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Parasites
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ABOUT PARASITES

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 * Protozoa
 * Helminths
 * Ectoparasites
 * Parasitic Infections



A parasite is an organism that lives on or in a host organism and gets its food
from or at the expense of its host. There are three main classes of parasites
that can cause disease in humans: protozoa, helminths, and ectoparasites.

 

 

 

 



Protozoa

Entamoeba histolytica is a protozoan. A microscope is necessary to view this
parasite. Credit: CDC.

Protozoa are microscopic, one-celled organisms that can be free-living or
parasitic in nature. They are able to multiply in humans, which contributes to
their survival and also permits serious infections to develop from just a single
organism. Transmission of protozoa that live in a human’s intestine to another
human typically occurs through a fecal-oral route (for example, contaminated
food or water or person-to-person contact). Protozoa that live in the blood or
tissue of humans are transmitted to other humans by an arthropod vector (for
example, through the bite of a mosquito or sand fly).

The protozoa that are infectious to humans can be classified into four groups
based on their mode of movement:

 * Sarcodina – the ameba, e.g., Entamoeba
 * Mastigophora – the flagellates, e.g., Giardia, Leishmania
 * Ciliophora – the ciliates, e.g., Balantidium
 * Sporozoa – organisms whose adult stage is not motile e.g., Plasmodium,
   Cryptosporidium

 



Helminths

An adult Ascaris lumbriocoides worm. They can range from 15 to 35 cm.
Credit: CDC.

Helminths are large, multicellular organisms that are generally visible to the
naked eye in their adult stages. Like protozoa, helminths can be either
free-living or parasitic in nature. In their adult form, helminths cannot
multiply in humans. There are three main groups of helminths (derived from the
Greek word for worms) that are human parasites:

 * Flatworms (platyhelminths) – these include the trematodes (flukes) and
   cestodes (tapeworms).
 * Thorny-headed worms (acanthocephalins) – the adult forms of these worms
   reside in the gastrointestinal tract. The acanthocephala are thought to be
   intermediate between the cestodes and nematodes.
 * Roundworms (nematodes) – the adult forms of these worms can reside in the
   gastrointestinal tract, blood, lymphatic system or subcutaneous tissues.
   Alternatively, the immature (larval) states can cause disease through their
   infection of various body tissues. Some consider the helminths to also
   include the segmented worms (annelids)—the only ones important medically are
   the leeches. Of note, these organisms are not typically considered parasites.

 



Ectoparasites

An adult louse. Acutal size is about as big as a sesame seed.
Credit: CDC.

Although the term ectoparasites can broadly include blood-sucking arthropods
such as mosquitoes (because they are dependent on a blood meal from a human host
for their survival), this term is generally used more narrowly to refer to
organisms such as ticks, fleas, lice, and mites that attach or burrow into the
skin and remain there for relatively long periods of time (e.g., weeks to
months). Arthropods are important in causing diseases in their own right, but
are even more important as vectors, or transmitters, of many different pathogens
that in turn cause tremendous morbidity and mortality from the diseases they
cause.
 

 



Parasitic Infections

Parasitic infections cause a tremendous burden of disease in both the tropics
and subtropics as well as in more temperate climates. Of all parasitic diseases,
malaria causes the most deaths globally. Malaria kills more than 400,000 people
each year, most of them young children in sub-Saharan Africa.

The Neglected Tropical Diseases (NTDs), which have suffered from a lack of
attention by the public health community, include parasitic diseases such as
lymphatic filariasis, onchocerciasis, and Guinea worm disease. The NTDs affect
more than 1 billion people worldwide, largely in rural areas of low-income
countries. These diseases extract a large toll on endemic populations, including
lost ability to attend school or work, stunting of growth in children,
impairment of cognitive skills and development in young children, and the
serious economic burden placed on entire countries.

However, parasitic infections also affect persons living in developed countries,
including the United States.

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Page last reviewed: March 21, 2022
Content source: Global Health, Division of Parasitic Diseases and Malaria
homeParasites
 * About Parasites
 * Diagnosis of Parasitic Diseases
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 * What is CDC Doing?
 * Education and Trainingplus icon
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 * Resourcesplus icon
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 * DPDM Features
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