Prevalence of Strongyloides stercoralis Antibodies among a Rural Appalachian Population—Kentucky, 2013

Elizabeth S. Russell Kentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

Search for other papers by Elizabeth S. Russell in
Current site
Google Scholar
PubMed
Close
,
Elizabeth B. Gray Kentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

Search for other papers by Elizabeth B. Gray in
Current site
Google Scholar
PubMed
Close
,
Rebekah E. Marshall Kentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

Search for other papers by Rebekah E. Marshall in
Current site
Google Scholar
PubMed
Close
,
Stephanie Davis Kentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

Search for other papers by Stephanie Davis in
Current site
Google Scholar
PubMed
Close
,
Amanda Beaudoin Kentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

Search for other papers by Amanda Beaudoin in
Current site
Google Scholar
PubMed
Close
,
Sukwan Handali Kentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

Search for other papers by Sukwan Handali in
Current site
Google Scholar
PubMed
Close
,
Isabel McAuliffe Kentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

Search for other papers by Isabel McAuliffe in
Current site
Google Scholar
PubMed
Close
,
Cheryl Davis Kentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

Search for other papers by Cheryl Davis in
Current site
Google Scholar
PubMed
Close
, and
Dana Woodhall Kentucky Department for Public Health, Frankfort, Kentucky; Centers for Disease Control and Prevention, Atlanta, Georgia; Western Kentucky University, Bowling Green, Kentucky

Search for other papers by Dana Woodhall in
Current site
Google Scholar
PubMed
Close
Restricted access

We investigated whether Strongyloides infection remains endemic in rural Kentucky's Appalachian regions; 7 of 378 (1.9%) participants tested positive for Strongyloides antibodies. We identified no statistically significant association between a positive test and travel to a known endemic country (P = 0.58), indicating that transmission in rural Kentucky might be ongoing.

Author Notes

* Address correspondence to Elizabeth B. Gray, Centers for Disease Control and Prevention, 1600 Clifton Road NE MS A06, Atlanta, GA, 30333. E-mail: EBGray@cdc.gov

Financial support: C.D. acknowledges travel support from an Institutional Development Award (IDeA) from National Institute of General Medical Sciences, National Institutes of Health Grant 5P20GM103436-13.

Authors' addresses: Elizabeth S. Russell, Kentucky Department for Public Health, Frankfort, KY, and Centers for Disease Control and Prevention, Atlanta, GA, E-mail: wjv4@cdc.gov. Elizabeth B. Gray, Rebekah E. Marshall, Stephanie Davis, Sukwan Handali, Isabel McAuliffe, and Dana Woodhall, Parasitic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: EBGray@cdc.gov, RMarshall@cdc.gov, vic6@cdc.gov, Shandali@cdc.gov, IMcAuliffe@cdc.gov, and DWoodhall@cdc.gov. Amanda Beaudoin, EIS Officer, Centers for Disease Control and Prevention, Atlanta, GA, E-mail: ABeaudoin@cdc.gov. Cheryl Davis, Department of Biology, Western Kentucky University, Bowling Green, KY, E-mail: cheryl.davis@wku.edu.

  • 1.

    Siddiqui AA, Berk SL, 2001. Diagnosis of Strongyloides stercoralis infection. Clin Infect Dis 33: 10401047.

  • 2.

    Berk SL, Verghese A, Alvarez S, Hall K, Smith B, 1987. Clinical and epidemiologic features of strongyloidiasis. A prospective study in rural Tennessee. Arch Intern Med 147: 12571261.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Walzer PD, Milder JE, Banwell JG, Kilgore G, Klein M, Parker R, 1982. Epidemiologic features of Strongyloides stercoralis infection in an endemic area of the United States. Am J Trop Med Hyg 31: 313319.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Starr MC, Montgomery SP, 2011. Soil-transmitted helminthiasis in the United States: a systematic review–1940–2010. Am J Trop Med Hyg 85: 680684.

  • 5.

    Bethony J, Brooker S, Albonico M, Geiger SM, Loukas A, Diemert D, Hotez PJ, 2006. Soil-transmitted helminth infections: ascariasis, trichuriasis, and hookworm. Lancet 367: 15211532.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Blumenthal DS, Schultz MG, 1975. Incidence of intestinal obstruction in children infected with Ascaris lumbricoides. Am J Trop Med Hyg 24: 801805.

  • 7.

    Martin LK, 1972. Hookworm in Georgia. I. Survey of intestinal helminth infections and anemia in rural school children. Am J Trop Med Hyg 21: 919929.

  • 8.

    Croker C, Reporter R, Redelings M, Mascola L, 2010. Strongyloidiasis-related deaths in the United States, 1991–2006. Am J Trop Med Hyg 83: 422426.

  • 9.

    Rural Community Assistance Partnership, 2004. Rural Community Assistance Partnership I. Still Living Without the Basics in the 21st Century. Washington, DC: Rural Community Assistance Partnership.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Glassmeier A, 2006. Distressed Regions. An Atlas of Poverty in America: One Nation, Pulling Apart, 1960–2003. New York, NY: Taylor and Francis Group, LLC, pp 5180.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Davis S, Bosserman E, Russell ES, Montgomery S, Woodhall D, 2013. Notes from the field: strongyloidiasis in a rural setting - Southeaster KY, 2013. MMWR 62: 843.

Past two years Past Year Past 30 Days
Abstract Views 506 460 24
Full Text Views 318 15 0
PDF Downloads 135 12 0
 
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save