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Updated: Jul 5, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Relationship between intestinal parasitic infection in children and soil contamination in an urban slum
Fernando Korkes1, Fabiane U Kumagai, Rubens N Belfort
1The Discipline of Parasitology of the Medical School of Santa Casa of São Paulo, Brazil. fkorkes@terra.com.br
Insights
Protozoa infections are common in São Paulo slum children, unlike helminths. Improved sanitation may reduce parasitic infections in these vulnerable populations.
Area of Science:
- Environmental Health
- Infectious Diseases
- Pediatrics
Background:
- Urban slums face high infant mortality and morbidity.
- Parasitic infections are a significant concern in children residing in these areas.
Purpose of the Study:
- To determine the prevalence of protozoa and nematodes in children from a São Paulo slum.
- To investigate the relationship between soil contamination and parasitic infections in children.
Main Methods:
- A cross-sectional study involving 120 children (aged 2-14) and 15 soil samples.
- Stool samples were analyzed for protozoa and nematodes using five methods.
- Soil samples were tested for parasitic eggs.
Main Results:
- Overall parasitic infection rate was 30.8%, with Endolimax nana, Entamoeba coli, and Giardia lamblia being the most frequent protozoa.
- Helminth prevalence (Ascaris lumbricoides, Enterobius vermicularis) was low (2.5% and 1.7%).
- Ascaris sp. eggs were found in 20% of soil samples, and hookworm eggs in 6.7%.
Conclusions:
- Helminth infections are less prevalent in this São Paulo slum than previously suggested.
- Protozoal intestinal infections remain frequent in marginalized urban populations.
- Enhanced sanitation and living standards are crucial for reducing parasitic disease prevalence.
Purpose:
Urban slums are well known for their high infant mortality and morbidity rates, and parasitic infections seem to be a common problem among these children. The aim of the present study was to determine protozoa and nematodes prevalence among children of a selected community located in São Paulo, Brazil, and access the relation between soil and children infection.
Methods:
Soil contamination samples from 15 strategic locations in the slum area as well as stool samples (examined for protozoa and nematodes through five different methods) from 120 children aged 2-14 years (49% M: 51% F, mean +/- SD = 7.9 +/- 3.8 years) were assessed in a cross-sectional study. Children's domicile locations were determined, and a comparative analysis was undertaken to correlate children and soil infection.
Results:
Overall infection rate was 30.8% (n = 37), without difference between genders. The most frequent intestinal protozoa were Endolimax nana (20.8%), Entamoeba coli (15.8%) and Giardia lamblia (16.7%). Frequencies of Ascaris lumbricoides and Enterobius vermicularis in stool samples were 2.5 and 1.7%, respectively. No cases of hookworms, Schistosoma mansoni or Tricuris trichiura were identified. Polyparasitism occurred in 10.8% of the children, while 69.2% were free of parasitic infections. Out of the 15 soil samples analyzed, Ascaris sp. eggs were found in 20% and hookworm eggs in 6.7%.
Conclusion:
Helminth infection is not as prevalent as previously reported in urban slums in São Paulo, neither as clinical disease nor in soil samples. Protozoa intestinal infection, however, is still frequent in some marginalized populations in São Paulo. Improvement in living standards, mostly sanitation might decrease the prevalence of these diseases.
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