Nutritional aspects of parasitic infection.

The nutritional basis of the ecological relationship between parasites and their hosts is reviewed using examples of the parasitic infections of man whenever possible. Two important points are discussed first: the distinction between parasitic infection and parasitic disease, and the concepts of synergism or antagonism between undernutrition and parasitic disease. The effects of parasites on the nutritional status of the host are examined in four ways. First, in terms of the ways in which parasites can disturb nutritive processes by effects on physical activity to obtain food, and by effects on food consumption, digestion and absorption. Secondly, in terms of the nutritional cost of an infection to a parasitised host. Thirdly, in terms of the feeding, nutrition and metabolism of parasites. Finally, in terms of damage to the tissues of the host caused by parasites. Two other sections deal briefly with the transmission of parasites in food and the effects of food on parasites.