Larva migrans in India: veterinary and public health perspectives.

Despite an important public health problem in developing world like India, larva migrans remains a neglected zoonosis. Cutaneous larva migrans, Visceral larva migrans, and Ocular larva migrans are the important clinical manifestations seen in humans in India. Although many nematode parasites have the ability to cause the infection, the disease primarily occurs due to Ancylostoma caninum and Toxocara canis. Presence of the infection in dogs is an indirect indication of its incidence in humans in endemic regions. In India, sporadic cases of this neglected but important parasitic zoonosis are the main implications of lack of diagnostic methods and under-reporting of human cases. Tropical climate in addition to overcrowding, poor hygiene and sanitation problems, stray dogs, open defecation by dogs and improper faecal disposal are the important factors for persistence of this disease in the country. Sanitary and hygienic measures, improved diagnostic techniques and surveillance programme in dogs as well as humans should be adopted for its effective control. Comprehensive collaborative efforts by physicians and veterinarians are required to tackle this problem in order to attain optimal health for humans, animals and the environment. Moreover, recognition of larva migrans as an important public health problem is the most important step to combat this neglected disease in developing countries like India.