Molecular Insights for Giardia, Cryptosporidium, and Soil-Transmitted Helminths from a Facility-Based Surveillance System in Guatemala

Daniel E. Velasquez Division of Parasitic Diseases and Malaria Centers for Disease Control and Prevention, Atlanta, Georgia; International Emerging Infections Program, Centers for Disease Control and Prevention Regional Office for Central America and Panama, Guatemala City, Guatemala; Division of Global Disease Detection and Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidad del Valle de Guatemala, Guatemala City, Guatemala; Ministerio de Salud Pública y Asistencia Social de Guatemala, Guatemala City, Guatemala

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Wences Arvelo Division of Parasitic Diseases and Malaria Centers for Disease Control and Prevention, Atlanta, Georgia; International Emerging Infections Program, Centers for Disease Control and Prevention Regional Office for Central America and Panama, Guatemala City, Guatemala; Division of Global Disease Detection and Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidad del Valle de Guatemala, Guatemala City, Guatemala; Ministerio de Salud Pública y Asistencia Social de Guatemala, Guatemala City, Guatemala

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Vitaliano A. Cama Division of Parasitic Diseases and Malaria Centers for Disease Control and Prevention, Atlanta, Georgia; International Emerging Infections Program, Centers for Disease Control and Prevention Regional Office for Central America and Panama, Guatemala City, Guatemala; Division of Global Disease Detection and Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidad del Valle de Guatemala, Guatemala City, Guatemala; Ministerio de Salud Pública y Asistencia Social de Guatemala, Guatemala City, Guatemala

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Beatriz López Division of Parasitic Diseases and Malaria Centers for Disease Control and Prevention, Atlanta, Georgia; International Emerging Infections Program, Centers for Disease Control and Prevention Regional Office for Central America and Panama, Guatemala City, Guatemala; Division of Global Disease Detection and Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidad del Valle de Guatemala, Guatemala City, Guatemala; Ministerio de Salud Pública y Asistencia Social de Guatemala, Guatemala City, Guatemala

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Lissette Reyes Division of Parasitic Diseases and Malaria Centers for Disease Control and Prevention, Atlanta, Georgia; International Emerging Infections Program, Centers for Disease Control and Prevention Regional Office for Central America and Panama, Guatemala City, Guatemala; Division of Global Disease Detection and Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidad del Valle de Guatemala, Guatemala City, Guatemala; Ministerio de Salud Pública y Asistencia Social de Guatemala, Guatemala City, Guatemala

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Dawn M. Roellig Division of Parasitic Diseases and Malaria Centers for Disease Control and Prevention, Atlanta, Georgia; International Emerging Infections Program, Centers for Disease Control and Prevention Regional Office for Central America and Panama, Guatemala City, Guatemala; Division of Global Disease Detection and Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidad del Valle de Guatemala, Guatemala City, Guatemala; Ministerio de Salud Pública y Asistencia Social de Guatemala, Guatemala City, Guatemala

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Geoffrey D. Kahn Division of Parasitic Diseases and Malaria Centers for Disease Control and Prevention, Atlanta, Georgia; International Emerging Infections Program, Centers for Disease Control and Prevention Regional Office for Central America and Panama, Guatemala City, Guatemala; Division of Global Disease Detection and Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidad del Valle de Guatemala, Guatemala City, Guatemala; Ministerio de Salud Pública y Asistencia Social de Guatemala, Guatemala City, Guatemala

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Kimberly A. Lindblade Division of Parasitic Diseases and Malaria Centers for Disease Control and Prevention, Atlanta, Georgia; International Emerging Infections Program, Centers for Disease Control and Prevention Regional Office for Central America and Panama, Guatemala City, Guatemala; Division of Global Disease Detection and Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia; Universidad del Valle de Guatemala, Guatemala City, Guatemala; Ministerio de Salud Pública y Asistencia Social de Guatemala, Guatemala City, Guatemala

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We molecularly characterized samples with Giardia, Cryptosporidium, and soil-transmitted helminths from a facility-based surveillance system for diarrhea in Santa Rosa, Guatemala. The DNA sequence analysis determined the presence of Giardia assemblages A (N = 7) and B (N = 12) and, Cryptosporidium hominis (N = 2) and Cryptosporidium parvum (N = 2), suggestive of different transmission cycles. All 41 samples with soil-transmitted helminths did not have the β-tubulin mutation described for benzimidazole resistance, suggesting potential usefulness in mass drug administration campaigns.

Author Notes

*Address correspondence to Vitaliano A. Cama, Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria, 1600 Clifton Road MS D65, Atlanta, GA 30329. E-mail: VCama@cdc.gov

Financial support: This work was supported in part by funds from the Global Disease Detection Program U. S. Center for Disease Control and Detection (CDC) and by the Cooperative Agreement no. UO1 GH000028-02, from CDC.

Authors' addresses: Daniel E. Velasquez, Vitaliano A. Cama, Geoffrey D. Kahn, and Dawn M. Roellig, CDC Center for Global Health (CGH), DPDM, Atlanta, GA, E-mails: DVelasquez@cdc.gov, VCama@cdc.gov, geoff.kahn@gmail.com, and DMRoellig@cdc.gov. Wences Arvelo and Kimberly A. Lindblade, CDC International Emerging Infections Program, Regional Office for Central America and Panama, Guatemala City, Guatemala, E-mails: WArvelo@gt.cdc.gov and KLindblade@cdc.gov. Beatriz López, Centro de Estudios en Salud, Universidad del Valle, Guatemala City, Guatemala, E-mail: blopez@ces.uvg.edu.gt. Lisette Reyes, Ministerio de Salud Pública y Asistencia Social de Guatemala, Guatemala City, Guatemala, E-mail: drsamuelpablobr@yahoo.com.

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