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A Simple intervention to prevent cutaneous larva migrans among devotees of the Nallur Temple in Jaffna, Sri Lanka

Show simple item record Kannathasan, S. en_US Murugananthan, A. en_US Rajeshkannan, N. en_US de Silva, N.R. en_US 2014-10-29T09:40:39Z en_US 2014-10-29T09:40:39Z en_US 2013 en_US
dc.identifier.citation PLoS One. 2013; 8(4): e61816 en_US
dc.identifier.issn 1932-6203 (Electronic) en_US
dc.identifier.other 10.1371/journal.pone.0061816 en_US
dc.identifier.uri en_US
dc.description Indexed in MEDLINE en_US
dc.description.abstract BACKGROUND: A cross sectional study conducted during the annual festival at Nallur temple in Jaffna, Sri Lanka, in 2010, showed that the prevalence of cutaneous larva migrants (CLM) among the devotees who performed the side roll ritual was 58.2% (95%CI: 51.2%-65.0%). OBJECTIVE: To test the hypothesis that the deworming stray dogs around the temple premises effectively reduces the prevalence of CLM among devotees. METHODOLOGY/PRINCIPAL FINDINGS: All stray dogs (8) in the vicinity of the temple were treated, with mebendazole (100 mg) crushed and filled into sausages, 10 days before the commencement of festival in 2011. The same procedure was repeated a week later to ensure complete coverage. A cross-sectional study was conducted among 200 systematically selected devotees in August 2011 using an interviewer-administered questionnaire and the clinical examination of the skin. Baermann's technique was used for the recovery of nematode larvae from 40 soil samples collected from the temple premises. Ten samples of dog faeces collected from the same premises were also examined for nematode eggs. Prevalence of CLM among devotees in 2010 (Pre intervention) and 2011(Post intervention) were compared to test the hypothesis. Prevalence of CLM declined from 58% to 8% (Chi-square = 112.90, p<0.001) following the intervention. None of the subjects practiced new precautionary measures compared to the previous year. Soil and fecal samples were negative for parasites. CONCLUSIONS/SIGNIFICANCE: Regular dog deworming is an important and effective method for the prevention of CLM among the devotees doing side roll ritual and represents a pragmatic intervention that municipal authorities could perform on annual basis. Copyright: 2013 Kannathasan et al. en_US
dc.publisher Public Library of Science en_US
dc.source.uri en_US
dc.title A Simple intervention to prevent cutaneous larva migrans among devotees of the Nallur Temple in Jaffna, Sri Lanka en_US
dc.type Article en_US
dc.identifier.department Parasitology en_US
dc.creator.corporateauthor Public Library of Science en_US

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