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Objective To construct a human health literacy indicator system for prevention of parasitic diseases based on Delphi method. Methods Based on literature reviews and expert interviews, a questionnaire was designed and a two-round Delphi consultation was performed. A human health literacy indicator system for prevention of parasitic diseases was constructed according to the deletion criteria and experts’ advice. Results A total of 14 experts completed the two-round consultation. The second-round authority coefficients were 0.91 to 0.96 for the first-level indicators, 0.87 to 0.97 for the second-level indicators and 0.86 to 0.97 for the third-level indicators. A human health literacy indicator system for prevention of parasitic diseases was constructed with the main framework of basic knowledge and awareness, healthy behaviors, and healthy skills, which contained 3 first-level indicators, 12 second-level indicators and 48 third-level indicators. Among the three first-level indicators, basic knowledge and awareness had the highest weighting coefficient (0.336 5), followed by healthy behaviors (0.334 9), and healthy skills had the lowest weighting coefficient (0.328 6). The three secondary-level indicators with the highest combined weights included awareness of the epidemic status (0.088 2), awareness of the resource of infection (0.085 8) and basic awareness of parasitic diseases (0.085 5). Conclusion A human health literacy indicator system for prevention of parasitic diseases is preliminarily constructed, which provides insights into the development of health literacy evaluation tools for prevention of parasitic diseases in the new era.
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Objective To analysize the temporal trends in the disease burden of major human parasitic diseases in China from 1990 to 2019, so as to provide the evidence for improving the parasitic disease control strategy in China.. Methods The disability-adjusted life years (DALYs) of malaria, intestinal nematode infections, schistosomiasis, food-borne trematodiases, cysticercosis and echinococcosis in China from 1990 to 2019 were captured from the Global Burden of Disease Study 2019 (GBD 2019), and age- and gender-specific DALYs of parasitic diseases were estimated. The temporal trends in DALYs of malaria, intestinal nematode infections, schistosomiasis, food-borne trematodiases, cysticercosis and echinococcosis were evaluated in China from 1990 to 2019 using average annual percent change (AAPC) with Joinpoint regression analysis. Results The DALYs were 643 836.42 person-years due to food-borne trematodiases, 156 853.03 person-years due to cysticercosis, 79 764.62 person-years due to schistosomiasis, 70 989.73 person-years due to intestinal nematode infections, 4 258.61 person-years due to echinococcosis and 264.86 person-years due to malaria in China in 2019, respectively. The overall DALYs of six parasitic diseases were higher among men (546 441.93 person-years) than among women (409 525.33 person-years), and were greater among adults at ages of 14 to 65 years (684 780.84 person-years) than among children at 14 years and lower (35 437.38 person-years) and the elderly at ages of 65 years and older (235 749.04 person-years). During the period from 1990 to 2019, food-borne trematodiases were the leading cause of DALYs among the six parasitic diseases, and cysticercosis shifted from the fourth leading cause in 1990 to the second leading cause of DALYs in China in 2019, while intestinal nematode infections shifted from the second leading cause in 1990 to the fourth leading cause of DALYs in 2019. The DALYs of major human parasitic diseases appeared an overall tendency towards a decline in China from 1990 to 2019, with the fastest drop seen in DALYs due to malaria (AAPC = −19.6%, P = 0.003), followed by due to intestinal nematode infections (AAPC = −8.2%, P < 0.001) and schistosomiasis (AAPC = −3.1%, P < 0.001), and a slow decline was seen in the DALYs of food-borne trematodiases (AAPC = −1.0%, P < 0.001), while there were no significant decrease in the DALYs of echinococcosis (AAPC = −0.5%, P = 0.264) and the DALYs of cysticercosis appeared a tendency towards a rise (AAPC = 0.7%, P < 0.001). Conclusions The disease burden of major human parasitic diseases appeared an overall tendency towards a decline in China from 1990 to 2019, with a high disease burden seen due to food-borne parasitic diseases, no remarkable reduction seen in echinococcosis, and a tendency towards a rise seen in cysticercosis. It is recommended to focus on echinococcosis control, and continue to consolidate the control achievements of other major human parasitic diseases in China; meanwhile, the surveillance and prevention of food-borne parasitic diseases should be reinforced.
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Currently, the Global Burden of Disease Study (GBD) is the most comprehensive, systematic, and largest-scale global observational epidemiological project, which measures the national, regional and global mortality and disability of diseases, injuries and risk factors that threaten human health using unified indicators, such as disability-adjusted life year. This review describes the development history, assessment process and methodological advances of GBD, and discusses the impact of GBD on the burden of parasitic diseases, aiming to provide insights into the widespread use of GBD.
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Cysticercosis is a Parasitic disease caused by the larval form of the pork tapeworm Taenia solium. This disease is a major health concern especially in developing world including India but its incidence is underestimated. Not too many cases of isolated intramuscular cysticercosis have been reported in pediatric population. Here we report a case of 4 years old female child presented with swelling over left lower chest over 3-4 months, diagnosed with intramuscular cysticercosis by ultrasonography.
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Species distribution model, a mathematical model theoretically based on the temporal and spatial locations of species in the ecosystem and their associations with other species, is useful to display the current species distribution and predict the future species distribution, which has been widely applied in ecology, biogeography and spatial transmission of infectious diseases. Integrated species distribution model is a comprehensive, summative and reliable combination model that simultaneously uses multiple species distribution models or integrates multiple data sources for modeling. This review describes the theory and classification of species distribution models, and summarizes the creation and verification of integrated species distribution models and their applications in parasitic disease prevention and control. During the practical applications of integrated species distribution models, the study scale, niche matching, big data utilization, combination of multidisciplinary methods and knowledge background and ecological implications should be emphasized.
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INTRODUCCION: La parasitosis intestinal es una enfermedad de alta prevalencia a nivel mundial y nacional, distribuido ampliamente en las diferentes regiones de nuestro país. En la zona andina, existe mayor prevalencia de parásitos protozoarios en relación a los helmintos. OBJETIVO: determinar la prevalencia de parasitosis intestinal en estudiantes de primaria del Distrito 7, Viacha, durante el mes de abril de 2017. MÉTODOS: se desarrolló un estudio descriptivo, observacional, transversal y prospectivo donde se tomó en cuenta 122 estudiantes como muestra representativa de la población, previa firma de un consentimiento informado por sus tutores. Se recolectaron muestras de heces fecales y el análisis fue realizado a través del examen coproparasitológico simple en el laboratorio de microbiología y parasitología de la Carrera de Enfermería de la Universidad Pública de El Alto. RESULTADOS: se halló una prevalencia de parasitosis intestinal del 59% (n=72), siendo la especie patógena más hallada G. intestinalis (9,84%) y entre los comensales B. Hominis y E. Coli (34,43% para cada caso). Asimismo, se pudo evidenciar casos de asociaciones parasitarias como el biparasitismo (n=24) y triparasitismo (n=2). En cuanto a la distribución de la parasitosis según género y grupos etarios, se pudo evidenciar que el género más afectado fue el masculino (p<0,05) y no hubo diferencia entre los grupos etarios (p=0,638). CONCLUSIÓN: se encontró una elevada prevalencia de parasitosis intestinal en los estudiantes del Distrito 7, Viacha.
INTRODUCTION: intestinal parasites are a highly prevalent disease worldwide and locally, they are widely distributed in the different regions of our country. In the Andean zone, there is a higher prevalence of protozoan parasites in relation to helminths. OBJECTIVE: to determine the prevalence of intestinal parasites in elementary students from District 7, Viacha on April 2017. METHODS: a descriptive, observational, cross-sectional and prospective study was developed where 122 students were considered as a representative sample of the population, after signing an informed consent by their tutors. Fecal stool samples were collected and the analysis was carried out through simple coproparasitological examination in the microbiology and parasitology laboratory of the Nursing School of the Universidad Pública de El Alto. RESULTS: a prevalence of intestinal parasites of 59% (n = 72) was found, being the most found pathogenic species G. intestinalis (9.84%) and among commensals B. hominis and E. coli (34.43% for each case). Likewise, cases of parasitic associations such as biparasitism (n = 24) and tryparasitism (n = 2) could be evidenced. Regarding the distribution of parasitosis according to gender and age groups, it was possible to show that the most affected gender was the male (p <0.05) and there was no difference between the age groups (p = 0.638). CONCLUSION: a high prevalence of intestinal parasitosis was found in students from District 7, Viacha.
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Parasitic DiseasesABSTRACT
Primary pelvic hydatid cyst disease is a zoonotic parasitic disease most frequently caused by Echinococcus granulosus or Echinococcus multilocularis. Primary pelvic hydatid cyst is a rare entity. A 39-year-old, para 3 living 3 presented to casualty with acute pain abdomen and a suprapubic mass. Patient gave history of acute lower abdominal pain since 4 days associated with vomiting. On examination, a palpable mass around 18 weeks size, firm to hard in consistency with ill-defined margins and restricted mobility and suprapubic tenderness. Lower limit could not be reached, extending from right iliac fossa to midline. Per vaginum findings suggestive of mass deviated to right side with fullness in right fornix. No cervical motion tenderness. The pre-operative tumor marker levels were as follows: CA125=12.44 U/mL (normal=0-35), CEA=0.09 ng/mL (normal=0-2.5). CA19.9=16.79 U/mL (normal=1.2-30). Erythrocyte sedimentation rate (ESR) was found to be 82 mm in the first hour. Transabdominal ultrasound suggestive of adnexal mass? ovarian with moderate ascites. Urinary bladder seen separately. Contrast enhanced computed topography (CECT) suggestive of complicated right para-ovarian /ovarian cystic mass like cystadenoma. Exploratory laparotomy was done and specimen (uterus, cervix, omental biopsy and peritoneal washings) was sent for Histopathological report. Histopathological examination of the haematoxylin and eosin-stained section revealed ruptured brood capsule releasing daughter cyst. Post-operative period was uneventful. Patient received full course of anti-helminthic treatment.
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Abstract More than 1.450 marine fish species are commercialized as ornamental fish and approximately 90% of these are wild-caught. Rainford's butterflyfish, Chaetodon rainfordi (McCulloch, 1923), is endemic to the western Pacific. This fish species belongs to one of the main ornamental fish families imported into Brazil. Haliotrema is a genus of the family Dactylogyridae. Species of this genus have very interesting host associations and geographic distributions. The aim of this study was to report on occurrences of exotic Haliotrema aurigae in diseased Rainford butterflyfish that were imported to Brazil. One Rainford's butterflyfish with suspected parasitic disease was euthanized and subjected to skin and gill scraping. The parasite specimens were mounted on semi-permanent slides with Hoyer's solution for morphological analysis of sclerotized structures. The hard-sclerotized structures of these specimens were compared and were identified as those of Haliotrema aurigae (Yamaguti, 1968). These results emphasize the importance of implementation of correct control measures at the country's borders, to avoid the introduction of exotic parasites. In addition, it can be emphasized that the easy adaptation of this parasite to new environments is a concern for ornamental fish farmers.
Resumo Mais de 1.450 espécies de peixes marinhos são comercializados como peixes ornamentais e, aproximadamente, 90% são extraídos na natureza. O peixe borboleta Rainford, Chaetodon rainfordi (McCulloch, 1923), é endêmico no Pacífico Ocidental. Esta espécie de peixe pertence a uma das principais famílias importadas para o Brasil. Haliotrema é um gênero da família Dactylogyridae. Espécies desse gênero têm associação com hospedeiros e distribuição geográfica. O objetivo deste estudo é relatar a ocorrência de Haliotrema aurigae exótico, em peixes-borboleta doentes, que foram importados para o Brasil. Um peixe-borboleta Rainford, suspeito de estar infectado com doença parasitária, foi eutanasiado e submetido à raspagem de pele e brânquias. As amostras foram montadas em lâminas semipermanentes com Hoyer, para análise morfológica de estruturas esclerotizadas. A morfologia e as estruturas esclerotizadas duras das amostras foram comparadas e identificadas como Haliotrema aurigae (Yamaguti, 1968). Esses resultados enfatizam a importância da implementação de medidas de controle pós-fronteira para evitar a introdução de parasitas exóticos no país. Além disso, pode-se enfatizar que a fácil adaptação do parasita a um novo ambiente é uma preocupação para os pscicultores ornamentais.
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Animals , Trematoda/anatomy & histology , Trematoda/physiology , Perciformes/parasitology , Fish Diseases/parasitology , Asia , Pacific Ocean , Brazil , Introduced SpeciesABSTRACT
Abstract This study identified the parasitic species in juvenile freshwater finfishes during the fattening stage, from a fish farm located in the Zona da Mata (MG), southeastern Brazil, and revealed both macro and microscopical lesions in fish gills. A total of 172 juvenile fishes of different species (Oreochromis niloticus, Ictalurus punctatus, Ctenopharyngodon idella, Cyprinus carpio, Astyanax bimaculatus and Brycon amazonicus) were transported to a laboratory in São Paulo city. The fish were sedated and then euthanized for parasitological analysis. All fish were infected by at least one parasite species. Ten different species of parasites were identified: Apiosoma sp., Epistylis sp., Ichthyobodo sp., trichodinids, Piscinoodinium pillulare, Ichthyophthirius multifiliis, Tetrahymena sp., monogeneans, Centrocestus formosanus metacercariae, and Dermocystidium sp. The best management practices and lack of sanitary control were also discussed.
Resumo Este trabalho identificou espécies parasitas em peixes de produção juvenis de água doce, durante a fase de engorda, oriundos de uma piscicultura da Zona da Mata (MG), na região sudeste do Brasil, além das lesões de brânquias, causadas tanto macro quanto microscopicamente. Um total de 172 peixes juvenis de diferentes espécies (Oreochromis niloticus, Ictalurus punctatus, Ctenopharyngodon idella, Cyprinus carpio, Astyanax bimaculatus e Brycon amazonicus) foram transportados para um laboratório na cidade de São Paulo. Os peixes foram anestesiados e eutanasiados para análise parasitológica. Todos os peixes estavam acometidos por pelo menos uma espécie de parasito. Dez diferentes espécies de parasitos foram identificadas: Apiosoma sp., Epistylis sp., Ichthyobodo sp., tricodinídeos, Piscinoodinium pillulare, Ichthyophthirius multifiliis, Tetrahymena sp., monogeneas, metacercárias de Centrocestus formosanus e Dermocystidium sp. As boas práticas de manejo e inadequado controle sanitário também foram discutidos.
Subject(s)
Animals , Food Parasitology , Fish Diseases/diagnosis , Fish Diseases/parasitology , Fish Diseases/prevention & control , Fish Diseases/epidemiology , Fishes/parasitology , Parasitic Diseases, Animal/diagnosis , Parasitic Diseases, Animal/parasitology , Parasitic Diseases, Animal/prevention & control , Parasitic Diseases, Animal/epidemiology , Brazil/epidemiology , Fisheries , Fresh WaterABSTRACT
Abstract Cryptocaryon irritans is an obligate parasitic ciliate protozoan of wild and cultured marine fish. It causes white spot disease, and infections with this pathogen can cause significant losses for aquarists and commercial marine cultures worldwide. This study reports the occurrence of C. irritans parasitizing the ornamental reef fish, yellowtail tang, Zebrasoma xanthurum. Six days after being introduced to a new environment, 11 yellowtail tangs had white spots scattered across their bodies and fins. Suspicion of infection with C. irritans was evaluated by scraping the skin to confirm clinical diagnosis. After confirmation, the yellowtail tangs were transferred to a hospital aquarium and treated with the therapeutic agent Seachem Cupramine® for 15 days. During the treatment period, the copper concentration was monitored daily. At the end of the treatment, none of the yellowtail tangs showed clinical signs of white spots on their bodies, and skin scraping confirmed the yellowtail tangs were no longer infected. Subsequently, the yellowtail tangs were released for sale.
Resumo Cryptocaryon irritans é um protozoário ciliado parasita obrigatório de peixes marinhos selvagens e cultivados. Causa a doença dos "pontos brancos". Infecções por esse patógeno pode causar perdas significativas para aquaristas e para marinocultura comercial em todo o mundo. Este estudo relata a ocorrência de C. irritans parasitando a espécie de peixe ornamental de recife Zebrasoma xanthurum. Seis dias após serem introduzidos no novo ambiente, onze peixes apresentaram pontos brancos espalhados pelo corpo e nadadeiras. Suspeitando de infecção por C. irritans foi realizado raspado de pele para confirmar o diagnóstico clínico. Após a confirmação, os peixes foram transferidos para um aquário hospital e tratados com o agente terapêutico Seachem Cupramine® por 15 dias. Durante o período de tratamento o monitoramento da concentração de cobre foi diário através da utilização de um fotômetro. Após o final do tratamento, todos os peixes já não apresentavam mais sinais clínicos de pontos brancos pelo corpo, e foram negativos no raspado de pele, sendo foram encaminhados para comercialização.
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Animals , Perciformes/parasitology , Ciliophora Infections/veterinary , Ciliophora/isolation & purification , Fish Diseases/parasitology , Perciformes/classification , Ciliophora/classification , AquacultureABSTRACT
Blatocystis sp. un parásito unicelular, anaerobio y de gran variabilidad genética del intestino de animal y del ser humano de distribución mundial y el de mayor prevalencia entre las zoonosis intestinales que ha estado inmerso en controversias y revisiones por su taxonomía, características morfológicas, ciclo de vida y papel patógeno. Por tanto, el objetivo del presente escrito es la consolidación de información sobre estos y otros aspectos de Blatocystis sp. producto de la revisión de la literatura científica. Se trata de un estudio documental. Los datos encontrados fueron agrupados en 8 capítulos a saber: tipificación, comportamiento epidemiológico, ciclo de vida y morfología parasitaria, patogenia, manifestaciones clínicas, diagnóstico, tratamiento y reflexiones finales. En esta revisión se actualizan aspectos relativos a Blatocystis sp. con el objeto de mostrar las tendencias del conocimiento sobre esta parasitosis como base esencial de las estrategias de promoción y prevención que adoptan los países contra Blatocystis sp.
Blastocystis sp. a single-celled, anaerobic parasite of great genetic variability in the intestine of animals and humans of worldwide distribution and the one with the highest prevalence among intestinal zoonoses that has been immersed in controversies and reviews due to its taxonomy, morphological characteristics, life cycle and role pathogen. Therefore, the objective of this paper is the consolidation of information on these and other aspects of Blastocystis sp. product of the review of the scientific literature. It is a documentary study. The data found were grouped into 8 chapters: typification, epidemiological behavior, life cycle and parasitic morphology, pathogenesis, clinical manifestations, diagnosis, treatment and final reflections. In this review, aspects related to Blastocystis sp. in order to show the current trends of knowledge about this parasitism as an essential basis of the promotion and prevention strategies that countries adopt against Blastocystis sp.
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Objetive: To confirm the presence of Angiostrongylus cantonensis in Lissachatina fulica individuals in Colombia. Methods: 19 individuals of L. fulica were collected in the city of Buenaventura, Valle del Cauca, Colombia. Lung tissue was extracted and two analysis methods were used: visual identification by histological observation, and identification through conventional and real-time PCR. The A. cantonensis detection rate was established taking into account each of the analysis techniques used. Results: Presence of A. cantonensis was confirmed in the lung tissue of L. fulica specimens collected in the city of Buenaventura, Valle del Cauca, Colombia. The detection rate based on visual identification through histological analysis was 89%, whereas it was 95% using conventional PCR, and 100% using real-time PCR. Conclusion: This study confirmed for the first time the presence of A. cantonensis associated with L. fulica specimens in Colombia. Therefore, eosinophilic meningitis could be considered an emerging disease in Colombia.
Objetivo: confirmar la presencia de Angiostrongylus cantonensis en individuos de Lissachatina fulica en Colombia. Materiales y métodos: se recolectaron 19 individuos de L. fulica en la ciudad de Buenaventura, Valle del Cauca, Colombia. Se extrajo el tejido pumonar y se utilizaron dos métodos de análisis: identificación visual por observación histológica e identificación a través de PCR convencional y en tiempo real. La tasa de detección de A. cantonensis fue establecida para cada una de las técnicas de análisis utilizadas. Resultados: se confirmó la presencia de A. cantonensis en el tejido pulmonar de los especímenes de L. fulica recolectados en la ciudad de Buenaventura, Valle del Cauca, Colombia. La tasa de detección alcanzanda a través de la técnica de identificación visual mediante análisis histológico fue del 89%, mientras que usando la técnica de PCR convencional fue del 95% y de PCR en tiempo real fue del 100%. Conclusión: este estudio confirma por primera vez la presencia de A. cantonensis asociado a especímenes de L. fulica en Colombia. Por lo tanto, se sugiere que la meningitis eosinofílica sea propuesta como una enfermedad emergente en Colombia.
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Humans , Snails , Angiostrongylus cantonensis , Meningitis , Colombia , Disease Vectors , Real-Time Polymerase Chain Reaction , Viral Zoonoses , Lung , Meningoencephalitis , MolluscaABSTRACT
Malaria is a life-threatening parasitic disease caused by a protozoan of the genus Plasmodium and is one of the most important parasitic diseases of man globally especially in sub-Saharan Africa. This research was done to assess malaria infection and its relationship with the knowledge, attitude, perception and prevention among students of boarding schools in Gboko Local Government Area. Five boarding schools within Gboko Local Government were selected for the study. A total of 370 students were sampled to represent the population. Malaria in the schools selected for this study was determined through malaria test via the examination of stained thick blood smears under the microscope. Structured questionnaires were administered to the participants to get information pertaining to their demography, knowledge, attitude, perception and preventive methods towards malaria. Thick blood films were stained using Romanowsky Field Stains. Chi-square was used for comparing infections and to determine the significant relationships at 95% level of significance. The results showed an overall prevalence of 20.8%. The prevalence of malaria was higher among female students (22.3%) than in male students (19.5%). Malaria was found most (10.8%) among students who use insecticide treated nets (ITNs). This study revealed that the knowledge and ownership of insecticide treated net (ITN) was high (86.2%) among the students. However, only 60.0% of the ITN owners actually use it. Thirteen percent of the students have phobia for the use of ITN while many students do not use the ITN for diverse perceived reasons. The treatment seeking behavior of the students showed that majority of the students (84.9%) access the school clinic when they have fever. This study has revealed that there are misconceptions on the knowledge of malaria among students and these are some of the factors leading to the risk and exposure of students to the bites of mosquitoes. The perceived beliefs on malaria in this study have no scientific basis and can easily be overcome through proper health education. Providing a mosquito free environment and promoting ITN usage as well as use of mosquito repellent cream among boarding school students may help achieve the desired protection against mosquito bites and subsequently prevent malaria.
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Objective To investigate the status of human intestinal parasitic diseases in Nanping City from 2014 to 2018, so as to provide reference for the development of the effective control measures. Methods Administrative villages were selected using the two-stage cluster sampling in Nanping City from 2014 to 2018, and surveillance of human intestinal parasitic diseases was performed in 5 administrative villages in each county (district) of Nanping City. Intestinal parasitic infections were detected using a modified Kato-Katz thick smear method (two smears for a single stool sample) in villagers, and the hookworm species was differentiated. In addition, the eggs of Enterobius vermicularis were detected using the adhesive tape method in children aged 3 to 6 years. Results A total of 6 317 villagers were detected in Nanping City from 2014 to 2018, and the overall prevalence of human intestinal parasitic infections was 2.15%. There was year- (χ2 = 10.53, P < 0.05) and gender-specific prevalence of human intestinal parasitic infections in Nanping City during the study period (χ2 = 17.00, P < 0.01). The prevalence of human intestinal parasitic infections increased with age, and there was age-specific prevalence of human intestinal parasitic infections in Nanping City (χ2 = 102.62, P < 0.01). A total of 945 children at ages of 3 to 6 years were detected, and the prevalence of E. vermicularis infection was 3.28%. Conclusions The prevalence of human intestinal parasitic infections is at a low level in Nanping City from 2014 to 2018, and the infection mainly occurs in villagers of advanced age and low education levels. Further comprehensive measures are required to control intestinal parasitic infections in key populations.
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Exosomes are tiny vesicles secreted by most endogenous cells, and the extracellular vesicles (EVs) are specifically secreted by cells. Recently, it was found that exosomes contain a large quantity of important substances such as proteins, nucleic acids, and lipids, which play important roles in material exchange and information transmission in cell-cell communication, and in modulating the immune response, metabolism, and expansion, metastasis, and drug resistance of tumors. This paper summarizes the recent researches on exosomes in parasites and parasitic diseases and hopes to be helpful for improving the researches of parasites and parasitic diseases.
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Objective To understand and master the infection status of key parasitic diseases in Baise City from 2006 to 2015, so as to provide evidence for the development and adjustment of the control strategy for parasitic diseases. Methods The relevant information of the final evaluation of the key parasitic diseases in 12 counties (cities and districts) of Baise City from 2006 to 2015 was collected, and analyzed. Results During the period of 2006-2015, a total of 20 654 person-times were investigated for parasitic diseases in Baise City and 1 147 persons were infected, with an average infection rate of 5.55%. In 2006, the infection rate was the highest (28.67%, 362/1 254), while the lowest was in 2013 (2.08%, 44/2 113). The infection rate of Clonorchis sinensis was the highest, and the infection rate of Ascaris lumbricoides was the second. The infection rates of the males and females were 5.35% (631/11 795) and 5.82% (516/8 859) respectively, with no significant difference between them (χ2 = 2.175, P > 0.05). The highest infection rate existed in the 40-49 years group, the rural residents, the farmers and the crowd with the educational level of senior high middle school or above. Conclusions The infection rate of parasitic diseases presents a decline trend overall in Baise City from 2006 to 2013, however it rebounded in 2014 and 2015. The next step is to strengthen the prevention and control of parasitic diseases by promoting health education, regular insect repellent, and fecundity management.
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Objective To understand the epidemic status and influencing factors of intestinal parasitic diseases among rural children in Henan Province. Methods According to the Scheme for The National Survey on Current Status of Major Human Parasitic Diseases in China, the survey counties were selected based on the ecological zones and economic levels in Henan Province between 2014 and 2015. Then, the included counties were stratified according to the topography and economic levels. A township was randomly sampled from each stratum, and a village was randomly sampled from each township as the study site. Finally, a total of 104 study sites from 35 counties were enrolled for the survey of intestinal parasitic diseases in children. At least 250 fresh stool samples were collected from each study site for detection of intestinal helminth eggs with the Kato-Katz technique, for the identification of Necator americanus and Ancylostoma duodenale with the fecal culture method, and for the detection of intestinal protozoa trophozoite and cyst with the physiological saline smear and iodine staining techniques. In addition, the Enterobius vermicularis and tapeworm eggs were detected in children aged 3 to 6 years using the adhesive cellophane-tape perianal swab method. Results The overall prevalence of intestinal parasitic infections was 3.21% (214/6 671) among rural children in Henan Province, and the prevalence of intestinal helminthes (2.62%, 175/6 671) was higher than that of intestinal protozoa (0.60%, 40/6 671). A total of 12 species of intestinal parasites were found, including 4 nematodes species, one trematode species, and 7 protozoa species, and the highest infection was seen in E. vermicularis (2.47%, 161/6 671). Among the four ecological zones in Henan Province, the greatest prevalence of intestinal parasitic infections was detected among children in the Qinba Mountain Ecological Zone (5.85%, 90/1 538). There was no gender-specific difference in the prevalence of intestinal parasitic infections in children (P > 0.05); however, there were age- (χ2 = 32.762, P < 0.05) and education level-specific differences in the prevalence of intestinal parasitic infections in children (χ2 = 67.507, P < 0.05), with the greatest prevalence of E. vermicularis infection seen in all species of intestinal parasites in children at all age groups. Multivariate non-conditional logistic regression analysis showed that high education level, high coverage of harmless toilets, drinking tap water and deworming were protective factors for intestinal parasitic infections in children in Henan Province. The overall prevalence of intestinal parasitic infections appeared a tendency towards a gradual decline among children in Henan Province as compared to the previous two surveys. Conclusions The overall prevalence of intestinal parasitic infections shows a tendency towards a remarkable decline among children in Henan Province. E. vermicularis infection should be given a priority for future parasitic disease control activities among rural children in Henan Province.
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Objective To understand the knowledge, attitude and practice (KAP) of foodborne parasitic diseases among medical college students, so as to provide the evidence for the development of strategies on health education. Methods A total of 929 premed students from a medical college were selected in Hebei Province using the stratified sampling method from October to December, 2017, and investigated by questionnaires to understand their KAP on foodborne parasitic diseases. Results The understanding and concern degree on foodborne parasitic diseases among the college students from different majors were statistically different (all P < 0.05), the awareness rate and the degree of concern of the non-medical students were lower than those of the medical students, and the awareness rate and the degree of concern of the students who had received medical parasitology education were higher than those who had not received. For the formation rate of not prefer seeking novelty, there was a statistically significant difference among the college students in different majors (P < 0.05), and the rate of health behavior formation in non-medical students was relatively low. There were statistically significant differences among the students from different majors in the attitude on "would suggest others not to eat the foods that might be infected with the foodborne parasites", "would not eat the foods that might be infected with the foodborne parasites", and "would give up special preferences or bad habits" (all P < 0.05), and the formation rate of correct attitude of medical students was relatively high. Conclusion The awareness rate and the formation rates of correct attitude and behavior of the college students who have received medical parasitology education are relatively higher, so it is necessary to set up a course on foodborne parasitic diseases in colleges and universities.
ABSTRACT
Objective To understand the status and capability of professionals at provincial parasitic diseases control institutions in main clonorchiasis-endemic areas of China. Methods The status and capacity of professionals at four provincial parasitic diseases control institutions were collected using questionnaire surveys, including Guangdong, Guangxi, Heilongjiang and Jilin, and the data were analyzed. Results There were totally 37 professionals working on parasitic diseases control in the four provincial institutions in 2018, including 33 full-time and 4 part-time professionals, and there were 12, 16, 3 and 6 professionals working at Guangdong, Guangxi, Heilongjiang and Jilin provincial institutions, respectively. Of the 37 professionals, there were 24.32%, 37.84% and 37.84% at ages of 35 years and lower, 35 to 45 years, and greater than 45 years. Men consisted of 54.05% of all professionals, and 86.49% had an education of bachelor and above, while 78.38% had a title of moderate or above. Among all professionals, there were 29 responsible for clonorchiasis prevention and control; however, they all participated in the prevention and control of other parasitic diseases; 33 professionals were able to prepare Kato-Katz smears and 34 read the smears; 30 professionals were able to detect metacercaria in fishes, and 24 and 16 professionals were able to perform immunological and mo-lecular tests. In addition, 26 professionals participated in provincial projects, 19 in national projects; however, few professionals participated in international projects or undertook provincial, national or international projects. Furthermore, there were 34 professionals (91.89%) participating in national trainings on parasitic diseases; however, only 12 (32.43%) completed a training for more than one week. Conclusions There are few professionals at provincial parasitic diseases control institutions in main clonorchiasis-endemic areas of China, and they have a relative high capability in parasitic disease control; however, their research capacity is relative weak.
ABSTRACT
Objective To understand the knowledge, attitude and practice (KAP) of foodborne parasitic diseases among medical college students, so as to provide the evidence for the development of strategies on health education. Methods A total of 929 premed students from a medical college were selected in Hebei Province using the stratified sampling method from October to December, 2017, and investigated by questionnaires to understand their KAP on foodborne parasitic diseases. Results The understanding and concern degree on foodborne parasitic diseases among the college students from different majors were statistically different (all P < 0.05), the awareness rate and the degree of concern of the non-medical students were lower than those of the medical students, and the awareness rate and the degree of concern of the students who had received medical parasitology education were higher than those who had not received. For the formation rate of not prefer seeking novelty, there was a statistically significant difference among the college students in different majors (P < 0.05), and the rate of health behavior formation in non-medical students was relatively low. There were statistically significant differences among the students from different majors in the attitude on "would suggest others not to eat the foods that might be infected with the foodborne parasites", "would not eat the foods that might be infected with the foodborne parasites", and "would give up special preferences or bad habits" (all P < 0.05), and the formation rate of correct attitude of medical students was relatively high. Conclusion The awareness rate and the formation rates of correct attitude and behavior of the college students who have received medical parasitology education are relatively higher, so it is necessary to set up a course on foodborne parasitic diseases in colleges and universities.