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Masangkay FR, Milanez GD, Dionisio JD, Ormita LAGL, Alvarez AV, Karanis P. Well water sources simultaneous contamination with Cryptosporidium and Acanthamoeba in East-Southeast Asia and Acanthamoeba spp. in biofilms in the Philippines. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 837:155752. [PMID: 35533862 DOI: 10.1016/j.scitotenv.2022.155752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Revised: 04/05/2022] [Accepted: 05/02/2022] [Indexed: 06/14/2023]
Abstract
Cryptosporidium is the leading agent of waterborne parasitic protozoan outbreaks and is the second leading cause of infant mortality due to diarrhoea worldwide. Acanthamoeba spp. causes Acanthamoeba keratitis (AK) and a life-threatening condition known as granulomatous amoebic encephalitis (GAE). The present study aimed to assess the water quality of an indigenous and a rural community for waterborne parasitic protozoan contamination. Aquatic samples (n = 22) were processed by filtration of 500 mL portion through a 1.2 μm pore size glass microfiber filter and eluted for light microscopy, culture in non-nutrient agar, and PCR analysis. Overall, 36% (8/22) of the investigated aquatic samples were positive for either Cryptosporidium spp. oocysts (13%; 3/22) or Acanthamoeba spp., (36%; 8/22) or both (13%; 3/22). Cryptosporidium spp. oocysts were detected in 27% (3/11) of wet season samples only while Acanthamoeba spp. were detected in 18% (2/11) and 55% (6/11) of wet and dry season samples, respectively. Subsequently, molecular detection for Acanthamoeba species identified A. lenticulata and A. hatchetti with 98-99% BLAST similarity. This is the first report on the simultaneous contamination of Cryptosporidium and Acanthamoeba in well water sources in East-Southeast Asia, the first detection of Acanthamoeba spp. in biofilms in the Philippines, and the longest viability demonstrated for A. lenticulata in two-year-old water samples stored at room temperature.
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Affiliation(s)
- Frederick R Masangkay
- Department of Medical Technology, Faculty of Pharmacy, University of Santo Tomas, Manila 1008, Philippines.
| | - Giovanni D Milanez
- Department of Medical Technology, Faculty of Pharmacy, University of Santo Tomas, Manila 1008, Philippines
| | - Joseph D Dionisio
- Department of Medical Technology, Far Eastern University-Manila, Manila 1015, Philippines
| | - Luzelle Anne G-L Ormita
- Department of Psychology, Far Eastern University-Manila, Manila 1015, Philippines; Community Extension Services, Far Eastern University-Manila, Manila 1015, Philippines
| | - Abel V Alvarez
- Community Extension Services, Far Eastern University-Manila, Manila 1015, Philippines
| | - Panagiotis Karanis
- University of Cologne, Faculty of Medical and University Hospital Cologne, Cologne 50923, Germany; Medical School, Department of Basic and Clinical Science, University of Nicosia, Nicosia, 2417, Cyprus.
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2
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Milanez GD, Masangkay FR, Martin I GL, Hapan MFZ, Manahan EP, Castillo J, Karanis P. Epidemiology of free-living amoebae in the Philippines: a review and update. Pathog Glob Health 2022; 116:331-340. [PMID: 35112656 PMCID: PMC9387320 DOI: 10.1080/20477724.2022.2035626] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Free-living amoebae (FLA) are considered environmental pathogens and thus pose a public health threat. Their ubiquity in natural sources may magnify the potential severity of health outcomes in the future. However, less attention was given despite several probable public health risks that arise from the presence of pathogenic strains in the environment. Here, we provide epidemiological data based on investigations involving the distribution and occurrence of free-living amoebae in the Republic of the Philippines. This aims to connect data of fragmented studies of these organisms and provide potential roadmaps in FLA research in the country. The majority of the reviewed articles (n = 19) focused on characterization studies (36.8%; 7/19) while environmental isolation and isolation from biological samples had an equal frequency of 31.6% (6/19) each. There is a great disparity between the established ubiquity in environmental sources and the number of cases of FLA infections in the country. FLA-related research in the Philippines is still in its inceptive stage with several gaps to fill, which can be used to formulate policy briefs in the future regarding its isolation, identification, diagnosis, therapeutic management, and control of FLA infections in the country.
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Affiliation(s)
- Giovanni D. Milanez
- Department of Medical Technology, Faculty of Pharmacy, University of Santo Tomas, Manila, Philippines,CONTACTGiovanni D. Milanez Department of Medical Technology, Faculty of Pharmacy, University of Santo Tomas, Manila1015, Philippines
| | - Frederick R. Masangkay
- Department of Medical Technology, Faculty of Pharmacy, University of Santo Tomas, Manila, Philippines
| | - Gregorio L. Martin I
- Department of Medical Technology, Faculty of Pharmacy, University of Santo Tomas, Manila, Philippines
| | - Ma. Frieda Z Hapan
- Department of Medical Technology, Faculty of Pharmacy, University of Santo Tomas, Manila, Philippines
| | - Edilberto P. Manahan
- Department of Medical Technology, Faculty of Pharmacy, University of Santo Tomas, Manila, Philippines
| | | | - Panagiotis Karanis
- Medical Faculty, University of Cologne, Cologne, Germany,Department of Basic and Clinical Science, University of Nicosia Medical School, Nicosia, Cyprus
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Prevalence of free-living amoebae in swimming pools and recreational waters, a systematic review and meta-analysis. Parasitol Res 2022; 121:3033-3050. [PMID: 36040629 PMCID: PMC9424809 DOI: 10.1007/s00436-022-07631-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Accepted: 08/16/2022] [Indexed: 11/06/2022]
Abstract
Free-living amoebae (FLA) are cosmopolitan microorganisms known to be pathogenic to humans who often have a history of contact with contaminated water. Swimming pools and recreational waters are among the environments where the greatest human exposure to FLA occurs. This study aimed to determine the prevalence of FLA in swimming pools and recreational waters, through a systematic review and meta-analysis that included studies published between 1977 and 2022. A total of 106 studies were included and an overall prevalence of FLA in swimming pools and recreational waters of 44.34% (95% CI = 38.57–50.18) was found. Considering the studies published up to 2010 (1977–2010), between 2010 and 2015, and those published after 2010 (> 2010–2022), the prevalence was 53.09% (95% CI = 43.33–62.73) and 37.07% (95% CI = 28.87–45.66) and 45.40% (95% CI = 35.48–55.51), respectively. The highest prevalence was found in the American continent (63.99%), in Mexico (98.35%), and in indoor hot swimming pools (52.27%). The prevalence varied with the variation of FLA detection methods, morphology (57.21%), PCR (25.78%), and simultaneously morphology and PCR (43.16%). The global prevalence by genera was Vahlkampfia spp. (54.20%), Acanthamoeba spp. (33.47%), Naegleria spp. (30.95%), Hartmannella spp./Vermamoeba spp. (20.73%), Stenamoeba spp. (12.05%), and Vannella spp. (10.75%). There is considerable risk of FLA infection in swimming pools and recreational waters. Recreational water safety needs to be routinely monitored and, in case of risk, locations need to be identified with warning signs and users need to be educated. Swimming pools and artificial recreational water should be properly disinfected. Photolysis of NaOCl or NaCl in water by UV-C radiation is a promising alternative to disinfect swimming pools and artificial recreational waters.
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Abbas Z, Khan MK, Abbas RZ, Sindhu ZUD, Sajid MS, Munir A, Wahid A, Zafar A, Mughal MAS, Imran M, Mehmood R, Nadeem M. Molecular Epidemiology of Cryptosporidium parvum and Giardia lamblia in Different Water Bodies, Soil, and Vegetables in Pakistan. Health Secur 2022; 20:308-320. [PMID: 35861848 DOI: 10.1089/hs.2021.0118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
There is a dearth of knowledge regarding transmission of Cryptosporidium (C) and Giardia (G) species through water and water-related sources in Pakistan. To this end, we conducted a study to evaluate the prevalence of these parasites in different water bodies, soil, and mixed raw vegetables in Pakistan. Researchers collected 200 samples from each reservoir including municipal water, sewage water, canal water, raw vegetables, soil of public parks, and soil of grazing areas. Researchers amplified the 18S ribosomal RNA gene of parasites using newly designed genus-specific primers through polymerase chain reaction testing. The sequencing analysis revealed that the obtained sequences belonged to C parvum and G lamblia. Phylogenetic clustering and sequence analysis of C parvum showed that the C parvum Pak1 (OM540369) and C parvum Pak2 (OM540370) as well as C parvum Pak3 (OM510450) and C parvum Pak6 (OM510445) were closely similar to each other. In the case of G lamblia, all the sequences appeared in the same clade. The epidemiological data showed lower prevalence of C parvum (11.5%) in all reservoirs, compared with G lamblia (20.5%). Among different reservoirs, prevalence of Cryptosporidium and Giardia was observed in sewage water (C = 13%, G = 26.5%), municipal water (C = 10%, G = 35%), canal water (C = 9.5%, G = 18.5%), raw vegetables (C = 5.5%, G = 8%), soil of public parks (C = 13%, G = 14%), and soil of grazing areas (C = 18.5%, G = 21.5%). Among targeted risk factors, poor hygienic conditions significantly affected the prevalence of parasites in sewage water (C = 20%, G = 41.2%), municipal water (C = 14.7%, G = 48.8.5%), raw vegetables (C = 11.3%, G = 15.1%), and soil of public parks (C = 19.5%, G = 21.9%). Similarly, contamination with sewage waste significantly affected (P < .05) the prevalence of these parasites in municipal water (C = 13.6%, G = 41.1%), canal water (C = 13.3%, G = 25%), raw vegetables (C = 12.1%, G = 15.1%), and soil of public parks (C = 23.3%, G = 15%). Results of this study illustrated a high risk of parasitic zoonosis through water bodies, soil, and vegetables.
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Affiliation(s)
- Zaheer Abbas
- Zaheer Abbas, MPhil, is PhD Scholar and Researcher; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Muhammad Kasib Khan
- Muhammad Kasib Khan, PhD, is an Associate Professor; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Rao Zahid Abbas
- Rao Zahid Abbas, PhD, is an Associate Professor; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Zia Ud Din Sindhu
- Zia ud Din Sindhu, PhD, is an Associate Professor; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Muhammad Sohail Sajid
- Muhammad Sohail Sajid, PhD, is an Associate Professor; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Amir Munir
- Amir Munir, MPhil, is Analyst; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Abdul Wahid
- Abdul Wahid, MPhil, is Captain Doctor (Veterinarian), Remount Veterinary and Farm Corps, Military Farms, Renala Khurd, District Okara, Punjab, Pakistan
| | - Arsalan Zafar
- Arsalan Zafar, MPhil, is PhD Scholar and Researcher; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Muhammad Adnan Sabir Mughal
- Muhammad Adnan Sabir Mughal, DVM, is PhD Scholar and Researcher; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Muhammad Imran
- Muhammad Imran, PhD, is an Assistant Professor; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Rashid Mehmood
- Rashid Mehmood, MPhil, is Analyst; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - Muhammad Nadeem
- Muhammad Nadeem, MPhil, is PhD Scholar and Researcher; Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
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Vejano MRA, Dela Peña LBRO, Rivera WL. Occurrence of Giardia duodenalis in selected stations and tributary rivers of Laguna Lake, Philippines. ENVIRONMENTAL MONITORING AND ASSESSMENT 2021; 193:466. [PMID: 34224003 DOI: 10.1007/s10661-021-09240-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Accepted: 06/22/2021] [Indexed: 06/13/2023]
Abstract
Fecal pollution is a major contributor to the progressive degradation of Laguna Lake, the Philippines' largest inland lake used for aquaculture, recreation, and as a source of irrigation and domestic water. Consequently, intestinal parasites may be present in this body of water, posing risks to water safety and human health. This study was able to detect the protozoan parasite, Giardia duodenalis, in three Laguna Lake stations and seven tributary rivers in a 13-month monitoring period by PCR amplification of the small subunit ribosomal RNA (SSU rRNA) gene of Giardia cysts concentrated from water samples. The pathogen was present in 37.7% of tributary samples (n = 69) and 16.7% of lake samples (n = 36). Notable frequencies of detection were observed in four tributary rivers -Bagumbayan, Taguig (66.7%); Santa Rosa, Laguna (55.6%); San Cristobal, Cabuyao, Laguna (44.4%); and Biñan, Laguna (42.9%). All test SSU rRNA gene sequences were identified as human-infective genotypes of G. duodenalis predominated by Assemblage A (94.1%). Furthermore, analysis of the glutamate dehydrogenase (gdh) gene revealed the possible presence of mixed genotypes in at least two samples. These results support the pressing need to include protozoan pathogen monitoring in Laguna Lake and its tributaries to prevent Giardia infection in humans and animals. This study also recommends microbial source tracking to identify fecal pollution sources and aid in regulation of waste discharges into the lake and its tributaries.
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Affiliation(s)
- Mark Raymond A Vejano
- Pathogen-Host-Environment Interactions Research Laboratory, Institute of Biology, College of Science, University of the Philippines Diliman, 1101, Quezon City, Philippines
| | - Laurice Beatrice Raphaelle O Dela Peña
- Pathogen-Host-Environment Interactions Research Laboratory, Institute of Biology, College of Science, University of the Philippines Diliman, 1101, Quezon City, Philippines
| | - Windell L Rivera
- Pathogen-Host-Environment Interactions Research Laboratory, Institute of Biology, College of Science, University of the Philippines Diliman, 1101, Quezon City, Philippines.
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Dela Peña LBRO, Vejano MRA, Rivera WL. Molecular surveillance of Cryptosporidium spp. for microbial source tracking of fecal contamination in Laguna Lake, Philippines. JOURNAL OF WATER AND HEALTH 2021; 19:534-544. [PMID: 34152304 DOI: 10.2166/wh.2021.059] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Water quality deterioration in source waters poses increased health, environmental, and economic risks. Here, we genotyped Cryptosporidium spp. obtained from water samples of Laguna Lake, Philippines, and its tributaries for the purpose of source-tracking fecal contamination. A total of 104 surface water samples were collected over a 1-year period (March 2018 to April 2019). Detection of Cryptosporidium was carried out using genus-specific primers targeting a fragment of the small subunit (SSU) rRNA gene. The study revealed 8 (14%) tributary samples and 1 (2.77%) lake sample positive for contamination. The species were determined to be C. parvum (n = 4), C. muris (n = 2), C. hominis (n = 1), C. galli (n = 1), C. baileyi (n = 1), C. suis (n = 1), as well as rat genotype IV (n = 1). Two species were detected in duck (C. baileyi) and cattle (C. parvum) fecal samples. The data presented suggest that Cryptosporidium contamination is likely to come from sewage or human feces as well as various agricultural sources (i.e. cattle, swine, and poultry). This information reveals the importance of mitigating fecal pollution in the lake system and minimizing health risks due to exposure to zoonotic Cryptosporidium species.
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Affiliation(s)
- Laurice Beatrice Raphaelle O Dela Peña
- Pathogen-Host-Environment Interactions Research Laboratory, Institute of Biology, College of Science, University of the Philippines Diliman, Quezon City 1101, Philippines E-mail:
| | - Mark Raymond A Vejano
- Pathogen-Host-Environment Interactions Research Laboratory, Institute of Biology, College of Science, University of the Philippines Diliman, Quezon City 1101, Philippines E-mail:
| | - Windell L Rivera
- Pathogen-Host-Environment Interactions Research Laboratory, Institute of Biology, College of Science, University of the Philippines Diliman, Quezon City 1101, Philippines E-mail:
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Bunsuwansakul C, Mahboob T, Hounkong K, Laohaprapanon S, Chitapornpan S, Jawjit S, Yasiri A, Barusrux S, Bunluepuech K, Sawangjaroen N, Salibay CC, Kaewjai C, de Lourdes Pereira M, Nissapatorn V. Acanthamoeba in Southeast Asia - Overview and Challenges. THE KOREAN JOURNAL OF PARASITOLOGY 2019; 57:341-357. [PMID: 31533401 PMCID: PMC6753290 DOI: 10.3347/kjp.2019.57.4.341] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2019] [Revised: 07/18/2019] [Accepted: 07/18/2019] [Indexed: 12/21/2022]
Abstract
Acanthamoeba, one of free-living amoebae (FLA), remains a high risk of direct contact with this protozoan parasite which is ubiquitous in nature and man-made environment. This pathogenic FLA can cause sight-threatening amoebic keratitis (AK) and fatal granulomatous amoebic encephalitis (GAE) though these cases may not commonly be reported in our clinical settings. Acanthamoeba has been detected from different environmental sources namely; soil, water, hot-spring, swimming pool, air-conditioner, or contact lens storage cases. The identification of Acanthamoeba is based on morphological appearance and molecular techniques using PCR and DNA sequencing for clinico-epidemiological purposes. Recent treatments have long been ineffective against Acanthamoeba cyst, novel anti-Acanthamoeba agents have therefore been extensively investigated. There are efforts to utilize synthetic chemicals, lead compounds from medicinal plant extracts, and animal products to combat Acanthamoeba infection. Applied nanotechnology, an advanced technology, has shown to enhance the anti-Acanthamoeba activity in the encapsulated nanoparticles leading to new therapeutic options. This review attempts to provide an overview of the available data and studies on the occurrence of pathogenic Acanthamoeba among the Association of Southeast Asian Nations (ASEAN) members with the aim of identifying some potential contributing factors such as distribution, demographic profile of the patients, possible source of the parasite, mode of transmission and treatment. Further, this review attempts to provide future direction for prevention and control of the Acanthamoeba infection.
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Affiliation(s)
- Chooseel Bunsuwansakul
- School of Allied Health, Southeast Asia Water Team (SEA Water Team) and World Union for Herbal Drug Discovery (WUHeDD), Walailak University, Nakhon Si Thammarat, Thailand
| | - Tooba Mahboob
- Department of Medical Microbiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Kruawan Hounkong
- Department of Microbiology, Princess of Naradhiwas University, Narathiwat, Thailand
| | | | | | - Siriuma Jawjit
- School of Public Health, Walailak University, Nakhon Si Thammarat, Thailand
| | - Atipat Yasiri
- Chulabhorn International College of Medicine, Thammasat University, Pathum Thani, Thailand
| | - Sahapat Barusrux
- School of Allied Health, Southeast Asia Water Team (SEA Water Team) and World Union for Herbal Drug Discovery (WUHeDD), Walailak University, Nakhon Si Thammarat, Thailand
| | - Kingkan Bunluepuech
- School of Allied Health, Southeast Asia Water Team (SEA Water Team) and World Union for Herbal Drug Discovery (WUHeDD), Walailak University, Nakhon Si Thammarat, Thailand
| | | | - Cristina C. Salibay
- College of Science and Computer Studies, De La Salle University-Dasmarinas, Dasmarinas City, Cavite, Philippines
| | - Chalermpon Kaewjai
- Faculty of Medical Technology, Rangsit University, Pathum Thani, Thailand
| | - Maria de Lourdes Pereira
- Department of Medical Sciences & CICECO-Aveiro Institute of Materials, University of Aveiro, Aveiro, Portugal
| | - Veeranoot Nissapatorn
- School of Allied Health, Southeast Asia Water Team (SEA Water Team) and World Union for Herbal Drug Discovery (WUHeDD), Walailak University, Nakhon Si Thammarat, Thailand
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Abd El Wahab WM, El-Badry AA, Hamdy DA. Molecular characterization and phylogenetic analysis of Acanthamoeba isolates in tap water of Beni-Suef, Egypt. Acta Parasitol 2018; 63:826-834. [PMID: 30367777 DOI: 10.1515/ap-2018-0101] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Accepted: 08/29/2018] [Indexed: 11/15/2022]
Abstract
The genus Acanthamoeba is a free-living amoeba widely distributed in various aquatic environments. It is an etiologic cause of amoebic encephalitis and keratitis particularly for immunocompromised individuals. The purpose of the present study was to investigate Acanthamoeba species prevalence in household and hospital potable water in Beni-Suef governorate, Egypt, and to employ sequencing methods to identify positive Acanthamoeba species isolates and their potential health risks. Sixty tap water samples (30 household and 30 governmental and private hospital settings) collected from Beni-Suef governorate, Egypt were filtered, cultured on non-nutrient agar, identified by morphotyping keys after staining with Giemsa stain and then confirmed by PCR using Acanthamoeba specific primers. Twenty positive samples were successfully genetically characterized and phylogenetically analyzed to identify Acanthamoeba species. The total detection rate for Acanthamoeba was 48/60 (80%); Acanthamoeba contamination in water collected from domestic houses was higher than in hospitals; 27/30 (90%) versus 21/30 (70%) with statistical significant value (P value = 0.05). Sequencing of 20 positive isolates revealed Acanthamoeba T4 in 65% and T2 in 35%. To our knowledge, this is the first research that documents the occurrence and phylogeny of Acanthamoeba species in Beni-Suef, Egypt. The presence of a higher percentage of Acanthamoeba species in tap water, in particular T4, highlights the potential health hazards for immunocompromised individuals and emphasizes the urgent need for the implementation of effective filtration and disinfection measures.
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Affiliation(s)
- Wegdan M Abd El Wahab
- Department of Medical Parasitology, College of Medicine, Beni-Suef University, Beni-Suef, Egypt
| | - Ayman A El-Badry
- Department of Microbiology-Medical Parasitology Section, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Doaa A Hamdy
- Department of Medical Parasitology, College of Medicine, Beni-Suef University, Beni-Suef, Egypt
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Mavridou A, Pappa O, Papatzitze O, Dioli C, Kefala AM, Drossos P, Beloukas A. Exotic Tourist Destinations and Transmission of Infections by Swimming Pools and Hot Springs-A Literature Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E2730. [PMID: 30513967 PMCID: PMC6313699 DOI: 10.3390/ijerph15122730] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/05/2018] [Revised: 11/18/2018] [Accepted: 11/29/2018] [Indexed: 02/06/2023]
Abstract
A growing number of people undertake international travel, and yet faster growth of such travel is expected in the tropics. Information on the hazards presented by pool and hot spring waters in tropical countries is very limited. This review aims to collate available information on pool water quality, alongside data on cases and outbreaks associated with swimming in pools in tropical regions affecting both local populations and travellers. Bacteria species commonly causing cases and outbreaks in the tropics as well as elsewhere in the world were excluded, and the review focuses on studies related to pathogens that, with the exception of Cryptosporidium, are unusual in more temperate climates. Studies concerning subtropical countries were included in the light of climate change. Diseases transmitted by vectors breeding in poorly maintained, neglected or abandoned pools were also included. 83 studies dealing with Microsporidia, Leptospira spp., Schistosomas spp., Cryptosporidium spp., Acanthamoeba spp., Naegleria spp., Clostridium trachomatis, viruses, and vectors breeding in swimming pool and hot tub waters, and fulfilling predefined criteria, have been included in our survey of the literature. In conclusion, prevention strategies for pool safety in the tropics are imperative. Public health authorities need to provide guidance to westerners travelling to exotic destinations on how to protect their health in swimming pools.
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Affiliation(s)
- Athena Mavridou
- Department of Biomedical Sciences, University of West Attica, 12243 Egaleo, Greece.
| | - Olga Pappa
- Department of Biomedical Sciences, University of West Attica, 12243 Egaleo, Greece.
- Central Public Health Laboratory, Hellenic Centre of Disease Control and Prevention, 15123 Maroussi, Greece.
| | - Olga Papatzitze
- Department of Biomedical Sciences, University of West Attica, 12243 Egaleo, Greece.
- West Attica General Hospital, "Santa Barbara", 12351 Santa Barbara, Greece.
| | - Chrysa Dioli
- Department of Biomedical Sciences, University of West Attica, 12243 Egaleo, Greece.
| | | | - Panagiotis Drossos
- Department of Biomedical Sciences, University of West Attica, 12243 Egaleo, Greece.
| | - Apostolos Beloukas
- Department of Biomedical Sciences, University of West Attica, 12243 Egaleo, Greece.
- Institute of Infection and Global Health, University of Liverpool, Liverpool L69 3BX, UK.
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Abstract
This short review provides an overview regarding the research findings on the occurrence of Cryptosporidium in the Philippines. It seeks to set conjecture about its possible role on the increasing waterborne disease incidences in the country. Intensive search of journal articles was done among major databases, online. The first report of Cryptosporidium infection in the country was in 1985. Past more than 30 years, Cryptosporidium is not yet well-understood in the Philippines, but an increasing research interest has been observed among Filipinos in the past few years. Recently, waterborne transmission of the infection appeared in the studies to be more potent than zoonotic and person-to-person transmissions. An improvement on the detection methods was also observed, giving an improved knowledge on the molecular diversity of Cryptosporidium in the country. Despite these improvements, the paucity of the data regarding the impact of Cryptosporidium to the public health in the Philippines is still apparent. One Health approach is recommended to fully understand the interconnections between human, animal, and environment as reservoirs of the infective stage of the parasite. Dedication of the researchers in understanding their geographical distribution, molecular diversity, and environmental and climatic behaviour will eventually uncover the public health implications of Cryptosporidium in the country.
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Labana RV, Dungca JZ, Nissapatorn V. Community-based surveillance of Cryptosporidium in the indigenous community of Boliwong, Philippines: from April to December 2017. Epidemiol Health 2018; 40:e2018047. [PMID: 30336664 PMCID: PMC6302226 DOI: 10.4178/epih.e2018047] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2018] [Accepted: 09/28/2018] [Indexed: 01/08/2023] Open
Abstract
OBJECTIVES For the first time, Boliwong, an indigenous community in the Philippines, was surveyed for the prevalence of Cryptosporidium from April to December 2017. METHODS Cryptosporidium oocysts were detected in samples from the river, creek, and water pumps via immunomagnetic separation techniques, and from human and animal concentrated faecal samples using the modified Ziehl-Neelsen technique. RESULTS Seven of the 24 water samples (29.2%) were positive for Cryptosporidium, with the highest concentration (0.8 oocyst/L) detected in the creek. Of 35 fecal samples from different animal groups, 8 (21.6%) were positive for Cryptosporidium oocysts. The highest intensity of oocyst shedding was detected in dogs (χ2 =8.00). Of the 137 human fecal samples, 39 (28.5%) were infected with Cryptosporidium. In this study, 3 risk factors were found to be associated with infection: (1) location (crude odds ratio [cOR], 16.39; 95% confidence interval [CI], 2.11 to 127.41; p=0.008), (2) drinking water from the natural spring (cOR, 0.29; 95% CI, 0.11 to 0.82; p<0.05), and (3) using an open pit as a sanitary toilet facility (cOR, 2.44; 95% CI, 1.14 to 5.20; p<0.05). When the cOR was adjusted, using an open pit as a sanitary toilet facility remained a significant risk factor of infection (adjusted OR, 0.41; 95% CI, 0.19 to 0.90; p<0.05). CONCLUSIONS There is a potentially emerging Cryptosporidium zoonosis in Boliwong, Lagawe, Philippines. It is recommended that the toilet facilities and the water system in the community be rehabilitated to avoid any possible disease outbreak. Health education is also needed in the community to maintain proper hygiene and sanitation practices.
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Affiliation(s)
- Ryan V Labana
- Department of Biology, Polytechnic University of the Philippines, Manila, Philippines College of Science, Philippines.,Graduate School, Centro Escolar University, Manila, Philippines
| | - Julieta Z Dungca
- Graduate School, Centro Escolar University, Manila, Philippines.,School of Science and Technology, Centro Escolar University, Manila, Philippines
| | - Veeranoot Nissapatorn
- School of Allied Health Sciences (Southeast Asia Water Team), Walailak University, Nakhon Si Thammarat, Thailand.,Research Excellence Center for Innovation and Health Products (RECIHP), Walailak University, Nakhon Si Thammarat, Thailand
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12
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Lim YA, Nissapatorn V. Transmission of waterborne parasites in the Association of Southeast Asian Nations (ASEAN): Overview and direction forward. Food Waterborne Parasitol 2017; 8-9:75-83. [PMID: 32095642 PMCID: PMC7034040 DOI: 10.1016/j.fawpar.2017.08.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Revised: 08/09/2017] [Accepted: 08/09/2017] [Indexed: 12/04/2022] Open
Abstract
Most of the global outbreaks of waterborne parasitic protozoa have been reported in regions with established surveillance and reporting systems such as Australia, Europe, New Zealand, and North America. Given that only an estimated 1% of these outbreaks have occurred in Asia, it is evident that there is a paucity of information from this region where organised mechanisms of documentation of parasitic infections or waterborne outbreaks are lacking. This review attempts to provide an overview of the available data and studies on waterborne parasite occurrences among the Association of Southeast Asian Nations (ASEAN) which comprises of the ten member states (i.e., Brunei Darussalam, Cambodia, Indonesia, Lao People's Democratic Republic (PDR), Malaysia, Myanmar, the Philippines, Singapore, Thailand, and Vietnam) with the aims of identifying some directions on how to progress.
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Affiliation(s)
- Yvonne A.L. Lim
- Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Veeranoot Nissapatorn
- School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, Thailand
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13
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Free-living amoebae in the water resources of Iran: a systematic review. J Parasit Dis 2017; 41:919-928. [PMID: 29114120 DOI: 10.1007/s12639-017-0950-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2017] [Accepted: 07/21/2017] [Indexed: 10/19/2022] Open
Abstract
Free-living amoebae (FLA) are a group of protozoa with the capabilities of growth in the environment and invasion to the human body which have been isolated from different water sources. Acanthamoeba, Naegleria, and Balamuthia are the most important FLA. These cause a variety of severe complications of eye and central nervous system. Despite the fact that various studies have demonstrated the prevalence of FLA in different parts of Iran, there is no comprehensive evaluation and conclusion regarding the pollution of various water sources in Iran. This review was carried out to achieve the prevalence pattern of FLA in water resources across Iran to design appropriate health strategies. For this purpose, 8 online databases in English and Persian and also graduate thesis and national parasitology congresses were studied. The key words such as "free living amoebae", "Acanthamoeba", "Naegleria", "Hartmannella", "Balamuthia", "Sappinia", "Vermamoebae", "Valkampfia", "water resources", "water" and "Iran" were used to search articles between 1990 to 2017. From a total of 236 articles found, 38 reliable articles were included in the study. From the total number of investigated studies, the estimated prevalence was obtained as 36% among 2430 samples. Although Acanthamoeba prevalence has been considered as a priority, most kinds of free-living amoebae were found in all kinds of water resources. Due to the lack of free-living amoebae prevalence in more than a quarter of the Iranian provinces, more studies are recommended to achieve a better perspective to make comprehensive decisions to improve the hygiene of water resources.
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14
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Abdul Majid MA, Mahboob T, Mong BGJ, Jaturas N, Richard RL, Tian-Chye T, Phimphila A, Mahaphonh P, Aye KN, Aung WL, Chuah J, Ziegler AD, Yasiri A, Sawangjaroen N, Lim YAL, Nissapatorn V. Pathogenic waterborne free-living amoebae: An update from selected Southeast Asian countries. PLoS One 2017; 12:e0169448. [PMID: 28212409 PMCID: PMC5315373 DOI: 10.1371/journal.pone.0169448] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2016] [Accepted: 12/16/2016] [Indexed: 12/31/2022] Open
Abstract
Data on the distribution of free-living amoebae is still lacking especially in Southeast Asian region. The aquatic environment revealed a high occurrence of free-living amoebae (FLA) due to its suitable condition and availability of food source, which subsequently causes infection to humans. A total of 94 water samples consisted of both treated and untreated from Laos (31), Myanmar (42), and Singapore (21) were investigated for the presence of pathogenic FLA. Each water sample was filtered and cultured onto non-nutrient agar seeded with live suspension of Escherichia coli and incubated at room temperature. Morphological identification was conducted for both trophozoites and cysts via microscopic stains (Giemsa and immunofluorescence). The presence of Naegleria-like structures was the most frequently encountered in both treated and untreated water samples, followed by Acanthamoeba-like and Vermamoeba-like features. To identify the pathogenic isolates, species-specific primer sets were applied for molecular identification of Acanthamoeba, Naegleria, and Vermamoeba. The pathogenic species of Acanthamoeba lenticulata and A. triangularis were detected from untreated water samples, while Vermamoeba vermiformis was found in both treated and untreated water samples. Our results suggested that poor water quality as well as inadequate maintenance and treatment might be the cause of this alarming problem since chlorine disinfection is ineffective in eradicating these amoebas in treated water samples. Regular monitoring and examination of water qualities are necessary in order to control the growth, hence, further preventing the widespread of FLA infections among the public.
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Affiliation(s)
- Mohamad Azlan Abdul Majid
- Department of Parasitology (Southeast Asia Water Team), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Tooba Mahboob
- Department of Parasitology (Southeast Asia Water Team), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Brandon G. J. Mong
- Department of Parasitology (Southeast Asia Water Team), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Narong Jaturas
- Department of Parasitology (Southeast Asia Water Team), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Reena Leeba Richard
- Department of Parasitology (Southeast Asia Water Team), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Tan Tian-Chye
- Department of Parasitology (Southeast Asia Water Team), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Anusorn Phimphila
- Department of Medical Laboratory, Faculty of Medical Technology, University of Health Sciences, Vientiane, Laos PDR
| | - Panomphanh Mahaphonh
- Department of Medical Laboratory, Faculty of Medical Technology, University of Health Sciences, Vientiane, Laos PDR
| | - Kyaw Nyein Aye
- Ecological Laboratory, Advancing Life and Regenerating Motherland (ALARM), Yangon, Myanmar
| | - Wai Lynn Aung
- Ecological Laboratory, Advancing Life and Regenerating Motherland (ALARM), Yangon, Myanmar
| | - Joon Chuah
- Institute of Water Policy, National University of Singapore, Singapore, Singapore
| | - Alan D. Ziegler
- Department of Geography, National University of Singapore, Singapore, Singapore
| | - Atipat Yasiri
- Chulabhorn International College of Medicine, Thammasat University, Pathum Thani, Thailand
| | - Nongyao Sawangjaroen
- Department of Microbiology, Faculty of Science, Prince of Songkhla University, Hat-Yai, Thailand
| | - Yvonne A. L. Lim
- Department of Parasitology (Southeast Asia Water Team), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Veeranoot Nissapatorn
- Department of Parasitology (Southeast Asia Water Team), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
- * E-mail: ,
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15
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Plutzer J, Karanis P. Neglected waterborne parasitic protozoa and their detection in water. WATER RESEARCH 2016; 101:318-332. [PMID: 27281375 DOI: 10.1016/j.watres.2016.05.085] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2015] [Revised: 05/25/2016] [Accepted: 05/26/2016] [Indexed: 05/08/2023]
Abstract
Outbreak incidents raise the question of whether the less frequent aetiological agents of outbreaks are really less frequent in water. Alternatively, waterborne transmission could be relevant, but the lack of attention and rapid, sensitive methods to recover and detect the exogenous stages in water may keep them under-recognized. High quality information on the prevalence and detection of less frequent waterborne protozoa, such as Cyclospora cayetanensis, Toxoplasma gondii, Isospora belli, Balantidium coli, Blastocystis hominis, Entamoeba histolytica and other free-living amoebae (FLA), are not available. This present paper discusses the detection tools applied for the water surveillance of the neglected waterborne protozoa mentioned above and provides future perspectives.
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Affiliation(s)
- Judit Plutzer
- Qinghai Academy of Animal Science and Veterinary Medicine, Qinghai University, Xining, China; National Public Health Center, National Directorate of Environmental Health, Environmental Health Testing Laboratory, Budapest, Hungary.
| | - Panagiotis Karanis
- Qinghai Academy of Animal Science and Veterinary Medicine, Qinghai University, Xining, China
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16
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Sente C, Erume J, Naigaga I, Mulindwa J, Ochwo S, Magambo PK, Namara BG, Kato CD, Sebyatika G, Muwonge K, Ocaido M. Prevalence of pathogenic free-living amoeba and other protozoa in natural and communal piped tap water from Queen Elizabeth protected area, Uganda. Infect Dis Poverty 2016; 5:68. [PMID: 27485513 PMCID: PMC4971666 DOI: 10.1186/s40249-016-0162-5] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Accepted: 06/22/2016] [Indexed: 12/14/2022] Open
Abstract
Background Pathogenic water dwelling protozoa such as Acanthamoeba spp., Hartmannella spp., Naegleria spp., Cryptosporidium spp. and Giardia spp. are often responsible for devastating illnesses especially in children and immunocompromised individuals, yet their presence and prevalence in certain environment in sub-Saharan Africa is still unknown to most researchers, public health officials and medical practitioners. The objective of this study was to establish the presence and prevalence of pathogenic free-living amoeba (FLA), Cryptosporidium and Giardia in Queen Elizabeth Protected Area (QEPA). Methods Samples were collected from communal taps and natural water sites in QEPA. Physical water parameters were measured in situ. The samples were processed to detect the presence of FLA trophozoites by xenic cultivation, Cryptosporidium oocysts by Ziehl-Neelsen stain and Giardia cysts by Zinc Sulphate floatation technique. Parasites were observed microscopically, identified, counted and recorded. For FLA, genomic DNA was extracted for amplification and sequencing. Results Both natural and tap water sources were contaminated with FLA, Cryptosporidium spp. and Giardia spp. All protozoan parasites were more abundant in the colder rainy season except for Harmannella spp. and Naegleria spp. which occurred more in the warmer months. The prevalence of all parasites was higher in tap water than in natural water samples. There was a strong negative correlation between the presence of Acanthamoeba spp., Hartmannella spp., Cryptosporidium spp. and Giardia spp. with Dissolved Oxygen (DO) (P < 0.05). The presence of Cryptosporidium spp. showed a significant positive correlation (P < 0.05) with conductivity, pH and Total Dissolved Solids (TDS); whereas the presence of Giardia spp. had only a strong positive correlation with TDS. Molecular genotyping of FLA produced 7 Acanthamoeba, 5 Echinamoeba, 2 Hartmannella, 1 Bodomorpha, 1 Nuclearia and 1 Cercomonas partial sequences. Conclusions All water collection sites were found to be contaminated with pathogenic protozoa that could possibly be the cause of a number of silent morbidities and mortalities among rural households in QEPA. This implies that water used by communities in QEPA is of poor quality and predisposes them to a variety of protozoan infections including the FLA whose public health importance was never reported, thus necessitating adoption of proper water safety measures. Electronic supplementary material The online version of this article (doi:10.1186/s40249-016-0162-5) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Celsus Sente
- Department of Wildlife and Aquatic Animal Resources (WAAR), School of Veterinary Medicine and Animal Resources (SVAR), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda.
| | - Joseph Erume
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
| | - Irene Naigaga
- Department of Wildlife and Aquatic Animal Resources (WAAR), School of Veterinary Medicine and Animal Resources (SVAR), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
| | - Julius Mulindwa
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda.,Department of Biochemistry and Sports Science (BSS), College of Natural Sciences (CONAS), Makerere University, P.O. Box 7062, Kampala, Uganda
| | - Sylvester Ochwo
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
| | - Phillip Kimuda Magambo
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
| | - Benigna Gabriela Namara
- Medical Research Council (MRC)/Uganda Virus Research Institute (UVRI), Research Unit on AIDS, P.O.Box 49, Entebbe, Uganda
| | - Charles Drago Kato
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
| | - George Sebyatika
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda.,Department of Molecular Biology, Vrije Universiteit, Pleinlaan 21050, Brussels, Belgium
| | - Kevin Muwonge
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda.,Department of Molecular Biology, Vrije Universiteit, Pleinlaan 21050, Brussels, Belgium
| | - Michael Ocaido
- Department of Wildlife and Aquatic Animal Resources (WAAR), School of Veterinary Medicine and Animal Resources (SVAR), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
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Neglected tropical diseases among the Association of Southeast Asian Nations (ASEAN): overview and update. PLoS Negl Trop Dis 2015; 9:e0003575. [PMID: 25880767 PMCID: PMC4400050 DOI: 10.1371/journal.pntd.0003575] [Citation(s) in RCA: 81] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
The ten member states of the Association of Southeast Asian Nations (ASEAN) constitute an economic powerhouse, yet these countries also harbor a mostly hidden burden of poverty and neglected tropical diseases (NTDs). Almost 200 million people live in extreme poverty in ASEAN countries, mostly in the low or lower middle-income countries of Indonesia, the Philippines, Myanmar, Viet Nam, and Cambodia, and many of them are affected by at least one NTD. However, NTDs are prevalent even among upper middle-income ASEAN countries such as Malaysia and Thailand, especially among the indigenous populations. The three major intestinal helminth infections are the most common NTDs; each helminthiasis is associated with approximately 100 million infections in the region. In addition, more than 10 million people suffer from either liver or intestinal fluke infections, as well as schistosomiasis and lymphatic filariasis (LF). Intestinal protozoan infections are widespread, while leishmaniasis has emerged in Thailand, and zoonotic malaria (Plasmodium knowlesi infection) causes severe morbidity in Malaysia. Melioidosis has emerged as an important bacterial NTD, as have selected rickettsial infections, and leptospirosis. Leprosy, yaws, and trachoma are still endemic in focal areas. Almost 70 million cases of dengue fever occur annually in ASEAN countries, such that this arboviral infection is now one of the most common and economically important NTDs in the region. A number of other arboviral and zoonotic viral infections have also emerged, including Japanese encephalitis; tick-borne viral infections; Nipah virus, a zoonosis present in fruit bats; and enterovirus 71 infection. There are urgent needs to expand surveillance activities in ASEAN countries, as well as to ensure mass drug administration is provided to populations at risk for intestinal helminth and fluke infections, LF, trachoma, and yaws. An ASEAN Network for Drugs, Diagnostics, Vaccines, and Traditional Medicines Innovation provides a policy framework for the development of new control and elimination tools. Together with prominent research institutions and universities, the World Health Organization (WHO), and its regional offices, these organizations could implement important public health improvements through NTD control and elimination in the coming decade.
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18
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Buerano CC, Trinidad AD, Fajardo LSN, Cua IY, Baclig MO, Natividad FF. Isolation of acanthamoeba genotype t4 from a non-contact lens wearer from the Philippines. Trop Med Health 2014; 42:145-7. [PMID: 25589879 PMCID: PMC4253062 DOI: 10.2149/tmh.2014-15] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2014] [Accepted: 07/25/2014] [Indexed: 11/11/2022] Open
Abstract
We report the case of a 76-year old Filipino male who presented with pain, redness, and blurring of vision of the right eye. Corneal scraping was done and sent to the St. Luke’s Research and Biotechnology Group for detection and identification of the infectious agent. Morphological detection was performed by allowing the organism from the scraping to grow in 1.5% non-nutrient agar plate with heat-killed E. coli. Trophozoites with acanthopodia and double-walled cysts characteristic of Acanthamoeba were observed within the first and second week of observations, respectively. Molecular identification of the amoebae at the genus level based on the presence of Acanthamoeba-specific amplimer S1, ASA.S1 confirmed the morphological identification. Genotyping through sequence revealed that the organism belonged to T4, which is the genotype commonly present in the eye of keratitis patients.
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Affiliation(s)
- Corazon C Buerano
- Department of Virology, Institute of Tropical Medicine, Nagasaki University , Nagasaki, Japan ; Institute of Biology, University of the Philippines , Diliman, Quezon City 1101, Philippines ; Research and Biotechnology, St. Luke's Medical Center , 279 E. Rodriguez Blvd. Quezon City 1112, Philippines
| | - Abigail D Trinidad
- Institute of Biology, University of the Philippines , Diliman, Quezon City 1101, Philippines
| | - Lindsay Sydney N Fajardo
- Research and Biotechnology, St. Luke's Medical Center , 279 E. Rodriguez Blvd. Quezon City 1112, Philippines
| | - Irwin Y Cua
- Eye Institute, St. Luke's Medical Center , 279 E. Rodriguez Blvd. Quezon City 1112, Philippines
| | - Michael O Baclig
- Research and Biotechnology, St. Luke's Medical Center , 279 E. Rodriguez Blvd. Quezon City 1112, Philippines
| | - Filipinas F Natividad
- Research and Biotechnology, St. Luke's Medical Center , 279 E. Rodriguez Blvd. Quezon City 1112, Philippines
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