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.   Fasciola hepatica  is highly prevalent in the highlands of Peru. School-age children have the greatest risk of infection. Mass treatment of at-risk populations has been proposed to control the infection and prevent complications. However, the decreasing effectiveness of triclabendazole raises concerns regarding this strategy. Previous studies reported aggregation of  Fasciola  infection among family members. This study aimed to determine the risk of fascioliasis among household members living with  Fasciola -infected children identified through school-based testing. We conducted a cross-sectional study including adult members of households where children with and without fascioliasis were identified. Demographic, epidemiological, and socioeconomic information was collected. One blood sample was drawn to test for  Fasciola  antibodies, and three stool samples were collected for microscopy for  Fasciola  ova. We tested 326 adults from 213 households. Of these adult subjects, chronic fascioliasis (24 of 326, 7.4%) was the most common helminth infection. Thirty-nine subjects (12.7%) tested positive for  Fasciola  antibodies. Combining microscopy and serum antibody tests, 13.2% (43 of 326) had evidence of  Fasciola  infection. One third (104 of 326, 31.9%) of the participants lived with at least one child infected with  Fasciola hepatica . Adults with fascioliasis were four times more likely to live with an infected child. Poverty and diet were associated with increased risk of  Fasciola  infection. Adults with fascioliasis were significantly more likely to live with  Fasciola -infected children.

Fasciola hepatica Infection Risk for Adult Household Members Living with Children with Fascioliasis in Cusco, Peru