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Ito A, Yoshida T, Wandra T, Sudewi AR, Susilawathi NM, Swastika K, Purba IE, Li T, Budke CM. Implementation of Taenia solium control measures in Bali, Indonesia: Survey findings and a historical overview. Acta Trop 2022; 227:106297. [PMID: 34968452 DOI: 10.1016/j.actatropica.2021.106297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2021] [Accepted: 12/25/2021] [Indexed: 11/01/2022]
Abstract
Historically, cysticercosis cases caused by infection with the larval stage of the Taenia solium tapeworm have occurred sporadically in Bali, with taeniasis carriers found primarily in villages located in the Kubu subdistrict of Karangasem. As Bali is a well-known tourist destination, living standards are relatively high on the island, except for an area located beneath the northeast slope of the active volcano Mt. Agung (Alt. 3031 m), which includes Kubu. Over the last 30 years, pigs originating from this area have been found with T. solium cysticerci, whereas pigs from other parts of the island have not been shown to be infected. Out of 108 individuals screened via fecal sample examination in Kubu during 2019, 3 cases of T. solium taeniasis (2.8%) were identified. There was no significant difference in taeniasis prevalence from surveys conducted in 2011-2016 (1.0%, 11/1089) (p = 0.123). Out of 110 humans and 140 pigs tested serologically in Kubu during 2019, no cases of cysticercosis were identified. This is in contrast to a seroprevalence of 4.1% (42/1025) in humans during 2011-2016 and a seroprevalence of 13.1% (43/329) in pigs during 2011-2013. Over the last decade, improved drinking water and sanitary systems have been employed in addition to health education targeting primary school children, including emphasis on washing hands before eating and after defecation. This review provides previously unpublished survey data and a historical overview of T. solium infection in Bali and offers guidance on best practices to ensure that remaining pockets of transmission are addressed.
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Susilawathi NM, Suryapraba AAA, Soejitno A, Asih MW, Swastika K, Wandra T, Budke CM, Ito A, Sudewi AAR. Neurocysticercosis cases identified at Sanglah Hospital, Bali, Indonesia from 2014 to 2018. Acta Trop 2020; 201:105208. [PMID: 31589829 DOI: 10.1016/j.actatropica.2019.105208] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2019] [Revised: 10/03/2019] [Accepted: 10/03/2019] [Indexed: 02/07/2023]
Abstract
Neurocysticercosis (NCC) was first reported in the province of Bali, Indonesia in 1975. Since this time, sporadic cases have been reported annually. This study reports information on 29 NCC cases (20 males and 9 females) admitted to a referral hospital in Denpasar, Bali from 2014 until 2018. Twenty-four cases were from Bali, 2 were from the province of East Nusa Tenggara, and 3 were from the Democratic Republic of Timor-Leste. Mean patient age was 37.2 years and 69.0% (20/29) were male. Epileptic seizures were the most common clinical manifestation (65.5%, 19/29). Serology (ELISA) was used in 14 cases (48.2%, 14/29), but only 6 cases, including one case with an inactive calcified lesion, were positive (42.9%, 6/14). Two cases underwent surgical resection after their lesions were initially misdiagnosed as brain tumors. These hospital-based findings are discussed along with the present status of NCC in Bali.
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Swasti Wulanyani NM, Pratama YS, Swastika K, Sudarmaja IM, Wandra T, Yoshida T, Budke CM, Ito A. A preliminary study to assess the use of a "Snakes and Ladders" board game in improving the knowledge of elementary school children about taeniasis. Acta Trop 2019; 199:105117. [PMID: 31369727 DOI: 10.1016/j.actatropica.2019.105117] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2019] [Revised: 07/22/2019] [Accepted: 07/26/2019] [Indexed: 12/26/2022]
Abstract
The Snakes and Ladders board game was modified so that it contained information on taeniasis. A quantitative approach was used to evaluate if elementary school children were able to answer correctly more questions about Taenia saginata and Taenia solium transmission and control after playing the game compared to before playing the game. In total, 78 children (9-12 years of age) from Dukuh elementary school in Karangasem District, Bali, Indonesia, were evaluated. The children were asked to complete a pre- and post-test assessment before and after playing the game a single time. Overall proportion of correct answers was 40.3% before playing the game and 58.8% after playing the game. There was a greater proportion of correct answers for questions pertaining to the transmission route for T. saginata (p < 0.001) and T. solium (p < 0.001), human infection type with T. solium (p = 0.035) and T. saginata (p < 0.001), and animal infection type with T. solium or T. saginata (p < 0.001) after playing the game compared to before playing the game. However, there was no significant difference for any question for the youngest grade level. Use of this popular board game appears to be a promising tool for teaching older (10 years of age and above) children about taeniasis in endemic areas.
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Affiliation(s)
| | | | - Kadek Swastika
- Department of Parasitology, Faculty of Medicine, Udayana University, Denpasar, Indonesia
| | - I Made Sudarmaja
- Department of Parasitology, Faculty of Medicine, Udayana University, Denpasar, Indonesia
| | - Toni Wandra
- Directorate of Postgraduate, Sari Mutiara Indonesia University, Medan, Indonesia
| | - Takahiko Yoshida
- Department of Social Medicine, Asahikawa Medical University, Asahikawa, Japan
| | - Christine M Budke
- Department of Veterinary Integrative Biosciences, College of Veterinary Medicine & Biomedical Sciences, Texas A & M University, College Station, Texas, USA
| | - Akira Ito
- Department of Parasitology and Laboratory of NTDs, Asahikawa Medical University, Asahikawa, Japan.
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Ito A, Li T, Wandra T, Dekumyoy P, Yanagida T, Okamoto M, Budke CM. Taeniasis and cysticercosis in Asia: A review with emphasis on molecular approaches and local lifestyles. Acta Trop 2019; 198:105075. [PMID: 31295430 DOI: 10.1016/j.actatropica.2019.105075] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Revised: 05/14/2019] [Accepted: 07/05/2019] [Indexed: 02/07/2023]
Abstract
Taeniasis is an important parasitic condition in Asia, especially since all three human-infecting Taenia spp., Taenia solium, Taenia saginata, and Taenia asiatica are found in this region. These three species are believed to be sympatrically distributed, with the largest disease burden found in remote and rural areas where people raise pigs and cattle in a traditional manner. Recent studies revealed that T. asiatica and T. saginata are genetically-related sister species that are not completely reproductively isolated from each other. Current evidence indicates that most T. asiatica adult worms are hybrid-derived descendants. Moving forward, nuclear DNA analysis will be critical in further assessing the species circulating locally. Lifestyle choices, such as the consumption of undercooked meat, are important in maintaining the life cycles of these parasites. In addition, poor hygiene and sanitation, in highly endemic areas, make disease control difficult, resulting in the need for sustainable education programs. An overview of the present situation of taeniasis and cysticercosis in Asia is provided, followed by a discussion of molecular approaches to species assessment and the impact of human lifestyles on parasite transmission.
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Affiliation(s)
- Akira Ito
- Department of Parasitology and Laboratory of NTDs, Asahikawa Medical University, Asahikawa, Japan.
| | - Tiaoying Li
- Institute of Parasitic Diseases, Sichuan Centers for Disease Control and Prevention, Chengdu, People's Republic of China
| | - Toni Wandra
- Directorate of Postgraduate, Sari Mutiara Indonesia University, Medan, Indonesia
| | - Paron Dekumyoy
- Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Tetsuya Yanagida
- Laboratory of Veterinary Parasitology, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan
| | - Munehiro Okamoto
- Center for Human Evolution Modeling Research, Primate Research Institute, Kyoto University, Inuyama, Japan
| | - Christine M Budke
- Department of Veterinary Integrative Biosciences, College of Veterinary Medicine & Biomedical Sciences, Texas A & M University, College Station, Texas, USA
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Lee J, Ryu JS. Current Status of Parasite Infections in Indonesia: A Literature Review. THE KOREAN JOURNAL OF PARASITOLOGY 2019; 57:329-339. [PMID: 31533400 PMCID: PMC6753303 DOI: 10.3347/kjp.2019.57.4.329] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 05/28/2019] [Accepted: 05/30/2019] [Indexed: 12/26/2022]
Abstract
Indonesia and South Korea have become inseparable in various respects since the 2 countries established diplomatic relation in 1973. Indonesia is a tropical region that stretches across the equator, comprised of 5 main islands (Java, Kalimantan, Sumatra, Sulawesi, and Papua) and 4 archipelagoes (Riau, Bangka Belitung, Nusa Tenggara, and Maluku). As most population of Eastern Indonesia (Sulawesi, Papua and Nusa Tenggara & Maluku) live in poor areas, it is expected that there will be many parasites. Nevertheless, little is known about the status of parasites in Indonesia. This study examines the prevalences of malaria and lymphatic filaria, which are prevalent in Indonesia, as well as those of soil-transmitted-helminths (STH). As a result, the Plasmodium falciparum and P. vivax case loads are almost equal. The current prevalence of P. vivax is uniformly low (<5%) in all age groups and annual parasite incidence (API) showed decreasing tendency as 0.84 per 1,000 population in 2016. However, more than 65 million people still live in malaria epidemic regions. Lymphatic filariasis remains an important public health problem and 236 cities were classified as endemic areas in 514 cities/districts in 2017. It is difficult to ascertain the current prevalence rate of STH in Indonesia, although West Sumba and Southwest Sumba in East Nusa Tenggara reported prevalence rate of more than 20%. The study also considers the (sero) prevalences of other parasites identified in Indonesia. This report should be useful not only to parasitologists but also to travelers and people with business in Indonesia.
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Affiliation(s)
- Juyoung Lee
- Department of Malay-Indonesian Interpretation and Translation, Hankuk University of Foreign Studies, Yongin 17035, Korea
| | - Jae-Sook Ryu
- Department of Environmental Biology and Medical Parasitology, Hanyang University College of Medicine, Seoul 04763, Korea
- Department of Biomedical Science, Graduate School of Biomedical Science & Engineering, Seoul 04763, Korea
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Sutisna P, Kapti IN, Wandra T, Dharmawan NS, Swastika K, Raka Sudewi A, Susilawathi NM, Sudarmaja IM, Yanagida T, Okamoto M, Yoshida T, Donadeu M, Lightowlers MW, Ito A. Towards a cysticercosis-free tropical resort island: A historical overview of taeniasis/cysticercosis in Bali. Acta Trop 2019; 190:273-283. [PMID: 30385216 DOI: 10.1016/j.actatropica.2018.10.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2018] [Revised: 10/27/2018] [Accepted: 10/27/2018] [Indexed: 12/22/2022]
Abstract
Taeniasis and cysticercosis are known to be endemic in several Indonesian islands, although relatively little recent epidemiological data are available. As most Indonesian people are Muslims, taeniasis/cysticercosis caused by the pork tapeworm, Taenia solium, has a restricted presence in non-Muslim societies and is endemic only among some Hindu communities on the island of Bali. Bali has long been known to be endemic for taeniasis/cysticercosis; almost a century ago levels of cysticercosis of 20-30% were described in cattle and 2-3% in pigs. Few studies of taeniasis/cysticercosis were undertaken in Bali prior to a series of research programs commenced since the 1990s. Both Taenia saginata and T. solium continue to be endemic in Bali. Molecular studies have revealed that all T. saginata-like tapeworms detected in Bali are T. saginata. No evidence has been found for the presence of Taenia asiatica in Bali. Economic, sanitary and education improvements across much of the island over the past decades have been associated with a decline in the amount of transmission of T. solium such that the parasite now seems to be restricted to the eastern part of the island, a small area on the northeastern slope of Mt. Agung, the highest mountain in Bali. The living environment including sanitation and hygiene condition in this endemic area remains relatively poor especially during the half-year dry season, and pigs continue to roam freely. In this review, historical records and ongoing projects towards elimination of taeniasis/cysticercosis in Bali are reviewed to provide a better understanding of the present situation of taeniasis/cysticercosis in Bali towards a future, cysticercosis-free tropical resort island.
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Wu HW, Ito A, Ai L, Zhou XN, Acosta LP, Lee Willingham A. Cysticercosis/taeniasis endemicity in Southeast Asia: Current status and control measures. Acta Trop 2017; 165:121-132. [PMID: 26802488 DOI: 10.1016/j.actatropica.2016.01.013] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2015] [Revised: 11/02/2015] [Accepted: 01/10/2016] [Indexed: 12/26/2022]
Abstract
The parasitic zoonoses cysticercosis/taeniasis is among the 17 major Neglected Tropical Diseases (NTDs) identified by the WHO as a focus for research and control. It is caused by a larval stage (cysticercus) infection of Taenia solium tapeworm in both humans and pigs. Cysticercosis occurs in many resource-poor countries, especially those with warm and mild climates in the regions of Latin America (LA), Asia and Sub-Saharan Africa (SSA). The prevalence of human cysticercosis is marked in those areas where individuals are traditionally keen to consume raw or insufficiently cooked pork and/or where the husbandry of pigs is improper. The worldwide burden of cysticercosis is unclear and notably, large-scale control initiatives are lacking in all regions. This review focuses on the current endemic status of cysticercosis caused by T. solium infection in both humans and pigs living in 13 Southeast Asian countries. We will also emphasize epidemiological data as well as prevention and control of human neurocysticercosis.
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Affiliation(s)
- Hai-Wei Wu
- Center for International Health Research, Rhode Island Hospital, Brown University Medical School, Providence, RI, USA; Department of Pediatrics, Rhode Island Hospital, Brown University Medical School, Providence, RI, USA.
| | - Akira Ito
- Department of Parasitology and Neglected Tropical Diseases Research Laboratory, Asahikawa Medical University, Asahikawa, Japan
| | - Lin Ai
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, People's Republic of China
| | - Xiao-Nong Zhou
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, People's Republic of China
| | - Luz P Acosta
- Department of Immunology, Research Institute for Tropical Medicine, Alabang, Muntinlupa, Philippines
| | - Arve Lee Willingham
- One Health Center for Zoonoses and Tropical Veterinary Medicine, Ross University School of Veterinary Medicine, Basseterre, St. Kitts, West Indies
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Aung AK, Spelman DW. Taenia solium Taeniasis and Cysticercosis in Southeast Asia. Am J Trop Med Hyg 2016; 94:947-54. [PMID: 26834197 PMCID: PMC4856625 DOI: 10.4269/ajtmh.15-0684] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Accepted: 12/15/2015] [Indexed: 12/12/2022] Open
Abstract
Human taeniasis/cysticercosis caused by the pork tapeworm Taenia solium has been identified as a potentially eradicable disease by the International Task Force for Disease Eradication of the World Health Organization. In southeast Asia, T. solium taeniasis/cysticercosis is considered one of the major neglected tropical diseases afflicting the region. In the last few decades, a considerable effort has been invested toward establishing the epidemiology and burden of disease in several southeast Asian countries. Moreover, further evidence is emerging as to understanding the dynamics of disease transmission and cultural, political, and socioeconomic factors influencing the success of control and eradication efforts within the region. However, despite major collaborations by several champion groups, advances have been slow and little remains known about the complete epidemiology of taeniasis/cysticercosis and the barriers to programmatic success. This review article aims to address the above issues with a further focus on the challenges to control and eradicate taeniasis/cysticercosis within the southeast Asia region.
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Affiliation(s)
- Ar Kar Aung
- Department of General Medicine, The Alfred Hospital, Victoria, Australia; Department of Infectious Diseases, The Alfred Hospital, Victoria, Australia; Monash University, Victoria, Australia; Department of Microbiology, The Alfred Hospital, Victoria, Australia
| | - Denis W Spelman
- Department of General Medicine, The Alfred Hospital, Victoria, Australia; Department of Infectious Diseases, The Alfred Hospital, Victoria, Australia; Monash University, Victoria, Australia; Department of Microbiology, The Alfred Hospital, Victoria, Australia
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Wandra T, Swastika K, Dharmawan NS, Purba IE, Sudarmaja IM, Yoshida T, Sako Y, Okamoto M, Eka Diarthini NLP, Sri Laksemi DAA, Yanagida T, Nakao M, Ito A. The present situation and towards the prevention and control of neurocysticercosis on the tropical island, Bali, Indonesia. Parasit Vectors 2015; 8:148. [PMID: 25881045 PMCID: PMC4356148 DOI: 10.1186/s13071-015-0755-z] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2014] [Accepted: 02/18/2015] [Indexed: 12/21/2022] Open
Abstract
Neurocysticercosis (NCC), which is caused by accidental ingestion of eggs of the pork tapeworm, Taenia solium, was common in Bali, Indonesia until the early 1990s. However, improved education on hygiene and sanitation, a move to keeping pigs indoors, and improvement of economic and living conditions have substantially reduced the occurrence of NCC in Bali. Since 2011, T. solium tapeworm carriers (T. solium taeniasis) and heavily infected pigs and dogs have exclusively been detected from villages in mountainous regions of northeastern Bali where NCC and ocular cysticercosis (OCC) cases have also been identified. In response to this continued area of high infection, a one-day workshop was convened to discuss how to prevent and control this potentially lethal zoonotic parasitic infection in Bali. This review presents an overview of the current status of T. solium taeniasis and cysticercosis in Indonesia and proposes a strategy for the prevention and control of this zoonosis in Bali.
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Affiliation(s)
- Toni Wandra
- Sari Mutiara Indonesia University, Medan, North Sumatra, Indonesia.
| | - Kadek Swastika
- Department of Parasitology, Faculty of Medicine, University of Udayana, Denpasar, Bali, Indonesia.
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
- Section of Wildlife Diversity, Center for Human Evolution Modeling Research, Primate Research Institute, Kyoto University, Inuyama, Aichi, Japan.
| | - Nyoman S Dharmawan
- Department of Veterinary Parasitology, Faculty of Veterinary Medicine, University of Udayana, Denpasar, Bali, Indonesia.
| | | | - I Made Sudarmaja
- Department of Parasitology, Faculty of Medicine, University of Udayana, Denpasar, Bali, Indonesia.
| | - Takahiko Yoshida
- Department of Health Science, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
| | - Yasuhito Sako
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
| | - Munehiro Okamoto
- Section of Wildlife Diversity, Center for Human Evolution Modeling Research, Primate Research Institute, Kyoto University, Inuyama, Aichi, Japan.
| | | | | | - Tetsuya Yanagida
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
- Laboratory of Veterinary Parasitology, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yoshida, Yamaguchi, Japan.
| | - Minoru Nakao
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
| | - Akira Ito
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
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Ito A, Okamoto M, Li T, Wandra T, Dharmawan NS, Swastika KI, Dekumyoy P, Kusolsuk T, Davvajav A, Davaasuren A, Dorjsuren T, Mekonnen SM, Negasi ZH, Yanagida T, Sako Y, Nakao M, Nakaya K, Lavikainen AJ, Nkouawa A, Mohammadzadeh T. The first workshop towards the control of cestode zoonoses in Asia and Africa. Parasit Vectors 2011; 4:114. [PMID: 21693001 PMCID: PMC3141742 DOI: 10.1186/1756-3305-4-114] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2011] [Accepted: 06/21/2011] [Indexed: 12/01/2022] Open
Abstract
The first workshop towards the control of cestode zoonoses in Asia and Africa was held in Asahikawa Medical University, Japan on 15 and 16 Feb 2011. This meeting was fully supported by the Asian Science and Technology Strategic Cooperation Promotion Programs sponsored by the Special Coordination Funds for Promoting Science and Technology, the Ministry of Education Japan (MEXT) for 3 years from 2010 to Akira Ito. A total of 24 researchers from 9 countries joined together and discussed the present situation and problems towards the control of cestode zoonoses. As the meeting was simultaneously for the establishment of joint international, either bilateral or multilateral collaboration projects, the main purposes were directed to 1) how to detect taeniasis/cysticercosis infected patients, 2) how to differentiate Taenia solium from two other human Taenia species, T. saginata and T. asiatica, 3) how to evaluate T. asiatica based on the evidence of hybrid and hybrid-derived adult tapeworms from Thailand and China, 4) how to evaluate T. solium and T. hyaenae and other Taenia species from the wild animals in Ethiopia, and 5) how to detect echinococcosis patients and 6) how to differentiate Echinococcus species worldwide. Such important topics are summarized in this meeting report.
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Affiliation(s)
- Akira Ito
- Asahikawa Medical University, Asahikawa, Japan.
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Deckers N, Dorny P. Immunodiagnosis of Taenia solium taeniosis/cysticercosis. Trends Parasitol 2010; 26:137-44. [DOI: 10.1016/j.pt.2009.12.008] [Citation(s) in RCA: 79] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2009] [Revised: 12/12/2009] [Accepted: 12/22/2009] [Indexed: 10/20/2022]
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12
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Harhay MO, Horton J, Olliaro PL. Epidemiology and control of human gastrointestinal parasites in children. Expert Rev Anti Infect Ther 2010; 8:219-34. [PMID: 20109051 PMCID: PMC2851163 DOI: 10.1586/eri.09.119] [Citation(s) in RCA: 149] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Parasites found in the human gastrointestinal tract can be largely categorized into two groups, protozoa and helminths. The soil-transmitted helminths (Ascaris lumbricoides, hookworm and Trichuris trichiura) are the most prevalent, infecting an estimated one-sixth of the global population. Infection rates are highest in children living in sub-Saharan Africa, followed by Asia and then Latin America and the Caribbean. The current momentum towards global drug delivery for their control is at a historical high through the efforts of numerous initiatives increasingly acting in coordination with donors, governments and local communities. Together, they have delivered enormous quantities of drugs, especially anthelmintics to children through nationwide annual or biannual mass drug administration largely coordinated through schools. However, a much larger and rapidly growing childhood population in these regions remains untreated and suffering from more than one parasite. Mass drug administration has profound potential for control but is not without considerable challenges and concerns. A principal barrier is funding. Stimulating a research and development pipeline, supporting the necessary clinical trials to refine treatment, in addition to procuring and deploying drugs (and sustaining these supply chains), requires substantial funding and resources that do not presently exist. Limited options for chemotherapy raise concerns about drug resistance developing through overuse, however, satisfactory pharmaco-epidemiology and monitoring for drug resistance requires more developed health infrastructures than are generally available. Further, the limited pharmacopeia does not include any effective second-line options if resistance emerges, and the research and development pipeline is severely depressed. Herein, we discuss the major gastrointestinal protozoa and helminths reviewing their impact on child health, changing epidemiology and how this relates to their control.
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Affiliation(s)
- Michael O Harhay
- Graduate Group in Demography, Population Studies Center, University of Pennsylvania, 239 McNeil Building, 3718 Locust Walk, Philadelphia, PA 19104-16298, USA, Tel.: +1 215 898 6441, Fax: +1 215 898 2124,
| | - John Horton
- 24 The Paddock, Hitchin, SG4 9EF, UK, Tel.: +44 146 262 4081, Fax: +44 146 264 8693,
| | - Piero L Olliaro
- Centre for Tropical Medicine, University of Oxford & United Nations Children’s Fund/United Nations Development Programme/World Bank/World Health Organization, Special Programme for Research and Training in Tropical Diseases (TDR), 20 Avenue Appia, CH-1211, Geneva 27, Switzerland, Tel.: +41 227 913 734, Fax: +41 227 914 774,
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Willingham AL, Wu HW, Conlan J, Satrija F. Combating Taenia solium Cysticercosis in Southeast Asia. ADVANCES IN PARASITOLOGY 2010; 72:235-66. [DOI: 10.1016/s0065-308x(10)72009-1] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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14
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Wandra T, Margono SS, Gafar MS, Saragih JM, Sutisna P, Sudewi AR, Depary A, Yulfi H, Darla DM, Okamoto M, Sato MO, Sako Y, Nakao M, Nakaya K, Craig PS, Ito A. Current Situation of Taeniasis and Cysticercosis in Indonesia. Trop Med Health 2007. [DOI: 10.2149/tmh.35.323] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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15
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Margono SS, Sutjahyono RW, Kurniawan A, Nakao M, Mulyani T, Wandra T, Ito A. Diphyllobothriasis and sparganosis in Indonesia. Trop Med Health 2007. [DOI: 10.2149/tmh.35.301] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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16
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Suroso T, Margono SS, Wandra T, Ito A. Challenges for control of taeniasis/cysticercosis in Indonesia. Parasitol Int 2006; 55 Suppl:S161-5. [PMID: 16380290 DOI: 10.1016/j.parint.2005.11.025] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Taeniasis/cysticercosis has been reported from several provinces of Indonesia: Papua (=former Irian Jaya), Bali, North Sumatra, East Nusa Tenggara, South East Sulawesi, Lampung, North Sulawesi, Jakarta, West Kalimantan, and East Java. The highest level of endemicity of taeniasis/cysticercosis has been found in Papua. Recent surveys in Jayawijaya District of Papua in 2000 and 2001 showed that 5 of 58 local people (8.6%) harbored the adult tapeworm, Taenia solium, whereas 44 of 96 people (45.8%), 50 of 71 pigs (70.4%), and 7 of 64 local dogs (10.9%) were seropositive for T. solium cysticercosis. Current surveys in Bali and Samosir District, North Sumatra during 2002-2005 revealed that Taenia saginata taeniasis has increased in incidence whereas T. solium cysticercosis is now rather rare compared to one-two decades ago in Bali. Taenia asiatica taeniasis is still common in Samosir District. Data from other provinces of Indonesia are very limited or unavailable. Control of these diseases is not a priority in the health or veterinary services, neither at central or local government levels. However, limited efforts toward control of the diseases have been implemented such as training of health personnel, community education on disease prevention, and provision of anthelminthics. A working group for control of the disease in Indonesia and an international collaboration have been established among Ministry of Health, Indonesia; University of Indonesia; and Asahikawa Medical College, Asahikawa, Japan since 1996. Future goals include implementation of active case finding (active surveillance) and treatment of tapeworm carriers, sustainable public health education, establishment of a system to check the quality of beef/pork and determine the distribution of infected animals and strengthening of laboratory capacity. Efforts to motivate provinces and districts should be implemented in developing the strategic plan to control of the disease. Given the considerable differences in cultures, religions, levels of education, socio-economic levels, daily habits and behaviour etc., control programmes must be adapted to the local situations.
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Affiliation(s)
- Thomas Suroso
- Directorate General Communicable Disease Control and Environmental Health, Ministry of Health, Indonesia.
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Ito A. Brief historical remarks as an introduction for the international symposium on taeniasis/cysticercosis and echinococcosis. Parasitol Int 2005; 55 Suppl:S3-5. [PMID: 16337830 PMCID: PMC7108447 DOI: 10.1016/j.parint.2005.11.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Some historical remarks are made on the background information leading to the international symposium on taeniasis/cysticercosis and echincoccosis with focus on Asia and the Pacific.
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Affiliation(s)
- Akira Ito
- Department of Parasitology, Asahikawa Medical College, Japan.
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