Skip to main content

Advertisement

Log in

Prevalence of Giardia lamblia with or without diarrhea in South East, South East Asia and the Far East

  • Review
  • Published:
Parasitology Research Aims and scope Submit manuscript

Abstract

This article is a review of the latest information on the prevalence of G. lamblia in South Asia, South East Asia and Far East, characterizing the current endemic situation within these regions. Around 33 published papers from 2002–2007 were collected on G. lamblia. The included countries were Nepal, Bangladesh, India, Cambodia, Vietnam, Malaysia, Philippines, Indonesia, Thailand, Republic of Korea, and China. Only five published papers were discarded because data was extracted before 2002–2007 or they are not included within our regions, emphasizing more on G. lamblia in animals, or performed at extensive molecular level. The prevalence of G. lamblia varied markedly between studies illustrating higher levels in the urban than in the rural areas, more among poor communities, slightly higher in males than in females with age range of 2–5-year-old children, and among university students, old-aged people, HIV-positive patients, and gastric carcinoma patients. Though G. lamblia is not a life-threatening parasite, nevertheless, it is still considered as the most common water-borne diarrhea-causing disease. It is important to understand the etiology, frequency, and consequences of acute diarrhea in children. Routine surveillance such as bi-annual follow-up treatments, treating G. duodenalis cysts and other protozoa oocysts detected in ground water sources, and continuous health education are the most preventive measures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Al-Mekhlafi MS, Azlin M, Nor Aini U, Shaik A, Sa’iah A, Fatmah MS, Ismail MG, Ahmad Firdaus MS, Aisah MY, Rozlida AR, Norhayati M (2005) Giardiasis as a predictor of childhood malnutrition in Orang Asli children in Malaysia. Trans R Soc Trop Med Hyg 99:686–691

    Article  PubMed  Google Scholar 

  • Alzueta JI, Matamoros NF (2001) Common variable immunodeficiency. Allergol Immunopathol (Madr) 29:113–118

    Google Scholar 

  • Baldo ET, Belizario VY, De Leon WU, Kong HH, Chung DI (2004) Infection status of intestinal parasites in children living in residential institutions in Metro Manila, the Philippines. Korean J Parasitol 42:67–70

    PubMed  Google Scholar 

  • Bansal D, Sehgal R, Bhatti HS, Shrivastava SK, Khurana S, Mahajan RC, Malla N (2004) Intestinal parasites and intra familial incidence in a low socio-economic area of Chandigarh (North India). Nepal Med Coll J 6:28–31

    PubMed  Google Scholar 

  • Boonyakarnkul T, Kingston AP, Shea MK (2004) World Health Organization: Specific environmental threats: Sources of exposure and health effects. Available www.whqlibdoc.who.int/publications/2005/9241562927_section3_eng.pdf (Accessed on 10th May 2007)

  • Bureau of Public Health Division of Public Health, Department of Health and Family Services, Government of Wisconsin: Guidelines for Prevention and Control for Local Public Health Agencies July, 2001 Communicable Disease Epidemiology Section. Accessed on 5 Sept 2007; Available on: www.dhfs.wisconsin.gov/communicable/resources/pdffiles/GiarMan.pdf

  • Catacutan AR (2005) The health service coverage of quality-certified primary health care units in Metro-Manila. The Philippines Health Policy Plan 2006 21:65–74, Epub Nov 23

    Article  Google Scholar 

  • China Ministry of Health (CMH) National health surveys 1998, 2004; accessed 23 December 2007; available at http://www.moh.gov.cn/2.htm

  • Chhakda T, Muth S, Socheat D, Odermatt P (2006) Intestinal parasites in school-aged children in villages bordering Tonle Sap Lake, Cambodia. Southeast Asian J Trop Med Public Health 37:859–864

    PubMed  Google Scholar 

  • Cotruvo JA, Dufour A, Rees G, Bartram J, Carr R, Cliver DO, Craun GF, Fayer R (2004) WHO Waterborne Zoonoses: Identification, Causes and Control

  • Dib HH, Shen YH, Zhao B, Shen HL (2007) Health Care cost in China: Need for intervention. J Health Manag 9:85–103

    Article  Google Scholar 

  • Dwivedi KK, Prasad G, Saini S, Mahajan S, Lal S, Krishan U (2007) Enteric opportunistic parasites among HIV infected individual: associated risk factors and immune status. Jpn J Infect Dis 60:76–81

    PubMed  Google Scholar 

  • Easow JM, Mukhopadhyay C, Wilson G, Guha S, Jalan BY, Shivananda PG (2005) Emerging opportunistic protozoa and intestinal pathogenic protozoal infestation profile in children of western Nepal. Nepal Med Coll J 7:134–137

    PubMed  Google Scholar 

  • Feng Z, Xu L, Lin J (2001) Analysis of the change of soil transmitted nematode infections in the three country/city in Fujian Province. In collected papers on the control of soil transmitted helminthes. The Asian Parasite Control Organization 7:90–96

    Google Scholar 

  • Fernandez MC, Verghese S, Bhuvaneswari R, Elizabeth SJ, Mathew T, Anitha A, Chitra AK (2002) A comparative study of the intestinal parasites prevalent among children living in rural and urban settings in and around Chennai. J Commun Dis 34:35–39

    PubMed  Google Scholar 

  • Fu M, Sun Q, Su L (2004) Survey on Huai Nan Anhui Province, some students affected by giardiasis. China J Schl Doctor 18:2

    Google Scholar 

  • Guk SM, Seo M, Park YK, Oh MD, Choe KW, Kim JL, Choi MH, Hong ST, Chai JY (2005) Parasitic infections in HIV infected patients who visited Seoul National University Hospital during the period 1995–2003. Korean J Parasitol 43:1–5

    Article  PubMed  Google Scholar 

  • Ha Nguyen TH, Berman P, Larsen U (2002) Health utilization and expenditure on private and public health services in Vietnam. Health Policy Plan 17:61–70

    Article  PubMed  Google Scholar 

  • Haque R, Mondal D, Kirkpatrick BD, Akther S, Farr BM, Sack RB, Petri WA Jr (2003) Epidemiologic and clinical characteristics of acute diarrhea with emphasis on Entamoeba histolytica infections in preschool children in an urban slum of Dhaka, Bangladesh. Am J Trop Med Hyg 69:398–405

    PubMed  Google Scholar 

  • Haque R, Roy S, Kabir M, Stroup SE, Mondal D, Houpt ER (2005) Giardia assemblage A infection and diarrhea in Bangladesh. J Infect Dis 192(12):2171–2173, Epub 2005 Nov 8 School of Public Health, Harvard University Press, Cambridge, MA; 1996

    Article  PubMed  Google Scholar 

  • Janoff EN, Smith PD, Blaser MJ (1988) Acute antibody responses to G. lamblia are depressed in patients with AIDS. J Infect Dis 157:798–804

    PubMed  CAS  Google Scholar 

  • Karanis P, Kourenti C, Smith H (2007) Waterborne transmission of protozoan parasites: a worldwide review of outbreaks and lessons learnt. J Water Health 5:1–38

    Article  PubMed  Google Scholar 

  • Kaur R, Rawat D, Kakkar M, Uppal B, Sharma VK (2002) Intestinal parasites in children with diarrhea in Delhi, India. Southeast Asian J Trop Med Public Health 33:725–729

    PubMed  Google Scholar 

  • Kim BJ, Ock MS, Chung DI, Yong TS, Lee KJ (2003) The intestinal parasite infection status of inhabitants in the Roxas City, the Philippines. Korean J Parasitol 41:113–115

    PubMed  Google Scholar 

  • Khurana S, Aggarwal A, Malla N (2005) Comparative analysis of intestinal parasitic infections in slum, rural and urban populations in and around union Territory, Chandigarh. J Commun Dis 37:239–243

    PubMed  Google Scholar 

  • Koru O, Araz E, Inci A, Tanyuksel M (2006) Co-infection of Giardia intestinalis and Cyclospora cayetanensis in an immunocompetent patient with prolonged diarrhea: case report. J Microbiol 44:360–362

    PubMed  Google Scholar 

  • Lane S, Lloyd D (2002) Current trends in research into the waterborne parasite Giardia. Crit Rev Microbiol 28:123–147

    Article  PubMed  Google Scholar 

  • Lanjouw S, Macrae J, Zwi AB (1999) Rehabilitating health services in Cambodia: the challenge of coordination in chronic and political emergencies. Health Policy Plan 14:229–242

    Article  PubMed  CAS  Google Scholar 

  • Laupland KB, Church DL (2005) Population-based laboratory surveillance for Giardia spp. and Cryptosporidium (Supp) infections in a large Canadian health region. BMC Infect Dis 5:72

    Article  PubMed  Google Scholar 

  • Lavilla P, Gil A, Rodríguez MC, Dupla ML, Pintado V, Fontán G (1993) X-linked agammaglobulinemia and gastric adenocarcinoma. Cancer 72:1528–1531

    Article  PubMed  CAS  Google Scholar 

  • Lee KJ, Bae YT, Kim DH, Deung YK, Ryang YS, Kim HJ, Im KI, Yong TS (2002) Status of intestinal parasites infection among primary school children in Kampongcham, Cambodia. Korean J Parasitol 40:153–155

    PubMed  Google Scholar 

  • Mak JW (2004) Important zoonotic intestinal protozoan parasites in Asia. Trop Biomed 21:39–50

    PubMed  CAS  Google Scholar 

  • Misra V, Misra SP, Dwivedi M, Singh PA (2006) Giardia lamblia trophozoites in gastric biopsies. Indian J Pathol Bacteriol 49:519–523

    Google Scholar 

  • Mohandas K, Sehgal R, Sud A, Malla N (2002) Prevalence of intestinal parasitic pathogens in HIV-seropositive individuals in Northern India. Jpn J Infect Dis 55:83–84

    PubMed  CAS  Google Scholar 

  • Nissapatorn V, Lim YA, Jamaiah I, Agnes LS, Amyliana K, Wen CC, Nurul H, Nizam S, Quake CT, Valartmathi C, Woei CY, Anuar AK (2005) Parasitic infections in Malaysia: changing and challenges. Southeast Asian J Trop Med Public Health 36(Suppl 4):50–59

    PubMed  Google Scholar 

  • Oda Y, Sherchand JB (2002) Study of intestinal parasitic infection among students in Kathmandu related to drinking water. J Nepal Assoc Med Lab Sci 4:36–41

    Google Scholar 

  • Park SK, Kim DH, Deung YK, Kim HJ, Yang EJ, Lim SJ, Ryang YS, Jin D, Lee KJ (2004) Status of intestinal parasite infections among children in Bat Dambang, Cambodia. Korean J Parasitol 42:201–203

    PubMed  Google Scholar 

  • Pond K (2007) World Health Organization (WHO).Water recreation and disease. Plausibility of associated infections: Acute effects, sequelae and mortality. Chap 5 Protozoa and Trematodes. Accessed on 5th December 2007, Available at www.who.int/water_sanitation_health/bathing/recreadischap5.pdf

  • Rahman AHMA (1993) Assessment of the impact of socioeconomic factor on the incidence of parasitic infection and contraceptive prevalence rate in semi urban population of Bangladesh. In collected papers on the control of soil transmitted helminthes. The Asian Parasite Control Organization, Tokyo 5:5–10

    Google Scholar 

  • Rai DR, Rai SK, Sharma BK, Ghimire P, Bhatta DR (2005) Factors associated with intestinal parasitic infection among school children in a rural area of Kathmandu Valley, Nepal. Nepal Med Coll J 7:43–46

    PubMed  Google Scholar 

  • Ranjan P, Ghoshal UC, Aggarwal R, Pandey R, Misra A, Naik S, Naik SR (2004) Etiological spectrum of sporadic malabsorption syndrome in northern Indian adults at a tertiary hospital. Indian J Gastroenterol 23:94–98

    PubMed  Google Scholar 

  • Reynolds K (2003) Collateral damage: The chronic sequelae of waterborne pathogens. Water Conditioning and Purification Magazine 45, p 3. Available online http://www.wcp.net. (Accessed 12 Feb 2007)

  • Saksirisampant W, Nuchprayoon S, Wiwanitkit V, Yenthakam S, Ampavasiri A (2003) Intestinal parasitic infestations among children in an orphanage in Pathum Thani Province. J Med Assoc Thailand 86 (Suppl) 2:S263–S270

    Google Scholar 

  • Saksirisampant W, Prownebon J, Kanmarnee P, Thaisom S, Yenthakam S, Nuchprayoon S (2004) Prevalence of parasitism among students of the Karen hill-tribe in Mae Chame district, Chiang Mai Province, Thailand. J Med Assoc Thailand 87 (Suppl) 2:S278–S283

    Google Scholar 

  • Saksirisampant W, Prownebon J, Kulkumthorn M, Yenthakam S, Janpla S, Nuchprayoon S (2006) Prevalence of intestinal parasitic infections among school children in the central region of Thailand. J Med Assoc Thailand 89:1928–1933

    Google Scholar 

  • Sayyari AA, Imanzadeh F, Yazdi SAB, Karami H, Yaghoobi M (2005) Prevalence of intestinal parasitic infections in the Islamic Republic of Iran. East Mediterr Health J 11:377–383

    PubMed  CAS  Google Scholar 

  • Sharma BK, Rai SK, Rai DR, Choudhury DR (2004) Prevalence of intestinal parasitic infestation in schoolchildren in the northeastern part of Kathmandu Valley, Nepal. Southeast Asian J Trop Med Public Health 35:501–505

    PubMed  Google Scholar 

  • Shakya B, Rai SK, Singh A, Shrestha A (2006) Intestinal parasitosis among the elderly people in Kathmandu Valley. Nepal Med Coll J 8:243–247

    PubMed  Google Scholar 

  • Simadibrata M, Tytgat GN, Yuwono V, Daldiyono, Lesmana LA, Syam AF, Ariawan I, Rani (2004) A Microorganisms and parasites in chronic infective diarrhea. Acta Medica Indonesia 36:211–214

    Google Scholar 

  • van der Meer JW, Zegers BJ (1994) Agammaglobulinaemia. Neth J Med 45:250–256

    PubMed  Google Scholar 

  • Verle P, Kongs A, De NV, Thieu NQ, Depraetere K, Kim HT, Dorny P (2003) Prevalence of intestinal parasitic infections in northern Vietnam. Trop Med Int Health 8:961–964

    Article  PubMed  CAS  Google Scholar 

  • Wang YH, Huang H (2005) The Survey on intestinal parasitic infection from one University of second year students in Henan Province. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi 23

  • Wongjindanon N, Suksrichavalit T, Subsutti W, Sarachart T, Worapisuttiwong U, Norramatha P (2005) Current infection rate of Giardia lamblia in two provinces of Thailand. Southeast Asian J Trop Med Public Health 36 (Suppl) 4:21–25

    Google Scholar 

  • Wongstitwilairoong B, Srijan A, Serichantalergs O, Fukuda CD, McDaniel P, Bodhidatta L, Mason CJ (2007) Intestinal parasitic infections among pre-school children in Sangkhlaburi, Thailand. Am J Trop Med Hyg 76:345–350

    PubMed  Google Scholar 

  • Woodliff HJ, Onesti P, Goodall DW (1966) The Lovibond haemoglobinometer. Med J Aust 2:410

    PubMed  CAS  Google Scholar 

  • World Health Organization (WHO) (1995) Seminar pack for drinking-water quality. Available online www.who.int/entity/water_sanitation_health/dwq/S01.pdf (Accessed 8th August 2007)

  • World Health Organization (WHO) (2007) Combating waterborne disease at the household level/International Network to Promote Household Water Treatment and Safe Storage, World Health Organization

  • WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation (2000) Global water supply and sanitation assessment 2000 report. Geneva, World Health Organization, United Nations Children’s Fund

  • Xu XL, Wu Y, Lu LD, Ren D, Li P, Zhang Y, Huang L (2003) The survey on the suburbs of Jiaozao City, Henan Province, on human intestinal parasitic infection. China J Parasit Diseases 16:5

    Google Scholar 

  • Yang GH,Wan GQ, Liu X (2003) Summary of the prevalence of Giardia lamblia in Shandong Province, Shandong Provincial Institute of Parasitic Disease, Jining, Shandong, P. R. China. China Trop. Med 3

Download references

Acknowledgement

This work was supported by grant from the National Natural Science Foundation of China (No. 30670224) to Si Qi Lu.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Si Qi Lu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dib, H.H., Lu, S.Q. & Wen, S.F. Prevalence of Giardia lamblia with or without diarrhea in South East, South East Asia and the Far East. Parasitol Res 103, 239–251 (2008). https://doi.org/10.1007/s00436-008-0968-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00436-008-0968-6

Keywords

Navigation