Unveiling the Transmission Potential of Opisthorchis viverrini and Intestinal Helminths Along the Thailand-Laos Border in Thailand

被引:0
|
作者
Thitapakorn, Veerachai [1 ,2 ]
Phanaksri, Teva [2 ]
Yusuk, Siraphatsorn [1 ]
Pholhelm, Montinee [1 ]
Pitaksakulrat, Opal [3 ]
Kulsantiwong, Jutharat [4 ]
Sathavornmanee, Thanakrit [5 ]
Kunjantarachot, Anthicha [2 ]
Rojthongpond, Thittinan [2 ]
Chitkoolsamphan, Yanwadee [2 ]
Prasopdee, Sattrachai [1 ,2 ]
机构
[1] Thammasat Univ, Res Unit Opisthorchiasis Cholangiocarcinoma & Negl, Klongluang, Pathum Thani, Thailand
[2] Thammasat Univ, Chulabhorn Int Coll Med, Klongluang, Pathum Thani, Thailand
[3] Khon Kaen Univ, Fac Med, Dept Parasitol, Khon Kaen, Thailand
[4] Udon Thani Rajabhat Univ, Fac Sci, Dept Biol, Udon Thani, Thailand
[5] Chonburi Hosp, Minist Publ Hlth, Chon Buri, Thailand
关键词
AEC; Bithynia; Cholangiocarcinoma; cyprinid fish; intestinal helminths; Opisthorchis viverrini; NAKHON PHANOM PROVINCE; RISK-FACTORS; INFECTION; PREVALENCE; EPIDEMIOLOGY; CHOLANGIOCARCINOMA; PARASITE;
D O I
10.1111/zph.13177
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Aims: In pursuit of enhancing prevention efforts for the notably high endemic Opisthorchis viverrini infection in lower Mekong sub-region countries, particularly Thailand and Laos, this cross-sectional study investigated the transmission potential of O. viverrini and other intestinal helminths along the Thailand-Laos border in seven Thai villages. Methods and Results: Human and pet faecal samples, Bithynia snails and cyprinid fish were analysed for helminth infections. Additionally, a questionnaire survey assessed relevant risk factors among the human population. Two groups of helminth infections were detected in humans: foodborne infections (FBIs) including O. viverrini, minute intestinal flukes (MIFs), and Taenia spp., and soil-transmitted infections (STIs) including hookworm and Strongyloides stercoralis, with prevalence rates of 7.4%, 0.5%, 2.5%, 0.5%, 2.5% and 3%, respectively. Smoking was identified as a risk factor for O. viverrini infection [adjusted odds ratios (ORa) = 3.12, 95% confidence intervals (CI): 1.33-7.30, p = 0.009] and FBIs (ORa = 2.47, 95% CI: 1.14-5.33, p = 0.022), while male was a risk factor for FBIs (ORa = 2.62, 95% CI: 1.16-5.94, p = 0.021). In dogs, hookworm, Toxocara spp., Spirometra mansoni, Trichuris vulpis and Hymenolepis diminuta were identified with prevalence rates of 35.6%, 8.1%, 8.1%, 1.2% and 1.2%, respectively. In cats, hookworm, Toxocara spp., S. mansoni, Strongyloides spp., Platynosomum fastosum, MIFs and H. diminuta were identified with prevalence rates of 50%, 17.9%, 10.7%, 7.1%, 3.6%, 3.6% and 3.6%, respectively. Bithynia snails showed 2% virgulate and 0.7% unknown cercariae infections, while among 19 cyprinid fish species, only unknown metacercariae were found. Conclusions: Our findings underscore the necessity of an integrated approach following the One Health concept to effectively combat these parasitic diseases while addressing human, animal and environmental health.
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页码:942 / 954
页数:13
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