T oxocara canis prevalence in soil, dog stool, and human serum samples from a rural village in Los Baños, Laguna, Philippines

Toxocariasis is a zoonotic disease caused by Toxocara spp. from dogs and cats. The Philippines is among the countries recorded to have abundant stray cats and dogs; however, few studies have been done to elucidate the transmission dynamics and the potential risks associated with toxocariasis. This study was conducted in a rural village in Los Baños, Laguna, Philippines to determine the prevalence of toxocariasis among selected public schoolchildren and identify some risk factors that can contribute to the transmission dynamics of toxocariasis in the study site. To elucidate this, serum samples from 50 public school children (ages 8-13) were tested using a Toxocara canis IgG ELISA kit, while 60 randomly selected households were chosen for collection of soil and dog samples. Sixty soil and dog fecal samples were collected and processed through modified sucrose flotation technique and formalin-ethyl acetate concentration technique, respectively. Knowledge, attitudes and practices (KAP) survey was conducted per household to determine potential risk factors. Results revealed that 60% of the public-school children examined were positive for anti-Toxocara canis antibodies, while 38.3% of the soil samples and 28% of the dog fecal samples were found positive for contamination with Toxocara ova. Deworming of pets was found to be significantly correlated to risk factors of infection (p < 0.05). This study highlights the potential risks of toxocariasis infection of residents in rural communities. Strict implementation of ordinances related to responsible pet ownership as well as promotion of sanitation and hygiene should be employed.

Environmental contamination with parasites in selected rural farms in the Philippines: impacts of farming practices on leafy greens food safety

Fresh vegetables are an important part of a healthy diet, however, they can also be agents of transmission of intestinal parasites. This study aimed to evaluate the presence of parasite contamination in vegetable farms as a source of transmission in selected rural communities in Laguna, Philippines. A total of 168 vegetable, 55 soil and 15 water samples collected from four selected farms and a reference farm were processed through various standard parasitological techniques. Of these, 17.3% of vegetables, 47.3% soil and 73.3% water samples were found contaminated with parasites’ eggs or cysts. Interestingly, leafy vegetables, such as lettuce, were found to be more contaminated. Results showed that strongylids/hookworms (egg/larva) showed the highest prevalence in farm soil (38.2%) and vegetable (13.1%); other helminth parasite eggs were also recovered such as Toxocara sp., Ascaris sp., Trichiuris, Trichostrongylus sp. and protozoan cysts of Balantidium coli. Cryptosporidium sp. oocysts of and Giardia sp. cysts were observed in all water samples in the farms. Furthermore, results revealed that some farming practices such as the use of improperly treated animals manure as fertilizers, unhygienic practice of farmers and sanitation issues were factors that contribute to parasite contamination in the farms. These findings have implications on food safety in poor-resource communities posing public health risks. Recommendations were discussed in the study for the control and prevention of parasite contamination at the farm level.

Angiostrongylus cantonensis infection of non-native rats in Mount Makiling Forest Reserve, the Philippines

A number of studies had been conducted on rat species diversity in the Philippines, however, there is a dearth of information on the extent of Angiostrongylus spp. infection in various ecological niches. Collection of non-native rat samples occurred in various sampling sites categorized as residential, agricultural and agro-forest in Philippine Mount Makiling Forest Reserve (MMFR) and its adjacent areas . Three species of non-native rats were captured including Rattus tanezumi, Rattus norvegicus and Rattus exulans. Of the total 90 non-native rats collected, 24.4% were found infected with Angiostrongylus cantonensis. Statistical analysis showed significant difference among rat species with highest prevalence observed in R. exulans (42.9%) followed by R. tanezumi (29.8%) and R. norvegicus (7.7%) (P = 0.047). Angiostrongylus cantonensis infection was significantly higher in adults (29.4%) than in juvenile rats (9.1%) (P = 0.050). However, results showed no significant difference in A. cantonensis infection between male (43.3%) and female (18.3%) rats and between wet (31.6%) and dry seasons (19.2%) (P > 0.05). Moreover, this study also revealed that rats from agricultural and agro-forest areas showed significantly higher prevalence than residential areas. With urbanization and the everchanging landscape of MMFR watersheds and buffer zones, zoonotic transmission can pose health threats to the local people.

Histopathological features and prevalence of Capillaria hepatica infection in Rattus spp. in Philippine Mount Makiling forest reserve and its adjacent areas

Rats are recognized as reservoir hosts of several pathogens that pose a threat to human health. Although rats are reported to be hosts of a large number of pathogens, a survey of Capillaria hepatica carried by rats in various settings such as residential, agroforestry, and agricultural areas in the Philippines has not been conducted. A total of 90 rats composed of Rattus norvegicus, Rattus tanezumi, and Rattus exulans were collected through trapping in selected residential, agroforestry, and agricultural areas in Los Baños Laguna, Philippines. The overall prevalence of C. hepatica among rats was 21.11%. Among the rat species collected, R. norvegicus showed the highest prevalence (55.56%), followed by R. exulans (14.29%), then R. tanezumi (5.36%) (differences significant at p < 0.05). Moreover, residential areas had the highest prevalence of C. hepatica infection (50%), followed by agroforestry and agricultural areas at 6.7% each (significant at p < 0.05). However, the difference in C. hepatica infection between male (11.43%; 4/35) and female (27.27%; 15/55) rats was not significant (p > 0.05). Most of the infected rats were moderately infected (68.42%), while few were lightly and severely infected (15.78% each). Lastly, the presence of C. hepatica in liver is suggestive of presence of lymphocytes, amyloid, granuloma, and the occurrence of necrosis, hypertrophy, fibrosis, and cholestasis in the liver of the host. Capillariasis could be occurring in Philippine human populations, hence there is need for screening the population with appropriate means and to create awareness of this emerging disease.

Zoonotic transmission of intestinal helminths in southeast Asia: Implications for control and elimination

Intestinal helminths are extremely widespread and highly prevalent infections of humans, particularly in rural and poor urban areas of low and middle-income countries. These parasites have chronic and often insidious effects on human health and child development including abdominal problems, anaemia, stunting and wasting. Certain animals play a fundamental role in the transmission of many intestinal helminths to humans. However, the contribution of zoonotic transmission to the overall burden of human intestinal helminth infection and the relative importance of different animal reservoirs remains incomplete. Moreover, control programmes and transmission models for intestinal helminths often do not consider the role of zoonotic reservoirs of infection. Such reservoirs will become increasingly important as control is scaled up and there is a move towards interruption and even elimination of parasite transmission. With a focus on southeast Asia, and the Philippines in particular, this review summarises the major zoonotic intestinal helminths, risk factors for infection and highlights knowledge gaps related to their epidemiology and transmission. Various methodologies are discussed, including parasite genomics, mathematical modelling and socio-economic analysis, that could be employed to improve understanding of intestinal helminth spread, reservoir attribution and the burden associated with infection, as well as assess effectiveness of interventions. For sustainable control and ultimately elimination of intestinal helminths, there is a need to move beyond scheduled mass deworming and to consider animal and environmental reservoirs. A One Health approach to control of intestinal helminths is proposed, integrating interventions targeting humans, animals and the environment, including improved access to water, hygiene and sanitation. This will require coordination and collaboration across different sectors to achieve best health outcomes for all.

Larval distribution, migratory pattern and histological effects of Toxocara canis in Rattus norvegicus

The common dog roundworm Toxocara canis can infect other animals and humans which may act as their paratenic and accidental hosts, respectively. Larvae do not further develop to adult worms in these hosts. Instead, they undergo migration to various body organs, causing the neglected parasitic disease known as toxocariasis. Although rats are considered as potential paratenic hosts of the parasite, there are only few studies which utilized Rattus norvegicus (Sprague-Dawley strain) for experimental infections involving toxocariasis. This study aimed to determine whether T. canis could establish in Sprague-Dawley rats artificially infected with 500 T. canis embryonated eggs and if the animals can be used as animal models for toxocariasis. Following squash method and tissue digestion, larvae were recovered from the lungs, liver and brain of the infected rats. Furthermore, gross examination of organs revealed macroscopic lesions and hemorrhages in the lungs and brain. Microscopically, accumulation of inflammatory cells, thickening of alveoli lining and destruction of bronchial walls and hepatic necrosis were observed. This study showed that T. canis has established in Sprague-Dawley rats and could serve as a model for Toxocara infection studies.

Soil-transmitted helminth (STH) eggs contaminating soils in selected organic and conventional farms in the Philippines

Soils from selected organic and conventional farms in the Philippines were examined for parasite contamination. A total of 600 soil samples from twenty organic and conventional farms were collected and processed through modified sucrose floatation technique. Results revealed that 248 out of 600 (41.33%) soil samples were contaminated with parasite eggs. Parasites recovered were Ascaris spp. (39.0%), Trichuris spp. (26.0%), hookworm/strongylid (22.0%), Toxocara spp. (4.0%), Taenia spp. (3.0%), and some unidentified eggs (6.0%). Contamination rate was found higher in organic (48.30%) than in conventional farms (37.67%) (p = 0.834; not significant); and significantly higher in Southern (64.40%) than in Northern Luzon region (31.40%) (p = 0.015). In addition, contamination rate between soil depths was not statistically significant (p = 0.24), with depth 1 (0-5 cm) at 43% and depth 2 (6-10 cm) at 39.67%. Furthermore, some farming practices were recorded through survey and results revealed that the use of manure as fertilizer (p = 0.017) and wash water (p = 0.014) showed significant positive relationship with parasite contamination in soil. These findings have implications on food safety and could be used to help the agriculture sector and other stakeholders in their efforts to improve food safety policies.

Occurrence of Angiostrongylus cantonensis in rodents from the rice granary of the Philippines and associated risk factors for zoonotic transmission

Rattus tanezumi and Rattus norvegicus are the most common rodent species in the Philippines, with the former mainly inhabiting agricultural land and the latter in urban areas. Generating information on the Angiostrongylus cantonensis harbored by these rodents would be useful for public health. A total of 600 rodents were collected from traps placed each month from July to December 2012 in selected villages of Muñoz, Nueva Ecija; the rice granary of the Philippines. The prevalence of A. cantonensis in R. tanezumi and R. norvegicus was, 100%; all the rodents from the five villages were infected. The study shows that regardless of stages, body weight and length, rodents are vulnerable to infection by Angiostrongylus cantonensis present in the environment. However in terms of sex, results revelead that the male and female in R. tanezumi has no statistically significance while R. norvegicus revealed that male and female has statistically significance. This study also show that, rodents that were caught in the agricultural area has higher mean intensity compared to rodents that were trapped in the residential areas but found to be insignificant. Also through survey interviews the various risk factors with zoonotic implication of A. cantonensis in the area was also discussed.

Dot enzyme-linked immunosorbent assay (ELISA) for the detection of Toxocara infection using a rat model

Toxocariasis is a zoonotic disease usually caused by dog and cat roundworms, Toxocara canis and T. cati. Detection and diagnosis is difficult in paratenic and accidental hosts, including humans, as they cannot be detected through conventional methods such as fecal examination. Diagnosis therefore relies on immunological methods and molecular methods such as enzyme-linked immunosorbent assay (ELISA) and Western Blot, which are both time-consuming and requires sophisticated equipment. In the Philippines, only a few studies are available on Toxocara seroprevalence. Therefore, there is a need to adapt methods for serodiagnosis of Toxocara infection in humans for the Philippine setting. A dot enzyme linked immunosorbent assay (dot-ELISA) was standardized using T. canis excretory-secretory antigens. Test sera were collected from laboratory rats (Sprague-Dawley strain) experimentally infected with embryonated eggs of T. canis and Ascaris suum as well as rice field rats naturally infected with Taenia taeniaeformis and Nippostrongylus sp. Optimum conditions used were 20 µg/ml antigen concentration and 1:10 serum dilution. The sensitivity, specificity, positive, and negative predictive values were 90% (95% CI 55.5-99.7%), 100% (95% CI 69.2-100.0%), 100% (95% CI 66.4-100%), and 90.9% (95% CI 58.7-99.8%), respectively. Dot-ELISA has the potential to be developed as a cheaper, simpler, and more practical method for detection of anti-Toxocara antibodies on accidental hosts. This is a preliminary study conducted on experimental animals before optimization and standardization for human serum samples.

Acanthocephalan Parasites (Acanthogyrus sp.) of Nile Tilapia (Oreochromis niloticus) as Biosink of Lead (Pb) Contamination in a Philippine Freshwater Lake

The potential use of acanthocephalans as bioindicators of Lead (Pb) pollution in Sampaloc Lake, Laguna, Philippines was investigated. Nile tilapias (Oreochromis niloticus) were collected and Pb concentrations were determined in fish tissues and in their acanthocephalan parasites, Acanthogyrus sp. Significantly higher levels of Pb were detected in the parasites relative to the fish host tissues (p = 0.001). Bioaccumulation capacity of the parasites against fish tissues were 102, 119, and 147 times higher than the fish intestine, liver, and muscles, respectively. Pb sensitivity of the parasites was quantified by exact logistic analysis showing higher odds of Pb detection ranging from 18 to 45 folds (p = 0.001-0.009). Interestingly, infected fish showed significantly lower Pb concentration in their tissues compared to uninfected fish (p = 0.001), suggesting parasites were able to sequester Pb and served as active biosinks. The Pb levels in the parasites were also hundred folds higher (988 times) relative to the ambient waters, indicating a potential role of fish parasites as metal biosinks in aquatic ecosystems.

Vectors and Spatial Patterns of Angiostrongylus cantonensis in Selected Rice-Farming Villages of Muñoz, Nueva Ecija, Philippines

In the Philippines, rats and snails abound in agricultural areas as pests and source of food for some of the local people which poses risks of parasite transmission to humans such as Angiostrongylus cantonensis. This study was conducted to determine the extent of A. cantonensis infection among rats and snails collected from rice-farming villages of Muñoz, Nueva Ecija. A total of 209 rats, 781 freshwater snails, and 120 terrestrial snails were collected for the study. Heart and lungs of rats and snail tissues were examined and subjected to artificial digestion for parasite collection. Adult worms from rats were identified using SSU rDNA gene. Seven nematode sequences obtained matched A. cantonensis. Results revealed that 31% of the rats examined were positive with A. cantonensis. Rattus norvegicus and R. tanezumi showed prevalence of 46% and 29%, respectively. Furthermore, only Pomacea canaliculata (2%) and Melanoides maculata (1%) were found to be positive for A. cantonensis among the snails collected. Analysis of host distribution showed overlapping habitats of rats and snails as well as residential and agricultural areas indicating risks to public health. This study presents a possible route of human infection for A. cantonensis through handling and consumption of P. canaliculata and M. maculata or crops contaminated by these snails.

Dynamics of Centrocestus armatus Transmission in Endemic River in Hyogo Prefecture, Japan

Centrocestus armatus is an intestinal parasite belonging to the family Heterophyidae. We developed an apparatus for recovering cercariae and clarified the infection dynamics of this parasite. To clarify the circadian rhythm of cercarial shedding in the summer season, we filtrated 30 l of river water every 2 h for 24 h. Cercariae were first detected between 06:00 and 08:00 h, increased over time to reach peak at 16:00 h and decreased thereafter, thus showing a single-peak pattern. In a survey of seasonal change, approximately 200 cercariae were contained in 1 l of river water during the summer season, while none were found during the winter. This cercarial shedding pattern appeared to be related to sunrise/sunset and water/atmosphere temperature. Therefore, we examined whether cercarial shedding was affected by light or temperature changes under laboratory conditions, and confirmed that both light and temperature were important factors for cercarial shedding. Light was a stronger factor than water temperature. Cercarial shedding of C. armatus occurred in response to temperature and light. The change in the number of juvenile metacercariae detected in fish brain corresponded with monthly detection rates of cercariae; however, the incidence of new infections decreased in August. This suggests that Nipponocypris temminkii contains a defense mechanism against new infections that may have hindered the increase in parasite infectivity. These results clarified the smooth infection from the first to the second intermediate host of C. armatus in the endemic river. Throughout the study period, fecal samples were collected from 19 kites, 114 herons, and three unidentified species. However, our results using C. armatus showed a low value of 1% in herons and 5% in kites. The infection dynamics of final host to first intermediate host need to be further investigated.

Soil contamination by parasite eggs in rural village in the Philippines

Infectious diseases caused by soil-transmitted helminths (STHs) are important diseases of humans, which affect about one third of the world's population. Examination of soil can be used to estimate the risk of STH infection in humans. We carried out this survey to clarify the current status of soil contamination by parasite eggs and to assess the risk of STH infection. During survey periods, we examined soil, faeces, and the lifestyle of residents. Six genera and eight species of parasite eggs including Ascaris lumbricoides, Toxocara cati, Toxocara canis, and Trichuris trichiura were recovered from 85 out of 120 soil samples (71%). Contamination of soil by parasite eggs had spread widely throughout the village, and 50% of eggs recovered had already developed into fertilized eggs. It is remarkable that Ascaris eggs were recovered from inside the houses. Prevalence of STH in school children was 63%. This may indicate that school or preschool children cause soil contamination. Some of the eggs recovered were not only from humans but also from dogs and cats. From the results obtained, the need for health education with regards to zoonoses was revealed because 77% of fertilized Toxocara spp. eggs were detected. We conclude that the risk of STH infection in residents was extremely high, because the soil in this village was highly contaminated by infective parasite eggs.

Toxocara egg soil contamination and its seroprevalence among public school children in Los Baños, Laguna, Philippines

The soil-transmitted nematode Toxocara sp has little epidemiological information in the Philippines. In this study, we studied the extent of soil contamination with Toxocara eggs and the seroprevalence of Toxocara infection among public school children in Los Baños, Laguna, Philippines. Soil samples were obtained from public schools, backyards, and empty lots in Los Baños to examine for the presence of Toxocara eggs using the modified sucrose flotation technique. Serum samples were obtained from public school children in Los Baños and examined for Toxocara infection using an ELISA test. Of the 200 soil samples, 85 (43%) were positive for Toxocara eggs at a concentration of 1 egg/g of soil. Forty-two percent of soil samples obtained from the public school, 45% of backyard samples, and 40% of empty lot samples were positive. Of the 75 serum samples from children, 37 (49%) were positive for Toxocara infection. There was a positive correlation between Toxocara egg concentration and seroprevalence of Toxocara infection. Results showed a high prevalence of soil contamination and a high seroprevalence of Toxocara infection among children in Los Baños, Laguna, Philippines.

Mite fauna and mite antigen detection in house dust found in residential areas in Los Baños, Laguna, Philippines

Dust mites are a medically important group of animals commonly found in carpets and mattresses in houses. Antigens in their feces cause allergic reactions such as asthma and contact dermatitis. Dust samples were vacuum-collected in a special collecting bag from a one square meter area of living room floors of 100 randomly sampled houses in Los Baños, Laguna, Philippines for one minute. Chromato-immunoassay ELISA (Mitey Checker) was used to detect mite antigenicity. Twenty-three species of mites were identified belonging to 7 families. Of these, Blomia tropicalis (265 mites/g of dust in 87% of households) of Family Glycyphagidae and Dermatophagoides farinae (71 mites/g of dust in 58% of households) of Family Pyroglyphidae were the most prevalent and abundant species. Forty-eight percent of households were detected to have low levels of antigen (< or = 5 microg/m2). There was a weak linear relationship between mean total mite intensity and antigen level (r = 0.129). Mean Dermatophagoides intensity and antigen levels were also found to have a weak linear relationship. More mites were found in carpeted living rooms (822 mites/g) when compared to non-carpeted living rooms (645 mites/g). Different floor types did not show any difference in mean mite intensity. Likewise, mite intensity did not show correlation with household size.

Attachment and penetration of Centrocestus armatus (Digenea: Heterophyidae) cercariae to gills of secondary intermediate fish hosts

The attachment and penetration of Centrocestus armatus cercariae into the fish host Zacco temmincki are described in this study. Light and scanning electron microscopy (SEM) were used to examine the topographical features and behavior of cercariae. Histochemistry and transmission electron microscopy (TEM) were employed to trace glandular products and secretions released by cercariae during penetration. Cercariae are first carried into the fish gill chambers via the respiratory currents. The frequency of respiratory-current reversals of fish increased when infected with cercariae. The behavior of cercariae, during breaks in current flow that preceded each current reversal, was observed using a specially devised apparatus. Cercariae produce a mucus-like secretion upon attachment, shed their tail, and employ a brief period of leech-like creeping behavior before penetration. In all cases, the site of penetration was via the surface of the primary gill lamellae. SEM revealed a well-developed anterior penetration apparatus, and a highly contractile body region, that created a driving force for penetration. TEM and histochemistry showed that the mucus observed on the surface tegument of cercariae during attachment were glandular secretions from the parasite. The significance of fish respiratory current reversals to the success of cercariae penetration nicely illustrates the exploitation by the parasite of a host response to a stimulus.

Infection dynamics of Centrocestus armatus cercariae (Digenea: Heterophyidae) to second intermediate fish hosts

The infection dynamics of Centrocestus armatus cercariae with respect to second intermediate fish hosts were investigated using cercariae collected from naturally infected Semisulcospira libertina. Cercariae survival and infectivity were recorded at 2-hr intervals. Survival remained constant but decreased abruptly at 30 hr of age. An age-dependent model presented the best-fit curve for the survival data (r2 0.936), implying that cercariae tended to allocate resources equally among themselves and then died once those resources were depleted. Cercariae infectivity remained constant over the first 10 hr of life and then declined; an age-dependent model also provided a better fit (r2 = 0.956). The transmission rate of C. armatus cercariae to the fish host was relatively low near the time of emergence from the snail host but peaked at 85% after 1 hr and then maintained a plateau period until 5 hr of exposure to fish. The pattern of transmission was also investigated initially at varying densities of cercariae and then by maintaining a constant cercariae density but varying the total number. Results revealed that the pattern of transmission was frequency-dependent.