Table of Contents Summary 119 1. Introduction 119 1.1 The gastrointestinal ecosystem 119 1.2 Groups of intestinal parasitic worms that infect humans 121 1.2.1 Flukes or trematodes 121 1.2.2 Tapeworms or cestodes 122 1.2.3 Roundworms or nematodes 123 1.3 How worms may affect human nutrition and growth 126 1.4 Design of studies estimating the impact of worms 128 1.5 Aims 128 2. Factors affecting the impact of intestinal worms 128 2.1 Species of intestinal worm 128 2.2 Prevalence of infection 129 2.3 Number and distribution of worms 132 2.4 Duration of infection 135 2.5 Rate of reinfection 135 2.6 Summary 136 3. Factors affecting the impact of treatment 137 3.1 Study design: controls and randomization 138 3.2 Anthelmintic drugs 138 3.3 Intervals between treatments 141 3.4 Duration of follow‐up 142 3.5 Outcomes measured and the need for controls 142 3.6 Initial nutritional status 143 3.7 Age of subjects 144 3.8 Remedial therapy after treatment 144 3.9 Summary 145 4. Aims and methods of the meta‐analysis 145 4.1 Search terms 145 4.2 Inclusion criteria 146 4.3 Exclusion criteria 147 4.4 Meta‐analysis 147 5. Results of the meta‐analysis 147 5.1 Geographic origin of studies 150 5.2 Estimates of effects 150 5.3 The figures and how to interpret them 150 5.4 Sources of error or bias 150 6. Discussion 153 6.1 Magnitude of effects 153 6.2 Treatment alone is not enough 159 6.3 The Cochrane Collaboration Review 161 6.4 Characteristics of an ideal study 162 6.5 Implications for programmes 163 6.6 Conclusions 166 Acknowledgements 167 References 167 Appendix: Summary of papers identified for the review 177 Summary More than a half of the world's population are infected with one or more species of intestinal worms of which the nematodes Ascaris lumbricoides , Trichuris trichiura and the hookworms are the most common and important in terms of child health. This paper: (1) introduces the main species of intestinal worms with particular attention to intestinal nematodes; (2) examines how such worms may affect child growth and nutrition; (3) reviews the biological and epidemiological factors that influence the effects that worms can have on the growth and nutrition of children; (4) considers the many factors that can affect the impact of treatment with anthelmintic drugs; (5) presents the results of a meta‐analysis of studies of the effect of treating worm infections on child growth and nutrition; (6) discusses the results in terms of what is reasonable to expect that deworming alone can achieve; (7) describes some important characteristics of an ideal study of the effects of deworming; and (8) comments on the implications for programmes of recommendations concerning mass deworming.
BACKGROUND: Community engagement and participation has played a critical role in successful disease control and elimination campaigns in many countries. Despite this, its benefits for malaria control and elimination are yet to be fully realized. This may be due to a limited understanding of the influences on participation in developing countries as well as inadequate investment in infrastructure and resources to support sustainable community participation. This paper reports the findings of an atypical systematic review of 60 years of literature in order to arrive at a more comprehensive awareness of the constructs of participation for communicable disease control and elimination and provide guidance for the current malaria elimination campaign. METHODS: Evidence derived from quantitative research was considered both independently and collectively with qualitative research papers and case reports. All papers included in the review were systematically coded using a pre-determined qualitative coding matrix that identified influences on community participation at the individual, household, community and government/civil society levels. Colour coding was also carried out to reflect the key primary health care period in which community participation programmes originated. These processes allowed exhaustive content analysis and synthesis of data in an attempt to realize conceptual development beyond that able to be achieved by individual empirical studies or case reports. RESULTS: Of the 60 papers meeting the selection criteria, only four studies attempted to determine the effect of community participation on disease transmission. Due to inherent differences in their design, interventions and outcome measures, results could not be compared. However, these studies showed statistically significant reductions in disease incidence or prevalence using various forms of community participation. The use of locally selected volunteers provided with adequate training, supervision and resources are common and important elements of the success of the interventions in these studies. In addition, qualitative synthesis of all 60 papers elucidates the complex architecture of community participation for communicable disease control and elimination which is presented herein. CONCLUSIONS: The current global malaria elimination campaign calls for a health systems strengthening approach to provide an enabling environment for programmes in developing countries. In order to realize the benefits of this approach it is vital to provide adequate investment in the 'people' component of health systems and understand the multi-level factors that influence their participation. The challenges of strengthening this component of health systems are discussed, as is the importance of ensuring that current global malaria elimination efforts do not derail renewed momentum towards the comprehensive primary health care approach. It is recommended that the application of the results of this systematic review be considered for other diseases of poverty in order to harmonize efforts at building 'competent communities' for communicable disease control and optimising health system effectiveness.
Companion vector-borne diseases (CVBDs) are an important threat for pet life, but may also have an impact on human health, due to their often zoonotic character. The importance and awareness of CVBDs continuously increased during the last years. However, information on their occurrence is often limited in several parts of the world, which are often especially affected. Latin America (LATAM), a region with large biodiversity, is one of these regions, where information on CVBDs for pet owners, veterinarians, medical doctors and health workers is often obsolete, limited or non-existent. In the present review, a comprehensive literature search for CVBDs in companion animals (dogs and cats) was performed for several countries in Central America (Belize, Caribbean Islands, Costa Rica, Cuba, Dominican Republic, El Salvador, Guatemala, Honduras, Mexico, Nicaragua, Panama, Puerto Rico) as well as in South America (Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, French Guiana, Guyana (British Guyana), Paraguay, Peru, Suriname, Uruguay, Venezuela) regarding the occurrence of the following parasitic and bacterial diseases: babesiosis, heartworm disease, subcutaneous dirofilariosis, hepatozoonosis, leishmaniosis, trypanosomosis, anaplasmosis, bartonellosis, borreliosis, ehrlichiosis, mycoplasmosis and rickettsiosis. An overview on the specific diseases, followed by a short summary on their occurrence per country is given. Additionally, a tabular listing on positive or non-reported occurrence is presented. None of the countries is completely free from CVBDs. The data presented in the review confirm a wide distribution of the CVBDs in focus in LATAM. This wide occurrence and the fact that most of the CVBDs can have a quite severe clinical outcome and their diagnostic as well as therapeutic options in the region are often difficult to access and to afford, demands a strong call for the prevention of pathogen transmission by the use of ectoparasiticidal and anti-feeding products as well as by performing behavioural changes.
Natural products have moved into the spotlight as possible sources for new drugs in the treatment of helminth infections including schistosomiasis. Surprisingly, insect-derived compounds have largely been neglected so far in the search for novel anthelminthics, despite the generally recognized high potential of insect biotechnology for drug discovery. This motivated us to assess the antischistosomal capacity of harmonine, an antimicrobial alkaloid from the harlequin ladybird Harmonia axyridis that raised high interest in insect biotechnology in recent years. We observed remarkably pleiotropic effects of harmonine on physiological, cellular, and molecular processes in adult male and female Schistosoma mansoni at concentrations as low as 5 μM in vitro. This included tegumental damage, gut dilatation, dysplasia of gonads, a complete stop of egg production at 10 μM, and increased production of abnormally shaped eggs at 5 μM. Motility was reduced with an EC50 of 8.8 μM and lethal effects occurred at 10-20 μM within 3 days of culture. Enzyme inhibition assays revealed acetylcholinesterase (AChE) as one potential target of harmonine. To assess possible effects on stem cells, which represent attractive anthelminthic targets, we developed a novel in silico 3D reconstruction of gonads based on confocal laser scanning microscopy of worms after EdU incorporation to allow for quantification of proliferating stem cells per organ. Harmonine significantly reduced the number of proliferating stem cells in testes, ovaries, and also the number of proliferating parenchymal neoblasts. This was further supported by a downregulated expression of the stem cell markers nanos-1 and nanos-2 in harmonine-treated worms revealed by quantitative real-time PCR. Our data demonstrate a multifaceted antischistosomal activity of the lady beetle-derived compound harmonine, and suggest AChE and stem cell genes as possible targets. Harmonine is the first animal-derived alkaloid detected to have antischistosomal capacity. This study highlights the potential of exploiting insects as a source for the discovery of anthelminthics.
Gastrointestinal nematodes (GINs) nowadays present a serious threat to sustainable sheep breeding. Various classes of commercial anthelmintics were used to control these parasites. However, due to the development of anthelmintic resistance (AR), the efficacy of these drugs has decreased, which in turn resulted in high economic losses. For these reasons, researchers are focused now on designing sustainable strategies for GIN control, based on the use of a combination of a bunch of options including the wise application of anthelmintic drugs, as well as applying alternative strategies. Within this context, phytotherapy (the use of plants or their products) presents one of the most promising alternatives. Essential oils (EOs) are natural, volatile and complex compounds characterized by a strong odor and extracted from aromatic plants. In various studies so far, these plant products showed high in vitro and, in some cases, in vivo efficacy against sheep GINs. The aim of this chapter is to review so far conducted studies based on the use of EOs against these parasites and to discuss results, as well as advantages of their use compared to commercial anthelmintics. On the other hand, current obstacles in the use of EOs and possible solutions on how to overcome them will be also discussed in this chapter. In this way, current and future perspectives of the use of EOs against sheep GINs are discussed here.
Currently, the presence of antimalarial drug resistance has become a major obstacle in the treatment of malaria. To overcome the problem, a series of studies are needed to find new antimalarial drugs from plants. Previously, 90% ethanolic extract of Cassia spectabilis DC (EECS) leaves have been reported to have antimalarial activity in vitro against Plasmodium falciparum and in vivo against Plasmodium berghei ANKA. The research is conducted to find out the toxicity and protective effects of EECS on the liver and kidneys of mice infected with P. berghei ANKA. The acute and subacute toxicity tests were carried out on healthy mice that were given EECS at a dose of 150 mg/kg BW. An antimalarial activity test was carried out at doses of 150 and 200 mg/kg BW in P. berghei-infected mice. Regarding hepatomegaly, further plasma levels of hepatic enzyme were analyzed, as well as histopathological observation of the liver to determine the effect of the extract on liver. The kidney was observed histopathologically as well. The acute toxicity test of EECS showed that there was no mouse died at the highest dose, indicating safe for the mice. The subacute toxicity based on the histology data showed no significant difference in the liver and kidney of mice between the tested group and the healthy group. The histological and enzymatic effect of EECS in mice infected with P. berghei showed the histological and enzymatic effect that improved liver function and the histopathological effect on kidneys with the highest activity at a dose of 200 mg/kg BW compared with the negative control. The results showed the EECS was not toxic in mice and repaired the liver and kidney functions of P. berghei ANKA-infected mice, indicating a good candidate for antimalarial drug development.
Parasitic diseases of camels are major causes of impaired milk and meat production, decreases in performance or even death. Some camel parasites also represent a threat to human health. About 171,500 one-humped camels (Camelus dromedarius) and 100-300 two-humped camels (Camelus bactrianus) live in Iran. Knowledge of the biodiversity of their parasites is still limited. The present review covers all information about camel parasitic diseases in Iran published as dissertations and in both Iranian and international journals from 1931 to February 2017. Ten genera of Protozoa (Trypanosoma, Eimeria, Cryptosporidium, Toxoplasma, Neospora, Sarcocystis, Besnoitia, Theileria, Babesia and Balantidium), 48 helminth species detected in the digestive system, including three species of Trematoda, four species of Cestoda, and 41 species of Nematoda, as well as helminths from other organs - Echinococcus spp., Dictyocaulus filaria, Thelazia leesei, Dipetalonema evansi and Onchocerca fasciata - have so far been described in Iranian camels. Furthermore, 13 species of hard ticks, mange mites, the myiasis flies Cephalopina titillator and Wohlfahrtia magnifica, and immature stages of the Pentastomida Linguatula serrata have also been reported from camels of Iran. Camel parasitic diseases are a major issue in Iran in terms of economics and public health. The present review offers information for an integrated control programme against economically relevant parasites of camels.
In the United States, there is a largely hidden burden of diseases caused by a group of chronic and debilitating parasitic, bacterial, and congenital infections known as the neglected infections of poverty. Like their neglected tropical disease counterparts in developing countries, the neglected infections of poverty in the US disproportionately affect impoverished and under-represented minority populations. The major neglected infections include the helminth infections, toxocariasis, strongyloidiasis, ascariasis, and cysticercosis; the intestinal protozoan infection trichomoniasis; some zoonotic bacterial infections, including leptospirosis; the vector-borne infections Chagas disease, leishmaniasis, trench fever, and dengue fever; and the congenital infections cytomegalovirus (CMV), toxoplasmosis, and syphilis. These diseases occur predominantly in people of color living in the Mississippi Delta and elsewhere in the American South, in disadvantaged urban areas, and in the US-Mexico borderlands, as well as in certain immigrant populations and disadvantaged white populations living in Appalachia. Preliminary disease burden estimates of the neglected infections of poverty indicate that tens of thousands, or in some cases, hundreds of thousands of poor Americans harbor these chronic infections, which represent some of the greatest health disparities in the United States. Specific policy recommendations include active surveillance (including newborn screening) to ascertain accurate population-based estimates of disease burden; epidemiological studies to determine the extent of autochthonous transmission of Chagas disease and other infections; mass or targeted treatments; vector control; and research and development for new control tools including improved diagnostics and accelerated development of a vaccine to prevent congenital CMV infection and congenital toxoplasmosis.
Parasites can affect their hosts in various ways, and this implies that parasites may act as additional biotic stressors in a multiple-stressor scenario, resembling conditions often found in the field if, for example, pollutants and parasites occur simultaneously. Therefore, parasites represent important modulators of host reactions in ecotoxicological studies when measuring the response of organisms to stressors such as pollutants. In the present study, we introduce the most important groups of parasites occurring in organisms commonly used in ecotoxicological studies ranging from laboratory to field investigations. After briefly explaining their life cycles, we focus on parasite stages affecting selected ecotoxicologically relevant target species belonging to crustaceans, molluscs, and fish. We included ecotoxicological studies that consider the combination of effects of parasites and pollutants on the respective model organism with respect to aquatic host-parasite systems. We show that parasites from different taxonomic groups (e.g., Microsporidia, Monogenea, Trematoda, Cestoda, Acanthocephala, and Nematoda) clearly modulate the response to stressors in their hosts. The combined effects of environmental stressors and parasites can range from additive, antagonistic to synergistic. Our study points to potential drawbacks of ecotoxicological tests if parasite infections of test organisms, especially from the field, remain undetected and unaddressed. If these parasites are not detected and quantified, their physiological effects on the host cannot be separated from the ecotoxicological effects. This may render this type of ecotoxicological test erroneous. In laboratory tests, for example to determine effect or lethal concentrations, the presence of a parasite can also have a direct effect on the concentrations to be determined and thus on the subsequently determined security levels, such as predicted no-effect concentrations. Environ Toxicol Chem 2023;42:1946-1959. © 2023 The Authors. Environmental Toxicology and Chemistry published by Wiley Periodicals LLC on behalf of SETAC.
Babesiosis is a disease with a world-wide distribution affecting many species of mammals principally cattle and man. The major impact occurs in the cattle industry where bovine babesiosis has had a huge economic effect due to loss of meat and beef production of infected animals and death. Nowadays to those costs there must be added the high cost of tick control, disease detection, prevention and treatment. In almost a century and a quarter since the first report of the disease, the truth is: there is no a safe and efficient vaccine available, there are limited chemotherapeutic choices and few low-cost, reliable and fast detection methods. Detection and treatment of babesiosis are important tools to control babesiosis. Microscopy detection methods are still the cheapest and fastest methods used to identify Babesia parasites although their sensitivity and specificity are limited. Newer immunological methods are being developed and they offer faster, more sensitive and more specific options to conventional methods, although the direct immunological diagnoses of parasite antigens in host tissues are still missing. Detection methods based on nucleic acid identification and their amplification are the most sensitive and reliable techniques available today; importantly, most of those methodologies were developed before the genomics and bioinformatics era, which leaves ample room for optimization. For years, babesiosis treatment has been based on the use of very few drugs like imidocarb or diminazene aceturate. Recently, several pharmacological compounds were developed and evaluated, offering new options to control the disease. With the complete sequence of the Babesia bovis genome and the B. bigemina genome project in progress, the post-genomic era brings a new light on the development of diagnosis methods and new chemotherapy targets. In this review, we will present the current advances in detection and treatment of babesiosis in cattle and other animals, with additional reference to several apicomplexan parasites.
This collaborative effort by many specialists across the Mediterranean presents an updated annotated list of alien marine species in the Mediterranean Sea. Alien species have been grouped into six broad categories namely established, casual, questionable, cryptogenic, excluded and invasive, and presented in lists of major ecofunctional/taxonomic groups. The establishment success within each group is provided while the questionable and excluded records are commented in brief. A total of 963 alien species have been reported from the Mediterranean until December 2005, 218 of which have been classified as excluded (23%) leaving 745 of the recorded species as valid aliens. Of these 385 (52%) are already well established, 262 (35%) are casual records, while 98 species (13%) remain “questionable” records. The species cited in this work belong mostly to zoobenthos and in particular to Mollusca and Crustacea, while Fish and Phytobenthos are the next two groups which prevail among alien biota in the Mediterranean. The available information depends greatly on the taxonomic group examined. Thus, besides the three groups explicitly addressed in the CIESM atlas series (Fish, Decapoda/Crustacea and Mollusca), which are however updated in the present work, Polychaeta, Phytobenthos, Phytoplankton and Zooplankton are also addressed in this study. Among other zoobenthic taxa sufficiently covered in this study are Echinodermata, Sipuncula, Bryozoa and Ascidiacea. On the contrary, taxa such as Foraminifera, Amphipoda and Isopoda, that are not well studied in the Mediterranean, are insufficiently covered. A gap of knowledge is also noticed in Parasites, which, although ubiquitous and pervasive in marine systems, have been relatively unexplored as to their role in marine invasions. Conclusively the lack of funding purely systematic studies in the region has led to underestimation of the number of aliens in the Mediterranean. Emphasis is put on those species that are current or potential threats to the marine ecosystems, namely the Worst Invasive Alien Species providing their record across major groups.
The aim of this study was to investigate for the first time the parasite fauna in the Aequidens tetramerus gills of the lower Jari River, State of Amapá (Brazil). In January 2017, 31 specimens of A. tetramerus were collected and they were necropsied using usual methodologies for parasitology of fish. A total of 1,181 parasites were collect and 100% of hosts were parasitized by Gussevia disparoides, Gussevia alioides, Posthodiplostomum sp., Clinostomum sp., Dolops longicauda and Acarina gen. sp. The dominance was of G. disparoides and there was aggregated dispersion of G. disparoides, Posthodiplostomum sp. and Clinostomum sp., while the dispersion of G. alioides, D. longicauda and Acarina gen. sp was random. There were low species richness of parasites (2.45 ± 0.68), low Brillouin diversity index (0.52 ± 0.22), evenness (0.37 ± 0.15) and high Berger-Parker dominance (0.70 ± 0.15). The parasites community was characterized by low richness of species with high prevalence and low parasitic abundance. Host length had little influence on the abundance of parasites, but host behavior and availability of infective stages of parasites were the factors structuring the parasite community in A. tetramerus. This was the first study on parasites of A. tetramerus from the Jari River basin.
Acute Giardia infections often cause diarrhea and stomach upset. Chronic infections can lead to malnutrition, micronutrient deficiencies, malabsorption and weight loss. This study assessed the prevalence of G. lambia infection and assessed associated risk factors among immunocompomised patients undergoing chemotherapeutic treatment in southern Brazil. A total of 110 immunocompromised patients in Pelotas, RS, Brazil, consented to participate in this study and were recruited. Socioeconomic and epidemiological profile of patients was collected by questionnaire. The prevalence for Giardia were determined through microscopy by the centrifugation-flotation technique using stool samples of every patient. In addition, the genetic characterization of the parasite was carried out by amplifying and sequencing the glutamate dehydrogenase (gdh) gene. By microscopy, the prevalence of giardiasis was 17.3% (19/110). Furthermore, the DNA sequences revealed that 7 (36.8%) out of 19 isolates belonged to assemblage B, while 6 of them (31.6%) belonged to assemblage C, 5 (26.3%) to assemblage A and 1 (5.3%) to assemblage D. Risk factors (p ≤ 0.05) for giardiasis were schooling level (OR=8.0 (1.02 - 62.91) sharing a house with more than three people (OR=14.1 (3.77 - 52.51), water sources (OR=38.9 (10.4 - 145.7), sewage treatment (OR=14.2 (3.1 - 65.5), waste destination (OR=7.44 (2.0 - 27.3), owning pets (OR=4.6 (1.0 - 21.2) and cultivating a vegetable garden (OR=4.2 (1.3 - 13.6). The prevalence of G. lamblia in immunocompromised patients was considered elevate with the identification of four assemblage of the parasite (A, B, C and D).
Coccidiosis and helminthiasis are two parasitic diseases that harm both health and the economy. The present study aimed to assess the effect of Azadirachta indica leaf extracts (AILE) as an anti-parasitic modulator during murine coccidiosis as well as helminthic infection. Phytochemical analysis using FT-IR showed the presence of eleven compounds. A dose-dependent efficacy was observed in all experiments. At the highest concentration (200 mg/mL), time consumed to induce paralysis and death for worms was recorded at 9.329 ± 2.183 and 10.024 ± 1.542 min, respectively. Histological study revealed conspicuous deformity of surface architecture in all treated worms. SEM also revealed cuticular shrinkage of the body surface in all treated worms. In vitro study showed that incubation with AILE (100 mg/mL) for 96 hr inhibited sporulation by approximately 60%. AILE (50 and 25 mg/mL), amprolium, DettolTM, phenol, and formalin-induced variable inhibition levels at 96 hr of 28%, 44%, 37.33%, 81.33%, 89.33%, and 0% respectively. In addition, IC50 of AILE was obtained at 66.214 µg/mL with a percentage of antioxidant activity to be 74.76 ± 2.23. Our results indicate that AILE exhibits powerful anthelmintic and anticoccidial activities and it could be exploited further for the development of a novel therapeutic agent.
In the Netherlands, toxoplasmosis ranks second in disease burden among foodborne pathogens with an estimated health loss of 1,900 Disability Adjusted Life Years and a cost-of-illness estimated at €45 million annually. Therefore, effective and preferably cost-effective preventive interventions are warranted. Freezing meat intended for raw or undercooked consumption and improving biosecurity in pig farms are promising interventions to prevent Toxoplasma gondii infections in humans. Putting these interventions into practice would expectedly reduce the number of infections; however, the net benefits for society are unknown. Stakeholders bearing the costs for these interventions will not necessary coincide with the ones having the benefits. We performed a Social Cost-Benefit Analysis to evaluate the net value of two potential interventions for the Dutch society. We assessed the costs and benefits of the two interventions and compared them with the current practice of education, especially during pregnancy. A 'minimum scenario' and a 'maximum scenario' was assumed, using input parameters with least benefits to society and input parameters with most benefits to society, respectively. For both interventions, we performed different scenario analyses. The freezing meat intervention was far more effective than the biosecurity intervention. Despite high freezing costs, freezing two meat products: steak tartare and mutton leg yielded net social benefits in both the minimum and maximum scenario, ranging from €10.6 million to €31 million for steak tartare and €0.6 million to €1.5 million for mutton leg. The biosecurity intervention would result in net costs in all scenarios ranging from €1 million to €2.5 million, due to high intervention costs and limited benefits. From a public health perspective (i.e. reducing the burden of toxoplasmosis) and the societal perspective (i.e. a net benefit for the Dutch society) freezing steak tartare and leg of mutton is to be considered.
As training in helminthology has declined in the medical microbiology curriculum, many rare species of zoonotic cestodes have fallen into obscurity. Even among specialist practitioners, knowledge of human intestinal cestode infections is often limited to three genera, Taenia, Hymenolepis and Dibothriocephalus. However, five genera of uncommonly encountered zoonotic Cyclophyllidea (Bertiella, Dipylidium, Raillietina, Inermicapsifer and Mesocestoides) may also cause patent intestinal infections in humans worldwide. Due to the limited availability of summarized and taxonomically accurate data, such cases may present a diagnostic dilemma to clinicians and laboratories alike. In this review, historical literature on these cestodes is synthesized and knowledge gaps are highlighted. Clinically relevant taxonomy, nomenclature, life cycles, morphology of human-infecting species are discussed and clarified, along with the clinical presentation, diagnostic features and molecular advances, where available. Due to the limited awareness of these agents and identifying features, it is difficult to assess the true incidence of these 'forgotten' cestodiases as clinical misidentifications are likely to occur. Also, the taxonomic status of many of the human-infecting species of these tapeworms is unclear, hampering accurate species identification. Further studies combining molecular data and morphological observations are necessary to resolve these long-standing taxonomic issues and to elucidate other unknown aspects of transmission and ecology.
Faunal resources have played a wide range of roles in human life from the earliest days of recorded history. In addition to their utilitarian importance, animals have been recognized in religion, art, music and literature and other different cultural manifestations of mankind. Animals uses and the means by which they are exploited by humans, as well as the cultural aspects which conduct interactions between people and animals, are implicated in a lower or higher pressure on populations of exploited species, reflected in either their sustainable use or even lead to their extinction. The variety of interactions between humans and animals is the subject matter of ethnozoology - the branch of ethnobiology that investigates the knowledge human societies have accumulated concerning animals, as well as their significance to those people and their uses. Ethnozoological studies can be a valuable asset to increase our understanding of the cultural, economic, social, and traditional roles of played by animals. In this context, they have a central role in conservation and management. This work provides a brief review on the main forms of interactions between humans and the fauna along history, and their ecological implications, and discusses the role of the ethnozoology in animal conservation.
Soil-transmitted helminth (STH) infections are endemic in Indonesia. However, prevalence data for many parts of the country are incomplete. The aim of this study was to determine human STH prevalence and knowledge and practices relating to STH risk behaviour, to provide a current view of the status of STH infection in rural communities in Central Java. A cross-sectional survey of 16 villages was conducted in Semarang, Central Java in 2015. Demographic and household data together with information about knowledge and practices relating to STH and hygiene were elicited through face-to-face interviews. Stool samples were collected and examined using the flotation method. Children (aged 2-12 years) also had their haemoglobin (Hb) levels, height and weight data collected, and BMI estimated. Data were analysed using univariate logistic regression analysis. A total of 6,466 individuals with a mean age of 33.5 years (range: 2-93) from 2,195 households were interviewed. The overall prevalence of STH was 33.8% with Ascaris lumbricoides (roundworm) the predominant nematode identified (prevalence = 26.0%). Hookworm and Trichuris trichiura (whipworm) were found in 7.9% and 1.8% of participants, respectively. Females were at increased odds of infection with A. lumbricoides (adjusted OR 1.14, 95% CI [1.02-1.29], p = 0.02). Adults in age groups 51-60 and over 60 years had the highest odds of being infected with hookworm (adjusted OR 3.01, 95% CI [1.84-4.91], p<0.001 and adjusted OR 3.79, 95% CI [2.30-6.26], p<0.001, respectively) compared to 6-12 year olds. Farmers also had higher odds of being infected with hookworm (adjusted OR 2.36, 95% CI [1.17-4.76], p = 0.02) compared to other occupation categories. Poverty (OR 2.14, 95% CI [1.77-2.58], p<0.001), overcrowding (OR 1.35, 95% CI [1.27-1.44], p<0.001), goat ownership (OR 1.61, 95% CI [1.10-2.41], p = 0.02) and the presence of dry floor space in the home (OR 0.73, 95% CI [0.58-0.91], p = 0.01) were all household factors significantly associated with an increased odds of infection. Infection with STH was not significantly associated with the gastrointestinal illness (p>0.05), BMI or Hb levels; however, one third of all 2-12 year olds surveyed were found to be anaemic (i.e. Hb concentrations below 110g/l or 115g/l for children under 5 and 5 years or older, respectively), with a greater proportion of school-age children at risk. Knowledge and behaviour related to hygiene and gastrointestinal diseases varied widely and were generally not associated with STH infection. The study revealed that STH infection remains endemic in Central Java despite ongoing deworming programs. Current control efforts would benefit from being re-evaluated to determine a more effective way forward.
BACKGROUND: Leishmaniasis is an intracellular parasitic infection transmitted to humans via the sandfly. Approximately 350 million people are at risk of contracting the disease and an estimated 1.6 million new cases occur annually. Of the two main forms, visceral and cutaneous, the visceral form is fatal in 85-90% of untreated cases. AIMS: This literature review aims to identify and evaluate the current evidence base for the use of various preventative methods against human leishmaniasis. METHODS: A literature search was performed of the relevant database repositories for primary research conforming to a priori inclusion and exclusion criteria. RESULTS: A total of 84 controlled studies investigating 12 outcome measures were identified, implementing four broad categories of preventative interventions: animal reservoir control, vector population control, human reservoir control and a category for multiple concurrently implemented interventions. The primary studies investigated a heterogeneous mix of outcome measures using a range of different methods. CONCLUSIONS: This review highlights an absence of research measuring human-specific outcomes (35% of the total) across all intervention categories. The apparent inability of study findings to be generalizable across different geographic locations, points towards gaps in knowledge regarding the biology of transmission of Leishmania in different settings. More research is needed which investigates human infection as the primary outcome measure as opposed to intermediate surrogate markers, with a focus on developing a human vaccine.
Camel trypanosomosis is a life-threatening disease with adverse effects on camel health, production, and working efficiency. Despite this, camel trypanosomosis has received much less attention in Ethiopia compared with the disease in cattle and other animals. This cross-sectional study was conducted to evaluate the prevalence of camel trypanosomosis, identify the potential risk factors, and determine the importance of trypanosomosis in causing anemia in camels in the Gorodola and Liben districts in the Guji Zone of Oromia Regional State in Ethiopia. To this end, blood samples were collected from randomly selected 450 camels in heparinized capillary tubes and analyzed for the presence of Trypanosoma evansi using the buffy coat technique and Giemsa-stained thin smears. T. evansi infection was detected in 24 (5.3%) of the 450 camels examined. Out of the four variables analyzed in this study, two factors, such as body condition (BC) score and age, were found to be significantly ( <a:math xmlns:a="http://www.w3.org/1998/Math/MathML" id="M1"> <a:mi>P</a:mi> <a:mo><</a:mo> <a:mn>0.05</a:mn> </a:math> ) associated with trypanosomosis in camels. A higher prevalence of trypanosomosis was observed in camels in poor BC (13.22%) than in camels in good (4.62%) or moderate (1.01%) BC. Likewise, adult camels (8.09%) were infected more frequently than young camels (1.12%), whereas no trypanosomes were detected in camel calves under 2 years of age. No significant statistical difference was found between the two districts, and male and female camels ( <c:math xmlns:c="http://www.w3.org/1998/Math/MathML" id="M2"> <c:mi>P</c:mi> <c:mo>></c:mo> <c:mn>0.05</c:mn> </c:math> ). Statistically, the mean packed cell volume was significantly lower ( <e:math xmlns:e="http://www.w3.org/1998/Math/MathML" id="M3"> <e:mi>P</e:mi> <e:mo><</e:mo> <e:mn>0.05</e:mn> </e:math> ) in parasitemic camels ( <g:math xmlns:g="http://www.w3.org/1998/Math/MathML" id="M4"> <g:mn>26.5</g:mn> <g:mi>%</g:mi> <g:mo>±</g:mo> <g:mn>7</g:mn> </g:math> ) as compared with aparasitemic camels ( <i:math xmlns:i="http://www.w3.org/1998/Math/MathML" id="M5"> <i:mn>33.9</i:mn> <i:mi>%</i:mi> <i:mo>±</i:mo> <i:mn>9.1</i:mn> </i:math> ). In conclusion, the current study conducted during a dry season showed a moderate prevalence of trypanosomosis in camels. Further studies using more sensitive and specific diagnostic tests, such as miniature anion-exchange centrifugation technique, serology, or molecular tests, are needed to establish a true epidemiological dataset on the prevalence and seasonality of the disease and its vectors in the study area to recommend viable control measures.