Intestinal protozoan infections involving humans are by no means confined to tropical/subtropical countries; however, it is here that maximal prevalence, and consequently, morbidity, assumes a major practical importance. Coccidial infections (Cryptosporidium spp., Isospora belli, Sarcocystis hominis and Cyclospora spp.), and BLastocystis hominis and Microsporidium spp., which were previously underrecognised, have come to the fore in the present era, largely in association with HlV infection. Nevertheless, these organisms can induce self-limiting infection in travellers and other individuals in countries in which standards of sanitation/public health are less than satisfactory. Overall, however, there can be no doubt that Giardia Lamblia (also known as G. intestinalis and G. duodena lis) and Entamoeba histolytica are numerically the most important protozoan parasites to involve the gastrointestinal tract. Whereas trophozoites of the former organism are virtually confined to the small intestinal lumen, the extra-intestinal manifestations of E. histoLytica infection are of greater importance than its colorectal pathogenic properties.This review concentrates on the prevalence of the 2 infections in different populations; this reflects both incidence and outcome, including duration of illness. Epidemiology is also addressed. Routes of transmission of the 2 infections are covered, together with morbidity and, in the case of E. histoLytica infection, mortality also.When viewed within a broad scenario, data collected over the last 15 to 20 years suggest that prevalence and transmission patterns of Entamoeba histolytica infection have not changed significantly during that periodV] However, increasing migration of the population into urban areas in developing countries, coupled with an increase in the size of urban slums and wars (frequent in these countries), are probably accelerating the spread of infection; consequently, resultant disability might well be greater in future years.Whereas E. histolytica infection causes a great deal of morbidity and mortality (see sections 1.4 and 1.5), this is less than that caused by the major 'killers' in developing countries, such as diarrhoeal disease, Plasmodium Jalciparum infection, tuberculosis (and other respiratory tract problems), schistosomiasis and childhood infections.