Keywords: Helminthiasis- urban – Indian - preschool – Penang - Malaysia


Helminthiasis is a common parasitic condition particularly among children in rural areas in developing countries where poor hygiene standard is practiced. The study aimed to determine the prevalence of helminthiasis among Indian preschoolers in urban areas in Penang and its associated factors. A total of 194 urban Indian preschoolers aged 4 to 6 years old were selected randomly from 11 kindergartens in the state of Penang for this cross sectional study. Data collection was carried out in 2 phases. First, microscopic stool examinations were done to examine the presence of helminths. Second, self administered questionnaires which inquired about human, environment and socioeconomic factors were completed by the parents/guardians. The overall prevalence of helminthiasis was 7.2% and the most frequently encountered infective agent was Ascaris lumbricoides (57.14%) and followed by the tapeworms (42.86%). The logistic regression indicated that habitual thumb sucking (AOR= 5.6. 95%CI: 1.73-18.39) and families owning domestic pets (AOR= 3.2; 95%CI: 1.03-10.14) were the significant contributing factors to helminthiasis among the Indian pre-schoolers in urban Penang. Although the prevalence of helminth infection among the urban Indian preschoolers is lower than rural area, it is still a public health concern. Children habitual thumb sucking and rearing domestic pets at home were the significant contributing factors in helminthiasis. Thus, prevention strategy should focus on health education and promotion among adults and children, awareness on domestic animal hygiene and maintaining good environmental sanitation. Multi agency collaboration is clearly essential, especially between state health, education and veterinary departments in curbing this disease. 

Author Biography



Curtale F, Pezzotti P, Sharbini a L, al Maadat H, Ingrosso P, Saad YS, et al. Knowledge, perceptions and behaviour of mothers toward intestinal helminths in Upper Egypt: implications for control. Health Policy Plan. 1998;13(4):423–32.

Tian L-G, Chen J-X, Wang T-P, Cheng G-J, Steinmann P, Wang F-F, et al. Co-infection of HIV and intestinal parasites in rural area of China. Parasit Vectors. BioMed Central Ltd; 2012;5(1):36.

S.Garcia L. Classification of Human Parasites , Vectors , and Similar Organisms. Clin Infect Dis. 1999;734–6.

Norhayati M, Fatmah MS, Tech DM, Yusof S, Edariah AB. Intestinal Parasitic Infections in Man : A Review. Malaysia Med J. 2003;58(2):296–306.

Kamel AG, Maning N, Arulmainathan S, Murad S, Nasuruddin A, Lai KP. Cryptosporidiosis among HIV positive intravenous drug users in Malaysia. Southeast Asian J Trop Med Public Health. 1995;25(4):650–3.

Norhayati M, Zainudin B, Mohammod CG, Oothuman P, Azizi O, Fatmah MS. The prevalence of Trichuris, Ascaris and hookworm infection in Orang Asli children. Southeast Asian J Trop Med Public Health. 1997;28(1):161–8.

United Nation Demographic Yearbook. 2012 p. 1–6.

Department of Statistics Malaysia. Taburan Penduduk Mengikut Kawasan Pihak Berkuasa Tempatan dan Mukim Negeri Pulau Pinang, 2010: 33–45.

Hakim SL, Gan CC, Malkit K, Azian MN, Chong CK, Shaari N, et al. Parasitic infections among Orang Asli (aborigine) in the Cameron Highlands, Malaysia. Southeast Asian J Trop Med Public Health. 2007;38(3):415–9.

Jamaiah I, Rohela M. Prevalence of intestinal parasites among members of the public in Kuala Lumpur, Malaysia. Southeast Asian J Trop Med Public Heal. 2005;36(1):68–71.

Rahmah N, Tariff RH, Abdullah B, Shariman MSM, Nazli MZM, Rizal MZM. Parasitic Infections among Aborigine Children at Post Brooke Kelantan Malaysia. Med J Malaysia. 1997;52(4):412–5.

Belo VS, Oliveira RB de, Fernandez PC, Nascimento BWL, Vitorino F, Fernandez, et al. Factors associated with intestinal parasitosis in a population of children and adolescents. Rev Paul Pediatr. 2012;30(2):195–201.

Escobar-pardo ML, Paula A, Godoy O De, Machado RS, Rodrigues D, Neto UF, et al. Prevalence of intestinal parasitoses in children at the Xingu Indian Reservation. J Pediatr (Rio J). 2010;86(6):493–6.

Gelaw A, Anagaw B, Nigussie B, Silesh B, Yirga A, Alem M. Prevalence of intestinal parasitic infections and risk factors among schoolchildren at the University of Gondar Community School , Northwest Ethiopia : a cross-sectional study. BMC Public Health. BMC Public Health; 2013;13(1):1.

Panda S, Rao UD, Sankaram KR. Prevalence of Intestinal Parasitic Infections among School Children in Rural Area of Vizianagaram . IOSR J Pharm Biol Sci. 2012;3(3):42–4.

Mehraj V, Hatcher J, Akhtar S, Rafique G, Beg MA. Prevalence and Factors Associated with Intestinal Parasitic Infection among Children in an Urban Slum of Karachi. PLoS One. 2008;3(11):1–6.

WHO, (2005). Technical Report Series. Research Priorities for Helminth Infections: 279–284.

Roberts, Larry S.; Janovy, John Jr. Foundations of Parasitology, Eight Edition. United States: McGraw-Hill, 2009.

Al-Zubaidy AB, Mhaisen FT. Larval tapeworms ( Cestoda : Trypanorhyncha ) from some Red Sea fishes , Yemen. Mesoport J Sci. 2011;26(1):1–14.

Jakob E, Palm HW. Parasites of commercially important fish species from the southern Java coast , Indonesia , including the distribution pattern of trypanorhynch cestodes. Verbandlungen der Gesellschaft fur Ichthyol. 2006;5:165–91.

Sithithaworn P, Sukavat K, Vannachone B, Sophonphong K, Ben-Embarek P, Petney T, et al. Epidemiology of food-borne trematodes and other parasite infections in a fishing community on the Nam Ngum reservoir, Lao PDR. Southeast Asian J Trop Med Public Health. 2006;37(6):1083–90.

RB S, IS P, R B, P P, N J, PK P. Prevalence of intestinal helminthic infection and associated risk factors. Indian J Community Heal. 2013;25(2):134–9.

Saksirisampant W, Prownebon J. The prevalence of intestinal parasitic infections among school children in the central region of Thailand. J Med Assoc Thail. 2006;89(11):1928–33.

Ibrahim H, Amin TT. Prevalence of intestinal parasitic infections and its relationship with socio-demographics and hygienic habits among male primary schoolchildren in Al - Ahsa, Saudi Arabia. Asian Pac J Trop Med. 2010;906–12.

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