| 
              
              
              Open Access  
Copyright: The authors. This article is an open access 
article licensed under the terms of the Creative Commons Attribution License 
 
 
(http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, 
distribution and reproduction in any medium, provided the work is properly 
cited. 
 
              
              
              Research 
              
              
(Published online: 
              07-08-2015) 
              
              
              3.  
              
              Zoonotic enteric parasites transmitted from dogs in Egypt with 
              special concern to Toxocara canis infection - 
              Maysa A. I. 
              Awadallah and Lobna M. A. Salem 
              
              Veterinary World, 8(8): 946-957   
              
   
                
                
doi: 
              10.14202/vetworld.2015.946-957   Maysa 
              A. I. Awadallah: 
              
              Department of Zoonoses, Faculty of Veterinary Medicine, Zagazig 
              University, Zagazig 44511, Egypt; maysavet@hotmail.com Lobna 
              M. A. Salem: Department of Zoonoses, Faculty of Veterinary 
              Medicine, Benha University, Benha 13518, Egypt;
              
              ellaithys@yahoo.com   Received: 
              20-05-2015, Revised: 06-07-2015, Accepted: 11-07-2015, Published 
              online: 07-08-2015   
              
              
              Corresponding author:Maysa A. I. Awadallah, e-mail: maysavet@hotmail.com 
 
              Citation:Awadallah MAI, Salem 
              LMA (2015) Zoonotic enteric parasites transmitted from dogs in 
              Egypt with special concern to Toxocara canis infection, 
              Veterinary World 8(8): 946-957. 
 
              Abstract 
 Aim:
              This work aimed to study the role played by dogs in 
              transmitting zoonotic enteric parasites to humans in Egypt and to 
              analyze the risk factors associated with the occurrence of such 
              infection in dogs. Serodiagnosis of anti-Toxocara 
              immunoglobulin G (IgG) antibodies among human beings as well as 
              analyzing risk factors predispose to Toxocara canis 
              infection in human beings are another objectives of this study. 
              Materials and Methods: From June to December 2013, a total of 
              130 fecal samples from 4 dog populations (Military, nomadic and 
              domiciled dogs from rural and high standard districts) and 150 
              stool samples of 6 occupational groups were examined for the 
              presence of enteric parasitic infection. Moreover, 150 serum 
              samples were collected from humans from whom stool samples were 
              collected and examined for the presence of anti-T. canis 
              antibodies. 
              Results: Enteric parasites were detected in 30% of fecal 
              samples from 4 dog populations in Egypt. High infectivity had been 
              reported in nomadic dogs (63.33%) (Crude odds ratios [COR]=67.36, 
              95% confidence interval [CI]=8.09-560.8, p˂0.000), 
              followed by domiciled dogs from rural areas (40%) (COR=26, 95% 
              CI=3.14-215.54, p=0.003), domiciled dogs from high standard areas 
              (23.33%) (COR=11.87, 95% CI=1.37-102.69, p=0.025) and military 
              dogs (2.5%). Twelve species of enteric parasites were identified,
              Ancylostomatidae (6.15%), T. canis and 
              Cryptosporidium spp. (5.38%, each), Heterophyes spp. 
              (3.85%), Toxocara leonina and Blastocystis spp. 
              (3.07%), Taenidae eggs (2.31%), Hymenolepis diminuta 
              (1.54%) and Entamoeba canis, Cyclospora cayetanensis, 
              and Paragonimus spp. (0.77%, each). Univariate logestic 
              regression revealed significant association of age (COR=4.73, 95% 
              CI=2.13-10.53, p˂0.000), 
              gender (COR=2.63, 95% CI=1.22-5.68, p˂0.014), 
              housing system (COR=5.10, 95% CI=2.04-12.75), p˂0.000) 
              with enteric parasitic infection in dogs. However, breeds (COR=6.91, 
              95% CI=0.88-54.52, p=0.067) and type of feeding (COR ranged from 
              3.5 to 7.62, p˃0.05) 
              did not seem to have a significant association among the examined 
              dogs. Enteric parasitic infection was reported in 31/150 human 
              stools (20.67%). Students were the most affected groups (37.14%), 
              followed by nomadic people (24%), house wives (20%), house 
              guarders and military workers (12%, each), and employees (10%). 
              The identified parasites were Cryptosporidium spp. (9.33%),
              Ascaris lumbercoides (3.33%), Heterophyes spp. and
              Ancylostoma spp. (2.66%, each) and Paragonimus spp. 
              and Hymenolepis nana (1.33%, each). Toxocara IgG 
              antibodies were detected in 36/150 (24%) serum samples 
              investigated. Toxocara IgG antibodies were more prevalent 
              in males (26.66%) than females (20%). Seroprevalence was highest 
              (17/35, 48.57%) in 7-15 years old (COR=6.93, 95% CI=1.75-27.43, 
              p=0.006). Seroprevalence values for T. canis antibodies 
              were higher in those; raising dogs (29.85%), eating raw vegetables 
              (25.21%) and not washing hands before meals (25.45%). T. canis
              antibodies were detected in 25% of those contacted with soil 
              compared to 30% of those did not. Students were mostly affected 
              (34.29%), followed by nomadic people (32%), house guarders (28%), 
              housewives (20%), military workers (13%), and employees (10%). 
              Conclusion: Detection of enteric parasites in dogs and humans 
              in Egypt substantiates the role posed by dogs in transmitting 
              zoonotic parasites to humans and knock an alarm for common sources 
              of infection for humans and dogs. Common sources may be infected 
              fish or contaminated vegetables that are consumed by dogs or 
              humans or even infected rodents that may contaminate their feed. 
              This pilot study necessitate the need for similar studies and 
              tracing such infection in fish, vegetables, rodent that may be 
              responsible for infecting humans and dogs in order to understand 
              the epidemiology of zoonotic parasitic infection transmitted from 
              dogs to humans. 
              Keywords: dogs, enteric parasites, humans, 
              risk factors, zoonoses. 
 
              References 
 
                
                  | 1. Robertson, I.D., Irwin, P.J., Lymbery, A.J. and Thompson, 
                  R.C.A. (2000) The role of companion animals in the emergence 
                  of parasitic disease. Int. J. Parasitol., 30: 1369-1377. http://dx.doi.org/10.1016/S0020-7519(00)00134-X
 |  
                  |  |  
                  | 2. Molyneux, D.H. (2004) 'Neglected' diseases but unrecognized 
                  successes – Challenges and opportunities for infectious 
                  disease control. Lancet, 364: 380-383. http://dx.doi.org/10.1016/S0140-6736(04)16728-7
 |  
                  |  |  
                  | 3. Satyal, R.C., Manandhar, S., Dhakal, S., Mahato, B.R., 
                  Chaulagain, S., Ghimire, L. and Pandeya, Y.R. (2013) 
                  PravalencePrevalence of gastrointestinal zoonotic helminthes 
                  in dogs of Kathmandu, Nepal. Int. J. Infect. Microbiol. 2: 
                  91-94. http://dx.doi.org/10.3126/ijim.v2i3.8211
 |  
                  |  |  
                  | 4. Youssef, A.I. and Uga, S. (2014) Review of parasitic 
                  zoonoses in Egypt. Trop. Med. Health, 42(1): 3-14. http://dx.doi.org/10.2149/tmh.2013-23
 PMid:24808742 PMCid:PMC3965843
 |  
                  |  |  
                  | 5. Macpherson, C.N.L. (2005) Human behavior and the 
                  epidemiology of parasitic zoonoses. Int. J. Parasitol., 35: 
                  1319-1331. http://dx.doi.org/10.1016/j.ijpara.2005.06.004
 PMid:16102769
 |  
                  |  |  
                  | 6. Oliveira-Sequeira, T.C., Amarante, A.F., Ferrari, T.B. and 
                  Nunes, L.C. (2002) Prevalence of intestinal parasites in dogs 
                  from Sao Paulo State, Brazil. Vet. Parasitol. 3: 19-27. http://dx.doi.org/10.1016/S0304-4017(01)00575-1
 |  
                  |  |  
                  | 7. Sariego, I., Kanobana, K., Junco, R., Vereecken, K., Nú-ez, 
                  F.A., Polman, K., Bonet, M. and Rojas, L. (2012) Frequency of 
                  antibodies to Toxocara in Cuban schoolchildren. Trop. Med. 
                  Int. Health, 17(6): 711-714. http://dx.doi.org/10.1111/j.1365-3156.2012.02996.x
 PMid:22943301
 |  
                  |  |  
                  | 8. Zajac, A.M. and Conboy, G.A. (2012) Veterinary Clinical 
                  Parasitology. 8th ed. John Wiley and Sons, UK. p40-87P40-87. |  
                  |  |  
                  | 9. Lee, J., Kang, S., Kim, N., Lee, C., Ahn, K., Kwon, H., 
                  Park, C. and Kim, S. (2010) Investigation of helminths and 
                  protozoans infecting old world monkeys: Captive vervet, 
                  cynomolgus, and rhesus monkeys. Korean J. Vet. Res., 50(4): 
                  273-277. |  
                  |  |  
                  | 10. Gracenea, M., Gomez, M.S. and Torres, J. (2009) Prevalence 
                  of intestinal parasites in shelter dogs and cats in the 
                  metropolitan area of Barcelona (Spain). Acta Parasitol., 54: 
                  73-77. http://dx.doi.org/10.2478/s11686-009-0005-7
 |  
                  |  |  
                  | 11. Ahmed, W.M., Mousa, W.M., Aboelhadid, S.M. and Tawfik, 
                  M.M. (2014) Prevalence of zoonotic and other gastrointestinal 
                  parasites in police and house dogs in Alexandria, Egypt. Vet. 
                  World, 7: 275-280. http://dx.doi.org/10.14202/vetworld.2014.275-280
 |  
                  |  |  
                  | 12. Minnaar, W.N., Krecek, R.C. and Fourie, L.J. (2002) 
                  Helminths in dogs from a peri-urban resource-limited community 
                  in free State province, South Africa. Vet. Parasitol., 107: 
                  343-349. http://dx.doi.org/10.1016/S0304-4017(02)00155-3
 |  
                  |  |  
                  | 13. Eguia-Aguilar, P., Cruz-Reyes, A. and Martinez-Maya, J.J. 
                  (2005) Ecological analysis and description of the intestinal 
                  helminthes present in dogs in Mexico cityCity. Vet. Parasitol., 
                  127: 139-146. http://dx.doi.org/10.1016/j.vetpar.2004.10.004
 PMid:15631907
 |  
                  |  |  
                  | 14. Martinez-Moreno, F.J., Hernandez, S., Lopez-Cobos, E., 
                  Becerra, C., Acosta, I. and Martinez-Moreno, A. (2007) 
                  Estimation of canine intestinal parasites in Cordoba (Spain) 
                  and their risk to public health. Vet. Parasitol., 143: 7-13. http://dx.doi.org/10.1016/j.vetpar.2006.08.004
 PMid:16971046
 |  
                  |  |  
                  | 15. Ugbomoiko, U.S., Ariza, L. and Heukelbach, J. (2008) 
                  Parasites of importance for human health in Nigerian dogs: 
                  High prevalence and limited knowledge of pet owners. BMC Vet. 
                  Res., 4: 49. http://dx.doi.org/10.1186/1746-6148-4-49
 |  
                  |  |  
                  | 16. Kimura, A., Morishima, Y., Nagahama, S., Horikoshi, T., 
                  Dagawa, A., Kawabuchi-Kurata, T., Sugiyama, H. and Yamasaki, 
                  H.A. (2013) Coprological survey of intestinal helminthes in 
                  stray dogs captured in Oosaka prefecture, Japan. J. Vet. Med. 
                  Sci., 75(10): 1409-1411. http://dx.doi.org/10.1292/jvms.12-0499
 PMCid:PMC3942944
 |  
                  |  |  
                  | 17. Katagiri, S. and Oliveira-Sequeira, T.C.G. (2008) 
                  Prevalence of dog intestinal parasites and risk perception of 
                  zoonotic infection by dog owners in Sa˜o Paulo State, Brazil. 
                  Zoonoses and Public Health, 55: 406-413. http://dx.doi.org/10.1111/j.1863-2378.2008.01163.x
 PMid:18811905
 |  
                  |  |  
                  | 18. Dalimi, A., Sattari, A. and Motamedi, G.H. (2006) A study 
                  on intestinal helminthes of dogs, foxes and jackals in the 
                  western part of Iran. Vet. Parasitol., 142: 129-133. http://dx.doi.org/10.1016/j.vetpar.2006.06.024
 PMid:16899340
 |  
                  |  |  
                  | 19. Eslami, A., Ranjbar-Bahadori, S.H., Meshgi, B., Dehghan, 
                  M. and Bokaie, S. (2010) Helminth infections of stray dogs 
                  from garmsar, semnan province, central Iran. Iran. J. 
                  Parasitol., 5: 37-41. PMid:22347264 PMCid:PMC3279852
 |  
                  |  |  
                  | 20. Mirzaei, M. and Fooladi, M. (2012) Prevalence of 
                  intestinal helminthes in owned dogs in Kerman city, Iran. 
                  Asian Pac. J. Trop. Med., 5: 735-737. http://dx.doi.org/10.1016/S1995-7645(12)60116-3
 |  
                  |  |  
                  | 21. Adinezadeh, A., Kia, E.B., Mohebali, M., Shojaee, S., 
                  Rokni, M.B., Zarei, Z. and Mowlavi, G. (2013) Endoparasites of 
                  stray dogs in mashhad, khorasan razavi province, Northeast 
                  Iran with special reference to zoonotic parasites. Iran. J. 
                  Parasitol., 20(8): 459-466. |  
                  |  |  
                  | 22. Batchelor, D.J., Tzannes, S., Graham, P.A., Wastling, 
                  J.M., Pinchbeck, G.L. and German, A.J. (2008) Detection of 
                  enteric parasites with zoonotic potential in dogs with 
                  gastrointestinal disease in the UK. Transbound. Emerg. Dis., 
                  55(2): 99-104. http://dx.doi.org/10.1111/j.1865-1682.2007.01005.x
 PMid:18397497
 |  
                  |  |  
                  | 23. Senlik, B., Cirak, V.Y. and Karabacak, A. (2006) 
                  Intestinal nematode infections in Turkish military dogs with 
                  special reference to Toxocara canis. J. Helminthol., 80(3): 
                  299-303. PMid:16923275
 |  
                  |  |  
                  | 24. Fatahi-Burani, Z. (2005) Garmsar branch: Collage of 
                  Veterinary Medicine, Islamic Azad University. Study on the 
                  infection to cryptosporidiosis in stray dogs of Garmsar. |  
                  |  |  
                  | 25. Sabry, M.A. and Lotfy, H.S. (2009) Captive dogs as 
                  reservoirs of some zoonotic parasites. Res. J. Parasitol., 
                  4(4): 115-122. http://dx.doi.org/10.3923/jp.2009.115.122
 |  
                  |  |  
                  | 26. El Shazly, A.M., Awad, S.E., Sultan, D.M., Sadek, G.S., 
                  Khalil, H.H. and Morsy, T.A. (2006) Intestinal parasites in 
                  Dakahlia Governorate, with different techniques in diagnosing 
                  protozoa. J. Egypt. Soc. Parasitol., 36: 1023-1034. PMid:17153711
 |  
                  |  |  
                  | 27. Abdel-Hafeez, E.H., Ahmad, A.K., Ali, B.A. and Moslam, F.A. 
                  (2012) Opportunistic parasites among immunosuppressed children 
                  in Minia District, Egypt. Korean J. Parasitol., 50: 57-62. http://dx.doi.org/10.3347/kjp.2012.50.1.57
 PMid:22451735 PMCid:PMC3309052
 |  
                  |  |  
                  | 28. Maysa, A.I.A. (2010) Endoparasites of zoonotic importance. 
                  Glob. Vet., 5(6): 348-355. |  
                  |  |  
                  | 29. Vassalos, C.M., Papadopoulou, C. and Vakalis, N.C. (2008) 
                  Blastocytstosis: Emerging or reemerging potential zoonoses. 
                  Vet. Ital., 44: 679-684. PMid:20411495
 |  
                  |  |  
                  | 30. Abd El-Wahed, M.M., Salem, G.H. and El-Assaly, T.M. (1999) 
                  The role of wild rats as a reservoir of some internal 
                  parasites in Qalyubia Governorate. J. Egypt. Soc. Parasitol., 
                  29: 495-503. PMid:10605500
 |  
                  |  |  
                  | 31. Abere, T., Bogale, B. and Melaku, A. (2013) 
                  Gastrointestinal helminth parasites of pet and stray dogs as a 
                  potential risk for human health in Bahir Dar town, 
                  north-western Ethiopia. Vet. World, 6(7): 388-392. http://dx.doi.org/10.5455/vetworld.2013.388-392
 |  
                  |  |  
                  | 32. Davoust, B., Normand, T., Bourry, O., Dang, H., Leroy, E. 
                  and Bourdoiseau, G. (2008) Epidemiological survey on 
                  gastrointestinal and blood-borne helminths of dogs in north 
                  east Gabon. Onderstepoort J. Vet. Res., 75: 359-364. http://dx.doi.org/10.4102/ojvr.v75i4.112
 PMid:19294992
 |  
                  |  |  
                  | 33. Zelalem, G. and Mekonnen, A. (2012) Prevalence of 
                  gastrointestinal helminthes among dogs in Bahir Dar town, 
                  Ethiopia. World Appl. Sci. J., 19(5): 595-601. |  
                  |  |  
                  | 34. Gharekhani, J. (2014) Study on gastrointestinal zoonotic 
                  parasites in pet dogs in western Iran. Turk. Parazitol. Derg., 
                  38: 172-176. http://dx.doi.org/10.5152/tpd.2014.3546
 PMid:25308454
 |  
                  |  |  
                  | 35. Swai, E.S., Kaaya, E.J., Mshanga, D.A. and Mbise, E.W. 
                  (2010) A survey on gastro-intestinal parasites of nondescript 
                  dogs in and around Arusha Municipality, Tanzania. Int. J. 
                  Anim. Vet. Adv., 3(2): 63-67. |  
                  |  |  
                  | 36. Mateus, T.L., Castro, A., Ribeiro, J.N. and Vieira-Pinto 
                  M. (2014) Multiple zoonotic parasites identified in dog feces 
                  collected in pontePonte de lima, pPortugal—A potential threat 
                  to human health. Int. J. Environ. Res. Public Health, 11: 
                  9050-9067. http://dx.doi.org/10.3390/ijerph110909050
 PMid:25257358 PMCid:PMC4199006
 |  
                  |  |  
                  | 37. Szabová, E., Juriš, P., Miterpáková, M., Antolová, D., 
                  Papajová, I. and Šefčíková, H. (2014) Prevalence of important 
                  zoonotic parasites in dog populations from the Slovak 
                  Republic. Helminthol., 44(4), 170-176. |  
                  |  |  
                  | 38. Xiao, L., Fayer, R., Ryan, U. and Upton, S.J. (2004) 
                  Cryptosporidium taxonomy: Recent advances and implications for 
                  public health. Clin. Microbiol. Rev., 17: 72-97. http://dx.doi.org/10.1128/CMR.17.1.72-97.2004
 PMid:14726456 PMCid:PMC321466
 |  
                  |  |  
                  | 39. Youssef, F.G., Adib, I., Riddle, M.S. and Schlett, C.D. 
                  (2008) A review of cryptosporidiosis in Egypt. J. Egypt. Soc. 
                  Parasitol., 38, 9-28. PMid:19143117
 |  
                  |  |  
                  | 40. Mousa, K.M., Abdel-Tawab, A.H., Khalil, H.H. and 
                  El-Hussieny, N.A. (2010) Diarrhea due to parasites 
                  particularly Cryptosporidium parvum in great Cairo, Egypt. J. 
                  Egypt. Soc. Parasitol., 40: 439-450. PMid:21246951
 |  
                  |  |  
                  | 41. Helmy, Y.A., Krucken, J., Nockler, K., von 
                  Samson-Himmelstjerna, G. and Zessin, K.H. (2013) Molecular 
                  epidemiology of Cryptosporidium in livestock animals and 
                  humans in the Ismailia province of Egypt. Vet. Parasitol., 
                  193(1-3): 15-24. http://dx.doi.org/10.1016/j.vetpar.2012.12.015
 PMid:23305974
 |  
                  |  |  
                  | 42. Sargent, K.D., Morgan, U.M., Elliot, A.D. and Thompson, 
                  R.C.A. (1998) Morphological and genetic characterisation 
                  characterization of Cryptosporidium oocysts from domestic 
                  cats. Vet. Parasitol., 77: 221-227. http://dx.doi.org/10.1016/S0304-4017(98)00122-8
 |  
                  |  |  
                  | 43. Xiao, L., Cama, V.A., Cabrera, L., Ortega, Y., Pearson, J. 
                  and Gilman, R.H. (2007) Possible transmission of 
                  Cryptosporidium canis among children and a dog in a household. 
                  J. Clin. Microbiol., 45: 2014-2016. http://dx.doi.org/10.1128/JCM.00503-07
 PMid:17442794 PMCid:PMC1933110
 |  
                  |  |  
                  | 44. Esteban, J.G., Gonzales, C., Curtale, F., Antoli-Muytoz, 
                  C., Valero, M.A., Bargues, M.D., El-Sayed, M., El-Wakeel, A., 
                  Abdel-Wahab, Y., Montresor, A., Engles, D., Savioli, L. and 
                  Mas-Comas, S. (2003) Hyper endemic fascioliasis associated 
                  with schistosomiasis in villages in the Nile Delta of Egypt. 
                  Am. J. Trop. Med. Hyg., 69: 924-437. |  
                  |  |  
                  | 45. El Sahn, F.F., Deghedi, B.M., Mahdy, N.H. and El Sahn, A. 
                  (1997) The impact of intestinal parasitic infections on the 
                  nutritional status of primary school children in Alexandria, 
                  Egypt. J. Egypt. Public Health Assoc., 72: 113-151. PMid:17265628
 |  
                  |  |  
                  | 46. Dreyer, G., Fernandes-Silva, E., Alves, S., Rocha, A., 
                  Albuquerque, R. and Addis, D. (1996) Patterns of detection of 
                  Strongyloides stercoralis in stool specimens: Implication for 
                  diagnosis and clinical trials. J. Clin. Microbiol., 34(10): 
                  2569-2571. PMid:8880521 PMCid:PMC229319
 |  
                  |  |  
                  | 47. Agi, P.I. (1997) Comparative helminth infections of man in 
                  two rural communities of the Niger Delta, Nigeria. West Afr. 
                  J. Med., 16(7): 232-236. PMid:9473959
 |  
                  |  |  
                  | 48. El-Kadi, M.A., Dorrah, A.O. and Shoukry, N.M. (2006) 
                  Patients with gastrointestinal complains due to enteric 
                  parasites, with reference to Entamoeba histolytica/dispar as 
                  detected by ELISA E. histolytica adhesion in stool. J. Egypt. 
                  Soc. Parasitol., 36: 53-64. PMid:16605100
 |  
                  |  |  
                  | 49. Shalaby, H.A., Abdel-Shafy, S. and Derbala, A.A. (2010), 
                  The role of dogs in transmission of Ascaris lumbricoides for 
                  humans. Parasitol. Res., 106: 1021-1026. http://dx.doi.org/10.1007/s00436-010-1755-8
 PMid:20162430
 |  
                  |  |  
                  | 50. Velho, P.E.N., Faria, A.V., Cintra, M.L., Souza, E.M. and 
                  Moraes, A.M. (2003) Larva migrans: A case report and review. 
                  Rev. Inst. Med. Trop. Sao Paulo, 45: 167-171. http://dx.doi.org/10.1590/S0036-46652003000300010
 PMid:12870068
 |  
                  |  |  
                  | 51. Bahgat, M.A., El Gindy, A.E., Mahmoud, L.A., Hegab, M.H. 
                  and Shahin, A.M. (1999) Evaluation of the role of Ancylostoma 
                  caninum in humans as a cause of acute and recurrent abdominal 
                  pain. J. Egypt. Soc. Parasitol., 29: 873-882. PMid:12561926
 |  
                  |  |  
                  | 52. Abou-Basha, L.M., Abdel-Fattah, M., Orecchia, P., Di Cave, 
                  D. and Zaki, A. (2000) Epidemiological study of heterophyiasis 
                  among humans in an area of Egypt. East Mediter. Health J., 6: 
                  932-938. |  
                  |  |  
                  | 53. Lobna, S.M., Metawea, Y.F. and Elsheikha, H.M. (2010) 
                  Prevalence of heterophyiosis in Tilapia fish and humans in 
                  Northern Egypt. Parasitol. Res., 107: 1029-1034. http://dx.doi.org/10.1007/s00436-010-1976-x
 PMid:20644958
 |  
                  |  |  
                  | 54. Ibrahim, M.M. and Soliman, M.F. (2010) Prevalence and site 
                  preferences of heterophyid metacercariae in Tilapia zilli from 
                  Ismalia fresh water canal, Egypt. Parasite, 17: 233-239. http://dx.doi.org/10.1051/parasite/2010173233
 PMid:21073146
 |  
                  |  |  
                  | 55. Khalafalla, R.E. (2011) A survey study on gastrointestinal 
                  parasites of stray cats in northern region of Nile delta, 
                  Egypt. PLoS One, 6: 20283. http://dx.doi.org/10.1371/journal.pone.0020283
 PMid:21760884 PMCid:PMC3132738
 |  
                  |  |  
                  | 56. Merwad, A.M.A. (2009) Zoonotic studies on helminthes 
                  causing diarrhea in man. PhD Thesis of Veterinary Medical 
                  Science, Zoonoses, Faculty of Veterinary Medicine, Zagazig 
                  University, Egypt. |  
                  |  |  
                  | 57. Bakr, I.M., Arafa, N.A., Ahmed, M.A., Mostafa, M.H. and 
                  Mohamed, M.K. (2009) Prevalence of intestinal parasitosis in a 
                  rural population in Egypt, and its relation to 
                  socio-demographic characteristics. J. Egypt. Soc. Parasitol., 
                  39: 371-381. PMid:19621655
 |  
                  |  |  
                  | 58. Habbary, K., Tifnouti, A., Bitton, G. and Mandil, A. 
                  (2000) Intestinal parasitosis and environmental pollution: 
                  1343 pediatric cases in Beni-Mellal, Morocco. Tunis Med., 78: 
                  109-114. |  
                  |  |  
                  | 59. Iris-Diaz, A., Zulbey, R.R., Angela, M.B., Maria, S.C., 
                  Ellen, A., Marinella, L.C. and Ricardo, T.A. (2006) Prevalence 
                  of intestinal parasites in children of Yukpa Ethina in Toromo, 
                  Zulia State, venezuelaVenezuela. Rev. Med. Chile, 134: 72-78. |  
                  |  |  
                  | 60. Sadaga, G.A. and Kassem, H.H. (2007) Prevalence of 
                  intestinal parasites among primary schoolchildren in Derna 
                  District, Libya. J. Egypt. Soc. Parasitol., 37: 205-215. PMid:17580578
 |  
                
                  |  |  
                  | 61. Jacobsen, K.H., Ribeiro, P.S., Quist, B.K. and Rybdeck, 
                  B.V. (2007) Prevalence of intestinal parasites in young 
                  Quichua children in the highlands of rural Ecuador. J. Health 
                  Popul. Nutr., 25: 399-405. PMid:18402182 PMCid:PMC2754013
 |  
                  |  |  
                  | 62. Romero Cabello, R. (2007) Human Microbiology and 
                  parasitologyMicrobiologia y Parasitologia Humana. 3a ed3rd 
                  edition . Editorial Medica Panamericana, Mexico. p1405-1412. |  
                  |  |  
                  | 63. Mohammad, M.A. and Hegazi, M.A. (2007) Intestinal 
                  permeability in Hymenolepis nana as reflected by non -invasive 
                  lactulosa/manitol dual permeability test and its impaction on 
                  nutritional parameters of patients. J. Egypt. Soc. Parasitol., 
                  37: 877-891. PMid:18383790
 |  
                  |  |  
                  | 64. Blair, D., Agatsuma, T. and Wang, W. (2008) Paragonimiasis. 
                  In: Murrell, K.D. and Fried, B., editors. Food-Borne Parasitic 
                  Zoonoses: Fish and Plant-Borne Parasites. Vol. 11. Springer, 
                  New York, NY. p117-150. http://dx.doi.org/10.1007/978-0-387-71358-8_3
 |  
                  |  |  
                  | 65. CDC. (2010) Paragonimiasis, Clinical Features. ???. 
                  https://en.wikipedia.org/wiki/Paragonimiasis Retrieved onLast 
                  accessed on 06-09-20124. |  
                  |  |  
                  | 66. Macpherson, C.N.L. (2013) The epidemiology and public 
                  health importance of toxocariasis: A zoonosis of global 
                  importance. Int. J. Parasitol., 43: 999-1008. http://dx.doi.org/10.1016/j.ijpara.2013.07.004
 PMid:23954435
 |  
                  |  |  
                  | 67. Jarosz, W., Mizgajska-Wiktor, H., Kirwan, P., Konarski, 
                  J., Rychlicki, W. and Wawrzyniak, G. (2010) Developmental age, 
                  physical fitness and Toxocara seroprevalence amongst lower – 
                  secondary students living in rural areas contaminated with 
                  Toxocara eggs. Parasitol., 137: 53-63. http://dx.doi.org/10.1017/S0031182009990874
 PMid:19691865
 |  
                  |  |  
                  | 68. Fan, C.K., Liao, C.W. and Cheng, Y.C. (2013) Factors 
                  affecting disease manifestation of toxocarosis in humans: 
                  Genetics and environment. Vet. Parasitol., 193: 342-352. http://dx.doi.org/10.1016/j.vetpar.2012.12.030
 |  
                  |  |  
                  | 69. Roldan, W.H., Espinoza, Y.A., Huapaya, P.E., Huiza, A.F., 
                  Sevilla, C.R. and Jimenez, S. (2009) Frequency of human 
                  toxocariasis in a rural population from Cajamarca, Peru 
                  determined by DOT-ELISA test. Rev. Inst. Med. Trop. Sao Paulo, 
                  51: 67-71. http://dx.doi.org/10.1590/S0036-46652009000200002
 PMid:19390733
 |  
                  |  |  
                  | 70. Liao, C.W., Sukati, H., D'Lamini, P., Chou, C.M., Liu, 
                  Y.H., Huang, Y.C., Chung, M.H., Mtsetfwa, J.S., Jonato, J., 
                  Chiu, W.T., Chang, P.W.S., Du, W.Y., Chan, H.C., Chu, T.B., 
                  Cheng, H.C., Su, W.W., Tu, C.C., Cheng, C.Y. and Fan, C.K. 
                  (2010) Seroprevalence of Toxocara canis infection among 
                  children in the Kingdom of Swaziland, Southern Africa. Ann. 
                  Trop. Med. Parasitol., 104: 73-80. http://dx.doi.org/10.1179/136485910X12607012373795
 PMid:20149294
 |  
                  |  |  
                  | 71. Schoenardie, E.R., Scaini, C.J., Brod, C.S., Pepe, M.S., 
                  Villela, M.M., McBride, A.J., Borsuk, S. and Berne, M.E. 
                  (2013) Seroprevalence of Toxocara infection in children from 
                  southern Brazil. J. Parasitol., 99: 537-539. http://dx.doi.org/10.1645/GE-3182
 PMid:23738711
 |  
                  |  |  
                  | 72. Won, K.Y., Kruszon-Moran, D., Schantz, P.M. and Jones, 
                  J.L. (2008) National seroprevalence and risk factors for 
                  zoonotic Toxocara spp. infection. Am. J. Trop. Med. Hyg., 79: 
                  552-557. PMid:18840743
 |  
                  |  |  
                  | 73. Alonso, J.M., Bojanich, M.V., Chamorro, M. and Gorodner, 
                  J.O. (2000) Toxocara seroprevalence in children from a 
                  subtropical city in Argentina. Rev. do Inst. de Med. Trop. de 
                  Sao Paulo, 42: 235-237. http://dx.doi.org/10.1590/S0036-46652000000400010
 PMid:10968888
 |  
                  |  |  
                  | 74. Alderete, J.M.S., Jacob, C.M.A., Pastorino, A.C., Elefant, 
                  G.R., Castro, A.P., Fomin, A.B. and Chieffi, P.P. (2003) 
                  Prevalence of Toxocara infection in schoolchildren from the 
                  Butanta region, Sao Paulo, Brazil. Mem. Inst. Oswaldo. Cruz., 
                  98: 593-597. http://dx.doi.org/10.1590/S0074-02762003000500002
 PMid:12973524
 |  
                  |  |  
                  | 75. Fan, C.K., Hung, C.C., Du, W.Y., Liao, C.W. and Su, K.E. 
                  (2004) Seroepidemiology of Toxocara canis infection among 
                  mountain aboriginal schoolchildren living in contaminated 
                  districts in eastern Taiwan. Trop. Med. Int. Health, 9: 
                  1312-1318. http://dx.doi.org/10.1111/j.1365-3156.2004.01332.x
 PMid:15598263
 |  
                  |  |  
                  | 76. Ajayi, O.O., Duhlinska, D.D., Agwale, S.M. and Njoku, M. 
                  (2000) Frequency of human toxocariasis in Jos, lateau State, 
                  Nigeria. Mem. Inst. Oswaldo. Cruz., 95: 147-149. http://dx.doi.org/10.1590/S0074-02762000000200002
 PMid:10733730
 |  
                  |  |  
                  | 77. Sadjjadi, S.M., Khosravi, M., Mehrabani, D. and Orya, A. 
                  (2000) Seroprevalence of Toxocara infection in schoolchildren 
                  in Shiraz, Southern Iran. J. Trop. Pediatr., 46: 327-330. http://dx.doi.org/10.1093/tropej/46.6.327
 PMid:11191141
 |  
                  |  |  
                  | 78. Wolfe, A. and Wright, I.P. (2003) Human toxocariasis and 
                  direct contact with dogs. Vet. Rec., 152: 419-422. http://dx.doi.org/10.1136/vr.152.14.419
 PMid:12708589
 |  
                  |  |  
                  | 79. Woodruff, A.W., de Savigny, D.H. and Jocobs, D.E. (1978) 
                  Study of toxocaral infection in dog breeders. Br. Med. J., 2: 
                  1747-1748. http://dx.doi.org/10.1136/bmj.2.6154.1747-a
 PMid:737476 PMCid:PMC1609980
 |  
                  |  |  
                  | 80. Fu, C., Chuang, T., Lin, H., Wu, C., Liu, Y., Langinlur, 
                  M.K., Lu, M., Hsiao, W.W. and Fan, C. (2014). Seroepidemiology 
                  of Toxocara canis infection among primary schoolchildren in 
                  the capital area of the republic of the Marshall Islands. BMC 
                  Infect. Dis., 14: 261. http://dx.doi.org/10.1186/1471-2334-14-261
 PMid:24886153 PMCid:PMC4024650
 |  
                  |  |  
                  | 81. Kozan, E., Sevimli, F.K., Köse, M., Eser, M. and Ciçek, H. 
                  (2007) Examination of helminth contaminated wastewaters used 
                  for agricultural purposes in Afyonkarahisar. Turk. Parazitol. 
                  Derg., 31(3): 197-200. PMid:17918058
 |  
                  |  |  
                  | 82. Abougraina, A.K., Nahaisi, M.H., Madia, N.S., Saied, M.M. 
                  and Ghengheshc, K.S. (2010) Parasitological contamination in 
                  salad vegetables in Tripoli – Libya. Iran. Food Control, 21: 
                  760-762. http://dx.doi.org/10.1016/j.foodcont.2009.11.005
 |  
                  |  |  
                  | 83. Doaa, E.S. (2012) Detection of parasites in commonly 
                  consumed raw vegetables. Alex. J. Med., 48(4): 345-352. http://dx.doi.org/10.1016/j.ajme.2012.05.005
 |  
                  |  |  
                  | 84. Rinaldi, L., Biggeri, A., Carbone, S., Musella, V., 
                  Catelan, D., Veneziano, V. and Cringoli, G. (2006) Canine 
                  faecal contamination and parasitic risk in the city of Naples 
                  (Southern Italy). BMC Vet. Res., 2: 29. http://dx.doi.org/10.1186/1746-6148-2-29
 PMid:16995934 PMCid:PMC1590007
 |  
                  |  |  
                  | 85. Mizgajska, H., Jarosz, W. and Rejmenciak, A. (2001) 
                  Distribution of sources of Toxocara spp. infection in urban 
                  and rural environments in Poland. Wiad Parazytol., 47(3): 
                  399-404. PMid:16894754
 |  
                  |  |  
                  | 86. de Castro, J.M., dos Santos, S.V. and Monteiro, N.A. 
                  (2005) Contamination of public gardens along seafront of Praia 
                  Grande City, Săo Paulo, Brazil, by eggs of Ancylostoma and 
                  Toxocara in dogs feces. Rev. Soc. Bras. Med. Trop., 38(2): 
                  199-201. http://dx.doi.org/10.1590/S0037-86822005000200017
 |  
                  |  |  
                  | 87. Alvarado-Esquivel, C. (2013) Toxocariasis in waste 
                  pickers: A case control seroprevalence study. PLoS One, 8(1): 
                  54897. http://dx.doi.org/10.1371/journal.pone.0054897
 |  
                  |  |  
                  | 88. Alvarado-Esquivel, C., Hernández-Tinoco, J. and 
                  Sánchez-Anguiano, L.F. (2014) Toxocara infection in gardeners: 
                  A case control seroprevalence study. Asian Pac. J. Trop. Med., 
                  7 Suppl 1: S79-S81. http://dx.doi.org/10.1016/s1995-7645(14)60207-8
 |  |