Franco-Muñoz Carlos, Jurado Guacaneme María Camila, Castillo Ayala Sonia Dayanni, Duque-Beltrán Sofia, Arévalo Adriana, Rojas Díaz Marcela Pilar, Trujillo Trujillo Julián, Borras Reyes Luz Elena, Vásquez Arteaga Luis Reinel, Giraldo Forero Julio César, Olivera Mario J
Parasitology Group, Public Health Research Division, National Health Institute, Bogotá D.C. 111321, Colombia.
Emerging, Re-Emerging and Neglected Diseases Group, Sub-Directorate of Communicable Diseases, Ministry of Health and Social Protection, Bogotá D.C. 110311, Colombia.
Pathogens. 2025 Jul 31;14(8):755. doi: 10.3390/pathogens14080755.
Coyaima is a town in the department of Tolima, Colombia, that was prioritized in a pilot program under Colombia's National Plan for the Control of the Taeniasis/Cysticercosis Complex, focusing on this neglected health issue. The project engaged local indigenous communities, promoting education and outreach within the One Health framework. The study included 444 randomly selected volunteers, who filled a Knowledge, Attitudes, and Practices (KAP) survey on the taeniasis/cysticercosis complex. The baseline study found no spp. eggs via microscopy on 383 stool samples examined, and no DNA was detected on human stool and soil samples by Copro-qPCR. However, seroprevalence was 8.5% for human cysticercosis and 14% for porcine cysticercosis, as detected by in-house ELISA testing for . Moreover, 57.9% of participants who provided a stool sample were positive for at least one parasite. Following the sampling and characterization activities, local health workers implemented mass treatment with Niclosamide, based on evidence of ongoing transmission, high porcine seroprevalence, poor basic sanitation, and the presence of free-roaming pigs reported in the KAP survey. These findings provide scientific evidence to apply national public health policies for controlling taeniasis/cysticercosis complex in Coyaima.
科亚伊马是哥伦比亚托利马省的一个城镇，在哥伦比亚国家控制绦虫病/囊尾蚴病综合防治计划的一个试点项目中被列为重点，该项目聚焦于这个被忽视的健康问题。该项目让当地土著社区参与进来，在“同一健康”框架内开展教育和宣传工作。该研究纳入了444名随机挑选的志愿者，他们填写了一份关于绦虫病/囊尾蚴病综合防治的知识、态度和行为（KAP）调查问卷。基线研究在383份检测的粪便样本中通过显微镜检查未发现 spp. 虫卵，通过粪便定量聚合酶链反应（Copro-qPCR）在人类粪便和土壤样本中未检测到 DNA。然而，通过针对 的内部酶联免疫吸附测定（ELISA）检测发现，人类囊尾蚴病的血清阳性率为8.5%，猪囊尾蚴病的血清阳性率为14%。此外，提供粪便样本的参与者中有57.9%至少感染一种寄生虫呈阳性。在采样和特征分析活动之后，当地卫生工作者根据KAP调查中报告的持续传播证据、猪的高血清阳性率、基本卫生条件差以及存在自由放养的猪的情况，采用氯硝柳胺进行了群体治疗。这些发现为在科亚伊马应用国家公共卫生政策控制绦虫病/囊尾蚴病综合防治提供了科学依据。
