How Common Are Parasites?

How many people in the world carry a parasite, and are parasites really found in wealthy countries as well as poor ones? This page sets one point from a 2026 integrative-oncology presentation on cancer and parasites beside the published counts from the World Health Organization (WHO), the United States Centers for Disease Control and Prevention (U.S. Centers for Disease Control and Prevention, CDC) and peer-reviewed surveys. Each figure below is tied to a source listed at the bottom of the page.


Table of Contents

  1. What the Presentation Said
  2. How Parasite Numbers Are Counted
  3. Intestinal Worms Worldwide
  4. Schistosomiasis and Malaria
  5. Death and Disability: The Global Burden Figures
  6. Parasites in the United States
  7. Hookworm and the American South
  8. Parasites in Europe and the Blastocystis Question
  9. Food- and Water-Borne Protozoa
  10. Are Parasites Missed in Wealthy Countries?
  11. How the Claim Compares With the Research
  12. What Is Not Known
  13. Connections
  14. Key Research Papers
  15. Featured Videos

What the Presentation Said

The presentation opened by calling parasites an "invisible epidemic". The speaker's reasoning was that many parasites are microscopic, or stay hidden inside the body until they appear in the stool, so most infections go unseen.

The speaker then made four points about how common parasites are:

The same opening section also described parasites reaching the brain, bones, nerves and colon. Those claims are examined on sibling pages (see Parasites in the Brain). This page tests only the numbers: how many people carry parasites, where, and how the burden is measured.

How Parasite Numbers Are Counted

Before comparing figures, it helps to know that "how common" can mean several different things. Published numbers are not interchangeable.

Infection, disease and exposure

Years of healthy life lost

Disease-burden studies use the disability-adjusted life year (DALY). One DALY is one year of healthy life lost, either through early death or through living with illness or disability. The "years lived with disability" (YLD) part counts only the illness side. The Global Burden of Disease (GBD) study, a large international modelling project, publishes these figures for most diseases and countries.

Why counts differ

Estimates for parasites are built from surveys that vary in age group, test method and year, then filled in with statistical models where data are missing. Different tests find very different numbers: microscopy misses light infections that DNA tests (polymerase chain reaction (PCR), the polymerase chain reaction) can detect, and some parasites, such as Strongyloides, need special tests altogether. Many people carry more than one parasite at once, so figures for separate parasites cannot simply be added together.

Intestinal Worms Worldwide

The single largest group is the soil-transmitted helminths — intestinal worms whose eggs or larvae pass out in human faeces and contaminate soil where sanitation is poor. The main species are the roundworm (Ascaris lumbricoides), the whipworm (Trichuris trichiura) and the hookworms (Necator americanus and Ancylostoma duodenale).

What World Health Organization reports

The species-by-species estimate

A global mapping study using surveys from 6,091 locations in 118 countries estimated that in 2010 about 819.0 million people carried Ascaris roundworm, 464.6 million carried whipworm and 438.9 million carried hookworm (Pullan and colleagues, 2014). Of the 4.98 million years lived with disability attributed to these worms, 65% came from hookworm, which feeds on blood. About two-thirds of the infections (67%) were in Asia.

The trend

World Health Organization reports that over 500 million children were treated with deworming medicines in 2021, about 62% of the children at risk, and that between 2010 and 2019 the healthy years lost each year to these worms fell by more than half as preventive treatment was scaled up. World Health Organization's control strategy, called preventive chemotherapy, is periodic treatment of at-risk groups in endemic areas without testing each person first.

Schistosomiasis and Malaria

Schistosomiasis

Schistosomiasis is caused by blood flukes whose larvae, released by freshwater snails, burrow through the skin of people in contact with infested water. World Health Organization's fact sheet reports that:

The link between one species, Schistosoma haematobium, and bladder cancer is covered on the sibling page Schistosoma and Bladder Cancer.

Malaria

Malaria is caused by Plasmodium parasites carried by Anopheles mosquitoes. World Health Organization's malaria fact sheet reports an estimated 282 million malaria cases and 610,000 malaria deaths in 2024, in 80 countries. The World Health Organization African Region carried about 95% of both cases and deaths, and children under 5 accounted for about three-quarters of the malaria deaths in that region.

Malaria counts are counts of illness episodes in a year, not of people carrying parasites at one moment, so they measure something different from the worm figures above.

Death and Disability: The Global Burden Figures

The latest Global Burden of Disease round

An analysis of GBD 2021 data covering 204 countries reported that neglected tropical diseases and malaria together caused 71.63 million DALYs in 2021, down 18.06% from 87.42 million in 1990 (Zheng and colleagues, 2026). Prevalence fell by 58.05% over the same period. Western sub-Saharan Africa had the highest incidence, and children under five had the highest rates. Note that the GBD "neglected tropical diseases" group also includes infections that are not parasites, such as dengue, rabies and leprosy.

Dividing 71.63 million DALYs by a world population of roughly 7.9 billion gives a worldwide average of about 0.009 healthy years, or roughly three days, lost per person per year for this whole group. That is this page's own arithmetic, not a figure from the paper; the burden is concentrated in a small number of high-burden regions and is far lower elsewhere.

How reliable are the models?

A study comparing GBD 2021 estimates with China's reported surveillance data for six neglected tropical diseases from 2004 to 2020 found large gaps (Yang and colleagues, 2025). The GBD estimate was 1.5 times the reported figure for schistosomiasis, 11 times for echinococcosis (hydatid disease) and 280 times for visceral leishmaniasis. The authors concluded that global estimates alone may not capture local patterns. Model-based numbers can therefore be higher or lower than what is found on the ground.

Parasites from food

World Health Organization's Foodborne Disease Burden Epidemiology Reference Group estimated that 11 foodborne parasitic diseases caused 48.4 million cases, 59,724 deaths and 8.78 million DALYs in 2010 (Torgerson and colleagues, 2015). Human cysticercosis (the pork-tapeworm larval disease) caused the largest DALY burden, followed by foodborne flukes and toxoplasmosis. An updated World Health Organization synthesis covering 2000–2021 reported 277 million illnesses from 14 potentially foodborne invasive parasites, about 171 million of them attributed to food, and 4.89 million foodborne DALYs, led by the pork tapeworm Taenia solium and the Chinese liver fluke Clonorchis sinensis (Robertson and colleagues, 2026). That update found the burden greatest in the Americas, mainly from Chagas disease, and found burdens falling globally except in the Western Pacific region.

The 2004 map in the presentation

This page could not identify the exact map shown or confirm its "more than half a year per person" figure. World Health Organization's burden estimates from that era have since been replaced by several newer GBD rounds, and the newer rounds report falling, not rising, burdens for this group of diseases overall.

Parasites in the United States

The speaker's point that parasites are found in wealthy countries is well documented. The U.S. Centers for Disease Control and Prevention and national surveys report the following figures for the United States.

U.S. Centers for Disease Control and Prevention figures

National blood surveys

The National Health and Nutrition Examination Survey (NHANES) tests blood from a sample designed to represent the United States population.

Both are antibody surveys, so they measure lifetime exposure, not the number of people with an active infection today.

"Neglected infections of poverty"

A 2008 review grouped toxocariasis, strongyloidiasis, ascariasis, cysticercosis, trichomoniasis, Chagas disease, leishmaniasis and congenital toxoplasmosis among the "neglected infections of poverty" in the United States (Hotez, 2008). It reported that they occur mainly in poor communities — the Mississippi Delta and the wider American South, disadvantaged urban areas, the US–Mexico border region, some immigrant populations and Appalachia — and estimated that tens of thousands, and for some infections hundreds of thousands, of Americans carry them. The review called for active surveillance because accurate population counts did not exist.

Hookworm and the American South

Hookworm was once common in the southern United States and declined with improved sewage disposal and eradication programmes. Recent studies have asked whether it is still there, with mixed results that show how much the answer depends on the test used.

Together these studies show that parasites still circulate in some poor southern communities, while large surveys of children have not found widespread intestinal worm infection.

Parasites in Europe and the Blastocystis Question

The speaker named Switzerland and Germany. No country-specific prevalence study for those two countries was examined for this page, but European pooled data exist.

Is everything found in a stool test a disease?

Some of the most commonly detected organisms are of uncertain harm. A Dutch case-control study tested 1,374 people with gastroenteritis and 1,026 people without it (de Boer and colleagues, 2020). Dientamoeba fragilis and Blastocystis were found less often in the sick group (both 25.8%) than in the healthy controls (37.6% and 40.0%), and their presence was not linked to any gut symptom. The authors suggested these protozoa may be a feature of a healthy gut microbiome.

This matters for prevalence figures: counts that include Blastocystis or Dientamoeba can look high while saying little about disease.

Food- and Water-Borne Protozoa

Protozoa are single-celled parasites. Several cause outbreaks in wealthy countries through contaminated food or water.

Cyclospora

Cryptosporidium and Giardia

The U.S. Centers for Disease Control and Prevention describes cryptosporidiosis as a disease of watery diarrhoea that some infected people have without any symptoms, and states that more than 1 million people in the United States get sick from Giardia each year. In the European children's meta-analysis, studies looking for Cryptosporidium found it in 1.3% of children (Kantzanou and colleagues, 2021).

Are Parasites Missed in Wealthy Countries?

The speaker's point that parasites are under-diagnosed in developed countries has some support in the published literature, although the size of the gap is not measured.

How stool tests work and where they fall short is covered on the sibling page Stool Tests for Parasites and Their Limits.

How the Claim Compares With the Research

"Over 3 million people harbour parasites"

Parasites are everywhere, including wealthy countries

Under-diagnosis in developed countries

The 2004 World Health Organization map and "more than half a year per person"

What Is Not Known

Decisions about testing for or treating any parasite belong with a clinician.

Connections

Key Research Papers

  1. Pullan RL, Smith JL, Jasrasaria R, Brooker SJ. Global numbers of infection and disease burden of soil transmitted helminth infections in 2010. Parasit Vectors. 2014;7:37. PubMed PMID: 24447578
  2. Zheng JX, Liu Y, Guan SY, Guo ZY, Duan L, Lv S, Zhang SX, Li SZ, Zhou XN, Feng XY. Global, regional, and national burden of neglected tropical diseases and malaria in the general population, 1990-2021: Systematic analysis of the global burden of disease study 2021. J Adv Res. 2026;79:769-781. PubMed PMID: 40194698
  3. Yang GJ, Ouyang HQ, Zhao ZY, Li WH, Fall IS, Djirmay AG, Zhou XN. Discrepancies in neglected tropical diseases burden estimates in China: comparative study of real-world data and Global Burden of Disease 2021 data (2004-2020). BMJ. 2025;388:e080969. PubMed PMID: 39965820
  4. Torgerson PR, Devleesschauwer B, Praet N, Speybroeck N, Willingham AL, Kasuga F, et al. World Health Organization Estimates of the Global and Regional Disease Burden of 11 Foodborne Parasitic Diseases, 2010: A Data Synthesis. PLoS Med. 2015;12(12):e1001920. PubMed PMID: 26633705
  5. Robertson LJ, Minato Y, Devleesschauwer B, Di Bari C, Vaes L, Keddy KH, et al.; WHO Foodborne Disease Burden Epidemiology Reference Group for 2021–25. WHO estimates of the global, regional, and national foodborne burdens of 14 invasive parasitic diseases, 2000-21: an updated data synthesis. Lancet Glob Health. 2026;14(8):103982. PubMed PMID: 42302806
  6. Hotez PJ. Neglected infections of poverty in the United States of America. PLoS Negl Trop Dis. 2008;2(6):e256. PubMed PMID: 18575621
  7. Jones JL, Kruszon-Moran D, Elder S, Rivera HN, Press C, Montoya JG, McQuillan GM. Toxoplasma gondii Infection in the United States, 2011-2014. Am J Trop Med Hyg. 2018;98(2):551-557. PubMed PMID: 29260660
  8. Liu EW, Chastain HM, Shin SH, Wiegand RE, Kruszon-Moran D, Handali S, Jones JL. Seroprevalence of Antibodies to Toxocara Species in the United States and Associated Risk Factors, 2011-2014. Clin Infect Dis. 2018;66(2):206-212. PubMed PMID: 29020386
  9. McKenna ML, McAtee S, Bryan PE, Jeun R, Ward T, Kraus J, Bottazzi ME, Hotez PJ, Flowers CC, Mejia R. Human Intestinal Parasite Burden and Poor Sanitation in Rural Alabama. Am J Trop Med Hyg. 2017;97(5):1623-1628. PubMed PMID: 29016326
  10. Poole C, Barker T, Bradbury R, Capone D, Chatham AH, Handali S, Rodriguez E, Qvarnstrom Y, Brown J. Cross-Sectional Study of Soil-Transmitted Helminthiases in Black Belt Region of Alabama, USA. Emerg Infect Dis. 2023;29(12):2461-2470. PubMed PMID: 37987581
  11. Bradbury RS, Martin L, Malloch L, Martin M, Williams JM, Patterson K, et al. Surveillance for Soil-Transmitted Helminths in High-Risk County, Mississippi, USA. Emerg Infect Dis. 2023;29(12):2533-2537. PubMed PMID: 37987591
  12. Crudo Blackburn C, Yan SM, McCormick D, Herrera LN, Iordanov RB, Bailey MD, Bottazzi ME, Hotez PJ, Mejia R. Parasitic Contamination of Soil in the Southern United States. Am J Trop Med Hyg. 2024;111(3):506-514. PubMed PMID: 39043177
  13. Kantzanou M, Karalexi MA, Vrioni G, Tsakris A. Prevalence of Intestinal Parasitic Infections among Children in Europe over the Last Five Years. Trop Med Infect Dis. 2021;6(3):160. PubMed PMID: 34564544
  14. de Boer MD, Schuurs TA, Vermeer M, Ruijs GJHM, van der Zanden AGM, Weel JF, Bruijnesteijn van Coppenraet LES. Distribution and relevance of Dientamoeba fragilis and Blastocystis species in gastroenteritis: results from a case-control study. Eur J Clin Microbiol Infect Dis. 2020;39(1):197-203. PubMed PMID: 31659566
  15. Li J, Wang R, Chen Y, Xiao L, Zhang L. Cyclospora cayetanensis infection in humans: biological characteristics, clinical features, epidemiology, detection method and treatment. Parasitology. 2020;147(2):160-170. PubMed PMID: 31699163
  16. Giangaspero A, Gasser RB. Human cyclosporiasis. Lancet Infect Dis. 2019;19(7):e226-e236. PubMed PMID: 30885589
  17. Mohapatra S, Singh DP, Alcid D, Pitchumoni CS. Beyond O&P Times Three. Am J Gastroenterol. 2018;113(6):805-818. PubMed PMID: 29867172

PubMed Topic Searches

  1. PubMed: Soil-transmitted helminth global prevalence
  2. PubMed: Neglected tropical diseases and the Global Burden of Disease
  3. PubMed: Neglected parasitic infections in the United States
  4. PubMed: Intestinal parasite prevalence in Europe

Other Sources

  1. World Health Organization. Soil-transmitted helminth infections, fact sheet. who.int
  2. World Health Organization. Schistosomiasis, fact sheet. who.int
  3. World Health Organization. Malaria, fact sheet. who.int
  4. Centers for Disease Control and Prevention. About Toxoplasmosis. cdc.gov
  5. Centers for Disease Control and Prevention. About Toxocariasis. cdc.gov
  6. Centers for Disease Control and Prevention. About Trichomoniasis. cdc.gov
  7. Centers for Disease Control and Prevention. About Giardia Infection. cdc.gov
  8. Centers for Disease Control and Prevention. About Chagas Disease. cdc.gov
  9. Centers for Disease Control and Prevention. About Pinworm Infection. cdc.gov
  10. Centers for Disease Control and Prevention. About Cyclosporiasis. cdc.gov
  11. Centers for Disease Control and Prevention. About Crypto Infections. cdc.gov
  12. Centers for Disease Control and Prevention. Data and Statistics on Malaria in the United States. cdc.gov