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Intestinal parasites in metropolitan Toronto day-care centres

Insights

Intestinal parasites like Dientamoeba fragilis and Giardia lamblia are common in Toronto day-care centers. A 1981 survey found 19% of children and 14% of staff infected, highlighting the need for awareness.

Area of Science:

  • Parasitology
  • Public Health
  • Epidemiology

Background:

  • Day-care centers are environments where intestinal parasites can spread easily among young children.
  • Previous studies have indicated the presence of various intestinal protozoa in childcare settings.

Purpose of the Study:

  • To determine the prevalence of intestinal parasites in children and staff at day-care centers in Toronto.
  • To identify risk factors associated with parasitic infections in this population.

Main Methods:

  • A cross-sectional survey was conducted in 1981 involving 900 children and 146 staff from 22 randomly selected day-care centers.
  • Stool specimens were collected and examined for intestinal parasites.

Main Results:

  • Overall, 19% of children and 14% of staff were infected with intestinal parasites.
  • Dientamoeba fragilis (8.6% children, 4.0% staff) and Giardia lamblia (7.8% children, 2.0% staff) were the most prevalent.
  • Infection rates were not correlated with age, sex, duration in care, or gastrointestinal symptoms, but Dientamoeba fragilis was associated with cat ownership.

Conclusions:

  • Intestinal protozoa, specifically Dientamoeba fragilis and Giardia lamblia, are endemic in Toronto day-care centers.
  • Immigrant children and those with parents from industrialized countries showed higher infection rates.
  • Findings underscore the importance of surveillance and control measures for parasitic infections in childcare settings.

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