[Views on the systemic control of parasites and parasitic diseases].
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AIMS: To characterize long-term mortality trends for infectious and parasitic diseases in Australia during the twentieth century, explore influencing factors and provide suggestions to health policy-makers. METHODS: A descriptive study was conducted. Deaths due to communicable diseases from 1907 to 1997 were tallied, according to the International Classification of Diseases version 9 (ICD-9). Trends in infectious disease mortality in overall population and in the 0-4 years age group were examined and standardized by sex. Death rates were also studied for: (i) diarrhoea/enteritis, (ii) pneumonia and all respiratory diseases and (iii) tuberculosis. RESULTS: There has been a substantial decline in -mortality from communicable diseases over the study period. The death rate dropped from 258.9 per 100,000 population in 1907 to 7.2 per 100,000 population in 1997. Six phases of the decline were observed. CONCLUSIONS: A combination of improved living conditions and access to readily available treatments over the twentieth century played an important role in the reduction of infectious disease mortality in Australia.
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Principal trends in clinical immunological studies applied to the clinical picture and epidemiology of parasitic diseases are outlined. The author presents definitions of clinical and epidemiological immunology, describes their interrelation, gives reasons for false positive results from immunoepidemiological, mainly, serological observations.
We carried out a study during February 1993 in a french and three coranic schools in order to evaluate the incidence of the economical level on the prevalence of intestinal parasites and tinea's scalp. Infection rate by intestinal parasites were 67.4% and 84% respectively in french and coranic schools with significant differences: X2 = 10.8. Infection rate by dermatophytes were 10.6% and 48.8% respectively in francophone and coranic schools with significant differences: X2 = 29.3. Ascaris was predominant through all ages in coranic schools, while amaeba were the main parasites in the upper ages in the french school. Bad environmental features observed in coranic schools as well as in popular areas are risk factors to the infection and contribute to increase the prevalence of intestinal parasitic diseases and tinea's scalp.
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In July 1981, investigations on parasites, diseases, and herd health status were conducted on sympatric populations of sika deer (Cervus nippon) and white-tailed deer (Odocoileus virginianus) from Blackwater National Wildlife Refuge (Maryland) and Chincoteague National Wildlife Refuge (Virginia) on the Delmarva Peninsula. Five adult deer of each species were collected from each location and subjected to thorough necropsy examinations and laboratory tests. White-tailed deer at both locations harbored protozoan, helminth, and arthropod parasites typically associated with this species throughout the southeastern United States. In contrast, sika deer at both locations harbored only light burdens of ticks, chiggers, and sarcocysts. Serologic tests for antibodies to seven infectious disease agents revealed evidence of exposure to bovine virus diarrhea (BVD) virus, infectious bovine rhinotracheitis virus, and parainfluenza3 virus in white-tailed deer, but only BVD virus in sika deer. At both locations the general health status of sika deer was superior to that of white-tailed deer.
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Molecular biology techniques have contributed, in the last ten years, to a better understanding of parasitic diseases. DNA probes, for example, have been successfully used not only for taxonomic purposes, but also for the diagnosis, the epidemiology and the pathogenicity of these infections. Due to their high sensitivity and specificity, the DNA probes allow, from a diagnostic point of view, the detection of very few of parasites in a given sample. This detection is also valid for any parasitic stage considered. It can be specially used to detect the infective stage in the vector, which, in epidemiological studies, is very important. The identification of parasitic species or sub-species indicates the human infectivity of species considered in the past as zoophilic. Finally, by allowing the specific identification of strains, isolates or even particular clones, the DNA probes also show differences which can be related to pathogenicity, to particular biological characteristics, or even to drug sensitivity. In this review, I relate the main results obtained in malaria and toxoplasmosis in our laboratory in Grenoble. I will also consider some recent data on amoebiasis, leishmaniasis, trypanosomiasis, filariasis, schistosomiasis and echinococcosis.
The paper shows a role of environmental objects in the formation of parasitic diseases in Belgorod-Dnestrovsk, developmental changes in intestinal parasitic cenoses in children from closed institutions. To attract parasitologists to the diagnosis of acute intestinal infections of unspecified etiology increases the percent (49.5 to 82.0) of positive results. The findings show what environmental objects should be monitored in the sanitary and parasitological contexts: soil, vegetables, greens in helminthiasis; utensils in preschool children' establishments in contact helminthiasis; drinking water, vegetables, greens in giardiasis.
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The published articles and citation of the Chinese Journal of Parasitology and Parasitic Diseases in 2004-2005 were statistically analyzed. Among 312 papers published in the two years, original articles and experiment reports occupied 42.3% and 7.7% respectively. Authors were mainly from colleges/universities (61.5%) and institutions for disease control (28.5%). 51.9% of the articles received support by research funds/foundations. 82.3% were with reference citation mostly from periodicals, with 58.7% and 31.5% respectively from international and national (Chinese) journals. The average Price index was 44.9%. This Journal possesses a group of stable and qualified authors, covers substantial content with relatively broad citation, and is an important source of information in parasitological research.
For the purpose of assigning priorities for research, each of the following parasitic disease is examined in regard to its affect on the nutritional status of the host: schistosomiasis, malaria, amebiasis, giardiasis, ascariasis, and hookworm. The epidemiology, diagnosis, immune response to, and available therapies for these diseases are discussed. It is suggested that highest priority be given to three diseases: hookworm, ascariasis, and schistosomiasis, because they can be treated successfully, diagnosed easily, and have a high prevalence.
Rheumatoid factors (RFs) occur with higher frequency and in higher titres in multibacillary forms of leprosy and several parasitic diseases than in healthy controls. The selection of controls is essential in studies of this kind. They should be individuals without signs of the disease under study living under similar socioeconomic conditions as the patients in the endemic country. In three studies where this matter was considered, RFs in lepromatous leprosy and Chagas' disease reacted more strongly with rabbit than human IgG, a feature generally considered to be quite restricted to rheumatoid arthritis. RFs interfere in various test systems, particularly in inducing false positive reactions for specific IgM antibodies in parasitic and other infectious diseases. Model experiments in rats, in vitro culture studies, and observations in humans indicate that RFs may have a protective role in trypanosome infections, malaria and schistosomiasis respectively.
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Asymptomatic infection with either Entameba histolytica or Giardia lamblia was found in 61 per cent of the residents of a dormitory in an institution for the mentally retarded; two other dormitories had rates of 20 per cent and 22 per cent. Drug therapy was successfully undertaken in all three dormitories, and environmental improvements were introduced in the heavily infected dormitory. A one-year follow-up showed a reduction in parasitic disease in two dormitories but, in the most heavily infected dormitory, infection had returned to pretreatment levels.
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