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Background of Parasitology     7


                   distinction between parasitology and tropical medicine,   parasites might have specialized for an existence in either
                   the latter of which includes chiefly bacteria and viruses.   man or lower animals from a common obscure origin.
                   Often one will find that all of these studies are conve-
                   niently researched by the same organization, such as the
                   World Health Organization, at the same time and in the   Impact on Human Health
                   same location. There will be other references to these   by Parasites
                   practices in this book.
                                                                    Parasites occupy an important position in the history
                                                                    of humans, and are an important part of morbidity and
                   HISTORY OF PARASITES                             mortality, particularly in the less developed parts of the
                   AFFECTING HUMANS                                 world. Concurrently with other diseases, medical prac-
                                                                    titioners are becoming more aware of the possibility of
                   Intestinal parasites most likely have inhabited the gas-  parasitic infections that occur along with, or as a result
                   trointestinal tract of humans since the early beginnings   of, other disease states because a number of parasite
                   of human habitation of the planet earth. Although it is a   species are opportunistic. Anyone who has travelled to
                   rhetorical question, was there a reservoir for the parasites   a foreign country with poor sanitary conditions for food
                   before they infected man? Did they originate early in the   and human wastes should be evaluated for a parasitic in-
                   history of mankind as part of the normal intestinal organ-  fection, particularly if abdominal bloating or other signs
                   isms that aid in digestion? Or did they possibly function   and symptoms arise (Figure 1-5). In addition, migration
                   as an aid for stimulating immunity against pathogenic   from those countries where parasites are endemic have
                   organisms such as some normal bacterial flora now do?   brought to the shores of the United States and the en-
                   A plausible explanation is the possibility that parasites   tire Western world a growing number of heretofore for-
                   adapted to life in humans after they originated in other   eign pathogens which have found friendly reservoirs and
                   animals, with the animal being the reservoir from which   hosts. Many persons are aware that a health history now
                   humans contracted the organism by eating the meat of   almost always questions the patient as to travel within a
                   the animals or living in close proximity to them. And be-  period of time which might yield clues as to certain in-
                   cause intestinal parasites that are similar to those found   fections endemic in some areas of the world. Prior to the
                   as pathogens in humans are also found in domesticated   United States becoming more advanced and prosperous,
                   dogs and cats as well as in other wild animals, these do-  humans lived in close proximity with, and had daily con-
                   mesticated animals may have been the original source of   tact with, farm animals, so the impact of parasitic infec-
                   parasitic infection (Figure 1-4). And although they dif-  tions was much greater in the early history of the United
                   fer only slightly for the most part in speciation, these   States than it is today.




                                                                 Source: Centers for Disease Control and Prevention (CDC)  Source: Centers for Disease Control and Prevention (CDC)
















                   FIGURE 1-4  Dogs may have been a source for original   FIGURE 1-5  Human wastes and unsanitary conditions
                   parasite infection in man                        lead to infections
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