Abstract

Opisthorchiasis is a kind of trematode infection. This parasitic infestation is a chronic hepatobiliary tract infection and can cause chronic irritation that will finally lead to cholangiocarcinoma. It is highly endemic in northeastern region of Thailand and contributes to many cholangiocarcinoma cases annually. The attempt to control the disease becomes a national policy. However, the sanitation becomes a major underlying factor leading to infection and meanwhile, the poverty and low education of the local people become an important concern. In this opinion, the authors discuss the effect of local environment and culture on opisthorchiasis in northeastern Thailand. Due to the pattern change of local environment, global warming and globalization, the dynamicity can be observed.

Authors and Affiliations