Taenia saginata (Cestoda) in western Kenya: the reliability of faecal examinations in diagnosis.

The prevalence of Taenia saginata (Cestoda) among 146 predominantly Pokot tribesmen in western Kenya was studied in an attempt to assess the reliability of detecting infections by faecal examinations. firstly, a single faecal sample was microscopically examined after being processed by a standard ether sedimentation technique. Secondly, all subjects were treated with niclosamide and a purgative and the tapeworms were recovered. In this way the efficiency of diagnosing infections by faecal examinations was estimated. T. saginata eggs were found in the faeces of 68% of the men who were eventually found to be infected. Information was collected by interview from all subjects about whether they were or ever had been infected with tapeworms and about the form of treatment previously sought or taken. Eleven out of 25 men were apparently unaware of their tapeworm infections while no evidence of infection was found among 10 of the 24 reportedly infected men. A change in the pattern of treatment for tapeworms was reported which may have resulted in a recent decline in the prevalence of infection.