The intestinal expulsion of the roundworm Ascaris suum is associated with eosinophils, intra-epithelial T cells and decreased intestinal transit time

Ascaris lumbricoides remains the most common endoparasite in humans, yet there is still very little information available about the immunological principles of protection, especially those directed against larval stages. Due to the natural host-parasite relationship, pigs infected with A. suum make an excellent model to study the mechanisms of protection against this nematode. In pigs, a self-cure reaction eliminates most larvae from the small intestine between 14 and 21 days post infection. In this study, we investigated the mucosal immune response leading to the expulsion of A. suum and the contribution of the hepato-tracheal migration. Self-cure was independent of previous passage through the liver or lungs, as infection with lung stage larvae did not impair self-cure. When animals were infected with 14-day-old intestinal larvae, the larvae were being driven distally in the small intestine around 7 days post infection but by 18 days post infection they re-inhabited the proximal part of the small intestine, indicating that more developed larvae can counter the expulsion mechanism. Self-cure was consistently associated with eosinophilia and intra-epithelial T cells in the jejunum. Furthermore, we identified increased gut movement as a possible mechanism of self-cure as the small intestinal transit time was markedly decreased at the time of expulsion of the worms. Taken together, these results shed new light on the mechanisms of self-cure that occur during A. suum infections

The Global Programme to Eliminate Lymphatic Filariasis: Health Impact after 8 Years

Lymphatic filariasis (LF) is a vector-borne, chronically disabling parasitic infection causing elephantiasis, lymphedema, and hydrocele. The infection is endemic in 83 countries worldwide, with more than 1.2 billion people at risk and 120 million already infected. Since 1998, the Global Programme to Eliminate Lymphatic Filariasis (GPELF) has targeted elimination of LF by 2020. In its first 8 operational years, the program has scaled-up to provide more than 1.9 billion treatments through annual, single-dose mass drug administration (MDA) to ∼570 million individuals living in 48 LF-endemic countries. Not only do the GPELF drugs prevent the spread of LF, they also stop the progression of disease in those already infected. In addition, since two of the three drugs used for LF elimination have broad anti-parasite properties, treated populations are freed from both intestinal worms and from skin infections with onchocerca, lice, and scabies. To better understand the public health benefit of this ongoing global health initiative, we undertook an analysis of Programme data made available to WHO by participating countries. Our conservative estimates show that the GPELF has had an unprecedented public health impact on both LF and other neglected tropical diseases; it justly deserves the accolade of ‘a best buy’ in global health

Concurrent Helminthic Infection Protects Schoolchildren with Plasmodium vivax from Anemia

malaria in rural areas in the municipality of Careiro, in the Western Brazilian Amazon. (n = 9). In children without intestinal helminthes, a significant decrease in the hemoglobin during the malarial attack was seen as compared to the baseline concentration. In the survival analysis, no difference was seen in the time (in days) from the baseline cross-sectional to the first malarial infection, between parasitized and non-parasitized children.

The Synergistic Effect of Concomitant Schistosomiasis, Hookworm, and Trichuris Infections on Children's Anemia Burden

Polyparasitic infections have been recognized as the norm in many tropical developing countries, but the significance of this phenomenon for helminth-associated morbidities is largely unexplored. Earlier studies have suggested that multi-species, low-intensity parasitic infections were associated with higher odds of anemia among school-age children relative to their uninfected counterparts or those with one low-intensity infection. However, specific studies of the nature of interactions between helminth species in the mediation of helminth-associated morbidities are lacking. This study quantifies the extent to which polyparasitic infections have more than the sum of adverse effects associated with individual infections in the context of childhood anemia. This study found that the risk of anemia is amplified beyond the sum of risks for individual infections in children simultaneously exposed to 1) hookworm and schistosomiasis, and 2) hookworm and trichuris, and suggests that combined treatment for some geohelminth species and schistosomiasis could yield greater than additive benefits for the reduction of childhood anemia in helminth-endemic areas. However, more studies to understand the full range of interactions between parasitic species in their joint effects on helminth-associated morbidities will be necessary to better predict the impact of any future public health intervention

Epidemiology of <i>Toxocara</i> spp. in stray dogs and cats in Dublin, Ireland

AbstractA survey was undertaken to study the epidemiology of Toxocara spp. in 350 dogs and 181 cats. A prevalence of 82.6% was recorded for Toxocara canis and 42% for T. cati. The distribution of parasite burdens in both dogs and cats was overdispersed. The highest parasite prevalence rates and burdens were found in hosts of 12 to 24 weeks of age. No Toxocara parasites were found in cats between 0 to 4 weeks old. There was no significant difference in parasite prevalence between male and female dogs or between male and female cats. The relationships between host age and sex with parasite prevalence, burden and length are discussed. Female T. canis worms with mature ova and those with immature ova differed significantly with regard to their length. The relationship between the length of mature T. canis female worms and the proportion of body length occupied by the uterus was highly significant.</jats:p

The effects of freezing on the viability of <i>Toxocara canis</i> and <i>T. cati</i>embryonated eggs

AbstractSuspensions of embryonated (L2) Toxocara canis and T. cati eggs were maintained under freezing conditions in order to study the impact on their long term viability The eggs had been removed from the uteri of adult Toxocara spp. worms and the suspended in a 0.4% formalin solution before being frozen in 20 ml plastic tubes in the freezer compartment of a domestic refrigerator. Assessment of embryonated egg viability over a period of 34 days was conducted by microscopic examination under a high light intensity Embryonated T. cati eggs were found to exhibit a greater resistance to freezing than those of T. canis. A difference in the size, design of the egg shell or the metabolism of the larval form may have accounted for the observed differences in the percentage viabilities over time between the two species of Toxocara.</jats:p

Prevalence of <i>Toxocara canis</i> ova in public playgrounds in the Dublin area of Ireland

AbstractA total of nine playground sites in Dublin city and county were surveyed from which 228 samples were removed. Of these samples, 15% were positive for Toxocara canis ova and a mean egg density of 1.4 ova/100 g was calculated. Two types of playground sites were identified and that the level of toxocaral contamination was found to be greater in ‘neighbourhood playgrounds’ than in ‘adventure playgrounds’. There was no significant difference in the number of positive samples taken from sites both inside and outside these playgrounds. No evidence of Toxocara cati ova was found. Only one sample was positive for Toxascaris leonina ova. Over 50% of the T. canis ova identified were infective. The findings in this study suggest that the sample's moisture content contributes to the long term survival of infective Toxocara ova in the environment. A recovery rate of 69.8% was achieved with a modified version of the flotation method.</jats:p