{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T04:10:38Z","timestamp":1746677438465,"version":"3.40.5"},"reference-count":26,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,7]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p><jats:italic>Hymenolepis nana<\/jats:italic> is an emergent parasitosis, and the role of schools in infection transmission is unclear. Data from a cross-sectional study evaluating children for <jats:italic>H. nana<\/jats:italic> infection in schools in three districts of Anta province in Peru were analyzed. Geospatial information from the children\u2019s residence and school was obtained. A total of 2,961 children were included from 51 different schools. The median age was 9.6 years old (interquartile range [IQR]: 6.8\u201312.4), 1,479 (50%) were female, and the median <jats:italic>H. nana<\/jats:italic> prevalence per school was 15% (IQR: 3.61\u201324.20). Regression analysis demonstrated that those living in Ancahuasi and Zurite and those with higher poverty score and higher residence altitude were more likely to reside on a hot spot than a cold spot based on residence distribution, whereas being of school age was protective. Children living in low-risk areas (nonhot spots) who were attending schools with higher prevalence of <jats:italic>H. nana<\/jats:italic> (\u226515%) were less likely to reside in Ancahuasi or Zurite than in Anta, had lower paternal education, and were older than 6 years of age. Our study shows that schools have a role in infection transmission among children in the highlands of Peru.<\/jats:p>","DOI":"10.4269\/ajtmh.24-0615","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T20:26:56Z","timestamp":1741724816000},"page":"1010-1016","source":"Crossref","is-referenced-by-count":0,"title":["Geospatial Analysis of Hymenolepis (Rodentolepis) nana Infection Transmission in Schools among Children in Cusco, Peru"],"prefix":"10.4269","volume":"112","author":[{"given":"Melinda B.","family":"Tanabe","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, University of Texas Medical Branch, Galveston, Texas;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Caravedo Martinez","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, University of Texas Medical Branch, Galveston, Texas;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria L.","family":"Morales","sequence":"additional","affiliation":[{"name":"UPCH\u2013UTMB Collaborative Research Center\u2014Cusco, Universidad Peruana Cayetano Heredia, Cusco, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"Lopez","sequence":"additional","affiliation":[{"name":"UPCH\u2013UTMB Collaborative Research Center\u2014Cusco, Universidad Peruana Cayetano Heredia, Cusco, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel M.","family":"Cabada","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, University of Texas Medical Branch, Galveston, Texas;"},{"name":"UPCH\u2013UTMB Collaborative Research Center\u2014Cusco, Universidad Peruana Cayetano Heredia, Cusco, Peru;"},{"name":"Sede Cusco\u2014Alexander von Humboldt Tropical Medicine Institute, Department of Medicine, Universidad Peruana Cayetano Heredia, Cusco, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Clin Microbiol Infect","first-page":"426","article-title":"Neglected zoonotic helminths: Hymenolepis nana, Echinococcus canadensis and Ancylostoma ceylanicum","volume":"21","author":"Thompson","year":"2015"},{"key":"b2","series-title":"Helminthologia","first-page":"293","article-title":"The neglected cestode infection: Epidemiology of Hymenolepis nana infection among children in rural Yemen","volume":"57","author":"Al-Mekhlafi","year":"2020"},{"key":"b3","series-title":"Am J Trop Med Hyg","first-page":"1031","article-title":"Hymenolepis nana impact among children in the highlands of Cusco, Peru: An emerging neglected parasite infection","volume":"95","author":"Cabada","year":"2016"},{"key":"b4","series-title":"Rev Biomed","first-page":"21","article-title":"The prevalence of Hymenolepis nana in schoolchildren in a bicultural 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