Prevalence of Intestinal Parasites in a Low-Income Texas Community

Strongyloidiasis affects an estimated hundreds of millions of people worldwide, with infection possibly persisting for life without appropriate therapy because of the helminth's unique autoinfection cycle. Like other soil-transmitted helminths, because of the environmental conditions required f...

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Bibliographic Details
Published in:The American journal of tropical medicine and hygiene 2020-06, Vol.102 (6), p.1386-1395
Main Authors: Singer, Rachael, Xu, Teena Huan, Herrera, Lauren Nicholas S, Villar, Maria Jose, Faust, Kasey M, Hotez, Peter J, Aiken, Abigail R A, Mejia, Rojelio
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Child, Preschool
DNA, Protozoan - genetics
Female
Helminthiasis - economics
Helminthiasis - epidemiology
Helminthiasis - parasitology
Humans
Infant
Intestinal Diseases, Parasitic - economics
Intestinal Diseases, Parasitic - epidemiology
Male
Parasites
Parasitic diseases
Pilot Projects
Poverty
Real-Time Polymerase Chain Reaction
Sanitation
Serology
Texas - epidemiology
Young Adult
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Summary:Strongyloidiasis affects an estimated hundreds of millions of people worldwide, with infection possibly persisting for life without appropriate therapy because of the helminth's unique autoinfection cycle. Like other soil-transmitted helminths, because of the environmental conditions required for the life cycle of , this parasite is endemic to tropical, subtropical, and temperate countries and areas with inadequate sanitation infrastructure. Given continued poverty and that nearly one in five American homes are lacking proper sanitation systems, many U.S. regions are at risk for intestinal parasites. A central Texas community was chosen as the study site, given previous reports of widespread sanitation failure, degree of poverty, and community willingness to participate. A total of 92 households were surveyed and residents tested for nine intestinal parasites using a multi-parallel quantitative real-time polymerase chain reaction and ELISA serology. From 43 stool samples, 27 (62.8%) tested positive for spp. and one (2.3%) for . From 97 serum samples, serology detected 16 (16.5%) positive individuals. These high rates of heterokont and helminthic laboratory findings in a peri-urban central Texas community suggest several key policy implications, including that strongyloidiasis should be added to the Texas notifiable conditions list, that clinical suspicion for this infection should be heightened in the region, and that residents without access to functioning and sustainable sanitation infrastructure should be provided that access as a basic human right and to promote public health.
ISSN:0002-9637
1476-1645
DOI:10.4269/ajtmh.19-0915