Parasite Infection Status Research Articles

Infection status of Baylisascaris transfuga in captive Asiatic black bears (Ursus thibetanus) from three bile farms in South Korea, with molecular analyses

Bears harbor various endoparasites that pose risks to humans and other animals. However, information on parasitic infections in Asiatic black bears in Korea is limited, and potential hazards still exist because of the close contact between bears and humans on bile farms. The present study was conducted to assess the gastrointestinal parasite infection status in captive Asiatic black bears (Ursus thibetanus) at bile farms in South Korea (Korea). Additionally, we aimed to characterize the molecular aspects of Baylisascaris transfuga (Nematoda: Ascarididae), the sole species investigated throughout the study. Fecal examinations were performed on a total of 84 fecal samples collected from three bear farms in Hwacheon-gun (gun = County) and Donghae-si (si = City), Gangwon-do (do = Province), and Dangjin-si, Chungcheongnam-do. Eggs were identified morphologically, and an adult worm expelled in the feces was analyzed molecularly using the partial cytochrome c oxidase subunit 1 and 2 (cox1 and cox2) gene markers. The prevalence of helminthic eggs was 10.7 %, identified as Baylisascaris transfuga based on morphological characteristics. The eggs, which were oval and brown with thick shells, had a mean length of 87.3 ± 8.9 μm on the long axis and 70.7 ± 6.1 μm on the short axis (n = 30). An adult female roundworm found in the feces of one individual, measuring 27 cm in length and 0.4 cm in width, was also identified as same species through genetic methods. Herein, we described the prevalence of B. transfuga in captive bears in Korea and its molecular characteristics for the first time. Additionally, we reviewed the sequences of the genus Baylisascaris available in The International Nucleotide Sequence Database Collection, noting that many of these sequences often have ambiguous or potentially incorrect identifications, complicating the understanding of their phylogenetic status. This investigation is part of disease screening efforts aimed at enhancing the welfare of captive bears prior to their imminent relocation to sanctuaries. Health monitoring and endoparasite control in farmed bears should be carried out in both veterinary and public health contexts.

Reduced efficacy of single-dose albendazole against Ascaris lumbricoides, and Trichuris trichiura, and high reinfection rate after cure among school children in southern Ethiopia: a prospective cohort study

BackgroundMass drug administration (MDA) program of albendazole to at-risk populations as preventive chemotherapy is the core public health intervention to control soil-transmitted helminths (STHs). Achieving this goal relies on drug effectiveness in reducing the parasite reservoirs in the community and preventing reinfection. We assessed the efficacy of albendazole against STH parasite infection and reinfection status after cure.MethodsA total of 984 schoolchildren infected with at least one type of STH parasite (hookworm, Ascaris lumbricoides, Trichuris trichiura) in southern Ethiopia were enrolled and received albendazole and praziquantel in MDA campaign conducted from January to March 2019. Stool exams at week-4 and at week-8 of post-MDA were done using Kato Katz technique. The primary outcome was efficacy assessed by cure rate (CR) and fecal egg reduction rates (ERRs) at four weeks of post-MDA. The secondary outcome was reinfection status defined as parasite egg positivity at eight weeks among those who were cured at 4 weeks of post-MDA. Group comparisons in CR and related factors were assessed with chi-square or Fisher’s exact tests. Predictors of CR were examined through univariate and multivariate regression analyses.ResultsThe overall CR and ERR for hookworm infection were 97.2% (95% CI 94.6–99.4) and 97.02%, respectively. The overall CR and ERR for A. lumbricoides were 71.5% (95% CI 68.3–74.6) and 84.5% respectively. The overall CR and ERR and for T. trichiura were 49.5% (95% CI 44.8–54.2) and 68.3%, respectively. The CR among moderate T. trichiura infection intensity was 28.6%. Among children cured of hookworm, A. lumbricoides and T. trichiura at week 4 post-MDA, 4.6%, 18.3% and 52.4% became reinfected at week-8 post-MDA, respectively. Significantly lower CR (36.6%) and higher reinfection after cure (60.6%) among A. lumbricoides and T. trichiura coinfected children than A. lumbricoides only (CR = 69.6%, reinfection rate = 15.1%) or T. trichiura only infected children (CR = 55.6%, reinfection rate = 47.1%) was observed. Pre-treatment coinfection with ≥ two types of STH parasites was significantly associated with re-infection after cure.ConclusionAlbendazole MDA is efficacious against hookworm but has reduced efficacy against A. lumbricoides and is not effective against T. trichiura. The low drug efficacy and high reinfection rate after cure underscore the need for alternative treatment and integration of other preventive measures to achieve the target of eliminating STHs as a public health problem by 2030.Graphical

Extreme heat reduces host and parasite performance in a butterfly-parasite interaction.

Environmental temperature fundamentally shapes insect physiology, fitness and interactions with parasites. Differential climate warming effects on host versus parasite biology could exacerbate or inhibit parasite transmission, with far-reaching implications for pollination services, biocontrol and human health. Here, we experimentally test how controlled temperatures influence multiple components of host and parasite fitness in monarch butterflies (Danaus plexippus) and their protozoan parasites Ophryocystis elektroscirrha. Using five constant-temperature treatments spanning 18-34°C, we measured monarch development, survival, size, immune function and parasite infection status and intensity. Monarch size and survival declined sharply at the hottest temperature (34°C), as did infection probability, suggesting that extreme heat decreases both host and parasite performance. The lack of infection at 34°C was not due to greater host immunity or faster host development but could instead reflect the thermal limits of parasite invasion and within-host replication. In the context of ongoing climate change, temperature increases above current thermal maxima could reduce the fitness of both monarchs and their parasites, with lower infection rates potentially balancing negative impacts of extreme heat on future monarch abundance and distribution.

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.

Microbial communities are indicators of parasite infection status.

Growing evidence suggests that microbiomes have been shaping the evolutionary pathways of macroorganisms for millennia and that these tiny symbionts can influence, and possibly even control, species interactions like host-parasite relationships. Yet, while studies have investigated host-parasites and microbiomes separately, little has been done to understand all three groups synergistically. Here, we collected infected and uninfected Eurypanopeus depressus crab hosts from a coastal North Carolina oyster reef three times over 4 months. Infected crabs demonstrated an external stage of the rhizocephalan parasite, Loxothylacus panopaei. Community analyses revealed that microbial richness and diversity were significantly different among tissue types (uninfected crab, infected crab, parasite externae and parasite larvae) and over time (summer and fall). Specifically, the microbial communities from parasite externae and larvae had similar microbiomes that were consistent through time. Infected crabs demonstrated microbial communities spanning those of their host and parasite, while uninfected crabs showed more distinctive communities with greater variability over time. Microbial communities were also found to be indicators of early-stage infections. Resolving the microbial community composition of a host and its parasite is an important step in understanding the microbiome's role in the host-parasite relationship and determining how this tripartite relationship impacts coevolutionary processes.

Assessment of The Prevalence and Associated Risk Factors of Gastrointestinal Parasite of Goats in Afgooye District, Lower Shabelle, Somalia

Background: Gastrointestinal parasitic diseases remain an obstacle to goat farmers in Somalia and worldwide. Purpose: This study aimed to determine the prevalence and associated risk factors of gastrointestinal parasites in goats in the Afgooye district, Lower Shabelle region, Somalia. Methods: To fulfill this study, an examination of 384 fecal samples of goats kept by smallholders was conducted. The results were achieved during the period from August 2020 to January 2022. Results: The examination of fecal samples revealed that the overall prevalence of gastrointestinal parasitic infections among goats was 71.61%. The data analysis conducted during the study indicated that there is no significant association (P &gt; 0.05) between goat districts and gastrointestinal (GI) parasite infection. The corresponding percentage of gastrointestinal parasites in males and females was 70% and 72%, respectively. However, these variables were not significantly associated (p-value = 0.399). After categorization, age was not significantly associated with the parasitic infection status of the animal. The common parasitic infections prevalent were Nematode, Trematode, Cestode, and Protozoa types were found in different numbers. According to the flotation and sedimentation techniques, Eimeria sp. (29%) was found with higher prevalence followed by Haemonchus sp. (23%), Trichostrongylus sp. (11%), Moniezia sp. (10%), Trichuris sp. (9%), Strongyloides sp. (7%), Dictyocaulus sp. (5.2%), Nematodirus (4%), and least was Fasciola sp. (1.0%). Conclusion: This study provides comprehensive documentation on multiple GI parasites among goats in the Afgooye district, Lower Shabelle region of South-western State, Somalia, and the findings are crucial for effective farm management, especially for formulating the effective GI parasitic control vis-a-vis novel elimination strategies.

Intestinal parasitic infections and their potential risk factors among prison inmates in Valencia, Spain

BackgroundDespite the fact that prison inmates are a population at higher risk than other groups of suffering from intestinal parasite infections in relation to their living conditions, information about these diseases in prison environments is still scarce. Herein, we analyze the status of intestinal parasite infections in a Spanish prison.MethodsA cross-sectional study involving 528 inmates was conducted from April to June 2022 among inmates at Centro Penitenciario Picassent (Valencia, Spain). Stool specimens were examined using the direct wet mount technique, the formol-ether concentration technique, and the Ziehl-Neelsen staining method. We used STATA 16.1 for data analysis. We consider a p-value less than 0.05 significant at a 95% confidence level.ResultsOf the 528 inmates (471 men and 57 women; a mean age of 41.94 years) enrolled in the study, 83 (15.7%) were infected. Only six species of protozoa were detected. The gut potential microeukaryotic pathobiont Blastocystis sp. was the predominant parasite, accounting for 37 (44.6%) of the infections. Gut parasite amebas (6.6%) and pathobionts (5.3%) were more prevalent than flagellates (2.3%). The prevalence of infection with pathogenic species (8.9%) was similar to that of non-pathogenic species (8.7%). Infection among men (15.2%) was higher than in women (0.6%) (p < 0.0001). In multivariate analysis, the country of birth (AOR = 0.31, 95% CI = 0.18–0.52) and the time spent in prison (AOR = 1.83, 95% CI = 1.06–3.14) were statistically significant associated to intestinal parasite infections (p < 0.0001 and p = 0.028, respectively).ConclusionThis study found low levels of intestinal parasite infections in the CPP which could be indicative of the implementation of sanitary measures in prison environments in Spain. The less time spent in prison favor the risk of having infection while the Spanish nationality of inmates could reduce the risk of infection. The main recommendation would be to introduce routine parasitological tests upon foreigners entering prison.

Parasitic Fauna of Captive Snakes (Serpentes, Colubridae) from Northeastern Argentina

This study aimed to evaluate the status of parasitic infections of colubrid snakes living in serpentariums in northeastern Argentina. Specimens were analyzed through clinical examination and coproparasitological surveys. In cases of death, specimens were necropsied, and histopathological exams were performed to determine its cause(s). Out of 30 specimens examined from 12 different species, parasites were found in 25 of them (83%). Nematodes were most common, with rhabdiasid and ascaridid helminths accounting for 57% and 40% of all infections, respectively. Further, the ascarid Hexametra boddaertii was identified in a specimen of Erythrolamprus aesculapii. Coccidian, digenean, and pentastomid parasites were also found less frequently. We identified the pentastomids Raillietiella furcocerca and Cephalobaena tetrapoda in specimens of Pseudablabes patagoniensis. We revealed systemic lesions induced by endoparasites, including enteritis and detachment of the gut mucosa by ascarids, tissue granulomas by rhabdiasids, and pulmonary microhemorrhages by pentastomids. Additionally, rhabdiasid-induced lesions in Duvernoy's gland were shown for the first time. Regarding ectoparasites, we identified the tick Amblyomma dissimile in a specimen of P. patagoniensis. On the whole, this study provides relevant information about the prevalence and pathophysiological effects of parasites on captive colubrids and paves the way for treatment strategies of such infections.

An Epidemiological Survey of Intestinal Parasitic Infection and the Socioeconomic Status of the Ethnic Minority People of Moken and Orang Laut.

Ethnic minority groups are often subjected to exclusion, social and healthcare marginalization, and poverty. There appears to be important linkages between ethnic minority groups, poor socioeconomic status, and a high prevalence of parasitic infection. Data regarding the prevalence and health effects of IPIs are necessary in the development and implementation of targeted prevention and control strategies to eradicate intestinal parasitic infection in the high-risk population. Thus, we investigated for the first time the intestinal parasitic infection status (IPIs), the socioeconomic status, and sanitary condition in the communities of Moken and Orang Laut, the ethnic minority peoples living on the coast of southwest Thailand. A total of 691 participants participated in the present study. The information concerning socioeconomic status and sanitary condition of the study population was obtained by personal interviews using a picture questionnaire. Stool samples were collected and examined for intestinal parasitic infection using direct wet smear and formalin-ethyl acetate concentration techniques. The results revealed that 62% of the study population were infected with one or more types of intestinal parasites. The highest prevalence of intestinal parasitic infections was found in the 11-20-year-old age range group. A statistically significant difference of IPIs among the three communities were observed (p < 0.0001). There was a statistical difference concerning 44 multiple infections of soil-transmitted helminths (STHs) (p < 0.001), whereas no statistically significant difference in multiple infections of protozoa was observed (p > 0.55). The results also displayed the significant difference in socioeconomic status and sanitary condition among the Moken living in Ranong and Phang Nga and the Orang Laut living in the Satun province (p < 0.001). Our study found no direct association between parasitic infection status and ethnic/geographic features; however, socioeconomic status is the key factor associated with prevalence of intestinal parasitic infection, with the observation that the higher prevalence of IPIs is due to a low socioeconomic status, consequently leading to poor hygiene and sanitation practices. The picture questionnaire played a major role in information gathering, especially from those of low or no education. Lastly, data pertaining to the species of the parasites and the mode of transmission assisted in the identification of group-specific vulnerabilities and shortcomings that can be utilized in education and corrected to reduce the prevalence of infection in the study areas.

Parasites either reduce or increase host vulnerability to fishing: a case study of a parasitic copepod and its salmonid host

Parasites generally increase host vulnerability to predators via host manipulation for trophic transmission and reduction of host activities. Predators also select prey depending on the parasite infection status. Despite such parasites' roles in prey-predator interactions in wild animals, how parasites affect human hunting probability and resource consumption remains unknown. We examined the effects of the ectoparasitic copepod Salmincola cf. markewitschi on fish vulnerability to angling. We found that infected fish were less vulnerable compared with non-infected fish when the fish body condition was low, which was probably due to reduced foraging activity. On the contrary, infected fish were more vulnerable when the host body condition was high, probably due to the compensation of parasites' negative effects. A Twitter analysis also suggested that people avoided eating fish with parasites and that anglers' satisfaction decreased when captured fish were parasitized. Thus, we should consider how animal hunting is affected by parasites not only for catchability but also for avoiding parasite infection sources in many local regions.

Prevalence of Intestinal Parasites and Associated Risk Factors among Diarrheal Patients Attending Negelle Borena General Hospital: A Case-Control Study.

In tropical countries, intestinal protozoal parasitic infections are among the common infections causing significant morbidity and mortality. Thus, the present study was conducted to assess the status of intestinal protozoal parasitic infections among diarrheal patients attending Negelle Borena General Hospital and investigate the possible risk factors for the infection. A case-control study design was employed in the study. The intestinal protozoal parasites were detected using a wet-mount, stool concentration, and modified Ziehl-Neelsen methods. The crude and adjusted odd ratios were considered to identify the associated risk factors for intestinal protozoal parasitic infections among the study participants. The overall status of parasitic infection was 46.88% in cases and 27.08% in the control groups. The most prevalent protozoal infection was Giardia lamblia (9.38%) and followed by Entamoeba histolytica/dispar (6.25%) in the cases. The highest prevalence of the infection was detected in the age groups that varied from 6 to 10 years in cases (71%). The enteric G. lamblia and E. histolytica/dispar were found to be 33.3% and 9.1%, respectively, in the age groups of 6-10 years in cases. Based on sex, 56.50% and 27.30% of protozoal (parasitic) infections were revealed by females in the cases and control groups, respectively, indicating a significant variation (P < 0.05). The education level (illiteracy), absence of toilet usage, no hand washing after toilet and before eating as significant risk factors for patient's infection with G. lamblia, E. histolytica, and Cryptosporidium spp. (P < 0.05, AOR = 1-14). However, eating raw fruit and vegetables was also found as a major risk factor for E. histolytica (P < 0.05, AOR = 6.2) 40. Moreover, the residence of the patients was also indicated as a plus risk factors for the infection to be occurred by Cryptosporidium spp. in the study participants (P > 0.95, AOR = 0.2). The prevalence of intestinal protozoal parasitic infection showed variation based on age, sex, and educational background of the study participants. Therefore, awareness creating training should be provided to the Negelle area communities so as to minimize the parasitic infection.

A Review of the Risk Factors for Iron Deficiency Anaemia among Adolescents in Developing Countries.

Identifying the root causes of iron deficiency anaemia is a prerequisite for effective management and prevention in adolescents. This systematic review assessed risk factors of iron deficiency anaemia among adolescents living in developing countries. Electronic databases such as PubMed, Cochrane Library, Science Direct, Google Scholar, and SCOPUS were comprehensively searched for studies published between 1990 and 2020 that involved risk factors of iron deficiency anaemia among adolescents living in developing countries. The quality of the included studies was assessed using the American Dietetic Association Quality Criteria Checklist. A total of 2,252 publications were reviewed, and only fifteen cross-sectional studies were eligible for inclusion, eight of which focused on female adolescents and seven on both genders. Direct risk factors contributing to anaemia among adolescents included food intake practices (n = 10 studies), female adolescents (n = 8 studies), menstruation (n = 5 studies), and parasitic infection (n = 6 studies). Indirect risk factors found to be associated with anaemia among adolescents included low educational status (n = 4 studies) and low socioeconomic status (n = 3 studies). All fifteen studies were of good quality. Food intake practices, female adolescents, menstruation, parasitic infection, and low educational status were the leading risk factors of iron deficiency anaemia among adolescents. Further research should concentrate on assessing the effectiveness and efficacy of existing interventions aimed at preventing iron deficiency among vulnerable groups in developing countries.

Metabarcoding of bacteria and parasites in the gut of Apodemus agrarius

BackgroundThe striped field mouse Apodemus agrarius is a wild rodent commonly found in fields in Korea. It is a known carrier of various pathogens. Amplicon-based next-generation sequencing (NGS) targeting the 16S ribosomal RNA (rRNA) gene is the most common technique used to analyze the bacterial microbiome. Although many bacterial microbiome analyses have been attempted using feces of wild animals, only a few studies have used NGS to screen for parasites. This study aimed to rapidly detect bacterial, fungal and parasitic pathogens in the guts of A. agrarius using NGS-based metabarcoding analysis.MethodsWe conducted 18S/16S rDNA-targeted high-throughput sequencing on cecal samples collected from A. agrarius (n = 48) trapped in May and October 2017. Taxa of protozoa, fungi, helminths and bacteria in the cecal content were then identified.ResultsAmong the protozoa identified, the most prevalent was Tritrichomonas sp., found in all of the cecal samples, followed by Monocercomonas sp. (95.8% prevalence; in 46/48 samples) and Giardia sp. (75% prevalence; in 36/48 samples). For helminths, Heligmosomoides sp. was the most common, found in 85.4% (41/48) of samples, followed by Hymenolepis sp. (10.4%; 5/48) and Syphacia sp. (25%; 12/48). The 16S rRNA gene analysis showed that the microbial composition of the cecal samples changed by season (P = 0.005), with the linear discriminant analysis effect size showing that in the spring Escherichia coli and Lactobacillus murinus were more abundant and Helicobacter rodentium was less abundant. Helicobacter japonicus was more abundant and Prevotella_uc was less abundant in males. The microbial composition changed based on the Heligmosomoides sp. infection status (P = 0.019); specifically, Lactobacillus gasseri and Lactobacillus intestinalis were more abundant in the Heligmosomoides sp.-positive group than in the Heligmosomoides sp.-negative group.ConclusionsThis study demonstrated that bacterial abundance changed based on the season and specific parasitic infection status of the trapped mice. These results highlight the advantages of NGS technology in monitoring zoonotic disease reservoirs.Graphical

Intestinal Parasitic Infection and Nutritional Status in Children under Five Years Old: A Systematic Review.

Intestinal parasitic infections are common infectious diseases causing many health problems and impaired growth and physical development.. Children under five years old are the most vulnerable to infections, due to their immature immunity and feeding and exploratory behaviours. This systematic review aimed to assess the relationship between intestinal parasitic infections and undernutrition among children under 5 years old. Fifteen studies met the inclusion and exclusion criteria and were classified as high-quality studies. Twelve parasites were reported, including Ascaris lumbricoides, Cryptosporodium spp., Entamoeba histolytica, Enterobius vermicularis, Giardia lamblia, hookworm, Hymenolepis nana, Strongyloides sterocalis, Taenia spp. and Trichuris trichuria. Ascariasis is the most reported infection, with a prevalence ranging from 10.77% in Ethiopia to 57.14% in Malaysia, and is correlated with stunting (OR 2.17 (95% CI 1.14, 4.13), p = 0.02). Giardiasis is the second most reported infection, with a prevalence ranging from 4.43% in Ethiopia to 66.33% in the Central African Republic, and is related to an increased risk of stunting (OR 2.34 (95% CI 1.07, 5.10), p = 0.03)), wasting (OR 2.90 (95% CI 1.12, 7.49, p = 0.03)), and being underweight (OR 1.53 (95% CI 1.02, 2.29, p = 0.04)). The third and fourth most prevalent infections are T. trichiura and hookworm infections. Intestinal parasitic infections can occur very early in life and cause significant growth retardation. It is important to understand the prevalence and effects of infection based on the parasite species in order to implement therapeutic interventions and prevention controls.

Subtypes and phylogenetic analysis of Blastocystis sp. isolates from West Ismailia, Egypt

In Egypt, Blastocystis sp. is not yet on the diagnostic list of parasitology reports, and information about its subtypes (STs) is scarce. This study investigated its prevalence and its STs/alleles, performed phylogenetic analysis, and considered the distribution of risk factors associated with Blastocystis sp. infections in West Ismailia, Ismailia governorate. Sociodemographic data, exposure factors, and previous parasitic infection status were recorded for symptomatic and asymptomatic individuals. Microscopy, polymerase chain reaction, sequencing, and phylogenetic analysis for Blastocystis sp. isolated from fecal samples were performed. Eighty Blastocystis sp.-infected individuals (15.3%) were examined. The age of the individuals ranged between 0.60 and 85.0 (mean 17.10 ± 15.70), the male/female ratio was 33/47, and the asymptomatic/symptomatic ratio was 55/25. The findings demonstrate clear evidence of direct contact with animals, poor water quality, and previous parasitic infections. Eleven samples yielded three Blastocystis STs (ST1: allele 4, ST2: alleles 9 and 12, and ST3: allele 34), with ST3 (45.5%) representing the most common subtype. Phylogenetic analysis with a robust bootstrap revealed three distinct clades for isolates of each subtype. This study updates the epidemiological knowledge of the distribution of Blastocystis sp. STs in Egypt and expands the current understanding of the prevalence, risk factor frequencies, and genetic diversity of this protist in the studied area.

Status of Intestinal Parasitic Infections in a Tertiary Care Center.

Intestinal parasitic infections (IPIs) are diseases of serious public health concern in low- and middle-income countries, including Nepal. Such infections can cause growth retardation and increased susceptibility to other parasitic infections. Hence, this study aims to assess the prevalence of IPIs among the patients attending a tertiary care hospital in central Nepal. Clinical and laboratory records of patients, whose stool samples were collected and transported to the Department of Clinical Microbiology, KIST Medical College and Teaching Hospital, during 2 years (January 2019 and December 2020) were examined for parasitological findings, by conventional microscopy using normal saline and iodine preparation. Out of3,146 patients included in the study, 411 (13.1%) patients (median age[IQR]: 27[12-45]) were infected with the intestinal parasites. Patients of different age groups, such as 20-30 years (16.1%), 10-20 years (14.1%), and 30-40 years (13.3%) were mostly infected. Infection was more common in females (221/1572, 14.1%) than males (190/1574, 12.1%). There were 373 (90.8%) cases ofIPIs due to Entamoeba histolytica, 34 (8.3%) casesdue to Giardia lamblia, and 4 (0.9%) cases due to helminths. The prevalence of IPI in the first and second years was 14.5% (260/1794) and 11.2% (151/1352), respectively. IPIs were more common in summer (n=87, 12.8%) and spring(n=81, 10.8%). Present study showed a declined prevalence of helminth infection. However, a higher rate of protozoan infectionindicated thewater source contamination with fecal matters and therefore urgencies for awareness among the public about hygienic practices.

The performance of field sampling for parasite detection in a wild passerine.

Parasites can impact the behavior of animals and alter the interplay with ecological factors in their environment. Studying the effects that parasites have on animals thus requires accurate estimates of infections in individuals. However, quantifying parasites can be challenging due to several factors. Laboratory techniques, physiological fluctuations, methodological constraints, and environmental influences can introduce measurement errors, in particular when screening individuals in the wild. These issues are pervasive in ecological studies where it is common to sample study subjects only once. Such factors should be carefully considered when choosing a sampling strategy, yet presently there is little guidance covering the major sources of error. In this study, we estimate the reliability and sensitivity of different sampling practices at detecting two internal parasites—Serratospiculoides amaculata and Isospora sp.—in a model organism, the great tit Parus major. We combine field and captive sampling to assess whether individual parasite infection status and load can be estimated from single field samples, using different laboratory techniques—McMaster and mini‐FLOTAC. We test whether they vary in their performance, and quantify how sample processing affects parasite detection rates. We found that single field samples had elevated rates of false negatives. By contrast, samples collected from captivity over 24 h were highly reliable (few false negatives) and accurate (repeatable in the intensity of infection). In terms of methods, we found that the McMaster technique provided more repeatable estimates than the mini‐FLOTAC for S. amaculata eggs, and both techniques were largely equally suitable for Isospora oocysts. Our study shows that field samples are likely to be unreliable in accurately detecting the presence of parasites and, in particular, for estimating parasite loads in songbirds. We highlight important considerations for those designing host–parasite studies in captive or wild systems giving guidance that can help select suitable methods, minimize biases, and acknowledge possible limitations.

Evidence of reduced academic performance among schoolchildren with helminth infection.

BackgroundSoil-transmitted helminths (STHs) pose a formidable health risk to school-age children in resource-limited settings. Unfortunately, mass deworming campaigns have been derailed since the onset of the coronavirus disease 2019 pandemic. The present study assessed the cross-sectional associations between STHs, nutritional status and academic performance of schoolchildren in the Banda District of Ghana.MethodsSchoolchildren (5–16 y of age; n=275) were recruited through both school and household visits by community health workers using a multistage cluster sampling technique. In addition to school microscopy, anthropometric records were also taken.ResultsThe prevalence of geohelminthiasis was 40.4% (95% confidence interval 34.6 to 46.2). STHs targeted for elimination by the World Health Organization and national programmes were detected among schoolchildren. Children with intestinal parasite infection (53.7 [standard deviation {SD} 11.5]) had lower mean academic scores compared with uninfected children (59.6 [SD 16.9]) (p=0.034). In multiple regression analysis, intestinal parasite infection status and z-scores for weight-for-age showed a collective significant effect on the academic score (F1117=8.169, p<0.001, R2=0.125).ConclusionsSchoolchildren with STHs had poorer academic performance compared with uninfected children, despite their nutritional status. In addition to school feeding programmes, school-based mass drug administration campaigns may be critical for improving learning outcomes in young schoolchildren.

Machine learning-based risk factor analysis and prevalence prediction of intestinal parasitic infections using epidemiological survey data.

BackgroundPrevious epidemiological studies have examined the prevalence and risk factors for a variety of parasitic illnesses, including protozoan and soil-transmitted helminth (STH, e.g., hookworms and roundworms) infections. Despite advancements in machine learning for data analysis, the majority of these studies use traditional logistic regression to identify significant risk factors.MethodsIn this study, we used data from a survey of 54 risk factors for intestinal parasitosis in 954 Ethiopian school children. We investigated whether machine learning approaches can supplement traditional logistic regression in identifying intestinal parasite infection risk factors. We used feature selection methods such as InfoGain (IG), ReliefF (ReF), Joint Mutual Information (JMI), and Minimum Redundancy Maximum Relevance (MRMR). Additionally, we predicted children’s parasitic infection status using classifiers such as Logistic Regression (LR), Support Vector Machines (SVM), Random Forests (RF) and XGBoost (XGB), and compared their accuracy and area under the receiver operating characteristic curve (AUROC) scores. For optimal model training, we performed tenfold cross-validation and tuned the classifier hyperparameters. We balanced our dataset using the Synthetic Minority Oversampling (SMOTE) method. Additionally, we used association rule learning to establish a link between risk factors and parasitic infections.Key findingsOur study demonstrated that machine learning could be used in conjunction with logistic regression. Using machine learning, we developed models that accurately predicted four parasitic infections: any parasitic infection at 79.9% accuracy, helminth infection at 84.9%, any STH infection at 95.9%, and protozoan infection at 94.2%. The Random Forests (RF) and Support Vector Machines (SVM) classifiers achieved the highest accuracy when top 20 risk factors were considered using Joint Mutual Information (JMI) or all features were used. The best predictors of infection were socioeconomic, demographic, and hematological characteristics.ConclusionsWe demonstrated that feature selection and association rule learning are useful strategies for detecting risk factors for parasite infection. Additionally, we showed that advanced classifiers might be utilized to predict children’s parasitic infection status. When combined with standard logistic regression models, machine learning techniques can identify novel risk factors and predict infection risk.

Surveillance Model of Parasitic Zoonosis in Cyprinoid Fishes in Northern Zone and Northeastern Zone of Thailand and Myanmar Using GIS

The parasitic zoonosis, opisthorchis viverrini has been an important public health problem in many parts of the globe. In Thailand, fish-borne parasitic zoonosis is highly spread in the northern and northeastern regions, where a large impact of cholangiocarcinoma occurs, a crucial source of the liver cancer. The rare occasions reports date published about the Opisthorchiasis in the middle zone of Myanmar. In our study, a total of a few species of fish borne trematode metacercariae i.e.; three kind of small intestinal flukes, the family of Heterophyidae; Haplorchoides sp., Haplorchis pumilio, Haplorchis taichi and one species of carcinogenic liver fluke, the family of Opisthorchiidae; Opisthorchis viverrini have been detected from seven study areas from Thailand and Myanmar. The geographic information relevant with the rate of infection with vulnerable species of freshwater fishes was also posted from Thailand and Myanmar, and built a parasitic diseases combine with georeference for Geographical Information System (GIS) implementation. Furthermore, secondary descriptive analysis of the prevalence of fishborne trematodes metacercariae from countries of golden triangles (Southeast Asia) ie; Thailand, Myanmar, and Laos PDR have been created a GIS database for infection status of parasite infections. The outcome from this study may be helpful in strategies for protocol of the prevention of parasitic zoonosis in freshwater fishes reportin Thailand and Myanmar.