Korean J Parasitol.  2019 Dec;57(6):601-605. 10.3347/kjp.2019.57.6.601.

Differential Change in the Prevalence of the Ascaris, Trichuris and Clonorchis infection Among Past East Asian Populations

Affiliations
  • 1School of Humanities, Nanyang Technological University, 48 Nanyang Ave, 639818 Singapore.
  • 2Institute of Forensic and Anthropological Science, Seoul National University College of Medicine, Seoul, 03080 Korea.
  • 3Department of Tropical Medicine and Parasitology, Seoul National University College of Medicine, Seoul, 03080 Korea.
  • 4Institute of Parasitic Diseases, Korean Association of Health Promotion, Seoul, 07649 Korea.
  • 5Department of Parasitology, Dankook University College of Medicine, Cheonan, 31116 Korea.
  • 6Department of Archaeology, University of Cambridge, The Henry Wellcome Building, Fitzwilliam Street, Cambridge, CB2 1 QH, UK. pdm39@cam.ac.uk

Abstract

As we learn more about parasites in ancient civilizations, data becomes available that can be used to see how infection may change over time. The aim of this study is to assess how common certain intestinal parasites were in China and Korea in the past 2000 years, and make comparisons with prevalence data from the 20th century. This allows us to go on to investigate how and why changes in parasite prevalence may have occurred at different times. Here we show that Chinese liver fluke (Clonorchis sinensis) dropped markedly in prevalence in both Korea and China earlier than did roundworm (Ascaris lumbricoides) and whipworm (Trichuris trichiura). We use historical evidence to determine why this was the case, exploring the role of developing sanitation infrastructure, changing use of human feces as crop fertilizer, development of chemical fertilizers, snail control programs, changing dietary preferences, and governmental public health campaigns during the 20th century.

Keyword

Chinese liver fluke; history; mummy; paleoparasitology; roundworm; whipworm; China; Korea

MeSH Terms

Ascaris*
Asian Continental Ancestry Group*
China
Civilization
Fasciola hepatica
Feces
Fertilizers
Humans
Korea
Mummies
Parasites
Prevalence*
Public Health
Sanitation
Snails
Trichuris*
Fertilizers
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