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Peace N. Eneh
Concordia College, Moorhead, MN, USA, 901 8th St. S., Moorhead, MN, 56562, USA.

Corey L. Horien
Concordia College, Moorhead, MN, USA, 901 8th St. S., Moorhead, MN, 56562, USA.

Warda Ashraf
Independent University, Dhaka, Bangladesh, Baridhara, Dhaka, Bangladesh

Amanda J. Bakken
Concordia College, Moorhead, MN, USA, 901 8th St. S., Moorhead, MN, 56562, USA.

Jennifer L. Bath*
Concordia College, Moorhead, MN, USA, 901 8th St. S., Moorhead, MN, 56562, USA.

Soil-transmitted helminthes (STHs) affect nearly two billion people worldwide. The infections STHs cause are categorized as Neglected tropical diseases (NTDs), diseases that persist under poverty and almost exclusively in the developing world. Efforts to control the spread of these parasites include educational campaigns and school-based anthelminthic programs. With no vaccines to protect against these diseases, recurrent use of anthelminthic drugs is the predominant treatment. However, the necessity for repeated doses, the development of drug-resistant worms, and the risk of re-infection after treatment, make current interventions unsustainable, necessitating the development of novel therapeutics. This paper documents knowledge regarding traditional plants used to treat STHs, to preserve this knowledge existing within a rapidly urbanizing nation, as natural products remain an important part of the drug discovery process. We have documented remedies reported from villages within the Manikganj District of Bangladesh, compiling data on the medicinal remedies for STHs and the methods used to prepare them. A randomized survey asked participants to answer questions pertaining to natural remedies, their preparations, and use. Images and names of the identified natural remedies were collected, and current literature was used to identify the scientific names and chemical properties. Twenty-two of the plants named are from 18 different families and include some herbs that have been previously reported as having anthelminthic properties. To conserve traditional medicines, knowledge of both the plant populations and their preparatory methods should be preserved. 

  Parasites, Traditional medicine, Soil-transmitted helminthes, Bangladesh, Manikganj, Anthelminthic, Neglected tropical diseases.
  Manikganj district of Bangladesh
  00-05-2010
  00-05-2012
  Development of Host and Medicinal Plants
  Medicinal Plants

In the present paper, survey data is provided from the rural, mainly farming communities, of the Manikganj district of Bangladesh. This data includes self-reported natural remedies for intestinal worms, plant chemistry of these natural remedies, and traditional methods reported for the preparation of the natural medicines.

Surveys were conducted in the Manikganj district over a six days period in both May, 2010 and May, 2012. The Manikganj district is in central Bangladesh, in the division of Dhaka. The district is confined within 23.80° to 23.90° N latitudes, and 89.95° to 90.05° E longitudes, approximately 70 km northwest of the capital city of Dhaka, and covers an area of 1,379 km2 (Shamsudduha, 2007). The surface geology of Manikganj is alluvial silt and clay, alluvial silt, and marsh peat and clay units, and is mostly within GangesBrahmaputra floodplain deposits (Shamsudduha, 2007; Shamsudduha et al., 2008). Numerous floodplains are spread throughout the district. Similar to other parts of Bangladesh, few extensive forests remain in the region. Deciduous trees, including acacia and banyan, are common in the drier plains areas (Funk and Wagnalls New Encyclopedia, 2012). The surface elevation of the district varies from 2 to 12 m. The total annual rainfall in Manikganj is approximately 237.6 cm (Shamsudduha, 2007). The climate, landscape, and water systems in the region are conducive to STH spread and prevalence (Hotez, 2008), thus making the area an attractive region to study.

In the study, eleven interviewers were responsible for collecting data. The survey was conducted orally in Bengali and translated into English through four student interpreters from the Independent University of Bangladesh (IUB) in Dhaka. This study was conducted with the approval of the Concordia College Institutional Review Board, approval #05072010. Informed consent was obtained orally Eneh et al. 545 from each of the individuals prior to initiation of the survey. The study sample included only one person per household, and individuals who were present during the survey of another person were no longer considered eligible for the study. Also to avoid bias, responses from only the interviewee were accepted, and no one was permitted to assist the individual being interviewed with answers. Adults were allowed to answer applicable questions for other members of their household. 

The sample consisted of randomly selected men and women, both married and unmarried, older than 12. The 423 participants were from the villages of Koitta, East Burundi, West Burundi, Hindu Para Village, and Galora. In addition to demographic information, participants were asked to list any known medicinal plants for STH infection; how they heard of these medicinal plants; if they used medicinal plants themselves or for family members; (if yes to the previous question, which medicinal plants did they use and how often); did they use medicinal plants alone or in combination with modern medicine; and, finally, how are these medicinal plants prepared. If available, photographs were taken of the plants and specimens were properly stored and transported to aid in the identification process. Identification and scientific classification of the plants was then conducted by the researchers, and the scientific names of the reported plants were used to identify previously reported medicinal uses of the plants as well as potentially relevant chemical properties. 

  Journal of Medicinal Plants Research Vol. 7(9), pp. 543-550, 3 March, 2013
  DOI:10.5897/JMPR012.1132
Funding Source:
1.   Budget:  
  

Most of the medicinal plants reported in the present study contain at least one of these chemicals, which might explain their usefulness in treating a variety of diseases in addition to intestinal worms. Further, most of the plants implicated by other studies to have anthelminthic properties contain a group of compounds known as terpenoids, which have been referred to as “bitter principles” (Ghani, 2003). Terpenes may be responsible for the bitter taste of most of the perceived anthelminthic plants, though whether terpenes play an anthelminthic role remains to be determined. Hence, the results of the study coincide with data reported in other studies, suggesting that the medicinal plants reported here can be utilized to treat multiple diseases. Given the degree to which medicinal plants are used in the Manikganj District, along with the decreasing efficacy of drugs (Hotez et al., 2006), increasing incidence of drug-resistant intestinal worms, inability to treat a wide variety of worm species with a single drug, and limited availability and affordability of drugs (Keiser and Utzinger, 2008), the present study shows that more work must be conducted concerning the use, preparation, and knowledge of medicinal plants against intestinal worms. Considering there is no vaccine available for hookworm species and other STHs, using medicinal plants in the present day to combat parasites remains a possible solution for individuals in Bangladesh and around the world. Therefore, the present study might prove valuable not only in conserving knowledge about traditional medicines in the Manikganj district but may also serve as a foundation of work for further pharmacological research on medicinal plants within Bangladesh.

  Journal
  


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