EVALUATION OF A SELF-DETECTION TOOL FOR TAPEWORM CARRIERS FOR USE IN PUBLIC HEALTH

ANA FLISSER Dirección de Investigación, Hospital General “Dr. Manuel Gea González” SSA, México DF; Facultad de Medicina, UNAM, México DF; Jurisdicción Sanitaria VI, SSA, Irapuato, Guanajuato, México; Merck-México, México DF

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ALBERTO VÁZQUEZ-MENDOZA Dirección de Investigación, Hospital General “Dr. Manuel Gea González” SSA, México DF; Facultad de Medicina, UNAM, México DF; Jurisdicción Sanitaria VI, SSA, Irapuato, Guanajuato, México; Merck-México, México DF

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JOEL MARTÍNEZ-OCAÑA Dirección de Investigación, Hospital General “Dr. Manuel Gea González” SSA, México DF; Facultad de Medicina, UNAM, México DF; Jurisdicción Sanitaria VI, SSA, Irapuato, Guanajuato, México; Merck-México, México DF

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EMILIO GÓMEZ-COLÍN Dirección de Investigación, Hospital General “Dr. Manuel Gea González” SSA, México DF; Facultad de Medicina, UNAM, México DF; Jurisdicción Sanitaria VI, SSA, Irapuato, Guanajuato, México; Merck-México, México DF

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RAFAEL SÁNCHEZ LEYVA Dirección de Investigación, Hospital General “Dr. Manuel Gea González” SSA, México DF; Facultad de Medicina, UNAM, México DF; Jurisdicción Sanitaria VI, SSA, Irapuato, Guanajuato, México; Merck-México, México DF

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ROBERTO MEDINA-SANTILLÁN Dirección de Investigación, Hospital General “Dr. Manuel Gea González” SSA, México DF; Facultad de Medicina, UNAM, México DF; Jurisdicción Sanitaria VI, SSA, Irapuato, Guanajuato, México; Merck-México, México DF

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The current study was designed to evaluate a tool for the self-identification of tapeworm carriers. Clinical and animal health care practitioners and schoolteachers were trained regarding the life cycle, risk factors, and control measures related to infection with Taenia solium. More than 120 small glass bottles with a few tapeworm segments fixed in formaldehyde and an instructional guide were distributed among all clinical practitioners (physicians and nurses) working in health centers. The guide contained 10 key points on how to ask questions about tapeworm infections. Information on taeniosis and cysticercosis was also provided to the general population via different media. Seven tapeworm carriers were recorded in the official epidemiology surveillance system the year previous to the study, compared with the year after the study, when 41 tapeworm carriers (37 Taenia saginata; 4 Taenia solium) were recorded. Six times more tapeworm carriers were notified after the study. All four persons with Taenia solium were treated, thereby eliminating the parasite and subsequently preventing any new cases of human and swine cysticercosis that might have arisen from them.

Author Notes

Reprint requests: Ana Flisser, Departamento de Microbiología y Parasitología, Facultad de Medicina, UNAM, Ciudad Universitaria, México 04510 DF, Telephone: 5255-56232466, Fax: 5255-56232382, E-mail: flisser@servidor.unam.mx.
  • 1

    Flisser A, 2002. Epidemiological studies of taeniosis and cysticercosis in Latin America. Craig P, Pawlowski Z, eds. Cestode Zoonoses: Echinococcosis and Cysticercosis, an Emergent and Global Problem. NATO Science Series, Vol 341. Amsterdam: IOS Press, 3–11.

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  • 2

    Roman G, Sotelo J, del Bruto O, Flisser A, Dumas M, Wadia N, Botero D, Cruz M, Garcia H, de Bittencourt PRM, Trelles L, Arraigada C, Lorenzana P, Nash TE, Spina-Franca A, 2000. A proposal to declare neurocysticercosis an international reportable disease. Bull WHO 78 :399–406.

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  • 3

    Flisser A, 2002. Risk factors and control measures for taeniosis/cysticercosis. Craig P, Pawlowski Z, eds. Cestode Zoonoses: Echinococcosis and Cysticercosis, an Emergent and Global Problem. NATO Science Series, Vol 341. Amsterdam: IOS Press, 335–342.

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  • 4

    Schantz PM, Cruz M, Sarti E, Pawlowski Z, 1993. Potential eradicability of taeniasis and cysticercosis. Bull PAHO 27 :397–403.

  • 5

    Sarti E, Schantz PM, Plancarte A, Wilson M, Gutiérrez IO, López AS, Robert A, Flisser A, 1992. Prevalence and risk factors for Taenia solium taeniasis and cysticercosis in humans and pigs in a village in Morelos, México. Am J Trop Med Hyg 46 :677–685.

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  • 6

    Sarti E, Schantz PM, Plancarte A, Wilson M, Gutiérrez OI, Aguilera J, Roberts J, Flisser A, 1994. Epidemiological investigation of Taenia solium taeniasis and cysticercosis in a rural village of Michoacán State, México. Trans R Soc Trop Med Hyg 88 :49–52.

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  • 7

    Sistema Único de Información para la Vigilancia Epidemiológica, 1999. Dirección General de Epidemiología, Secretaría de Salud.

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  • 8

    Contreras-Campos L, 1989. Aspectos más sobresalientes de la inspección sanitaria de suinos en los rastros del DF y en otros del país en busca del cisticerco de Taenia solium. Flisser A, Malagón F, eds. Cisticercosis humana y porcina. Su conocimiento e investigación en México. México DF: Editorial Limusa Noriega, 257–259.

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