{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T08:40:29Z","timestamp":1791535229398,"version":"4.3.4"},"reference-count":14,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,4]]},"abstract":"<jats:p>The Awa indigenous people of Ecuador live in remote areas and were included in health programs only recently. The first screening for parasitic infections in the Awa communities was implemented in the context of community epidemiology. During the site visits in each community, the health-care staff collected the samples for stool microscopy and serology for <jats:italic>Strongyloides<\/jats:italic>. A total of 705 individuals consented for the study, representing 40% of the Awa population living in the targeted communities; 184 (26%) participants supplied a stool sample. <jats:italic>Giardia intestinalis<\/jats:italic> was found in about 11% of samples. Prevalence of <jats:italic>Ascaris lumbricoides<\/jats:italic> and <jats:italic>Trichuris trichiura<\/jats:italic> was 54.9% and 36.9%, respectively. No hookworm eggs were found. In addition, <jats:italic>Strongyloides stercoralis<\/jats:italic> larvae were found in eight individuals (4.3%), whereas serology was positive in 22.7% of the individuals tested. The community-based approach resulted in an impressive participation. There was a high prevalence of parasites associated with relevant morbidity.<\/jats:p>","DOI":"10.4269\/ajtmh.19-0187","type":"journal-article","created":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T07:01:01Z","timestamp":1563865261000},"page":"650-653","source":"Crossref","is-referenced-by-count":8,"title":["Community Epidemiology Approach to Parasitic Infection Screening in a Remote Community in Ecuador"],"prefix":"10.4269","volume":"101","author":[{"given":"Mariella","family":"Anselmi","sequence":"first","affiliation":[{"name":"Centro de Epidemiologia Comunitaria y Medicina Tropical (CECOMET), Esmeraldas, Ecuador;"},{"name":"Centre for Tropical Diseases, IRCCS Sacro Cuore Don Calabria Hospital, Verona, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angel","family":"Guevara","sequence":"additional","affiliation":[{"name":"Carrera de Medicina, Instituto de Biomedicina, Universidad Central del Ecuador, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosselin","family":"Vicu\u00f1a","sequence":"additional","affiliation":[{"name":"Carrera de Medicina, Instituto de Biomedicina, Universidad Central del Ecuador, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Vivero","sequence":"additional","affiliation":[{"name":"Carrera de Medicina, Instituto de Biomedicina, Universidad Central del Ecuador, Quito, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosanna","family":"Prandi","sequence":"additional","affiliation":[{"name":"Centro de Epidemiologia Comunitaria y Medicina Tropical (CECOMET), Esmeraldas, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cintia","family":"Caicedo","sequence":"additional","affiliation":[{"name":"Centro de Epidemiologia Comunitaria y Medicina Tropical (CECOMET), Esmeraldas, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Marquez","sequence":"additional","affiliation":[{"name":"Centro de Epidemiologia Comunitaria y Medicina Tropical (CECOMET), Esmeraldas, Ecuador;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeno","family":"Bisoffi","sequence":"additional","affiliation":[{"name":"Centre for Tropical Diseases, IRCCS Sacro Cuore Don Calabria Hospital, Verona, Italy;"},{"name":"Infectious Diseases and Tropical Medicine Section, Diagnostic and Public Health Department, University of Verona, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dora","family":"Buonfrate","sequence":"additional","affiliation":[{"name":"Centre for Tropical Diseases, IRCCS Sacro Cuore Don Calabria Hospital, Verona, Italy;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Las Nacionalidades Indigenas en el Ecuador: Nuestro Proceso 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Vectors","first-page":"265","article-title":"Elimination of onchocerciasis in Ecuador: findings of post-treatment surveillance","volume":"11","author":"Guevara","year":"2018"},{"key":"b7","series-title":"Trop Med Int Health","first-page":"634","article-title":"Community participation eliminates yaws in Ecuador","volume":"8","author":"Anselmi","year":"2003"},{"key":"b8","series-title":"BMJ Open","first-page":"e021319","article-title":"Soil-transmitted helminth infections and nutritional status in Ecuador: findings from a national survey and implications for control strategies","volume":"8","author":"Moncayo","year":"2018"},{"key":"b9","series-title":"Clin Microbiol Infect","first-page":"543","article-title":"Novel approaches to the diagnosis of Strongyloides stercoralis infection","volume":"21","author":"Buonfrate","year":"2015"},{"key":"b10","series-title":"PLoS Negl Trop Dis","first-page":"e2640","article-title":"Diagnostic accuracy of five serologic tests for Strongyloides 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