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Direct Fecal—Oral Transmission of Giardiasis

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Giardia and Giardiasis

Abstract

Giardia are highly adapted to a role as obligatory intestinal luminal parasites, in a variety of warm-blooded and cold-blooded animals including birds (Meyer and Radulescu, 1979). They require no intermediate developmental stage outside of the primary host and are present in an infective form in the feces of the host. The wide distribution of Giardia as parasites throughout the animal kingdom provides evidence that multiple opportunities occur for ingestion of material contaminated by feces containing the infective cysts of Giardia for completion of its life cycle and perpetuation of the species. Infection from ingestion of water contaminated by Giardia cysts has been discussed in Chapter 15. Infection from contamination of water supplies can be solved by technology. A more vexing problem is direct transmission of giardiasis by ingestion of fecally contaminated material. The roots of such direct transmission lie within social institutions, cultural perceptions, and close social and sexual interactions which must be recognized and understood if transmission patterns are to be interrupted.

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References

  • Ahlqvist, J., 1976, Endocrine influences on lymphatic organs, immune responses, inflammation and autoimmunity, Ada Endocrinol. (Copenhagen) Suppl. 206:3–136.

    CAS  Google Scholar 

  • Bingham, A. K., and Meyer, E. A., 1979, Giardia excystation can be induced in vitro in acidic solutions, Nature (London) 277:301–302.

    Article  CAS  Google Scholar 

  • Black, R. E., Dykes, A. C, Sinclair, S. P., and Wells, J. G., 1977, Giardiasis in day-care centers: Evidence of person-to-person transmission, Pediatrics 60:486–491.

    PubMed  CAS  Google Scholar 

  • Boiling, D. R., 1977, Prevalence, goals and complications of heterosexual anal intercourse in a gynecologic population, J. Reprod. Med. 19:120–124.

    Google Scholar 

  • Box, E. D., 1981, Observations on Giardia of Budgerigars, J. Protozool. 28:491–494.

    PubMed  CAS  Google Scholar 

  • Brightman, A. H., and Slonka, G. F., 1976, A review of five clinical cases of giardiasis in cats, J. Am. Anim. Hosp. Assoc. 12:492–497.

    Google Scholar 

  • Brown, E. H., 1948, Giardia lamblia: The incidence and results of infestation of children in residential nurseries, Arch. Dis. Child. 23:119–128.

    Article  PubMed  CAS  Google Scholar 

  • Centers for Disease Control, 1979, Giardiasis in apes and zoo attendants in Kansas City Missouri, CDC Veterinary Public Health Notes (January, 1979), pp. 7-8.

    Google Scholar 

  • Danciger, M., and Lopez, M., 1975, Numbers of Giardia in the feces of infected children, Am. J. Trop. Med. Hyg. 24:237–242.

    PubMed  CAS  Google Scholar 

  • Davies, R. B., and Hibler, C. P., 1979, Animal reservoirs and cross-species transmission of Giardia, in: Waterborne Transmission of Giardiasis (W. Jakubowski and J. C. Hoff, eds.), Environmental Protection Agency 600/7-79-001, pp. 104-126.

    Google Scholar 

  • Flores, E. C, Plumb, S. C. and McNeese, M. C, 1983, Intestinal parasitosis in an urban pediatric clinic population, Am. J. Dis. Child. 137:754–756.

    PubMed  CAS  Google Scholar 

  • Goel, K. M., Shanks, R. A., McAllister, T. A., and Follett, E. A. C, 1977, Prevalence of intestinal parasitic infestation, salmonellosis, brucellosis, tuberculosis, and hepatitis B among immigrant children in Glasgow, Br. Med. J. 1:676–679.

    Article  PubMed  CAS  Google Scholar 

  • Hewlett, E. L., Andrews, J. S., Jr., Ruffier, J. and Schaefer, F. W., III, 1982, Experimental infection of mongrel dogs with Giardia lamblia cysts and cultured trophozoites, J. Infect. Dis. 145:89–93.

    Article  PubMed  CAS  Google Scholar 

  • Hurwitz, A. L., and Owen, R. L., 1978, Venereal transmission of intestinal parasites, West. J. Med. 128:89–91.

    PubMed  CAS  Google Scholar 

  • Judson, F. N., 1977, Sexually transmitted disease in gay men, Sex. Transmit. Dis. 4(2):76–78.

    Article  CAS  Google Scholar 

  • Kean, B. H., William, D. C, and Luminais, S. K., 1979, Epidemic of amoebiasis and giardiasis in a biased population, Br. J. Vener. Dis. 55:375–378.

    PubMed  CAS  Google Scholar 

  • Kettis, A. A., and Thoren, G., 1974, Inter-and intrafamilial distribution of Giardia lamblia infection, Scand. J. Infect. Dis. 6:349–353.

    PubMed  CAS  Google Scholar 

  • Keystone, J. S., Krajden, S., and Warren, M. R., 1978, Person-to-person transmission of Giardia lamblia in day-care nurseries, Can. Med. Assoc. J. 119:241–248.

    PubMed  CAS  Google Scholar 

  • Markell, E. K., and Kuritsubo, R. A., 1981, Intestinal protozoan infections: Prevalence in the San Francisco Bay area, West J. Med. 135:188–190.

    PubMed  CAS  Google Scholar 

  • Meyer, E. A., and Radulescu, S., 1979, Giardia and giardiasis, Adv. Parasitol. 17:1–47.

    Article  PubMed  CAS  Google Scholar 

  • Meyers, J. D., Kuharic, H. A., and Holmes, K. K., 1977, Giardia lamblia infection in homosexual men, Br. J. Verier. Dis 53:54–55.

    CAS  Google Scholar 

  • Ormiston, G., Taylor, J., and Wilson, G. S., 1942, Enteritis in a nursery home associated with Giardia lamblia, Br. Med. J. 2:151–154.

    Article  PubMed  CAS  Google Scholar 

  • Owen, R. L., 1980, The immune response in clinical and experimental giardiasis, Trans. R. Soc. Trop. Med. Hyg. 74:443–445.

    Article  PubMed  CAS  Google Scholar 

  • Owen, R. L., 1982, Sexually transmitted enteric disease, in: Current Clinical Topics in Infectious Diseases, Vol. 3 (J. S. Remington and M. N. Swartz, eds.), pp. 1–29, McGraw-Hill, New York.

    Google Scholar 

  • Owen, R. L., Dritz, S. K., and Wibbelsman, C. J., 1979a, Venereal aspects of gastroenterology, West. J. Med. 130:236–246.

    PubMed  CAS  Google Scholar 

  • Owen, R. L., Nemanic, P. C, and Stevens, D. P., 1979b, Ultrastructural observations on giardiasis in a murine model. I. Intestinal distribution, attachment, and relationship to the immune system of Giardia muris, Gastroenterology 76:757–769.

    PubMed  CAS  Google Scholar 

  • Quinn, T. C., Stamm, W. E., Goodell, S. E., Mkrtichian, E., Benedetti, J., Corey, L., Schuffler, M. D., and Holmes, K. K., 1983, The polymicrobial origin of intestinal infections in homosexual men, N. Engl. J. Med. 309:576–582.

    Article  PubMed  CAS  Google Scholar 

  • Rendtorff, R. C, 1954, The experimental transmission of human intestinal protozoan parasites. II. Giardia lamblia cysts given in capsules, Am. J. Hyg. 59:209–220.

    PubMed  CAS  Google Scholar 

  • Roberts-Thomson, I. C, Stevens, D. P., Mahmoud, A. A. F., and Warren, K. S., 1976, Acquired resistance to infection in an animal model of giardiasis, J. Immunol. 117:2036–2037.

    PubMed  CAS  Google Scholar 

  • Schmerin, M. J., Jones, T. C, and Klein, H., 1978, Giardiasis: Association with homosexuality, Ann. Intern. Med. 88:801–803.

    Article  PubMed  CAS  Google Scholar 

  • Sealy, D. P., and Schuman, S. H., 1983, Endemic giardiasis and day care, Pediatrics 72:154–158.

    PubMed  CAS  Google Scholar 

  • Szmuness, W., Much, M. I., Prince, A. M., Hoofnagle, J. H., Cherubin, C. E., Harley, E. J., and Block, G. H., 1975, On the role of sexual behavior in the spread of hepatitis B infection, Ann. Intern. Med. 83:489–495.

    Article  PubMed  CAS  Google Scholar 

  • Thacker, S. B., Simpson, S., Gordon, T. J., Wolfe, M., and Kimball, A. M., 1979, Parasitic disease control in a residential facility for the mentally retarded, Am. J. Public Health 69:1279–1281.

    Article  PubMed  CAS  Google Scholar 

  • Weissman, J. B., Schmerler, A., Weiler, P., Filice, G., Godbey, N., and Hansen, I., 1974, The role of preschool children and day-care centers in the spread of shigellosis in urban communities, J. Pediatr. 84:797–802.

    Article  PubMed  CAS  Google Scholar 

  • William, D. C, Shookhoff, H. B., Felman, Y. M., and DeRamos, S. W., 1978, High rates of enteric protozoal infections in selected homosexual men attending a venereal disease clinic, Sex. Transmit. Dis. 5(4):155–157.

    Article  CAS  Google Scholar 

  • Wolfe, L., 1980, The sexual profile of that Cosmopolitan girl, Cosmopolitan 189(3):254–265.

    Google Scholar 

  • Yoeli, M., Most, H., Hammond, J., and Scheinesson, G. P., 1972, Parasitic infections in a closed community: Results of a 10-year survey in Willowbrook State School, Trans. R. Soc. Trop. Med. Hyg. 66:764–776.

    Article  PubMed  CAS  Google Scholar 

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© 1984 Springer Science+Business Media New York

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Owen, R.L. (1984). Direct Fecal—Oral Transmission of Giardiasis. In: Erlandsen, S.L., Meyer, E.A. (eds) Giardia and Giardiasis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0594-9_19

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  • DOI: https://doi.org/10.1007/978-1-4899-0594-9_19

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0596-3

  • Online ISBN: 978-1-4899-0594-9

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