Prevalance and risk factors of Entamoeba species infections among Orang Asli school children in Perak

<p>This study aims to investigate the molecular epidemiology and risk factors of</p><p>Entamoeba histolytica, Entamoeba dispar, and Entamoeba moshkovskii infection</p><p>among Orang Asli school children in Perak. Stool samples wer...

Full description

Saved in:
Bibliographic Details
Main Author: Nur Insyirah Tokijoh
Format: thesis
Language:eng
Published: 2023
Subjects:
Online Access:https://ir.upsi.edu.my/detailsg.php?det=10097
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:ir.upsi.edu.my:10097
record_format uketd_dc
institution Universiti Pendidikan Sultan Idris
collection UPSI Digital Repository
language eng
topic Q Science (General)
spellingShingle Q Science (General)
Nur Insyirah Tokijoh
Prevalance and risk factors of Entamoeba species infections among Orang Asli school children in Perak
description <p>This study aims to investigate the molecular epidemiology and risk factors of</p><p>Entamoeba histolytica, Entamoeba dispar, and Entamoeba moshkovskii infection</p><p>among Orang Asli school children in Perak. Stool samples were collected from 544</p><p>school children and the DNA extracted were amplified using nested multiplex PCR.</p><p>The univariate and multivariate regression analyses were then used to determine the</p><p>risk factor associated with Entamoeba species infection. The overall prevalence of</p><p>Entamoeba complex infections was 21.3% (116/544). The total of school children</p><p>infected with E. moshkovskii was 10.7% (58/544) followed by 9.0% (49/544) of E.</p><p>dispar and 5.0% (27/544) of E. histolytica. One sample was positive for the mixed E.</p><p>histolytica and E. dispar infection, five samples were positive for the mixed E.</p><p>histolytica and E. moshkovskii infection, and 12 samples were positive for the mixed</p><p>E. dispar and E. moshkovskii infection. As a result of the univariate analysis, there</p><p>were 19 statistically significant factors, but only one remained a significant risk factor</p><p>for E. histolytica infection in the logistic regression model, namely not washing hands</p><p>after using the toilet. Meanwhile, risk factors for E. moshkovskii infection were school</p><p>children older than 10 years old, possessed high BMI, stayed with working mother,</p><p>have uneducated mothers, absence of toilet in the house, not washing hands after</p><p>using the toilet, and having clinical symptoms of fever. On the other hand, drinking</p><p>water from the river, well, and rain was associated with a decreased risk of E. dispar</p><p>infection. In conclusion, these findings showed a high prevalence of Entamoeba</p><p>species infection among Orang Asli school children in Perak. Thus, the implication of</p><p>this study shows that elucidation of species-specific risk factors will be the key in</p><p>reducing protozoan parasite transmission among Orang Asli children.</p>
format thesis
qualification_name
qualification_level Master's degree
author Nur Insyirah Tokijoh
author_facet Nur Insyirah Tokijoh
author_sort Nur Insyirah Tokijoh
title Prevalance and risk factors of Entamoeba species infections among Orang Asli school children in Perak
title_short Prevalance and risk factors of Entamoeba species infections among Orang Asli school children in Perak
title_full Prevalance and risk factors of Entamoeba species infections among Orang Asli school children in Perak
title_fullStr Prevalance and risk factors of Entamoeba species infections among Orang Asli school children in Perak
title_full_unstemmed Prevalance and risk factors of Entamoeba species infections among Orang Asli school children in Perak
title_sort prevalance and risk factors of entamoeba species infections among orang asli school children in perak
granting_institution Universiti Pendidikan Sultan Idris
granting_department Fakulti Sains dan Matematik
publishDate 2023
url https://ir.upsi.edu.my/detailsg.php?det=10097
_version_ 1804890519202955264
spelling oai:ir.upsi.edu.my:100972024-04-29 Prevalance and risk factors of Entamoeba species infections among Orang Asli school children in Perak 2023 Nur Insyirah Tokijoh Q Science (General) <p>This study aims to investigate the molecular epidemiology and risk factors of</p><p>Entamoeba histolytica, Entamoeba dispar, and Entamoeba moshkovskii infection</p><p>among Orang Asli school children in Perak. Stool samples were collected from 544</p><p>school children and the DNA extracted were amplified using nested multiplex PCR.</p><p>The univariate and multivariate regression analyses were then used to determine the</p><p>risk factor associated with Entamoeba species infection. The overall prevalence of</p><p>Entamoeba complex infections was 21.3% (116/544). The total of school children</p><p>infected with E. moshkovskii was 10.7% (58/544) followed by 9.0% (49/544) of E.</p><p>dispar and 5.0% (27/544) of E. histolytica. One sample was positive for the mixed E.</p><p>histolytica and E. dispar infection, five samples were positive for the mixed E.</p><p>histolytica and E. moshkovskii infection, and 12 samples were positive for the mixed</p><p>E. dispar and E. moshkovskii infection. As a result of the univariate analysis, there</p><p>were 19 statistically significant factors, but only one remained a significant risk factor</p><p>for E. histolytica infection in the logistic regression model, namely not washing hands</p><p>after using the toilet. Meanwhile, risk factors for E. moshkovskii infection were school</p><p>children older than 10 years old, possessed high BMI, stayed with working mother,</p><p>have uneducated mothers, absence of toilet in the house, not washing hands after</p><p>using the toilet, and having clinical symptoms of fever. On the other hand, drinking</p><p>water from the river, well, and rain was associated with a decreased risk of E. dispar</p><p>infection. In conclusion, these findings showed a high prevalence of Entamoeba</p><p>species infection among Orang Asli school children in Perak. Thus, the implication of</p><p>this study shows that elucidation of species-specific risk factors will be the key in</p><p>reducing protozoan parasite transmission among Orang Asli children.</p> 2023 thesis https://ir.upsi.edu.my/detailsg.php?det=10097 https://ir.upsi.edu.my/detailsg.php?det=10097 text eng closedAccess Masters Universiti Pendidikan Sultan Idris Fakulti Sains dan Matematik <p>Adepeju, S. O. I., & Esther, O. (2015). Prevalence of Entamoeba histolytica among primary school children in Akure, Ondo State, Nigeria. Journal of Public Health and Epidemiology, 7(11), 346351.</p><p></p><p>Adli, M. N., & Abd. Ghani, M. K. (2020). Amoebiasis amongst the orang asli (aborigine) school children at Kuala Kubu Bharu, Selangor, Malaysia. International Medical Journal, 27(2), 141143.</p><p></p><p>Abd. Ghani, M. K., & Jeyaprakasam, N. K. (2021). Amoebiasis amongst the Orang Asli (aborigine) school children at Sungai Raba village, Gerik, Perak, Malaysia. International Medical Journal, 28(5), 575577.</p><p></p><p>Ahmad Zawawi, M., Abd Ghani, M. K., Yusof, H., Haron, N., Gopal, G., & Othman, H. (2012). Infeksi Entamoeba histolytica dan/atau Entamoeba dispar dalam kalangan kanak-kanak Orang Asli di Pos Sungai Rual, Jeli, Kelantan. Sains Malaysiana, 41(9), 10951098.</p><p></p><p>Aksoy, ., Akis, ., Bayram-Delibas, S., zko, S., Sahin, S., & Usluca, S. (2007). Demographic status and prevalence of intestinal parasitic infections in schoolchildren in Izmir, Turkey. Turkish Journal of Pediatrics, 49(3), 278282.</p><p></p><p>Al-Areeqi, M. A., Sady, H., Al-Mekhlafi, H. M., Anuar, T. S., Al-Adhroey, A. H., Atroosh, W. M., Dawaki, S., Elyana, F. N., Nasr, N. A., Ithoi, I., Lau, Y.-L., & Surin, J. (2017). First molecular epidemiology of Entamoeba histolytica, E. dispar and E. moshkovskii infections in Yemen: different species-specific associated risk factors. Tropical Medicine & International Health: TM & IH, 22(4), 493504.</p><p></p><p>Al-Awadi, H. M., & Youssef, T. G. (2018). Epidemiology of bloody diarrhea in Al-Manathera city/ Najaf Alshraf province, Iraq. Plant Archives, 18(2), 14431446.</p><p></p><p>Al-Dalabeeh, E. A., Irshaid, F. I., Roy, S., Ali, I. K. M., & Al-Shudifat, A. M. (2020). Identification of Entamoeba histolytica in patients with suspected amebiasis in Jordan using PCR-based assays. Pakistan Journal of Biological Sciences, 23(2), 166172.</p><p></p><p>Al-delaimy, A. K., Al-mekhlafi, H. M., Nasr, N. A., Sady, H., & Atroosh, W. M. (2014). Epidemiology of intestinal polyparasitism among Orang Asli school children in rural Malaysia. PLoS Neglected Tropical Diseases, 8(8), 112. https://doi.org/10.1371/journal.pntd.0003074</p><p></p><p>Al-Harazi, T., Ghani, M. K. A., & Othman, H. (2013). Prevalence of intestinal protozoan infections among Orang Asli schoolchildren in Pos Senderut, Pahang, Malaysia. Journal of the Egyptian Society of Parasitology, 43(3), 561568.</p><p></p><p>Al-jawabreh, A., Ereqat, S., Dumaidi, K., Al-jawabreh, H., Abdeen, Z., & Nasereddin, A. (2019). Prevalence of selected intestinal protozoan infections in marginalized rural communities in Palestine. BMC Public Health, 19(1667), 111.</p><p></p><p>Al-Khayat, F. A. A. M., Al-Zubaidi, H. J., & Aldhaher, Z. A. (2021). Entamoeba histolytica, identification in asymptomatic infection. Pakistan Journal of Medical and Health Sciences, 15(2), 473477.</p><p></p><p>AL-Khikani, F. H. O., Almosawey, H. A. S., Hameed, R. M., Alhussain, B. A. A. A., Ayit, A. S., Al-Ibraheemi, M. kadhim M., & Alsalami, M. M. ali Y. (2019). Prevalence of Entamoeba histolytica and Giardia lamblia associated with infectious diarrhea in Al-Shomally Population, Babil, Iraq. Biomedical and Biotechnology Research Journal, 3(4), 245248.</p><p></p><p>Alasil, S. M., & Abdullah, K. A. (2019). An epidemiological review on emerging and re-emerging parasitic infectious diseases in Malaysia. The Open Microbiology Journal, 13(1), 112120.</p><p></p><p>Ali, I. K. M., Hossain, M. B., Roy, S., Ayeh-Kumi, P. F., Petri, W. A., Haque, R., & Clark, C. G. (2003). Entamoeba moshkovskii infections in children in Bangladesh. Emerging Infectious Diseases, 9(5), 580584.</p><p></p><p>Ali, M. B., Ghenghesh, K. S., Aissa, R. B., Abuhelfaia, A., & Dufani, M. (2005). Etiology of childhood diarrhea in Zliten, Libya. Saudi Medical Journal, 26(11), 17591765.</p><p></p><p>Ali, I. K. M., & Roy, S. (2020). A real-time PCR assay for simultaneous detection and differentiation of four common Entamoeba species that infect humans. Journal of Clinical Biology, 59, 140.</p><p></p><p>Altman, D. G. (1991). Practical statistics for medical research (reprint 1999). CRC Press: Boca Raton, Florida.</p><p></p><p>Altameemi, A. M. A. (2018). Comparison of the efficiencies of customized CSA and rLectin-ELISAS for detection of anti-amoebic antibody based on selected aborigines serum samples. Universiti Sains Malaysia</p><p></p><p>Alyousefi, N. A., Mahdy, M. A. K., Mahmud, R., & Lim, Y. A. L. (2011). Factors associated with high prevalence of intestinal protozoan infections among patients in Sanaa city, Yemen. PLoS ONE, 6(7), 1-8.</p><p></p><p>Ammari, N. E. El, & Nair, G. A. (2015). Critical evaluation of the intestinal Protozoan parasites among Libyan and other African residents of Al-Khoms, Libya. Journal of Entomology and Zoology Studies, 3(2), 4246.</p><p></p><p>Anuar, T. S., Al-Mekhlafi, M. H., Abdul Ghani, M. K. A., Azreen, S. N., Salleh, F. M., Ghazali, N., Bernadus, M., & Moktar, N. (2012a). First molecular identification of Entamoeba moshkovskii in Malaysia. Parasitology, 139(12), 1521-1525.</p><p></p><p>Anuar, T. S., Al-Mekhlafi, H. M., Abdul Ghani, M. K., Azreen, S. N., Salleh, F. M., Ghazali, N., Bernadus, M., & Moktar, N. (2013). Different clinical outcomes of Entamoeba histolytica in Malaysia: does genetic diversity exist? The Korean Journal of Parasitology, 51(2), 231236.</p><p></p><p>Anuar, T. S., Al-Mekhlafi, H. M., Ghani, M. K. A., Bakar, E. A., Azreen, S. N., Ghazali, F. M. S. N., Bernadus, M., & Moktar, N. (2012b). Molecular epidemiology of amoebiasis in Malaysia: highlighting the different risk factors of Entamoeba histolytica and Entamoeba dispar infections among Orang Asli communities. International Journal for Parasitology, 42(1314), 11651175.</p><p></p><p>Anuar, T. S., Al-Mekhlafi, H. M., Ghani, M. K. A., Osman, E., Yasin, A. M., Nordin, A., Azreen, S. N., Salleh, F. M., Ghazali, N., Bernadus, M., & Moktar, N. (2012c). Prevalence and risk factors associated with Entamoeba histolytica/dispar/moshkovskii infection among three Orang Asli ethnic groups in Malaysia. PLoS ONE, 7(10), 111.</p><p></p><p>Arando, M., Vall, M., Rovira, R., Espasa, M., Sulleiro, E., Armengol, P., Zarzuela, F., & Barber, M. (2017). Outbreak of intestinal amoebiasis among men who have sex with men, Barcelona (Spain), October 2016 and January 2017. Euro Surveill, 22(30), 14.</p><p></p><p>Aschale, A., Adane, M., Getachew, M., Faris, K., Gebretsadik, D., Sisay, T., Dewau, R., Chanie, M. G., Muche, A., Zerga, A. A., Lingerew, M., Gebrehiwot, M., Berhanu, L., Ademas, A., Abebe, M., Ketema, G., Yirsaw, M., Bogale, K., Ayele, F. Y., Kloos, H. (2021). Water, sanitation, and hygiene conditions and prevalence of intestinal parasitosis among primary school children in Dessie City, Ethiopia. PLoS ONE, 16(2 February), 116.</p><p></p><p>Assavapongpaiboon, B., Bunkasem, U., Sanprasert, V., & Nuchprayoon, S. (2018). A cross-sectional study on intestinal parasitic infections in children in suburban public primary schools, Saraburi, the central region of Thailand. American Journal of Tropical Medicine and Hygiene, 98(3), 763767.</p><p></p><p>Atabati, H., Kassiri, H., Shamloo, E., Akbari, M., Atamaleki, A., Sahlabadi, F., Linh, N. T. T., Rostami, A., Fakhri, Y., & Khaneghah, A. M. (2020). The association between the lack of safe drinking water and sanitation facilities with intestinal Entamoeba spp infection risk: A systematic review and meta-analysis. PLoS ONE, 15(11), e0237102.</p><p></p><p>Bckhed, F., Ding, H., Wang, T., Hooper, L. V., Gou, Y. K., Nagy, A., Semenkovich, C. F., & Gordon, J. I. (2004). The gut microbiota as an environmental factor that regulates fat storage. Proceedings of the National Academy of Sciences of the United States of America, 101(44), 1571815723.</p><p></p><p>Baernstein, H. D., Rees, C. W., & Bartgis, I. L. (1957). The rate of reproduction of Entamoeba histolytica in microcultures from inocula of single trophozites in cell-free medium prepared from embryos of the chick. The Journal of Parasitology, 43(2), 143152.</p><p></p><p>Bahrami, F., Haghighi, A., Zamini, G., & Khademerfan, M. (2019). Differential detection of Entamoeba histolytica, Entamoeba dispar and Entamoeba moshkovskii in faecal samples using nested multiplex PCR in west of Iran. Epidemiology and Infection, 147(e96), 17.</p><p></p><p>Baxt, L. A., & Singh, U. (2008). New insights into Entamoeba histolytica pathogenesis. Current Opinion in Infectious Diseases, 21(5), 489494.</p><p></p><p>Bayoumi, M., Abd, H., & Alislam, H. (2018). Prevalence of intestinal parasitic infections in Abugota province, Gezira state. European Acadmeic Research, 6(6), 29022916.</p><p></p><p>Belete, Y. A., Kassa, T. Y., Fekadie, M., & Id, B. (2021). Prevalence of intestinal parasite infections and associated risk factors among patients of Jimma hcealth center requested for stool. PLoS ONE, 16(2), 110.</p><p></p><p>Ben Ayed, L, & Sabbahi, S. (2017). Entamoeba histolytica. In: J.B Rose and B. Jimnez-Cisneros, (eds) Global Water Pathogens Project. (R. Fayer and W. Jakubowski, (eds) Part 3 Protists). www.waterpathogens.org/book/Entamoeba-histolytica Michigan State University, E. Lansing, MI, UNESCO.</p><p></p><p>Bendel, R. B., & Afifi, A. A. (1977). Comparison of stopping rules in forward stepwise regression. Journal of the American Statistical Association, 72(357), 4653.</p><p></p><p>Beyls, N., Cognet, O., Stahl, J., Rogeaux, O., & Pelloux, H. (2018). Serodiagnosis of Extraintestinal Amebiasis. The Korean Journal of Parasitology, 56(1), 7174.</p><p></p><p>Bhattacharya, S., Bhattacharya, A., Diamond, L. S., & Soldo, A. T. (1989). Circular DNA of Entamoeba histolytica encodes ribosomal RNA. Journal of Protozoal, 36(5), 455458.</p><p></p><p>Brightman, C. (2021). Amoebiasis, cryptosporidiosis and giardiasis. Trends in Urology & Mens Health, 12(6), 2327.</p><p></p><p>Broucke, S. Van Den, Verschueren, J., Esbroeck, M. Van, Bottieau, E., & Ende, J. Van den. (2018). Clinical and microscopic predictors of Entamoeba histolytica intestinal infection in travelers and migrants diagnosed with Entamoeba histolytica/dispar infection. PLoS Neglected Tropical Diseases, 12(10), 19.</p><p></p><p>Brumpt, E. (1925). Eude sommarire de l" Entamoeba dispar"n. sp. Amibe a kystes quadrinuclees, parasite de lhomme. Bull Acad Med, 94, 943952.</p><p></p><p>Calle-pacheco, G. L., Jimnez-chunga, J. A., & Vivas-ruiz, D. E. (2022). Molecular diagnosis of amoebiasis. Boletn Mdico Del Hospital Infantil de Mxico, 79(1), 316.</p><p></p><p>Carrero, J. C., Reyes-Lpez, M., Serrano-Luna, J., Shibayama, M., Unzueta, J., Len-Sicairos, N., & de la Garza, M. (2020). Intestinal amoebiasis: 160 years of its first detection and still remains as a health problem in developing countries. International Journal of Medical Microbiology, 310(1), 151358.</p><p>Centers for Disease Control and Prevention [CDC]. (2014). Retrieved from https://www.cdc.gov/parasites/amebiasis/general-info.html</p><p></p><p>Cheepsattayakorn, A., & Cheepsattayakorn, R. (2014). Parasitic pneumonia and lung involvement. BioMed Research International, 2014(6), 18.</p><p></p><p>Chin, Y. T., Lim, Y. A. L., Chong, C. W., Teh, C. S. J., Yap, I. K. S., Lee, S. C., Tee, M. Z., Siow, V. W. Y., & Chua, K. H. (2016). Prevalence and risk factors of intestinal parasitism among two indigenous sub-ethnic groups in Peninsular Malaysia. Infectious Diseases of Poverty, 5(77), 115.</p><p></p><p>Chowdhury, M. Z. I., & Turin, T. C. (2020). Variable selection strategies and its importance in clinical prediction modelling. Family Medicine and Community Health, 8(1), 17.</p><p></p><p>Clark, C. G. (1998). Royal society of tropical medicine and hygiene meeting at Manson House, London, 19 February 1998. Amoebic disease. Entamoeba dispar, an organism reborn. Transactions of the Royal Society of Tropical Medicine and Hygiene, 92(4), 361364.</p><p></p><p>Clark, C. G., & Diamond, L. S. (2002). Methods for cultivation of luminal parasitic protists of clinical importance. Clinical Microbiology Reviews, 15(3), 329341.</p><p></p><p>Costa, J. de O., Resende, J. A., Gil, F. F., Santos, J. F. G., & Gomes, M. A. (2018). Prevalence of Entamoeba histolytica and other enteral parasitic diseases in the metropolitan region of Belo Horizonte, Brazil. A cross-sectional study. Sao Paulo Medical Journal, 136(4), 319323.</p><p></p><p>Cui, Z., Li, J., Chen, Y., & Zhang, L. (2019). Molecular epidemiology, evolution, and phylogeny of Entamoeba spp. Infection, Genetics and Evolution, 75(August), 104018.</p><p></p><p>Damtie, D., Sitotaw, B., Menkir, S., Kerisew, B., & Hussien, K. (2021). Human intestinal parasitic infections: prevalence and associated risk factors among elementary school children in Merawi Town, Northwest Ethiopia. Journal of Parasitology Research, 2021, 16.</p><p></p><p>Das, R. K., Katuwal, A., Singh, S. K., Sulistyowati, E., & Saud, M. (2018). Comparison of direct microscopy and molecular method to detect amoebiasis cases from stool specimen and also identify the Entamoeba species involved in infection: a study of Nepal. Jurnal Sain Peternakan Indonesia, 13(1), 101110.</p><p></p><p>Das, S., Rajkumari, N., Gunalan, A., Rajavelu, D., & Olickal, J. J. (2021). A comparative analysis of microscopy, coproantigen serology, and nested multiplex PCR in the laboratory diagnosis of Entamoeba histolytica infection. In Journal of Laboratory Physicians (pp. 17).</p><p></p><p>Diamond, L. S. (1961). Axenic cultivation of Entamoeba histolytica. Science, 134(3475), 336337.</p><p></p><p>Diamond, L. S., & Clark, C. G. (1993). A redescription of Entamoeba histolytica Schaudinn, 1903 (Emended Walker, 1911) Separating it from Entamoeba dispar Brumpt, 1925. Journal of Eukaryotic Microbiology, 40(3), 340344.</p><p></p><p>Diarthini, N. L. P. E., Swastika, I. K., Ariwati, L., Isyaputri, R., Fitri N, M. Y., Hidajati, S., & Basuki, S. (2018). Blastocystis and other intestinal parasites infections in elementary school children in Dukuh Village, Karangasem District, Bali. Indonesian Journal of Tropical and Infectious Disease, 7(3), 57.</p><p></p><p>Dodson, J. M., Clark, G., Lockhart, L. A., Leo, B. M., Schroedler, J. W., & Mannat, B. J. (1997). Comparison of adherence, cytotoxicity, and Gal/GalNAc lectin gene structure in Entamoeba histolytica and Entamoeba dispar. Parasitology International, 46, 225235.</p><p></p><p>Dorkenoo, M. A., Agbeko, F., Dokoto, H., Plate, D., Fiawoo, M., Yakpa, K., Sossou, E., Sognikin, S. K., Gbadoe, A. D., & Bronzan, R. (2021). Prevalence of soil-transmitted helminths and intestinal protozoa among school children in Lome, Togo. Open Journal of Pediatrics, 11(2), 313328.</p><p></p><p>Edrees, W. H., Alshahethi, M. A., Hassan Edrees, W., Mogalli, N. M., & Al-Halani, A. A. (2020). Prevalence of Entamoeba histolytica among children attending healthcare centres at Amran Governorate, Yemen. PSM Biological Research, 5(3), 98105.</p><p></p><p>Ekabe, C. J., Kehbila, J., & Clinton, N. A. (2021). Giant amoebic liver abscess: a rare diagnosis in a rural setting of Sub-Saharan Africa. Journal of Parasitology Research, 2021, 17.</p><p></p><p>Elmonir, W., Elaadli, H., Amer, A., El-Sharkawy, H., Bessat, M., Mahmoud, S. F., Atta, M. S., & El-Tras, W. F. (2021). Prevalence of intestinal parasitic infections and their associated risk factors among preschool and school children in Egypt. Plos One, 16(9), e0258037.</p><p></p><p>Elsaid, M. M. A., Shaktur, A. T., Elsaid, S. M., EL-Alem, M. D. E. E., Traish, K. O., & Kahbar, F. (2014). Prevalence of intestinal protozoa in primary schools in Zawia City, Libya. Nature and Science, 12(4), 6771.</p><p></p><p>Elyana, F. N., Al-mekhlafi, H. M., Ithoi, I., Abdulsalam, A. M., Dawaki, S., Nasr, N. A., Atroosh, W. M., Abd-basher, M. H., Al-areeqi, M. A., Sady, H., Subramaniam, L. R., Anuar, T. S., Lau, Y. L., Moktar, N., & Surin, J. (2016). A tale of two communities: intestinal polyparasitism among Orang Asli and Malay communities in rural Terengganu, Malaysia. Parasites & Vectors, 9(398), 117.</p><p></p><p>Esrey, S. A., Potash, J. B., Roberts, L., & Shiff, C. (1991). Effects of improved water supply and sanitation on ascariasis, diarrhoea, dracunculiasis, hookworm infection, schistosomiasis, and trachoma. Bulletin of the World Health Organization, 69(5), 609621.</p><p></p><p>Fathi, A. M., Bahnass, M. M., & Elshahawy, I. S. (2017). Seroprevalence of amoebiasis in Najran Saudi Arabia. Tropical Biomedicine, 34(3), 732740.</p><p></p><p>Farraj, K., Diaz-Marty, C., Lannom, M., Delshad, J., Koumas, P., Smielewski, M., Schneider, Z., Verley, J., & Rankov, L. (2022). A case of Entamoeba histolytica infection among men who have sex with men. Journal of Investigative Medicine High Impact Case Reports, 10, 14.</p><p></p><p>Flaih, M. H., Khazaal, R. M., Kadhim, M. K., Hussein, K. R., & Alhamadani, F. A. B. (2021). The epidemiology of amoebiasis in Thi-Qar Province, Iraq (2015-2020): Differentiation of Entamoeba histolytica and Entamoeba dispar using nested and real-time polymerase chain reaction. Epidemiology and Health, 43, 17.</p><p></p><p>Fleming, R., Cooper, C. J., Ramirez-Vega, R., Huerta-Alardin, A., Boman, D., & Zuckerman, M. J. (2015). Clinical manifestations and endoscopic findings of amebic colitis in a United States-Mexico border city: a case series. BMC Research Notes, 8(1), 19.</p><p></p><p>Fletcher, S. M., Stark, D., Harkness, J., & Ellis, J. (2012). Enteric protozoa in the developed world: a public health perspective. Clinical Microbiology Reviews, 25(3), 420449.</p><p></p><p>Fernndez-Soto, P., Gandasegui Arahuetes, J., Snchez Hernndez, A., Lpez Abn, J., Vicente Santiago, B., & Muro, A. (2014). A loop-mediated isothermal amplification (LAMP) assay for early detection of schistosoma mansoni in stool samples: a diagnostic approach in a murine model. PLoS Neglected Tropical Diseases, 8(9), 112.</p><p></p><p>Foo, P. C., Chan, Y. Y., Mohamed, M., Wong, W. K., Nurul Najian, A. B., & Lim, B. H. (2017). Development of a thermostabilised triplex LAMP assay with dry-reagent four target lateral flow dipstick for detection of Entamoeba histolytica and non-pathogenic Entamoeba spp. Analytica Chimica Acta, 966, 7180.</p><p></p><p>Foo, P. C., Nurul Najian, A. B., Muhamad, N. A., Ahamad, M., Mohamed, M., Yean Yean, C., & Lim, B. H. (2020). Loop-mediated isothermal amplification (LAMP) reaction as viable PCR substitute for diagnostic applications: A comparative analysis study of LAMP, conventional PCR, nested PCR (nPCR) and real-time PCR (qPCR) based on Entamoeba histolytica DNA derived from. BMC Biotechnology, 20(1), 115.</p><p></p><p>Forson, A. O., Arthur, I., Olu-Taiwo, M., Glover, K. K., Pappoe-Ashong, P. J., & Ayeh-Kumi, P. F. (2017). Intestinal parasitic infections and risk factors: a cross-sectional survey of some school children in a suburb in Accra, Ghana. BMC Research Notes, 10(1), 48.</p><p></p><p>Fotedar, R., Stark, D., Beebe, N., Marriott, D., Ellis, J., & Harkness, J. (2007a). Laboratory diagnostic techniques for Entamoeba species. Clinical Microbiology Reviews, 20(3), 511532.</p><p></p><p>Fotedar, R., Stark, D., Beebe, N., Marriott, D., Ellis, J., & Harkness, J. (2007b). PCR detection of Entamoeba histolytica, Entamoeba dispar and Entamoeba moshkovskii in stool samples from Sydney, Australia. Journal of Clinical Microbiology, 45(3), 10351037.</p><p></p><p>Fotedar, R., Stark, D., Marriott, D., Ellis, J., & Harkness, J. (2008). Entamoeba moshkovskii infections in Sydney, Australia. European Journal of Clinical Microbiology and Infectious Diseases, 27, 133137.</p><p></p><p>Freitas, M. A. R., Vianna, E. N., Martins, A. S., Silva, E. F., Pesquero, J. L., & Gomes, M. A. (2004). A single step duplex PCR to distinguish Entamoeba histolytica from Entamoeba dispar. Parasitology, 128(6), 625628.</p><p></p><p>Gee Hoon Tang, S. (2020). Intestinal protozoan infections of schoolchildren in an aboriginal (orang asli) settlement in Perak, Malaysia. International Medical Journal, 27(1), 31-35.</p><p></p><p>Geletaw, A., Egata, G., Weldegebreal, F., Kibr, G., & Semaw, M. (2021). Nutritional status and associated factors among primary schoolchildren from Pastoral Communities, Mieso-Mulu District, Sitti Zone, Somali Regional State, Eastern Ethiopia: Institution-Based Cross-Sectional Study. Journal of Nutrition and Metabolism, 1-12.</p><p></p><p>Ghssein, G., Salami, A., Salloum, L., Chedid, P., Joumaa, W. H., & Fakih, H. (2018). Surveillance study of acute gastroenteritis etiologies in hospitalized children in South Lebanon (SAGE study). Pediatric Gastroenterology, Hepatology and Nutrition, 21(3), 176183.</p><p></p><p>Gizaw, Z., Adane, T., Azanaw, J., Addisu, A., & Haile, D. (2018). Childhood intestinal parasitic infection and sanitation predictors in rural Dembiya, northwest Ethiopia. Environmental Health and Preventive Medicine, 23(1), 110.</p><p></p><p>Goel, V., Jain, A., Sharma, G., Jhajharia, A., Agarwal, V. K., Ashdhir, P., Pokharna, R., & Chauhan, V. (2021). Evaluating the efficacy of nitazoxanide in uncomplicated amebic liver abscess. Indian Journal of Gastroenterology, 40(3), 272280.</p><p></p><p>Gonzalez-Ruiz, A., Haque, R., Aguirre, A., Castanon, G., Hall, A., Guhl, F., Ruiz-Palacios, G., Miles, M. A., & Warhurst, D. C. (1994). Value of microscopy in the diagnosis of dysentery associated with invasive Entamoeba histolytica. Journal of Clinical Pathology, 47(3), 236239.</p><p></p><p>Guevara, ., Vicua, Y., Costales, D., Vivero, S., Anselmi, M., Bisoffi, Z., & Formenti, F. (2019). Use of real-time polymerase chain reaction to differentiate between pathogenic Entamoeba histolytica and the nonpathogenic Entamoeba dispar in Ecuador. American Journal of Tropical Medicine and Hygiene, 100(1), 8182.</p><p></p><p>Haapanen, S., & Parkkila, S. (2021). Management of Entamoeba histolytica infection: treatment strategies and possible new drug targets. In Topics in Medical Chemistry, 111.</p><p></p><p>Haghighi, A., Riahi, S. M., Taghipour, A., Spotin, A., Javanian, M., Mohammadi, M., Dooki, M. E., & Rostami, A. (2018). Amoebiasis in Iran: a systematic review and meta-analysis. Epidemiology and Infection, 146, 18801890.</p><p></p><p>Haile, A., Abera, T., & Dana, D. (2017). The prevalence of intestinal parasitic infection and associated factors among primary school children in Gurage Zone, South Ethiopia. Journal of Pharmacy and Alternative Medicine, 15(2017), 815.</p><p></p><p>Hajissa, K., Islam, M. A., Sanyang, A. M., & Mohamed, Z. (2022). Prevalence of intestinal protozoan parasites among school children in Africa: A systematic review and meta-analysis. PLOS Neglected Tropical Diseases, 16(2), e0009971.</p><p></p><p>Hamzah, Z., Petmitr, S., Mungthin, M., & Leelayoova, S. (2006). Differential Detection of Entamoeba histolytica, Entamoeba dispar, and Entamoeba moshkovskii by a single-round PCR assay. Journal of Clinical Microbiology, 44(9), 31963200.</p><p></p><p>Hamzah, Z., Petmitr, S., Mungthin, M., Leelayoova, S., & Chavalitshewinkoon-Petmitr, P. (2010). Development of multiplex real-time polymerase chain reaction for detection of Entamoeba histolytica, Entamoeba dispar, and Entamoeba moshkovskii in clinical specimens. American Journal of Tropical Medicine and Hygiene, 83(4), 909913.</p><p></p><p>Haque, R., Mollah, N. U., Ali, I. K. M., Alam, K., Eubanks, A., Lyerly, D., & Petri, J. (2000). Diagnosis of amebic liver abscess and intestinal infection with the TechLab Entamoeba histolytica II antigen detection and antibody tests. Journal of Clinical Microbiology, 38(9), 32353239.</p><p></p><p>Haque, R., Neville, L. M., Hahn, P., & Petri, W. A. (1995). Rapid diagnosis of Entamoeba infection by using stool antigen detection kits. Journal of Clinical Microbiology, 33(10), 25582561.</p><p></p><p>Haque, R., Ali, I. K. M., Akther, S., & William A. Petri, J. (1998). Comparison of PCR and antigen detection methods for diagnosis of Entamoeba histolytica infection. Journal of Clinical Pathology, 36(2), 449452.</p><p></p><p>Haque, R., Faruque, A. S. G., Hahn, P., Lyerly, D. M., & Petri, W. A. (1997). Entamoeba histolytica and Entamoeba dispar Infection in Children in Bangladesh. The Journal of Infectious Diseases, 175, 734736.</p><p></p><p>Haque, R., Huston, C. D., Hughes, M., Houpt, E., & Petri, W. A. (2003). Amebiasis. The New England Journal of Medicine, 348(16), 15651573.</p><p></p><p>Haque, R., Kabir, M., Noor, Z., Rahman, S. M. M., Mondal, D., Alam, F., Rahman, I., Mahmood, A. Al, Ahmed, N., & Petri, W. A. (2010). Diagnosis of amebic liver abscess and amebic colitis by detection of Entamoeba histolytica DNA in blood, urine, and saliva by a real-time PCR assay. Journal of Clinical Microbiology 48(8), 27982801.</p><p></p><p>Hassan, W., Bashir, E., & Gabr, A. (2022). Prevalence of intestinal parasitic infections among asymptomatic primary schoolchildren at Al-Sabeen district in Sana a City, Yemen. PSM Biological Research, 7(1), 3445.</p><p></p><p>Hartini, Y., Geishamimi, G., Mariam, A. Z., Mohamed-Kamel, A. G., Hidayatul, F. O., & Ismarul, Y. I. (2013). Distribution of intestinal parasitic infections amongst aborigine children at Post Sungai Rual, Kelantan, Malaysia. Tropical Biomedicine, 30(4), 596601.</p><p></p><p>Hegazi, M. A., Patel, T. A., & El-Deek, B. S. (2013). Prevalence and characters of Entamoeba histolytica infection in Saudi infants and children admitted with diarrhea at 2 main hospitals at south Jeddah: a re-emerging serious. Brazilian Journal of Infectious Diseases, 17(1), 3240.</p><p></p><p>Hemmati, A., Choopani, A., Pourali, F., Mohammad, S., & Hosseini, J. (2016). Molecular epidemiology and drug resistance study of Entamoeba histolytica in clinical isolates from Tehran, Iran. Journal of Applied Biotechnology Reports, 3(4), 513517.</p><p></p><p>Hind, H., Afkar, H., & Suhad, J. (2020). A review study of waterborne parasites in Iraq. GSC Biological and Pharmaceutical Sciences, 10(3), 2226.</p><p></p><p>Hooshyar, H., Rezaian, M., Kazemi, B., Jeddi-Tehrani, M., & Solaymani-Mohammadi, S. (2004). The distribution of Entamoeba histolytica and Entamoeba dispar in northern, central, and southern Iran. Parasitology Research, 94(2), 96100.</p><p></p><p>Hosmer, D. W., Lemeshow, S., & Sturdivant, R. X. (2013). Applied logistic regression. In John Wiley & Sons, Inc., Hoboken, New Jersey, (3),1518.</p><p></p><p>Hung, C. C., Ji, D. Der, Sun, H. Y., Lee, Y. T., Hsu, S. Y., Chang, S. Y., Wu, C. H., Chan, Y. H., Hsiao, C. F., Liu, W. C., & Colebunders, R. (2008). Increased risk for Entamoeba histolytica infection and invasiva amebiasis in HIV seropositive men who have sex with men in Taiwan. PLoS Neglected Tropical Diseases, 2(2), 19.</p><p></p><p>Huston, C. d., Haque, R., & Petri, W. A. (1999). Molecular-based diagnosis of Entamoeba histolytica infection. Expert Reviews in Molecular Medicine, 1(9), 111.</p><p></p><p>Huston, C. D. (2015). Intestinal Protozoa. Chapter 10. Retrieved from https://clinicalgate.com/intestinal-protozoa-2/</p><p></p><p>Ivey, M. (1980). Phylum protozoa. In A. C. Sonnenwirth and L. Jarett (ed.), Gradwohls clinical laboratory methods and diagnosis. The C. V. Mosby Co., St. Louis, Mo., 20812093.</p><p></p><p>Jackson-Akers, J. Y., Prakash, V., & Oliver, T. I. (2021). Amebic liver abscess. StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK430832/</p><p></p><p>Jackson, T. F. H. G. (1998). Entamoeba histolytica and Entamoeba dispar are distinct species; clinical, epidemiological, and serological evidence. International Journal for Parasitology, 28(1), 181186.</p><p></p><p>Junaidi, J., Umi, C., Trioso, P., Hadri, L., Etih, S., Zinatul, H., & Muslina, M. (2020). Entamoeba histolytica neglected tropical diseases (NTDs) agents that infect humans and some other mammals: a review. E3S Web of Conferences, 151, 15.</p><p></p><p>Kajala, M. L., Shriwastav, A., Tanger, R., Chaturvedi, V., & Barolia, D. K. (2021). Liver abscess in pediatric patients-our institutional experience. Walawalkar International Medical Journal, 8(1), 7076.</p><p></p><p>Kalliomki, M., & Isolauri, E. (2003). Role of intestinal flora in the development of allergy. Current Opinion in Allergy and Clinical Immunology, 3(1), 1520.</p><p></p><p>Kannathasan, S., Murugananthan, A., Kumanan, T., Iddawala, D., De Silva, N. R., Rajeshkannan, N., & Haque, R. (2017). Amoebic liver abscess in northern Sri Lanka: first report of immunological and molecular confirmation of aetiology. Parasites and Vectors, 10(1), 17.</p><p></p><p>Kannathasan, S., Murugananthan, A., Kumanan, T., Silva, N. R. De, Rajeshkannan, N., Haque, R., & Iddawela, D. (2018). Epidemiology and factors associated with amoebic liver abscess in northern Sri Lanka. BMC Public Health, 18(118), 18.</p><p></p><p>Kantor, M., Abrantes, A., Estevez, A., Schiller, A., Torrent, J., Gascon, J., Hernandez, R., & Ochner, C. (2018). Entamoeba histolytica: updates in clinical manifestation, pathogenesis, and vaccine development. Canadian Journal of Gastroenterology and Hepatology, 2, 744751.</p><p></p><p>Kassaw, M. W., Abebe, A. M., Tlaye, K. G., Zemariam, A. B., & Abate, B. B. (2019). Prevalence and risk factors of intestinal parasitic infestations among preschool children in Sekota town, Waghimra zone, Ethiopia. BMC Pediatrics, 19(1), 110.</p><p></p><p>Kavili, D. M., Simbauni, J. A., Gicheru, M. M., & Mungiria, J. N. (2016). Prevalence and risk factors of Entamoeba histolytica amongst children attending primary schools in Kyuso Zone, Kyuso District, Kitui County, Kenya. Journal of Allpied Life Science International, 7(1), 112.</p><p></p><p>Keys A, Fidanza F, Karvonen MJ, Kimura N, Taylor HL. Indices of relative weight and obesity. (1972). Journal of Chronic Disease, 25(6), 329 343.</p><p></p><p>Khairnar, K., & Parija, S. C. (2007). A novel nested multiplex polymerase chain reaction (PCR) assay for differential detection of Entamoeba histolytica, E. moshkovskii and E. dispar DNA in stool samples. BMC Microbiology, 7, 19.</p><p></p><p>Khairnar, K., Parija, S. C., & Palaniappan, R. (2007). Diagnosis of intestinal amoebiasis by using nested polymerase chain reaction-restriction fragment length polymorphism assay. Journal of Gastroenterology, 42(8), 631640.</p><p></p><p>Khan, M. K., Faruque, M. H., Chowdhury, B., & Ahsan, M. (2022). Food fortification in prevention of micronutrient deficiencies of children under 5 years in Bangladesh and its effects on sustainable development goals. Journal of Food Science and Nutrition Research, 5(3), 603-611.</p><p></p><p>Khan, N. T., & Jahan, N. (2017). Prevalence of E. histolytica associated dysentery in children in Satellite Town, Quetta. Epidemiology: Open Access, 7(1), 13.</p><p></p><p>Kim, M.-J. J., Jung, B.-K. K., Cho, J., Kim, D.-G. G., Song, H., Lee, K.-H. H., Cho, S., Htoon, T. T., Tin, H. H., & Chai, J.-Y.Y. (2016). Prevalence of intestinal protozoans among schoolchildren in suburban areas near Yangon, Myanmar. Korean Journal of Parasitology, 54(3), 345348.</p><p></p><p>Kubota, R., & Jenkins, D. M. (2015). Real-time duplex applications of loop-mediated amplification (LAMP) by assimilating probes. International Journal of Molecular Sciences, 16, 47864799.</p><p></p><p>Kumanan, T., Sujanitha, V., & Sri Ranganathan, S. (2021). Metronidazole for Amoebiasis: A tale of more than half a century. Jaffna Medical Journal, 33(1), 1-6.</p><p></p><p>Kumar, T., Onichandran, S., Lim, Y. A. L., Sawangjaroen, N., Ithoi, I., Andiappan, H., Salibay, C. C., Dungca, J. Z., Chye, T. T., Sulaiman, W. Y. W., Lau, Y. L., & Nissapatorn, V. (2014). Comparative study on waterborne parasites between Malaysia and Thaailand: A new insight. American Journal of Tropical Medicine and Hygiene, 90(4), 682689.</p><p></p><p>Kunst, H., Mack, D., Kon, O. M., Banerjee, A. K., Chiodini, P., & Grant, A. (2011). Parasitic infections of the lung: a guide for the respiratory physician. Thorax, 66(6), 528536.</p><p></p><p>Kyaw, P., Paratthakonkun, C., Yaicharoen, R., Nilkote, R., Soonthornworasiri, N., Prangthip, P., Maneekan, P., Zaw, A. P., Thu, S. W. Y. M., & Arthan, D. (2018). Prevalence of intestinal parasite and related factors among school children in Suan Phueng subdistrict, Ratchaburi, Thailand. Proceedings of International Conference on Applied Science and Health, 3, 348355.</p><p></p><p>Labruyre, E., Thibeaux, R., & Guilln, N. (2017). Crosstalk between Entamoeba histolytica and the human intestinal tract during amoebiasis. Parasitology, Special Issue Review, 110.</p><p></p><p>Landis, J. R. & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159-174.</p><p></p><p>Lau, Y. L., Anthony, C., Fakhrurrazi, S. A., Ibrahim, J., Ithoi, I., & Mahmud, R. (2013). Real-time PCR assay in differentiating Entamoeba histolytica, Entamoeba dispar, and Entamoeba moshkovskii infections in Orang Asli settlements in Malaysia. Parasites and Vectors, 6(250), 18.</p><p></p><p>Lee, K. H. K. J., Bae, Y. T., Kim, D. H. D. G., Deung, Y. K., Ryang, Y. S., Kim, H. J., Im, K. Il, Yong, T. S., Blessmann, J., Van, L. P., Nu, P. A. T., Thi, H. D., Muller-Myhsok, B., Buss, H., Tannich, E., Park, S. K., Kim, D. H. D. G., Deung, Y. K., Kim, H. J., Badri, M. (2016). Epidemiology of amebiasis in a region of high incidence of amebic liver abscess in central Vietnam. The Korean Journal of Parasitology, 42(3), 578583.</p><p></p><p>Legese, N., Aferu, T., & Kassa, T. (2021). Cost-effectiveness analysis of metronidazole versus metronidazole with diloxanide furoate in the treatment of amoebiasis in ethiopia. ClinicoEconomics and Outcomes Research, 13, 611617.</p><p></p><p>Liao, C.W., Chiu, K.-C., Chiang, I.-C., Cheng, P.-C., Chuang, T.-W., Kuo, J.-H., Tu, Y.-H., & Fan, C.-K. (2017). Prevalence and risk factors for intestinal parasitic infection in schoolchildren in Battambang, Cambodia. The American Journal of Tropical Medicine and Hygiene, 96(3), 583588.</p><p></p><p>Lo, Y. C., Ji, D. Der, & Hung, C. C. (2014). Prevalent and incident HIV diagnoses among Entamoeba histolytica-infected adult males: a changing epidemiology associated with sexual transmission-Taiwan, 2006-2013. PLoS Neglected Tropical Diseases, 8(10), 20062013.</p><p></p><p>Lpez-Lpez, P., Martnez-Lpez, M. C., Boldo-Len, X. M., Hernndez-Daz, Y., Gonzlez-Castro, T. B., Tovilla-Zrate, C. A., & Luna-Arias, J. P. (2017). Detection and differentiation of Entamoeba histolytica and Entamoeba dispar in clinical samples through PCR-denaturing gradient gel electrophoresis. Brazilian Journal of Medical and Biological Research, 50(4), 17.</p><p></p><p>Lpez, M. C., Len, C. M., Fonseca, J., Reyes, P., Moncada, L., Olivera, M. J., & Ramrez, J. D. (2015). Molecular epidemiology of Entamoeba: first description of Entamoeba moshkovskii in a rural area from Central Colombia. PLoS ONE, 10(10), e0140302.</p><p></p><p>Lwanga, S. & Lemeshow, S. (1991). Table minimum sample size in health studies. In Sample Size Determination in Health Studies. A Practical Manual, 158.</p><p></p><p>Madden, G. R., Shirley, D. A., Townsend, G., & Moonah, S. (2019). Case report: Lower gastrointestinal bleeding due to Entamoeba histolytica detected early by multiplex PCR: Case report and review of the laboratory diagnosis of amebiasis. American Journal of Tropical Medicine and Hygiene, 101(6), 13801383.</p><p></p><p>Magaji, P. J., & Magaji, J. Y. (2021). The prevalence of gastrointestinal parasites among primary school children in Kagarko Local Government Area, Kaduna State, Nigeria. American Journal of Health, Medicine and Nursing Practice, 6(1), 117.</p><p></p><p>Mahmud, R., Ibrahim, J., & Moktar, N. (2013). Entamoeba histolytica in Southeast Asia. In Parasite and their vectors, 103129.</p><p></p><p>Marie, C., & Petri, W. A. (2014). Regulation of virulence of Entamoeba histolytica. Annual Review of Microbiology, 68, 493520.</p><p></p><p>Markell, E. K., John, D. T., & Krotoski., W. A. (1999). Lumen-dwelling protozoa, 8th ed. In The W. B. Saunders Co., Philadelphia, Pa.</p><p></p><p>Masron, T., Masami, F., & Ismail, N. (2010). Orang Asli in peninsular Malaysia: population, spatial distribution and socio-economic condition. Journal of Ritsumeikan Social Sciences and Humanities, 6, 75115.</p><p></p><p>Matar, N. K., & Neamah, S. R. (2021). Isolation and diagnosis of Entamoeba histolytica and Giardia lamblia from children infected with diarrheal at Mohammed AL-Moussawi Hospital in Dhi-Qar Province. International Journal of Science, Engineering and Management (IJSEM), 6(1), 1114.</p><p></p><p>Matsumura, T., Hendarto, J., Mizuno, T., Syafruddin, D., Yoshikawa, H., Matsubayashi, M., Nishimura, T., & Tokoro, M. (2019). Possible pathogenicity of commensal Entamoeba hartmanni revealed by molecular screening of healthy school children in Indonesia. Tropical Medicine and Health, 47(7), 15.</p><p></p><p>Matsuo, T., Saito, A., Kawai, F., Ishikawa, K., Hasegawa, R., Suzuki, T., Fujino, T., Kinoshita, K., Asano, T., Mizuno, A., Yagita, K., Komiyama, N., Uehara, Y., & Mori, N. (2021). Use of PCR in the diagnosis of pericardial amebiasis: a case report and systematic review of the literature. BMC Infectious Diseases, 21(1), 117.</p><p></p><p>Meles, K., & Bekele, D. (2017). A ten years retrospective and cross sectional study of Entamoeba histolytica in Atsbi Wonberta Woreda at Mulu Assefa Hospital, Eastern Tigray Ethiopia. Advances in Applied Science Research, 8(4), 3039.</p><p></p><p>Miressa, R., & Dufera, M. (2021). Prevalence and predisposing factors of intestinal parasitic infections among HIV Positive patients visiting Nekemte Specialized Hospital, Western Ethiopia. HIV/AIDS - Research and Palliative Care, 13, 505512.</p><p></p><p>Mohammadzadeh, A., Spotin, A., Mahami-Oskouei, M., Haghighi, A., Zebardast, N., & Kohansal, K. (2017). Gene migration for re-emerging amebiasis in Irans northwestIraq borders: a microevolutionary scale for reflecting epidemiological drift of Entamoeba histolytica metapopulations. Parasitology Research, 116(1), 217224.</p><p></p><p>Mojarad, E. N., Nochi, Z., Sahebekhtiari, N., Nejad, M. R., Dabiri, H., Zali, M. R., Kazemi, B., & Haghighi, A. (2010). Discrimination of Entamoeba moshkovskii in patients with gastrointestinal disorders by single-round PCR. Japanese Journal of Infectious Diseases, 63(2), 136138.</p><p></p><p>Mokomane, M., Kasvosve, I., Melo, E. de, Pernica, J. M., & Goldfarb, D. M. (2018). The global problem of childhood diarrhoeal diseases: emerging strategies in prevention and management. Therapeutic Advances in Infectious Disease, 5(1), 2943.</p><p></p><p>Muharram, A. A., & Ghanem, Y. A. (2020). Prevalence and associated factors of intestinal parasitic infection in basic school children in Sanaa Yemen. Sanaa University Journal of Medical Sciences, 14(1+2), 18.</p><p></p><p>Musa, N. Ben, Sehari, A., & Hawas, A. (2007). Intestinal parasitic infections among school children in Tripoli, Libya. Journal of the Egyptian Society of Parasitology, 37(3), 10111016.</p><p></p><p>Narayan, S., & Galanis, E. (2016). Are enteric infections sexually transmitted in British Columbia? Canada Communicable Disease Report, 42(2), 2429.</p><p></p><p>Nath, J., Ghosh, S. K., Singha, B., & Paul, J. (2015). Molecular epidemiology of amoebiasis : a cross-sectional study among North East Indian population. PLoS Neglected Tropical Diseases, 9(12), 119.</p><p></p><p>Ngui, R., Angal, L., Fakhrurrazi, S. A., Lian, Y. L. A., Ling, L. Y., Ibrahim, J., & Mahmud, R. (2012). Differentiating Entamoeba histolytica, Entamoeba dispar and Entamoeba moshkovskii using nested polymerase chain reaction (PCR) in rural communities in Malaysia. Parasites and Vectors, 5(187), 17.</p><p></p><p>Ngui, R., Hassan, N.-A., Nordina, N. M. S., Mohd-Shaharuddin, N., Chang, L. Y., Teh, C. S. J., Chua, K. H., Kee, B. P., Hoe, S. Z., & Lim, Y. A. L. (2020). Copro-molecular study of Entamoeba infection among the indigenous community in Malaysia : a first report on the species-specific prevalence of Entamoeba in dogs. Acta Tropica, 204(105334), 16.</p><p></p><p>Ngui, R., Ishak, S., Chuen, C. S., Mahmud, R., & Lim, Y. A. L. L. (2011). Prevalence and risk factors of intestinal parasitism in rural and remote West Malaysia. PLoS Neglected Tropical Diseases, 5(3), e974.</p><p></p><p>Niemz, A., Ferguson, T. M., & Boyle, D. S. (2011). Point-of-care nucleic acid testing for infectious diseases. Trends in Biotechnology, 29(5), 240250.</p><p></p><p>Nino, R., Ferrer, E., Hoek, D., Ramak, R., Roelfsema, J., Mughini-gras, L., Kortbeek, T., & Pinelli, E. (2017). Diagnosis of intestinal parasites in a rural community of Venezuela : Advantages and disadvantages of using microscopy or RT-PCR. Acta Tropica, 167, 6470.</p><p></p><p>Noor Azian, M. Y., San, Y. M., Gan, C. C., Yusri, M. Y., Nurulsyamzawaty, Y., Zuhaizam, A. H., Maslawaty, M. N., Norparina, I., Vythilingam, I., & Azian, N. (2007). Prevalence of intestinal protozoa in an aborigine community in Pahang, Malaysia. Tropical Biomedicine, 24(1), 5562.</p><p></p><p>Norman, F. F., Chamorro, S., Comeche, B., Prez-Molina, J. A., & Lpez-Vlez, R. (2020). Update on the major imported helminth infections in travelers and migrants. Future Microbiology, 15(6), 437444.</p><p></p><p>Notomi, T., Okayama, H., Masubuchi, H., Yonekawa, T., Watanabe, K., Amino, N., & Hase, T. (2000). Loop-mediated isothermal amplification of DNA. Nucleic Acids Research, 28(12), 17.</p><p></p><p>Okusaga, F. R., Ombugadu, R. J., Yako, A. B., & Amuga, G. A. (2021). Microscopic and molecular detection of Entamoeba histolytica in selected public primary school pupils of Bwari Area Council, F.C.T Abuja, Nigeria. European Journal of Biology and Biotechnology, 2(3), 5760.</p><p></p><p>Oliveira, F. M. S., Neumann, E., Gomes, M. A., & Caliari, M. V. (2015). Entamoeba dispar: could it be pathogenic. Tropical Parasitology, 5(1), 9.</p><p></p><p>Oluboyo, B. O., & Oluboyo, A. O. (2014). Prevalence of some intestinal parasitic infections in relation to body mass index of children resident in orphanages in Anambra state, Nigeria. European Scientific Journal, 10(36), 221229.</p><p></p><p>Omoruyi, Z., & Onimisi, Q. Z. (2019). Intestinal parasites among primary and secondary school children of Egor Local Government Area, Edo State. Bayero Journal of Pure and Applied Sciences, 12(2), 116121.</p><p></p><p>Omuemu, C., & Ugiagbe, R. (2008). An overview of intestinal amoebiasis. Journal of the Obafemi Awolowo University Medical Students Association, 33(1), 13.</p><p></p><p>Ortiz-Castillo, F., Enrique Salinas-Aragn, L., Snchez-Aguilar, M., Humberto Tapia-Prez, J., Snchez-Reyna, M., Pierdant-Prez, M., Juan Snchez-Rodrguez, J., & Francisco Hernndez-Sierra, J. (2012). Amoebic toxic colitis: analysis of factors related to mortality. Pathogens and Global Health, 106(4), 245248.</p><p></p><p>Othman, N., Mohamed, Z., Verweij, Jaco, J., Boon Huat, L., Olivos-Garcia, A., Yeng, C., & Noordin, R. (2010). Application of real-time polymerase chain reaction in detection of Entamoeba histolytica in pus aspirates of liver abscess patients. Foodborne Pathogens and Disease, 7(6), 637641.</p><p></p><p>Paniker, C. J., & Ghosh, S. (2013). Medical parasitology. The Journal of Parasitology (Seventh Ed), 68(2). Jaypee Brothers Medical Publishers (P) LTD.</p><p></p><p>Parija, S., Ponnambath, D., & Mandal, J. (2014). Laboratory methods of identification of Entamoeba histolytica and its differentiation from look-alike Entamoeba spp. Tropical Parasitology, 4(2), 90.</p><p></p><p>Petri, W. A., & Singh, U. (1999). Diagnosis and management of amebiasis. Clinical Infectious Diseases, 29, 11171125.</p><p></p><p>Prakash, V., & Bhimji, S. (2021). Amebic liver. StatPearls Publishing.</p><p></p><p>Pritt, B. S., & Clark, G. C. (2008). Amebiasis. Mayo Clinic Proceedings, 83(10), 11541160.</p><p></p><p>Qvarnstrom, Y., James, C., Xayavong, M., Holloway, B. P., Visvesvara, G. S., Sriram, R., & Silva, A. J. (2005). Comparison of real-time PCR protocols for differential laboratory diagnosis of amebiasis. Journal of Clinical Microbiology, 43(11), 54915497.</p><p></p><p>Rivera, W. L., Santos, S. R., & Kanbara, H. (2006). Prevalence and genetic diversity of Entamoeba histolytica in an institution for the mentally retarded in the Philippines. Parasitology Research, 98(2), 106110.</p><p></p><p>Roegner, A., Orozco, M. N., Jarquin, C., Boegel, W., Secaira, C., Caballeros, M. E., Al-Saleh, L., & Rejmnkov, E. (2021). Childhood parasitic infections and gastrointestinal illness in indigenous communities at Lake Atitln, Guatemala. PeerJ, 9, e12331.</p><p></p><p>Rajoo, Y., Ambu, S., Lim, Y. A. L., Rajoo, K., Tey, S. C., Lu, C. W., & Ngui, R. (2017). Neglected intestinal parasites, malnutrition and associated key factors: A population based cross-sectional study among indigenous communities in Sarawak, Malaysia. PLoS ONE, 12(1), 117.</p><p></p><p>Rao, R. P. (2016). Study of opportunistic intestinal parasitic infections in HIV seropositive patients at a tertiary care teaching hospital in Karnataka, India. International Journal of Contemporary Medical Research, 3(8), 22192222.</p><p></p><p>Rawat, A., Singh, P., & Jyoti, A. (2020). Averting transmission : A pivotal target to manage amoebiasis. Chem Biol Drug Des, 96(2), 114.</p><p></p><p>Razakandrainibe, R., Mrat, C., Kapel, N., Sautour, M., Guyot, K., Gargala, G., Ballet, J. J., Pape, P. Le, Dalle, F., & Favennec, L. (2021). Multicenter evaluation of an ELISA for the detection of Cryptosporidium spp. antigen in clinical human stool samples. Microorganisms, 9(2), 16.</p><p></p><p>Reed, S. L., Keene, W. E., & Mckerrow, J. H. (1989). Thiol proteinase expression and pathogenicity of Entamoeba histolytica. Journal of Clinical Microbiology, 27(12), 27722777.</p><p></p><p>Regassa, K., Tedla, K., Bugssa, G., Gebrekirstos, G., Gebreyesus, H., & Shfare, M. T. (2021). Prevalence and factors associated with intestinal parasites among food handlers in Medebay Zana District, north West Tigray, northern Ethiopia. Tropical Diseases, Travel Medicine and Vaccines, 7(1), 27.</p><p></p><p>Rinne, S., Rodas, E. J., Galer-Unti, R., Glickman, N., & Glickman, L. T. (2005). Prevalence and risk factors for protozoan and nematode infections among children in an Ecuadorian highland community. Transactions of the Royal Society of Tropical Medicine and Hygiene, 99(8), 585592.</p><p></p><p>Roslee, L., Wahab, A., & Alia, N. (2021). Membina modul mudah membaca MOA Bagi meningkatkan kemahiran membaca murid Orang Asli. Asian Pendidikan, 1(2), 110.</p><p></p><p>Roure, S., Valerio, L., Soldevila, L., Salvador, F., Fernandez-Rivas, G., Sulleiro, E., Maosa, M., Sopena, N., Mate, J. L., & Bonaventura Clotet. (2019). Approach to amoebic colitis : epidemiological, clinical and diagnostic considerations in a non-endemic context (Barcelona, 2007-2017). PLoS ONE, 14(2), e0212791.</p><p></p><p>Roy, S., Kabir, M., Mondal, D., Ali, I. K. M., Petri, W. A., & Haque, R. (2005). Real-time-PCR assay for diagnosis of Entamoeba histolytica infection. Journal of Clinical Microbiology, 43(5), 21682172.</p><p></p><p>Sadaga, G. A., & Kassem, H. H. (2007). Prevalence of intestinal parasites among primary schoolchildren in Derna District, Libya. Journal of the Egyptian Society of Parasitology, 37(1), 205214.</p><p></p><p>Saidin, S., Abu Bakar, A., & Mohd Zain, B. M. (2020). Prevalence and associated risk factors of Entamoeba histolytica, E. dispar and E. moshkovskii infection among Orang Asli communities in Slim River, Perak. Journal of Science and Mathematics Letters, 8(2), 2235.</p><p></p><p>Saidin, S., Othman, N., & Noordin, R. (2019). Update on laboratory diagnosis of amoebiasis. European Journal of Clinical Microbiology & Infectious Diseases, 38(1), 1538.</p><p></p><p>Salami, A., Fakih, H., Chakkour, M., Salloum, L., Bahmad, H. F., & Ghssein, G. (2019). Prevalence, risk factors and seasonal variations of different Enteropathogens in Lebanese hospitalized children with acute gastroenteritis. BMC Pediatrics, 19(1), 110.</p><p></p><p>Samie, A., Mahlaule, L., Mbati, P., Nozaki, T., & ElBakri, A. (2020). Prevalence and distribution of Entamoeba species in a rural community in northern South Africa. Food and Waterborne Parasitology, 18, e00076.</p><p></p><p>Santos, H. L. C., Bandyopadhyay, K., Bandea, R., Peralta, R. H. S., Peralta, J. M., & Da Silva, A. J. (2013). LUMINEX: A new technology for the simultaneous identification of five Entamoeba spp. commonly found in human stools. Parasites and Vectors, 6(1), 19.</p><p></p><p>Sargeaunt, P. G., & Williams, J. E. (1978). The differentiation of invasive and non-invasive Entamoeba histolytica by isoenzyme electrophoresis. Transactions of the Royal Society of Tropical Medicine and Hygiene, 72(5), 519521.</p><p></p><p>Sari, I. P., Audindra, S., Zhafira, A. S., Rahma, A. A., Syarira, C. V., & Wahdini, S. (2021). Nutritional status of school-aged children with intestinal parasite infection in South Jakarta, Indonesia. Open Access Macedonian Journal of Medical Sciences, 9(E), 95-100.</p><p></p><p>Shimokawa, C., Kabir, M., Taniuchi, M., Mondal, D., Kobayashi, S., Ali, I. K. M., Sobuz, S. U., Senba, M., Houpt, E., Haque, R., Petri, W. A., & Hamano, S. (2012). Entamoeba moshkovskii is associated with diarrhea in infants and causes diarrhea and colitis in mice. Journal of Infectious Diseases, 206(5), 744751.</p><p></p><p>Shirley, D.-A. T., Watanabe, L. F. K., & Moonah, S. (2018). A review of the global burden, new diagnostics, and current therapeutics for amebiasis. Open Forum Infectious Diseases, 5(7), 19.</p><p></p><p>Shirley, D. A., & Moonah, S. (2016). Fulminant amebic colitis after corticosteroid therapy: a systematic review. PLoS Neglected Tropical Diseases, 10(7), 113.</p><p></p><p>Shirley, D., Hung, C., & Moonah, S. (2015). Entamoeba histolytica (amebiasis). In Protozoal Infections (Tenth Edit). Elsevier Inc.</p><p></p><p>Shnawa, B. H. (2017). Molecular diagnosis of Entamoeba histolytica, Entamoeba dispar, and Entamoeba moshkovskii: An update review. Annual Research and Review in Biology, 21(5), 112.</p><p></p><p>Shrestha, B. K., Tumbahangphe, M., Shakya, J., Rai, A., Dhakal, K., Dhungana, B., Shrestha, R., Limbu, J., Khadka, K., Ghimire, S., Chauhan, S., Chalise, L., & Ghimire, A. (2021). Prevalence and related risk factors of intestinal parasitosis among private school-going pupils of Dharan Submetropolitan City, Nepal. Journal of Parasitology Research, 2021(6632469), 110.</p><p></p><p>Sianturi, M. D. G., Rahakbauw, I. M., Meyanti, F., Kusumasari, R. A., Hartriyanti, Y., & Elsa Herdiana Murhandarwati, E. (2016). Prevalence of intestinal protozoan infections and association with hygiene knowledge among primary schoolchildren in Salahutu and Leihitu districts, Central Maluku regency, Indonesia. Tropical Biomedicine, 33(3), 428436.</p><p></p><p>Singh, A., Banerjee, T., Kumar, R., & Shukla, S. K. (2019). Prevalence of cases of amebic liver abscess in a tertiary care centre in India: a study on risk factors, associated microflora and strain variation of Entamoeba histolytica. PLoS ONE, 14(4), 114.</p><p></p><p>Singh, D., Naik, S. R., & Naik, S. (2004). Role of cysteine proteinase of Entamoeba histolytica in target cell death. Parasitology, 129(2), 127135.</p><p></p><p>Singh, P., Mirdha, B. R., Ahuja, V., Singh, S., & Ranjan, B. (2013). Loop-mediated isothermal amplification (LAMP) assay for rapid detection of Entamoeba histolytica in amoebic liver abscess. World Journal of Microbiology and Biotechnology, 29(1), 2732.</p><p></p><p>Singh, P., & Ranjan, B. (2013). Loop-mediated isothermal amplification (LAMP) assay for rapid detection of Entamoeba histolytica in amoebic liver abscess. World Journal of Microbiology and Biotechnology, 29, 2732.</p><p></p><p>Singh, R. S., Walia, A. K., Kanwar, J. R., & Kennedy, J. F. (2016). Amoebiasis vaccine development: a snapshot on E. histolytica with emphasis on perspectives of Gal/GalNAc lectin. International Journal of Biological Macromolecules, 91, 258268.</p><p></p><p>Sisu, A., Abugri, J., Ephraim, R. K. D., Dadzie, I., Essien-Baidoo, S., Kyei-Mensah, J., Storph, R. P., & Toboh, E. (2021). Intestinal parasite infections in diabetes mellitus patients; a cross-sectional study of the Bolgatanga municipality, Ghana. Scientific African, 11, e00680.</p><p></p><p>Smith, S., Phillips, G. E., Mcbride, W. J. H., & Hanson, J. (2017). Case report : endemic amebiasis in Australia: implications for residents, travelers, and clinicians. American Journal of Tropical Medicine and Hygiene, 97(1), 245247.</p><p></p><p>Sri-hidajati, B., Basuki, S., Pusarawati, S., Sulistyowati, S. W., Kartikasari, D. P., Arwati, H., Tantular, I., Fardah, A., Darma, A., Handajani, R., & Soedarmo, S. M. (2018). Comparison of multiplex single round PCR and microscopy in diagnosis of amoebiasis. African Journal of Infection Diseases, 12(S), 120126.</p><p></p><p>Stamenkovic, Z., Djikanovic, B., Laaser, U., & Bjegovic-mikanovic, V. (2016). The role of mothers education in the nutritional status of children in Serbia. Public Health Nutrition. 19(15), 27342742.</p><p></p><p>Stanley, S. L. (2003). Amoebiasis. Lancet, 361(9362), 10251034.</p><p></p><p>Stark, D., Van Hal, S., Fotedar, R., Butcher, A., Marriott, D., Ellis, J., & Harkness, J. (2008). Comparison of stool antigen detection kits to PCR for diagnosis of amebiasis. Journal of Clinical Microbiology, 46(5), 16781681.</p><p></p><p>Stark, D., van Hal, S., Marriott, D., Ellis, J., & Harkness, J. (2007). Irritable bowel syndrome: A review on the role of intestinal protozoa and the importance of their detection and diagnosis. International Journal for Parasitology, 37(1), 1120.</p><p></p><p>Taber, K. S. (2018). The use of cronbachs alpha when developing and reporting research instruments in science education. Research in Science Education, 48(6), 12731296.</p><p></p><p>Tang, S. G. H., & Kamel, A. G. M. (2020). Intestinal protozoan infections of schoolchildren in an aboriginal (Orang asli) settlement in Perak, Malaysia. In International Medical Journal, 27(1), 3135.</p><p></p><p>Tanyuksel, M., & Petri, W. A. (2003). Laboratory diagnosis of amebiasis. Clinical Microbiology Reviews, 16(4), 713729.</p><p></p><p>Tanyuksel, M., Ulukanligil, M., Guclu, Z., Araz, E., Koru, O., & Petri, W. A. (2007). Two cases of rarely recognized infection with Entamoeba moshkovskii. American Journal of Tropical Medicine and Hygiene, 76(4), 723724.</p><p></p><p>Tegen, D., Damtie, D., & Hailegebriel, T. (2020). Prevalence and associated risk factors of human intestinal protozoan parasitic infections in Ethiopia: a systematic review and meta-analysis. Journal of Parasitology Research, 2020(8884064), 115.</p><p></p><p>Tengku, S. A., & Norhayati, M. (2011). Public health and clinical importance of amoebiasis in Malaysia: a review. Tropical Biomedicine, 28(2), 194222.</p><p></p><p>Ten Hove, R., Schuurman, T., Kooistra, M., Mller, L., Van Lieshout, L., & Verweij, J. J. (2007). Detection of diarrhoea-causing protozoa in general practice patients in The Netherlands by multiplex real-time PCR. Clinical Microbiology and Infection, 13(10), 10011007.</p><p></p><p>Tharmaratnam, T., Kumanan, T., Iskandar, M. A., Urzo, K. D., Gopee-ramanan, P., Loganathan, M., Tabobondung, T., & Tabobondung, T. A. (2020). Entamoeba histolytica and amoebic liver abscess in northern Sri Lanka : a public health problem. Tropical Medicine and Health, 48(2), 113.</p><p></p><p>The Source of Malaysias Official Statistics, Department of Statistics Malaysia Official Portal. 2021. Retrieved from https://www.dosm.gov.my/v1/index.php</p><p></p><p>Tokijoh, N. I., Saidin, S., Bakar, A. A., & Noordin, R. (2021). PCR detection of Entamoeba using genus-specific primers from Orang Asli schoolchildren in Perak. Bioscience Research, 18(2), 295307.</p><p></p><p>Troeger, C., Forouzanfar, M., Rao, P. C., Khalil, I., Brown, A., Reiner, R. C., Fullman, N., Thompson, R. L., Abajobir, A., Ahmed, M., Alemayohu, M. A., Alvis-Guzman, N., Amare, A. T., Antonio, C. A., Asayesh, H., Avokpaho, E., Awasthi, A., Bacha, U., Barac, A., Mokdad, A. H. (2017). Estimates of global, regional, and national morbidity, mortality, and aetiologies of diarrhoeal diseases: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet Infectious Diseases, 17(9), 909948.</p><p></p><p>Van Den Broucke S, Verschueren J, Van Esbroeck M, Bottieau E, Van den Ende J. Clinical and microscopic predictors of Entamoeba histolytica intestinal infection in travelers and migrants diagnosed with Entamoeba histolytica/dispar infection. PLoS Negleted Tropical Diseases, 12(10), 1-9.</p><p></p><p>Van Lieshout, L., & Verweij, J. J. (2010). Newer diagnostic approaches to intestinal protozoa. Current Opinion in Infectious Diseases, 23(5), 488493.</p><p></p><p>Verkerke, H. P., Sobuz, S. U., & Petri, W. A. (2014). Molecular diagnosis of infectious diarrhea: Focus on enteric protozoa. Expert Review of Molecular Diagnostics, 14(8), 935946.</p><p></p><p>Verweij, J. J., Blang, R. A., Templeton, K., Brienen, E. A. T., Rooyen, M. A. A. Van, Lieshout, L. Van, Polderman, A. M., Pcr, R., Verweij, J. J., Blange, R. A., Templeton, K., Schinkel, J., Brienen, E. A. T., Rooyen, M. A. A. Van, Lieshout, L. Van, & Polderman, A. M. (2004). Simultaneous detection of Entamoeba histolytica, giardia lamblia, and cryptosporidium parvum in fecal samples by using multiplex real-time PCR. Journal of Clinical Microbiology, 42(3), 1220-1223.</p><p></p><p>Villamizar, X., Higuera, A., Herrera, G., Vasquez-a, L. R., Buitron, L., Muoz, L. M., Gonzalez-c, F. E., Lopez, M. C., Giraldo, J. C., & Ramrez, J. D. (2019). Molecular and descriptive epidemiology of intestinal protozoan parasites of children and their pets in Cauca, Colombia : a cross- sectional study. BMC Infectious Diseases, 19(190), 111.</p><p></p><p>Voupawoe, G. (2016). Prevalence and intensity of Entamoeba histolytica in patients attending health centres in Mathare slums, Nairobi County, Kenya. School of Biological Sciences.</p><p></p><p>Walsh, J. A. (1986). Problems in recognition and diagnosis of amebiasis: Estimation of the global magnitude of morbidity and mortality. Reviews of Infectious Diseases, 8(2), 228238.</p><p></p><p>WHO. (2019). Improving health and learning through better water, sanitation and hygiene in schools. WHO Regional Office for Europe; 2019. Licence: CC BY-NC-SA 3.0 IGO, 1140.</p><p></p><p>WHO. (1997). Amoebiasis. Weekly Epidemiological Record Releve Epidemiologique Hebdomadaire, 14, 97100.</p><p></p><p>Wong, W K, Lim, B. H., Hamid Jan, J. M., Foo, P. C., Dony, J. F., Zeehaida, M., & Noordin, R. (2016). Prevalence and distribution of anti-amoebic IgG antibody among orang asli (aborigines) in Peninsular Malaysia. Tropical Biomedicine, 33(4), 739745.</p><p></p><p>Wong, Y. P., Othman, S., Lau, Y. L., Radu, S., & Chee, H. Y. (2018). Loop-mediated isothermal amplification (LAMP): a versatile technique for detection of micro-organisms. Journal of Applied Microbiology, 124(3), 626643.</p><p></p><p>Wong, Weng Kin, Mohd-Nor, N., Noordin, R., Foo, P. C., Mohamed, Z., Haq, J. A., Acosta, A., Sarmiento, M. E., Subramaniam, P., Dony, J. F., Mohamad-Roze, M. N., Osman, S., & Lim, B. H. (2019). Parasitic infections in Malaysian aborigines with pulmonary tuberculosis: a comparative cross-sectional study. Parasitology Research, 118(9), 26352642.</p><p></p><p>Wuerz, T., Kane, J. B., Boggild, A. K., Krajden, S., Keystone, J. S., Fuksa, M., Kain, K. C., Warren, R., Kempston, J., & Anderson, J. (2012). A review of amoebic liver abscess for clinicians in a nonendemic setting. Canadian Journal of Gastroenterology, 26(10), 729733.</p><p></p><p>Ximnez, C., Morn, P., Rojas, L., Valadez, A., & Gmez, A. (2009). Reassessment of the epidemiology of amebiasis: State of the art. Infection, Genetics and Evolution, 9(6), 10231032.</p><p></p><p>Yanagawa, Y., Nagashima, M., Gatanaga, H., Kikuchi, Y., Oka, S., Yokoyama, K., Shinkai, T., Sadamasu, K., & Watanabe, K. (2020). Seroprevalence of Entamoeba histolytica at a voluntary counselling and testing centre in Tokyo: A cross-sectional study. BMJ Open, 10(2), 17.</p><p></p><p>Zaman, S., Khoo, J., Ng, S. W., Ahmed, R., Khan, M. A., Hussain, R., & Zaman, V. (2000). Direct amplication of Entamoeba histolytica DNA from amoebic liver abscess pus using polymerase chain reaction. Parasitology Research, 86, 724728.</p><p></p><p>Zavala, G. A., Doak, C. M., Portrait, F., Seidell, J. C., Garca, O. P., Rosado, J. L., ... & Campos-Ponce, M. (2019). Are intestinal parasites associated with obesity in Mexican children and adolescents?. Parasitology international, 126-131.</p><p></p><p>Zerpa L, R., Nquira, C., & Espinoza B, Y. (2007). Una nueva visin de. Rev Peru Med Exp Salud Publica, 24(2), 190192.</p><p></p><p>Zhou, F., Li, M., Li, X., Yang, Y., Gao, C., Jin, Q., & Gao, L. (2013). Seroprevalence of Entamoeba histolytica infection among chinese men who have sex with men. PLoS Neglected Tropical Diseases, 7(5), 17.</p><p></p><p>Zindrou, S., Orozco, E., Linder, E., Tllez, A., & Bjrkman, A. (2001). Specific detection of Entamoeba histolytica DNA by hemolysin gene targeted PCR. Acta Tropica, 78(2), 117125.</p><p></p><p>Zongo, A., Outtara, A., Yonli, A., Sorgho, P., Sambie, H., Lallogo, T., Bado, P., Compaore, T. ., Djigma, F. ., Ouermi, D., Millogo, H., & Simpor, J. (2020). Real-time multiplex PCR diagnosis of common diarrhoea-causing parasites in children under five years in Ouagadougou, Burkina Faso. Infectious Diseases & Tropical Medicine, 6(641), 17.</p><p></p>