However, another study in Salvador, Brazil found that improved drainage and sewerage had a significant impact on the prevalence of hookworm infection but no impact at all on the intensity of hookworm infection. This seems to suggest that environmental control alone has a limited but incomplete effect on the transmission of hookworms. It is imperative, therefore, that more research is performed to understand the efficacy and sustainability of integrated programs that combine numerous preventive methods including education, sanitation, and treatment. Treatment
Anthelmintic drugs
The most common treatment for hookworm are benzimidazoles, specifically albendazole and mebendazole. BZAs kill adult worms by binding to the nematodes β-tubulin and subsequently inhibiting microtubule polymerization within the parasite. In certain circumstances, levamisole and pyrantel pamoate may be used. A 2008 review found that the efficacy of single-dose treatments for hookworm infections were as follows: 72% for albendazole, 15% for mebendazole, and 31% for pyrantel pamoate. This substantiates prior claims that albendazole is much more effective than mebendazole for hookworm infections. Also of note is that the World Health Organization does recommend anthelmintic treatment in pregnant women after the first trimester.
Herodotus writes in The Histories that, to discourage intercourse with a corpse, ancient Egyptians left deceased beautiful women to decay for "three or four days" before giving them to the embalmers. Herodotus also alluded to suggestions that the Greek tyrant Periander had defiled the corpse of his wife, employing a metaphor: "Periander baked his bread in a cold oven." Acts of necrophilia are depicted on ceramics from the Moche culture, which reigned in northern Peru from the first to eighth century CE. A common theme in these artifacts is the masturbation of a male skeleton by a living woman. Hittite law from the 16th century BC through to the 13th century BC explicitly permitted sex with the dead. In what is now Northeast China, the ethnic Xianbei emperor Murong Xi (385–407) of the Later Yan state had intercourse with the corpse of his beloved empress Fu Xunying, after the latter was already cold and put into the coffin.In Renaissance Italy, following the reputed moral collapse brought about by the Black Death and before the Roman Inquisition of the Counter-Reformation, literature was replete with sexual references; these include necrophilia, as in the epic poem Orlando Innamorato by Matteo Maria Boiardo, first published in 1483. In a notorious modern example, American serial killer Jeffrey Dahmer was a necrophiliac. Dahmer wanted to create a sex slave who would mindlessly consent to whatever he wanted.