Investigating a hyper-endemic focus of Taenia solium in northern Lao PDR

Background The Taenia solium cysticercosis-taeniasis complex is a Neglected Tropical Disease of significant public health importance in many impoverished communities worldwide. The parasite is suspected to be endemic in Lao PDR as a result of widespread risk factors including open human defecation,...

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Main Authors: Okello, A., Ash, Andrew J., Keokhamphet, C., Hobbs, E., Khamlome, Boualam, Dorny, P., Thomas, Lian F., Allen, J.
Format: Journal Article
Language:Inglés
Published: Springer 2014
Subjects:
Online Access:https://hdl.handle.net/10568/35235
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author Okello, A.
Ash, Andrew J.
Keokhamphet, C.
Hobbs, E.
Khamlome, Boualam
Dorny, P.
Thomas, Lian F.
Allen, J.
author_browse Allen, J.
Ash, Andrew J.
Dorny, P.
Hobbs, E.
Keokhamphet, C.
Khamlome, Boualam
Okello, A.
Thomas, Lian F.
author_facet Okello, A.
Ash, Andrew J.
Keokhamphet, C.
Hobbs, E.
Khamlome, Boualam
Dorny, P.
Thomas, Lian F.
Allen, J.
author_sort Okello, A.
collection Repository of Agricultural Research Outputs (CGSpace)
description Background The Taenia solium cysticercosis-taeniasis complex is a Neglected Tropical Disease of significant public health importance in many impoverished communities worldwide. The parasite is suspected to be endemic in Lao PDR as a result of widespread risk factors including open human defecation, free ranging pigs and weak systems for meat inspection and carcass condemnation. Reported prevalences of human taeniasis throughout the country have ranged from 0-14%, although few of these have definitively diagnosed T. solium, grossly indistinguishable from Taenia saginata (beef tapeworm) and Taenia asiatica. This short communication details the suspicion of a hyper endemic "hotspot" of T. solium in a remote Tai Dam village in northern Lao PDR. Findings: Initial antibody serosurveillance of four provinces in Lao PDR in 2011 indicated human taeniasis and cysticercosis prevalences of 46.7% and 66.7% respectively, in the village of Om Phalong in the north of the country. Subsequent copro-antigen ELISA on 92 human faecal samples from this same village, representing a total 27.9% of the target community, indicated a taeniasis prevalence of 26.1% (95% CI = 18.2-35.9). Subsequent PCR and sequencing of samples (n = 5) all identified as T. solium; the other human tapeworms T. saginata and T. asiatica were not detected in any of the samples genotyped. Conclusion This is potentially one of the highest documented prevalences of T. solium taeniasis to date in Lao PDR, if not the Southeast Asia region. This result raises suspicion that other "hotspots" of T. solium hyper endemicity may exist in the region, particularly in communities where the consumption of raw pork is commonplace as a result of cultural practices.
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spelling CGSpace352352025-12-08T09:54:28Z Investigating a hyper-endemic focus of Taenia solium in northern Lao PDR Okello, A. Ash, Andrew J. Keokhamphet, C. Hobbs, E. Khamlome, Boualam Dorny, P. Thomas, Lian F. Allen, J. animal diseases food security swine zoonoses infectious diseases parasitology Background The Taenia solium cysticercosis-taeniasis complex is a Neglected Tropical Disease of significant public health importance in many impoverished communities worldwide. The parasite is suspected to be endemic in Lao PDR as a result of widespread risk factors including open human defecation, free ranging pigs and weak systems for meat inspection and carcass condemnation. Reported prevalences of human taeniasis throughout the country have ranged from 0-14%, although few of these have definitively diagnosed T. solium, grossly indistinguishable from Taenia saginata (beef tapeworm) and Taenia asiatica. This short communication details the suspicion of a hyper endemic "hotspot" of T. solium in a remote Tai Dam village in northern Lao PDR. Findings: Initial antibody serosurveillance of four provinces in Lao PDR in 2011 indicated human taeniasis and cysticercosis prevalences of 46.7% and 66.7% respectively, in the village of Om Phalong in the north of the country. Subsequent copro-antigen ELISA on 92 human faecal samples from this same village, representing a total 27.9% of the target community, indicated a taeniasis prevalence of 26.1% (95% CI = 18.2-35.9). Subsequent PCR and sequencing of samples (n = 5) all identified as T. solium; the other human tapeworms T. saginata and T. asiatica were not detected in any of the samples genotyped. Conclusion This is potentially one of the highest documented prevalences of T. solium taeniasis to date in Lao PDR, if not the Southeast Asia region. This result raises suspicion that other "hotspots" of T. solium hyper endemicity may exist in the region, particularly in communities where the consumption of raw pork is commonplace as a result of cultural practices. 2014 2014-04-08T17:26:57Z 2014-04-08T17:26:57Z Journal Article https://hdl.handle.net/10568/35235 en Open Access Springer Okello, A,, Ash, A., Keokhamphet, C., Hobbs, E., Khamlome, B., Dorny, P., Thomas, L, and Allen, J. 2014. Investigating a hyper-endemic focus of Taenia solium in northern Lao PDR. Parasites & Vectors 7: 134.
spellingShingle animal diseases
food security
swine
zoonoses
infectious diseases
parasitology
Okello, A.
Ash, Andrew J.
Keokhamphet, C.
Hobbs, E.
Khamlome, Boualam
Dorny, P.
Thomas, Lian F.
Allen, J.
Investigating a hyper-endemic focus of Taenia solium in northern Lao PDR
title Investigating a hyper-endemic focus of Taenia solium in northern Lao PDR
title_full Investigating a hyper-endemic focus of Taenia solium in northern Lao PDR
title_fullStr Investigating a hyper-endemic focus of Taenia solium in northern Lao PDR
title_full_unstemmed Investigating a hyper-endemic focus of Taenia solium in northern Lao PDR
title_short Investigating a hyper-endemic focus of Taenia solium in northern Lao PDR
title_sort investigating a hyper endemic focus of taenia solium in northern lao pdr
topic animal diseases
food security
swine
zoonoses
infectious diseases
parasitology
url https://hdl.handle.net/10568/35235
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