the ('_v~tirerc-i n, wpll. l'rupcr di:-posol of h11m;u1 feel!. " will prcvc11t :1cccss (If a11 i n,uls t CJ !111111:111 free_. ;. ror Adlll'd infor111111io11. thcr, i-s n larrnl inf,-ction uf 1111111 1. h1c lo 1111· an:i. lr. :111,;I in"1'~""" 11f Tt1t. >11ia. !-t>liu111 <'~!,.. Like in pip,. ra1. :11i11 ~oli11111 q~;; will 111,o dcvdup intn 1h,·,1-:lir,n;I,,H"'""t'<l in lh· diffrn11t li!>,;m,: 11f rn:111, ·t11l' 1·y:-. 1in·11·i h:t VI' hccn ll. 'J""r1t. Jl_1 f111md in th,. sull<. 'u Utr R>(. )Ui, tissues,,--irintnl 11111:-. t:hs, c. :ye,:, ltc. ;11 I and,,vc11 1hr r1111rnl n<"n\111s 1'')"'l<:m of man. I 11,·vlvl'nll'11t oft he: central nervous :;ystcm is ea llcd ni:11rv\:,tkf'~i. ;. Mnn)' ca:. es,,f :,,dn1rcs of unknown origin hnvc been associa lctl with tlus rondil ion. Furth L'rmnrt!. llwn ;1nz-:t11dies to show th:ll in Asia, :mother species of T:. icnin c:illcd Tr1rri10 1L<mti1u i, i11 e,i,ttnc1:. Lt. presence in the Philippin es ha:; hccn c. ·stahlishc:d when,-. :y. nw11ts fmm pulicnt,-al lhc Dcpnr1mcnt of l'arnsitology. Collc14e c,f Public lkaitl1 Cnl\en. 1ly vf tlw l'hilippinc. s ~l;mila were brought to,Japan and were esumincd for the 111Rl\,\ ~1xdfic for T,1euia n::intic:i. Parogonimus westermoni Thi, trematode. known,,.,. _ Llw Orient. ti lung fluke. is usually found in pair,. insirlc C~'-l" 10 lht lun1,t parcnchr 1na orthe final hosl. ""hiclt co11lcl be man or animal r.. ~<:crvoir ho>'l hk P c. at,; nm. I dr,p. ~ of lhc p:imsite that 4-!-~capc from these cysts an· either e<mi. ht~ nut "ith thi?sputum or~wullowed bnck, :ind then pas. <:i;:u 0111 witlt the:;tools. Th~ !'",/,It-~ nre im111:11un: ;-ind 1?mhrvonalc 10 develop the mimcidium in wntc:r. ·111c miracidin "Ill<. \. rcl1·-™. 'tl. enter t J1c ;nail intermediate hosl whcn. ' dcvclopnwn t into spor°'"-..,t~. rnli,h!,wd ccn:ariac rx.-cu J~. "n1c rercari:ie go out of the sn:ail tn pcnctr:ilc til P "t'<'<,n J 1ntcnn... '<lullc tmst which is a fre~h 1,·:iter mount;iin n:-ah. ·nw r,·n·. 1riac develrip inru t Ja,,, nf,L"t Jve metacen. ::i riue in I he fiills. IH':in, lr)!. S ii ml 11111:,de:s uf t ltc cr,1b. Man,·. m. Lll!. 'rcf,m!. :1('QUirc UH. ! infection 1hrnup,h tlw ingc. ~tion vf rnw vr improperly n Y. J~1.-<l nah" r. ',,, lllu~ 15. R).. '\duh "~1rn1:, titc11 :. ettl<-in the lun1c: purcnd1ym;a, There are c. 1"<--. "lwn tht adult wum1., h,wc hccn rmrnd in cxtro-intcstin:il site. ", like the :1bcl<lmcn. the diaphra J. !Jll and r:1rcly even in the brnin. Durins. the early :;ta11,r of the infe<. 1fon, the patielll mny be ai-ymptomtttic hul later on, tllt' p,11ient will ~uffor from dry tough producing hlood-tingrid p11ntle11l sputum. There 1'. :!Jnld iil<:r> rn! few:r. cht:cat pain. dy,;pnea, c. 1,y (;ui,:uabilily and gc11('r:tli1. cd myulgi11. lk'f'. au-.., uf thew ~i~H ;rnd,ymptmn~. the condition can be misdii JJc;IIOSCd 1111d wron11ly tn·at N. l :i, pulmona n· tubrrrulo'>i". In some instance. <;, p11rngonimi:a si,; rn,1y co-exist \,11J1 tul. wrculo"i'-. · Definitive dia,µiosi~ i,; cstablii-hed through 1. hc recovery of Par. 1go11 imus eggs either from th(' sputum c,r the stool<,. Serologlc tests arc useful i( the worrn1, arc locali. 1. ed in the t'. \'. t ra-i at e«ti nn I nrg;m. c;. l';irngonimia~i, il' primarily found in the Par East,vhich include.-. lhc l'hilippincs. In tlw Philipptn!'<;, llw par. isit~ has been identified in lhc following provinces: Mindoro, Sor!. <1,g1,n, C. imannc,. S..mar. 1..c~e. Da.,.-no, Aft'UMn, Cotohnto and 1/..nmbonngn. Rais, ca L, and Jog.,--en 1 a< rc. ~l"\·oir f Jfiofoctioo in th~ endemic foci. In,In pan, wild boar:; can M'r. ca:, parutcnic ho~tf',. Pn,ziquntcl ts nvailable for the 1reatmcnt of Par:i,grmim iasis. Recently. :1 research group imm t J1e College of Public lie:il1J1 did a drug trial for parogonimiosis using T'riclat,end. a7,0Je. 111e l!fficac:y wa found to be about 1hr snml! as Prm:iqunntc l. Tbcre 370 