Hookworm - Medtick

Hookworm

What is it?

  • A common condition where a parasite that lives in infested the soil and enters via damaged skin.
  • They travel in the blood to lungs and then to the intestine where they grow by sucking the blood from the intestinal wall.
  • They lay their eggs and can be found in human faeces and spread again via soil.

It occurs mainly in world regions of:

  • Central and south America
  • Africa
  • Southeast Asia

Cause

  • Parasite: Ancylostoma duodenale, Necator americanus
  • Poor sanitation areas
  • Human faeces used as fertiliser
  • Poor personal hygiene
  • Walking barefoot in contaminated sewage

Symptoms

  • Itchy rash at site of entry?
  • High temperature greater than 38°C (100°F) or over and/or chills and sweats longer than 72 hours?

Heavy infestation

  • Abdominal pain and/or are constant violently vomiting or vomiting longer than two days (one day if a child)?
  • Balance and dizziness problems?
  • Headache which is on and off or a constant headache longer than 24 hours?
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)?
  • Sensitivity to every day noise and/or ringing noise within and/or difficulty hearing?
  • Dry cough longer than three weeks or breathing difficulties?
  • Altered sense of taste?
  • Desire to eat non-food items, such as ice, paper or clay?
  • Difficulty swallowing (dysphagia)?
  • Dry, flaking, spoon-shaped nails?
  • Painful ulcers (open sores) on the corners of your mouth (angular chelosis)?
  • Sore, smooth looking tongue?

Complications /Information to beware of/General tips:

This condition can lead:


General tips

Take the following steps to avoid passing the illness on to others:

  • Wash your hands thoroughly with soap and water after going to the toilet.
  • Stay away from work or school until you’ve been completely free from any symptoms for at least 48 hours.
  • Help young children to wash their hands properly.
  • Don’t prepare food for others until you’ve been symptom free for at least 48 hours.
  • Don’t go swimming until you’ve been symptom free for at least 48 hours.
  • Where possible, stay away from other people until your symptoms have stopped.
  • Wash all dirty clothes, bedding and towels on the hottest possible cycle of the washing machine.
  • Clean toilet seats and toilet bowls, and flush handles, taps and sinks with detergent and hot water after use, followed by a household disinfectant.
  • Avoid sexual contact until you’ve been symptom free for at least 48 hours.

NHS choices 


Travel

If you’re travelling to a country where there’s a high risk of getting the condition, the Information below can help prevent infection:

  • Don’t drink the local water unless you’re sure it’s clean (sterile) – drink bottled water or drinks in sealed cans or bottles.
  • If the water isn’t sterile, boil it for several minutes or use chemical disinfectant or a reliable filter.
  • Don’t clean your teeth with tap water.
  • Don’t have ice in your drinks because it may be made from unclean water.
  • Avoid fresh fruit or vegetables that can’t be peeled before eating.
  • Avoid food and drink sold by street vendors, except drinks in properly sealed cans or bottles.

NHS choices

Future advise especially when travelling to an infectious country:

  • Fresh foods: those that are peeled or cooked are the safest
  • Avoid high risk foods like shellfish
  • Boiling water is the best method of sterilisation
  • Chemicals are useful for preparing safe drinking water but have their limitations
  • Chlorine-based tablets are widely available and will be appropriate for most travellers
  • More intrepid travellers and those planning to use surface waters as a drinking water source should use an iodine-based product.
Panel 1: Choice of foods for the traveller
Usually safe Risky Best avoided
Freshly prepared and hot , cooked food  including meat and consume quickly. boiled dairy i.e milk and/or indian chai. Food from street vendors unless fresh and hot Poorly stored food Cold foods left standing especially sauces Avoid buffets (hot or cold) left standing along time
Peeled fruit Unpeeled fruit and salad unless well washed in clean water Broad leafed salad i.e lettuce due to large surface area packed with organisms- harder to wash off all
Canned food Dried food (bread, rice and pasta ) and freshly baked bread Ice cream Shellfish Rare meat and fish Unpasteurised dairy products Ice containing drinks
  • Iodine or chlorine used for water purification (as discussed later) can also be used for soaking and manufacturers of food products give recommendations for the appropriate concentrations.

There are three methods by which the traveller can prepare clean drinking water:

  • Boiling:
    • Boil water for a full five minutes at any altitude.
  • Chemical disinfection:
    • Iodine, chlorine, katedyne silver.
  • Filtration

The Pharmaceutical Journal, PJ, January 2000;():DOI:10.1211/PJ.2000.20000218

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Hookworm in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • NHS

    Find information and advice on health conditions, symptoms, healthy living, medicines and how to get help (British National Health Service).

  • Medscape

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  • Pharmaceutical Journal

    The Pharmaceutical Journal covers analysis, features, opinion, learning and careers articles, providing insight and knowledge about drugs, pharmacy practice, medicines use and healthcare policy in the context of the pharmacy profession and pharmaceutical science.

  • Healthline

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  • ChatGPT

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  • Medical News Today

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  • WebMD

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  • Cleveland Clinic

    Pushing the Standards of care.

  • Mayo Clinic

    No.1 Hospital in the Nation (America)

  • Drugs.com

    Know more. Be sure.

  • National Organisation of Rare Diseases

    NORD is dedicated to supporting education, elevating care, advancing research, and driving policy for rare diseases.

  • Verywell Health

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  • Fit for Travel

    Information on how to stay safe and healthy abroad.

  • DR Axe

    Health and fitness news. Recipes, Natural Remedies