Epilepsy is a common neurological disorder that affects more than 10 million Indians1 and about 70 million people globally2. Its high incidence, especially in the developing world, can be attributed to neurocysticercosis (NCC)3. Neurocysticercosis is a neurological disorder that is responsible for approximately 50 thousand deaths annually and is caused by the metacestode of the parasite Taenia solium4. Humans (only definitive host), suffer from taeniasis when adult tapeworms harbour in the intestine, whereas both pigs and humans (intermediate hosts) suffer from cysticercosis when the larvae anchors in various internal organs (skeletal muscle), including the brain. Neurocysticercosis can be acquired under any socioeconomic and cultural conditions where there is close contact with a taeniasis carrier5. Its management becomes problematic in developing countries where sanitation, hygiene and pig management practices are poor6.
Epilepsy is a chronic brain disease affecting more than 50 million people worldwide. The low-and middle-income countries bear the burden of nearly 80% cases where the overall incidence rate is up to twofold higher than that of non-endemic high-income countries2. In India, the prevalence of active epilepsy ranges from 0.38% (3.8 per 1000 populations) in Tamil Nadu8 to 5.8% (58 per 1000 populations) in a pig farming community of Uttar Pradesh9. In the present cross-sectional study, the prevalence of active epilepsy was 5.15% (51.5 per 1000 population) which is one of the highest reported in the literature. Given the social stigma associated with epilepsy, and its variable clinical presentation, the actual prevalence of epilepsy in this community maybe even higher.
Categories: Utilitarian value