Toxoplasma gondii infection in workers occupationally exposed to unwashed raw fruits and vegetables: a case control seroprevalence study

<p>Abstract</p> <p>Background</p> <p>Through a case control seroprevalence study, we sought to determine the association of <it>Toxoplasma gondii </it>infection with occupational exposure to unwashed raw fruits and vegetables.</p> <p>Methods</p> <p>Subjects, numbering 200, who worked growing or selling fruits and vegetables, and 400 control subjects matched by age, gender, and residence were examined by enzyme immunoassays for the presence of anti-<it>Toxoplasma </it>IgG and IgM antibodies. Socio-demographic, clinical, and behavioral characteristics from the study subjects were obtained.</p> <p>Results</p> <p>Of the 200 fruit and vegetable workers, 15 (7.5%) of whom, and 31 (7.8%) of the 400 controls were positive for anti-<it>Toxoplasma </it>IgG antibodies (<it>P </it>= 0.96). Anti-<it>Toxoplasma </it>IgM antibodies were found in 2 (1%) of the fruit workers and in 11 (2.8%) of the control subjects (<it>P </it>= 0.23). Seroprevalence of <it>Toxoplasma </it>antibodies increased with age (<it>P </it>= 0.0004). In addition, seropositivity to <it>Toxoplasma </it>was associated with ill status (<it>P </it>= 0.04), chronic tonsillitis (<it>P </it>= 0.03), and reflex impairment (<it>P </it>= 0.03). Multivariate analysis showed that <it>Toxoplasma </it>infection was associated with consumption of raw meat (OR = 5.77; 95% CI: 1.15-28.79; <it>P </it>= 0.03), unwashed raw fruits (OR = 2.50; 95% CI: 1.11-5.63; <it>P </it>= 0.02), and living in a house with soil floors (OR = 3.10; 95% CI: 1.22-7.88; <it>P </it>= 0.01), whereas <it>Toxoplasma </it>infection was negatively associated with traveling abroad (OR = 0.28; 95% CI: 0.12-0.67; <it>P </it>= 0.005).</p> <p>Conclusions</p> <p>This is the first report of seroprevalence and contributing factors for <it>Toxoplasma </it>infection in workers occupationally exposed to unwashed raw fruits and vegetables, and the results may help in the design of optimal preventive measures against <it>Toxoplasma </it>infection especially in female workers at reproductive age.</p

Global shifts, theoretical shifts: changing geographies of religion

10.1177/0309132510362602Progress in Human Geography346755-77