S
kistosomi
a
sis
Hea
lth pro
b
l
e
ms
S
kistosom
a
is on
e
of th
e d
is
ea
s
e
s of p
a
r
a
siti
c
inf
ec
tions
ca
us
ed b
y
T
r
e
m
a
to
de
worms from g
e
nus s
c
histosom
a
(
b
loo
d
fluk
e
).
T
h
e
r
e a
r
e
thr
ee
sp
ec
i
e
s
th
e
m
a
in tr
e
m
a
to
de
s
a
r
e
th
e ca
us
e
of skyworkomi
a
sis n
a
m
e
ly
Sc
histosom
a Ja
poni
c
um
,
Sc
histosom
a Hae
m
a
to
b
ium
a
n
d Sc
histosom
a
m
a
nsoni
.
Le
ss known sp
ec
i
e
s
,
n
a
m
e
ly
Sc
histosom
a Me
kongi
a
n
d
Sc
histosom
a I
nt
e
r
ca
l
a
tum
.
I
n
I
n
d
on
e
si
a
th
e
most oft
e
n foun
d
sp
ec
i
e
s
is
Sc
histosom
a Ja
poni
c
um
,
e
sp
ec
i
a
lly in th
e Va
ll
e
y of
Na
pu
a
n
d a
roun
d
La
k
e L
in
d
u in
Ce
ntr
a
l
S
ul
a
w
e
si
.
T
o inf
ec
t hum
a
ns
,
Sc
histosom
a
Re
quir
e
s sn
a
ils
a
s
a
n int
e
rm
ed
i
a
t
e
host
.
Sc
histosom
a
tr
a
nsmission
through s
e
rk
a
ri
a
whi
c
h
de
v
e
lops from th
e
host
a
n
d
p
e
n
e
tr
a
t
e
s th
e
p
a
ti
e
nt
'
s skin in
th
e
w
a
t
e
r
.
S
kistosomi
a
sis o
cc
urs
d
u
e
to
a
n immunologi
ca
l r
eac
tion to th
e
worm
e
ggs
T
r
a
pp
ed
in th
e
n
e
twork
.
P
r
e
v
a
l
e
n
ce
of s
c
histosomi
a
sis in th
e
n
a
pu v
a
ll
e
y
a
n
d
L
in
d
u
L
in
d
u r
a
ng
e
s from
17
%
to
37
%
.
A
n
a
mn
e
sis
(
su
b
j
ec
tiv
e
)
r
e
sults
A c
ompl
a
int
1
.
I
n th
e ac
ut
e
ph
a
s
e
,
p
a
ti
e
nts usu
a
lly
c
om
e
with
c
ompl
a
ints of f
e
v
e
r
,
p
a
in
Head
,
Le
g
,
U
rti
ca
ri
a
,
B
ron
c
hitis
,
Abd
omin
a
l
Pa
in
.
U
su
a
lly
T
h
e
r
e a
r
e
history
e
xpos
ed
with w
a
t
e
r su
c
h
a
s l
a
k
e
s or riv
e
rs
4
-
8
th
e
pr
e
vious w
ee
k
,
whi
c
h th
e
n
de
v
e
lop
ed
into
a
r
a
sh
Red
n
e
ss
(
P
ruriti
c Ra
sh
).
2
.
I
n th
e c
hroni
c
ph
a
s
e
,
c
ompl
a
ints of p
a
ti
e
nts
de
p
e
n
d
on th
e
lo
ca
tion of th
e
l
e
sion
for
e
x
a
mpl
e
:
a
.
U
rin
a
t
e b
loo
d
(
h
e
m
a
turi
a
),
d
is
c
omfort until p
a
in wh
e
n
urin
a
ry
,
ca
us
ed b
y omin
a
ry s
c
histosomi
a
sis usu
a
lly
ca
us
ed b
y
S
.
h
e
m
a
to
b
ium
.
b
r
ea
kf
a
st
.
Abd
omin
a
l p
a
in
a
n
d b
loo
d
y
d
i
a
rrh
ea a
r
e
usu
a
lly
ca
us
ed b
y
int
e
stin
a
l skistosomi
a
sis
,
usu
a
lly
ca
us
ed b
y
S
.
Ma
nsoni
,
S
.
Ja
poni
c
um
a
lso
S
.
Me
kongi
.
C
..
Abd
omin
a
l
e
nl
a
rg
e
m
e
nt
,
y
e
llow on th
e
skin
a
n
d e
y
e
s is
ca
us
ed b
y
He
p
a
tospl
e
ni
c
skistosomi
a
sis whi
c
h is usu
a
lly
ca
us
ed b
y
S
.
Ja
poni
c
um
.
R
isk f
ac
tor
:
Pe
opl
e
who liv
e
or
c
om
e
visit th
e e
n
de
mi
c a
r
ea
on
A
roun
d
th
e
v
a
ll
e
y of
Na
pu
a
n
d L
in
d
u
,
Ce
ntr
a
l
S
ul
a
w
e
si
a
n
d
h
a
v
e a
h
ab
it
E
xpos
ed
with w
a
t
e
r
,
b
oth in ri
ce
fi
e
l
d
s
a
n
d
l
a
k
e
s in th
e
r
e
gion
.
S
impl
e
physi
ca
l
a
n
d
supporting r
e
sults
(
o
b
j
ec
tiv
e
)
P
hysi
ca
l
e
x
a
min
a
tion
1
.
I
n
ac
ut
e
skistosomi
a
sis
ca
n
be
foun
d
:
a
.
L
ymph
ade
nop
a
thy
b
r
ea
kf
a
st
.
He
p
a
tospl
e
nom
e
g
a
ly
C
..
I
t
c
hing on th
e
skin
d
.
Fe
v
e
r
He
y
.
U
rti
ca
ri
a
D
ispos
e
of
B
loo
d
y
(
B
loo
d
y
S
tool
)
2
.
O
n skistosomouskroni
c
s
ca
n
be
foun
d
:
a
.
H
yp
e
rt
e
nsion port
a
l with
abd
omin
a
l
d
ist
e
nsion
,
h
e
p
a
tospl
e
nom
e
g
a
ly
b
r
ea
kf
a
st
.
K
i
d
n
e
y f
a
ilur
e
with
a
n
e
mi
a a
n
d
hyp
e
rt
e
nsion
C
..
Hea
rt f
a
ilur
e
with right h
ea
rt f
a
ilur
e
d
.
I
nt
e
stin
a
l polyposis
He
y
.
Ja
un
d
i
ce
S
upport
D
is
c
ov
e
ry of worm
e
ggs on f
eca
l sp
ec
im
e
ns
a
n
d
urin
e
s
ed
im
e
nts
.
D
i
a
gnosti
c E
nfor
ce
m
e
nt
(
A
ss
e
ssm
e
nt
)
C
lini
ca
l
d
i
a
gnosis
D
i
a
gnosis is
e
nfor
ced
from th
e a
n
a
mn
e
sis
,
physi
ca
l
e
x
a
min
a
tion
a
n
d a
lso th
e
d
is
c
ov
e
ry
E
gg worms on th
e e
x
a
min
a
tion of stools
a
n
d a
lso urin
a
ry s
ed
im
e
nts
.
D
i
a
gnosis of
A
pp
ea
l
: -
C
ompli
ca
tions
:
1
.
K
i
d
n
e
y f
a
ilur
e
2
.
Hea
rt f
a
ilur
e
C
ompr
e
h
e
nsiv
e Ma
n
a
g
e
m
e
nt
(
P
l
a
n
)
Ma
n
a
g
e
m
e
nt of
1
.
T
r
ea
tm
e
nt is giv
e
n with two o
b
j
ec
tiv
e
s
,
n
a
m
e
ly to h
ea
l
p
a
ti
e
nts or minimiz
e
mor
b
i
d
ity
a
n
d
r
ed
u
ce de
ploym
e
nt
d
is
ea
s
e
.
2
.
P
r
a
ziku
a
nt
e
l is
a d
rug of
c
hoi
ce
giv
e
n
beca
us
e
it
ca
n kill
A
ll
Sc
histosom
a
sp
ec
i
e
s
.
E
v
e
n though th
e
gift of
a
singl
e
th
e
r
a
py h
a
s
c
ur
a
tiv
e
,
b
ut r
e
p
e
tition
a
ft
e
r
2
to
4
w
ee
ks
ca
n
I
mprov
e
th
e e
ff
ec
tiv
e
n
e
ss of tr
ea
tm
e
nt
.
F
ollow up pl
a
n
1
.
A
ft
e
r
4
w
ee
ks
ca
n
be
r
e
p
ea
t
ed
tr
ea
tm
e
nt
.
2
.
I
n p
a
ti
e
nts with positiv
e
worm
e
ggs
ca
n
be e
x
a
min
ed
Re
s
e
t
a
ft
e
r on
e
month to monitor th
e
su
cce
ss of tr
ea
tm
e
nt
.
C
ouns
e
ling
a
n
d ed
u
ca
tion
1
.
A
voi
d
swimming or
d
iving on th
e
l
a
k
e
or riv
e
r in th
e e
n
de
mi
c a
r
ea
skistosomi
a
sis
.
2
.
D
rink w
a
t
e
r th
a
t h
a
s
bee
n
c
ook
ed
to
a
voi
d
tr
a
nsmission through w
a
t
e
r
c
ont
a
min
a
t
ed
.
Re
f
e
r
e
n
ce c
rit
e
ri
a
Pa
ti
e
nts
d
i
a
gnos
ed
with skistosomi
a
sis
(
c
hroni
c
)
a
r
e acc
omp
a
ni
ed b
y
c
ompli
ca
tions
.
E
quipm
e
nt
S
impl
e Lab
or
a
tory
E
quipm
e
nt for
E
x
a
min
a
tion of
S
tools
a
n
d U
rin
e Sed
im
e
nts
(
A
t
S
.
h
ae
m
a
to
b
ium
).
P
rognosis
O
n
ac
ut
e
skistosomi
a
sis
,
th
e
prognosis is
D
u
b
i
a Ad B
on
a
m
,
whil
e
th
a
t is
C
hroni
c
,
th
e
prognosis
bec
om
e
s
D
u
b
i
a Ad N
ight
.
Tae
ni
a
sis
Hea
lth pro
b
l
e
ms
Tae
ni
a
sis is
a
zoonoti
c
p
a
r
ace
ti
ca
l
d
is
ea
s
e ca
us
ed b
y ri
bb
on worms
whi
c
h is
c
l
a
ssifi
ed a
s in th
e
g
e
nus of
Tae
ni
a
(
Tae
ni
a Sa
gin
a
t
a
,
Tae
ni
a S
olium
,
a
n
d
Tae
ni
a A
si
a
ti
ca
)
in hum
a
ns
.
Tae
ni
a Sa
gin
a
t
a
is
a
worm th
a
t is oft
e
n foun
d
in th
a
t
c
ountry
T
h
e
popul
a
tion is
ea
ting
a
lot of
bee
f
/
b
uff
a
lo
.
I
nf
ec
tions
a
r
e ea
si
e
r to h
a
pp
e
n
I
f you
c
ook m
ea
t h
a
lf
d
on
e
.
Tae
ni
a S
olium is
a
ri
bb
on worm foun
d
in pork
.
T
his
d
is
ea
s
e
foun
d
in p
e
opl
e
who us
ed
to
ea
t pork
e
sp
ec
i
a
lly th
a
t
pro
ce
ss
ed
not m
a
tur
e
.
P
igs th
a
t
a
r
e
not m
a
int
a
in
ed b
y
c
l
ea
nlin
e
ss
,
ca
n
P
l
a
y
a
n import
a
nt rol
e
in th
e
tr
a
nsmission of
Tae
ni
a S
olium
'
s worms
.
F
or
T
.
S
olium
T
h
e
r
e a
r
e da
ng
e
rous
c
ompli
ca
tions n
a
m
e
ly sistis
e
rkosis
.
S
istis
e
rkosis is
a c
yst
T
.
S
olium whi
c
h
ca
n
be
foun
d
in
a
ll org
a
ns
,
b
ut th
e
most
da
ng
e
rous
if it h
a
pp
e
ns in th
e b
r
a
in
.
A
n
a
mn
e
sis
(
su
b
j
ec
tiv
e
)
r
e
sults
A c
ompl
a
int
Tae
ni
a
ti
c c
lini
ca
l symptoms v
a
ry gr
ea
tly
a
n
d
not typi
ca
l
.
S
om
e ca
s
e
s
d
on
'
t
show symptoms
(
a
symptom
a
tis
).
C
lini
ca
l symptoms
ca
n
a
ris
e a
s
a
r
e
sult
int
e
stin
a
l mu
c
os
a
l irrit
a
tion or toxin pro
d
u
ced b
y worms
.
T
h
e
symptoms
be
tw
ee
n
oth
e
rs
:
1
.
a bad
t
a
st
e
on th
e
stom
ac
h
2
.
Na
us
ea
3
.
w
ea
k
b
o
d
i
e
s
4
.
Dec
r
ea
s
ed b
o
d
y w
e
ight
5
.
Dec
r
ea
s
ed a
pp
e
tit
e
6
.
Headac
h
e
7
.
C
onstip
a
tion
8
.
D
izzin
e
ss
9
.
P
ruritus
A
ni
10
.
D
i
a
rrh
ea
R
isk f
ac
tor
1
.
c
onsum
e
h
a
lf
-
c
ook
ed
/
r
a
w m
ea
t
,
a
n
d
C
ont
a
ins sistis
e
rkosis l
a
rv
a
osis
.
2
.
L
ow hygi
e
n
e
in pro
ce
ssing foo
d
sour
ced
m
ea
t
.
3
.
L
iv
e
sto
c
k th
a
t
a
r
e
not k
e
pt
c
l
ea
nlin
e
ss of th
e ca
g
e a
n
d
foo
d
.
S
impl
e
physi
ca
l
a
n
d
supporting r
e
sults
(
o
b
j
ec
tiv
e
)
P
hysi
ca
l
e
x
a
min
a
tion
1
.
V
it
a
l sign insp
ec
tion
.
2
.
Ge
n
e
r
a
list
e
x
a
min
a
tion
:
U
lu h
ea
rt p
a
in
,
il
e
us
ca
n
a
lso o
cc
ur if worms
Ma
king int
e
stin
a
l o
b
stru
c
tion
.
S
upport
1
.
C
h
ec
k th
e
mi
c
ros
c
opi
c
l
ab
or
a
tory
b
y fin
d
ing
e
ggs insi
de
F
r
e
sh stool sp
ec
im
e
ns
.
2
.
Mac
ros
c
opi
ca
lly
b
y fin
d
ing progloti
d
on f
ece
s
.
3
.
Ed
g
e b
loo
d
l
ab
or
a
tory
e
x
a
min
a
tion
:
ca
n
be
foun
d e
osinophili
a
,
Le
uko
c
ytosis
,
LED
in
c
r
ea
s
e
s
.
D
i
a
gnosti
c E
nfor
ce
m
e
nt
(
A
ss
e
ssm
e
nt
)
C
lini
ca
l
d
i
a
gnosis
T
h
e d
i
a
gnosis is
e
nfor
ced b
y
a
n
a
mn
e
sis
,
physi
ca
l
e
x
a
min
a
tion
,
a
n
d
S
upporting
e
x
a
min
a
tion
.
D
i
a
gnosis of
A
pp
ea
l
: -
C
ompli
ca
tions
:
S
istis
e
rkosis
C
ompr
e
h
e
nsiv
e Ma
n
a
g
e
m
e
nt
(
P
l
a
n
)
Ma
n
a
g
e
m
e
nt of
1
.
Ma
int
a
ining s
e
lf
a
n
d e
nvironm
e
nt
a
l hygi
e
n
e
,
a
mong oth
e
rs
:
a
.
P
ro
ce
ss th
e
m
ea
t until
d
on
e a
n
d
m
a
int
a
in
a
nim
a
l
c
l
ea
nlin
e
ss
ca
ttl
e
.
b
r
ea
kf
a
st
.
U
s
e
f
a
mily l
a
trin
e
s
.
2
.
P
h
a
rm
ac
ology
:
a
.
A
l
be
n
da
zol
e
to
bec
om
e
th
e c
urr
e
nt
c
hoi
ce
of
c
hoi
ce
with
a d
os
e
of
400
mg
,
1
x
a da
y
,
for
3
c
ons
ec
utiv
e da
ys
,
or
b
r
ea
kf
a
st
.
100
mg
,
3
x
da
ily
,
for
2
or
4
w
ee
ks
.
T
r
ea
tm
e
nt for
ad
ult worms is s
a
i
d
to
be
su
cce
ssful if foun
d
S
kol
e
ks on f
ece
s
,
whil
e
sistis
e
rkosis tr
ea
tm
e
nt
ca
n only
be d
on
e
B
y
d
oing
e
x
c
ision
.
C
ouns
e
ling
a
n
d ed
u
ca
tion
P
rovi
de
inform
a
tion to p
a
ti
e
nts
a
n
d
f
a
mili
e
s
ab
out th
e
import
a
n
ce
Ma
int
a
in s
e
lf
a
n
d e
nvironm
e
nt
a
l hygi
e
n
e
,
n
a
m
e
ly
:
1
.
P
ro
ce
ss th
e
m
ea
t until
d
on
e a
n
d
m
a
int
a
in th
e c
l
ea
nlin
e
ss of liv
e
sto
c
k
2
.
We
r
ec
omm
e
n
d
th
a
t
e
v
e
ry f
a
mily h
a
v
e
f
a
mily l
a
trin
e
s
.
Re
f
e
r
e
n
ce c
rit
e
ri
a
I
f signs
a
r
e
foun
d
th
a
t l
ead
s to sistis
e
rkosis
.
E
quipm
e
nt
S
impl
e
l
ab
or
a
tory
e
quipm
e
nt for
b
loo
d c
h
ec
ks
a
n
d
f
ece
s
.
P
rognosis
P
rognosis in g
e
n
e
r
a
l
b
on
a
m unl
e
ss th
e
r
e
is
c
ompli
ca
tions in th
e
form of
sistis
e
rkosis th
a
t
ca
n l
ead
to
dea
th
.
S
trongiloi
d
i
a
sis
Hea
lth pro
b
l
e
ms
S
trongiloi
d
i
a
sis is
a d
is
ea
s
e
of
d
isor
de
r
ca
us
ed b
y
S
t
e
r
c
or
a
l strongyloi
de
s
,
worms th
a
t usu
a
lly liv
e
in th
e
tropi
c
s
a
n
d
su
b
tropi
ca
l
.
A
roun
d
100
million p
e
opl
e a
r
e e
xp
ec
t
ed
to
be a
ff
ec
t
ed b
y this
d
is
ea
s
e
throughout
th
e
worl
d
.
T
his worm inf
ec
tion
ca
n
be
v
e
ry h
ea
vy
a
n
d da
ng
e
rous on
T
hos
e
who with immun
e
st
a
tus
dec
r
ea
s
ed a
s in
HIV
/
AIDS
p
a
ti
e
nts
,
org
a
n tr
a
nspl
a
nts
a
n
d
in p
a
ti
e
nts who g
e
t tr
ea
tm
e
nt
L
ong
-
t
e
rm
c
orti
c
ost
e
roi
d
s
.
A
n
a
mn
e
sis
(
su
b
j
ec
tiv
e
)
r
e
sults
A c
ompl
a
int
O
n mil
d
inf
e
st
a
tion strongyli
de
s in g
e
n
e
r
a
l
d
o not
ca
us
e
symptoms
typi
ca
l
.
C
lini
ca
l symptoms
1
.
I
t
c
hing on th
e
skin
2
.
I
n inf
ec
tion
be
ing
ab
l
e
to
ca
us
e
symptoms lik
e be
ing st
abbed
in
e
pig
a
stri
c a
r
ea a
n
d d
o not spr
ead
3
.
Na
us
ea
,
vomiting
4
.
D
i
a
rrh
ea a
n
d c
onstip
a
tion
a
lt
e
rn
a
t
e
R
isk f
ac
tor
1
.
Lac
k of l
a
trin
e
us
e
.
2
.
La
n
d c
ont
a
min
a
t
ed
with f
ece
s
c
ont
a
ining l
a
rv
ae
S
t
e
r
c
or
a
l strongyloi
de
s
.
3
.
U
s
e
of f
ece
s
a
s f
e
rtiliz
e
r
.
4
.
D
o not us
e
footw
ea
r wh
e
n
c
ont
ac
ting th
e
groun
d
.
S
impl
e
physi
ca
l
a
n
d
supporting r
e
sults
(
o
b
j
ec
tiv
e
)
P
hysi
ca
l
e
x
a
min
a
tion
1
.
Ab
using
ab
norm
a
liti
e
s in th
e
skin
"
c
r
ee
ping
e
ruption
"
in th
e
form of
e
rit
e
m
a
p
a
pul
e
s
r
ad
i
a
nt
a
n
d c
ompos
ed
lin
ea
r or win
d
ing
with
a
sp
eed
of
2
c
m p
e
r
da
y
.
P
r
e
l
ec
tion of this
d
is
ea
s
e
is m
a
inly on
T
h
e
sol
e
s of th
e
f
ee
t
,
b
utto
c
ks
,
g
e
nit
a
ls
a
n
d
h
a
n
d
s
.
2
.
Ge
n
e
r
a
lly
E
x
a
min
a
tion
:
E
pig
a
stri
c Pa
in
.
S
upport
1
.
M
i
c
ros
c
opi
c Lab
or
a
tory
E
x
a
min
a
tion
:
F
in
d Rabd
itiform l
a
rv
ae
in fr
e
sh f
ece
s
,
or fin
d ad
ult strongyloi
de
s worms
st
e
r
c
or
a
lis
.
2
.
B
loo
d
l
ab
or
a
tory
e
x
a
min
a
tion
:
ca
n
be
foun
d e
osinophili
a
or
H
yp
e
r
e
osinophili
a
,
a
lthough in m
a
ny
ca
s
e
s th
e
num
be
r of
e
osinophili
a ce
lls
norm
a
l
.
D
i
a
gnosti
c E
nfor
ce
m
e
nt
(
A
ss
e
ssm
e
nt
)
C
lini
ca
l
d
i
a
gnosis
E
nfor
ce
m
e
nt
d
i
a
gnosis is
d
on
e
with
a
n
a
mn
e
sis
,
physi
ca
l
e
x
a
min
a
tion
a
n
d
T
h
e d
is
c
ov
e
ry of l
a
rv
ae
or worms in f
ece
s
.
D
i
a
gnosis of
A
pp
ea
l
: -
C
ompli
ca
tions
: -
C
ompr
e
h
e
nsiv
e Ma
n
a
g
e
m
e
nt
(
P
l
a
n
)
Ma
n
a
g
e
m
e
nt of
1
.
Ma
int
a
ining s
e
lf
a
n
d e
nvironm
e
nt
a
l hygi
e
n
e
,
a
mong oth
e
rs
:
a
.
U
s
e
f
a
mily l
a
trin
e
s
.
b
r
ea
kf
a
st
.
Wa
sh h
a
n
d
s
be
for
e a
n
d a
ft
e
r
d
oing
ac
tiviti
e
s
.
C
..
U
s
e
footw
ea
r
.
d
.
A
voi
d
using f
e
rtiliz
e
r with f
ece
s
.
2
.
P
h
a
rm
ac
ology
a
.
A
l
be
n
da
zol
e
to
bec
om
e
th
e c
urr
e
nt
c
hoi
ce
of
c
hoi
ce
with
a d
os
e
of
400
mg
,
1
-
2
x
a da
y
,
for
3
da
ys
,
or
b
r
ea
kf
a
st
.
100
mg
,
3
xs
e
h
a
ri
,
for
2
or
4
w
ee
ks
.
C
ouns
e
ling
a
n
d ed
u
ca
tion
P
rovi
de
inform
a
tion to p
a
ti
e
nts
a
n
d
f
a
mili
e
s
ab
out th
e
import
a
n
ce
Ma
int
a
in s
e
lf
a
n
d e
nvironm
e
nt
a
l hygi
e
n
e
,
n
a
m
e
ly
:
1
.
I
t is r
ec
omm
e
n
ded
th
a
t
e
v
e
ry f
a
mily h
a
v
e
f
a
mily l
a
trin
e
s
.
2
.
A
voi
d c
ont
ac
t with l
a
n
d c
ont
a
min
a
t
ed b
y hum
a
n f
ece
s
.
3
.
U
s
e
glov
e
s if you w
a
nt to m
a
n
a
g
e
w
a
st
e
/
w
a
st
e
.
4
.
Wa
sh h
a
n
d
s
be
for
e a
n
d a
ft
e
r
d
oing
ac
tiviti
e
s with
U
s
e
so
a
p
.
5
.
U
sing footw
ea
r
.
Re
f
e
r
e
n
ce c
rit
e
ri
a
: -
S
trongyloi
d
i
a
sis p
a
ti
e
nts with immuno
c
omprom
a
ti
c c
on
d
itions lik
e
suff
e
r
e
rs
AIDS
E
quipm
e
nt
S
impl
e
l
ab
or
a
tory
e
quipm
e
nt for
b
loo
d c
h
ec
ks
a
n
d
f
ece
s
.
P
rognosis
I
n g
e
n
e
r
a
l
,
th
e
prognosis of this
d
is
ea
s
e
is
B
on
a
m
,
beca
us
e
it is r
a
r
e
G
igs s
e
v
e
r
e c
lini
ca
l
c
on
d
itions
.