Socioeconomic Factors Associated with Fasciola hepatica Infection Among Children from 26 Communities of the Cusco Region of Peru

Webb, Camille M.; Gotuzzo Herencia, José Eduardo; White, A. Clinton; Bascope, Ruben; Yang, Logan; Lopez, Martha; Morales Fernández, María Luisa; Bravenec, Chelsey A.; Cabada, Miguel M.

dc.contributor.author	Cabada, Miguel M.
dc.contributor.author	Morales Fernández, María Luisa
dc.contributor.author	Webb, Camille M.
dc.contributor.author	Yang, Logan
dc.contributor.author	Bravenec, Chelsey A.
dc.contributor.author	Lopez, Martha
dc.contributor.author	Bascope, Ruben
dc.contributor.author	White, A. Clinton
dc.contributor.author	Gotuzzo Herencia, José Eduardo
dc.date.accessioned	2019-03-05T15:23:25Z
dc.date.available	2019-03-05T15:23:25Z
dc.date.issued	2018
dc.identifier.uri	https://hdl.handle.net/20.500.12866/5865
dc.description.abstract	Fasciola hepatica is the most widely distributed trematode-affecting humans. The Andes Mountains are highly endemic for fascioliasis. We report results of a cross-sectional study evaluating the epidemiology of Fasciola among children in 26 agricultural communities in the Cusco region of Peru. Children 3 to 16 years old were enrolled in preschools and schools. Blood from participants was tested for complete blood counts, transaminases, and Fasciola antibodies. Stool samples were tested for Fasciola and other parasites. A total of 2,515 children were included in the analysis and the mean age was 9.6 years (+/-3.6). Ten percent (253) of the children had at least one positive test for Fasciola, 6% had chronic infection, and 0.4% acute infection. The rest of the subjects had only antibodies against Fasciola. The prevalence of infection varied from 0% to 20% between communities. Children with evidence of Fasciola exposure were older, lived at higher altitudes, and had a lower socioeconomic status than children without infection. The logistic regression analysis showed that children from Ancahuasi district, older children, and children with higher measures of poverty were more likely to have Fasciola exposure. Fascioliasis is common in the Cusco region and associated with poverty. However, the distribution varies markedly between communities.	en_US
dc.language.iso	eng
dc.publisher	American Society of Tropical Medicine and Hygiene
dc.relation.ispartofseries	American Journal of Tropical Medicine and Hygiene (ASTMH Journal)
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Socioeconomic Factors Associated	en_US
dc.subject	Fasciola hepatica Infection	en_US
dc.subject	Children	en_US
dc.subject	Cusco	en_US
dc.subject	Peru	en_US
dc.title	Socioeconomic Factors Associated with Fasciola hepatica Infection Among Children from 26 Communities of the Cusco Region of Peru	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.4269/ajtmh.18-0372
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn	1476-1645