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Silva LSAD, Dias IHL, Fonseca ÁLS, Enk MJ, Nogueira JFC, Guimarães RJDPSE, Goveia CDO. Epidemiological profile of human toxocariasis in patients examined at Evandro Chagas Institute (IEC/SVSA/MS) between 2014 and 2019. Comp Immunol Microbiol Infect Dis 2024; 105:102112. [PMID: 38142560 DOI: 10.1016/j.cimid.2023.102112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 12/13/2023] [Accepted: 12/16/2023] [Indexed: 12/26/2023]
Abstract
INTRODUCTION Toxocariasis is caused by nematodes of Toxocara genus, which infest dogs and cats, with humans serving as paratenic hosts. METHODS The epidemiological profile of patients examined for toxocariasis between October 2014 and October 2019 at Evandro Chagas Institute (IEC) was outlined. The frequency of anti-T. canis IgG antibodies were evaluated using the Enzyme Linked Immunosorbent Assay (ELISA) method. RESULTS From a total of 734 samples, 56% were from male (p < 0.05). Regarding age, the group with the most solicitations were from ≤11 years old individuals (p < 0.05). Pará state had the highest number of exams requested (92%), with the majority from residents of urban areas, accounting for 81.5% of samples (p < 0.05). The overall toxocariasis seroprevalence was 41.8%, the male sex being the most frequent with 60.9% (p < 0.05). The most affected age group was ≤11 years old, with a total of 67.8% of positive samples (p < 0.05). CONCLUSION The high rates obtained emphasize the need for complementary studies on toxocariasis in Brazil, especially in Pará state, contributing to epidemiological surveillance actions in the control of this infection. Besides, health campaigns for domestic and stray animals, also can contribute to a more effective surveillance in controlling parasitic infections and encourages the One Health approach.
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Affiliation(s)
| | - Isabelle Helena Lima Dias
- Programa de Pós-Graduação em Biologia Parasitária na Amazônia (PPGBPA), Universidade do Estado do Pará (UEPA) 2623, Belém, PA, Brazil.
| | - Álvaro Luan Santana Fonseca
- Programa de Pós-Graduação em Biologia Parasitária na Amazônia (PPGBPA), Universidade do Estado do Pará (UEPA) 2623, Belém, PA, Brazil
| | - Martin Johannes Enk
- Laboratório de Parasitoses Intestinais e Esquistossomose, Instituto Evandro Chagas s/n, Ananindeua PA, Brazil
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Ulloque-Badaracco JR, Hernandez-Bustamante EA, Alarcón-Braga EA, Huayta-Cortez M, Carballo-Tello XL, Seminario-Amez RA, Rodríguez-Torres A, Casas-Patiño D, Herrera-Añazco P, Benites-Zapata VA. Seroprevalence of human toxocariasis in Latin America and the Caribbean: a systematic review and meta-analysis. Front Public Health 2023; 11:1181230. [PMID: 37441649 PMCID: PMC10335805 DOI: 10.3389/fpubh.2023.1181230] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 05/30/2023] [Indexed: 07/15/2023] Open
Abstract
Introduction The current study aimed to quantitatively synthesize available evidence regarding the seroprevalence of human toxocariasis in Latin America and the Caribbean. Methods A systematic research involving six electronic databases was conducted using a research strategy that combined MeSH terms with free terms. Article selection and information extraction were performed using a double and independent approach. The Newcastle-Ottawa tool was used to assess the risk of bias in the included articles. The meta-analysis used the random-effects approach, with subgroup analysis and sensitivity analysis for risk of bias also being performed. Results We included 101 articles with a total of 31,123 participants. The studies were conducted between 1990 and 2022, with Brazil accounting for the largest number of studies (n = 37). The overall seroprevalence of human toxocariasis was 31.0% (95% CI: 27.0-35.0%, I2 = 99%). The prevalence of the main characteristics observed in seropositive patients were as follows: ocular toxocariasis (30.0%), asymptomatic (26.0%), and presence of dogs at home (68.0%). In addition, the seroprevalence was lower in studies including only adults than in those including children or both. In contrast, no differences in seroprevalences were found between studies conducted in the community and hospital. Conclusion The overall seroprevalence of human toxocariasis in Latin America and the Caribbean was high. Notably, our findings showed that the seroprevalence was increased among populations who kept a dog at home but was decreased in populations comprising only adults. Our findings can be used to establish epidemiological surveillance strategies for the prevention and early identification of toxocariasis.
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Affiliation(s)
| | - Enrique A. Hernandez-Bustamante
- Sociedad Cientifica de Estudiantes de Medicina de la Universidad Nacional de Trujillo, Trujillo, Peru
- Grupo Peruano de Investigación Epidemiológica, Unidad Para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Peru
| | | | | | | | | | - Alejandra Rodríguez-Torres
- Universidad Autónoma del Estado de México, CU Amecameca, Mexico
- Red Internacional en Salud Colectiva y Salud Intercultural, Amecameca, Mexico
| | - Donovan Casas-Patiño
- Universidad Autónoma del Estado de México, CU Amecameca, Mexico
- Red Internacional en Salud Colectiva y Salud Intercultural, Amecameca, Mexico
| | - Percy Herrera-Añazco
- Universidad Privada del Norte, Trujillo, Peru
- Red Peruana de Salud Colectiva, Lima, Peru
| | - Vicente A. Benites-Zapata
- Unidad de Investigación Para la Generación y Síntesis de Evidencias en Salud, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Peru
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Yousefi E, Rokni MB, Hazrati Tappeh K, Mohebali M, Khademvatan S, Zahabiun F, Kia EB. Seroprevalence of Toxocara Infection in Association with Different Risk Factors among Children of 4-12 Years Old Referred to Some Medical Centers in Aras Free Zone, Northwest Iran. IRANIAN JOURNAL OF PUBLIC HEALTH 2020; 49:1307-1315. [PMID: 33083297 PMCID: PMC7548479 DOI: 10.18502/ijph.v49i7.3584] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Background: Toxocariosis is a parasitic disease caused by the larval stage of Toxocara species from dog and cat. It has a worldwide distribution with higher prevalence in children. This study aimed to determine seroprevalence of Toxocara infection and its association with some risk factors among children of Aras Free Zone (Jolfa City) in Northwest of Iran. Methods: Sera were collected from 514 children aged 4–12 yr old attending to some medical centers in the study area from May 2018 to Feb 2019. Anti-Toxocara IgG antibodies assay was performed using commercial ELISA kit (Nova Tec, Germany). The seropositivity rate was determined and its association with different demographic criteria and risk factors were statistically analyzed. Results: The overall seroprevalence was 2.3% (12/514). Risk factors of children’s age group and contact with either pet animals (dog and cat) and/or soil were significantly associated with seropositivity. However, there was not any relationship between Toxocara infection and gender of children, place of residency (urban or rural) and their mothers’ education level. Conclusion: Both girls and boys are at risk of Toxocara infection in the study area. Younger age of childhood and contact with sources of infection were important associated factors. More probably, additional criteria are involved in the initiation of infection.
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Affiliation(s)
- Elham Yousefi
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Bagher Rokni
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Khosrow Hazrati Tappeh
- Department of Medical Parasitology and Mycology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.,Cellular and Molecular Research Center, Department of Medical Parasitology and Mycology, Urmia University of Medical Sciences, Urmia, Iran
| | - Mehdi Mohebali
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Shahram Khademvatan
- Department of Medical Parasitology and Mycology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.,Cellular and Molecular Research Center, Department of Medical Parasitology and Mycology, Urmia University of Medical Sciences, Urmia, Iran
| | - Farzaneh Zahabiun
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Eshrat Beigom Kia
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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Abstract
I herein review published studies reporting the prevalence of Toxocara infection in dogs and cats in Brazil. Based on data gathered from faecal examinations of approximately 38,940 dogs and 5600 cats from different Brazilian studies, the mean prevalence of Toxocara infection is 11.4% (range: 0.7-48.9%) in dogs and 16.7% (0.3-43.1%) in cats. These mean values based on faecal examinations should be interpreted with cautious, considering the obvious differences in terms of sample size, diagnostic tests and animal populations. Accordingly, necropsy investigations reveal higher mean prevalence values (21.9% for Toxocara canis and 27.6% Toxocara cati in dogs and cats, respectively). The contamination with Toxocara eggs in different environments and the significance of these parasites from a public health perspective in Brazil are briefly discussed.
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Affiliation(s)
- Filipe Dantas-Torres
- Department of Immunology, Aggeu Magalhães Institute, Oswaldo Cruz Foundation (Fiocruz), Recife, Pernambuco, Brazil.
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Marques SR, Alves LC, Faustino MADG. Análise epistemológica dos conhecimentos científicos sobre Toxocara sp. com ênfase na infecção humana. CIENCIA & SAUDE COLETIVA 2019; 24:219-228. [DOI: 10.1590/1413-81232018241.20262016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2016] [Accepted: 01/16/2017] [Indexed: 11/22/2022] Open
Abstract
Resumo Este artigo objetivou analisar a evolução do conhecimento sobre Toxocara sp. em seu aspecto zoonótico por meio de dados científicos entre os anos de 1996 a 2015 utilizando a epistemologia como ferramenta. A análise epistemológica da evolução do conhecimento sobre o aspecto zoonótico de Toxocara sp. no Brasil demonstrou que, de uma maneira geral, foram agregadas poucas novas informações as quais tiveram, ao longo do período estudado, absorção lenta, descontínua, e não foram inseridas na realidade social do ponto de vista de Saúde Pública.
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Frequency of Toxocariasis among Patients Clinically Suspected to Have Visceral Toxocariasis: A Retrospective Descriptive Study in Sri Lanka. J Parasitol Res 2017; 2017:4368659. [PMID: 29362672 PMCID: PMC5736924 DOI: 10.1155/2017/4368659] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 10/13/2017] [Accepted: 10/17/2017] [Indexed: 12/02/2022] Open
Abstract
Introduction Human toxocariasis is caused by several species of the nematode Toxocara. Two common clinical syndromes are ocular and visceral larva migrans. Objectives To determine the Toxocara antibody positivity in clinically suspected VLM patients and to describe demographic factors and clinical manifestations of seropositive patients. Methods 522 clinically suspected patients were studied between 1993 and 2014. Relevant data was gathered from referral letters. Serum samples were subjected to Toxocara antigen ELISA. Results Overall, seropositivity was 50.2% (262), of which 109 (40.8%) were positive at high level of Toxocara antibody carriage and 153 (58.4%) were positive at low levels. The seropositives ranged from 3 months to 70 years (mean = 7.8). Younger age group had higher levels of seropositivity and it was statistically significant. Majority of children under 5 years were seropositive (47.7%, n = 125). Seropositivity was common in males (55.3%, n = 145). Clinical manifestations of seropositives include lymphadenopathy (24.1%) skin rash (22.5%), dyspnoea (21.7%), fever (21%), hepatosplenomegaly (9.2%), and abdominal pain (3.8%). 197 (75.2%) seropositive cases had eosinophilia. These symptoms were not statistically significant. Conclusions This study confirms toxocariasis as an important cause of childhood ill health identifying common clinical symptoms recommending preventive measures to limit transmission.
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Vargas C, Torres P, Jercic MI, Lobos M, Oyarce A, Miranda JC, Ayala S. FREQUENCY OF ANTI- Toxocara spp. ANTIBODIES IN INDIVIDUALS ATTENDED BY THE CENTRO DE SALUD FAMILIAR AND ENVIRONMENTAL CONTAMINATION WITH Toxocara canis EGGS IN DOG FECES, IN THE COASTAL NIEBLA TOWN, CHILE. Rev Inst Med Trop Sao Paulo 2016; 58:62. [PMID: 27680167 PMCID: PMC5048633 DOI: 10.1590/s1678-9946201658062] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2015] [Accepted: 03/15/2016] [Indexed: 11/22/2022] Open
Abstract
The frequency of anti-Toxocara spp. antibodies in individuals
attended by the Centro de Salud Familiar in the coastal Niebla town,
Chile, was related to the host and to environmental factors. IgG anti-
Toxocara antibodies were detected with a commercial ELISA kit
(SCIMEDX Corporation, USA). Samples with undetermined absorbance values were
subjected to an additional ELISA standardized by the Instituto de Salud
Pública, Chilean Health Ministry, a commercial ELISA (NOVATEC, Germany),
and a commercial Western blot kit (LDBio Diagnostics, France). Hematological exams
were performed using an automated blood counter and blood smears. Dog feces were
collected from the ground along the main road in Niebla, including rural and urban
locations. Ninety (25.4%) of the 355 examined individuals were positive by the ELISA
test. The frequency of anti-Toxocara antibodies and the infection
risk were significantly higher (p < 0.05) among those individuals
≥ 40 years old with respect to the 20-39 years old group, in individuals from rural
locations, those who did not have a safe drinking water supply in the house or who
presented blood eosinophilia. The proportion of positive samples of dog feces and the
mean number of Toxocara canis eggs/g of feces in urban and rural
areas were similar (p > 0.05).
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Affiliation(s)
- Catalina Vargas
- Universidad Austral de Chile, Facultad de Medicina, Instituto de Parasitología, Valdivia, Chile
| | - Patricio Torres
- Universidad Austral de Chile, Facultad de Medicina, Instituto de Parasitología, Valdivia, Chile
| | - María Isabel Jercic
- Instituto de Salud Pública de Chile, Departamento Laboratorio Biomédico Nacional y de Referencia, Sección de Parasitología, Santiago, Chile
| | - Marta Lobos
- Universidad Austral de Chile, Facultad de Medicina, Instituto de Medicina, Unidad de Hematología, Valdivia, Chile
| | - Alan Oyarce
- Instituto de Salud Pública de Chile, Departamento Laboratorio Biomédico Nacional y de Referencia, Sección de Parasitología, Santiago, Chile
| | - Juan Carlos Miranda
- Universidad Austral de Chile, Facultad de Ciencias Económicas y Administrativas, Instituto e Estadística, Valdivia, Chile
| | - Salvador Ayala
- Instituto de Salud Pública de Chile, Subdepartamento Vigilancia de Laboratorio, Santiago, Chile
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Boldiš V, Ondriska F, Špitalská E, Reiterová K. Immunodiagnostic approaches for the detection of human toxocarosis. Exp Parasitol 2015; 159:252-8. [DOI: 10.1016/j.exppara.2015.10.006] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2015] [Revised: 08/20/2015] [Accepted: 10/21/2015] [Indexed: 10/22/2022]
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Martínez M, García H, Figuera L, González V, Lamas F, López K, Mijares V, Corrales Y, Lares M, Ferrer E. Seroprevalence and risk factors of toxocariasis in preschool children in Aragua state, Venezuela. Trans R Soc Trop Med Hyg 2015. [PMID: 26217045 DOI: 10.1093/trstmh/trv059] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Toxocariasis is a widespread zoonotic disease caused by the nematode Toxocara canis. In Venezuela, the magnitude of the disease is unknown and seroepidemiological studies have not been previously carried out in Aragua state. METHODS A cross-sectional field study was conducted in eight preschools in three municipalities from Aragua state in Venezuela. A total of 224 children aged between 1 and 6 years were studied (43.8% [98/224] male and 56.2% [126/224] female). Blood samples were obtained for detection of IgG antibodies against Toxocara spp. using ELISA. Participating families were given a questionnaire and children included in the study were clinically evaluated by paediatricians, and signs and symptoms observed were included in the questionnaires. RESULTS Anti-Toxocara spp. antibodies were detected in 29.0% (65/224) of children. The seroprevalence in the different preschools studied ranged between 4.2% and 60.6%. Leucocytosis and eosinophilia were also detected. Analysis of questionnaires indicated that boys were more at risk than girls. Younger children were also more at risk. Other significant risk factors were socio-economic strata (IV and V), inadequate improvised housing, earthen flooring indoors and outdoors and the presence of dogs in preschools. CONCLUSIONS The results from this work show the presence of infection and a high prevalence of antibodies against Toxocara spp. in the studied municipalities and indicate that toxocariasis poses a serious health problem to preschool children in Aragua state.
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Affiliation(s)
- María Martínez
- Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo Sede Aragua, Maracay, Venezuela Instituto de Investigaciones Biomédicas 'Dr. Francisco J. Triana Alonso' (BIOMED) Universidad de Carabobo Sede Aragua, Maracay, Venezuela
| | - Héctor García
- Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo Sede Aragua, Maracay, Venezuela
| | - Liliana Figuera
- Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo Sede Aragua, Maracay, Venezuela
| | - Verónica González
- Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo Sede Aragua, Maracay, Venezuela
| | - Félix Lamas
- Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo Sede Aragua, Maracay, Venezuela
| | - Katherinne López
- Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo Sede Aragua, Maracay, Venezuela
| | - Víctor Mijares
- Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo Sede Aragua, Maracay, Venezuela
| | - Yeasiry Corrales
- Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo Sede Aragua, Maracay, Venezuela
| | - María Lares
- Instituto de Investigaciones Biomédicas 'Dr. Francisco J. Triana Alonso' (BIOMED) Universidad de Carabobo Sede Aragua, Maracay, Venezuela
| | - Elizabeth Ferrer
- Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo Sede Aragua, Maracay, Venezuela Instituto de Investigaciones Biomédicas 'Dr. Francisco J. Triana Alonso' (BIOMED) Universidad de Carabobo Sede Aragua, Maracay, Venezuela
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Grama DF, Lescano SZ, Pereira Mota KC, Anjos Pultz BD, Miranda JS, Silva Segundo GR, Taketomi EA, Fernandes KP, Limongi JE, de Paula FM, Chieffi PP, Cury MC. Seroprevalence of Toxocara spp. in children with atopy. Trans R Soc Trop Med Hyg 2014; 108:797-803. [DOI: 10.1093/trstmh/tru165] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Archelli S, Santillan GI, Fonrouge R, Céspedes G, Burgos L, Radman N. Toxocariasis: seroprevalence in abandoned-institutionalized children and infants. Rev Argent Microbiol 2014; 46:3-6. [PMID: 24721267 DOI: 10.1016/s0325-7541(14)70040-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2013] [Accepted: 01/16/2014] [Indexed: 11/17/2022] Open
Abstract
Toxocariasis is an infection that has worldwide distribution. Toxocara canis is the most relevant agent due to its frequent occurrence in humans. Soil contamination with embryonated eggs is the primary source of T. canis. This study aimed to determine the seroprevalence of toxocariasis in 10-month to 3 year-old abandoned infants, considered to be at high risk because of their orphanhood status and early age. Blood samples were collected from 120 children institutionalized in an orphanage in the city of La Plata. In this study, we observed 38.33% of seropositive cases for T. canis by ELISA and 45% by Western blot techniques; significant differences among groups A (<1 year), B (1-2 years) and C (>2 years) were also found. In research group A, children presented a seropositivity rate of 23.91%, in group B of 42.85% and in group C of 56%, which indicates an increase in frequency as age advances, probably because of greater chances of contact with infective forms of the parasite since canines and soil are frequently infected with T. canis eggs. Abandoned children come from poor households, under highly unsanitary conditions resulting from inadequate or lack of water supply and sewer networks, and frequent promiscuity with canines, which promotes the occurrence of parasitic diseases. These children are highly vulnerable due to their orphanhood status and age.
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Affiliation(s)
- Susana Archelli
- Cátedra de Parasitología Comparada, Laboratorio de Parasitosis Humanas y Zoonosis Parasitarias, Fac. Cs. Vet. UNLP, La Plata, Buenos Aires, Argentina
| | - Graciela I Santillan
- Departamento de Parasitología, INEI-ANLIS "Dr. Carlos G. Malbrán", Ciudad Autonóma de Buenos Aires, Argentina.
| | - Reinaldo Fonrouge
- Cátedra de Parasitología Comparada, Laboratorio de Parasitosis Humanas y Zoonosis Parasitarias, Fac. Cs. Vet. UNLP, La Plata, Buenos Aires, Argentina
| | - Graciela Céspedes
- Departamento de Parasitología, INEI-ANLIS "Dr. Carlos G. Malbrán", Ciudad Autonóma de Buenos Aires, Argentina
| | - Lola Burgos
- Cátedra de Parasitología Comparada, Laboratorio de Parasitosis Humanas y Zoonosis Parasitarias, Fac. Cs. Vet. UNLP, La Plata, Buenos Aires, Argentina
| | - Nilda Radman
- Cátedra de Parasitología Comparada, Laboratorio de Parasitosis Humanas y Zoonosis Parasitarias, Fac. Cs. Vet. UNLP, La Plata, Buenos Aires, Argentina
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Oliart-Guzmán H, Delfino BM, Martins AC, Mantovani SAS, Braña AM, Pereira TM, Branco FLCC, Ramalho AA, Campos RG, Fontoura PS, de Araujo TS, de Oliveira CSM, Muniz PT, Rubinsky-Elefant G, Codeço CT, da Silva-Nunes M. Epidemiology and control of child toxocariasis in the western Brazilian Amazon - a population-based study. Am J Trop Med Hyg 2014; 90:670-81. [PMID: 24515946 DOI: 10.4269/ajtmh.13-0506] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Toxocara spp. infection and the seroconversion rate in the Amazon have been poorly investigated. This study analyzed individual and household-level risk factors for the presence of IgG antibodies to Toxocara spp. in urban Amazonian children over a period of 7 years and evaluated the seroconversion rates over a 1-year follow-up. In children < 59 months of age, the overall prevalence rate was 28.08% in 2003 and 23.35% in 2010. The 2010-2011 seroconversion rates were 13.90% for children 6-59 months of age and 12.30% for children 84-143 months of age. Multilevel logistic regression analysis identified child age, previous wheezing, and current infection with hookworm as significant associated factors for Toxocara spp. seropositivity in 2003. In 2010, age, previous helminthiasis, and having a dog were associated with seropositivity, whereas having piped water inside the household was a protective factor. Control programs mainly need to target at-risk children, water quality control, and animal deworming strategies.
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Affiliation(s)
- Humberto Oliart-Guzmán
- Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Rio Branco - Acre, Brasil; Instituto de Medicina Tropical, Laboratório de Soroepidemiologia e Imunobiologia, São Paulo, Brasil; Programa de Computação Científica, Fundação Instituto Oswaldo Cruz, Rio de Janeiro, Brasil
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Bolivar-Mejia A, Alarcón-Olave C, Calvo-Betancourt LS, Paniz-Mondolfi A, Delgado O, Rodriguez-Morales AJ. Toxocariasis in the Americas: Burden and Disease Control. CURRENT TROPICAL MEDICINE REPORTS 2014. [DOI: 10.1007/s40475-013-0010-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Prevalence and risk factors associated with Toxocara canis infection in children. ScientificWorldJournal 2013; 2013:572089. [PMID: 23844404 PMCID: PMC3690266 DOI: 10.1155/2013/572089] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2013] [Accepted: 05/15/2013] [Indexed: 11/17/2022] Open
Abstract
The objective of this study was to determine seroprevalence and identify risk factors associated with Toxocara canis infection. A clinical and epidemiological questionnaire and body mass index were used to assess the risk factors associated with human toxocariasis in 108 children with an age range of 2-16 years. Antibodies against Toxocara canis were detected using an ELISA test kit. Chi-square analysis and odds ratio (OR) were used to identify risk factors associated with Toxocara canis seropositivity. The prevalence of antibodies against Toxocara canis was greater (P = 0.02) in males than females (28.84% and 16.07%, resp.). Chi-square analysis and odds ratio revealed just one variable with P < 0.05, and OR > 1.0 was associated with seropositivity: the possession of dogs under one year old (OR = 1.78). Although not significant, the OR values suggest that other factors may be epidemiologically important for Toxocara presence such as not washing hands before meals, malnutrition, obesity, and use of public parks. Children in the age group >12 and <16 years old had higher seroprevalence to Toxocara canis (17.59%) than the >2 and <11 years old age group (4.62%). Toxocariosis infection needs to be prevented by pet deworming and hygienic measures after contact with dogs.
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Abstract
SUMMARYSeroprevalence data illustrate that human exposure to Toxocara is frequent. Environmental contamination with Toxocara spp. eggs is assumed to be the best indicator of human exposure, but increased risk of exposure has also been associated with many other factors. Reported associations are inconsistent, however, and there is still ambiguity regarding the factors driving the onset of Toxocara antibody positivity. The objective of this work was to assess the validity of our current conceptual understanding of the key processes driving human exposure to Toxocara. We constructed an agent-based model predicting Toxocara antibody positivity (as a measure of exposure) in children. Exposure was assumed to depend on the joint probability of 3 parameters: (1) environmental contamination with Toxocara spp. eggs, (2) larvation of these eggs and (3) the age-related contact with these eggs. This joint probability was linked to processes of acquired humoral immunity, influencing the rate of antibody seroreversion. The results of the simulation were validated against published data from 5 different geographical settings. Using simple rules and a stochastic approach with parameter estimates derived from the respective contexts, plausible serological patterns emerged from the model in nearly all settings. Our approach leads to novel insights in the transmission dynamics of Toxocara.
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Abstract
Toxocariasis is a helminth zoonosis caused by infection with the larvae of Toxocara spp. ascarid worms. Only two species, Toxocara canis and Toxocara cati, are recognised as causative agents of human disease. The best choice for serodiagnosis of the generalised forms of toxocariasis, visceral larva migrans (VLM) or covert toxocariasis, relies upon the initial use of TES-ELISA, after which any positive result should subsequently be tested by Western blotting (WB). Covert toxocariasis is mostly a benign infection, so a large majority of infected subjects are asymptomatic or have very few symptoms and therefore go undiagnosed. In this form, this helminthosis is often self-limiting, leaving residual specific antibodies. A positive serodiagnosis caused by residual antibodies that do not have any diagnostic significance can be associated with any infectious or non-infectious disease. If separated from the ongoing clinical and laboratory context, such a positive result has no diagnostic value and should be only taken into account after the possible etiologies of any observed syndromes have been ruled out. Unlike the methods used for the immunodiagnosis of bacterial, viral or protozoal (toxoplasmosis) infections, it is not possible with toxocariasis to assess the age of the presence of specific IgG using the levels of specific IgM because IgM antibodies can be found throughout the course of helminthiasis. The detection of other classes of immunoglobulins, namely IgE and IgA, the subclasses, namely IgG4 or circulating Ag was proven to be unable to discriminate between active and self-cured generalised toxocaral infections. Currently, the diagnosis of an active covert toxocariasis relies upon indirect arguments, e.g., the presence of otherwise unexplained symptoms along with blood eosinophilia and/or elevated levels of eosinophil cationic protein (ECP). This situation is far from ideal and more research should be carried out to solve this difficult problem.
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Fragoso RP, Monteiro MBM, Lemos EM, Pereira FEL. Anti-Toxocara antibodies detected in children attending elementary school in Vitoria, State of Espírito Santo, Brazil: prevalence and associated factors. Rev Soc Bras Med Trop 2012; 44:461-6. [PMID: 21860891 DOI: 10.1590/s0037-86822011000400012] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2011] [Accepted: 03/15/2011] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION The aim of this study was to evaluate the frequency of anti-Toxocara antibodies in serum from 7-year-old children attending elementary school in Vitória-ES, Brazil and to correlate these antibodies with socio-demographic factors, the presence of intestinal helminths, blood eosinophil numbers, past history of allergy or asthma, and clinical manifestations of helminth infections. METHODS The detection of anti-Toxocara antibodies was performed using an ELISA (Cellabs Pty Ltd)on serum from 391 children who had already been examined by fecal examination and blood cell counts. Data from clinical and physical examinations were obtained for all children. RESULTS The prevalence of anti-Toxocara antibodies was 51.6%, with no gender differences. No significant differences were observed between positive serology and the presence or absence of intestinal worms (60.3 and 51.7%, respectively; p = 0.286). The only variables significantly related to positive serology were onycophagy and the use of unfiltered water. Although eosinophilia (blood eosinophil count higher than 600/mm³) was significantly related to the presence of a positive ELISA result, this significance disappeared when we considered only children without worms or without a past history of allergy or asthma. No clinical symptoms related to Toxocara infection were observed. CONCLUSIONS There is a high prevalence of anti-Toxocara antibodies in children attending elementary schools in Vitória, which may be partially related to cross-reactivity with intestinal helminths or to a high frequency of infection with a small number of Toxocara eggs.
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Affiliation(s)
- Roberta Paranhos Fragoso
- Serviço de Pediatria, Hospital Universitário Cassiano Antonio de Moraes, Universidade Federal do Espírito Santo, Vitória, Brazil
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Seroprevalence of Toxocara infection in children and environmental contamination of urban areas in Paraná State, Brazil. J Helminthol 2011; 86:440-5. [PMID: 22114910 DOI: 10.1017/s0022149x11000666] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The objectives of this study were to evaluate the contamination by eggs of Toxocara in sandy areas or grass lawns of outdoor recreation areas that are used by children, and the frequency of seroprevalence in children, from three cities of fewer than 45,000 inhabitants in Paraná, Brazil. From May 2005 to December 2007, five samples were taken from each of 13 sandy sites and 18 grass lawns, all from plazas and public schools. Blood samples from children aged 0-12 years were analysed by immunoassay for anti-Toxocara IgG. The soil samples were processed by floatation and sedimentation. Eggs of Toxocara spp. were present in 44.7% (38/85) of the samples from grassed areas and in 21.4% (15/70) of the sand samples. The lawns were 2.16 times more contaminated than the sand (P = 0.0009). However, the epidemiological variables showed no statistically significant difference between seropositive (36.8%; 130/353), and seronegative children. The rate of seropositivity was higher in children aged 0-5 years (P = 0.03), who were 1.94 times more likely to develop persistent wheezing (P = 0.02).
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Santarém VA, Leli FNC, Rubinsky-Elefant G, Giuffrida R. Protective and risk factors for toxocariasis in children from two different social classes of Brazil. Rev Inst Med Trop Sao Paulo 2011; 53:66-72. [DOI: 10.1590/s0036-46652011000200002] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2010] [Accepted: 12/07/2010] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to analyze the prevalence of Toxocara spp. antibodies in children from two different socioeconomic classes in the Presidente Prudente municipality, São Paulo State, Brazil, and the protective and risk factors associated with toxocariasis. One hundred and twenty-six middle-class (MC) and 126 disadvantaged children (DC) were included in this study. Anti-Toxocara ELISA test was performed in order to evaluate seroprevalence. A survey was applied to the children's guardians/parents in order to analyze the protective and risk factors. The overall prevalence was 11.1%, and of 9.5% (12/126) and 12.7% (16/126) for MC and DC subgroups, respectively. Toxocara seropositivity was inversely proportional to the family income. A high household income was considered a protective factor for toxocariasis in the total population and in both MC and DC subgroups. Being a girl was considered a protective factor for the total population and for both subgroups. Whilst being an owner of cat was a risk factor for children belonging to the total and for both MC and DC subgroups, having dog was considered as a risk factor for only the MC. Epidemiologic protective/factor risks can be distinct depending on the strata of the same population. Thus, it is relevant to evaluate these factors independently for different socioeconomic classes in order to design future investigations and programs for preventing the infection of human beings by Toxocara spp. and other geohelminths.
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Colli CM, Rubinsky-Elefant G, Paludo ML, Falavigna DLM, Guilherme EV, Mattia S, Araújo SM, Ferreira EC, Previdelli ITS, Falavigna-Guilherme AL. Serological, clinical and epidemiological evaluation of toxocariasis in urban areas of south Brazil. Rev Inst Med Trop Sao Paulo 2010; 52:69-74. [PMID: 20464126 DOI: 10.1590/s0036-46652010000200002] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2009] [Accepted: 02/22/2010] [Indexed: 11/22/2022] Open
Abstract
Toxocariasis is a worldwide public-health problem that poses major risks to children who may accidentally ingest embryonated eggs of Toxocara. The objectives of this study were to investigate the occurrence of anti-Toxocara spp. antibodies in children and adolescents and the variables that may be involved, as well as environmental contamination by Toxocara spp. eggs, in urban recreation areas of north central mesoregion, Paraná State, Brazil. From June 2005 to March 2007. a total of 376 blood samples were collected by the Public Health Service from children and adolescents one to 12 years old, of both genders. Samples were analyzed by the indirect ELISA method for detection of anti-Toxocara antibodies. Serum samples were previously absorbed with Ascaris suum antigens, and considered positive with a reagent reactivity index >1. Soil samples from all of the public squares and schools located in the four evaluated municipalities that had sand surfaces (n = 19) or lawns (n = 15) were analyzed. Of the 376 serum samples, 194 (51.6%) were positive. The seroprevalence rate was substantially higher among children aging one to five years (p = 0.001) and six to eight years (p = 0.022). The clinical signs and symptoms investigated did not show a statistical difference between seropositive and seronegative individuals (p > 0.05). In 76.5% of the investigated recreation places, eggs of Toxocara were detected in at least one of the five collected samples. Recreation areas from public schools were 2.8 times more contaminated than from public squares. It is important to institute educational programs to inform families and educators, as well as to improve sanitary control of animals and cleaning of the areas intended for recreation in order to prevent toxocariasis.
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Affiliation(s)
- Cristiane M Colli
- Departamento de Análises Clínicas, Universidade Estadual de Maringá, Maringá, PR, Brasil, 87020-900
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Roldán WH, Cavero YA, Espinoza YA, Jiménez S, Gutiérrez CA. Human toxocariasis: a seroepidemiological survey in the Amazonian city of Yurimaguas, Peru. Rev Inst Med Trop Sao Paulo 2010; 52:37-42. [PMID: 20305953 DOI: 10.1590/s0036-46652010000100006] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2009] [Accepted: 11/30/2009] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to determine the seroprevalence of the infection by Toxocara in the general population of the Amazonian city of Yurimaguas, Peru. From March to August 2008, a total of 300 subjects were sampled and tested by means of a Toxocara ELISA-IgG test. A clinical and epidemiological questionnaire was used to assess the symptomatology and risk factors associated with human toxocariasis. The overall rate of seropositivity was 35.66%, with a significant high proportion in children (p < 0.001). The clinical evaluation revealed that 95.33% of the seropositive group had some type of symptomatology: headache (66.36%), respiratory compromise (63.55%), abdominal pain (54.21%), cutaneous signs (40.19%) and ocular manifestations (36.45%), and almost all of them were statistically significant (p < 0.001). Furthermore, 56.07% of the seropositive subjects presented at least one intestinal pathogen parasite with predominance of helminthes, but without significant association (p = 0.334). The analysis of risk factors showed only that the use of public places and geophagia exhibited a significant association with the seropositivity (p < 0.001). Clinical, serological and epidemiological findings associated to infection with Toxocara were observed in the present study and future studies should be done to assess this serious health problem.
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Affiliation(s)
- William H Roldán
- Departamento de Microbiología Médica, Universidad Nacional Mayor de San Marcos, Perú.
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Chieffi PP, Santos SVD, Queiroz MLD, Lescano SAZ. Human toxocariasis: contribution by Brazilian researchers. Rev Inst Med Trop Sao Paulo 2010; 51:301-8. [PMID: 20209265 DOI: 10.1590/s0036-46652009000600001] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2009] [Accepted: 11/30/2009] [Indexed: 11/22/2022] Open
Abstract
In the present paper the main aspects of the natural history of human infection by Toxocara larvae that occasionally result in the occurrence of visceral and/or ocular larva migrans syndrome were reviewed. The contribution by Brazilian researchers was emphasized, especially the staff of the Tropical Medicine Institute of São Paulo (IMT).
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Affiliation(s)
- Pedro Paulo Chieffi
- Instituto de Medicina Tropical de São Paulo (LIM 06) , SP, São Paulo, Brasil. and
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Sharif M, Daryani A, Barzegar G, Nasrolahei M, Khalilian A. Seroprevalence of toxocariasis in schoolchildren in Northern Iran. Pak J Biol Sci 2010; 13:180-184. [PMID: 20437685 DOI: 10.3923/pjbs.2010.180.184] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
This cross-sectional study was carried out on 1210 randomly selected schoolchildren, attending sixteen primary and secondary schools, during the period between November 2005 and June 2006. Parents who accepted to include their children were requested to be present at sampling time and to fill in a simple questionnaire with personal and epidemiological data. Three milliliter of venous blood were taken by vein puncture under sterile conditions from each subject for detection and titration of antibodies to T. canis and eosinophil counts. Total IgG anti-Toxocara antibodies was evaluated by T. canis IgG ELISA kit. According to the manufacture recommendations, an index positivity >11 U was considered positive. Of the 1210 serum specimens tested, an overall seroprevalence for Toxocara antibodies of 25% was obtained. There was no association between positive seroprevalence and age (p = 0.34). Boys and girls differed significantly with regard to Toxocra titre (p = 0.003). Eosinophilia in peripheral blood (> or = 5%) was detected in 24.5% (297/1210) of the population studied, 97/297 (32.8%) of whom were seropositive for toxocariasis. The findings of this study confirmed that infection with Toxocara is quite high and widespread in children in Northern Iran. Therefore, health promotion efforts must be directed at increasing the awareness of the population about the potential zoonotic hazards associated with the disease and how to minimize them.
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Affiliation(s)
- M Sharif
- Department of Parasitology and Mycology, Sari Medical School, Mazandaran University of Medical Sciences, Sari, Iran
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Eosinophilia in returning travellers and migrants from the tropics: UK recommendations for investigation and initial management. J Infect 2010; 60:1-20. [DOI: 10.1016/j.jinf.2009.11.003] [Citation(s) in RCA: 81] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2009] [Revised: 11/11/2009] [Accepted: 11/13/2009] [Indexed: 11/18/2022]
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Nourian AA, Amiri M, Ataeian A, Haniloo A, Mosavinasab SN, Badali H. Seroepidemiological study for toxocariasis among children in Zanjan-northwest of Iran. Pak J Biol Sci 2008; 11:1844-7. [PMID: 18817228 DOI: 10.3923/pjbs.2008.1844.1847] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Determination of seroepidemiological survey of Toxocara infection in 810 sera from children inhabitants in rural and urban area of Zanjan (North-West of Iran) was adjusted for specific antibody level against of second stage larvae of Toxocara for excretory and secretory antigens based on ELISA technique. In contrast of the other studies, the overall seroprevalence was quite low, reaching to 2.7% out of 810 samples was positive to anti Toxocara species antibodies. Neither age nor gender seemed to be significant factor to positive serology. Seroprevalence of anti Toxocara antibody were detected in 8 out of 494 (1.6%) children from urban area, whereas 316 sample (4.4%) were the positive in the rural area. Positive children who had contact or ownership of cats and dog were 6.9 and 3.9%, respectively. Albeit, concerning to this study, seroprevalence of toxocariosis is lower than other countries and other studies in Iran. But protections of toxocariosis in children must be taking into account in public health program. Suggest that increase of hygiene education would be a crucial affective on population to reduce infection risk factor and zoonotic disease.
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Affiliation(s)
- A A Nourian
- Department of Parasitology and Mycology, School of Medicine, Zanjan University of Medical Science, Zanjan, Iran
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Hotez PJ, Bottazzi ME, Franco-Paredes C, Ault SK, Periago MR. The neglected tropical diseases of Latin America and the Caribbean: a review of disease burden and distribution and a roadmap for control and elimination. PLoS Negl Trop Dis 2008; 2:e300. [PMID: 18820747 PMCID: PMC2553488 DOI: 10.1371/journal.pntd.0000300] [Citation(s) in RCA: 449] [Impact Index Per Article: 28.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
The neglected tropical diseases (NTDs) represent some of the most common infections of the poorest people living in the Latin American and Caribbean region (LAC). Because they primarily afflict the disenfranchised poor as well as selected indigenous populations and people of African descent, the NTDs in LAC are largely forgotten diseases even though their collective disease burden may exceed better known conditions such as of HIV/AIDS, tuberculosis, or malaria. Based on their prevalence and healthy life years lost from disability, hookworm infection, other soil-transmitted helminth infections, and Chagas disease are the most important NTDs in LAC, followed by dengue, schistosomiasis, leishmaniasis, trachoma, leprosy, and lymphatic filariasis. On the other hand, for some important NTDs, such as leptospirosis and cysticercosis, complete disease burden estimates are not available. The NTDs in LAC geographically concentrate in 11 different sub-regions, each with a distinctive human and environmental ecology. In the coming years, schistosomiasis could be eliminated in the Caribbean and transmission of lymphatic filariasis and onchocerciasis could be eliminated in Latin America. However, the highest disease burden NTDs, such as Chagas disease, soil-transmitted helminth infections, and hookworm and schistosomiasis co-infections, may first require scale-up of existing resources or the development of new control tools in order to achieve control or elimination. Ultimately, the roadmap for the control and elimination of the more widespread NTDs will require an inter-sectoral approach that bridges public health, social services, and environmental interventions.
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Affiliation(s)
- Peter J. Hotez
- Department of Microbiology, Immunology, and Tropical Medicine, The George Washington University and Sabin Vaccine Institute, Washington, D.C., United States of America
| | - Maria Elena Bottazzi
- Department of Microbiology, Immunology, and Tropical Medicine, The George Washington University and Sabin Vaccine Institute, Washington, D.C., United States of America
| | - Carlos Franco-Paredes
- Hospital Infantil de México, Federico Gómez, México, D.F., México
- Department of Medicine, Emory University, Atlanta, Georgia, United States of America
| | - Steven K. Ault
- Pan American Health Organization/World Health Organization (PAHO/WHO), Washington, D.C., United States of America
| | - Mirta Roses Periago
- Pan American Health Organization/World Health Organization (PAHO/WHO), Washington, D.C., United States of America
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Katagiri S, Oliveira-Sequeira TCG. Prevalence of Dog Intestinal Parasites and Risk Perception of Zoonotic Infection by Dog Owners in São Paulo State, Brazil. Zoonoses Public Health 2008; 55:406-13. [DOI: 10.1111/j.1863-2378.2008.01163.x] [Citation(s) in RCA: 107] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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