Publication: Prevalence, incidence, intensity and associated morbidity of intestinal helminths in south Thailand
Issued Date
1989-01-01
Resource Type
ISSN
00207519
Other identifier(s)
2-s2.0-0024513768
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Mahidol University
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SCOPUS
Bibliographic Citation
International Journal for Parasitology. Vol.19, No.2 (1989), 217-228
Suggested Citation
E. S. Upatham, V. Viyanant, W. Y. Brockelman, S. Kurathong, P. Lee, U. Chindaphol Prevalence, incidence, intensity and associated morbidity of intestinal helminths in south Thailand. International Journal for Parasitology. Vol.19, No.2 (1989), 217-228. doi:10.1016/0020-7519(89)90010-6 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/15769
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Title
Prevalence, incidence, intensity and associated morbidity of intestinal helminths in south Thailand
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Abstract
Prevalence, incidence, intensity and associated morbidity of intestinal helminths in South Thailand. International Journal for Parasitology 19: 217-228. Intensive surveys for Ascaris lumbricoides, Trichuris trichiura and hookworm were carried out in two villages in Phang Nga Province, southern Thailand, in order to measure prevalence, estimate incidence and determine the relation between intensity of infection and morbidity before and after chemotherapy. The study populations were a small upland village community (Nai Tone) and a grade school in a small coastal village (Boh Saen). About half of the Nai Tone villagers were given a broad spectrum antihelminthic (albendazole), and the Boh Saen students were all treated successively with three drugs: piperazine citrate to treat for Ascaris, pyrantel pamoate to treat for hookworm, and mebendazole to treat for Trichuris. Stool examinations were made using the quick Kato smear technique, questionnaires were administered concerning a variety of possible symptoms, and anthropometric and blood biochemical parameters were measured both before and after treatment. The prevalence of Ascaris was 31.0 and 22.6%, hookworm was 89.1 and 88.0% and Trichuris was 59.7 and 77.8% in the Nai Tone and Boh Saen study populations, respectively. Average intensity of Ascaris was highest in the 0-9 year age class ( > 32,000 epg) in Nai Tone Village. Hookworm intensity of infection was higher in males than in females in all age classes, and in Nai Tone Village at least 25% of males and 20% of females had 8000 or more epg of faeces. Trichuris intensity of infection was highest between 5 and 10 years of age in both populations. The only signs or symptoms showing a significant (P < 0.05) difference between high and low classes of intensity of infection and a significant improvement (P < 0.01) after drug treatment, were headache and flatulance in the case of hookworm infection in Boh Saen School. The presence of multiple infections made testing of hypotheses concerning particular parasite species difficult. © 1989.