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.  School-age children bear the highest burden of fascioliasis in endemic countries. Few studies have addressed  Fasciola  in preschool children. We performed a secondary data analysis using two  Fasciola  databases from Cusco, Peru, comparing preschoolers with elementary school children. We included 2,630 children, 50% were female, the median age was 8.4 years (interquartile range [IQR] 6.1–10.5), and 15% (396/2,630) were &lt; 5 years of age. Children &lt; 5 years were less likely to be infected with  Fasciola hepatica  ( P  = 0.008) and  Hymenolepis nana  ( P  &lt; 0.001) and more likely to have anemia ( P  &lt; 0.001) and a lower median height for age Z (HAZ) score ( P  = 0.002). Fascioliasis was less common in younger children, but this group may be at higher risk for chronic complications caused by fascioliasis.

A Comparison of the Risk for Chronic Fascioliasis between Children 3 to 5 Years and Children 6 to 12 Years of Age in the Cusco Region of Peru