Oduori D O, Kitala P M, Wachira T M, Mulinge E, Irungu T, Zeyhle E, Ofwete R, Gabriël S, Gathura P B
Department of Public Health Pharmacology and Toxicology, University of Nairobi, Nairobi, Kenya.
Department of Animal Health and Production, Maasai Mara University, Narok, Kenya.
Vet Med Int. 2025 Mar 29;2025:9226601. doi: 10.1155/vmi/9226601. eCollection 2025.
Data are sparse on the epidemiological picture of taeniasis in Kenya. Infections are underreported, and their persistence nonetheless negatively impacts the beef industry. Populations vulnerable to taeniasis in the developing world are commonly burdened with other intestinal parasites, ubiquitous in unsanitary environments. This study aimed to estimate the occurrence of human taeniasis in Narok County, Kenya, and screen for the presence of other intestinal parasitic infections. A community-based survey was conducted in five pastoral wards, and stool samples, mainly from adults, subjected to multiple diagnostic tests. One sample tested positive for spp. by coproantigen enzyme-linked immunosorbent assay (0.3%, 95% CI, 0-1.6, = 360), and all samples tested negative on multiplex copro-polymerase chain reaction targeting the cytochrome c oxidase subunit 1 gene and copromicroscopy. Microscopy ( = 361) additionally identified // at a prevalence of 15.5% (95% CI, 12.1-19.6), spp. at 5.3% (95% CI, 3.4-8.1), spp. at 1.1% (95% CI, 0.4-2.8), and hookworm at 0.3% (95% CI, 0-1.6). Grazing livestock near the homestead (< 2 km) and a formal education background were associated with a reduced likelihood of spp. infection (AOR 0.07, 95% CI 0-0.36, =0.011, and AOR 0.06, 95% CI 0.01-0.50, =0.014, respectively). Our findings suggest a very low prevalence of human taeniasis in the population. The occurrence of other pathogenic zoonotic intestinal parasites highlights a public health concern and calls for a One Health approach in the enhancement of hygiene initiatives.
关于肯尼亚绦虫病流行病学情况的数据稀少。感染情况报告不足,但其持续存在对牛肉产业仍产生负面影响。发展中世界易感染绦虫病的人群通常还受到其他肠道寄生虫的困扰,这些寄生虫在不卫生的环境中很常见。本研究旨在估计肯尼亚纳罗克县人体绦虫病的发生率,并筛查其他肠道寄生虫感染的存在情况。在五个牧区病房进行了一项基于社区的调查,对主要来自成年人的粪便样本进行了多项诊断测试。一份样本通过粪抗原酶联免疫吸附试验检测 属呈阳性(0.3%,95%可信区间,0 - 1.6,n = 360),所有样本针对细胞色素 c 氧化酶亚基 1 基因的多重粪聚合酶链反应和粪显微镜检查均呈阴性。显微镜检查(n = 361)还发现 属感染率为 15.5%(95%可信区间,12.1 - 19.6), 属为 5.3%(95%可信区间,3.4 - 8.1), 属为 1.1%(95%可信区间,0.4 - 2.8),钩虫为 0.3%(95%可信区间,0 - 1.6)。在家园附近(<2 公里)放牧牲畜和接受正规教育背景与 属感染可能性降低相关(调整后比值比分别为 0.07,95%可信区间 0 - 0.36,P = 0.011,以及调整后比值比 0.06,95%可信区间 0.01 - 0.50,P = 0.014)。我们的研究结果表明该人群中人体绦虫病患病率非常低。其他致病性人畜共患肠道寄生虫的出现凸显了公共卫生问题,并呼吁采取“同一健康”方法加强卫生倡议。