UNIVERSITY OF EDUCATION, WINNEBA COLLEGE OF AGRICULTURAL EDUCATTION FACULTY OF SCIENCE EDUCATION ASANTE MAMPONG PREVALENCE OF GASTROINTESTINAL PARASITES IN DOGS IN TECHIMAN, BONO EAST- GHANA. BY OFORI A. SAMUEL i ABSTRACT Dogs are mainly successful canids, adapted to human environment worldwide. In spite of the significant remuneration’s dogs proffer to humanity, dogs are reservoirs of zoonotic pathogens counting numerous gastrointestinal parasites. Only few researches work has been done on zoonotic parasite in dogs in Ghana. The aim of this study was to determine the prevalence of gastrointestinal parasites and management practice in dogs in Techiman. A total of 288 dog’s samples were examined for gastrointestinal parasite using saturated sodium chloride as a floatation medium. Questionnaire was administered to 230 dog owners regarding knowledge and management practices on dogs. Statistical analysis was performed by using the SPSS for windows, version 20 (Chicago, USA). Chi-squared test and P-values of ≤ 0.05 was statistically considered. Nine (9) parasitic species were identified, with an overall prevalence of 71.8%. Single and multiple infection were observed in dogs examined (p>0.05). Ancylostoma caninum (34%,), Uncinaria stenocephala (20%), Trichuris vulpis (10%,), Toxocara caninum (20%,) and strongyloide spp. (6.5%) remains the top parasitic infections in the study. The present study showed that intestinal parasite in dogs was common among dogs in Techiman, some of which are zoonotic, commonly infecting dogs. Sex and housing style, food type and Purpose of keeping dog were not significantly associated with infection in dogs. But age and breeds were strongly associated with infection in dogs(p<0.05). Majority of the owners (37%), however knew about canine rabies. It is therefore recommended that public education on personal hygiene on dog owners, veterinary care and education on zoonotic parasitic disease is of great importance in the study area. ii CONTENTS DECLARATION....................................................... Error! Bookmark not defined. DEDICATION .......................................................... Error! Bookmark not defined. ACKNOWLEDGEMENT ......................................... Error! Bookmark not defined. ABSTRACT .............................................................................................................. ii CHARPTER ONE ..................................................................................................... 1 1.0 INTRODUCTION ............................................................................................... 1 1.1 Background of the Study .................................................................................. 1 CHARPTER TWO .................................................................................................... 6 2.0 LITERATURE REVIEW..................................................................................... 6 2.1 Common Intestinal Parasites in Dogs. .............................................................. 6 2.1.1 Hookworms Prevalence ................................................................................. 6 2.1.2 Roundworm Prevalence ................................................................................. 8 2.1.3 Tapeworm Prevalence ................................................................................. 10 2.1.4. Whipworm (Trichuris vulpis) Prevalence ................................................... 11 2.2 Mites Infections in Dogs ................................................................................ 13 CHARPTER TWO .................................................................................................. 13 3. 0 METHODS AND MATERIALS ...................................................................... 14 3.1. Description of Study Area ............................................................................. 14 3.3. Sample Collections and Transport ................................................................. 16 3.4. Copro-microscopical Examinations. .............................................................. 16 3.5. Data Analysis ................................................................................................ 16 3.6. Ethical Approval and Consent to Owners ...................................................... 17 CHARPTER FOUR ................................................................................................. 18 iii 4.0 RESULTS AND DISCUSSION......................................................................... 18 4. 1. Results ......................................................................................................... 18 4.1.1 Dog Characteristics. .................................................................................... 18 4.1.2 Prevalence of Intestinal Parasite in Dogs. .................................................... 20 4.1.3 Prevalence of Intestinal Parasites in Dogs Based on Identified Risk Factors. 24 4.1.4 Demographic Characteristics of Dog Owners. ............................................. 26 4.1.5 Management Practice Among Dog Owners. ................................................ 28 4.1.6 Dog owner’s knowledge on zoonotic diseases and treatment. ...................... 30 4.2 Discussions .................................................................................................... 32 CHAPTER FIVE ..................................................................................................... 38 5.0 Conclusion and Recommendations..................................................................... 38 5.1 Conclusions .................................................................................................... 39 5.2 Recommendations .......................................................................................... 40 REFERENCES ........................................................................................................ 41 APPENDIX A ......................................................................................................... 47 iv v CHARPTER ONE 1.0 INTRODUCTION 1.1 Background of the Study Dogs are the mainly successful canids, adapted to human environment worldwide. Companion animals, remarkably dogs, are valuable in the lives of individuals in several societies throughout the world. They add to social, emotional and physical wellbeing of equally adult and children, they ease diseases caused by stress (Kutdang et al. 2010). Dogs also help improve our health, and teach children values and social skills in some communities. In spite of the significant remuneration’s dogs proffer to humanity, dogs are eminent reservoirs of zoonotic pathogens counting numerous gastrointestinal helminths. These parasites have negative health risk against infected dogs and causes mortality, notably in puppies and adult dogs. Away from the health risk of dogs, many of the parasite causes poor health conditions and serious cost-effective thrashing in other domestic animals that serve as intermediate host. Moreover, Dogs harbor a variety of intestinal parasites, some of which can also infect humans since human and dogs live in close proximity. In view of this, some of the dog parasites such as Toxocara canis and Ancylostoma sp., are reported to be a significant public health problem, especially in developing countries and communities that are socio-economically disadvantaged (Craig & Macpher-son, 2017). In these communities, poor levels of hygiene and overcrowding, together with lack of veterinary attention and zoonotic awareness, exacerbate the risk of disease transmission. 1 Global Parasitic infections of importance, affecting dogs and other companion animals includes Ancylostoma species, Toxocara species and Diphylidum caninum (Sager et al., 2016). In the United State, 36% of dogs was surveyed to harbor gastrointestinal helminths of community health value (Samuel et al. 2011). African countries including Nigeria, Ethiopia, Gabon and Tanzania, prevalence of helminths in these countries has been estimated as 72.5% (Muhmuda et al., 2012), 89.3% (Mekbib et al. 2013), 91.4% (Davoust et al. 2008) and 67.2% (Muhairwa et al. 2008) respectively. Common dog zoonotic disease known in Ghana are rabies (Laryea et al. 2017), (Punguyire et al., 2017), (Adomako et al. 2018), Visceral larva migrants, cutaneous larva migrants, ancylostomiasis and giardiasis (emerging and re-emerging disease) (Awuni et al. 2019). Scanty management and irresponsible ownership of dogs have become a source of danger to residence and populace. In Ghana, copious intelligence reveals that, the prevalence of helminths in dogs are statically widespread in certain parts of Ghana, due to poor literacy, short of awareness and inadequate delicate cleanliness are amongst obstacles of interventions programs (Johnson et al, 2015). Johnson et al. (2015) reported on 62.6% total prevalence of gastrointestinal helminths in the Greater Accra region, capital town of Ghana. Another study conducted in Mampong in the Ashanti region, demonstrated high prevalence of Toxocara canis, Dipylidum Caninum and Diphyllobothrium latum (Amissah-Reynolds et al, 2016). The manifestation of higher number of street dog and non-confined dogs with piercing incidence of zoonotic parasite that pollute the environment in the lack of open awareness of such risk is terribly concerning. Therefore, constant studies across the country and constant awareness establishment through empirical evidence are essential to initiate public interest in responsible owners. However, the objective of the current research is 2 therefore to identify and estimate the prevalence of parasitic helminths of dogs in Techiman, Bono East region. 1.2 Problem Statement Parasitic diseases are the most important health risk in human populace and animals throughout the globe of which Ghana is not excluded. Ghana as a tropical country, has a wide range of climatic zones, which provide favorable conditions of veterinary importance parasite, whose transmission are linked to regional temperature, rainfall and humidity (Johnson et al., 2018). Techiman is a town with a lot of refuse dump in many areas, the standard of sanitation practice is very low in the Region as compare to other Regions in Ghana. Rabies infections increase drastically from 2006 to 2018 according to Techiman veterinary service report (TVSR, 2018). Rabies infections in Techiman, was as a result of lack of consistence treatment of dogs by dog owners (Punguyire et al., 2017). Low level of sanitation practice pave way for parasitic transmission among human and animals. Over one third of the population in Techiman share close proximity with dogs. The risk of dog diseases transmission is heightened by close contact with dogs, poor hand hygiene, poor sanitation, and unvaccinated free-ranging dogs have been linked with zoonotic transmissions (Ziblim et al. 2021). It is now necessary to create public awareness to the people of Techiman and Ghana as whole on the transmission of parasite from animals to human (zoonotic) by estimating the prevalence of helminths in dogs, the knowledge and attitude of owners in zoonotic infections among the residence of Techiman, Bono east Regional Capital. 1.3 Justification 3 Parasitic infections contribute greatly to increases in morbidity and mortality rates in sub-Saharan Africa and the world as a whole. Due to this, efforts have been put in place at specific veterinary centers in Ghana to reduce parasitic infections from dogs. Since dogs are the most common animal which live together with human, people may get infected when they become contact or consume an infected dog. There is therefore the need for proper characterization of parasitic infections in dogs and their involvement in disease transmission in human for Ghanaians and other people in endemic areas. Not enough work has been done on this research topic in Ghana, or the few researches done similar to it are yet to be published hence the need for further work to be carried out. It is expected that this study will provide some data that will serve as basis for management and control guidelines information for the fight against prevalence of parasite and diseases transmission in dogs in Ghana. 1.4 Objective of the Study. 1.4.1 General Objective The general objective of the study was to estimate the prevalence of helminths in dogs in Techiman. 1.4.2 Specific objective Specific objectives of the study were: a. to estimate the prevalence of intestinal parasite in Techiman. b. to elicit dog owner knowledge on zoonotic disease and disease treatment. c. to accesses the management practice undertaken by dog owners. 1.5 Limitation. 4 Due to covid-19 pandemic, collection of sample becomes difficult where owners were afraid to open their doors for strangers. Lack of fund to transport samples from Techiman to Mampong for examination. 5 CHARPTER TWO 2.0 LITERATURE REVIEW 2.1 Common Intestinal Parasites in Dogs. The most common intestinal parasites in dogs in Ghana include the helminth species Ancylostoma caninum (hookworm), Toxocara canis (roundworm), Trichuris vulpis (whipworm), and Dipylidium caninum (tapeworm), as well as protozoan species of Giardia sp. and Isospora sp. Species that were given special consideration in the present study were A. caninum, T. canis, T. vulpis, Isospora (coccidia) and Dipylidium caninum due to their ubiquitous status worldwide (Fontanarrosa et al. 2006) 2.1.1 Hookworms Prevalence Hookworms are intestinal parasite that uses their hook-like mouthparts to anchor the lining of the intestinal parasite of dogs, cats and other able infected animals (Dada et al, 2016). They are microscopic and are about (2-3mm). Hookworm infections are estimated about 576-740 million people worldwide (CDC). Among the most common hookworms, Ancylostoma caninum and Ancylostoma tubaeforme are species specific for dogs and cats respectively, while Ancylostoma bra-ziliense, Ancylostoma ceylanicum and Uncinaria stenocephala affect both species (Prociv, 1998). In general A. caninum, A. tubaeforme and U. stenocephala are spread especially in warm countries (Dada et al, 2016). A study by Savilla (2019) reviews parasitic prevalence of 23% for Ancylostoma caninum, 8% for Trichuris vulpis, 7% for Toxocara canis and 4% for Isospora species. The studies show that hookworm infection was more common in puppies in Western Virginia (Savilla, 2019). Hookworm infections was rampant in the United States, particularly in the southeastern region, but improvements in living 6 conditions have greatly reduced hookworm infections (Samuel et al. 2010). Hookworms are more common in warm, moist environments. Conditions of overcrowding and poor sanitation contribute to infection. The presence of hookworm eggs in the stool sample microscopically is the simplest way to diagnose hookworm (Adegboye et al, 2017). The life cycle of Ancylostoma caninum is illustrated in Figure 2.1 Ancylostoma caninum infects dogs by oral or percutaneous infection, although it is unknown which mode of infection is most common under natural conditions (Baker and Muller, 2015). Through the percutaneous route of infection, the cycle includes skin penetration, followed by a migratory phase, and finally an intestinal phase. After being deposited into soil through an infected animal’s feces, infective larvae migrate to the surface of the soil or up blades of grass or other vegetation and adhere to a host on contact (Prociv and Croese, 1996). If adherence occurs on exposed skin or on a host without thick fur, invasion occurs through the hair follicles or the larvae may enter under fragments of epidermal tissue (Soulsby, 1969). Once larvae have penetrated the skin, they begin their migratory phase that involves the liver and lung. Those that are able to enter venules and vessels are then carried to the liver and pulmonary circulation by the heart, where they then break out of capillaries and enter alveoli (Sowemimo and Oluyomi, 2009). From here, larvae make their way up the bronchial tree to the esophagus, are swallowed, and then enter the digestive tract where they begin their intestinal phase and grow to adulthood (CDC, 2017). 7 Figure 2.1. Life cycle of hookworms (CDC, 2017) 2.1.2 Roundworm Prevalence Toxocara canis, Toxoascaris leonine and Baylisascaris procyonis remains the identified roundworm which infect dogs across the globe (Dwight et. al. 2015). T. canis and T. leonine are common in U.S.A, Asia and Africa. Toxocara canine are common in puppies. Puppies are often infected with T. canine in utero via transplacental transmission. Disease caused by infection with T. canis is most severe in young puppies, and can occur before eggs are present in the feces (Dwight et. al, 2015). B. procyonis is commonly found in raccoons throughtout much of U.S.A and Africa, but, fortunately, infections in dogs are rare. Toxocara canine are common in puppies. Puppies are often infected with T. canine in utero via transplacental transmission. Toxocara canis is a relatively large nematode that can grow up to 10-18 cm in length. Roundworms have 3 well-developed lips and no buccal capsule. They infect dogs 8 through complex somatic and tracheal routes of infection. Toxocara canis is considered a significant parasite of young dogs since it also causes prenatal infection, as well as infection via lactation (Lucio-foster et al. 2014). The infective life cycle of T. canis begins when a thick-shelled, unembryonated egg is passed in the environment through the feces of an infected host (Figure 2.3). An incubation period of several days, depending on ambient temperature and conditions, is required to develop an infective larva within the egg. When a dog ingests an egg, the infective larva hatches from the egg into the duodenum, penetrates the intestinal wall, and migrates via the circulation to the liver and then the lungs, taking in nutrients along the way. In mature dogs, most larvae migrate from the lungs to the heart, and then are infective eggs in contaminated soil. After ingestion, the eggs hatch and larvae penetrate the intestinal wall and are carried by the circulation to a wide variety of tissues (liver, heart, lungs, brain, muscle, eyes). While the larvae do not undergo any further development in these sites, they can cause severe local reactions that are the basis of toxocariasis. (CDC, 2017). 9 Figure 2.2 Life Cycle of Toxocara ssp. 2.1.3 Tapeworm Prevalence Tapeworms are flat, segmented gastrointestinal parasites of the cat and dog. Tapeworms belong to the cestode family of intestinal worms. There are several types of tapeworms, but the most common tapeworm species observed in dogs are Dipylidium caninum, Taenia species, Diphyllobothrium latum and Spirometra mansonoides. Occasionally they can be seen moving on the hairs around the anus, or more commonly, on the surface of freshly passed feces. As the proglottid dries, it becomes a golden color and eventually breaks open, releasing the fertilized eggs into the environment (Pulolo et al, 2006). Dipylidium caninum was reported by Fanta et al in Ethiopia with a prevalence rate of 21% of Dipylidium caninum counting high counting negative effect against dogs. The 10 adult of Dipylidium caninum is around 40 to 50 cm (Wikipedia, 2020). The body is made up of the head or scolex, the neck, and a segmented section called the strobilus. The scolex has hooks for attachment. Each segment contains two proglottids. Dipylidium caninum eggs are round to oval (average size 35 to 40µm: range 31 to 50µm) and contain an oncosphere that has 6 hooklets. Proglotids of D. caninum contain characteristics egg packets that are round to ovoid and contains or more eggs each (Fanta et al.2020). 2.1.4. Whipworm (Trichuris vulpis) Prevalence Trichuris vulpis is a nematode that infects foxes and dogs. It is widely distributed in all parts of the world and infects the cecum and colon of its hosts. Trichuris vulpis is a relatively small worm, ranging from 4-7 cm in length. It is named for its characteristic body shape that resembles a whip: an elongate body with a long, flagellum-like anterior end that makes up approximately ¾ of its total body length, and a short, thick posterior end. The infective cycle of T. vulpis is simple and direct. Unembryonated eggs are passed into the environment through the feces of an infected animal, where they undergo development for 3-4 weeks under normal conditions, but have been reported to reach their infectious stage within 9-10 days under optimal conditions. The eggs are approximately 70-90 µm in length, have a distinct, double-plugged barrel shape, and are encased within a thick shell (Figure 10). This thick outer membrane enables Tr. vulpis to remain very resistant to environmental conditions. 11 In fact, Soulsby (1969) reports that whipworm eggs can persist in a suitable environment for up to 5 years. They are very resistant to constant cold and heat (at temperatures of -20oC and 112oC, respectively), as well as freezing, for as long as 12 days. Desiccation, however, is rapidly lethal to them. Infection is through the fecal-oral route. When a dog ingests eggs from a contaminated area, the eggs enter the digestive tract and develop in the large intestine. Here, they attach to the intestinal mucosa using the narrow, anterior end that can penetrate deeply into the tissue (just before the submucosa). Figure 2.3 Life Cycle of Trichuris vulpis (Adapted from Novartis Animal Health Inc., 2009). 12 2.2 Mites Infections in Dogs Several mite species have been reported in dogs. In the dog, initially three different species were reported (Demodex mites, sarcoptes mites and ear mites) (Ralf et al. 2020). Demodex canis is the most common demodectic mite of dogs. A longer-bodied mite also was reported and named D. injai ("inja" being the Zulu name for "dog"). In the genetic studies, the short-bodied mite was considered to be a morphological variant (Ralf et al. 2020). Sarcoptics scabies in dogs is highly contangious skin parasite (Alasaad et al. 2009). The mites burrow into the skin and cause several itching, which can result in the formation of scabs and hair loss ( Malik et al. 2006). It is a non seasonal parasite that can be found in dogs of all ages and breeds. Scabies cause severe itching, so dogs that experince prolonged scratching and hair loss are suspected. Symptoms are most often seen on the ear flap, elbow, hocks, abdomen and chest of infested dogs (Kido et al. 2013). Recently, scabies also affect the intestine of dogs (Olega et al. 2013). Scabies are zoonotic, so pet owners that have close contact with their dogs may develop an itchy rash. After the dog has been treated, symptoms usually dissapear (Milla et al. 2012). CHARPTER TWO 13 3. 0 METHODS AND MATERIALS 3.1. Description of Study Area The study was conducted in selected areas in Techiman north and south, Techiman is a town which doubles as regional capital of the Bono East Region. The town is strategically positioned as a gateway to the three Northern Regions in Ghana. The town is located in latitude 7° ʼ13ʺ North and longitude 1°56ʼ06ʺ West on the Google map. Estimated population of 104,212 people as at 2010 (PHC,2010). The individuals from this town are recognized for their potentials in agriculture productions especially in tree crops such as cocoa, cashew, palm produce, plantain and fruits. A considerable ratio of the inhabitants keeps dogs and has limited access to veterinary services. Figure 3.1 Map of Techiman 3.2. Study Design, Sample Technique and Sample Size 14 The scrutinize vicinity was divided into Two (2) category base on the forecast of settlement. Category A focus on areas where the settlement is well arranged and good personal hygiene and proper sanitations are observed. And Category B also depicts areas where the settlement is poorly arranged with detached housing system and impoverished environmental conditions. A total of 288 samples were collected for the study, of which 230 sampled were collected from community dogs whose owners were available at the time of sampling and willing to have their dogs sampled, street samples were also collected from each study area. The sampling was conducted between August and October, 2020. The households owning dogs were identified after exploration visits have been made to the community in august, 2020. The purpose of the study was explained to the owners and their cooperation was sought for the collection of fecal samples. Questionnaire was given to dog owners to obtain basic information such as demographic characteristics of owners, demographic characteristics of dogs, breed type, type of feed, defecation sites and zoonotic related knowledge of owners, perception of disease transmitted by dogs. Areas such as market place, working place, playing ground were highly considered for the street sample collections. The dogs were grouped according to the age; aged 6 months (puppies), 7-12 months as young and 12 months and above as adult dogs. Breed of dogs was classified into exotic (mongrel, Alsatians, Rottweiler etc) and local dogs (African shepherd). 15 3.3. Sample Collections and Transport Freshly fecal dog samples were collected into clean, sterile, specimen zipbags labelled with dog’s identification number (DOG ID), age and sex of dogs, purpose and type of breeds. The fecal samples were preserved by iceberg not more than 24 hours before examination. The samples were transported to the parasitological laboratory in the University of Education, Mampong campus to processing for the recovery of helminths eggs. 3.4. Copro-microscopical Examinations. All samples were grossly examined for the discovery of matured parasites or eggs. Then, 3 grams of each stool sample were submitted to a qualitative copro-microscopic technique by using floatation fluid. Three (3) grams of each stool were stirred in 15 ml of floatation fluid, and poured into a test tube using a net strainer to remove all kinds of debris. A convex meniscus was leave at the top of the tube by topping off the test tube with floatation fluid gentle, a coverslip was carefully placed for at least 10 mins, and then placed on a clean slide for microscopy. Each sample was examined under 10x and 40x magnifications, and parasitic elements were morphometrically and morphologically examined according to existing keys. 3.5. Data Analysis With the statistical analysis of the data, the dogs were grouped by age (6 months and below, 7-12 months, 13-18 months and above), gender (female and male), Breeds (local and exotic), purpose keeping dog (security, companion, hunting and breeding) and confined, unconfined and street samples. The overall prevalence for all parasites and the particular prevalence of each helminth were determined. Statistical analysis was 16 performed by using the SPSS for windows, version 25 (Chicago, USA). Differences in parasite prevalence between subgroups were determined using the Chi-squared test and p-values of ≤ 0.05 were considered significant. Parasites with low prevalence values (i.e. below 4.0%) were not included in the statistical analysis. 3.6. Ethical Approval and Consent to Owners Permission was obtained from the Regional Veterinary Service in Techiman. Individual consent from dog owners was obtained prior to sample collections from their dogs. 17 CHARPTER FOUR 4.0 RESULTS AND DISCUSSION 4. 1. Results 4.1.1 Dog Characteristics. A total of 288 samples were collected from confined dogs (115, 40%), unconfined dogs (124, 43.1%) and 49 (17.1%) street samples from the sampled vicinity. Out of the 115 confined dogs, 9 (3.1%) were from street vendors. The dogs examined, consisted of 125 (52.3%) males and 114 (47.7%) females which were confined and unconfined. All dog owners agreed to participate and completed the questionnaires provided. Table 4.1 summarizes the differences in dog characteristics and the purpose of keeping dogs in Techiman. Most of the dogs were puppies with 45 (39.1%) confined and 60 (48.4%) unconfined dogs, 98 were young dogs, of which 58 (48.6%) confined and 42 (33.9%) unconfined dogs. Adult dogs recorded in both cases were very few: 14 (12.2%), 22 (17.7%) confined and unconfined dogs respectively (Table 4.1). Local dogs (Africa shepherd 172, 72%) and crossbreeds (35, 14.6%) dominated the dogs sampled. Others were exotic breeds which included Great Danes (2, 6.3%), Mongrels (15, 47%), Rottweiler (5, 15.6%), Boerboel (4, 12.5%), Alsatians (3, 9.4%) and Doberman (3, 9.4%). No dog owners acquired his dogs commercially. Most of the owners obtained their dogs from friends (150, 63%) and 89(37.2%) dogs were acquired from street vendors, this was statistically significance (p< 0.05) Table 4.1. Most of the owner kept their dogs for security (93, 39%) reasons in Techiman. Thirty one percent (31%) of dog owners keep 18 their dogs purposely for companion, others hunting 56(23.4%), Breeding 11(4.6%) and 5(2.1%) were rear for no reason (figure 4.1). Table 4.1 Characteristics of Dogs Variables Unconfined Total (%) p-value Confined Sex Age Male 65 60 125(52.3%) Female 50 64 114(47.7) <6 Months 45 60 105(44%) 56 42 98(41%) Months 14 22 36(15.1%) Local 74 98 172(72%) Exotic 22 10 32(13.4%) 19 16 35(14.6%) vendors 38 51 89(39%) Friends 77 73 150(63%) Commercial 0 0 0.62 0.05 6to12 months >12 Breeds 0.04 Cross breeds Street Source Purpose Security 0 93(39%) 51 42 0.06 Companion 54 20 74(31%) Hunting 0 56 56(23.4%) Breeding 5 6 11(4.6%) No reason 5 0 5(2.1%) 19 0.45 4.1.2 Prevalence of Intestinal Parasite in Dogs. Out of 288 dogs examined, 207 (71.8%) were positive for the presence of at least one of the gastrointestinal parasites, making a total prevalence of parasite identified in Techiman 71.8%. Total prevalence of intestinal parasite in confined dogs were 60.8% (n=70), whiles it was 77% (n=96) in unconfined dogs and 83.6% (n=41) in street dogs (Table 4.2). The prevalence of intestinal zoonotic parasite in dogs were not statistically significance among kinds of dogs examined (p>0.108). Table 4. 2 Overall Parasitic Prevalence in Dogs Kinds of dog No. No. Prevalence Chi- examined infected (%) square Confined dogs 115 70 60.8% Unconfined 124 96 77% 49 41 83.6% 2.048 p-value 0.108 dogs *Street dogs* P- Value for observed difference in prevalence (10.8%) of intestinal parasite infection in dogs sampled from Techiman in confined and unconfined samples. Figure 4.1 Prevalence of Intestinal Parasite in Relation to Confined and Uconfined Dogs 42% 58% 20 Uncofined Confined Out of 288 dogs examined, nine (9) intestinal parasites were microscopically identified. Ancylostoma caninum (34%), Uncinaria stenocephala (20%), Trichuris vulpis (10%), Toxocara caninum (20%) remain the top four parasitic infection in confined and unconfined dogs. Number of identified parasite species were higher in unconfined dog (65.3%) than confined dogs (34.7%) but was not statistically significant (p> 0.05). Demodex mite and moniezia species were strangely identified in the study (Table 4.3). Unknown mites and mite eggs were also identified in the study (figure 4.3). Similar parasitic species infection was observed in street dogs examined except Giardia lamblia which was not found in confined and unconfined dogs (Table 4.4). Table 4.3 Species Wise Prevalence of Intestinal Parasite in Confined and Unconfined Dogs Parasite Confined Unconfined Total Prevalence (%) Acylostoma caninum 16 60 76 34 Uncinaria stenocephala 21 24 45 20 Trichuris vulpis 6 16 22 10 Toxocara caninum 19 26 45 20 Moniezia 1 4 5 2.3 Taenia species 3 3 6 3 Dipylidum caninum 4 3 7 3.5 Strongeloide stercoralis 7 7 14 6.3 Demodex mite 0 2 2 0.9 21 Table 4.3 Species Wise Prevalence of Parasitic Infection in Street Dogs Parasite Street Dogs Percentage (%) Acylostoma caninum 21 45.6 Uncinaria stenocephala 3 6.4 Trichuris vulpis 4 8.7 Toxocara caninum 4 8.7 Moniezia 4 8.7 Taenia species 2 4.3 Dipylidum caninum 2 4.3 Strongeloide stercoralis 5 11.2 Giardia lamblia 1 2.2 Figure 4.2 prevalence of intestinal parasite in confined and unconfined dogs Demodex mites Strongeloide… Parasite Dipylidum caninum Taenia species Moniezia Toxocara caninum Trichuris vulpis Uncinaria… Ancylostoma caninum 0 10 20 30 40 Number of dogs infected 22 50 60 70 80 Figure 4.3 Identified Parasites a b c d e f g j h I k l a- Dipilydum caninum, b-Toxocara caninum, c-Trichuris vulpis, d- Moniezia benedeni, e- Moniezia espansa, f- strongeloide stercolaris, g-Hookworm, h- Demodex mite, iTaenia species, j- gardia lamblia, k and l are unknown mite and mite egg respectively. 23 4.1.3 Prevalence of Intestinal Parasites in Dogs Based on Identified Risk Factors. Out of 125 males and 114 female dogs examined, 68.8% (n=86) and 70.7% (n=80) were infected with gastrointestinal parasites respectively. However, there was no significance difference (p>0.05) in the prevalence of gastrointestinal parasite infections between male and female dogs. Likewise, there was no significant difference (p> 0.05) in the prevalence of parasitic infection between the purpose of keeping dogs, security (65,70%), companion (50, 67.5%), hunting (40, 71%) and dogs that are rear for no reason (3, 60%), in this study. The highest prevalence was recorded in puppies (103, 98%) follow by young (55, 56%) and adult (8, 22%). Significant difference of infection was observed between age in dogs (p< 0.05). There was significance difference between local (136, 79%), exotic (15, 65.6%) and crossbreeds (15, 42.9%) of confined and unconfined dogs’ infection(p<0.05). In regards to the mode of feeding, the prevalence of parasite in dogs fed from the floor was 95.4% whiles 46.3% fed in the plate with a significant variation (p< 0.05) between them. Category (A) area recorded lower infection rate (46.4%) as compare to Category (B) area infection rate (83.7%). The difference observed was significant at 0.05 level. Sources of obtaining dogs were significance risk factors identified in this study. Dogs from street vendors maintains highest prevalence of 93% whereas those from friends were 61%. 24 Table4.5 Prevalence of Gastrointestinal Parasite in Dogs Base on Identified Risk Factors. Variables Sex Age Breeds Purpose No. No. Total examined infected (%) Male 125 86 68.8% Female 114 80 70.7% <6Months 105 103 98% 6-12Months 98 55 56% > 12Months 36 8 22% Local 172 136 79% Exotic 32 15 65.6% Cross breeds 35 15 42.9% Security 93 65 70% Companion 74 50 67.5% Hunting 56 40 71% Breeding 11 8 72% No reason 5 3 60% P-value 0.464 0.036 0.045 0.742 Table 4. 6 Prevalence of Intestinal Parasite in Relation to Area of Sampling Area No. examined No. infected Percentage P-value (%) Category A 110 51 46.40 Category B 178 156 88 25 0.034 Figure 4.5 Prevalence of Intestinal Parasite in Relation to Dogs breeds Figure 4.4 Prevalence of Intestinal Parasite in Relation to Dog Sex 120 Number of dogs Number of Dogs 140 100 80 60 40 20 180 160 140 120 100 80 60 40 20 0 0 Local Male Sex Number Examined Cross breeds Breeds Number infected Number Examined Number infected Figure 4.7 Prevalence of Intestinal Parasite in Relation to Function of dog Number of Dogs Figure 4.6 Prevalence of Intestinal Parasite in Relation to Age of dog 120 Number of Dogs Exotic Female 100 80 60 40 100 80 60 40 20 0 20 0 <6 Months 8-12 months >12 Months Function Age Number examined Number Examined Number infected Number infected 4.1.4 Demographic Characteristics of Dog Owners. Out of 288 dog samples drawn, questionnaire was administered to 230 dog owners. One hundred and thirty-four (134, 46.8%) were collected from residence in well planned settlement (Category A) whiles 154 (54.2%) were from area with poor sanitation and unplanned settlement (category B). Demographic characteristics of males (151, 65.7%) and female (79, 34.3%) owners were obtained. Twenty-two (22, 9.6%) owners were 26 below 20 years, between the age of 21 to 40 recorded 108(46.9%) owners and 100(43.5%) owners were above 40 years (Table 4.6). Owners with no educational background were 115(67.4%). The remaining owners have non-formal, primary, senior and tertiary education as 15(6.5%), 22(9.6%), 20(8.7%) and 58(25.2%) respectively. Most of the owners were farmers (102, 52.2%), others occupation included trading (58, 25.2%), civil personnel (51, 22.1%) and unemployed owners (19, 8.3%). 27 Table 4.7 Demographic Characteristics of Dog Owner’s in Techiman Variables Sex Age Occupation Educational Level Frequency (N) Percentage (%) Male 151 65.7 Female 79 34.3 < 20 years 22 9.6 20-40 years 108 46.9 >40 years 100 43.5 Farming 102 52.2 Trading 58 25.2 Civil Personnel 51 22.1 Unemployed 19 8.3 No education 151 50 Non-Formal 15 6.5 Basic 22 9.6 Senior High 20 8.7 Tertiary 58 25.2 4.1.5 Management Practice Among Dog Owners. Table 4.7 summarizes the management practice of confined and unconfined dogs per the response from their owners. It is treacherous that, all the dog owners who completed the questionnaires did not treat their dogs before introducing dogs in their houses (p<0.001). Interestingly, 82% of the sampled houses, have children below the age of five (5) and more than half of the children play with the dog and this increase the chance of helminths transmission among individual. Most of the owners do not provide place for their dogs to defecate. All unconfined dogs were allowed to defecate in grass, soil or any other places which saved as a risk factor of transmission (p< 0.0001). Small 28 proportion of owners provided their dogs with dog feed and raw meat product, the rest of the dogs fed from owner leftovers food (Table 4.7). Almost half of the confined and unconfined dog owners rear other animals such as Cat, Goat, Sheep, Rabbit etc, as 53(46.1%) and 76(61%) respectively. It was statistically significant that, most of the of confined dogs (91%) were fed on plate which is good management practice to prevent disease transmission whiles 97.5% of unconfined dogs were also fed on the floor (p < 0.012) which saved as a risk factor to increase parasitic transmission among dogs. Table 4.8 Management Practices Among Confined and Unconfined Dog Owners. Variables Confined Unconfined Total (%) pvalue Was there any treatment before introducing the dog in the house Yes 0 0 0 No 115 124 239(100%) Yes 100 95 195(82%) No 15 19 34(18) Leftovers 53 102 155(65%) Dog feed 21 0 21(9%) Raw meat product 41 22 63(26%) plate 105 3 108(45%) Floor 10 121 131(55%) 0.0001 Children under 5 years in the house 0.001 Type of feed given to dog 0.04 Medium of feeding dogs 29 0.76 4.1.6 Dog owner’s knowledge on zoonotic diseases and treatment. Only 13% of dog owners provided consistence health care for their dogs of which none of the unconfined dog’s owners provided regular checkup to their dogs. Vaccination against rabies were quite credible in confined dog owners (47.8%) as compare to unconfined dog owners (16.8%). Interestingly, more than half of dog owners with unconfined dogs and about one third of confined dog owners did not perceive diseases transmitted by dogs as a health problem. Less than 10% of dog owners mentioned helminths (worm) as a health problem but about two third were aware of the risk of rabies transmission. 30 Table 4.9 Dog Owners’ Knowledge on Zoonotic Diseases and Treatment Variable Confined Unconfined Total % 75 32% P-value Vaccination status for rabies Every year 55 20 None 60 104 164 68% 15 0 15 6% 100 124 224 94% Yes 47 15 62 26% No 68 109 177 74% Scabis 11 0 11 4.60% Rabis 50 39 89 37% Dog bite wound 42 85 127 53% Worms (Parasite) 10 0 10 4.10% Dysentery 2 0 2 0.08% Bacterial 0 0 0 0 Serious 84 45 129 54% Not serious 31 79 110 46% 0.051 Do you go regular checkup Yes None Are you aware 0.003 of transmission of parasite from dogs to human 0.04 Knowledge on possible disease transmitted by dogs 0.08 Perceptions of disease transmitted by dog 31 0.46 4.2 Discussions Nine (9) gastrointestinal parasitic species were identified in the study which are documented worldwide as dog parasite, except Moniezia species to the best of our knowledge. The parasites observed in this study have been reported in dogs and other canids in different studies and locations within Ghana with a pronounced difference in the prevalence except Moniezia species. The overall prevalence of intestinal parasites reported in this study was 71.8%, which was similar to the prevalence reported by Minnaar et al. 2012 in south Africa (72%). However, the Prevalence in this study was higher than a prevalence reported by Johnson et al. 2015 in Greater Accra region of Ghana (62.6%) and Amissah-Reynolds et al. 2016 in Mampong, Ashanti region of Ghana (52.6%), Okoye et al. (2011) in stray dogs in Nigeria (52.6%), Wyckliff et al. (2017) in Kenya (35.29%), and Sowemimo & Ayanniya, (2017) in Nigeria (41.7%). The prevalence in this study was lower than the prevalence reported by Tamerat et al. (2015) in Ethiopia (91%), Komatangi (2005) in Cameroon (88.5%) and Abere et al. (2013) in Ethiopia (84.78%). The prevalence of intestinal parasites varies significantly from one locality to another depending on the parasite species involved, the host species, management practices, anthelminthic treatment, diagnostic procedures use and local climatic conditions such as humidity, temperature, rainfall (Katagiri & Oliveira-Sequeira, 2008). This study showed higher prevalence than the study by stray dog in Nigeria reported by Okoye et al. (2011), Johnson et al. (2015), Amissah–Reynolds et al. (2016), this might be as a result of the rich vegetation, climatic conditions and poor sanitary practice in Techiman. Also, epidemiological, ecological differences and floatation method used, may account for difference in distribution and prevalence of gastrointestinal parasite. Puppies harbor 32 intestinal parasite than young and adult dog and more puppies were examined in this work. This might also be the reason why the total prevalence was higher as compared to other works in Ghana. The parasite identified in this study were Hookworm (Ancylostoma caninum, Uncinaria stenocephala), Trichuris vulpis, Toxocara caninum, Dipylidium caninum, Taenia species, Strongeloide stercoralis, Moniezia and Demodex mite. Some of these helminths have been identified and reported in Ghana (Amissah-Reynolds et al., 2016; Johnson et al., 2015; Anteson & Corkish, 1975) and other parts of the world with geographical, ecological, epidemiological and seasonal variations in prevalence (Alvarado-Esquivel et al., 2015) in Mexico and Cantó et al. (2011) in Spain, Ngui et al. (2014) in Malaysia, Kutdang et al. (2010) in Nigeria, Davoust et al. (2008) in Gabon. The predominant parasites encountered in this study were Hookworms (Ancylostoma spp, 34% and Uncinaria stenocephala,20%) which supports the findings Biu, et al, (2012) in which Ancylostoma spp and Uncinaria stenocephala were predominant. Biu, et al. 2012 reported that the most common parasite in dogs was Ancylostona caninum with a prevalence of 51.9% infected dogs in a sample of 138 dogs. A study from Ethiopia found frequent parasite being Uncinaria stenocephala (28.89%), which back support the findings of this studies (Zewdu et al. 2010). Ancylostoma caninum (2.2%) and uncinaria stenocepha (2%) prevalence in Muhamed and Al-barwary (2016) was lower as compared to this study. Hookworm (Ancylostoma caninum 34%, Uncinaria stenocephala 20%) and Toxocara canis (20%) were significant in this study due to their health implications considering the high prevalence of intestinal parasite infections recorded in dogs and the close association shared between dogs and human. Hookworm 33 (Ancylostoma caninum and Uncinaria stenocephala) risk of transmission seems to be discernible. Ancylostoma caninum are largely restricted to temperate, subtropical and tropical regions. Johnson et al. 2015, estimated 47% of hookworm infection in their study which showed lower prevalence than recent study. The prevalence of Toxocara canis in dogs examined in this study was 20%. The highest occurrences of Toxocara canis presents a serious risk that might increase the possibility of many children under five years in the study vicinity harboring Toxocara canis. Studies in the America (USA) have shown that a prevalence of 7.1% for Toxocara canis infection among dog population should be considered a risk factor to children under five years (CDC, America, 2020). It was observed in recent studies that, Toxocara canis infection in puppies was higher than in young and adult dogs, and this agrees with other studies in the USA, Nigeria, Gabon and Ghana. The high prevalence of Toxocara canis infections in puppies is through trans-mammary and transplacental routes in the first few days of puppy’s life which increase the occurrence of the parasite at an early age. The acquisition of natural immunity by adult dogs decreases the rate of Toxocara canis infections. This observation also agreed with Johnson et al., 2015 and Kebede, 2019. The prevalence of Trichuris vulpis (10%) in the present study was higher than the 3% incidence observed in Yacob Hailu et al., 2017. Zewdu et al. 2010 reported 13. 9% prevalence of Trichuris which shows higher prevalence than this study. This study also recorded a lower prevalence of D. caninum infection than already reported prevalence by Johnson et al. (2015) in Ghana (13.1%). However, prevalence of Dipylidium caninum was higher than the prevalence reported in Poland (Tylkowska et al., 2010) and Ghana (Amissah-Reynolds et al., 2016). Postmortem examination of dogs by Zewdu et al. (2010) and Anteson & Corkish, (1975) revealed significantly 34 higher prevalence than the prevalence reported from copromicroscopy in this study. It is believed that D. caninum eggs are focally distributed and are rarely seen in stool due to the intermittent nature of proglottid shedding (Barnett et al, 2013), hence necropsy is more effective in recovering D. caninum (Minnaar & Krecek, 2001). It is therefore likely that D. caninum infection in this current study was underestimated considering the method of diagnosis that was used. In the best of our knowledge, moniezia species have not been reported in any study in dogs in Ghana. Our research reported 3.9% of moniezia species in nine (9) out of 288 dogs examined. Both of the species of moniezia (moniezia expansa and moniezia benedeni) were identified. Moniezia expansa is the tapeworm that commonly affects sheep and goats. Moniezia benedeni is more common in cattle and can also affect sheep and goat. Dogs can serve as intermediate host for moniezia species (Barriga, 1994). Our study reported moniezia in dogs because; the unconfined dogs always feed from the carcass of sheep, goat and cattle from a nearby slaughter house. This study has proving that, moniezia can affect dogs who accidentally ingest carcass of sheep, goat and cattle infected with moniezia. In this study we could not do autopsy to support our findings as to the mechanism and conditions that pave way for moniezia infection in dogs, therefore more investigations are needed. Other parasites were also recorded with low prevalence rate. Those parasites include strongyloide spp. (6.3%), this was higher than 1.9% reported by Muhammed and Al-barway (2016) and lower than 7.1% reported by Hasson (2014) and Taenia species with a prevalence of 3% of a total of 288 dogs examined. The study also seeks to compare confined and unconfined dog infection in the community. It was observed that, unconfined dogs (77%) infections were higher than 35 confined dogs (60%) but was not statistically significant. It was observed in this study that, multiple infections dominated in unconfined dogs than in confined dogs, this was as the result of dogs feeding from fecal contaminated environment. With dogs of age up to 1 and half years, prevalence of helminths was significantly higher in puppy (98%) and young (56%) than in adult dogs (22%). Results seems to be consistent with findings of Jones et al. 2012 and Abere et al. 2019. This study reveals that, intestinal parasites prevalence is strongly associated with age and is higher in puppy and younger dogs than adults. This is because of the underdeveloped immune system of puppy and young dogs, and effect of lactation which is the major route of parasite transmission to the puppy and young dogs. Again, lower prevalence in older dogs is due to the fact that parasite specific immunity usually acquired as the dog ages or probably as consequence of single or repeated exposures to parasites. There was no significant difference in helminth prevalence among sexes in this study. Female dogs had a higher helminth prevalence than male dogs, but the difference was not statistically significant other researchers have reported similar findings. Idika et al. (2017) reported higher prevalence in male dogs but did not report statistical significance. This is in agreement with reports by Amissah-Reynolds et al. (2016), Tamerat et al. (2015), Wyckliff et al. (2017), Abere et al. (2013), Jones et al. (2011) and Ehimiyein et al. (2018). However, this finding is in contrast to reports by Adamu et al. (2012) and Alvarado-Esquivel et al. (2015) who reported significant differences in infection among sexes. There was significant association between breed of dog and parasite prevalence in this study. Significant difference in prevalence among breeds have been reported by Idika et al. (2017) in Nigeria. A number of reports have also reported significant association among breeds with local dogs having higher helminth 36 prevalence (Abere et al., 2013, Idika et al., 2017; Awoke et al., 2011). The high prevalence of infection in local dogs is probably due to the different management practices given to local dogs. It is suspected that because exotic dog breeds are expensive, they are appreciated and given proper veterinary and husbandry care and are confined. On the contrary, local dogs are cheaper, common, less appreciated and are allowed to freely roam and either become communal, unconfined or stray dogs where they are most likely to harbour infections from other dogs or from the food they eat from the streets (Idika et al., 2017). A greater proportion of dog owners with low socio-economic status who owned local dogs did not exercise proper veterinary and management practices. They exposed their dogs to infections by allowing unrestricted maneuverability of their dogs. Resources and education were lacking and owners may exercise veterinary care only when the dog is obviously sick, hence the high prevalence in local dogs. Highly significant association was found between deworming status and gastrointestinal parasite prevalence in this study. This is in line with reports from Alvarado-Esquivel et al. (2015) in Mexico. Other authors however, have found no significant association between deworming and helminth prevalence. A chi-square test of association revealed that type of feed was significantly associated with parasitic infection in dogs. Ahmed et al. (2014), found statistical significance in helminth prevalence among dogs that were fed dry food and uncooked food. Zelahem & Mekonnen (2012) also found significant difference in prevalence among dogs that were fed raw food and dogs that were fed cooked and mixed food. Regarding the management practice and awareness of dog owners, most dogs were allowed to roam 37 freely and were observed to defecate in areas other than their immediate surrounding. It is, therefore, certain that dogs are acting as disseminators of parasite eggs and suitable reservoir of adult parasite thereby increasing the net exposure of infective stages in contact with the human population and other animals. CHAPTER FIVE 5.0 Conclusion and Recommendations 38 5.1 Conclusions In conclusion, the present study showed that intestinal parasites in dogs are very common in Techiman, some of which are zoonotic, commonly affected both confined and unconfined dogs. The prevalence as reported in recent and other studies in Ghana shows that, helminthiasis is one of the encountered infections in dogs in Ghana. Some of the parasite identified in dogs in this study were of zoonotic important. Ancylostoma caninum and uncinaria stenocephala Toxocara canis and Dipylidum were the common helminthozoonotic parasite recorded in this study. Strangely, moniezia species were identified in this study. Sex and housing style, food type and Purpose of keeping dog were not significantly associated with infection in dogs. Local dog breeds were managed under poor management practices as compared to exotic breeds. Significantly more local dogs were unconfined and no “veterinary care and anthelminthic treatment”. Few owners knew about canine zoonotic helminths and zoonotic protozoan parasites. Majority of the owners (37%), however knew about canine rabies, yet most dog owners who owned local dogs did not vaccinate their dogs against rabies. Dog owners who kept exotic breeds were found to have good knowledge on dog management and positive attitudes toward dogs than those who kept local dogs. 39 5.2 Recommendations 1. 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Attitude and knowledge about zoonotic disease among livestock farmers in rural Tamale, Ghana. International journal of medical reseavch and health sciences.vol 4.,10(2): 98-106. APPENDIX QUESTIONNAIRES FOR DOG OWNERS IN TECHIMAN 47 INTRODUCTION We are carrying out this research as part of academic work. Could you please spare me a few minutes of your time and respond to the items below as honestly as possible, Information provided will be treated as private and confidential. DOG INDEX: A. CHARACTERISTIC OF DOG OWNERS. 1. Location…………………… 2. House number…………………… 3. Occupation……………………. 4. Age ( ) 5. Sex F ( )M( ) 6. Highest educational level a. No education ( ) b. Non-formal education ( ) c. DEMOGRAPHIC Primary Education ( ) d. Junior High Education ( ) e. Senior High Education f. Tertiary Education ( ) 7. Ethnicity (Tribe) a. Akan ( ) b. Ewe ( ) c. Dagomba ( ) d. Others (specify)………………………………. B. MANAGEMENT PRACTICE AMONG DOG OWNERS 48 1. Sex of dog M( ) F( ) 2. Age: (In month’s) a. 0-5 ( ) b. B. 6-12 ( ) c. >12 ( ) 3. Type of breeds a. Local ( ) b. Crossbreeds ( ) c. Exotic ( ) 4. Place where the dog was acquired (where it was bought) a. Street vendors ( ) b. Friends ( ) c. Commercial ( ) 5. Was there any treatment before introducing the dog in the house? a. Yes b. No 6. Total number of dogs in the house………………… 7. Total number of children under five years in the house……….. 8. What is the purpose of keeping dogs a. Security b. Companion c. Breeding d. Hunting 9. Do children play with dog? (Yes) 10. Housing style of dog 49 (No) a. Free range ( ) b. Strictly confined ( ) c. Free within walled house *How often do you clean the house………I. Daily ( ) ii. Weekly ( ) iii. Monthly 11. Where do dogs usually roam? a. Confined to dog house on compound ( ) b. Inside the house ( ) c. Within the compound ( ) 12. How do dogs leave house premises? a. Always accompanied ( ) b. Occasionally accompanied ( ) c. Never accompanied ( ) 13. Do you rear other animal apart from dogs? a. Yes ( ) if yes state b. No ( ) 14. Type of feed given to the dog a. Dog feed ( ) b. Raw meat product ( ) c. Household leftover ( ) 15. In what medium do you feed your dogs a. In plate ( ) b. On the floor ( ) 16. Vaccination against rabies a. None ( ) b. Every year ( ) 17. How often do you deworm your dog? a. None ( ) b. Every 40 days ( ) c. Yearly ( ) 18. Type of drug use for deworming …………………………………. 50 19. Previous treatment (If any) ……………………. 20. Do you go for regular checkup of the dog? (Yes/No) 21. Usual place of defecation a. within the house premises ( ) b. within/out house premises ( ) 22. Preferred type of floor where dos defecate a. Only impervious (cemented/ tiles) ( ) b. Only pervious (grass, soil etc) ( ) c. Both pervious/inpervious ( ) 23. How do you dispose your dog feces? a. Use as manure b. Dump in the refuse c. Others. Pleases state…………………………. 24. Are you are of transmission of parasite from dog to human (Yes/No) 51