-economic and public health challenges worldwide. The aim of the present study was to investigate the diversity and prevalence of GI parasites in goats and sheep in Jiangsu, Shaanxi and Hunan provinces of China, and to assess whether the age of animals, sampling season and feeding mode influence the distribution and infection of GI parasites. A total of 1,081 fecal samples collected from goats (n = 835) and sheep (n = 246) were detected by saturated saline flotation technique and nylon sifter elutriation and sieving method for eggs/oocysts, respectively. Based on the morphological observation of eggs and oocysts, one tapeworm, five nematodes, three trematodes and nineteen coccidia were identified, of which seven helminths belong to zoonotic parasites. The infection rate of parasites was 83.4% (902/1081) in total samples, 91.6% (765/835) in goats, and 55.7% (137/246) in sheep. The infection rate of coccidia was 71.0% (767/1081), and that of helminths was 56.2% (607/1081). The dominant species was E. alijeri (67.3%, 562/835) in goats, E. parva (30.1%, 74/246) in sheep. The highest prevalent helminths were Trichostrongylidae spp. in goats (58.3%, 487/835), and Moniezia spp. in sheep (22.76%, 56/246). Of 902 positive samples, 825 (91.5%, 825/902) contained multiple (2–10) parasites. The feeding mode, sampling season and regions were relevant risk factors which have significant influence on the occurrence of GI parasites in goats and sheep. The risk coefficient of parasite infection in autumn was 2.49 times higher than spring (Odds ratio = 2.49, 95% CI = 1.51–4.09, p &amp;lt; 0.001). Compared to raising on the high beds, the goats and sheep raising on the ground had the higher risk of parasite infection (OR = 3.91, 95% CI = 2.07–7.40, p &amp;lt; 0.001). The risk coefficient of parasite infection in Shaanxi and Hunan was 3.78 and 1.25 times higher than that in Jiangsu (OR = 3.78, 95% CI = 2.01–7.12, p &amp;lt; 0.001; OR = 1.25, 95% CI = 1.21–1.29, p &amp;lt; 0.001). These data are significant for the development of prevention strategies to minimise economic losses from small ruminant production and to reduce the risk of water and food infecting humans as vectors of zoonotic parasitic diseases.

Distribution of helminth eggs in environmental and stool samples of farming households along Akaki River in Addis Ababa, Ethiopia

BackgroundHelminth infections are a public health issue in countries with poor sanitation facilities. However, there little information on the epidemiological association between helminths in wastewater and soil samples and rates of helminth infection among farming households along the Akaki River in Addis Ababa, Ethiopia.MethodsA cross-sectional study was conducted between November 2021 and February 2022. A stratified random sampling technique was used to select farming households. The sample size for each district was determined by a proportionate allocation to the number of households. From wastewater-irrigated farms, 70 wastewater samples, 28 soil samples, and 86 farmers' stool samples were collected and analyzed for helminths. A questionnaire was used to gather ethnographic data, about farming households, whereas wastewater and soil sample analysis was used to generate quantitative data on helminth loads. The data were systematically analysed by developing themes, and bias evaluated using triangulation validation methodologies. Potential pathways to helminth infection were evaluated by measuring. Total number of helminth eggs in wastewater, soil samples and farmer's stools was investigated using Poisson regression.ResultsIn this study, 82.9% of wastewater samples, 57.1% of soil samples, and 18.6% of farmers' stool samples contained helminth eggs. The most prevalent helminth was Ascaris lumbricoides in all samples (wastewater 67%, soil 25%, and stool 10.5%), followed by hookworm (wastewater 10%, soil 21.4%, and stool 6.9%) and Trichuris trichiura eggs (wastewater 5.7%, soil 10.7%, and stool 1.2%). There was a positive association between the total number of helminth eggs in wastewater and soil samples with counts in farmers’ stool. The Poisson regression coefficients for wastewater and soil were, 1.63 (95% CI = 1.34–1.92) and 1.70 (95% CI = 1.39–2.01), (p < 0.05).ConclusionsThis research has shown a clear association between the total helminth eggs in wastewater and soil samples and farmer stools along the Akaki River. Therefore, an integrated approach is essential to address the issue in this area and prevent the spread of further helminth infections.

Epidemiology of gastrointestinal helminths among chickens (&lt;em&gt;Gallus domesticus&lt;/em&gt;) from Borno State, Northeastern Nigeria: prevalence, helminth burden and associated risk factors

The aim of this study was to analyse the epidemiology of gastrointestinal helminths among local and exotic breeds of chickens in Borno State, Northeastern Nigeria. Fresh faecal samples (n=800) were collected from birds at live poultry markets (Maiduguri metropolis, Jere and Bama Local Government Areas) and Veterinary Hospitals. They were processed according to standard parasitological techniques. A total of 438 samples had one or more helminths, giving an overall prevalence of 54.8% (95%CI: 51.3 – 58.2). These included five nematodes, Ascaridia galli (14.6%), Heterakis gallinarum (9.8%), Capillaria spp. (5.5%), Strongyloides avium (4.1%), Subulura brumpti and three cestodes, Raillietina tetragona (6.6%), Raillietina echinobothrida (3.5%), Davainea proglottina (2.1%). Ascaridia galli were the most common helminths and Davainea proglottina were the least common. Epidemiological variables, such as sex (female), age (adults &gt; 5mo), season (rainy), health status (clinically sick birds), breed (local birds) and study location (Veterinary Hospitals) had a significantly high impact (p&lt;0.0001) on the prevalence of helminths. Single and mixed helminth infections were observed. Ascaridia galli and Heterakis gallinarum co-infection was frequently encountered, while Ascaridia galli, Heterakis gallinarum and Capillaria spp. infections were less common. In order to improve parasite control in poultry management systems and produce healthy chickens for human consumption, a long-term control plan for gastrointestinal helminth infections in the poultry production system is recommended.

Gastrointestinal helminths in tilapia (&lt;i&gt;Oreochromis niloticus&lt;/i&gt;) sold for human consumption in Maiduguri, Nigeria: A potential public health risk

Fish is an important and cheap protein source for human consumption in developing countries. It is the second most popular source of protein diet in both rural and urban communities in Nigeria. Fisheries resources contribute about 5.40% to the nation's gross domestic product (GDP) through income generation, employment, food security, and foreign exchange earnings. Despite the significant contributions of fisheries to the Nigerian economy, the aquatic ecosystem is prone to pollution from human activities which increases the chances of transmission of parasitic infections, which are detrimental to aquatic and human life. The present study assessed the prevalence of gastrointestinal helminths of tilapia fish from different market sources in the Maiduguri metropolitan council of Borno State, Northeastern Nigeria. Samples of fresh Nile tilapia (Oreochromis niloticus) fish (n= 125), comprising 50 juveniles and 75 adults, were screened for gastrointestinal helminths using standard parasitological methods. Twenty-nine (23.2%) harboured at least one helminth parasite. Of the 29 positive individual fish samples, 16% (n=20), 4% (n=5), 2.4% (n=3), and 0.8% (n=1) were infected by Acanthocephala, Cestode, Nematode, and Trematodes, respectively. The infection rate was higher in adults (26%) than juveniles (18%) and in females (23.5%) than males (22.8%). Fish samples from Baga markets showed higher infection rates than the other two market sources. Sex, age, and location were not significantly associated with parasite recovery rate (p&gt;0.05). The study concluded that Nile tilapia fish sold in Maiduguri metropolis were infected with different groups of helminths, underscoring public health risks to farmers, sellers, and consumers. Therefore, fish farmers should regularly consult veterinarians for advice on good fish management practices and observe proper hygienic handling of harvested fish at the farm level, during transportation to fish markets, and processing. The public should thoroughly clean and properly cook fish for human consumption.

High prevalence of soil-transmitted helminths and schistosomiasis among primary schoolchildren in Southwest Ethiopia: the need for health strategies alongside mass drug administration.

Soil-transmitted helminths (STH) and schistosomiasis remain widely prevalent in Ethiopia. The aim of this study was to evaluate the prevalence of STH and schistosomiasis among schoolchildren in Gidi Bench district (Southern Nations, Nationalities, and People's Republic, Southwest Ethiopia) and the association with knowledge and health-related behaviors. A cross-sectional study was conducted. Stool samples, analyzed by the Kato-Katz technique and a knowledge, attitudes and practices questionnaire, were collected. Out of 611 participants (mean age 12.8±3.1 y), 129 (21.1%) were infected with schistosomiasis and 382 (62.5%) had STH. More than 30% (n=195, 31.9%) were infected with a single intestinal parasite, while 138 (22.6%) and 47 (7.7%) were infected with two or three parasitic infections, respectively. Boys and those who did not participate in school clubs had higher infection rates (p=0.05). Lower parasitic infection was associated with using a latrine when available, washing hands and vegetables and wearing shoes regularly. Higher rates of infection were found among those who reported swimming and washing cloths and utensils in the river regularly. Schistosomiasis and STH were highly prevalent among schoolchildren in Gidi Bench district. Infection rates were associated with gender, lack of knowledge on parasitic infections and unhealthy behaviors. Findings from this study may assist in decision making regarding disease prevalence and methods of control alongside mass drug administration.

Prevalence of gastrointestinal parasites of domestic ruminants amongst pastoralists in three Local Government Areas of Bauchi Western Agricultural Zone, Bauchi, Nigeria

Gastrointestinal parasite infections of ruminant animals cause economic loss to farmers and low nutritional value to consumers. This study was carried out to determine the prevalence of gastrointestinal parasites in domestic ruminants such as cattle, sheep and goats and the relationship between the species, sex, age, location, season and breed of the respective animals within the period of May to October 2021, amongst pastoralists in three local government areas of Bauchi Western Agricultural Zone, Bauchi State, Nigeria. A total of 938 faecal samples were examined using floatation and sedimentation techniques. Out of the 938 samples examined, 756 (80.60%) were infected. The results from the faecal examination revealed the presence of eighteen (18) gastrointestinal parasites namely; Fasciola, Cooperia, Balantidium, Oesophagostonum, Bunostonum, Haemanchus, Tricharis, Coccidia, Strongyloides, Trichstrongylus, Chabertia, Nematodirus, Dicrocoelium, Ostertasia, Moniezia, Paramphistomum, Schistosoma and Marshallagia. The most prevalent helminth encountered was Fasciola 369 (39.34%) while schitosoma 2 (0.21%) was the least prevalent parasite. Sokoto Gudali, Uda and Kano brown breeds of cattle, sheep and goats, harboured more gastrointestinal parasites than their breed counterpart which are the White Fulani breed of cattle, Balami and ‘Yankasa breed of sheep as well as Red Bauchi breeds of goats respectively. Statistically, there was a significant difference (p&lt;0.05) with respect to the species of animal but no statistical difference (p&gt;0.05) with respect to sex, age, season and breed of the animals. Pasture dressing, rotational grazing, and strategic deworming programmes in combination with control of intermediate hosts will lead to more effective control of the parasite as helminthiasis causes great economic losses to livestock farmers and the nation’s Gross Domestic Products. Furthermore, future investigations are recommended to evaluate the economic impact of gastrointestinal parasites in the study area.

Effectiveness of one and two doses of ivermectin mass drug administration in reducing the prevalence and intensity of soil-transmitted helminth (STH) infections in Western Province, Solomon Islands: a cluster-randomised, before-after analysis

Ivermectin mass drug administration (MDA) is effective for controlling onchocerciasis and scabies, with evidence supporting its role in some species of soil-transmitted helminth (STH) infections. In the context of RISE, a cluster-randomised trial for scabies, this study evaluated the effectiveness of ivermectin MDA in reducing STH burden in the Western Province of Solomon Islands. Twenty villages were randomised 1:1 to receive ivermectin MDA as one dose (IVM-1) or two doses (IVM-2) for scabies. The effectiveness of one and two doses in reducing STH prevalence and intensity was evaluated before (May 2019) and 21 months after (February 2021) MDA in May 2019. All residents aged 12 months or older in the study villages were eligible to participate and provide stool specimens. Species-specific STH infection and intensity were assessed using quantitative PCR. We compared prevalence and intensity of infection between baseline and 21 months in each intervention arm individually using cluster-level analysis (adjusted for clustering) and individual-level analysis (adjusted for sex, age, and clustering). The primary outcomes were the prevalence risk difference (RD) from the cluster-level analysis, and the change in adjusted odds of infection from the individual-level analysis. Secondary outcomes included change in incident rates of mean eggs per gram (epg) of stool from baseline to 21 months, relative risk difference in prevalence and relative change in odds of infection between arms at 21 months. Sex data (male/female) were self-reported. Overall, STH infection was assessed in 830 participants from 18 villages at baseline and 1172 from 20 villages at follow-up. Females represented 58% (n=478) of the sample at baseline and 59% (n=690) at follow-up. We observed a reduction in Strongyloides spp. prevalence following two doses of ivermectin MDA in the cluster-level analysis from 7.0% (32/458 participants) to 1.2% (8/674 participants), corresponding to a RD of-0.07 (95% CI-0.14 to-0.01, p=0.036), and in the individual-level analysis (OR 0.11, 95% CI 0.04-0.33, p<0.001). T.trichiura prevalence decreased following one dose from 19.4% (74/372 participants) to 11.7% (56/505 participants) (OR 0.44, 95% CI 0.26-0.73, p=0.0040), while egg count reduced in both arms (IVM-1: IRR 0.28, 95% CI 0.11-0.70, p=0.0070; IVM-2: IRR 0.18, 95% CI 0.08-0.40, p<0.001), in the individual-level analysis. We did not detect a significant difference in effect measures between the one- and two-dose arms for any species after 21 months. Our study highlights the long-term benefits of ivermectin MDA in reducing the burden of Strongyloides spp. and T.trichiura. STH control programs should leverage the geographical overlap of NTDs, existing drug distribution channels, and broad-spectrum agents. The National Health and Medical Research Council of Australia.

EXPLORING A PLANT-DIVERSITY HYPOTHESIS TO EXPLAIN HELMINTH PREVALENCE IN NORTHERN BOBWHITE (COLINUS VIRGINIANUS) IN TEXAS, USA.

Helminths, in particular eyeworms (Oxyspirura petrowi) and cecal worms (Aulonocephalus pennula), may be a factor influencing northern bobwhite (Colinus virginianus) populations in Texas. Previous research has shown a discrepancy in helminth infections between the Rolling Plains and Rio Grande Plains of Texas, US, potentially caused by differences in intermediate host distribution and abundance. We explored an alternative hypothesis centered on plant diversity, given that many plants possess phytochemicals with anthelmintic properties. We predicted that plant diversity would be greater and bobwhite diet more diverse in the Rio Grande Plains than the Rolling Plains, which in turn would potentially expose bobwhites to more plants with anthelmintic properties and therefore result in lower parasite prevalence and intensity. We conducted a literature review of plant diversity, anthelmintic plants, and bobwhite diet in Texas to explore this hypothesis. We also quantified the relationship between helminth prevalence in bobwhites and latitude. We documented trends for higher plant species richness, greater number of anthelmintic plants, and more diverse bobwhite diet in the Rio Grande Plains compared to the Rolling Plains. In addition, we documented a trend for increasing helminth prevalence with latitude for eyeworms but not cecal worms. Our study provides circumstantial evidence supporting the plant-diversity hypothesis and warrants experimental testing.