Cross-Sectional Study of Soil-Transmitted Helminthiases in Black Belt Region of Alabama, USA

We conducted a cross-sectional study to determine the prevalence of soil-transmitted helminthiases (STH) in areas of rural Alabama, USA, that have sanitation deficits. We enrolled 777 children; 704 submitted stool specimens and 227 a dried blood spot sample. We microscopically examined stool specim...

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Main Authors: Claudette Poole, Troy Barker, Richard Bradbury, Drew Capone, Amy Hutson Chatham, Sukwan Handali, Eduardo Rodriguez, Yvonne Qvarnstrom, Joe Brown
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2023-12-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/29/12/23-0751_article
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author Claudette Poole
Troy Barker
Richard Bradbury
Drew Capone
Amy Hutson Chatham
Sukwan Handali
Eduardo Rodriguez
Yvonne Qvarnstrom
Joe Brown
author_facet Claudette Poole
Troy Barker
Richard Bradbury
Drew Capone
Amy Hutson Chatham
Sukwan Handali
Eduardo Rodriguez
Yvonne Qvarnstrom
Joe Brown
author_sort Claudette Poole
collection DOAJ
description We conducted a cross-sectional study to determine the prevalence of soil-transmitted helminthiases (STH) in areas of rural Alabama, USA, that have sanitation deficits. We enrolled 777 children; 704 submitted stool specimens and 227 a dried blood spot sample. We microscopically examined stool specimens from all 704 children by using Mini-FLOTAC for helminth eggs. We tested a subset by using molecular techniques: real-time PCR analysis for 5 STH species, TaqMan Array Cards for enteric helminths, and digital PCR for Necator americanus hookworm. We analyzed dried blood spots for Strongyloides stercoralis and Toxocara spp. roundworms by using serologic testing. Despite 12% of our cohort reporting living in homes that directly discharge untreated domestic wastewater, stool testing for STH was negative; however, 5% of dried blood spots were positive for Toxocara spp. roundworms. Survey data suggests substantial numbers of children in this region may be exposed to raw sewage, which is itself a major public health concern.
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spelling doaj.art-dd9788814b9040c6a44b3c12b18cc94e2023-11-20T13:57:13ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-12-0129122461247010.3201/eid2912.230751Cross-Sectional Study of Soil-Transmitted Helminthiases in Black Belt Region of Alabama, USAClaudette PooleTroy BarkerRichard BradburyDrew CaponeAmy Hutson ChathamSukwan HandaliEduardo RodriguezYvonne QvarnstromJoe Brown We conducted a cross-sectional study to determine the prevalence of soil-transmitted helminthiases (STH) in areas of rural Alabama, USA, that have sanitation deficits. We enrolled 777 children; 704 submitted stool specimens and 227 a dried blood spot sample. We microscopically examined stool specimens from all 704 children by using Mini-FLOTAC for helminth eggs. We tested a subset by using molecular techniques: real-time PCR analysis for 5 STH species, TaqMan Array Cards for enteric helminths, and digital PCR for Necator americanus hookworm. We analyzed dried blood spots for Strongyloides stercoralis and Toxocara spp. roundworms by using serologic testing. Despite 12% of our cohort reporting living in homes that directly discharge untreated domestic wastewater, stool testing for STH was negative; however, 5% of dried blood spots were positive for Toxocara spp. roundworms. Survey data suggests substantial numbers of children in this region may be exposed to raw sewage, which is itself a major public health concern. https://wwwnc.cdc.gov/eid/article/29/12/23-0751_articlehelminthsparasitessoil-transmitted helminthshookwormchildrenBlack Belt
spellingShingle Claudette Poole
Troy Barker
Richard Bradbury
Drew Capone
Amy Hutson Chatham
Sukwan Handali
Eduardo Rodriguez
Yvonne Qvarnstrom
Joe Brown
Cross-Sectional Study of Soil-Transmitted Helminthiases in Black Belt Region of Alabama, USA
Emerging Infectious Diseases
helminths
parasites
soil-transmitted helminths
hookworm
children
Black Belt
title Cross-Sectional Study of Soil-Transmitted Helminthiases in Black Belt Region of Alabama, USA
title_full Cross-Sectional Study of Soil-Transmitted Helminthiases in Black Belt Region of Alabama, USA
title_fullStr Cross-Sectional Study of Soil-Transmitted Helminthiases in Black Belt Region of Alabama, USA
title_full_unstemmed Cross-Sectional Study of Soil-Transmitted Helminthiases in Black Belt Region of Alabama, USA
title_short Cross-Sectional Study of Soil-Transmitted Helminthiases in Black Belt Region of Alabama, USA
title_sort cross sectional study of soil transmitted helminthiases in black belt region of alabama usa
topic helminths
parasites
soil-transmitted helminths
hookworm
children
Black Belt
url https://wwwnc.cdc.gov/eid/article/29/12/23-0751_article
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