A total of 237 cases of Dientamoeba fragilis were identified by a stat
e public health laboratory in 1985 and 1986. Dientamoeba fragilis was
the only parasite found in about two-thirds of the cases. Compared to
Giardia cases diagnosed in a similar time period, D. fragilis occurred
more frequently in females and in children 5-9 years old; it was also
more likely to be detected in spring and summer months. Giardia occur
red more frequently in children 0-4 years old. Seventy-nine per cent o
f 70 interviewed D. fragilis cases reported symptoms associated with i
nfection; nearly 80% had diarrhoea or loose stools. Interviewed cases
reported more household and non-household exposure to children 5-9 yea
rs old than children of other ages. The difference in age and sex dist
ribution of D. fragilis and Giardia cases may be related to the life c
ycle and mode of transmission of the two protozoans.