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    Ancylostoma Duodenale andNecator Americanus

    By Marquetta Valdez

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    Some Facts.

    Hookworms infect an estimated 1 billionpeople worldwide, mostly in tropical andsub-tropical climates

    A. duodenale and N. americanus are thetwo hookworms that infect humans

    A. duodenale is found in southern Europe,northern Africa, India, China, the MiddleEast, and the Americas

    N. americanus can be found in thesoutheastern U.S. and Australia

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    Life Cycle and Reproduction

    Eggs are passed in the feces and hatch intorhabditiform larvae in about 48 hours in thefeces or in the soil

    A. duodenale N. americanus

    Eggs are generally 57-76 m by 35-47

    m and areoval shaped

    with a thin shell

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    Rhabditiform Larvae (wet mount)

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    Life cycle continued

    Juveniles feed on feces for about 3 daysthen molt into 2nd stage juveniles

    They molt again 5-10 days later intofilariform larvae. Can survive 3-4 weeksoutside host.

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    Life Cycle

    Worms molt again two more times toreach maturity

    A. duodenale adult males measure 8-11mm

    with females being 10-13mm

    N. americanus adult males measure 7-9mmand females measure 9-11mm

    Adult worms copulate and eggs appear in

    the feces in about 6 weeks (females canproduce sever thousand eggs in one day)

    Cycle starts over again and adults live 1-2years

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    Life Cycle

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    Transmission

    Filariform juveniles wait in soil orfeces and wave back and forth to

    increase chances of finding a host Filariforms then penetrate the skin

    (usually hands or feet)

    Children, elderly people and peoplewhowork about contaminated soilare at high risk

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    Pathogenic Effects

    Asymptomatic until worms have alreadystarted multiplying

    Symptoms include: Irritation of skin at site of penetration

    Iron-deficiency anemia Abdominal pain Diarrhea Loss of appetite Weight loss

    Tiredness Difficulty breathing Cardiomegaly Irregular heartbeat Extreme cases include stunted growth and

    mental retardation

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    Diagnosis

    Stool samples showing eggs oractual worms

    Watching for symptoms

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    Control and Treatment

    Scientist are trying to develop avaccine

    In some countries, infections arenttreated because they are socommon

    Drugs of choice are Albendazole,

    Mebendazole, and Pyrantel Pamoate

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    Prevention

    Wear shoes

    Monitor the disposal of humans

    feces

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    Works Cited

    "Hookworm Image Library." Division ofParasitic Diseases. Center for DiseaseControl. 29 Sept. 2006

    . "Hookworm Infection Fact Sheet."

    Parasitic Disease Infection. Center forDisease Control. 3 Oct. 2006.

    "Hookworm." Parasites and Health.Center for Disease Control. 29 Sept. 2006.