Epidemiologic Investigation of Protozoa and Soil-Transmitted Helminths in Starr County, Texas

Lauren M. Leining Department of Pediatrics, National School of Tropical Medicine, Section of Tropical Medicine, Baylor College of Medicine, Houston, Texas;
William T. Shearer Center for Human Immunobiology, Texas Children’s Hospital, Houston, Texas;
Department of Epidemiology, UTHealth Houston School of Public Health, Houston, Texas;

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Timothy A. Erickson Department of Epidemiology and Biostatistics, School of Public Health, Texas A&M University, College Station, Texas;

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Craig L. Hanis Department of Epidemiology, UTHealth Houston School of Public Health, Houston, Texas;

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Cici Bauer Department of Biostatistics and Data Science, UTHealth Houston School of Public Health, Houston, Texas

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Maya D. Murry Department of Pediatrics, National School of Tropical Medicine, Section of Tropical Medicine, Baylor College of Medicine, Houston, Texas;
William T. Shearer Center for Human Immunobiology, Texas Children’s Hospital, Houston, Texas;

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Eric L. Brown Department of Epidemiology, UTHealth Houston School of Public Health, Houston, Texas;

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Rojelio Mejia Department of Pediatrics, National School of Tropical Medicine, Section of Tropical Medicine, Baylor College of Medicine, Houston, Texas;

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Sarah M. Gunter Department of Pediatrics, National School of Tropical Medicine, Section of Tropical Medicine, Baylor College of Medicine, Houston, Texas;
William T. Shearer Center for Human Immunobiology, Texas Children’s Hospital, Houston, Texas;

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ABSTRACT.

The burden of pathogenic enteric protozoa and soil-transmitted helminths among impoverished populations living on the Texas–Mexico border is unclear. We conducted a cross-sectional study on an ongoing longitudinal cohort of 616 adults residing in Starr County, Texas. A total of 359 adults were screened for four protozoa and five soil-transmitted helminths by using real-time polymerase chain reaction. This analysis identified 48 (13.4%) participants who tested positive for Blastocystis sp., three (0.8%) who tested positive for Giardia intestinalis, and one (0.3%) who tested positive for Strongyloides stercoralis and was also coinfected with Blastocystis sp. Infection was significantly associated with age, a lack of health insurance, and living outside of a colonia. We recommend additional epidemiologic investigations to examine risk factors contributing to protozoa and soil-transmitted helminth disease transmission in border counties.

Author Notes

Financial support: Cohort data and biospecimens were collected through NIH grants DK116378 (C. L. Hanis and E. L. Brown) and DK109920 (C. L. Hanis and Dr. Sharon Brown of the University of Texas at Austin). Protozoa and soil-transmitted helminth detection and additional analyses were supported by a grant from the Texas Department of State Health Services (E. L. Brown and S. M. Gunter).

Disclosure: This study was reviewed and approved by the Institutional Review Board (IRB# HSC-SPH-06-0225) at The University of Texas Health Science Center School of Public Health in Houston, Texas.

Current contact information: Lauren M. Leining, Department of Epidemiology, Human Genetics & Environmental Sciences, Center for Infectious Disease, University of Texas School of Public Health, Houston, TX, Department of Pediatrics, National School of Tropical Medicine, Section of Tropical Medicine, Baylor College of Medicine, Houston, TX, and William T. Shearer Center for Human Immunobiology, Texas Children’s Hospital, Houston, TX, E-mail: lauren.m.leining@uth.tmc.edu. Timothy A. Erickson, Department of Epidemiology and Biostatistics, School of Public Health, Texas A&M University, College Station, TX, E-mail: timerickson@tamu.edu. Craig L. Hanis, Department of Epidemiology, Human Genetics & Environmental Sciences, Human Genetics Center, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, E-mail: craig.l.hanis@uth.tmc.edu. Cici Bauer, Department of Biostatistics and Data Science, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, and Center for Spatial-Temporal Modeling for Applications in Population Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, E-mail: cici.x.bauer@uth.tmc.edu. Maya D. Murry, Rojelio Mejia, and Sarah M. Gunter, Department of Pediatrics, National School of Tropical Medicine, Section of Tropical Medicine, Baylor College of Medicine, Houston, TX, and William T. Shearer Center for Human Immunobiology, Texas Children’s Hospital, Houston, TX, E-mails: maya.murry@bcm.edu, rojelio.mejia@bcm.edu, and sarah.gunter@bcm.edu. Eric L. Brown, Department of Epidemiology, Human Genetics & Environmental Sciences, Center for Infectious Diseases, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, E-mail: eric.l.brown@uth.tmc.edu.

Address correspondence to Sarah M. Gunter, 1102 Bates Ave., Suite 550, Houston, TX 77030. E-mail: sarah.gunter@bcm.edu
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