Intestinal parasitic infections among expatriate workers in Al-Madina Al-Munawarah, Kingdom of Saudi Arabia.

Al Madinah Al Munawarah, Kingdom of Saudi Arabia (KSA) has one of the largest number of expatriate workers. Most of them are from Sri-Lanka, Indonesia, Philippines, India and Bangladesh. These countries are considered as endemic areas for intestinal parasites. A total of 2732 stool samples were screened for intestinal parasites. Positive cases were recorded among 407 stool samples (14.9%). The common parasitic infections were encountered among 20-29 age groups (18.5%) while, the lowest infection rate was among individual ≥ 50 years (11.8%). According to the nationality, the highest infections were recorded among Pakistanis (23.2%), followed by Philippines (22.2%), Sudanese workers (18.7%), and the lowest infection rates were recorded among Bangladeshi individuals. The infected persons were farmers, food handlers and shepherds. The detected intestinal parasites were Giardia lamblia (21.9%), Entamoeba histolytica/Entamoeba coli (17.8%), Trichuris trichiura (16.2%), Ascaris lumbricoides (15.8%), hookworm (13%), Hymenolepis nana (8.9%), Strongyloides sterocoralis (3.5%), Schistosoma mansoni (2.2%), and Enterobius vermicularis (0.43%). In conclusion, the high prevalence of parasites among expatriates may produce health problem among the Saudi society due to the nature of the expatriates' work.