Hyperendemic H. pylori and tapeworm infections in a U.S.-Mexico border population.
OBJECTIVE
A higher incidence of infectious disease has been documented in U.S. regions bordering Mexico compared with non-border areas. We assessed the prevalence of important gastrointestinal infections in Ciudad Juarez, Mexico, and El Paso, Texas, the largest binational community along the U.S.-Mexico border.


METHODS
Fecal specimens from a sample of the asymptomatic population representing all ages were tested for Helicobacter pylori (H. pylori), Cryptosporidium spp., Giardia spp., and other intestinal parasitic pathogens using flotation, immunoassays, and/or polymerase chain reaction. We also measured indicators of microbiological contamination of drinking water, hands of food preparers, and kitchen surfaces.


RESULTS
Overall, of the 386 participants, H. pylori was present in 38.2%, Taenia spp. in 3.3%, Giardia spp. in 2.7%, Cryptosporidium spp. in 1.9%, Entamoeba dispar in 1.3%, and Ascaris lumbricoides and Necator americanus in 0.3% of the study subjects; Cyclospora spp. and Entamoeba histolytica were not found. H. pylori infection was associated with handwashing (prevalence ratio [PR] = 1.3, 95% confidence interval [CI] 1.0, 1.8). Taenia spp. was found more often on the U.S. side (PR=8.6, 95% CI 2.3, 30.8). We did not find an association between these infections and the occurrence of total coliforms or fecal coliforms on kitchen surfaces. In addition, Escherichia coli was not found in any drinking water sample.


CONCLUSIONS
The study results indicated that H. pylori and Taenia spp. infections may be highly prevalent along the U.S.-Mexico border. Additional research is necessary to adequately characterize the prevalence, as well as determine whether interventions that reduce these infections are warranted.
Cardenas
Victor M
VM
University of Texas Health Science Center at Houston, School of Public Health, El Paso, TX 79902, USA. victor.cardenas@uth.tmc.edu
Mena
Kristina D
KD
Ortiz
Melchor
M
Karri
Sitrulasi
S
Variyam
Easwaran
E
Behravesh
Casey Barton
CB
Snowden
Karen F
KF
Flisser
Ana
A
Bristol
John R
JR
Mayberry
Lillian F
LF
Ortega
Ynes R
YR
Fukuda
Yoshihiro
Y
Campos
Armando
A
Graham
David Y
DY
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D016481:Helicobacter Infections / Q000453:epidemiology* / Q000517:prevention & control; D016480:Helicobacter pylori; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007411:Intestinal Diseases, Parasitic / Q000453:epidemiology* / Q000517:prevention & control; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D013622:Taeniasis / Q000453:epidemiology* / Q000517:prevention & control; D014481:United States / Q000453:epidemiology