Abstract:Although Taenia solium infestation and cysticercosis have been documented as the main causes of acquired epilepsy and their recognition as important public health hazards has risen over the past 10 years, there is lack of information on the disease burden due to Tape worm infestation and its associated risk factors in the rural communities of northern Ghana. This study was conducted to evaluate the prevalence of Taeniasis and document its associated risk factors. The study describes the results of a cross-sect… Show more
“…A recent review of previously published studies across Africa demonstrated taeniasis prevalence ranging from 0% to 8.7% (although these studies do not use a standardised diagnostic protocol) [ 1 ]. A higher prevalence of 13.15% has been reported from Ghana, based on detection by microscopy [ 26 ]. The detected prevalence of taeniasis based on direct observation of Taenia spp.…”
Taenia spp. infections, particularly cysticercosis, cause considerable health impacts in endemic countries. Despite previous evidence of spatial clustering in cysticercosis and the role of environmental factors (e.g. temperature and humidity) in the survival of eggs, little research has explored these aspects of Taenia spp. epidemiology. In addition, there are significant gaps in our understanding of risk factors for infection in humans and pigs. This study aimed to assess the influence of socio-economic, behavioural and environmental variables on human and porcine cysticercosis. A cross-sectional survey for human taeniasis (T. solium and T. saginata), human cysticercosis (T. solium) and pig cysticercosis (T. solium) in 416 households in western Kenya was carried out. These data were linked to questionnaire responses and environmental datasets. Multi-level regression was used to examine the relationships between covariates and human and porcine cysticercosis. The HP10 Ag-ELISA sero-prevalence (suggestive of cysticercosis) was 6.6% for humans (95% CI 5.6%–7.7%), and 17.2% for pigs (95% CI 10.2%–26.4%). Human taeniasis prevalence, based on direct microscopic observation of Taenia spp. eggs (i.e. via microscopy results only) was 0.2% (95% CI 0.05%–0.5%). Presence of Taenia spp. antigen in both humans and pigs was significantly associated with a range of factors, including positive correlations with land cover. The presence of HP10 antigen in humans was correlated (non-linearly) with the proportion of land within a 1 km buffer that was flooding agricultural land and grassland (odds ratio [OR] = 1.09 and 0.998; p = 0.03 and 0.03 for the linear and quadratic terms respectively), gender (OR = 0.58 for males compared to females, p = 0.02), level of education (OR = 0.62 for primary level education versus no formal education, p = 0.09), use of well water for drinking (OR = 2.76 for those who use well water versus those who do not, p = 0.02) and precipitation (OR = 0.998, p = 0.02). Presence of Taenia spp. antigen in pigs was significantly correlated with gender and breeding status of the pig (OR = 10.35 for breeding sows compared to boars, p = 0.01), and the proportion of land within a 1 km buffer that was flooding agricultural land and grassland (OR = 1.04, p = 0.004). These results highlight the role of multiple socio-economic, behavioural and environmental factors in Taenia spp. transmission patterns. Environmental contamination with Taenia spp. eggs is a key issue, with landscape factors influencing presence of Taenia spp. antigens in both pigs and humans.
“…A recent review of previously published studies across Africa demonstrated taeniasis prevalence ranging from 0% to 8.7% (although these studies do not use a standardised diagnostic protocol) [ 1 ]. A higher prevalence of 13.15% has been reported from Ghana, based on detection by microscopy [ 26 ]. The detected prevalence of taeniasis based on direct observation of Taenia spp.…”
Taenia spp. infections, particularly cysticercosis, cause considerable health impacts in endemic countries. Despite previous evidence of spatial clustering in cysticercosis and the role of environmental factors (e.g. temperature and humidity) in the survival of eggs, little research has explored these aspects of Taenia spp. epidemiology. In addition, there are significant gaps in our understanding of risk factors for infection in humans and pigs. This study aimed to assess the influence of socio-economic, behavioural and environmental variables on human and porcine cysticercosis. A cross-sectional survey for human taeniasis (T. solium and T. saginata), human cysticercosis (T. solium) and pig cysticercosis (T. solium) in 416 households in western Kenya was carried out. These data were linked to questionnaire responses and environmental datasets. Multi-level regression was used to examine the relationships between covariates and human and porcine cysticercosis. The HP10 Ag-ELISA sero-prevalence (suggestive of cysticercosis) was 6.6% for humans (95% CI 5.6%–7.7%), and 17.2% for pigs (95% CI 10.2%–26.4%). Human taeniasis prevalence, based on direct microscopic observation of Taenia spp. eggs (i.e. via microscopy results only) was 0.2% (95% CI 0.05%–0.5%). Presence of Taenia spp. antigen in both humans and pigs was significantly associated with a range of factors, including positive correlations with land cover. The presence of HP10 antigen in humans was correlated (non-linearly) with the proportion of land within a 1 km buffer that was flooding agricultural land and grassland (odds ratio [OR] = 1.09 and 0.998; p = 0.03 and 0.03 for the linear and quadratic terms respectively), gender (OR = 0.58 for males compared to females, p = 0.02), level of education (OR = 0.62 for primary level education versus no formal education, p = 0.09), use of well water for drinking (OR = 2.76 for those who use well water versus those who do not, p = 0.02) and precipitation (OR = 0.998, p = 0.02). Presence of Taenia spp. antigen in pigs was significantly correlated with gender and breeding status of the pig (OR = 10.35 for breeding sows compared to boars, p = 0.01), and the proportion of land within a 1 km buffer that was flooding agricultural land and grassland (OR = 1.04, p = 0.004). These results highlight the role of multiple socio-economic, behavioural and environmental factors in Taenia spp. transmission patterns. Environmental contamination with Taenia spp. eggs is a key issue, with landscape factors influencing presence of Taenia spp. antigens in both pigs and humans.
“…A higher prevalence of 13.15 and 9.6% Taenia spp. were reported in studies conducted in Ghana [26] and Nigeria [27] respectively. However, this study reported a low prevalence of 2.9% Taenia spp., which is similar to reports previously published across Africa demonstrating taeniasis prevalence ranging from 0 to 8.7%, although these studies do not use a standardized diagnostic protocol [28].…”
Background
The prevalence of
Plasmodium falciparum
and Intestinal Parasitic Infections (IPIs) - with the corresponding pathogenesis among children remain uncertain. This study aimed at determining the prevalence and the outcomes (including anaemia) of the respective infections and co-infections. Anaemia is a condition in which the number of red blood cells transporting oxygen to the various body parts is not sufficient to meet the needs of the body.
Methods
This was a cross sectional study conducted among 476-refugee camp school children. Kato-Katz technique was used to screen stool samples for intestinal parasites. Microscopy was used for malaria testing while the portable Haemoglobin (Hb) calorimeter was used to measure haemoglobin concentration.
Results
The overall prevalence of the mixed infections was 63.03%.
Plasmodium falciparum
was most prevalent of the single infections 262(55.04%) followed by
Taenia spp.
14 (2.9%),
Schistosoma mansoni
12(2.5%),
Giardia lamblia
7 (2.9%),
Trichuris trichiura
2(0.4%), Hookworm 2(0.4%) and
Strongyloides stercoralis
1(0.2%). The odds of developing simple or uncomplicated malaria infection or anaemia was 14 times higher in individuals with dual co-infection with
Plasmodium falciparum + Taenia sp.
compared to single parasitic infection (Odds = 14.13,
P
= 0.019). Co-infection with
Plasmodium falciparum + Taenia spp,
was a strong predictor of Malaria and anaemia.
Conclusion
This study shows that
Plasmodium falciparum
and
Taenia spp.
co-infections is a stronger predictor of malaria and anaemia. The prevalence of malaria and anaemia remains higher than the other regions in Uganda outside restricted settlements. The findings of this study underline the need for pragmatic intervention programmes to reduce burden of the co-infections in the study area and similar settlements.
Electronic supplementary material
The online version of this article (10.1186/s12879-019-3939-x) contains supplementary material, which is available to authorized users.
“…There are indications that pork consumption is increasing in sub-Saharan Africa, while preparation methods in the region often do not effectively kill the cysticerci (Assana et al, 2013). Heat resulting from boiling and frying the pork passes through the meat to a greater extent and is more likely to kill the cysts, compared to heat from roasting or barbecue grilling, as reported in Nigeria (Edia-Asuke, et al, 2015).Studies conducted in Ghana, Nigeria and Burkina Faso indicated that those who ate pork with cysticerci and those who ate lightly cooked pork soups in the markets had higher probabilities of taeniasis (Bimi et al, 2012;Weka et al, 2013;Carabin et al, 2015). In Benin it is frequently eaten in form of a meat product named "kpete"…”
Section: Pork Preparation and Consumptionmentioning
Human and porcine cysticercosis is endemic in West Africa, where epilepsy is relatively common, but rarely reported due to fear of stigmatization. Neurocysticercosis, caused by Taenia solium, tends to affect the poor in developing countries and control is hampered by inadequate infrastructure and financial resources coupled with lack of adequate information about its significance and distribution. The risk factors for human cysticercosis are closely associated with the characteristics of smallholder or backyard pig farming systems prevalent in this region. Poverty, ignorance and lack of political will militate against successful eradication, while tools for effective diagnosis, prevention and treatment, including vaccines for pigs, are not yet available in many countries. Cysticercosis was targeted for control by The World Health Organization global plan for 2008-2015; however, measures for control are yet to be undertaken in a coordinated manner in West Africa. Diagnostic tools, including neuroimaging facilities, should be strategically situated and made accessible to rural populations in West Africa. Community education in combination with a multipronged approach consisting of vaccination of pigs using TSOL18 vaccine and treatment with oxfendazole along with mass chemotherapy of humans with praziquantel could eliminate taeniasis and should be considered in the region. Indepth and extensive epidemiological studies are required in the region in order to fully elucidate the prevalence of T. solium and to support more coordinated and effective control of human and porcine cysticercosis.
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