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Habit of cooking pork on hot stones as main risk of cysticercosis

Semuel Sandy, Antonius Oktavian, Hanna S Kawulur, Mirna Widiyanti, Iman HS Sasto, Yustinus Maladan
Submission date: Thursday, 28 December 2017
Published date: Monday, 06 August 2018
DOI: http://dx.doi.org/10.18051/UnivMed.2018.v37.88-96

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Cysticercosis is an infectious disease caused by the larval form of Taenia solium (cysticercus cellulosae) and has been ranked as the most important food-borne parasite of humans in terms of public health, socioeconomic and trade impact. Cysticercosis is still a health problem in Papua and is inseparable from socio-cultural factors, hygiene and environmental sanitation. The aim of this study was to investigate the seroprevalence of cysticercosis and the risk factors that contribute to cysticercosis.

A cross-sectional study was conducted in March-November 2016 involving 800 subjects. Demographic data and risk factors were collected using questionnaires. Cysticercosis serological examination was performed by means of the magnetic microsphere bead immunoassay technique coupled with rT24H recombinant protein to detect serum rT24H cysticercosis specific antibodies. The data obtained were analyzed by bivariate test (chi-square) and logistic regression.

Cysticercosis seroprevalence in Papua was 3.6% (284/7 874). The logistic regression analysis found that the risk factors playing the role of predictor were cooking pork with hot stones [OR=3.06; 95%CI: 2.19-4.28; p=0.000], nail hygiene [OR=2.05; 95%CI: 1.57-2.67; p=0.000], consumption of raw vegetables or salads [OR=0.52; 95%CI: 0.30-0.91; p=0.022], use of river water for washing foods [OR= 1.92; 95%CI: 1.39-2.64; p=0.000].

Cooking pork with hot stones was the main risk factor of cysticercosis. Suspected cases of T. solium in pigs should be confirmed by molecular methods. Both taeniasis and human cysticercosis should be notifiable and surveillance in animals should be improved.


Seroepidemiology; cysticercosis; Taenia solium; pork; Papua

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Wardrop NA, Thomas LF, Atkinson PM, et al. The influence of socio-economic, behavioural and environmental factors on Taenia spp . transmission in Western Kenya: evidence from a cross-sectional survey in humans and pigs. PLoS Negl Trop Dis 2015;9:1–16. Doi: 10.1371/journal.pntd.0004223.

Arriola CS, Gonzalez AE, Gomez-puerta LA, et al. New insights in cysticercosis transmission. PLoS Negl Trop Dis 2014;8:8–11. doi: 10.1371/journal.pntd.0003247.

Laranjo-gonzález M, Devleesschauwer B, Trevisan C, et al. Epidemiology of taeniosis / cysticercosis in Europe , a systematic review : Western Europe. Parasit Vector 2017; 10:349. doi: 10.1186/s13071-017-2280-8.

Winkler AS. Neurocysticercosis in sub-Saharan Africa: a review of prevalence , clinical characteristics , diagnosis , and management. Pathog Glob Heal 2012;106:261–74. doi: 10.1179/2047773212Y.0000000047.

Xu JM, Acosta LP, Hou M, et al. Seroprevalence of cysticercosis in children and young adults living in a helminth endemic community in leyte, the Philippines. J Trop Med 2010; Article ID 603174, 6 pages. doi: 10.1155/2010/603174.

Suada IK, Swacita IBN, Purba EHB. Seroprevalensi sistiserkosis pada babi lokal yang dipotong di tempat pemotongan babi Penatih, Denpasar. Indones Med Veterinus 2016;5:182–

Wandra T, Swastika K, Dharmawan NS, et al. The present situation and towards the prevention and control of neurocysticercosis on the tropical island, Bali, Indonesia. Parasit Vector 2015;8:148. doi: 10.1186/s13071-015-0755-z.

Del OH, García HH. Taenia solium Cysticercosis — the lessons of history. J Neurol Sci 2015;359:392–5. doi: 10.1016/j.jns.2015.08.011.

Assa I, Satrija F, Lukman DW, Dharmawan NS, Dorny P. Faktor risiko babi yang diumbar dan pakan mentah mempertinggi prevalensi sistiserkosis. J Vet 2012;13:345–52.

Nguyen D, Stevenson MA, Traub RJ. A systematic review of taeniasis , cysticercosis and trichinellosis in Vietnam. Parasit Vector 2017;10: 150. Doi: 10.1186/s13071-017-2085-9.

Dharmawan NS, Swastika K, Putra IM, et al. Present situation and problems of Cysticercosis in animal in Bali and Papua. J Vet 2012;13:154–62.

Levy PS, Lemeshow S,editors. Sampling of populations, methods and applications, 4th ed. New York : John Wiley & Sons. Inc.;2011.

Angeloni S, Cordes R, Dunbar S, et al, editors. MAP cookbook “a collection of methods and protocols for developing multiplex assays with xMAP Technology”. 3rd. ed. Austin, Texas: Luminex Corporations; 2016.

Kerkhof K, Canier L, Kim S, et al. Implementation and application of a multiplex assay to detect malaria-specific antibodies: a promising tool for assessing malaria transmission in Southeast Asian pre-elimination areas. Malar J 2015;14:338. Doi: 10.1186/s12936-015-0868-z

Wiegand RE, Wilkins PP, Pohl J, et al. Development of a luminex Bead Based Assay for diagnosis of toxocariasis using recombinant antigens Tc-CTL-1 and Tc-TES-26. PLoS Negl Trop Dis 2015;9:e0004168. doi: 10.1371/journal.pntd.0004168.

Luminex. MAGPIX User Quick Guide 4.2 ®. Austin, Texas: Luminex Corporations; 2011.

Salim L, Ang A, Handali S, et al. Seroepidemiologic survey of Cysticercosis-Taeniasis in four central highland districts of Papua , Indonesia. Am J Trop Med Hyg 2009;80:384–8.

Wale M, Wale M, Fekensa T. The prevalence of intestinal helminthic infections and associated risk factors among school children in Lumame town, Northwest, Ethiopia. J Parasitol Vector Biol 2014;6:156–65. doi: 10.5897/JPVB2014.0159.

Mwanjali G, Kihamia C, Vitalis D, et al. Prevalence and risk factors associated with human Taenia solium infections in Mbozi district , Mbeya. PLoS Negl Trop Dis 2013;7:1–8. doi: 10.1371/journal.pntd.0002102 .

Okello AL, Burniston S, Conlan J V, et al. Prevalence of endemic pig-associated Zoonoses in Southeast Asia: a review of findings from the Lao People ’ s Democratic Republic. Am J Trop Med Hyg 2015;92:1059–66. doi: 10.4269/ajtmh.14-0551.

Sah K, Poudel I, Subedi S, et al. A hyperendemic focus of Taenia solium transmission in the Banke District of Nepal. Acta Trop 2017;176:78–82. doi: 10.1016/j.actatropica.2017.07.022.

Van De N, Le TH, Lien PTH, et al. Current status of taeniasis and cysticercosis in Vietnam. Korean J Parasitol 2014;52:125–9. doi: 10.3347/kjp.2014.52.2.125.

Khaing TA, Bawm S, Wai SS, et al. Epidemiological survey on porcine cysticercosis in Nay Pyi Taw Area , Myanmar. J Vet Med 2015;2015:1–5. doi: 10.1155/2015/340828.

Nkouawa A, Romeo A, Moyou-somo R, et al. Seroprevalence and risk factors of human cysticercosis and taeniasis prevalence in a highly endemic area of epilepsy in Bangoua , west Cameroon. Acta Trop 2017;165:116–20. doi: 10.1016/j.actatropica.2015.12.019.

Assa I. Kajian Epidemiologi Sistiserkosis Pada Babi Dan Karakterisasi Risiko Daging Babi Bakar Batu Di Kabupaten Jayawijaya Papua [disertasi]. Bogor: Sekolah Paskasarjana Institut Pertanian Bogor; 2012.

Coral-Almeida M, Gabriel S, Abatih EN, et al. Taenia solium human cysticercosis: a systematic review of sero-epidemological data from endemic zones around the world. PLoS Negl Trop Dis 2015;9:1–20. doi: 10.1371/journal.pntd.0003919.

Fonseca AG, Torgal J, Meneghi D De, et al. One healthness evaluation of cysticercosis surveillance design in Portugal. Front Public Heal 2018;6:1–10. doi: 10.3389/fpubh.2018.00074.

Nguyen T, Cheong FW, Liew JWK, et al. Seroprevalence of fascioliasis, toxocariasis, strongyloidiasis and cysticercosis in blood samples diagnosed in Medic Medical Center Laboratory, Ho Chi Minh City, Vietnam in 2012. Parasite Vector 2016;9:486. doi: 10.1186/s13071-016-1780-2.


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Copyright (c) 2018 Semuel Sandy, Antonius Oktavian, Hanna S Kawulur, Mirna Widiyanti, Iman HS Sasto, Yustinus Maladan

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