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Soil-transmitted helminthiasis in Laos: a community-wide cross-sectional study of humans and dogs in a mass drug administration environment.

Abstract

We conducted a community cross-sectional survey of soil-transmitted helminthiasis in humans and dogs in four provinces in northern Laos. We collected and tested human and dog fecal samples and analyzed results against sociodemographic data. The prevalence of Ascaris lumbricoides, Trichuris trichiura, hookworm, and Strongyloides stercoralis was 26.1% (95% confidence interval [CI] = 23.7-28.4%), 41.5% (95% CI = 38.8-44.1%), 46.3% (95% CI = 43.3-49.0%), and 8.9% (95% CI = 7.4-10.4%), respectively. We observed strong heterogeneity for helminthiasis by ethnicity, province, and wealth status, which coincided with a risk profile demonstrating that Mon-Khmer persons and the poorest households are highly vulnerable. Necator americanus was the dominant hookworm species infecting humans and Ancylostoma ceylanicum was the only Ancylostoma species detected. Hookworm prevalence in village dogs was 94%, and the dominant species was A. ceylanicum. Necator americanus was also detected in dogs. It appears that dogs have a role in human hookworm transmission and warrant further investigation.

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  • Authors

    Conlan JV, Khamlome B, Vongxay K, Elliot A, Pallant L, Sripa B, Blacksell SD, Fenwick S, Thompson RC

    Institution

    School of Veterinary and Biomedical Sciences, Murdoch University, Western Australia, Australia. james.conlan@foodstandards.gov.au

    Source

    The American journal of tropical medicine and hygiene 86:4 2012 Apr pg 624-34

    MeSH

    Adolescent
    Adult
    Ancylostomatoidea
    Animals
    Ascariasis
    Ascaris lumbricoides
    Child
    Cohort Studies
    Coinfection
    Cross-Sectional Studies
    Dogs
    Environment
    Feces
    Female
    Hookworm Infections
    Humans
    Laos
    Male
    Middle Aged
    Necator americanus
    Prevalence
    Questionnaires
    Soil
    Strongyloides stercoralis
    Strongyloidiasis
    Trichuris
    Young Adult

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22492147