Predominance of Blastocystis sp. Infection among School Children in Peninsular Malaysia

Background

One of the largest cross-sectional study in recent years was carried out to investigate the prevalence of intestinal parasitic infections among urban and rural school children from five states namely Selangor, Perak, Pahang, Kedah and Johor in Peninsula Malaysia. This information would be vital for school authorities to influence strategies for providing better health especially in terms of reducing intestinal parasitism.

Methods and Principal Findings

A total of 3776 stool cups was distributed to 26 schools throughout the country. 1760 (46.61%) responded. The overall prevalence of intestinal parasitic infection in both rural and urban areas was 13.3%, with Blastocystis sp (10.6%) being the most predominant, followed by Trichuris trichiura (3.4%), Ascaris lumbricoides (1.5%) and hook worm infection (0.9%). Only rural school children had helminthic infection. In general Perak had the highest infection (37.2%, total, n = 317), followed by Selangor (10.4%, total, n = 729), Pahang (8.6%, total, n = 221), Kedah (6.2%, total, n = 195) and Johor (3.4%, total, n = 298). School children from rural schools had higher infection (13.7%, total, n = 922) than urban school children (7.2%, total, n = 838). Subtype (ST) 3 (54.3%) is the most predominant ST with persons infected with only ST1 and ST3 showing symptoms. Blastocystis sp infection significantly associated with low household income, low parent’s education and presence of symptoms (p<0.05).

Conclusion

It is critical that we institute deworming and treatment to eradicate the parasite especially in rural school children.     

Gut integrity and duodenal enteropathogen burden in undernourished children with environmental enteric dysfunction

Environmental enteric dysfunction (EED) is a subclinical condition of intestinal inflammation, barrier dysfunction and malabsorption associated with growth faltering in children living in poverty. This study explores association of altered duodenal permeability (lactulose, rhamnose and their ratio) with higher burden of enteropathogen in the duodenal aspirate, altered histopathological findings and higher morbidity (diarrhea) that is collectively associated with linear growth faltering in children living in EED endemic setting. In a longitudinal birth cohort, 51 controls (WHZ > 0, HAZ > −1.0) and 63 cases (WHZ< -2.0, refractory to nutritional intervention) were recruited. Anthropometry and morbidity were recorded on monthly bases up to 24 months of age. Dual sugar assay of urine collected after oral administration of lactulose and rhamnose was assessed in 96 children from both the groups. Duodenal histopathology (n = 63) and enteropathogen analysis of aspirate via Taqman array card (n = 60) was assessed in only cases. Giardia was the most frequent pathogen and was associated with raised L:R ratio (p = 0.068). Gastric microscopy was more sensitive than duodenal aspirate in H. pylori detection. Microscopically confirmed H. pylori negatively correlated with HAZ at 24 months (r = −0.313, p = 0.013). Regarding histopathological parameters, goblet cell reduction significantly correlated with decline in dual sugar excretion (p< 0.05). Between cases and controls, there were no significant differences in the median (25^th, 75^th percentile) of urinary concentrations (μg/ml) of lactulose [27.0 (11.50, 59.50) for cases vs. 38.0 (12.0, 61.0) for controls], rhamnose [66.0 (28.0, 178.0) vs. 86.5 (29.5, 190.5)] and L:R ratio [0.47 (0.24, 0.90) vs. 0.51 (0.31, 0.71)] respectively. In multivariable regression model, 31% of variability in HAZ at 24 months of age among cases and controls was explained by final model including dual sugars. In conclusion, enteropathogen burden is associated with altered histopathological features and intestinal permeability. In cases and controls living in settings of endemic enteropathy, intestinal permeability test may predict linear growth. However, for adoption as a screening tool for EED, further validation is required due to its complex intestinal pathophysiology.     

Seroprevalence and Potential Risk Factors Associated with Neospora spp. Infection among Asymptomatic Horses in Jordan

This study aimed to determine the seroprevalence and to identify risk factors associated with Neospora spp. infection in horses in Jordan. Management related data were collected from each farm and individual horses. Sera from 227 horses from 5 of 6 climatic regions in Jordan were analyzed for the presence of antibodies to Neospora spp. by ELISA kit. The study was performed during spring of 2010. The association between seropositivity and risk factors was analyzed. A total of 7 (3%) of 227 sera had antibodies for Neospora spp. There was a significant regional difference (P=0.018) between the 5 climatic regions. Positive cases were located in Amman and Irbid, while the other regions (Zarqa, Jordan Valley, and Wadi Mousa) had zero prevalence. The use of anthelmintics at least once a year resulted in a significant reduction of the seroprevalence to Neospora spp. (1.6% vs 9.8%). However, this might be a phenomenon by chance and a better hygiene since owners can invest in anthelmintics. Other risk factors such as age, gender, breed, usage, body condition score, grazing, presence of other animals mixed with the horses in the same property, and a history of previous diseases were not significantly associated with the seroprevalence to Neospora spp. infection. This is the first study to report on the presence of Neospora seropositive horses in Jordan. Further studies are warranted to better understand the role of certain risk factors in the transmission of Neospora spp. among horse population and to determine which Neospora spp. are responsible for the infection.     

Epidemiological survey of Giardia spp. and Blastocystis hominis in an Argentinian rural community

The aim of this study was to relate personal data, socio-cultural and environmental characteristics, and the presence of symptoms/signs with the frequencies of Giardia spp. and Blastocystis hominis among a rural population in Buenos Aires Province, Argentina. Of the surveyed population (350), 3.7% were infected with only Giardia spp. or 22.9% with B. hominis, and 2.3% were infected with both protozoa. The frequency of infection according to sex; 6.1% of males were infected and 1.6% of females by Giardia spp., 26.7% and 19.5% by B. hominis, and 2.4% and 2.2% by both parasites, respectively. Giardia spp. was detected in only three adults (over 14 years), but B. hominis was more frequent in adults than in children. The prevalences of these protozoa in this community are lower than those reported by other Argentinean studies, which is probably associated with the low density of the studied population (5.95 inhab/km2). Statistical analysis revealed that a male sex, flooding of the home, the use of a latrine, and an abdominal pain were correlated with the presence of these parasites, which indicate the importance of these factors in rural communities.     

Infection of small ruminants with Ehrlichia spp. in Sicily

In 1991, the experimental infection of a goat with pooled blood from goats that were positive for anti-Ehrlichia canis, E. risticii, E. equi and E. phagocytophila antibodies was monitored (physical examination, cell blood count, microscopical examination of blood smears, serology) for 180 days. The infection produced a clinical condition characterized by intermittent fever, anaemia and leukopenia with neutropenia during the first 40 days. Recurrent leukocytosis with lymphocytosis was noticed afterwards. A permanent high-level thrombocytosis appeared after the 18th day. During the first week, cytoplasmic basophilic inclusion bodies were seen in smears of peripheral venous blood stained with May-Grunwald-Giemsa, first in mononuclear cells and then in neutrophils (in max 3% of circulating leukocytes). Seroconversion occurred during the 2nd week and the highest antibody titre (IFAT) was registered vs E. equi (10,240) at the 19th day, vs E. canis (320) at the 24th and vs E. risticii (80) at the 30th day. At the end of the observation period the infected goat was still positive for E. equi (titre 160) and E. canis (titre 10) only. The preinoculation serum of the infected goat was reactive with E. phagocytophila antigen (serum was tested for IF antibodies to E. phagocytophila at 1:200 dilution only, because of the limited quantities of antigen available), but the qualitative evaluation of fluorescence showed an increase from the 7th day, maximum intensity between the 14th and the 40th day and passed to negative from the 74th day. Although it was based on microscopy and serology only and not carried out in a SPF goat, the above experiment gave evidence of the existence of species of the E. phagocytophila genogroup in Italy for the first time.     

Occurrence and molecular characterization of Cryptosporidium spp. and Giardia duodenalis among captive mammals in the Bangladesh National Zoo

Cryptosporidium and Giardia are protozoan parasites capable of causing gastrointestinal illness in humans and animals. The purpose of this research was to determine the occurrence, genetic characteristics, and zoonotic potential of Cryptosporidium spp. and Giardia duodenalis in captive mammals at the Bangladesh National Zoo. A total of 200 fresh fecal samples from 32 mammalian species were collected and examined for Cryptosporidium spp. using nested polymerase chain reaction (PCR) targeting the small subunit (SSU) rRNA gene and G. duodenalis targeting the β-giardin (bg), glutamate dehydrogenase (gdh), and triosephosphate isomerase (tpi) genes. The overall infection rates of Cryptosporidium and G. duodenalis among captive mammals in the zoo were 3.5% (7/200) and 5.5% (11/200), respectively. Five species/genotypes of Cryptosporidium (C. hominis, C. andersoni, C. muris, C. felis, and Cryptosporidium deer genotype) were identified. C. hominis was subtyped as IbA12G3 by sequence analysis of the glycoprotein 60 (gp60) gene. Multilocus genotyping of G. duodenalis revealed assemblages A, B, and D. Mixed infections of assemblages B and D and A and B were found in an Asiatic jackal and a Nilgiri langur, respectively. To our knowledge, this is the first report on the occurrence and genetic identity of the two parasites among zoo animals in Bangladesh. The results suggest that zoonotic Cryptosporidium spp. and G. duodenalis are maintained in and transmitted between captive mammals. Therefore, washing, cleaning, and disinfection measures should be implemented to reduce the spread of Cryptosporidium and G. duodenalis infections.     

Spatio-temporal dynamics of corn rootworm, Diabrotica spp., adults and their spatial association with environment

Multiyear and multilocation studies were conducted to investigate the within‐ and the between‐year spatial dynamics of corn rootworms Diabrotica spp. (Coleoptera: Chrysomelidae), adults and their spatial associations with environmental factors in cornfields. Grid‐based spatial sampling was conducted by trapping adults emerging from the soil (i.e., ‘emergence‐trap counts’) and by counting the number of adults in the ear zone of corn plant (i.e., ‘ear‐zone count’). Spatial analysis with distance indices (SADIE) was used to determine spatial distribution patterns and to investigate spatial associations. Ear‐zone counts and emergence‐trap counts were spatially dynamic within a year and more frequently aggregated in the middle of growing seasons and random early and late in the season. However, during the peak population periods, spatial distribution of ear‐zone counts and emergence‐trap counts were significantly consistent between years, indicating predictability of future spatial distributions. Spatial distribution of emergence‐trap counts and ear‐zone counts were positively associated with soil moisture and presence of corn plants with silks, respectively. This study demonstrated that within‐year spatial distribution patterns were dynamic and that there was between‐year spatial consistency of corn rootworm adult distributions. Such information can be used to improve preventative management of corn rootworms.     

Bison PRNP genotyping and potential association with Brucella spp. seroprevalence

The implication that host cellular prion protein (PrP(C)) may function as a cell surface receptor and/or portal protein for Brucella abortus in mice prompted an evaluation of nucleotide and amino acid variation within exon 3 of the prion protein gene (PRNP) for six US bison populations. A non-synonymous single nucleotide polymorphism (T50C), resulting in the predicted amino acid replacement M17T (Met --> Thr), was identified in each population. To date, no variation (T50; Met) has been detected at the corresponding exon 3 nucleotide and/or amino acid position for domestic cattle. Notably, 80% (20 of 25) of the Yellowstone National Park bison possessing the C/C genotype were Brucella spp. seropositive, representing a significant (P = 0.021) association between seropositivity and the C/C genotypic class. Moreover, significant differences in the distribution of PRNP exon 3 alleles and genotypes were detected between Yellowstone National Park bison and three bison populations that were either founded from seronegative stock or previously subjected to test-and-slaughter management to eradicate brucellosis. Unlike domestic cattle, no indel polymorphisms were detected within the corresponding regions of the putative bison PRNP promoter, intron 1, octapeptide repeat region or 3'-untranslated region for any population examined. This study provides the first evidence of a potential association between nucleotide variation within PRNP exon 3 and the presence of Brucella spp. antibodies in bison, implicating PrP(C) in the natural resistance of bison to brucellosis infection.     

Immunoblot cross-reactions among Rickettsia, Proteus spp. and Legionella spp. in patients with Mediterranean spotted fever

Abstract Sera from patients suffering from Mediterranean spotted fever (i.e. an infection due to Rickettsia conorii ) were studied by immunoblot to investigate cross-reactivity. A prevalence of IgM antibodies to Proteus OX 19, Proteus 0X 2, to the Rickettsia typhus group, to Legionella pneumophila serovars 4 and 5, to L. bozemanii Wiga and to L. micdadei Tatlock was found. Western blot confirmed that the antibodies were directed against the lipopolysaccharide as demonstrated by proteinase K digestion of the antigens. Cross-adsorptions showed that there is a common cross-reacting epitope among L. bozemanii Wiga, R. typhi and Proteus OX 19 but cross-reacting antibodies to L. micdadei and OX 2 were distinct and independent. This IgM cross-reaction could lead to a misdiagnosis.     

Acetylcholinesterase and its association with lipid.

Human erythrocyte acetylcholinesterase preparations which vary in lipid content, from lipid-rich to lipid-poor, have been successfully prepared using deoxycholate. It was found that the lipid content of the enzyme decreased gradually as the deoxycholate concentration used in its preparation was increased. The binding of lipid to lipid-poor preparations of the enzyme has been investigated. It was found that the activity of such preparations was highly dependent on their phospholipid contents. Maximum specific activity was associated with a fixed phospholipid content. The lipid-poor enzyme was highly activated by addition of either endogenous(membrane) or exogenous lipid. Based on the data presented, it was concluded that acetylcholinesterase is a phospholipoprotein, and its activity is highly dependent on its phospholipid component.     

Variation in Betula pubescens Ehrh. (Betulaceae) in Scotland: its nature and association with environmental factors

A classification, based on climatological, topographical and geological attributes and developed by Bunce, Barr & Whittaker (1981: Annual Report of the Institute of Terrestrial Ecology, U.K. 1980) for stratifying the U.K. into 32 land classes, was used to ensure objectivity when sampling the range of variation within Betula spp. in northern Britain.
Seeds of Betula spp. were collected, wherever possible, from each of ten woodland trees in three geographically distinct locations of each of 12 land classes known to 'carry' Betula species. Trees in a thirteenth land class, restricted to the west of Scotland, were inaccessible.
Seedlings from 170 of 196 trees were attributed to B. pubescens which occurred in all 12 land classes: the remaining 26 trees were identified as B. pendula which is restricted to five land classes in southern and eastern Scotland.
Detailed analyses of plant morphological and phenological features using principal component analyses, cluster analyses and canonical variance analyses showed that leaf size, shape and hairiness were good discriminators of variation, as was the occurrence of fruitbodies of Laccaria proxima , a sheathing (ecto-)mycorrhizal fungus. These discriminators enabled the seedlings to be arranged in a nuniber of distinctive groups: sredlings with drooping branclirs and small laves, chararteristirs of B. pubescens subspecies tortuosa , originating from westerly and wet locations to seedlings with upright branches arid large leaves originating from easterly and dry locations.
Leaf lengths and the increasing frequency of petiolar hairs were related to maximum July trmperaturcs and mcasurrs of oceanicity (at the sites of origin).     

Infection of wild and cultivated Vaccinium spp. with blueberry leaf mottle nepovirus

A field survey was performed during the summers of 1991 and 1992 to determine whether blueberry leaf mottle virus (BLMV) infects wild blueberry bushes surrounding commercial blueberry fields and might act as a reservoir of the virus. Leaf samples from wild blueberries growing in wooded areas surrounding commercial plantings in Western central Lower Michigan were taken from bushes radiating out from the border of the commercial field into the wooded areas at 5, 50 and 100 m. BLMV was present in native bushes of Vaccinium corymbosum, V. myrtilloides and V. angustifolium, and two hybrids of V. corymbosum V. angustifolium. BLMV-infected pollen grains were detected in pollen traps located up to 2 miles from a source field.     

Effort-reward imbalance and its association with health among permanent and fixed-term workers

Background  

In the past decade, the changing labor market seems to have rejected the traditional standards employment and has begun to support a variety of non-standard forms of work in their place. The purpose of our study was to compare the degree of job stress, sources of job stress, and association of high job stress with health among permanent and fixed-term workers.     

Repeatability of ovine faecal oocyst counts in natural infections with Eimeria spp.

The repeatability of ovine faecal oocyst counts was studied in Merino of Arles and Romanov sheep over short (4 days) or longer periods (1 month). The repeatabilities over short periods ranged from 0.27 to 0.67 for total oocyst output, from 0.06 to 0.54 for Eimeria ovinoidalis and from 0.29 to 0.52 for E. parva counts. E. ovinoidalis had lower and more irregular repeatabilities than E. parva. Their repeatabilities ranged, respectively from 0.18 (E. ovinoidalis) to 0.22 (E. parva) for longer periods. The genetic share in the determination of magnitude of oocyst counts seems similar to that recorded for trichostrongylid egg counts.     

Risk of Infection with Leishmania spp. in the Canine Population in the Netherlands

The dog is the main reservoir of Leishmania infantum, the causative agent of visceral leishmaniasis (VL) in humans in Southern Europe. In order to identify the risk of dogs from a Leishmania non-endemic area traveling to a Leishmania -endemic area becoming infected and the risk of transmitting infection to humans in non-endemic areas an investigation was performed, in which the results of a questionnaire were combined with the results of a serologic survey.     

Between-year variation and spatial dynamics of Cryptosporidium spp. and Giardia spp. infections in naturally infected rodent populations

Prevalence and abundance of Cryptosporidium spp. and Giardia spp. infections were studied over the 8-year period in 3 species of rodents in N.E. Poland (bank vole Myodes glareolus-1523; yellow-necked mouse Apodemus flavicollis- 638; common vole Microtus arvalis- 419). Prevalence was 53.8, 28.1 and 62.3% respectively for Cryptosporidium spp. and 58.3, 24.4 and 74.2% respectively for Giardia spp. Prevalence and abundance of infection varied markedly across 8 years of the study with 1998 and 2002 being years of higher prevalence and abundance, following changes in the densities of host species. The distribution of intestinal protozoa in forest rodents did not vary in the 3 isolated sites during the 4-year study. In the case of Cryptosporidium, fewer older animals carried infection and infections of the oldest bank and common voles were relatively milder. In the case of Giardia in yellow-necked mice, infections were more common in older age classes (2 and 3). The two species showed significant co-occurrence and in animals carrying both species there was a strong significant positive correlation between abundance of infection with each. These data are discussed in relation to the parasite genotypes identified in this region and in respect of the role of various ecological factors in shaping of intestinal protozoa communities.