IBAN: IT36M0708677020000000008016 - BIC/SWIFT:
ICRAITRRU60 - VALERIO DI STEFANO or
144 Where There Is No Doctor 2011
Trichinosis
These worms are never seen in the stools. They burrow through the person’s
intestines and get into her muscles. People get these worms, like tapeworms, from
eating infected pork or other meat that is not well cooked.
Effect on health: Depending on the amount of infected meat eaten, the person may
feel no effects, or she may become very sick or die. From a few hours to 5 days
after eating the infected pork, the person may develop diarrhea and feel sick to her
stomach.
In serious cases the person may have:
• fever with chills
• muscle pain
• swelling around the eyes and
sometimes swelling of the feet
• small bruises (black or blue spots) on
the skin
• bleeding in the whites of the eyes
Severe cases may last 3 or 4 weeks.
Treatment: Seek medical help at once. Albendazole or mebendazole may help. For
dosages, see p. 373 and 374. (Cortico-steroids may help, but should be given by a
health worker or doctor.)
Important: If several people who ate meat from the same pig get sick afterward,
suspect trichinosis. This can be dangerous; seek medical attention.
Prevention of trichinosis:
♦ Only eat pork and other meat that has been well cooked.
♦ Do not feed scraps of meat or leftovers from butchering to pigs unless the meat
has first been cooked.
Amebas
These are not worms, but tiny animals—or parasites—that
can be seen only with a microscope (an instrument that makes
things look much bigger).
How they are transmitted:
The stools of infected people contain millions of these tiny
parasites. Because of poor sanitation, they get into the source of
drinking water or into food, and other people become infected.
Ameba as seen
under a microscope
Signs of infection with amebas:
Microscope
Many healthy people have amebas without becoming sick. However, amebas are
a common cause of severe diarrhea or dysentery (diarrhea with blood)—especially
in persons already weakened by other sickness or poor nutrition. Less commonly,
amebas cause painful, dangerous abscesses in the liver.
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