n CME : Your SA Journal of CPD - Amoebiasis : more about... parasitic diseases

Volume 27, Issue 6
  • ISSN : 0256-2170



is an amoebic parasite that is highly adapted to colonise and invade the human colon. Transmission is by the faeco-oral route. The incidence of invasive infection seems to have declined over the past 15 years in South Africa, probably due to increased access to sanitation in rural and informal settlements, and to frequent prescription of metronidazole for nonspecific diarrhoea. However, 19% of children hospitalised in Venda were found to be infected with , as were 2% of schoolchildren. The cholera epidemic in Zimbabwe and outbreaks in South African provinces serve as a sharp reminder of the public health consequences of inadequate sewage management - amoebiasis outbreaks may follow a similar pattern.

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