Prevalence and risk factors of gastrointestinal parasites in the Chepangs in Nepal

Gastrointestinal (GI) infection is predominant globally, especially in people with low socio-economic status with existing illiteracy, ignorance, poor housing and lifestyle, and the surrounding environment. It has been implicated as a significant public health concern in the rural parts of many developing countries like Nepal. This study aimed to determine the diversity and prevalence of GI parasites in the highly marginalized indigenous Chepang communities in central Nepal. One hundred fresh stool samples of Chepangs were collected and preserved in 2.5% potassium dichromate solution. The samples were analyzed by direct wet mount, sedimentation, flotation, and acid-fast techniques and examined under the microscope at the total magnifications of 100Å~, 400Å~, and 1000Å~. We detected 97% prevalence rates with eight protozoan and six helminth parasites. Considering the infection’s concurrency, mixed pattern of infection was found to be higher than single pattern. Mixed infections from two to seven parasitic species were differently recorded in different samples. We also found that people’s eating habits were associated with GI parasitism (p=0.0034). “One Health” Approach/Principle accompanied by the detailed molecular and epidemiologic studies of parasitic transmission is required to identify the causal evidence critical in controlling and preventing parasitic infections.