Intestinal parasites from fingernails of sidewalk food vendors

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Published: 2011-08-23
DOI: https://doi.org/10.18051/UnivMed.2011.v30.120-125
Keywords:
Parasites, intestinal, fingernails, food vendors

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Suriptiastuti Suriptiastuti
Department of Parasitology, Medical Faculty, Trisakti University
Widiastuti S. Manan
Department of Parasitology, Medical Faculty, University of Indonesia Jakarta

Abstract

Intestinal infections with soil-transmitted helminths and protozoa are still prevalent in Indonesia, particularly in urban communities. Transmission of parasitic infections is effected directly or indirectly through objects contaminated with feces, including food, water, fingers and fingernails, indicating the importance of fecal-oral human-to-human transmission. Sidewalk food vendors (SFVs) preparing food for their customers are a potential source of infections with many intestinal helminths and protozoa. Compared to other parts of the hand, the area beneath fingernails harbors the most microorganisms and is most difficult to clean. The objective of this cross-sectional study was to determine the prevalence of intestinal parasites in fingernail dirt of SFVs and to identify the associated factors. This study involved 112 SFVs in the vicinity of Hospital X in Central Jakarta, and used microscopic examination of SFV fingernail dirt for determining species prevalence of intestinal parasites. This study showed that 94 samples out of 112 (83.9%) were positive for intestinal parasites; 60 samples (63.8%) represented single infections and 34 (36.2%) mixed infections. Ascaris lumbricoides eggs were found in 30 (26.8%) samples and Giardia lamblia cysts in 12 (17.89%). The highest prevalence was found in subjects with primary school education, among whom 20 (30.8%) had single infections of A. lumbricoides and 16 (24.6%) mixed infections with A. lumbricoides and Trichuris trichiura. In conclusion, prevalence of intestinal parasites in SFV fingernail dirt is extremely high, with the highest prevalence among less educated SFVs. It is recommended to provide health education and training to all SFVs.

Article Details

Issue

Vol. 30 No. 2 (2011)

Section

Review Article

The journal allows the authors to hold the copyright without restrictions and allow the authors to retain publishing rights without restrictions.

How to Cite

Intestinal parasites from fingernails of sidewalk food vendors. (2011). Universa Medicina, 30(2), 120-125. https://doi.org/10.18051/UnivMed.2011.v30.120-125

References

Sehgal R, Reddya GV, Verweijb JJ, Atluri V, Rao AVS. Prevalence of intestinal parasitic infections among school children and pregnant women in a low socio-economic area, Chandigarh, North India. RIF 2010;1:100-3.

World Health Organization. The millenium development goals. The evidence is in: deworming helps meet the millenium development goals. Geneva: World Health Organization;2005.

World Health Organization. Report of the WHO: informal consultation on the use of praziquantel during pregnancy/lactation and albendazole/mebendazole in children under 24 months. Geneva: World Health Organization;2002.

World Health Organization. Action against worms: deworming young children. Geneva: World Health Organization;2007.

Stoltzfus RJ, Chway HM, Montresor A, Tielsch JM, Jape JK, Albonico M, et al. Low dose daily iron supplementation improves iron status and appetite but not anemia, whereas quarterly anthelminthic treatment improves growth, appetite and anemia in Zanzibari preschool children. J Nutr 2004;134:348–56.

Stoltzfus RJ, Kvalsvig JD, Chwaya HM, Montresor A, Albonico M, Tielsch JM, et al. Effects of iron supplementation and anthelmintic treatment on motor and language development of preschool children in Zanzibar: double blind, placebo controlled study. BMJ 2001;323:1389–93.

Putra DS, Dalimunthe W, Lubis M, Pasaribu S, Lubis C. The efficacy of single dose albendazole for the treatment of ascariasis. Paediatr Indones 2005;45:118-22.

Suriptiastuti. Some epidemiological aspects of intestinal parasites in women workers before going abroad. Trop Biomed 2006;23:103–8.

Quihui L, Valencia ME, Crompton DWT, Phillips S, Hagan P, Morales G, et al. Role of the employment status and education of mothers in the prevalence of intestinal parasitic infections in Mexican rural schoolchildren. BMC Public Health 2006;6:225. doi.10.1187/1471-2458-6-225.

Sackey ME, Weigel MM, Armijos RX. Predictors and nutritional consequences of intestinal parasitic infections in rural Ecuadorian children. J Trop Pediatr 2003;49:17-23.

Rodriguez-Morales AJ, Barbella RA, Case C, Arria M, Ravelo M, Perez H, et al. Intestinal parasitic infections among pregnant women in Venezuela. Infect Dis Obstet Gynecol 2006; 23125. doi: 10.1155/IDOG/2006/23125.

Miguel E, Kremer M. Worms: identifying impacts on education and health in the presence of treatment externalities. Econometrica 2004;72: 159–217.

Hotez PJ, Fenwick A, Savioli L, Molyneux DH. Rescuing the bottom billion through control of neglected tropical diseases. Lancet 2009;373: 1570–5.

Feasey N, Wansbrough-Jones M, Mabey DCW, Solomon AW. Neglected tropical diseases. Br Med Bull 2010;93:179–200.

Lin CM, Wu FM, Kim HK, Doyle MP, Michael BS, Williams LK. A comparison of hand washing techniques to remove Escherichia coli and caliciviruses under natural or artificial fingernails. J Food Prot 2003;66:2296-301.

Idowu OA, Rowland SA. Oral fecal parasites and personal hygiene of food handlers in Abeokuta, Nigeria. Afr Health Sci 2006;6:160-4.

Andargie G, Kassu A, Moges F, Tiruneh M, Huruy K. Prevalence of bacteria and intestinal parasites among food-handlers in Gondar Town, Northwest Ethiopia. J Health Popul Nutr 2008;26: 451-5.

Wiwanitkit V, Assawawitoontip S. High prevalence of positive culture and parasites in stool samples of food handlers in a Thai hospital setting. Med Gen Med 2002;4:8.

Hundy RL, Cameron S. An outbreak of infections with a new Salmonella phage type linked to a symptomatic food handler. Commun Dis Intell 2002;26:562-7.

Feglo PK, Frimpong EH, Essel-Ahun M. Salmonellae carrier status of food vendors in Kumasi, Ghana. East Afr Med J 2004;81:358-61.

Bethony J, Brooker S, Albonico M, Geiger SM, Loukas A, Diemert D, et al. Soil-transmitted helminth infections: ascariasis,trichuriasis, and hookworm. Lancet 2006;367:1521–32.

World Health Organization. World health report 2003 Annex: burden of disease in DALYs by cause, sex and mortality stratum in WHO regions, estimates for 2002. Geneva: World Health Organization;2003.

Nasiri V, Esmailnia K, Karimi G, Nasiri M, Akhavan O. Intestinal parasitic infections among inhabitants of Karaj City, Tehran Province, Iran in 2006-2008. Korean J Parasitol 2009;47:265-8.

Kim BJ, Ock MS, Chung DI, Yong TS, Lee KJ. The intestinal parasite infection status of inhabitants in the Roxas city, the Philippines. Korean J Parasitol 2003;41:113-5.

Amuta EU, Houmsou RS, Mker SD. Impact of socio-demographic and economouc factors on the prevalence of intestinal parasites among female gender in Makurdi, Benue State-Nigeria. Int J Acad Res 2010;1:56-60.