To compare the structures of natural and re-established populations of Ascaris in humans, universal (mass) chemotherapy was carried out at the beginning and the end of the study year using pyrantel pamoate. Worms expelled within 48 h of treatment were collected, their sex determined, and measurements made of length, width and weight. Length was used as the criterion for estimating the developmental stage of the worms. In comparison with the natural population, the reestablished population displayed similar sex ratio as well as distribution patterns among individuals and age groups of the host. However, the mean worm burden of the re-established population was significantly decreased, with a reduction of burdens in children aged 5-9 years. Also, the re-established population showed significant changes in population structure and worm measurements in that it comprised more immature and less fertile males, less fertile and more senile females, smaller and lighter males, larger (but not heavier) females than the natural population. The results suggested that the reestablished Ascaris population did not restore to its original status in relation to mean density, composition and fecundity. Therefore, universal treatment once a year should decrease the transmission of Ascaris in humans. Combined with previous results for the same study sites, the present findings also indicated that caution is warranted to avoid misleading conclusions when using prevalence and faecal egg counts as parameters for evaluating the success of control programmes.

The esophagus of Ascaris is a syncytial muscle organ of tubular shape in which the myofibrils are arranged radially between the lumen and the external surface. A resting potential of almost 40 mv (cytoplasm negative) is maintained by the extracellular organic anions (volatile fatty acids) found in the perienteric fluid. Replacement of these anions by Cl- ions results in a large depolarization. The resting potential is also decreased when the external pH is lowered. The leading phase of the action potential with a positive overshoot of about 18 mv elicits contraction of the myofibrils, development of negative pressure within the lumen, and suction of liquid and food particles. The mechanical energy stored in the elastic components of the cell is released when the myofibrils relax, thus injecting the contents of the lumen into the intestine. A fast and synchronous relaxation is elicited by a regenerative membrane polarization, a negative spike with a peak value of up to 108 mv produced by an increase in the permeability of the membrane to K+ ions. Cells completely depolarized in "chloride" saline are still able to generate such large potassium spikes.

To compare the structures of natural and re-established populations of Ascaris in humans, universal (mass) chemotherapy was carried out at the beginning and the end of the study year using pyrantel pamoate. Worms expelled within 48 h of treatment were collected, their sex determined, and measurements made of length, width and weight. Length was used as the criterion for estimating the developmental stage of the worms. In comparison with the natural population, the reestablished population displayed similar sex ratio as well as distribution patterns among individuals and age groups of the host. However, the mean worm burden of the re-established population was significantly decreased, with a reduction of burdens in children aged 5-9 years. Also, the re-established population showed significant changes in population structure and worm measurements in that it comprised more immature and less fertile males, less fertile and more senile females, smaller and lighter males, larger (but not heavier) females than the natural population. The results suggested that the reestablished Ascaris population did not restore to its original status in relation to mean density, composition and fecundity. Therefore, universal treatment once a year should decrease the transmission of Ascaris in humans. Combined with previous results for the same study sites, the present findings also indicated that caution is warranted to avoid misleading conclusions when using prevalence and faecal egg counts as parameters for evaluating the success of control programmes.