Balantidium coli infections exhibit a global distribution, with higher prevalence observed in regions where poor sanitation and inadequate water treatment are prevalent. The parasite is more commonly reported in areas with close human-pig interactions, emphasizing the zoonotic nature of the infection. Occupations involving direct contact with pigs, such as farmers and veterinarians, are considered at higher risk. Additionally, immunocompromised individuals, including those with HIV/AIDS, may experience more severe and prolonged balantidiasis. Understanding the epidemiology of Balantidium infections is crucial for implementing targeted control measures. Efforts to improve sanitation infrastructure, raise public awareness about proper hygiene practices, and provide access to clean water contribute to reducing the incidence of balantidiasis. Surveillance and monitoring programs help track the prevalence of the parasite, identify emerging hotspots, and guide public health interventions to mitigate the impact of Balantidium coli infections on human health.
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