Modern science knows more than 300 different human helminthic infestations, the
pathogens of which are able to enter the human body using various mechanisms, pathways and
transmission factors. Often, various environmental objects, such as soil and water, serve as
transmission factors. The purpose of the study is to study and analyze the parasitic contamination
of environmental objects (soil and water) — factors of transmission of pathogens of geohelminthiasis
in the Astrakhan region. The role of sanitary and parasitological monitoring in the
epidemiological surveillance of geohelminthiasis is shown. It was found that the contamination
of environmental objects in the Astrakhan region is 4.0 %. Among the priority findings in soil
and water samples collected in the region in 2023 are mobile larvae of Strongyloides stercoralis,
eggs of toxocara and ascaris. When comparing the frequency of detection of positive samples in
soil and water, it was found that soil contamination of 4.7 % (95 % CI 3.6–5.8) was significantly
higher than that of water — 1.1 % (95 % CI 0–2.3), which indicates a higher role of the former
in maintaining the epidemic process of geohelminthiasis in the Astrakhan region.