Intestinal parasitic infections and risk analysis among urban refugees in the Klang Valley, Malaysia

Background: Global studies show intestinal parasitic infections (IPIs) have been introduced and spread with refugee inflows from low to high socio-economic countries. However, there is relatively limited information on the prevalence of infections among the community. Methods: A 2-year cross-section...

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Main Authors: Hanapi, Izzah Ruzana Mohd, Behnke, Jerzy M., Sahimin, Norhidayu, Saifulazmi, Nur Fadlin, Khan, Ashah Sara Jehan Golam Mohammad, Mutalib, Raisya Nur Syazmeen Abdul, Lau, Yee Ling, Mohd Zain, Siti Nursheena
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Published: Oxford University Press 2024
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Online Access:http://eprints.um.edu.my/44960/
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85181531999&doi=10.1093%2ftrstmh%2ftrad047&partnerID=40&md5=3d97258bc8902dfe9547bf4b71d3eaf2
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spelling my.um.eprints.449602024-04-29T02:03:46Z http://eprints.um.edu.my/44960/ Intestinal parasitic infections and risk analysis among urban refugees in the Klang Valley, Malaysia Hanapi, Izzah Ruzana Mohd Behnke, Jerzy M. Sahimin, Norhidayu Saifulazmi, Nur Fadlin Khan, Ashah Sara Jehan Golam Mohammad Mutalib, Raisya Nur Syazmeen Abdul Lau, Yee Ling Mohd Zain, Siti Nursheena QH301 Biology R Medicine Background: Global studies show intestinal parasitic infections (IPIs) have been introduced and spread with refugee inflows from low to high socio-economic countries. However, there is relatively limited information on the prevalence of infections among the community. Methods: A 2-year cross-sectional study was conducted to determine the prevalence and associated risk factors for infections among urban refugees in the Klang Valley, Malaysia. A total of 418 faecal samples were collected and examined by microscopy. Results: Faecal screening revealed moderate levels (32.3) of infections in the community. Three nematode (Ascaris lumbricoides, Trichuris trichiura and hookworm) and three protozoan species (Entamoeba, Giardia and Cryptosporidium) were recorded, with the highest prevalence being A. lumbricoides (20.6) followed by T. trichiura (10.3), while other infections were <5. Statistical analysis found that young males with less education were more likely to be infected with helminths. Additionally, living near waste disposal sites, the presence of stray animals, eating with bare hands, bare footedness, poor handwashing practices and no anthelmintic treatment constituted significant risk factors for helminth infections. Protozoan infections were linked to drinking tap water or from water dispensers and poor handwashing practices. Conclusions: These findings emphasize the importance of health education in addition to introduction of biannual anthelmintic treatment to promote community health and well-being. © The Author(s) 2023. Oxford University Press 2024 Article PeerReviewed Hanapi, Izzah Ruzana Mohd and Behnke, Jerzy M. and Sahimin, Norhidayu and Saifulazmi, Nur Fadlin and Khan, Ashah Sara Jehan Golam Mohammad and Mutalib, Raisya Nur Syazmeen Abdul and Lau, Yee Ling and Mohd Zain, Siti Nursheena (2024) Intestinal parasitic infections and risk analysis among urban refugees in the Klang Valley, Malaysia. Transactions of the Royal Society of Tropical Medicine and Hygiene, 118 (1). 18 – 32. ISSN 0035-9203, DOI https://doi.org/10.1093/trstmh/trad047 <https://doi.org/10.1093/trstmh/trad047>. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85181531999&doi=10.1093%2ftrstmh%2ftrad047&partnerID=40&md5=3d97258bc8902dfe9547bf4b71d3eaf2 10.1093/trstmh/trad047
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic QH301 Biology
R Medicine
spellingShingle QH301 Biology
R Medicine
Hanapi, Izzah Ruzana Mohd
Behnke, Jerzy M.
Sahimin, Norhidayu
Saifulazmi, Nur Fadlin
Khan, Ashah Sara Jehan Golam Mohammad
Mutalib, Raisya Nur Syazmeen Abdul
Lau, Yee Ling
Mohd Zain, Siti Nursheena
Intestinal parasitic infections and risk analysis among urban refugees in the Klang Valley, Malaysia
description Background: Global studies show intestinal parasitic infections (IPIs) have been introduced and spread with refugee inflows from low to high socio-economic countries. However, there is relatively limited information on the prevalence of infections among the community. Methods: A 2-year cross-sectional study was conducted to determine the prevalence and associated risk factors for infections among urban refugees in the Klang Valley, Malaysia. A total of 418 faecal samples were collected and examined by microscopy. Results: Faecal screening revealed moderate levels (32.3) of infections in the community. Three nematode (Ascaris lumbricoides, Trichuris trichiura and hookworm) and three protozoan species (Entamoeba, Giardia and Cryptosporidium) were recorded, with the highest prevalence being A. lumbricoides (20.6) followed by T. trichiura (10.3), while other infections were <5. Statistical analysis found that young males with less education were more likely to be infected with helminths. Additionally, living near waste disposal sites, the presence of stray animals, eating with bare hands, bare footedness, poor handwashing practices and no anthelmintic treatment constituted significant risk factors for helminth infections. Protozoan infections were linked to drinking tap water or from water dispensers and poor handwashing practices. Conclusions: These findings emphasize the importance of health education in addition to introduction of biannual anthelmintic treatment to promote community health and well-being. © The Author(s) 2023.
format Article
author Hanapi, Izzah Ruzana Mohd
Behnke, Jerzy M.
Sahimin, Norhidayu
Saifulazmi, Nur Fadlin
Khan, Ashah Sara Jehan Golam Mohammad
Mutalib, Raisya Nur Syazmeen Abdul
Lau, Yee Ling
Mohd Zain, Siti Nursheena
author_facet Hanapi, Izzah Ruzana Mohd
Behnke, Jerzy M.
Sahimin, Norhidayu
Saifulazmi, Nur Fadlin
Khan, Ashah Sara Jehan Golam Mohammad
Mutalib, Raisya Nur Syazmeen Abdul
Lau, Yee Ling
Mohd Zain, Siti Nursheena
author_sort Hanapi, Izzah Ruzana Mohd
title Intestinal parasitic infections and risk analysis among urban refugees in the Klang Valley, Malaysia
title_short Intestinal parasitic infections and risk analysis among urban refugees in the Klang Valley, Malaysia
title_full Intestinal parasitic infections and risk analysis among urban refugees in the Klang Valley, Malaysia
title_fullStr Intestinal parasitic infections and risk analysis among urban refugees in the Klang Valley, Malaysia
title_full_unstemmed Intestinal parasitic infections and risk analysis among urban refugees in the Klang Valley, Malaysia
title_sort intestinal parasitic infections and risk analysis among urban refugees in the klang valley, malaysia
publisher Oxford University Press
publishDate 2024
url http://eprints.um.edu.my/44960/
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85181531999&doi=10.1093%2ftrstmh%2ftrad047&partnerID=40&md5=3d97258bc8902dfe9547bf4b71d3eaf2
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score 13.211869