Yousef Anfal
Department of Medical Laboratory Sciences, College of Allied Health Sciences, Kuwait University, Kuwait.
Parasite Epidemiol Control. 2025 May 29;30:e00431. doi: 10.1016/j.parepi.2025.e00431. eCollection 2025 Aug.
Toxoplasmosis is a parasitic disease with a global burden, particularly affecting pregnant women, neonates and immunosuppressed individuals. Latent toxoplasmosis has also been associated with neuropsychological disorders in immunocompetent individuals. In Kuwait, the unregulated presence of stray cats in residential areas may contribute to toxoplasmosis spread within the community. The targeted population of this study were waste cleaners, a potentially higher risk group in the community. The aim of the study was to estimate the seroprevalence of among waste collectors across two governorates of Kuwait - Kuwait City and Jahra.
Blood samples were collected from 201 waste workers from two different cities: 53 and 148 workers from Kuwait City Governorate and Jahra Governorate, respectively. These samples were analysed to determine the seroprevalence of antibodies (IgM and IgG) and IgG avidity using a chemiluminescence immunoassay.
The findings revealed that a total of 1 % and 21 % of waste workers had IgM and IgG antibodies in their sera, respectively. Furthermore, 26 % of seropositive workers exhibited high avidity, indicating that infections were likely not recent. Almost half of seropositive workers (49 %) demonstrated low IgG avidity.
Recent travel history, age, or nationality were not statistically significant factors in determining seropositivity. The results of this study highlight the widespread presence in waste workers, where one in five was seropositive for with no significant differences in both cities. Our findings emphasise the need for implementing preventive measures within a One Health framework to control the spread of toxoplasmosis in the environment, the food industry and the community.
弓形虫病是一种具有全球负担的寄生虫病,尤其影响孕妇、新生儿和免疫功能低下的个体。潜伏性弓形虫病也与免疫功能正常个体的神经心理障碍有关。在科威特,居民区流浪猫的无管制存在可能导致弓形虫病在社区内传播。本研究的目标人群是垃圾清洁工,他们是社区中潜在的高风险群体。该研究的目的是估计科威特两个省——科威特市和贾赫拉的垃圾收集者中的血清阳性率。
从两个不同城市的201名垃圾处理工人中采集血样:分别来自科威特市省和贾赫拉省的53名和148名工人。使用化学发光免疫分析法对这些样本进行分析,以确定弓形虫抗体(IgM和IgG)的血清阳性率和IgG亲和力。
研究结果显示,分别有1%和21%的垃圾处理工人血清中存在弓形虫IgM和IgG抗体。此外,26%的血清阳性工人表现出高亲和力,表明感染可能不是近期发生的。几乎一半的血清阳性工人(49%)表现出低IgG亲和力。
近期旅行史、年龄或国籍在确定血清阳性方面不是统计学上的显著因素。本研究结果突出了弓形虫在垃圾处理工人中的广泛存在,其中五分之一的人血清呈阳性,两个城市之间无显著差异。我们的研究结果强调需要在“同一健康”框架内实施预防措施,以控制弓形虫病在环境、食品行业和社区中的传播。