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Differences in prevalence of geohelminth infections between indigenous and settler populations in a remote Amazonian region of Peru

Objective To compare prevalences of intestinal helminths and waterborne protozoa in indigenous and settler populations in a remote area of Peru. These populations live in adjacent but segregated small urban villages. Methods Stool samples were collected from representative members of these two popul...

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Published in:Tropical medicine & international health 2013-05, Vol.18 (5), p.615-618
Main Authors: Briones‐Chávez, Carlo, Torres‐Zevallos, Hernando, Canales, Marco, Stamato, Caroline M., O'Riordan, Thomas G., Terashima, Angélica
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container_title Tropical medicine & international health
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creator Briones‐Chávez, Carlo
Torres‐Zevallos, Hernando
Canales, Marco
Stamato, Caroline M.
O'Riordan, Thomas G.
Terashima, Angélica
description Objective To compare prevalences of intestinal helminths and waterborne protozoa in indigenous and settler populations in a remote area of Peru. These populations live in adjacent but segregated small urban villages. Methods Stool samples were collected from representative members of these two populations and analysed for geohelminths and protozoa. Results The risk of soil‐transmitted helminths is significantly higher in the settler than the indigenous population in the same isolated region of Peru (OR 5.18; 95% CI 3.44–7.81; P 
doi_str_mv 10.1111/tmi.12077
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These populations live in adjacent but segregated small urban villages. Methods Stool samples were collected from representative members of these two populations and analysed for geohelminths and protozoa. Results The risk of soil‐transmitted helminths is significantly higher in the settler than the indigenous population in the same isolated region of Peru (OR 5.18; 95% CI 3.44–7.81; P &lt; 0.001). In contrast, the rates of protozoa presence were similar in both populations (OR 1.28; 95% CI 0.77–2.14; P = 0.336). Conclusions Potential explanations for unexpected finding of a lower prevalence of helminths in indigenous relative to the settler population could include housing design in flood – prone areas and the use of local medicinal plants that possibly have antihelmintic properties. Objectif Comparer les prévalences des helminthiases intestinales et des protozoaires aquatiques dans les populations autochtones et récentes dans une zone reculée du Pérou. Ces populations vivent en voisinage mais séparées dans de petits villages urbains. Méthodes Des échantillons de selles ont été recueillis auprès des membres représentatifs de ces deux populations et analysés pour les géohelminthes et les protozoaires. Résultats Le risque de géohelminthiases est significativement plus élevé chez les populations récentes que chez les autochtones dans la même région isolée du Pérou (OR: 5,18; IC95%: 3,44 à 7,81, P &lt; 0,001). En revanche, les taux de présence des protozoaires étaient similaires dans les deux populations (OR: 1,28; IC95%: 0,77 à 2,14, P = 0,336). Conclusions Les raisons de ces résultats inattendus pourraient être la conception des logements dans les zones inondables et l'utilisation de plantes médicinales locales ayant peut‐être des propriétés vermifuges. Objetivo Comparar las prevalencias de helmintos intestinales y protozoos acuáticos en poblaciones indígenas y de colonos en áreas remotas del Perú. Estas poblaciones viven en pequeñas poblaciones urbanas, adyacentes pero segregadas. Métodos Se recolectaron muestras de heces de miembros representativos de estas dos poblaciones y se analizaron en busca de geohelmintos y protozoos. Resultados El riesgo de helmintiasis transmitida por tierra es significativamente mayor entre las poblaciones de colonos que entre los indígenas de la misma región aislada del Perú (OR 5.18; IC 95% 3.44–7.81; P &lt; .001). En contraste, las tasas de presencia de protozoos eran similares en ambas poblaciones (OR 1.28; IC 95% 0.77–2.14; P = 0.336). Conclusiones Las razones de estos hallazgos inesperados podrían ser el diseño de las casas en áreas con tendencia a las inundaciones y el uso de plantas medicinales locales que podrían tener propiedades antihelmínticas.</description><identifier>ISSN: 1360-2276</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1111/tmi.12077</identifier><identifier>PMID: 23410244</identifier><language>eng</language><publisher>Oxford: Blackwell</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Animals ; Biological and medical sciences ; Child ; Child, Preschool ; Feces - parasitology ; Female ; General aspects ; Helminthiasis - ethnology ; Helminthiasis - parasitology ; helminths ; Helminths - isolation &amp; purification ; Humans ; Indians, South American - ethnology ; Infectious diseases ; Intestinal Diseases, Parasitic - ethnology ; Intestinal Diseases, Parasitic - parasitology ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Parasites ; Peru ; Peru - epidemiology ; Prevalence ; Protozoa ; Protozoan Infections - ethnology ; Protozoan Infections - parasitology ; Risk factors ; Young Adult</subject><ispartof>Tropical medicine &amp; international health, 2013-05, Vol.18 (5), p.615-618</ispartof><rights>2013 Blackwell Publishing Ltd</rights><rights>2014 INIST-CNRS</rights><rights>2013 Blackwell Publishing Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27911,27912</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27216542$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23410244$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Briones‐Chávez, Carlo</creatorcontrib><creatorcontrib>Torres‐Zevallos, Hernando</creatorcontrib><creatorcontrib>Canales, Marco</creatorcontrib><creatorcontrib>Stamato, Caroline M.</creatorcontrib><creatorcontrib>O'Riordan, Thomas G.</creatorcontrib><creatorcontrib>Terashima, Angélica</creatorcontrib><title>Differences in prevalence of geohelminth infections between indigenous and settler populations in a remote Amazonian region of Peru</title><title>Tropical medicine &amp; international health</title><addtitle>Trop Med Int Health</addtitle><description>Objective To compare prevalences of intestinal helminths and waterborne protozoa in indigenous and settler populations in a remote area of Peru. These populations live in adjacent but segregated small urban villages. Methods Stool samples were collected from representative members of these two populations and analysed for geohelminths and protozoa. Results The risk of soil‐transmitted helminths is significantly higher in the settler than the indigenous population in the same isolated region of Peru (OR 5.18; 95% CI 3.44–7.81; P &lt; 0.001). In contrast, the rates of protozoa presence were similar in both populations (OR 1.28; 95% CI 0.77–2.14; P = 0.336). Conclusions Potential explanations for unexpected finding of a lower prevalence of helminths in indigenous relative to the settler population could include housing design in flood – prone areas and the use of local medicinal plants that possibly have antihelmintic properties. Objectif Comparer les prévalences des helminthiases intestinales et des protozoaires aquatiques dans les populations autochtones et récentes dans une zone reculée du Pérou. Ces populations vivent en voisinage mais séparées dans de petits villages urbains. Méthodes Des échantillons de selles ont été recueillis auprès des membres représentatifs de ces deux populations et analysés pour les géohelminthes et les protozoaires. Résultats Le risque de géohelminthiases est significativement plus élevé chez les populations récentes que chez les autochtones dans la même région isolée du Pérou (OR: 5,18; IC95%: 3,44 à 7,81, P &lt; 0,001). En revanche, les taux de présence des protozoaires étaient similaires dans les deux populations (OR: 1,28; IC95%: 0,77 à 2,14, P = 0,336). Conclusions Les raisons de ces résultats inattendus pourraient être la conception des logements dans les zones inondables et l'utilisation de plantes médicinales locales ayant peut‐être des propriétés vermifuges. Objetivo Comparar las prevalencias de helmintos intestinales y protozoos acuáticos en poblaciones indígenas y de colonos en áreas remotas del Perú. Estas poblaciones viven en pequeñas poblaciones urbanas, adyacentes pero segregadas. Métodos Se recolectaron muestras de heces de miembros representativos de estas dos poblaciones y se analizaron en busca de geohelmintos y protozoos. Resultados El riesgo de helmintiasis transmitida por tierra es significativamente mayor entre las poblaciones de colonos que entre los indígenas de la misma región aislada del Perú (OR 5.18; IC 95% 3.44–7.81; P &lt; .001). En contraste, las tasas de presencia de protozoos eran similares en ambas poblaciones (OR 1.28; IC 95% 0.77–2.14; P = 0.336). 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international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>2013-05</date><risdate>2013</risdate><volume>18</volume><issue>5</issue><spage>615</spage><epage>618</epage><pages>615-618</pages><issn>1360-2276</issn><eissn>1365-3156</eissn><abstract>Objective To compare prevalences of intestinal helminths and waterborne protozoa in indigenous and settler populations in a remote area of Peru. These populations live in adjacent but segregated small urban villages. Methods Stool samples were collected from representative members of these two populations and analysed for geohelminths and protozoa. Results The risk of soil‐transmitted helminths is significantly higher in the settler than the indigenous population in the same isolated region of Peru (OR 5.18; 95% CI 3.44–7.81; P &lt; 0.001). In contrast, the rates of protozoa presence were similar in both populations (OR 1.28; 95% CI 0.77–2.14; P = 0.336). Conclusions Potential explanations for unexpected finding of a lower prevalence of helminths in indigenous relative to the settler population could include housing design in flood – prone areas and the use of local medicinal plants that possibly have antihelmintic properties. Objectif Comparer les prévalences des helminthiases intestinales et des protozoaires aquatiques dans les populations autochtones et récentes dans une zone reculée du Pérou. Ces populations vivent en voisinage mais séparées dans de petits villages urbains. Méthodes Des échantillons de selles ont été recueillis auprès des membres représentatifs de ces deux populations et analysés pour les géohelminthes et les protozoaires. Résultats Le risque de géohelminthiases est significativement plus élevé chez les populations récentes que chez les autochtones dans la même région isolée du Pérou (OR: 5,18; IC95%: 3,44 à 7,81, P &lt; 0,001). En revanche, les taux de présence des protozoaires étaient similaires dans les deux populations (OR: 1,28; IC95%: 0,77 à 2,14, P = 0,336). Conclusions Les raisons de ces résultats inattendus pourraient être la conception des logements dans les zones inondables et l'utilisation de plantes médicinales locales ayant peut‐être des propriétés vermifuges. Objetivo Comparar las prevalencias de helmintos intestinales y protozoos acuáticos en poblaciones indígenas y de colonos en áreas remotas del Perú. Estas poblaciones viven en pequeñas poblaciones urbanas, adyacentes pero segregadas. Métodos Se recolectaron muestras de heces de miembros representativos de estas dos poblaciones y se analizaron en busca de geohelmintos y protozoos. Resultados El riesgo de helmintiasis transmitida por tierra es significativamente mayor entre las poblaciones de colonos que entre los indígenas de la misma región aislada del Perú (OR 5.18; IC 95% 3.44–7.81; P &lt; .001). En contraste, las tasas de presencia de protozoos eran similares en ambas poblaciones (OR 1.28; IC 95% 0.77–2.14; P = 0.336). Conclusiones Las razones de estos hallazgos inesperados podrían ser el diseño de las casas en áreas con tendencia a las inundaciones y el uso de plantas medicinales locales que podrían tener propiedades antihelmínticas.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>23410244</pmid><doi>10.1111/tmi.12077</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Animals
Biological and medical sciences
Child
Child, Preschool
Feces - parasitology
Female
General aspects
Helminthiasis - ethnology
Helminthiasis - parasitology
helminths
Helminths - isolation & purification
Humans
Indians, South American - ethnology
Infectious diseases
Intestinal Diseases, Parasitic - ethnology
Intestinal Diseases, Parasitic - parasitology
Logistic Models
Male
Medical sciences
Middle Aged
Parasites
Peru
Peru - epidemiology
Prevalence
Protozoa
Protozoan Infections - ethnology
Protozoan Infections - parasitology
Risk factors
Young Adult
title Differences in prevalence of geohelminth infections between indigenous and settler populations in a remote Amazonian region of Peru
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