The co-evolutionary pathway seems to be the most plausible hypothesis for t
he explanation of the origin of human pinworms. Of the two modes of transmi
ssion of oxyurids among humans which have been documented, the direct oral/
anal route is also observed in other Primates and seems to have been favour
ed by selection. As indirect air-borne transmission has also been shown for
human enterobiasis, the question of "How this alternative to the standard
transmission method could have arisen" is examined. The results of comparat
ive studies of prevalence of Enterobius in human coprolites, in villages of
Neolithic age of the arid west of North America, show that a higher preval
ence of pinworms is correlated with the lower total amount of air-exchange
in caves relative to other structures. The air-borne route of transmission
of pinworms among humans is interpreted as an innovation in the human/Enter
obius pair. This mode of transfer could have been favoured during the time
when humans changed their behaviour from a hunting-gathering to a more sede
ntary existence, initially associated with cove habitats.