To the Editor: It is pleasing to know that the seronegative prevalence of toxoplasmosis among Saudi pregnant women has significantly increased from 42.5% in Al-Mohammad et al’s study1 to 62% in Almogren’s study.2 Also, the seropositive prevalence has significantly dropped from 57.5% (anti-Toxoplasma IgG=51.4%, anti-Toxoplasma IgM= 6.1%) to 38% (anti-Toxoplasma IgG=38%, anti-Toxoplasma IgM=0).2 Caution must be exercised in the interpretation of the pleasing outcome as these studies were hospital and not community-based. Risk factors contributing to the occurrence of toxoplasmosis among Saudi pregnant women have been recently elucidated. It tends to be most common among those who are relatively young, live in rural areas, and have relatively low incomes. The significant positive predictors for chronic toxoplasmosis include increasing age, rural residence, low family income, frequent consumption of undercooked meat, and previous obstetric problems (and/or multiparity). 1 Considering these dependent risk factors together with initiation of more active awareness programs through a national campaign would be prudent to accelerate that downward decline in the prevalence of toxoplasmosis in the community, particularly among pregnant women.