The prevalence of Cryptosporidium infection was determined in four Aymara communities in the Bolivian Altiplano, between the city of La Paz and Lake Titicaca, at an altitude of 3,800-4,200 meters. Single stool specimens were randomly collected from 377 5-19-year-old students, all apparently asymptomatic. The total prevalence (31.6%) is possibly the highest reported among healthy humans (a maximum of 9.8% and 2.0% in coprologic surveys in underdeveloped and developed countries, respectively) and one of the highest even in symptomatic subjects. No significant age and sex differences were observed. Such an infection prevalence is probably related to the poor sanitation conditions, contaminated water supplies, overcrowding, and close contact with domestic animals. Continuous exposure to the parasite could be associated with protection against parasite-related symptoms in the children examined. Cryptosporidium (Apicomplexa: Eucoccida: Cryptosporidiidae), a common enteric protozoan, has since 1907 been known to parasitize a wide range of animals. 1, 2 The first human cases were reported in the United States in 1976 in an immunologically competent child 3 and in an immunosuppressed adult. 4 Since then there have been a substantial number of reported cases, and this sporozoan parasite is now recognized as a ubiquitous and significant enteropathogen of immunocompromised patients (including congenital immunodeficiency, those receiving immunosuppressive drugs, concurrent infections, and especially acquired immunodeficiency syndrome [AIDS]). 2 It has also been seen in healthy individuals in water-borne outbreaks. 5-8 One of the important aspects of cryptosporidiosis is its higher prevalence in young children with gastrointestinal symptoms, especially diarrhea, in both rural and urban environments throughout the world. 2, 9-11 However, several recent reports have identified appreciable numbers of asymptomatic infected subjects. 2, 12, 13 This investigation is part of a multidisciplinary project to study the epidemiology of fascioliasis in the Bolivian Altiplano, the endemic region with the highest human prevalences 14-16 and intensities. 16 Studies on other parasitic diseases in this area were undertaken to ascertain their coexistence with fascioliasis in humans. The aim of the present paper is to report the prevalence data on cryptosporidiosis in the northern Bolivian Altiplano, in the northern region of the Department of La Paz. This region extends between the valley of the city of La Paz and Lake Titicaca, at an altitude of 3,800-4,200 meters. To date, cryptosporidiosis in Bolivia had only been reported in the communities of Camiri, Boyuibe, and Gutierrez in the Department of Santa Cruz in southeast Bolivia. 17, 18 SUBJECTS, MATERIALS, AND METHODS Study population. The coprologic study was made in February 1993 and involved 377 Aymara students (205 boys and 172 girls) 5-19 years of age (mean Ϯ SD ϭ 10.2 Ϯ 3.0 years) from the schools of the communities of Huacullani, Quiripujo, Caleria, and Corapata in the northern Bolivian...