Professional Documents
Culture Documents
Information-education- A health education strategy that aims to encourage people to adapt and maintain healthy
communication life practices
Environmental management Planning, organization, performance, and monitoring of activities for the modification
and/or manipulation of environmental factors
Environmental sanitation Interventions to reduce environmental health risks
Sanitation Provision of access to adequate facilities for the safe disposal of human excreta
Eradication Permanent reduction to zero of the incidence of infection caused by a specific agent, as
a result of deliberate efforts
Elimination Reduction to zero of the incidence of a specified disease in a defined geographic area as
a result of deliberate efforts
Protozoan Unicellular organism
Metazoan Multicellular organism
Classification of Protozoan Parasites
Sarcomastigophora
Sarcodina Acanthamoeba
Endolimax
Entamoeba
Iodamoeba
Naegleria
Mastigophora Chilomastix
Dientamoeba
Giardia
Trichomonas
Leishmania
Trypanosoma
Ciliophora Balantidium
Apicomplexa Babesia
Cryptosporidium
Cyclospora
Isospora
Plasmodium
Toxoplasma
Microspora Enterocytozoon
Encephalitozoon
Vittaforma
Trachipleistophora
Pleistophora
Brachiola
Microsporidium
Classification of Metazoan Parasites
Nematoda
Intestinal Ascaris
Capillaria
Enterobius
Hookworm
Strongyloides
Trichuris
Extraintestinal Angiostrongylus
Filarial worms
Trichinella
Cestoidea
Cyclophyllidea Dipylidium
Echinococcus
Hymenolepis
Raillientina
Taenia
Pseudophyllidea Diphyllobothrium
Spirometra
Trematoda Artyfechinostomum
Clonorchis
Echinostoma
Fasciola
Fasciolopsis
Heterophyids
Opisthorchis
Paragonimus
Schistosoma
Arthropoda
Arachnida Mites
Scorpions
Spiders
Ticks
Chilopoda Centipedes
Crustacea Copepods
Crabs
Diplopoda Millipedes
Insecta Flies
Flea
Beetle
Bees
Lice
Wasp
Bugs
Mosquitoes
Nematodes (Roundworms)
Separate sexes Female = larger, pointed tail
Male = smaller, curved tail
Life cycle Egg stage > Larval stage > Adult stage
Aphasmids Lacks phasmids or caudal chemoreceptors
“TCT”: Trichuris-Capillaria-Trichinella
Phasmids w/ caudal chemoreceptors
Hookworm
S. stercoralis
W. bancrofti
B. malayi
Amphid Cephalic chemoreceptors
Oviparous Lays eggs in unsegmented stage (unembryonated)
Ovoviviparous/oviviparous Lays eggs in segmented stage (embryonated)
Viviparous/larviparous Larva
Frequency “EAT”: Enterobius > Ascaris > Trichuris
Small intestines “CASH”: Capillaria, Ascaris, Strongyloides, Hookworms
Large intestines “ET”: Enterobius, Trichuris
Heart-to-lung migration “ASH”: Ascaris, Strongyloides, Hookworm
Extraintestinal Nematodes Filarial worms = lymphatics and subcutaneous tissues
T. spiralis = muscles
A. cantonensis = meninges
Visceral Larva Migrans T. canis and T. cati
Triad of infection/Unholy 3 “HAT”: Hookworm, Ascaris, Trichuris
Ascaris lumbricoides
Characteristics Resembles common earthworm
Fertilized Egg 3 layers:
-Inner: Vitelline membrane
-Middle: Glycogen layer
-Outer: Mammilation (corticated)
Brugia malayi
Habitat Lymphatics
Vector Mansonia
Specimen Blood
Microfilaria Sheathed
Tail w/ 2 separate nuclei
Periodicity Subperiodic
Nocturnal
Loa loa
Habitat Subcutaneous tissue
Vector Chrysops
Tabanid (mango fly)
Specimen Blood
Microfilaria Sheathed
Nuclei continuous up to the tip of the tail
Periodicity Diurnal
Onchocerca volvulus
Habitat Subcutaneous tissue
Vector Simulium (black fly)
Specimen Skin snips/shavings
Microfilaria Unsheathed
Nuclei absent in tail
Periodicity Nonperiodic
Dipetaloma perstans (Acanthoculonema perstans)
Habitat Body cavities
Vector Culicoides
Specimen Blood
Microfilaria Unsheathed
Nuclei up to the tip of the tail
Periodicity Nonperiodic
Mansonella ozzardi
Habitat Body cavities
Vector Culicoides
Specimen Blood
Microfilaria Unsheathed
Tail is free of nuclei
Periodicity Nonperiodic
Dirofilaria immitis
Characteristics Human infection: solitary, peripheral nodules in the lung (coin lesions), or as subcutaneous
nodule
Dracunculus medinensis
Characteristics Longest nematode of man
IH Cyclops (copepods): aquatic crustacean
DH Man
MOT Ingestion of crustacean
Angiostrongylus cantonensis
Characteristics Causes human eosinophilic meningoencephalitis
IH Mollusks:
-Achatina fulica
-Japanese snail
-Pila luzonica (kuhol)
-Brotia asperata (suso)
DH Rats
Adult Female: “Barber’s pole appearance”
Looking of whitish uterus to red digestrive tract
Anisakis
Characteristics Causes Herring’s disease
1st IH Various marine crustaceans
2nd IH Smallest fishes
3rd IH Larger fishes
DH Dolphins/whales
MOT Ingestion of raw fish (ex. sashimi)
Trematodes
Phylum Platyhelminthes
Class Trematoda (Flukes)
Characteristics All except blood flukes [Schistosomes] Schistosomes:
1. Flat, leaf like 1. Elongated and cylindrical
2. Hermaphrodite 2. Separate sexes
3. Egg: operculated 3. Egg: Non-operculated
4. MOT: ingestion 4. MOT: skin penetration
5. IS: metacercaria 5. IS: Cercaria (fork-tailed)
6. IH: 2 IH 6. IH: 1 IH (snail)
Eggs:
a. Mature when laid (embryonated): “SHOC”
-Schistosoma
-Heterophyes
-Opistorchis
-Clonorchis
b. Immature when laid (unembryonated): “PEFF”
-Paragonimus
-Echinostoma
-Fasciola
-Fasciolopsis
Attachment 2 suckers: oral and ventral (acetabulum)
-Heterophyes: 3 suckers (3rd: genital sucker [gonotyle])
Life cycle Egg > Larva (Miracidium>Sporocyst>Redia>Cercaria>Metacercaria) > Adult
1st IH Snail
2nd IH Fish, crab, plant/vegetation, snail
Fish Schistosoma
H. heterophyes
O. felineus
C. sinensis
Crab P. westermani
Plant/vegetation F. hepatica
F. gigantica
F. buski
Snail E. ilocanum
Habitat Liver:
-F. hepatica
-F. gigantica
-C. sinensis
-O. felineus
Small Intestines:
-F. buski
-E. ilocanum
-H. heterophyes
Lungs:
-P. westermani
Fasciola hepatica
Characteristics Causes sheep liver rot
Prevalent in sheep raising countries
Egg Resembles F. gigantica and F. buski
Adult w/ cephalic cone
Leaf-like hermaphrodite
Fasciola gigantica
Characteristics Infects cattle in the Philippines
Egg Resembles F. hepatica and F. buski
Clonorchis sinensis
Characteristics Most important liver fluke of man
Egg Old-fashioned electric light bulb
1st IH Snail
2nd IH Fishes
MOT Ingestion
Opisthorcis felineus
Characteristics Resembles C. sinensis
Fasciolopsis buski
Characteristics Largest fluke parasitizing man
Egg Hen’s egg shaped
Indistinguishable from Fasciola
Echinostoma ilocanum
1st and 2nd IH Snail
Heterophyes heterophyes
Characteristics Smallest but deadliest fluke of man
Adult w/ 3rd sucker (gonotyle)
st
1 IH Snail
2nd IH Fishes
MOT Ingestion
Paragonimus westermani
Characteristics Causes endemic hemoptysis
Egg w/ thickened abopercular end opposite the operculum
Adult Resembles coffee bean
1st IH Snail
2nd IH Crabs
MOT Ingestion
Lab. Diagnosis 1. Examination: sputum and stool
Schistosomes
Characteristics Most romantic parasite of man
Adult Male: w/ gynecophoral canal where the female is held
Lab. Diagnosis 1. Demonstration of egg in feces, rectal or liver biopsies, and urine
2. Faust and Meleney’s egg hatching technique
3. Circumoval precipitin test (COP) of Oliver and Gonzales
Pathology Larval penetration
-Human sp: slight allergic reaction
-Nonhuman sp: Swimmer’s itch
Tissue damage by eggs
Schistosoma japonicum
Characteristics Causes Katayama’s disease
Habitat Superior mesenteric veins in the small intestines
Egg w/ small knob-like or recurved hook on one side
IH Oncomelania quadrasi
Schistosoma mansoni
Characteristics Smallest of the blood flukes
Habitat Superior mesenteric veins of the colon and rectum
Egg w/ lateral spine
IH Biomphalaria
Australorbis
Tropicorbis
Schistosoma haematobium
Characteristics Vesical blood fluke causing bilharziasis or urinary schistosomiasis (hematuria)
Egg w/ terminal spine
IH Bulinus
Physopsis
Biomphalaria
Specimen 24-hr unpreserved urine
Trematodes
Phylum Platyhelminthes
Class Trematoda
Characteristics Living worms: creamy white and yellowish
Adult: flat and ribbon-like (masking tape)
1 IH only
Cestode body Scolex = anterior attachment organ
Neck = region of growth
Strobila = chains of segments or proglottids
-Immature, mature, ripe/gravid (filled w/ eggs)
Order Pseudophyllidea False tapeworm (Ex. D. latum)
Scolex: Spoon-shaped w/ bothria (slit-like sucking grooves), no hooklets
Protozoans
Characteristics Unicellular
Animal-like protists
Division: Fission
Arthropods
Copepods (Cyclops) IH of D. latum, D. medinensis and Gnathostoma spinigerum
Pthirus pubis Crab louse
Agent of “crabs”
Myiasis Invasion of mammalian tissues by dipterous larvae (diptera/flies)
Cantharidin Volatile vessicating substance produced by the blisters of beetles of the family Meloidae
Periplaneta americana American cockroach
Lays about 50 egg capsules (ootheca), each containing about 15 eggs
Blatella germanica German cockroach
Blatta orientalis Oriental cockroach
Aedes aegypti Tiger mosquito
Vector of urban dengue
Aedes albopictus w/ silvery stripe on the mesonotum
Vector of rural dengue
Culex Vectors of Japanese encephalitis
Anopheles flavirostris Primary vector of malaria
Aedes poecilus Mosquito associated w/ Bancroftian filariasis
Mansonia bonneae Vector of the Brugian type of filariasis
Musca domestica Common housefly
Sarcophaga “Chess-board appearance”
Calliphora Bluish fly covered w/ yellow hairs
Lucilia Greenish fly w/ white genae
Phaenicia Bronze-bottle fly
Muscina Slightly larger and more robust than the housefly
Laboratory Methods
Examination of Blood
Detect agents of Malaria
Babesiosis
Trypanosomiasis
Leishmaniasis
Filariasis
Thick blood films Screening (malaria)
Thin blood films Identification of malarial species
Concentration techniques 1. Preparation of buffy coat smears:
-L. donovani
-Trypanosomes
-Microfilaria
2. Knott’s concentration membrane filtration
-Detection of microfilaria
3. Fluorochrome acridine orange in microhematocrit centrifuge format
-QBC blood parasite detection method
Examination of Fecal Specimens
Stool fixatives 1. Formalin = all purpose fixative
= 5% conc.: protozoan cysts
= 10% conc.: helminth eggs and larvae
2. Schaudinn’s fluid = w/ HgCl2
3. Polyvinyl alcohol (PVA) = for Trichrome stain (w/ HgCl2)
4. Merthiolate-iodine-formalin (MIF) = a.k.a. Thimerosal
= Merthiolate and Iodine: staining components
= Formalin: preservative
5. Sodium-acetate-formalin (SAF)
= Advantage: does not contain HgCl2
Direct wet mount 1. Saline mount = 0.85% NSS
2. Iodine mount = protozoan cysts (not trophozoites)