Effect of urbanization on zoonotic gastrointestinal parasite prevalence in endemic toque macaque (Macaca sinica) from different climatic zones in Sri Lanka

Understanding variations in host-parasite relationships with urbanization is vital for both, public health management and conservation of endemic animals with high anthropogenic interactions. Toque macaques (Macaca sinica) are such endemic old-world monkeys in Sri Lanka. Three macaque sub species inhabit the main climatic zones of the island; M.s. sinica,M.s.aurifrons and M.s.opisthomelas inhabit the dry zone, wet zone, and montane regions of the island, respectively. This study aimed to examine parasite prevalence in this host in association with urbanization. A total of 180 fecal samples were collected from the three sub species of toque macaques inhabiting the main climatic zones (dry, wet, and montane) in Sri Lanka; 20 samples each were collected from urban, suburban, and wild populations representing each climatic zone. Twenty gastrointestinal (GI) parasite genera types i.e. five types of protozoan cysts, two types of trematode ova, four types of cestode ova, eight types of nematode ova, and a single type of acanthocephalan ova were identified. The overall prevalence of parasites was 62% (112/180) with the highest prevalence of Strongyloides infection. In all three sub species, toque macaque populations with proximity to human settlements, including urban and suburban populations, manifested a greater GI parasitic prevalence, mean ova/cyst counts and species richness, compared to their wild counterparts. Importantly, records of five parasite types in toques in Sri Lanka are reported for the first time, while Moniliformis type was reported as a first record in free ranging macaques, globally. This study clearly demonstrated that human contact and habitat modification may influence patterns of parasitic infections in macaques. As most of the parasite types identified manifest zoonotic potential, with public health implications, close associations of macaques may cause a threat to human well-being.


Introduction
During the past few decades, rapid intensification, and fragmentation of ecosystems through urbanization, were responsible for the rapid and comprehensive change in parasites of primates (Moll et al., 2019). Such modifications and alterations in natural habitats impact upon primate survivability, and susceptibility to parasitic infection, as parasites can influence the health (Johnson and Hoverman, 2012), population size (Tompkins et al., 2002), reproductive condition (Auld et al., 2016), behaviour and social interactions (Herbison et al., 2018) of primates. Due to the loss and fragmentation of their natural habitats, primates are forced to live in anthropogenically disturbed urban and suburban areas with proximity to humans. Thus, continuous human disturbances and encroachment, the ability of some parasites to infect multiple host species, and high level of genetic homology between humans and primates, increase the emergence and transmission of parasitic diseases from primates to humans and vice versa (Jones-Engel et al., 2004;Lane et al., 2011;Amarasinghe and Premathilake, 2014). Such interactions provide cause for serious concern on primate conservation as well as on public health. Thus, it is important to emphasize on the effects of human induced landscape changes on GI parasite infection in primates.
Several published studies had focused on parasites on free-ranging, semi-captive and captive orangutans, M. fascicularis, and M. nemestrina (Mul et al., 2007;Adrus et al., 2018) as well as on several semi-captive and wild primate species (Warren, 2001;Milozzi et al., 2012). Although anthropogenic activities are likely to play a role in primate-parasite associations, none of the previous studies had examined the variations in parasitic infections in the same primate species that differed in their contacts and interactions with humans. Hence, to widen the scope of such investigations, this study specifically focused on the effects of human induced landscape changes on GI parasite infection in toque macaques.
Toque macaque (Macaca sinica) in Sri Lanka is a perfect model for assessing the influence of the anthropogenic landscape on GI parasite infections. They are one of the three primate species endemic to Sri Lanka, the others being purple-faced langur (Trachypithecus vetulus) and red slender loris (Loris tardigradus) . Toque macaques are found as three geographically segregated subspecies across the six climatic zones in the country: the dry zone macaque or common macaque (M. s. sinica, Linnaeus, 1771) in the dry zone lowland, arid lowlands and intermediate zones; dusky or pale-fronted macaque (M. s. aurifrons, Pocock, 1931) in the rainforests of the lowland and midland of the wet zone, and the hill-zone macaque (M. s. opisthomelas, Hill, 1942) in the montane regions (Dittus, 1977;Nekaris and de Silva Wijeyeratne, 2009;Dittus, 2013) (Fig. 1).
Their populations declined gradually over the past 40 years, where the total population size reduced in half, largely due to habitat loss and persecution of M. sinica by humans (Nahallage et al., 2008;Nahallage and Huffman, 2013). Therefore, according to the IUCN Red List of Threatened Species, M. s. sinica and M. s. aurifrons are categorized as "Endangered" (Dittus, 2020;Dittus and Nekaris, 2020) whereas M. s. opisthomelas is listed as "Critically Endangered" (Dittus and Gamage, 2020). In addition, macaques are also listed in Appendix II of CITES (Convention on International Trade in Endangered Species) that includes species not necessarily threatened with extinction (CITES, 2005). Even though there are reports on the health, behaviour, and ecology of toque macaques (Dittus, 1984(Dittus, , 1986Dittus and Ratnayeke, 1989;Keane et al., 1997;Weerasekara et al., 2021), parasite diversity of these animals is not well studied. A single study was reported on the macaque populations across the country, representing the three subspecies  while others were mainly focused on macaques inhabiting specific regions, i.e Polonnaruwa (M. s. sinica), Peradeniya (M. s. aurifrons) (Dewit et al., 1991;Ekanayake et al., 2004Ekanayake et al., , 2006Thilakarathne et al., 2021), and in captivity (Gunasekera et al., 2012;Aviruppola et al., 2016). Hence, this study was undertaken to fulfill two objectives; Firstly, to determine how human influenced landscape modifications facilitated the transmission of GI parasites in macaques (in correlation to parasite prevalence, species-richness, and fecal ova/oocyst/cyst counts) in urban, suburban, and wild populations. Secondly, to establish baseline data for parasites of zoonotic potential of macaques, with a view to project significant impacts on the conservation of endangered macaques, and on the well-being of associated human populations.

Ethics statement
This study was conducted with permission from the Department of Wildlife Conservation, Sri Lanka (WL/3/2/32/19) to enter National Parks in Sri Lanka, and to collect macaque fecal samples from these locations. The study was based on noninvasive sample collection following defecation, without causing disturbance or distress to the animals; hence, obtaining ethical clearance was not applicable.

Study sites
This study included the three endemic sub species of toque macaques, Macaca sinica sinica, M. s. aurifrons, and M. s. opisthomelas, inhabiting three different climatic zones, the dry zone, wet zone, and the montane region, of the island. Fourteen study sites were selected representing the dry and wet zones and montane regions in the island. The selection was based on earlier records on the presence of subspecies of toque macaques, and the ease of travel to these locations.
To assess the impact of urbanization on parasitism, each subspecies was again divided into three populations based on their level of human contact; urban/free ranging areas with the continuous industrialized expansions, where human contact was higher due to higher human density; suburban, areas adjacent to forests and with less frequent human contact, populated with a low level of human density (lesser than in urban areas); wild macaques that lived in their undisturbed natural habitats, sans involvement with humans. All these locations are geographically segregated and differed significantly in macaque habitats, the degree of anthropogenic disturbances, and climatic conditions. Dry Zone (M. s. sinica): The dry zone area occupies approximately two-thirds of Sri Lanka's land area (southeast, east, and northern parts), which consists of variable forest structures and different types of habitats. Climatically, the annual rainfall varies between 1250 and 1800 mm and the temperature ranges between 29 and 32 • C. Five study sites in the dry zone were selected based on their level of human contact: Anuradhapura (8 • 18 ′ 46.12"N 80 • 24 ′ 11.38"E), Kurunegala (7 • 29 ′ 0.66"N 80 • 22 ′ 5.69"E) (urban/free ranging); Anuradhapura archeological sites (8 • 22 ′ 10.67"N 80 • 23 ′ 39.98"E), Dambulla (7 • 51 ′ 20.37"N 80 • 38 ′ 59.91"E) (suburban); and Udawalawa National park(6 • 28 ′ 23.91"N 80 • 53 ′ 55.36"E) (wild).

Sampling
A total of 180 macaque fecal samples were collected form all three subspecies of macaques, between January and November 2019: 20 samples each from urban, suburban, and wild locations amounting to 60 samples per subspecies. The activity patterns of free-ranging macaques were monitored daily from 8.00 a.m. to 4.00 p.m. Fecal samples of macaque troops were opportunistically collected by following the macaque troop till defecation took place. Upon observing that a macaque had defecated and before collection, the sample was examined for the presence of mucus, blood, and tapeworm proglottids. Then, with gloved hands and a disposable spoon, a sample from within the fecal mass was collected into a plastic tube. The Parafilm sealed tube was labeled with the date, time, location and habitat type, and samples were transported at +8 • C (in a cooler box with ice packs) to the laboratory and stored at 4 • C for a maximum of 96 h, prior to microscopic examination.

Coprological examination
Samples were analyzed at the Zoology Laboratory of the Department of Zoology and Environment Sciences of the Faculty of Science, University of Colombo. Fecal analysis was carried out essentially according to Jenkins et al. (2017), using modified Sheather's sucrose flotation method, suitable for detection and identification of various parasite ova and cysts. Briefly, 3 g of feces was mixed with distilled water and centrifuged thrice (at 2045×g). The resultant pellet was emulsified and thoroughly suspended in a saturated sucrose solution. Approximately, 5 ml of the top suspensions were collected, topped up with distilled water and repeatedly centrifuged at 1370×g for 10 min. Finally, 1 ml of each suspension with the pellet was transferred to the Eppendorf® tubes. Distilled water was added to a final volume of 1.5 ml then centrifuged for 10 min at 1150×g. The supernatants were discarded. The remaining 0.5 ml pellet thus obtained, was observed under standard light microscopy (Olympus, Japan) for the presence of parasite ova and cysts. Parasite stages were identified using available keys and previous references by morphological characteristics (shape, colour and content) and morphometric characteristics (length and width) (Greiner, 1989;WHO, 1994;Kouassi et al., 2015;Klaus et al., 2017;Li et al., 2017).

Parasite indices and statistical analysis
Parasite prevalence was calculated as a proportion of the number of infected individuals to the total number of examined hosts (Hodder and Chapman, 2012). Parasite richness was described as the total of parasite taxonomic groups found through the morphological identification, in each habitat type, of a given macaque subspecies (Gillespie et al., 2005). The total number of ova per gram (OPG) and cysts per gram (CPG) feces for each parasite type was considered as the parasite load (Hodder and Chapman, 2012).
Normality of distributions was tested by the Shapiro-Wilk normality test. Chi-square test determined differences in the overall parasite prevalence of each sub species, habitat type, the relative prevalence of each parasite type and prevalence of multiple infection between urbanized (urban and suburban) and wild habitats. Kruskal-Wallis test assessed differences in parasite richness and parasite ova per gram (OPG) or cysts per gram (CPG) feces, among the three habitat types within a climatic zone. Mann-Whitney U test to compare the differences in parasite richness and intensity, in urbanized habitats (urban and sub urban) and wild habitat. All statistical tests were performed at a significance level of p < 0.05, using SPSS Statistics V23.0 (IBM, USA). It was assumed that the habitat types the macaques were found during fecal sample collection to be consistent with parasitic infections at that time (Hodder and Chapman, 2012). However, due to the ranging behaviour of macaques, their distribution may have extended beyond a single habitat type.
With respect to single parasitic infections in each macaque sub species, only M. s. sinica in the urban habitat showed a significant difference compared to their wild counterparts (χ 2 = 4.286, p = 0.038). Conversely, only urban population of M. s. aurifrons indicated a significant difference compared to their wild population, harbouring two types of parasitic infections in each macaque (χ 2 = 5.625, p = 0.017) ( Table 1).

Parasite prevalence and species richness of the three-macaque subspecies inhabiting diverse habitat types
Overall prevalence of infection did not differ among M. s, s. aurifrons in urban (70%), suburban (60%) and wild (40%) populations (χ 2 = 3.801, p = 0.15), or for any of the GI parasite genera types documented (Table 1). Of M. s. aurifrons populations in the three habitat types s, Strongyloides type was the most frequent nematode infection, followed by Strongyle/hookworm type and Trichuris type while Balantidium type was the commonest amongst protozoans. M. s. aurifrons from the urban population were exclusively infected with Isospora type and Trichostrongylus type. Infection by Diphyllobothrium type and Ascaris type were confined to suburban animals, while Enterobius type was recorded in macaques inhabiting their natural habitat (Table 2). A significant difference existed between the total number of parasite genera types infecting M. s. aurifrons urban (n = 7), suburban(n = 6) and wild (n = 3) (p = 0.045) habitats. Urban living M. s. aurifrons population harbored more parasite species than those living in the wild (Z = − 2.484, p = 0.013) (Fig. 4).
M. s. opisthomelas was exceptional among the three-macaque subspecies, as prevalence of specific parasite types among the urban, suburban, and wild populations did not differ. Infection by Isospora type and Entamoeba type were confined to macaques in the suburban habitat (Table 2). There was a significant difference between the total number of parasite genera types infecting M. s. opisthomelas in urban (n = 7), suburban (n = 9) and wild (n = 3) (p = 0.028) habitats. Comparison of parasite richness in the different habitat types, was high in both suburban (n = 9) (Z = − 2.022, p = 0.043) and urban populations (n = 7) (Z = − 2.514, p = 0.012) compared to the wild (n = 3) (Fig. 4).
The overall prevalence of infection significantly differed among M. s. sinica urban (90%), suburban (70%), and wild (45%) populations (χ 2 = 9.397, p = 0.009). Parasite prevalence in the urban macaque population was significantly higher than of the wild (χ 2 = 9.231, p = 0.002) ( Table 1). There was no significant difference in the relative prevalence of individual parasite types except for Strongyloides type in urban and wild populations (χ 2 = 10.417, p = 0.001). Comparable to the other two subspecies, Strongyloides type was the frequently recorded nematode infection followed by Trichuris type, in M. s. sinica in all three habitat types. It is noteworthy that Hymenolepis type, Bertiella type, and Moniliformis type were confined to M. s. sinica among the three subspecies of endemic macaques (Table 2). Overall parasite species high in the urban macaques (n = 8) compared to their suburban and wild counterparts (n = 6) (Z = − 1.017, p = 0.02) (Fig. 4).

Table 1
Overall parasite prevalence and prevalence of multiple infections of GI parasites in urban, suburban, and wild macaque (Macaca sinica) populations.  (16)

Parasite ova/cyst per gram (OPG/CPG) feces
The index OPG/CPG indicates the parasite load in a host. In M. s. aurifrons the highest OPG was of Strongyloides type (OPG = urban; 3.33 ± 1.42, suburban; 1.72 ± 1.14, wild; 1.00 ± 0.51), though the maximum CPG was recorded for Balantidium type in both urban and suburban populations. All other analyzed OPG and CPG were relatively low. No significant variation among individual OPG was recorded except for the EPG of Strongyloides type (  (Table 3). Compared to the wild population, OPG of individual parasite types differed for M. s. sinica among both urban (Z = -3.625, p < 0.05) and sub urban (Z = -2.636, p = 0.008) populations. Nevertheless, the highest OPG of Strongyloides type was recorded from suburban M. s. sinica samples (5.14 ± 5.81) than those from the other two macaque

Discussion
It is well established that demographic and anthropogenic changes exert influence on the emergence of zoonotic diseases (Jones et al., 2008;Lane et al., 2011). Hitherto, GI parasite infections in toque macaques, especially with the influence of urban landscape on the wildlifepathogen relationship received less emphasis. This is the first study of its kind, based on the impact of urbanization on GI parasites in the three endemic subspecies of toque macaques in Sri Lanka. As hypothesized, M. s. opisthomelas, M. s. aurifrons and M. s. sinica in urbanized habitats harboured a higher prevalence and parasite richness of GI parasites in contrast to their wild counterparts. It was observed that there is a marked difference in daily activity, ranging patterns, food, and water sources of macaque troops in urban settings, compared to those in the wild. These observations reiterate several studies on different macaque species and other primates, globally; these reports are indicative of alterations in population structure of parasite infections in primates with the level of anthropogenic interactions and environment modifications (Sleeman et al., 2000;Gillespie et al., 2005;Ekanayake et al., 2006;Wenz et al., 2010;Lane et al., 2011;Hodder and Chapman, 2012;Hussain et al., 2013;Wenz-mücke et al., 2013). Furthermore, climatic factors and altitude also can be considered as factors that influence the survival and infection of parasites in free-ranging macaques. Among the three sub species inhabiting different climatic zones of the island, M. s. sinica found in the dry zone harbour a higher prevalence of GI parasites compared to the other two subspecies. This may be due to increase infection success and faster development in parasites in the high temperature than in relatively low temperature ranges (Labaude et al., 2020). Maximum temperature is an important variable in determining soil-transmitted helminth distribution owing to effect of heat and low humidity of the soil on the embryonation, development and survival of free-living infective stages (Brooker et al., 2003).
Overall, 20 parasite genera types were identified in the GI parasite survey that contributed to the parasite diversity of toque macaques; the Strongyloides type was responsible for the highest prevalence and parasite load (OPG) in all three subspecies of hosts followed by Strongyle/ hookworm and Trichuris (whipworm) types, respectively. Infection by Strongyloides occurs by accidental oral mucosa or skin penetration of third-stage filariform larvae in the soil (Grove, 1996). Even though macaques are primarily arboreal (Nekaris and de Silva Wijeyeratne, 2009), during the observation period from 8.00 to 16.00 h, both urban and suburban troops dwelled on the ground for about 80% of the time, while this was limited to an average of 15% by the toque groups in the wild (authors' personal observations). Therefore, predominant ground living behaviour and close association of individuals within the macaque group may be the major reason for the high prevalence of Strongyloides infection (Altmann and Muruthi, 1988;Ekanayake et al., 2006;Griffin and Nunn, 2012). Strongyloidiasis in humans is described as a potential zoonotic disease (Nutman, 2016). Pathological effects of this infection in primates vary from vomiting, diarrhea, and severe dehydration (Strait et al., 2012) while fibrosis of the intestine results in humans (Mukerjee et al., 2003). In severe infection, macaques may cope with similar clinical problems as humans, and several fatal cases have been reported in the gibbon, orangutan, and woolly monkeys (Pillers and Southwell, 1929;DePaoli and Johnsen, 1978;Uemura et al., 1979) elsewhere in the world.
Strongyle/hookworm type infection, the second-highest GI parasite prevalence was recorded in all three-macaque subspecies inhabiting   urbanized habitats. However, in the wild, this infection was restricted to M. s. opisthomelas. Individual primates with more grooming partners can have a significantly higher infection of hookworms (Wren et al., 2016) and grooming related with the physiological stress levels in macaques (Shutt et al., 2007). Therefore, when individuals in the population are more stressed and defense mechanisms fail (Mul et al., 2007) it could lead to greater susceptibility to infections in such individuals than in others. It eventually poses a threat to macaque populations as this infection causes tissue damage, retarded growth, anemia, and inflammation (Hussain et al., 2013;Seguel and Gottdenker, 2017). More importantly, macaques in urbanized habitats create human-macaque interfaces that disturb the dynamics of hookworm infection and infected macaques can be a threat to closely interacting humans (Seguel and Gottdenker, 2017). Trichuris (whipworm) infection was reported in all three-macaque subspecies in habitats except for M. s. opisthomelas wild populations (in montane regions), and suburban populations of M. s. aurifrons in the wet zone. This reiterates alteration of parasite patterns due to geographic and climatic conditions (Sharma et al., 2013). In previous studies, Trichuris infection in Asian primates was found to be less common, and macaques may acquire it because of the close association with grey langurs (Dewit et al., 1991). This may explain the relatively high prevalence of Trichuris type in M. s. sinica in this study, as their troops were mostly observed foraging together with grey langurs. Trichuris infection occurs orally, and ova can survive for a longer period outside the host, in severe environmental conditions. Severe whipworm infections can produce clinical signs such as anorexia, diarrhea resulting sometimes in death .
Most of the suburban and a single urban population of macaques were recorded in places of religious worship, where local pilgrims and tourists visited throughout the year. Consequently, the presence of infected macaques with their randomly dispersed feces found in those areas may pose a threat to public health, as in those religious and archeological sites, people usually walk barefooted. This may increase the possibility of humans to acquire soil-transmitted helminth infections.
Nematode infections pose high potential for zoonotic transmission with their direct and simple life cycles while the infections by cestodes and acanthocephalan are normally rare and only causes diarrhea and abdominal pain in primates (Torgerson and Macpherson, 2011;Strait et al., 2012). Even though Bertiella and Moniliformis infections were restricted to individual M. s. sinica macaques, it may indicate the possible transmission of these parasites from other animals such as rodents and mites to macaques (Elliott, 2007;Kowalewski et al., 2017).
Confirming previous studies, the prevalence of protozoans was lower compared to the helminth infections in macaques in the current study (Kouassi et al., 2015;Adhikari and Dhakal, 2018;Adrus et al., 2018;Kumar et al., 2018;Zhang et al., 2019). The contrary was reported by Li et al. (2017) with 40.1% of macaques screening positive for protozoan and 29.6% for helminth infections. Kurniawati et al. (2020) reiterated protozoan was the most prevalent infection (89%) compared to helminth infections (66%) in long-tailed macaques. All five types of protozoans detected in the current study, were of relatively high prevalence; Balantidium type > Isospora type in both M. s. aurifrons and M. s. opisthomelas. All recorded protozoan's manifest zoonotic transmission and are human pathogens except for Isospora type which is a common parasite of cats and dogs (Youn, 2009;Ferreira et al., 2011). In general, protozoan infections are highly prevalent due to the capability of cysts to survive even in harsh environments, and their one host-life cycle. These recorded protozoans can transmit directly through the fecal-oral route via contaminated food or water sources (Osman et al., 2016). Balantidium sp. is known as the only ciliated protozoan that commonly infects humans and several animals. It can be pathogenic to both macaques and humans by causing clinical symptoms of Balantidiasis which include diarrhea and dysentery (Hussain et al., 2013). During the current study macaque troops were observed using the same water source for drinking as well as for bathing which can be the major reason that facilitates transmission of protozoan infections. Ekanayake et al. (2006) observed that wild primates using land areas heavily soiled by human and livestock feces, harbored more parasitic protozoans common in humans, than their wild counterparts. More importantly, Balantidium infection in lactating female macaques can reduce the fat of milk and inhibit the development of lactating mothers by reducing activity levels and impairing their foraging behaviour (Hinde, 2007). Importantly, it can compromise the growth of infants which can cause several health implications to macaque populations.
Several studies conducted in both children and adults in Sri Lanka from 1924 to 2019, found that school children across the country were positive for hookworm, whipworm, roundworm and Bertiella infection, especially those living in urban areas (Amarasinghe et al., 2020;De Silva et al., 1994;Sorensen et al., 1996;Gunawardena et al., 2011;Galgamuwa et al., 2016;Ediriweera et al., 2019)., The reason attributed to Bertiella infections was that the main reservoir hosts, the toque macaques, were regular visitors to human settlements (Amarasinghe et al., 2020), which may pose a threat, especially to small children as well as to domestic animals. Furthermore, alternations to the availability of foraging and roosting sites and the quality and quantity of food macaques consumed due to anthropogenic activities and urbanization, may lead in several ways to increase the parasite burden in macaque populations (Weyher et al., 2006). Importantly, crowding in a fragmented area with small space, frequent locomotion on the ground, grooming behaviour and repeated use of the same area may not only increase the possibility of parasite transmission but also, increase chances to re-infect within the troop members. Although there are no fatality reports on diseases caused by GI parasites in macaques and humans in Sri Lanka, it is prudent to take precautionary measures. Therefore, it is important to encourage creating more natural habitats suitable for macaques within urban areas, the introduction of proper waste disposal methods, avoid feeding macaques, continuous deworming practices and health education, to reduce health impacts on both humans and co-existing macaque populations.
Several novel host-parasite associations were established through the current study; this is the first report of Moniliformis type infection in macaques globally and the first report of Isospora type, Trichostrongylus type, Enterobius type and Diphyllobothrium type infection in M.s.aurifrons Thilakarathne et al., 2021), Endolimax type, Moniliformis type and Bertiella type infection in M.s.sinica (Dewit et al., 1991;Ekanayake et al., 2006;Huffman et al., 2013;Thilakarathne et al., 2021) and Isospora type, Balantidium type, Strongyloides type, Ascaris type and Oesophagostomum type infections in M. s. opisthomelas .
In summation, results from this study lead to two conclusions; Firstly, macaques that live in urban and suburban areas, closer to human settlements harboured increased prevalence and parasite richness compared to wild macaques in their natural habitat. Secondly, infections by soil-transmitted parasites in macaques were relatively high. As two of the subspecies of macaques (M. s. aurifrons and M. s. sinica) are endangered and the other (M. s. opisthomelas) is critically endangered, further studies are required to gauge whether the higher prevalence of parasites encountered may pose a threat to their population abundance and daily activity patterns. Further, identification of recorded parasites up to the species level is also important in assessing major health risks of these parasitic infections. Almost all the parasites identified in the current study are of zoonotic potential. Given the genetic relatedness of humans and macaques, disease transmission between them may be potent. Therefore, to verify the existent risk, it is necessary to prove whether humans who share the same environment are indeed infected with any diseases caused by zoonotic GI parasites found in co-existing macaque populations. Such future efforts will help prevent transmission of zoonotic parasites, which is an important implication for primate conservation efforts while ensuring public health and safety.

Declaration of interests
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.