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Research (Published online: 07-08-2015)

3.  Zoonotic enteric parasites transmitted from dogs in Egypt with special concern to Toxocara canis infection - Maysa A. I. Awadallah and Lobna M. A. Salem

Veterinary World, 8(8): 946-957

 

 

   doi: 10.14202/vetworld.2015.946-957

 

Maysa A. I. Awadallah: Department of Zoonoses, Faculty of Veterinary Medicine, Zagazig University, Zagazig 44511, Egypt; maysavet@hotmail.com

Lobna M. A. Salem: Department of Zoonoses, Faculty of Veterinary Medicine, Benha University, Benha 13518, Egypt; ellaithys@yahoo.com

 

Received: 20-05-2015, Revised: 06-07-2015, Accepted: 11-07-2015, Published online: 07-08-2015

 

Corresponding author: Maysa A. I. Awadallah, e-mail: maysavet@hotmail.com


Citation: Awadallah MAI, Salem LMA (2015) Zoonotic enteric parasites transmitted from dogs in Egypt with special concern to Toxocara canis infection, Veterinary World 8(8): 946-957.



Aim: This work aimed to study the role played by dogs in transmitting zoonotic enteric parasites to humans in Egypt and to analyze the risk factors associated with the occurrence of such infection in dogs. Serodiagnosis of anti-Toxocara immunoglobulin G (IgG) antibodies among human beings as well as analyzing risk factors predispose to Toxocara canis infection in human beings are another objectives of this study.

Materials and Methods: From June to December 2013, a total of 130 fecal samples from 4 dog populations (Military, nomadic and domiciled dogs from rural and high standard districts) and 150 stool samples of 6 occupational groups were examined for the presence of enteric parasitic infection. Moreover, 150 serum samples were collected from humans from whom stool samples were collected and examined for the presence of anti-T. canis antibodies.

Results: Enteric parasites were detected in 30% of fecal samples from 4 dog populations in Egypt. High infectivity had been reported in nomadic dogs (63.33%) (Crude odds ratios [COR]=67.36, 95% confidence interval [CI]=8.09-560.8, p˂0.000), followed by domiciled dogs from rural areas (40%) (COR=26, 95% CI=3.14-215.54, p=0.003), domiciled dogs from high standard areas (23.33%) (COR=11.87, 95% CI=1.37-102.69, p=0.025) and military dogs (2.5%). Twelve species of enteric parasites were identified, Ancylostomatidae (6.15%), T. canis and Cryptosporidium spp. (5.38%, each), Heterophyes spp. (3.85%), Toxocara leonina and Blastocystis spp. (3.07%), Taenidae eggs (2.31%), Hymenolepis diminuta (1.54%) and Entamoeba canis, Cyclospora cayetanensis, and Paragonimus spp. (0.77%, each). Univariate logestic regression revealed significant association of age (COR=4.73, 95% CI=2.13-10.53, p˂0.000), gender (COR=2.63, 95% CI=1.22-5.68, p˂0.014), housing system (COR=5.10, 95% CI=2.04-12.75), p˂0.000) with enteric parasitic infection in dogs. However, breeds (COR=6.91, 95% CI=0.88-54.52, p=0.067) and type of feeding (COR ranged from 3.5 to 7.62, p˃0.05) did not seem to have a significant association among the examined dogs. Enteric parasitic infection was reported in 31/150 human stools (20.67%). Students were the most affected groups (37.14%), followed by nomadic people (24%), house wives (20%), house guarders and military workers (12%, each), and employees (10%). The identified parasites were Cryptosporidium spp. (9.33%), Ascaris lumbercoides (3.33%), Heterophyes spp. and Ancylostoma spp. (2.66%, each) and Paragonimus spp. and Hymenolepis nana (1.33%, each). Toxocara IgG antibodies were detected in 36/150 (24%) serum samples investigated. Toxocara IgG antibodies were more prevalent in males (26.66%) than females (20%). Seroprevalence was highest (17/35, 48.57%) in 7-15 years old (COR=6.93, 95% CI=1.75-27.43, p=0.006). Seroprevalence values for T. canis antibodies were higher in those; raising dogs (29.85%), eating raw vegetables (25.21%) and not washing hands before meals (25.45%). T. canis antibodies were detected in 25% of those contacted with soil compared to 30% of those did not. Students were mostly affected (34.29%), followed by nomadic people (32%), house guarders (28%), housewives (20%), military workers (13%), and employees (10%).

Conclusion: Detection of enteric parasites in dogs and humans in Egypt substantiates the role posed by dogs in transmitting zoonotic parasites to humans and knock an alarm for common sources of infection for humans and dogs. Common sources may be infected fish or contaminated vegetables that are consumed by dogs or humans or even infected rodents that may contaminate their feed. This pilot study necessitate the need for similar studies and tracing such infection in fish, vegetables, rodent that may be responsible for infecting humans and dogs in order to understand the epidemiology of zoonotic parasitic infection transmitted from dogs to humans.

Keywords: dogs, enteric parasites, humans, risk factors, zoonoses.



1. Robertson, I.D., Irwin, P.J., Lymbery, A.J. and Thompson, R.C.A. (2000) The role of companion animals in the emergence of parasitic disease. Int. J. Parasitol., 30: 1369-1377.
http://dx.doi.org/10.1016/S0020-7519(00)00134-X
 
2. Molyneux, D.H. (2004) 'Neglected' diseases but unrecognized successes – Challenges and opportunities for infectious disease control. Lancet, 364: 380-383.
http://dx.doi.org/10.1016/S0140-6736(04)16728-7
 
3. Satyal, R.C., Manandhar, S., Dhakal, S., Mahato, B.R., Chaulagain, S., Ghimire, L. and Pandeya, Y.R. (2013) PravalencePrevalence of gastrointestinal zoonotic helminthes in dogs of Kathmandu, Nepal. Int. J. Infect. Microbiol. 2: 91-94.
http://dx.doi.org/10.3126/ijim.v2i3.8211
 
4. Youssef, A.I. and Uga, S. (2014) Review of parasitic zoonoses in Egypt. Trop. Med. Health, 42(1): 3-14.
http://dx.doi.org/10.2149/tmh.2013-23
PMid:24808742 PMCid:PMC3965843
 
5. Macpherson, C.N.L. (2005) Human behavior and the epidemiology of parasitic zoonoses. Int. J. Parasitol., 35: 1319-1331.
http://dx.doi.org/10.1016/j.ijpara.2005.06.004
PMid:16102769
 
6. Oliveira-Sequeira, T.C., Amarante, A.F., Ferrari, T.B. and Nunes, L.C. (2002) Prevalence of intestinal parasites in dogs from Sao Paulo State, Brazil. Vet. Parasitol. 3: 19-27.
http://dx.doi.org/10.1016/S0304-4017(01)00575-1
 
7. Sariego, I., Kanobana, K., Junco, R., Vereecken, K., Nú-ez, F.A., Polman, K., Bonet, M. and Rojas, L. (2012) Frequency of antibodies to Toxocara in Cuban schoolchildren. Trop. Med. Int. Health, 17(6): 711-714.
http://dx.doi.org/10.1111/j.1365-3156.2012.02996.x
PMid:22943301
 
8. Zajac, A.M. and Conboy, G.A. (2012) Veterinary Clinical Parasitology. 8th ed. John Wiley and Sons, UK. p40-87P40-87.
 
9. Lee, J., Kang, S., Kim, N., Lee, C., Ahn, K., Kwon, H., Park, C. and Kim, S. (2010) Investigation of helminths and protozoans infecting old world monkeys: Captive vervet, cynomolgus, and rhesus monkeys. Korean J. Vet. Res., 50(4): 273-277.
 
10. Gracenea, M., Gomez, M.S. and Torres, J. (2009) Prevalence of intestinal parasites in shelter dogs and cats in the metropolitan area of Barcelona (Spain). Acta Parasitol., 54: 73-77.
http://dx.doi.org/10.2478/s11686-009-0005-7
 
11. Ahmed, W.M., Mousa, W.M., Aboelhadid, S.M. and Tawfik, M.M. (2014) Prevalence of zoonotic and other gastrointestinal parasites in police and house dogs in Alexandria, Egypt. Vet. World, 7: 275-280.
http://dx.doi.org/10.14202/vetworld.2014.275-280
 
12. Minnaar, W.N., Krecek, R.C. and Fourie, L.J. (2002) Helminths in dogs from a peri-urban resource-limited community in free State province, South Africa. Vet. Parasitol., 107: 343-349.
http://dx.doi.org/10.1016/S0304-4017(02)00155-3
 
13. Eguia-Aguilar, P., Cruz-Reyes, A. and Martinez-Maya, J.J. (2005) Ecological analysis and description of the intestinal helminthes present in dogs in Mexico cityCity. Vet. Parasitol., 127: 139-146.
http://dx.doi.org/10.1016/j.vetpar.2004.10.004
PMid:15631907
 
14. Martinez-Moreno, F.J., Hernandez, S., Lopez-Cobos, E., Becerra, C., Acosta, I. and Martinez-Moreno, A. (2007) Estimation of canine intestinal parasites in Cordoba (Spain) and their risk to public health. Vet. Parasitol., 143: 7-13.
http://dx.doi.org/10.1016/j.vetpar.2006.08.004
PMid:16971046
 
15. Ugbomoiko, U.S., Ariza, L. and Heukelbach, J. (2008) Parasites of importance for human health in Nigerian dogs: High prevalence and limited knowledge of pet owners. BMC Vet. Res., 4: 49.
http://dx.doi.org/10.1186/1746-6148-4-49
 
16. Kimura, A., Morishima, Y., Nagahama, S., Horikoshi, T., Dagawa, A., Kawabuchi-Kurata, T., Sugiyama, H. and Yamasaki, H.A. (2013) Coprological survey of intestinal helminthes in stray dogs captured in Oosaka prefecture, Japan. J. Vet. Med. Sci., 75(10): 1409-1411.
http://dx.doi.org/10.1292/jvms.12-0499
PMCid:PMC3942944
 
17. Katagiri, S. and Oliveira-Sequeira, T.C.G. (2008) Prevalence of dog intestinal parasites and risk perception of zoonotic infection by dog owners in Sa˜o Paulo State, Brazil. Zoonoses and Public Health, 55: 406-413.
http://dx.doi.org/10.1111/j.1863-2378.2008.01163.x
PMid:18811905
 
18. Dalimi, A., Sattari, A. and Motamedi, G.H. (2006) A study on intestinal helminthes of dogs, foxes and jackals in the western part of Iran. Vet. Parasitol., 142: 129-133.
http://dx.doi.org/10.1016/j.vetpar.2006.06.024
PMid:16899340
 
19. Eslami, A., Ranjbar-Bahadori, S.H., Meshgi, B., Dehghan, M. and Bokaie, S. (2010) Helminth infections of stray dogs from garmsar, semnan province, central Iran. Iran. J. Parasitol., 5: 37-41.
PMid:22347264 PMCid:PMC3279852
 
20. Mirzaei, M. and Fooladi, M. (2012) Prevalence of intestinal helminthes in owned dogs in Kerman city, Iran. Asian Pac. J. Trop. Med., 5: 735-737.
http://dx.doi.org/10.1016/S1995-7645(12)60116-3
 
21. Adinezadeh, A., Kia, E.B., Mohebali, M., Shojaee, S., Rokni, M.B., Zarei, Z. and Mowlavi, G. (2013) Endoparasites of stray dogs in mashhad, khorasan razavi province, Northeast Iran with special reference to zoonotic parasites. Iran. J. Parasitol., 20(8): 459-466.
 
22. Batchelor, D.J., Tzannes, S., Graham, P.A., Wastling, J.M., Pinchbeck, G.L. and German, A.J. (2008) Detection of enteric parasites with zoonotic potential in dogs with gastrointestinal disease in the UK. Transbound. Emerg. Dis., 55(2): 99-104.
http://dx.doi.org/10.1111/j.1865-1682.2007.01005.x
PMid:18397497
 
23. Senlik, B., Cirak, V.Y. and Karabacak, A. (2006) Intestinal nematode infections in Turkish military dogs with special reference to Toxocara canis. J. Helminthol., 80(3): 299-303.
PMid:16923275
 
24. Fatahi-Burani, Z. (2005) Garmsar branch: Collage of Veterinary Medicine, Islamic Azad University. Study on the infection to cryptosporidiosis in stray dogs of Garmsar.
 
25. Sabry, M.A. and Lotfy, H.S. (2009) Captive dogs as reservoirs of some zoonotic parasites. Res. J. Parasitol., 4(4): 115-122.
http://dx.doi.org/10.3923/jp.2009.115.122
 
26. El Shazly, A.M., Awad, S.E., Sultan, D.M., Sadek, G.S., Khalil, H.H. and Morsy, T.A. (2006) Intestinal parasites in Dakahlia Governorate, with different techniques in diagnosing protozoa. J. Egypt. Soc. Parasitol., 36: 1023-1034.
PMid:17153711
 
27. Abdel-Hafeez, E.H., Ahmad, A.K., Ali, B.A. and Moslam, F.A. (2012) Opportunistic parasites among immunosuppressed children in Minia District, Egypt. Korean J. Parasitol., 50: 57-62.
http://dx.doi.org/10.3347/kjp.2012.50.1.57
PMid:22451735 PMCid:PMC3309052
 
28. Maysa, A.I.A. (2010) Endoparasites of zoonotic importance. Glob. Vet., 5(6): 348-355.
 
29. Vassalos, C.M., Papadopoulou, C. and Vakalis, N.C. (2008) Blastocytstosis: Emerging or reemerging potential zoonoses. Vet. Ital., 44: 679-684.
PMid:20411495
 
30. Abd El-Wahed, M.M., Salem, G.H. and El-Assaly, T.M. (1999) The role of wild rats as a reservoir of some internal parasites in Qalyubia Governorate. J. Egypt. Soc. Parasitol., 29: 495-503.
PMid:10605500
 
31. Abere, T., Bogale, B. and Melaku, A. (2013) Gastrointestinal helminth parasites of pet and stray dogs as a potential risk for human health in Bahir Dar town, north-western Ethiopia. Vet. World, 6(7): 388-392.
http://dx.doi.org/10.5455/vetworld.2013.388-392
 
32. Davoust, B., Normand, T., Bourry, O., Dang, H., Leroy, E. and Bourdoiseau, G. (2008) Epidemiological survey on gastrointestinal and blood-borne helminths of dogs in north east Gabon. Onderstepoort J. Vet. Res., 75: 359-364.
http://dx.doi.org/10.4102/ojvr.v75i4.112
PMid:19294992
 
33. Zelalem, G. and Mekonnen, A. (2012) Prevalence of gastrointestinal helminthes among dogs in Bahir Dar town, Ethiopia. World Appl. Sci. J., 19(5): 595-601.
 
34. Gharekhani, J. (2014) Study on gastrointestinal zoonotic parasites in pet dogs in western Iran. Turk. Parazitol. Derg., 38: 172-176.
http://dx.doi.org/10.5152/tpd.2014.3546
PMid:25308454
 
35. Swai, E.S., Kaaya, E.J., Mshanga, D.A. and Mbise, E.W. (2010) A survey on gastro-intestinal parasites of nondescript dogs in and around Arusha Municipality, Tanzania. Int. J. Anim. Vet. Adv., 3(2): 63-67.
 
36. Mateus, T.L., Castro, A., Ribeiro, J.N. and Vieira-Pinto M. (2014) Multiple zoonotic parasites identified in dog feces collected in pontePonte de lima, pPortugal—A potential threat to human health. Int. J. Environ. Res. Public Health, 11: 9050-9067.
http://dx.doi.org/10.3390/ijerph110909050
PMid:25257358 PMCid:PMC4199006
 
37. Szabová, E., Juriš, P., Miterpáková, M., Antolová, D., Papajová, I. and Šefčíková, H. (2014) Prevalence of important zoonotic parasites in dog populations from the Slovak Republic. Helminthol., 44(4), 170-176.
 
38. Xiao, L., Fayer, R., Ryan, U. and Upton, S.J. (2004) Cryptosporidium taxonomy: Recent advances and implications for public health. Clin. Microbiol. Rev., 17: 72-97.
http://dx.doi.org/10.1128/CMR.17.1.72-97.2004
PMid:14726456 PMCid:PMC321466
 
39. Youssef, F.G., Adib, I., Riddle, M.S. and Schlett, C.D. (2008) A review of cryptosporidiosis in Egypt. J. Egypt. Soc. Parasitol., 38, 9-28.
PMid:19143117
 
40. Mousa, K.M., Abdel-Tawab, A.H., Khalil, H.H. and El-Hussieny, N.A. (2010) Diarrhea due to parasites particularly Cryptosporidium parvum in great Cairo, Egypt. J. Egypt. Soc. Parasitol., 40: 439-450.
PMid:21246951
 
41. Helmy, Y.A., Krucken, J., Nockler, K., von Samson-Himmelstjerna, G. and Zessin, K.H. (2013) Molecular epidemiology of Cryptosporidium in livestock animals and humans in the Ismailia province of Egypt. Vet. Parasitol., 193(1-3): 15-24.
http://dx.doi.org/10.1016/j.vetpar.2012.12.015
PMid:23305974
 
42. Sargent, K.D., Morgan, U.M., Elliot, A.D. and Thompson, R.C.A. (1998) Morphological and genetic characterisation characterization of Cryptosporidium oocysts from domestic cats. Vet. Parasitol., 77: 221-227.
http://dx.doi.org/10.1016/S0304-4017(98)00122-8
 
43. Xiao, L., Cama, V.A., Cabrera, L., Ortega, Y., Pearson, J. and Gilman, R.H. (2007) Possible transmission of Cryptosporidium canis among children and a dog in a household. J. Clin. Microbiol., 45: 2014-2016.
http://dx.doi.org/10.1128/JCM.00503-07
PMid:17442794 PMCid:PMC1933110
 
44. Esteban, J.G., Gonzales, C., Curtale, F., Antoli-Muytoz, C., Valero, M.A., Bargues, M.D., El-Sayed, M., El-Wakeel, A., Abdel-Wahab, Y., Montresor, A., Engles, D., Savioli, L. and Mas-Comas, S. (2003) Hyper endemic fascioliasis associated with schistosomiasis in villages in the Nile Delta of Egypt. Am. J. Trop. Med. Hyg., 69: 924-437.
 
45. El Sahn, F.F., Deghedi, B.M., Mahdy, N.H. and El Sahn, A. (1997) The impact of intestinal parasitic infections on the nutritional status of primary school children in Alexandria, Egypt. J. Egypt. Public Health Assoc., 72: 113-151.
PMid:17265628
 
46. Dreyer, G., Fernandes-Silva, E., Alves, S., Rocha, A., Albuquerque, R. and Addis, D. (1996) Patterns of detection of Strongyloides stercoralis in stool specimens: Implication for diagnosis and clinical trials. J. Clin. Microbiol., 34(10): 2569-2571.
PMid:8880521 PMCid:PMC229319
 
47. Agi, P.I. (1997) Comparative helminth infections of man in two rural communities of the Niger Delta, Nigeria. West Afr. J. Med., 16(7): 232-236.
PMid:9473959
 
48. El-Kadi, M.A., Dorrah, A.O. and Shoukry, N.M. (2006) Patients with gastrointestinal complains due to enteric parasites, with reference to Entamoeba histolytica/dispar as detected by ELISA E. histolytica adhesion in stool. J. Egypt. Soc. Parasitol., 36: 53-64.
PMid:16605100
 
49. Shalaby, H.A., Abdel-Shafy, S. and Derbala, A.A. (2010), The role of dogs in transmission of Ascaris lumbricoides for humans. Parasitol. Res., 106: 1021-1026.
http://dx.doi.org/10.1007/s00436-010-1755-8
PMid:20162430
 
50. Velho, P.E.N., Faria, A.V., Cintra, M.L., Souza, E.M. and Moraes, A.M. (2003) Larva migrans: A case report and review. Rev. Inst. Med. Trop. Sao Paulo, 45: 167-171.
http://dx.doi.org/10.1590/S0036-46652003000300010
PMid:12870068
 
51. Bahgat, M.A., El Gindy, A.E., Mahmoud, L.A., Hegab, M.H. and Shahin, A.M. (1999) Evaluation of the role of Ancylostoma caninum in humans as a cause of acute and recurrent abdominal pain. J. Egypt. Soc. Parasitol., 29: 873-882.
PMid:12561926
 
52. Abou-Basha, L.M., Abdel-Fattah, M., Orecchia, P., Di Cave, D. and Zaki, A. (2000) Epidemiological study of heterophyiasis among humans in an area of Egypt. East Mediter. Health J., 6: 932-938.
 
53. Lobna, S.M., Metawea, Y.F. and Elsheikha, H.M. (2010) Prevalence of heterophyiosis in Tilapia fish and humans in Northern Egypt. Parasitol. Res., 107: 1029-1034.
http://dx.doi.org/10.1007/s00436-010-1976-x
PMid:20644958
 
54. Ibrahim, M.M. and Soliman, M.F. (2010) Prevalence and site preferences of heterophyid metacercariae in Tilapia zilli from Ismalia fresh water canal, Egypt. Parasite, 17: 233-239.
http://dx.doi.org/10.1051/parasite/2010173233
PMid:21073146
 
55. Khalafalla, R.E. (2011) A survey study on gastrointestinal parasites of stray cats in northern region of Nile delta, Egypt. PLoS One, 6: 20283.
http://dx.doi.org/10.1371/journal.pone.0020283
PMid:21760884 PMCid:PMC3132738
 
56. Merwad, A.M.A. (2009) Zoonotic studies on helminthes causing diarrhea in man. PhD Thesis of Veterinary Medical Science, Zoonoses, Faculty of Veterinary Medicine, Zagazig University, Egypt.
 
57. Bakr, I.M., Arafa, N.A., Ahmed, M.A., Mostafa, M.H. and Mohamed, M.K. (2009) Prevalence of intestinal parasitosis in a rural population in Egypt, and its relation to socio-demographic characteristics. J. Egypt. Soc. Parasitol., 39: 371-381.
PMid:19621655
 
58. Habbary, K., Tifnouti, A., Bitton, G. and Mandil, A. (2000) Intestinal parasitosis and environmental pollution: 1343 pediatric cases in Beni-Mellal, Morocco. Tunis Med., 78: 109-114.
 
59. Iris-Diaz, A., Zulbey, R.R., Angela, M.B., Maria, S.C., Ellen, A., Marinella, L.C. and Ricardo, T.A. (2006) Prevalence of intestinal parasites in children of Yukpa Ethina in Toromo, Zulia State, venezuelaVenezuela. Rev. Med. Chile, 134: 72-78.
 
60. Sadaga, G.A. and Kassem, H.H. (2007) Prevalence of intestinal parasites among primary schoolchildren in Derna District, Libya. J. Egypt. Soc. Parasitol., 37: 205-215.
PMid:17580578
 
61. Jacobsen, K.H., Ribeiro, P.S., Quist, B.K. and Rybdeck, B.V. (2007) Prevalence of intestinal parasites in young Quichua children in the highlands of rural Ecuador. J. Health Popul. Nutr., 25: 399-405.
PMid:18402182 PMCid:PMC2754013
 
62. Romero Cabello, R. (2007) Human Microbiology and parasitologyMicrobiologia y Parasitologia Humana. 3a ed3rd edition . Editorial Medica Panamericana, Mexico. p1405-1412.
 
63. Mohammad, M.A. and Hegazi, M.A. (2007) Intestinal permeability in Hymenolepis nana as reflected by non -invasive lactulosa/manitol dual permeability test and its impaction on nutritional parameters of patients. J. Egypt. Soc. Parasitol., 37: 877-891.
PMid:18383790
 
64. Blair, D., Agatsuma, T. and Wang, W. (2008) Paragonimiasis. In: Murrell, K.D. and Fried, B., editors. Food-Borne Parasitic Zoonoses: Fish and Plant-Borne Parasites. Vol. 11. Springer, New York, NY. p117-150.
http://dx.doi.org/10.1007/978-0-387-71358-8_3
 
65. CDC. (2010) Paragonimiasis, Clinical Features. ???. https://en.wikipedia.org/wiki/Paragonimiasis Retrieved onLast accessed on 06-09-20124.
 
66. Macpherson, C.N.L. (2013) The epidemiology and public health importance of toxocariasis: A zoonosis of global importance. Int. J. Parasitol., 43: 999-1008.
http://dx.doi.org/10.1016/j.ijpara.2013.07.004
PMid:23954435
 
67. Jarosz, W., Mizgajska-Wiktor, H., Kirwan, P., Konarski, J., Rychlicki, W. and Wawrzyniak, G. (2010) Developmental age, physical fitness and Toxocara seroprevalence amongst lower – secondary students living in rural areas contaminated with Toxocara eggs. Parasitol., 137: 53-63.
http://dx.doi.org/10.1017/S0031182009990874
PMid:19691865
 
68. Fan, C.K., Liao, C.W. and Cheng, Y.C. (2013) Factors affecting disease manifestation of toxocarosis in humans: Genetics and environment. Vet. Parasitol., 193: 342-352.
http://dx.doi.org/10.1016/j.vetpar.2012.12.030
 
69. Roldan, W.H., Espinoza, Y.A., Huapaya, P.E., Huiza, A.F., Sevilla, C.R. and Jimenez, S. (2009) Frequency of human toxocariasis in a rural population from Cajamarca, Peru determined by DOT-ELISA test. Rev. Inst. Med. Trop. Sao Paulo, 51: 67-71.
http://dx.doi.org/10.1590/S0036-46652009000200002
PMid:19390733
 
70. Liao, C.W., Sukati, H., D'Lamini, P., Chou, C.M., Liu, Y.H., Huang, Y.C., Chung, M.H., Mtsetfwa, J.S., Jonato, J., Chiu, W.T., Chang, P.W.S., Du, W.Y., Chan, H.C., Chu, T.B., Cheng, H.C., Su, W.W., Tu, C.C., Cheng, C.Y. and Fan, C.K. (2010) Seroprevalence of Toxocara canis infection among children in the Kingdom of Swaziland, Southern Africa. Ann. Trop. Med. Parasitol., 104: 73-80.
http://dx.doi.org/10.1179/136485910X12607012373795
PMid:20149294
 
71. Schoenardie, E.R., Scaini, C.J., Brod, C.S., Pepe, M.S., Villela, M.M., McBride, A.J., Borsuk, S. and Berne, M.E. (2013) Seroprevalence of Toxocara infection in children from southern Brazil. J. Parasitol., 99: 537-539.
http://dx.doi.org/10.1645/GE-3182
PMid:23738711
 
72. Won, K.Y., Kruszon-Moran, D., Schantz, P.M. and Jones, J.L. (2008) National seroprevalence and risk factors for zoonotic Toxocara spp. infection. Am. J. Trop. Med. Hyg., 79: 552-557.
PMid:18840743
 
73. Alonso, J.M., Bojanich, M.V., Chamorro, M. and Gorodner, J.O. (2000) Toxocara seroprevalence in children from a subtropical city in Argentina. Rev. do Inst. de Med. Trop. de Sao Paulo, 42: 235-237.
http://dx.doi.org/10.1590/S0036-46652000000400010
PMid:10968888
 
74. Alderete, J.M.S., Jacob, C.M.A., Pastorino, A.C., Elefant, G.R., Castro, A.P., Fomin, A.B. and Chieffi, P.P. (2003) Prevalence of Toxocara infection in schoolchildren from the Butanta region, Sao Paulo, Brazil. Mem. Inst. Oswaldo. Cruz., 98: 593-597.
http://dx.doi.org/10.1590/S0074-02762003000500002
PMid:12973524
 
75. Fan, C.K., Hung, C.C., Du, W.Y., Liao, C.W. and Su, K.E. (2004) Seroepidemiology of Toxocara canis infection among mountain aboriginal schoolchildren living in contaminated districts in eastern Taiwan. Trop. Med. Int. Health, 9: 1312-1318.
http://dx.doi.org/10.1111/j.1365-3156.2004.01332.x
PMid:15598263
 
76. Ajayi, O.O., Duhlinska, D.D., Agwale, S.M. and Njoku, M. (2000) Frequency of human toxocariasis in Jos, lateau State, Nigeria. Mem. Inst. Oswaldo. Cruz., 95: 147-149.
http://dx.doi.org/10.1590/S0074-02762000000200002
PMid:10733730
 
77. Sadjjadi, S.M., Khosravi, M., Mehrabani, D. and Orya, A. (2000) Seroprevalence of Toxocara infection in schoolchildren in Shiraz, Southern Iran. J. Trop. Pediatr., 46: 327-330.
http://dx.doi.org/10.1093/tropej/46.6.327
PMid:11191141
 
78. Wolfe, A. and Wright, I.P. (2003) Human toxocariasis and direct contact with dogs. Vet. Rec., 152: 419-422.
http://dx.doi.org/10.1136/vr.152.14.419
PMid:12708589
 
79. Woodruff, A.W., de Savigny, D.H. and Jocobs, D.E. (1978) Study of toxocaral infection in dog breeders. Br. Med. J., 2: 1747-1748.
http://dx.doi.org/10.1136/bmj.2.6154.1747-a
PMid:737476 PMCid:PMC1609980
 
80. Fu, C., Chuang, T., Lin, H., Wu, C., Liu, Y., Langinlur, M.K., Lu, M., Hsiao, W.W. and Fan, C. (2014). Seroepidemiology of Toxocara canis infection among primary schoolchildren in the capital area of the republic of the Marshall Islands. BMC Infect. Dis., 14: 261.
http://dx.doi.org/10.1186/1471-2334-14-261
PMid:24886153 PMCid:PMC4024650
 
81. Kozan, E., Sevimli, F.K., Köse, M., Eser, M. and Ciçek, H. (2007) Examination of helminth contaminated wastewaters used for agricultural purposes in Afyonkarahisar. Turk. Parazitol. Derg., 31(3): 197-200.
PMid:17918058
 
82. Abougraina, A.K., Nahaisi, M.H., Madia, N.S., Saied, M.M. and Ghengheshc, K.S. (2010) Parasitological contamination in salad vegetables in Tripoli – Libya. Iran. Food Control, 21: 760-762.
http://dx.doi.org/10.1016/j.foodcont.2009.11.005
 
83. Doaa, E.S. (2012) Detection of parasites in commonly consumed raw vegetables. Alex. J. Med., 48(4): 345-352.
http://dx.doi.org/10.1016/j.ajme.2012.05.005
 
84. Rinaldi, L., Biggeri, A., Carbone, S., Musella, V., Catelan, D., Veneziano, V. and Cringoli, G. (2006) Canine faecal contamination and parasitic risk in the city of Naples (Southern Italy). BMC Vet. Res., 2: 29.
http://dx.doi.org/10.1186/1746-6148-2-29
PMid:16995934 PMCid:PMC1590007
 
85. Mizgajska, H., Jarosz, W. and Rejmenciak, A. (2001) Distribution of sources of Toxocara spp. infection in urban and rural environments in Poland. Wiad Parazytol., 47(3): 399-404.
PMid:16894754
 
86. de Castro, J.M., dos Santos, S.V. and Monteiro, N.A. (2005) Contamination of public gardens along seafront of Praia Grande City, Săo Paulo, Brazil, by eggs of Ancylostoma and Toxocara in dogs feces. Rev. Soc. Bras. Med. Trop., 38(2): 199-201.
http://dx.doi.org/10.1590/S0037-86822005000200017
 
87. Alvarado-Esquivel, C. (2013) Toxocariasis in waste pickers: A case control seroprevalence study. PLoS One, 8(1): 54897.
http://dx.doi.org/10.1371/journal.pone.0054897
 
88. Alvarado-Esquivel, C., Hernández-Tinoco, J. and Sánchez-Anguiano, L.F. (2014) Toxocara infection in gardeners: A case control seroprevalence study. Asian Pac. J. Trop. Med., 7 Suppl 1: S79-S81.
http://dx.doi.org/10.1016/s1995-7645(14)60207-8