Department of Veterinary Microbiology, University of Saskatchewan, Saskatoon, Canada; National Reference Centre for Parasitology, Research Institute of the McGill University Health Center, Montreal General Hospital, Montreal, Canada
Department of Veterinary Microbiology, University of Saskatchewan, Saskatoon, Canada; National Reference Centre for Parasitology, Research Institute of the McGill University Health Center, Montreal General Hospital, Montreal, Canada.
Am J Trop Med Hyg. 2014 Jun;90(6):1184-90. doi: 10.4269/ajtmh.13-0749. Epub 2014 Mar 17.
Residents of remote and Indigenous communities might experience higher exposure to some zoonotic parasites than the general North American population. Human sero-surveillance conducted in two Saulteaux communities found 113 volunteers exposed as follows: Trichinella (2.7%), Toxocara canis (4.4%), Echinococcus (4.4%), and Toxoplasma gondii (1.8%). In dogs, 41% of 51 fecal samples were positive for at least one intestinal parasite, 3% of 77 were sero-positive for Borrelia burgdorferi, and 21% of 78 for T. gondii. Echinococcus exposure was more likely to occur in non-dog owners (odds ratio [OR]: 11.4, 95% confidence interval [CI]: 1.2-107, P = 0.03); while T. canis was more likely to occur in children (ages 4-17) (OR: 49, 95% CI: 3.9-624; P = 0.003), and those with a history of dog bites (OR: 13.5, 95% CI: 1.02-179; P = 0.048). Our results emphasize the use of dogs as sentinels for emerging pathogens such as Lyme disease, and the need for targeted surveillance and intervention programs tailored for parasite species, cultural groups, and communities.
偏远和原住民社区的居民可能比北美一般人群更容易接触到一些人畜共患寄生虫。在两个索尔特族社区进行的人类血清监测发现,113 名志愿者的暴露情况如下:旋毛虫(2.7%)、犬弓首蛔虫(4.4%)、细粒棘球绦虫(4.4%)和刚地弓形虫(1.8%)。在狗中,51 份粪便样本中有 41%至少有一种肠道寄生虫呈阳性,77 份血清中有 3%呈伯氏疏螺旋体阳性,78 份中有 21%呈刚地弓形虫阳性。非狗主人更有可能接触到细粒棘球绦虫(比值比[OR]:11.4,95%置信区间[CI]:1.2-107,P = 0.03);而犬弓首蛔虫更有可能发生在 4-17 岁的儿童中(OR:49,95% CI:3.9-624;P = 0.003),以及有狗咬伤史的儿童(OR:13.5,95% CI:1.02-179;P = 0.048)。我们的研究结果强调了利用狗作为莱姆病等新兴病原体的监测器的重要性,以及针对寄生虫种类、文化群体和社区制定有针对性的监测和干预计划的必要性。