clove and Intestinal-Diseases--Parasitic

This study aimed to compare the prevalence of intestinal parasite infestations (IPIs) in stunted children, compared to control children, in Ankasina and Andranomanalina Isotry (two disadvantaged neighborhoods of Antananarivo, Madagascar), to characterize associated risk factors and to compare IPI detection by real-time PCR and standard microscopy techniques.. Fecal samples were collected from a total of 410 children (171 stunted and 239 control) aged 2-5 years. A single stool sample per subject was examined by simple merthiolate-iodine-formaldehyde (MIF), Kato-Katz smear and real-time PCR techniques. A total of 96.3% of the children were infested with at least one intestinal parasite. The most prevalent parasites were Giardia intestinalis (79.5%), Ascaris lumbricoides (68.3%) and Trichuris trichiura (68.0%). For all parasites studied, real-time PCR showed higher detection rates compared to microscopy (G. intestinalis [77.6% (n = 318) versus 20.9% (n = 86)], Entamoeba histolytica [15.8% (n = 65) versus 1.9% (n = 8)] and A. lumbricoides [64.1% (n = 263) versus 50.7% (n = 208)]). Among the different variables assessed in the study, age of 4 to 5 years (AOR = 4.61; 95% CI, (1.35-15.77)) and primary and secondary educational level of the mother (AOR = 12.59; 95% CI, (2.76-57.47); AOR = 9.17; 95% CI, (2.12-39.71), respectively) were significantly associated with IPIs. Children drinking untreated water was associated with infestation with G. intestinalis (AOR = 1.85; 95% CI, (1.1-3.09)) and E. histolytica (AOR = 1.9; 95% CI, (1.07-3.38)). E. histolytica was also associated with moderately stunted children (AOR = 0.37; 95% CI, 0.2-0.71). Similarly, children aged between 4 and 5 years (AOR = 3.2; 95% CI (2.04-5.01)) and living on noncemented soil types (AOR = 1.85; 95% CI, (1.18-2.09)) were associated with T. trichiura infestation.. The prevalence of IPIs is substantial in the studied areas in both stunted and control children, despite the large-scale drug administration of antiparasitic drugs in the country. This high prevalence of IPIs warrants further investigation. Improved health education, environmental sanitation and quality of water sources should be provided.

Topics: Animals; Child, Preschool; Cross-Sectional Studies; Feces; Female; Humans; Intestinal Diseases, Parasitic; Logistic Models; Madagascar; Male; Multivariate Analysis; Parasites; Parasitology; Poverty Areas; Prevalence; Risk Factors

Various factors, such as climate, body size and sociality are often linked to parasitism. This constrains the identification of other determinants driving parasite infections. Here, we investigate for the first time intestinal parasites in two sympatric arboreal primate species, which share similar activity patterns, feeding ecology, body size and sociality, and cope with the same climate conditions, but differ in sleeping site ecology: the Milne-Edward's sportive lemur (Lepilemur edwardsi) and the Western woolly lemur (Avahi occidentalis). Comparison of these two species aimed to test whether differences in sleeping sites are related to differences in parasite infection patterns. Additionally, gender and seasonal factors were taken into account. Animals were radio-collared to record their sleeping site dynamics and to collect fecal samples to assess intestinal parasitism during both the dry and the rainy season.. Only low parasite diversity was detected, which is attributable to the strict arboreal lifestyle of these lemurs, limiting their contact with infective parasite stages. L. edwardsi, which sleeps in tree holes and repeatedly uses the same sleeping site, excreted eggs of strongyle and oxyurid nematodes, whereby strongyles always occurred in coinfection with oxyurids. In contrast, A. occidentalis, which sleeps on open branches and frequently changes sleeping sites, only excreted eggs of strongyle nematodes. This difference can be attributed to a potential favorable environment presented by tree holes for infective stages, facilitating parasitic transmission. Additionally, Strongylida in A. occidentalis were only observed in the rainy season, suggesting an arrested development during the dry season in the nematodes' life cycle. Males and females of both lemur species showed the same frequency of parasitism. No differences in body mass of infected and non-infected individuals were observed, indicating that the animals' body condition remains unaffected by the detected gastrointestinal parasites.. The comparison of two primate hosts with a very similar lifestyle suggests an influence of the sleeping site ecology on intestinal parasites. In A. occidentalis there was a clear seasonal difference in strongyle egg excretion. These results improve our understanding of the parasite ecology in these endangered primate species, which may be critical in the light of species conservation.

Topics: Animals; Ecosystem; Intestinal Diseases, Parasitic; Lemuridae; Life History Traits; Madagascar; Nematoda; Prevalence; Seasons; Sleep; Strepsirhini; Sympatry

Self-anointing, referring to the behaviour of rubbing a material object or foreign substance over different parts of the body, has been observed in several vertebrate species, including primates. Several functions, such as detoxifying a rich food source, social communication and protection against ectoparasites, have been proposed to explain this behaviour. Here, we report observations of six wild red-fronted lemurs (Eulemur rufifrons) of both sexes and different age classes anointing their perianal-genital areas and tails with chewed millipedes. Several individuals also ingested millipedes after prolonged chewing. In light of the features of the observed interactions with millipedes, and the nature and potential metabolic pathways of the released chemicals, we suggest a potential self-medicative function. Specifically, we propose that anointing combined with the ingestion of millipedes' benzoquinone secretions by red-fronted lemurs may act in a complementary fashion against gastrointestinal parasite infections, and more specifically Oxyuridae nematodes, providing both prophylactic and therapeutic effects.

Topics: Animals; Arthropods; Benzoquinones; Eating; Intestinal Diseases, Parasitic; Lemuridae; Madagascar; Self Medication

Intestinal parasitic infections are a major public health problem in inter-tropical areas. The aim of our study was to describe the situation in Mahajanga, Madagascar with a particular focus on two protozoa, Dientamoeba fragilis and Blastocystis sp.. This was a prospective study from February to June 2015. Stool samples from symptomatic hospitalized patients and asymptomatic volunteers were submitted to microscopy and molecular assays in order to detect parasites.. A wide panel of intestinal parasites were identified among the 265 included subjects, protozoa being the most prevalent with 72.8% whereas the prevalence of helminths and microsporidia was of 7.9% and 4.5%, respectively. Blastocystis sp. was the most prevalent protozoa (64.5% of the entire cohort) followed by various amoebas (35.5%) and flagellates (27,5%). We only detected subtypes 1, 2 and 3 of Blastocystis sp. Among the patients positive for D. fragilis (9.4%), 23 carried genotype 1 and 1 genotype 2. For the first time, we detected in 4 human stools the DNA of a recently described protozoon, Simplicimonas similis. Interestingly, subjects living in urban areas harbored significantly more different parasitic species than subjects living in rural areas with a correlation between sanitary level of neighborhood and protozoan infection. However, there was no difference in prevalence of digestive symptoms between parasite-free and parasite-infected subjects, except for Giardia intestinalis which had more symptomatic carriers.. Our study reveals a high overall parasite prevalence, similar to what had been found in 2003 in the same city and to other prevalence studies conducted in Africa. The poor access of the population to sanitary infrastructures may explain this result. Data from our study provide valuable key for sanitation programs and prevention of fecal-related infectious diseases.

Topics: Adult; Blastocystis; Cities; Dientamoeba; Female; Geography, Medical; Humans; Intestinal Diseases, Parasitic; Madagascar; Male; Phylogeny; Prevalence; Prospective Studies; Protozoan Infections; Rural Population; Sanitation; Urban Population

Many factors can influence the parasite load of animal hosts, but integrative studies that simultaneously investigate several factors are still rare in many taxonomic groups. This study investigates the influence of host species, host population density, parasite transmission mode, sex, and two temporal (month, year) factors on gastrointestinal parasite prevalence and fecal egg counts of two endemic primate species from Madagascar, Microcebus ravelobensis and Microcebus murinus. A total of 646 fecal samples were available and analyzed from three dry seasons. Six different helminth egg morphotypes were found, and these were Subulura sp. (14.51 % prevalence), strongyle eggs (12.95 %), Ascaris sp. (7.94 %), Lemuricola sp. (0.17 %), and two forms of tapeworms (Hymenolepis spp.) (1.73 and 0.69 %). Coinfection with more than one egg type was observed in 21.22 % of the samples containing eggs. Multivariate analyses revealed that host species and sex did neither explain significant variation in the prevalence and fecal egg counts of parasites with direct life cycles (Ascaris sp., strongyle egg type, Lemuricola sp.) nor of arthropod-transmitted parasites (Subulura sp.). However, fecal egg counts of Subulura sp. differed significantly between study sites, and the prevalence of Subulura sp. and of parasites with direct life cycles was influenced by temporal parameters, mainly by differences between study years and partly between months. When comparing the findings with the yearly and seasonal rainfall patterns in the area, most results are in accordance with the hypothesis of an increased vulnerability of the host toward infection under some sort of environmental challenge.

Topics: Animals; Cheirogaleidae; Feces; Female; Helminthiasis, Animal; Helminths; Intestinal Diseases, Parasitic; Life Cycle Stages; Madagascar; Male; Parasite Egg Count; Population Density; Seasons; Species Specificity

Parasites and infectious diseases represent ecological forces shaping animal social evolution. Although empirical studies supporting this link abound in various vertebrate orders, both the study of the dynamics and impact of parasite infections and infectious diseases in strepsirrhine primates have received little empirical attention. We conducted a longitudinal parasitological study on four groups of wild red-fronted lemurs (Eulemur fulvus rufus) at Kirindy Forest, Madagascar, during two field seasons in consecutive years to investigate i) the degree of gastrointestinal parasite infection on population and individual levels and ii) factors potentially determining individual infection risk. Using a comprehensive dataset with multiple individually assignable parasite samples as well as information on age, sex, group size, social rank, and endocrine status (fecal androgen and glucocorticoid), we examined parasite infection patterns and host traits that may affect individual infection risk. In addition, we examined whether parasite infection affects mating and reproductive success. Our results indicated high variability in parasite infection on individual and population levels. Time of year and group size was important determinants of variability in parasite infection. Variation in hormone levels was also associated with parasite species richness and parasite infection intensity. Differences in parasite infection between years indicate a potential immune-enhancing function of steroid hormones on nematode infections, which has not been reported before from other vertebrates studied under natural conditions. Male mating and reproductive success were not correlated to any measure of parasite infection, which suggests a nonfunctional role of the parasites we examined in primate sexual selection.

Topics: Age Factors; Analysis of Variance; Animals; Feces; Female; Hormones; Host-Parasite Interactions; Intestinal Diseases, Parasitic; Lemur; Linear Models; Longitudinal Studies; Madagascar; Male; Sex Factors; Sexual Behavior, Animal; Social Dominance; Spatial Behavior

Spiroxys ankarafantsika, sp. nov. is described from Madagascar in two species of freshwater turtles, Pelusios castanoides and Pelomedusa subrufa. Spiroxys ankarafantsika differs from other species of the genus in having pseudolabial teeth only on the median lobes and no other cuticular prominences, a smooth cuticular collar, deirides as cervical minute spine-like projections, and a gubernaculum without tubes. This is the first record of a nominal species of the genus Spiroxys from the Ethiopian region.

Topics: Animals; Female; Intestinal Diseases, Parasitic; Madagascar; Male; Spirurida Infections; Spirurina; Turtles

Heligmonoides variabilis n. sp. (Heligmosomoidea, Nippostrongylinae) a parasite of Mus musculus from Madagascar is related to H. afghanus (Tenora, 1969), H. ikeharai Hasegawa, 1990 and H. josephi (Wertheim & Durette-Desset, 1976), all having the dorsal ray divided anterior to the arising of rays 8. H. ikeharai a parasite of Tokudaia muenninki (Muridae) from Japan is the most closely related species with rays 8 arising at mid-length along the dorsal ray. It is differentiated from the new species by very long spicules (almost half of body length) and by the length of the vestibule (almost one millimeter). A new definition of the genus Heligmonoides Baylis, 1928 is proposed with a dichotomic key of the species. The biogeographic distribution and the host spectrum of the genus are described.

Topics: Animals; Female; Intestinal Diseases, Parasitic; Madagascar; Male; Mice; Phylogeny; Rodent Diseases; Species Specificity; Trichostrongyloidea; Trichostrongyloidiasis

A study on human intestinal parasites was carried out from November 1996 until January 1997, in Mahajanga's hospital, on the western coast of Madagascar. We collected the faeces from 401 patients and the sera from 112 of them. Faecal examination using direct examination and MIF method revealed that 67.6% of the stools contained at least one parasite. The frequency of the protozoa was high (47.7%). The prevalence of the nematodosis reached 23.4%. Hymenolepis nana, Taenia saginata or solium and Schistosoma mansoni were less frequent (respectively 2.5%, 0.75% and 3.7%). More than 50% of the sera contained antibodies anti-Ascaris lumbricoides and anti-Strongyloides stercoralis. Serology by IFI using Schistosoma antigen was positive in 15.2% of the cases. The serological and microscopical exams showed that Entamoeba histolytica was present in this region and that amoebiasis should be considered as one of the etiologies of diarrhoea. The study pointed out also the frequency of the transmitted fecal infections. Preventive measures as water distribution, sanitary installations, hygiene education should be implemented.

Topics: Adolescent; Adult; Age Distribution; Aged; Aged, 80 and over; Child; Child, Preschool; Diarrhea; Feces; Female; Health Education; Humans; Infant; Intestinal Diseases, Parasitic; Madagascar; Male; Middle Aged; Needs Assessment; Parasite Egg Count; Population Surveillance; Prevalence; Primary Prevention; Residence Characteristics; Seroepidemiologic Studies

A cross-sectional parasitologic survey of a population of wild sifaka (Propithecus verreauxi verreauxi) was conducted at the Beza Mahafaly Special Reserve in southwest Madagascar. Ninety fecal samples were collected from thirty 1- to 30-yr-old male and female sifakas, and the formalin-preserved and polyvinyl alcohol-preserved specimens were examined using the zinc sulfate flotation and formalin-ethyl acetate sedimentation techniques. No intestinal parasites were recovered, possibly because the sifakas are arboreal in a dry, riverine habitat and lack human contact. Low rates of parasitic infection may have contributed to the evolution of later age at first reproduction and longer reproductive lifespan, for body mass, in Propithecus compared with other placental mammals.

Topics: Acetates; Animals; Animals, Wild; Chemical Precipitation; Cross-Sectional Studies; Feces; Female; Formaldehyde; Intestinal Diseases, Parasitic; Madagascar; Male; Primate Diseases; Strepsirhini; Zinc Sulfate

Two new species of Heligmonellidae, Heligmonina wrightae n.sp. (Nippostrongylinae) and Nesomystrongylus fissicauda n.gen., n. sp. (Brevistriatinae) are described from Madagascar in Nesomys rufus and N. audeberti (Muridae). In Nesomys audeberti, the species are coparasites. Heligmonina wrightae is differentiated from all the other species of the genus, except H. malacomysi Sakka & Durette-Desset, 1988, by the ratio of the length of the spicules on the length of the body (25-27.8% versus 9.5-7%). It differs from H. malacomysi by the pattern of the caudal bursa and by the angle of the axis of orientation of the cuticular ridges on the sagittal axis. Nesomystrongylus fissicauda is related to the genus Fissicauda Durette-Desset & Krishnasamy, 1976, by the absence of the carene, by the ridges discontinuous on all the sides of the body and by the deeply divided dorsal ray. It differs from this genus by a different structure of the ridges, by the pattern of the caudal bursa, (very tiny rays 2 and strongly developed rays 3, rays 8 arising from common trunk of rays 2 to 6) and by the presence of a caudal tip in the female.

Topics: Animals; Female; Intestinal Diseases, Parasitic; Madagascar; Male; Muridae; Rodent Diseases; Trichostrongyloidea; Trichostrongyloidiasis

An epidemiological study of human intestinal helminthiasis was conducted during July and August 1995, in the middle west of Madagascar, with 4571 adults and children ranging from six months to 90 years, in 61 communities between Betafo and Miandrivazo. Faecal examination utilising the MIF concentration method revealed that ascariasis was the dominant nematodosis in the middle west with high prevalences in the high-altitude communities. Ascaris lumbricoides prevalences increase among children and women. Interesting more than 50% of the pattern, ascariasis is a public health problem and its association with infant malnutrition is statistically significant. Hookworm infection prevalence is higher in low-altitude communities, it increases among adults. The Trichuris trichiura prevalences were lower than the prevalences of ascariasis and hookworm infection in all of the communities. Important variations of the prevalences of intestinal helminthiasis are observed essentially in relation with climatic conditions.

Topics: Adolescent; Adult; Aged; Altitude; Ascariasis; Child; Child, Preschool; Female; Hookworm Infections; Humans; Infant; Intestinal Diseases, Parasitic; Madagascar; Male; Middle Aged; Nematode Infections; Nutrition Disorders

An epidemiological study of intestinal nematodes was conducted with 1,292 children, ranging from birth through 11 yr old, living in the Ranomafana rainforest of southeast Madagascar. Fecal examinations revealed prevalences of 78% for Ascaris lumbricoides, 38% for Trichuris trichiura, 16% for hookworm, and 0.4% for Schistosoma mansoni. Infection intensity was measured indirectly by fecal egg counts and directly by A. lumbricoides expulsion following treatment with pyrantel pamoate. The mean A. lumbricoides worm burden for children, 5-11 yr old, was 19.2 (SD 20.4) worms per child, with a median of 13 worms (n = 428). The distributions were overdispersed for all 3 nematodes. The age profiles showed a rapid acquisition of A. lumbricoides during infancy, increasing to 100% prevalence by age 10. After mebendazole anthelmintic treatment and a 12-mo reinfection period, the nematodes had rebounded to pretreatment prevalence and intensity levels. There was evidence for age-dependent predisposition of the children to infection intensity for each of the 3 nematodes. Dual species intensity correlation was consistently strong for A. lumbricoides and T. trichiura. The significantly higher prevalence and intensity of ascariasis in girls were thought to be related to exposure.

Topics: Age Distribution; Ancylostomatoidea; Animals; Ascariasis; Ascaris lumbricoides; Child; Child, Preschool; Cohort Studies; Feces; Female; Hookworm Infections; Humans; Infant; Infant, Newborn; Intestinal Diseases, Parasitic; Longitudinal Studies; Madagascar; Male; Parasite Egg Count; Pilot Projects; Prevalence; Sex Distribution; Trichuriasis; Trichuris

The Island of Sainte Marie is located at 6 km from the Eastern Coast of Madagascar. The climate is a muggy tropical one, with an average temperature rising above 20 degrees C all along the year and precipitations superior to 2500 mm. In 1990, a clinical surveillance of ten affections has been performed by every health units of the Island: paludal syndromes, nutrition disorders and anemia have been the focus of symptomatic definition. Blood samples have been taken from 100 pupils of the village of Ambodiforaha for hemogram determination and research of malaria hematozoon. Four pupils out of five show biological anemia, more than 10% suffer from acute anemia (less than 3.5 millions of red blood cells for each microliters, hematocrit inferior to 30, less than 9 g of hemoglobin for 100 ml). 87% suffer from nutritional anemia, 17% from iron-deficient anemia. Those figures cannot be found in health statistics. There is a high rate of nutritional and iron deficient anemia, but the problem is not well perceived or not at all by the health system. Anemia must be related to the strength of paludal transmission, to the importance of nutrition disorders and the prevalence of intestinal parasitosis. A better knowledge of the epidemiology of anemias and their morbid consequences would allow the setting of a prevention programme useful for children under 5 years and for pregnant women.

Topics: Adolescent; Anemia; Child; Child Nutrition Disorders; Child, Preschool; Female; Health Surveys; Hematocrit; Hemoglobins; Humans; Indian Ocean Islands; Intestinal Diseases, Parasitic; Madagascar; Malaria; Male; Population Surveillance; Prevalence; Referral and Consultation; Seasons

From November 1988 to October 1989, an etiological study showed off the prevalence and the part of several enteropathogen agents which are not yet studied in MADAGASCAR. 1,523 stool's samples from 884 children with diarrhea and 639 children without diarrhea from 0 to 14 years old have been investigated. A bacterial, parasitical or viral etiology was found from 36.3% of diarrheic children and 11.2% of healthy children. The three agents the most frequently identified from children with diarrhea are EPEC (10.5%), Campylobacter jejuni (10.3%) and rotavirus (10%) and associations of two or three pathogen agents are frequent (6.2%).

Topics: Adolescent; Child; Child, Preschool; Diarrhea; Diarrhea, Infantile; Humans; Infant; Infant, Newborn; Intestinal Diseases; Intestinal Diseases, Parasitic; Madagascar; Prevalence; Seasons

This study of bilharzia and other intestinal parasites was carried out on 496 children in the Firaisana of Ankilivalo. As well as determine the prevalence of these parasites, data was collected on nutrition, agriculture and the use of water in order to gain an understanding of the transmission and effects of these parasites, and hence make recommendations for their control. In two schools within the area of a major irrigation scheme the prevalence of bilharzia was 69%, and 50% of children suffer from at least one other intestinal worm. In a school outside the main irrigation area, the prevalence was much lower (7%), but nutritional standards were also lower. Ultimately, control of bilharzia will depend on improvements to the irrigation and drainage infrastructure, and in standards of sanitation. However, chemotherapy is the only method of bringing the disease under control in the short term.

Topics: Adolescent; Ancylostomiasis; Ascariasis; Child; Child, Preschool; Female; Humans; Intestinal Diseases, Parasitic; Madagascar; Male; Schistosomiasis haematobia; Trichuriasis

Topics: Humans; Intestinal Diseases, Parasitic; Madagascar; Schistosomiasis; Statistics as Topic; Urinary Tract Infections