Dj. Trott et al., THE PREVALENCE OF SERPULINA PILOSICOLI IN HUMANS AND DOMESTIC-ANIMALSIN THE EASTERN HIGHLANDS OF PAPNA NEW-GUINEA, Epidemiology and infection, 119(3), 1997, pp. 369-379
In a survey of five villages in the Eastern Highlands of Papua New Gui
nea, Serpulina pilosicoli was isolated from rectal swabs from 113 of 4
96 individuals (22.8%). Colonization rates ranged from 22.6-30.1% in f
our of the villages but was only 8.6% in the other village. In compari
son colonization was demonstrated in only 5 of 54 indigenous people (9
.3%) and none of 76 nonindigenous people living in an urban environmen
t in the same region. Colonization did not relate to reported occurren
ce of diarrhoea, age, sex, or length of time resident in a village. A
second set of 94 faecal specimens was collected from I village 6 weeks
after the first set. S. polysialic was isolated from 27 of 29 individ
uals (93.1%) who were positive on the first sampling and from 7 of 65
individuals (10.8%) who previously were negative. In this case, isolat
es were significantly more common in watery stools than in normal stoo
ls. The annual incidence of infection in the village was calculated as
93.6%, with an average duration of infection of 117 days. S. pilosico
li could not be isolated from any village pig (n = 126) despite its co
nfirmed presence in 17 of 50 commercial pigs (34.0%) sampled at a loca
l piggery. Four of 76 village dogs (5.3%) and 1 of 2 village ducks wer
e colonized with S. pilosicoli, suggesting the possibility of cross tr
ansmission between humans and animals.