SAN BEDA COLLEGE OF MEDICINE PARASITOLOGY Course Description This course is a study of parasitic agents of medical importance as they

relate to individuals, groups and communities, as well as parasitic infections and diseases they cause, their diagnosis, treatment, prevention and control. The course includes an introduction to medical entomology and arthropods of medical importance. Prerequisites To be admitted to the course, the student must have taken Anatomy, Physiology and Biochemistry. Objectives (Terminal Competencies) At the end of the course, the student must be able to: 1. Describe the life cycle of the parasite to include the following: a. infective stage/s b. mode of infection c. portal of entry d. path of migration e. habitat f. portal of exit g. development of subsequent stages in the environment or in the appropriate vector Describe the pathology and clinical manifestations State the appropriate procedure/s for diagnosis and the techniques in proper collection and handling of specimens Describe the epidemiology of medically important parasites Apply the knowledge of the life cycle and transmission patterns in the formulation and institution of preventive and control measures

2. 3. 4. 5.

Textbook:

PHILIPPINE TEXTBOOK OF MEDICAL PARASITOLOGY (2nd edition, 2004) Edited by V. Y. Belizario, Jr. & W. U. de Leon Published by University of the Philippines Manila Information, Publication, and Public Affairs Office BASIC CLINICAL PARASITOLOGY (6th edition) by Neva & Brown CLINICAL PARASITOLOGY (9th edition) by Beaver, Jung & Cupp MANSON'S TROPICAL DISEASES (19th edition) by Manson-Bahr & Bell

References:

SAN BEDA COLLEGE OF MEDICINE PARASITOLOGY AY 2011-2012 Tuesdays and Wednesdays 3-5 p.m. (16 weeks, 32 meetings) DATE 1 2 7 June 8 June TOPIC Orientation to the course General Considerations in Parasitology Introduction to Nematodes of Medical Importance Intestinal Nematodes I Ascaris, Trichuris Intestinal Nematodes II Hookworm, Strongyloides Intestinal Nematodes III Anisakis, Toxocara Laboratory period DFS, Modified Kato thick method Bring and examine your own stool specimen Intestinal Nematodes IV Enterobius, Capillaria Tissue Nematodes I Filaria Video-showing Tissue Nematodes II Angiostrongylus, Trichinella Laboratory period Bring cellulose tape swabs Study electronic images Answer laboratory guide questions on intestinal nematodes Parasitology Applied to Clinical and Public Health Practice LECTURER Dr. Belizario Dr. Belizario

3 4 5

14 June 15 June 21 June

Prof. de Leon Prof. de Leon Prof. de Leon Dr. Belizario Dr. Migrio Dr. Totaes Dr. Totaes Dr. Belizario

6 7

22 June 28 June

8 9

29 June 5 July

Dr. Migrio Prof. de Leon Dr. Migrio Dr. Totaes

10

6 July

Dr. Belizario Dr. Migrio Dr. Totaes Prof. de Leon

11 12

12 July 13 July

FIRST LONG EXAMINATION (Nematodes) Introduction to Cestodes of Medical Importance Taenia Prof. de Leon

13 14

19 July 20 July

Other Cestodes Introduction to Trematodes of Medical Importance Intestinal Flukes Haplorchis, Metagonimus, Heterophyes, Fasciolopsis Liver Flukes Fasciola, Clonorchis, Opisthorchis Lung Flukes Paragonimus Laboratory period Examine electronic images Answer laboratory guide questions on cestodes Blood flukes Schistosoma Video-showing Laboratory period Examine electronic images Parasitology Applied to Clinical and Public Health Practice

Dr. Migrio Prof. de Leon

15 16 17

26 July 27 July 2 Aug

Dr. Migrio Dr. Belizario Prof. de Leon Dr. Migrio Dr. Totaes Dr. Belizario

18

3 Aug

19

9 Aug

Prof. de Leon Dr. Migrio Dr. Totaes Dr. Belizario Dr. Migrio Dr. Totaes Prof. de Leon Dr Belizario

20

10 Aug

21

16 Aug

Introduction to Protozoans of Medical Importance Intestinal Protozoans I Pathogenic and non-pathogenic amebae Intestinal Protozoans II Blastocystis Pathogenic Free-living Amebae Naegleria, Acanthamoeba Laboratory period Examine electronic images Answer laboratory guide questions on trematodes

22

17 Aug

Dr. Totaes

21

23Aug

Prof. de Leon Dr. Migrio Dr. Totaes

22 23 24

24 Aug 30 Aug 31 Aug

SECOND LONG EXAMINATION (Cestodes/Trematodes) (Eidl Fitr) Intestinal Protozoans II Ciliates and flagellates Balantidium, Giardia, Trichomonas, Chilomastix Prof. de Leon

25

6 Sept

Intestinal Protozoans III Coccidians Cryptosporidium, Isospora, Cyclospora Blood and Tissue Protozoans I Malaria Laboratory period Examine electronic images Answer laboratory guide questions on intestinal protozoa Blood and Tissue Protozoans II Babesia, Toxoplasma Leishmania, Trypanosoma Arthropods of Medical Importance Laboratory period Prepare thick and thin blood smears Examine electronic images Answer laboratory guide questions on blood and tissue protozoans Parasitology Applied to Clinical and Public Health Practice

Dr. Migrio

26 27

7 Sept 13 Sept

Dr. Belizario Prof. de Leon Dr. Migrio Dr. Totaes Dr. Migrio

28

14 Sept

29 30

20 Sept 21 Sept

Dr. Belizario Prof. de Leon Dr. Belizario Dr. Migrio Dr. Totaes Dr. Belizario Dr. Migrio Dr. Totaes Prof. de Leon

31

27 Sept

32 33 34

28 Sept 4 Oct 5 Oct

THIRD LONG EXAMINATION (Protozoans/Arthropods) FINAL EXAMINATION

Course Faculty: Vicente Y. Belizario, Jr., MD, MTM&H, Course Coordinator Winifreda U. de Leon, RMT, DAP&E, MPH, Laboratory Coordinator Julius R. Migrio, MD Francis G. Totaes, MD, MA

CLASS POLICIES AND GUIDELINES 1. Requirements Student Liaison Officer Index card (3 x 5 in.) with personal data and 1 x 1 in. ID picture Name, birthday, home address, telephone number Fathers and mothers names Elementary, high school and college (with degree) and respective years Person to be notified in case of emergency, contact telephone number Small groups with Group Leader 2. Student Evaluation
Long Examinations (3) 60% Quizzes, laboratory exercises, case presentation 10% Final Examination 30% Total 100% Passing grade = 60%

Long Examination (3 LEs, 60% of grade) Theoretical examination: Multiple choice (90%) Practical examination: (10%) Make-up for excused absences only: essay examination Quizzes, laboratory exercises, case presentation (10% grade) Announced and unannounced quizzes Coverage: past topic/s Before or after lecture Laboratory exercises for submission at the end of the period Case presentation for group grade and peer evaluation No make-up Final Examination (30% of grade) Theoretical examination: Multiple choice Make-up for excused absences only: essay examination

Parasitology Applied to Clinical and Public Health Practice Objective: To demonstrate learnings guided by the objectives of the course through a role-playing activity or creative work/presentation Topics: Nematodes 1. A 10 year old boy with recurrent abdominal pain due to multiple intestinal parasitoses 2. School-based intestinal helminth control 3. A 9 year old girl with nocturnal pruritus ani 4. A 20 year old male with beginning hydrocele 5. A 39 year old female with elephantiasis of a lower extremity 6. A 12 year old girl with anemia due to chronic hookworm infection Cestodes and Trematodes 1. A 30 year old male farm worker with neurocysticercosis 2. A 36 year old nurse with taeniasis saginata 3. A 10 year old male with hepatosplenic schistosomiasis 4. A 40 year old male farmer with cerebral schistosomiasis 5. A 35 year old female with pulmonary paragonimiasis 6. A 12 year old boy with intestinal heterophyidiasis Protozoans 1. A 32 year old male construction worker with falciparum malaria 2. A 23 year old male with amebic liver abscess 3. A 6 year old girl with intestinal amebiasis 4. A 28 year old female from the US with giardiasis 5. A 21 year old female with trichomoniasis 6. A 28 year old female with relapsing vivax malaria Group work 6 groups, 10-12 members each 15 minute presentation per group Reactions from classmates/peers and faculty Grading Content (amount of information, accuracy) 4 Impact/creativity 3 Peer evaluation (3, 2, 1, 0) 3 Total 10 points