Seroprevalence and associated risk factors of Toxoplasma gondii infection among slaughterhouse workers in Yangon Region, Myanmar: A cross-sectional study

<h4>Background</h4> Toxoplasmosis, having the significant consequences affecting mortality and quality of life, is still prevalent in various places throughout the world. The major gap in surveillance for Toxoplasma gondii infection among high-risk population, slaughterhouse workers, is...

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Main Authors: Nay Hein Sint, Ye Minn Htun, Tun Tun Win, Aye Sandar Mon, Thant Zaw Lwin, Lwin Oo Maung, Pyae Sone Win, Kaung Myat Naing, Thet Paing Zaw, Pyae Hpone Naing, Sai Nyan Lin Tun, Aung Aye Kyaw, Kyaw Wunna, Khine Khine Su, Kyaw Myo Tun
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10101469/?tool=EBI
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author Nay Hein Sint
Ye Minn Htun
Tun Tun Win
Aye Sandar Mon
Thant Zaw Lwin
Lwin Oo Maung
Pyae Sone Win
Kaung Myat Naing
Thet Paing Zaw
Pyae Hpone Naing
Sai Nyan Lin Tun
Aung Aye Kyaw
Kyaw Wunna
Khine Khine Su
Kyaw Myo Tun
author_facet Nay Hein Sint
Ye Minn Htun
Tun Tun Win
Aye Sandar Mon
Thant Zaw Lwin
Lwin Oo Maung
Pyae Sone Win
Kaung Myat Naing
Thet Paing Zaw
Pyae Hpone Naing
Sai Nyan Lin Tun
Aung Aye Kyaw
Kyaw Wunna
Khine Khine Su
Kyaw Myo Tun
author_sort Nay Hein Sint
collection DOAJ
description <h4>Background</h4> Toxoplasmosis, having the significant consequences affecting mortality and quality of life, is still prevalent in various places throughout the world. The major gap in surveillance for Toxoplasma gondii infection among high-risk population, slaughterhouse workers, is an obstacle for the effective policies formulation to reduce the burden of toxoplasmosis in Myanmar. Therefore, this study aimed to assess the seroprevalence of toxoplasmosis and associated factors of seropositivity among slaughterhouse workers in Yangon Region, Myanmar. <h4>Methods</h4> A cross-sectional study that was conducted from June to November 2020 included 139 slaughterhouse workers involving at five main slaughterhouses under Yangon City Development Committee, Myanmar. The presence of IgG and IgM anti-T. gondii antibodies in serum was detected using the OnSite Toxo IgG/IgM Combo Rapid Test. A face-to-face interview was also performed using pretested structured questionnaires to obtain the detail histories: sociodemographic characteristics, level of knowledge, occupational factors, and environmental factors related to T. gondii infection. Bivariate logistic regression was used to determine the factors associated with T. gondii infection. <h4>Results</h4> Of all participants, the overall seroprevalence of anti-T. gondii was 43.9% (95% CI: 35.5–52.5%), of whom 98.4% (95% CI: 91.2–100.0%) were reactive only for IgG antibody and 1.6% (95% CI: 0.0–8.8%) were reactive for IgG and IgM antibodies. The significant factors associated with the seropositivity of T. gondii antibodies were blood transfusion history (OR: 5.74, 95% CI: 1.17–28.09), low level of knowledge (OR: 2.91, 95% CI: 1.46–5.83), contact with animal organs, muscles or blood (OR: 14.29, 95% CI: 1.83–111.51), and animals most frequently slaughtered (cattle) (OR: 3.22, 95% CI: 1.16–8.93). <h4>Conclusions</h4> A high seroprevalence of toxoplasmosis was detected among slaughterhouse workers in Yangon Region and it raises a significant public health concern. Therefore, providing health education regarding toxoplasmosis, enforcement of personal hygiene practices in workplaces, the establishment of training for occupational hygiene, and commencement of the risk assessment and serological screening for toxoplasmosis are crucial to curtail the prevalence of T. gondii infection among slaughterhouse workers.
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spelling doaj.art-645384f45f3b4a25a23e5b6e5933e9952023-04-16T05:31:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01184Seroprevalence and associated risk factors of Toxoplasma gondii infection among slaughterhouse workers in Yangon Region, Myanmar: A cross-sectional studyNay Hein SintYe Minn HtunTun Tun WinAye Sandar MonThant Zaw LwinLwin Oo MaungPyae Sone WinKaung Myat NaingThet Paing ZawPyae Hpone NaingSai Nyan Lin TunAung Aye KyawKyaw WunnaKhine Khine SuKyaw Myo Tun<h4>Background</h4> Toxoplasmosis, having the significant consequences affecting mortality and quality of life, is still prevalent in various places throughout the world. The major gap in surveillance for Toxoplasma gondii infection among high-risk population, slaughterhouse workers, is an obstacle for the effective policies formulation to reduce the burden of toxoplasmosis in Myanmar. Therefore, this study aimed to assess the seroprevalence of toxoplasmosis and associated factors of seropositivity among slaughterhouse workers in Yangon Region, Myanmar. <h4>Methods</h4> A cross-sectional study that was conducted from June to November 2020 included 139 slaughterhouse workers involving at five main slaughterhouses under Yangon City Development Committee, Myanmar. The presence of IgG and IgM anti-T. gondii antibodies in serum was detected using the OnSite Toxo IgG/IgM Combo Rapid Test. A face-to-face interview was also performed using pretested structured questionnaires to obtain the detail histories: sociodemographic characteristics, level of knowledge, occupational factors, and environmental factors related to T. gondii infection. Bivariate logistic regression was used to determine the factors associated with T. gondii infection. <h4>Results</h4> Of all participants, the overall seroprevalence of anti-T. gondii was 43.9% (95% CI: 35.5–52.5%), of whom 98.4% (95% CI: 91.2–100.0%) were reactive only for IgG antibody and 1.6% (95% CI: 0.0–8.8%) were reactive for IgG and IgM antibodies. The significant factors associated with the seropositivity of T. gondii antibodies were blood transfusion history (OR: 5.74, 95% CI: 1.17–28.09), low level of knowledge (OR: 2.91, 95% CI: 1.46–5.83), contact with animal organs, muscles or blood (OR: 14.29, 95% CI: 1.83–111.51), and animals most frequently slaughtered (cattle) (OR: 3.22, 95% CI: 1.16–8.93). <h4>Conclusions</h4> A high seroprevalence of toxoplasmosis was detected among slaughterhouse workers in Yangon Region and it raises a significant public health concern. Therefore, providing health education regarding toxoplasmosis, enforcement of personal hygiene practices in workplaces, the establishment of training for occupational hygiene, and commencement of the risk assessment and serological screening for toxoplasmosis are crucial to curtail the prevalence of T. gondii infection among slaughterhouse workers.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10101469/?tool=EBI
spellingShingle Nay Hein Sint
Ye Minn Htun
Tun Tun Win
Aye Sandar Mon
Thant Zaw Lwin
Lwin Oo Maung
Pyae Sone Win
Kaung Myat Naing
Thet Paing Zaw
Pyae Hpone Naing
Sai Nyan Lin Tun
Aung Aye Kyaw
Kyaw Wunna
Khine Khine Su
Kyaw Myo Tun
Seroprevalence and associated risk factors of Toxoplasma gondii infection among slaughterhouse workers in Yangon Region, Myanmar: A cross-sectional study
PLoS ONE
title Seroprevalence and associated risk factors of Toxoplasma gondii infection among slaughterhouse workers in Yangon Region, Myanmar: A cross-sectional study
title_full Seroprevalence and associated risk factors of Toxoplasma gondii infection among slaughterhouse workers in Yangon Region, Myanmar: A cross-sectional study
title_fullStr Seroprevalence and associated risk factors of Toxoplasma gondii infection among slaughterhouse workers in Yangon Region, Myanmar: A cross-sectional study
title_full_unstemmed Seroprevalence and associated risk factors of Toxoplasma gondii infection among slaughterhouse workers in Yangon Region, Myanmar: A cross-sectional study
title_short Seroprevalence and associated risk factors of Toxoplasma gondii infection among slaughterhouse workers in Yangon Region, Myanmar: A cross-sectional study
title_sort seroprevalence and associated risk factors of toxoplasma gondii infection among slaughterhouse workers in yangon region myanmar a cross sectional study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10101469/?tool=EBI
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