Abstract. We used the polymerase chain reaction (PCR) to study the distribution of Entamoeba histolytica and E. dispar in 1,872 individuals in 14 communities in the northern Philippines. Here we report a field study using a DNA extraction protocol from formalin-fixed stool specimens as previously reported. This assay detected 137 stools (7.318%) containing E. dispar and 18 stools (0.961%) containing E. histolytica. The most affected age group for E. histolytica/E. dispar infections were those 5-14 years of age. There was no significant difference in the sex distribution of E. histolytica, while in the case of E. dispar, a higher prevalence was observed in females (9.186%) than in males (5.731%) (P Ͻ 0.01). An apparent clustering of stool-positive cases of E. histolytica and E. dispar was also observed in the northern part of the study area. The results of this survey demonstrate that E. dispar is highly prevalent in the communities studied. Moreover, it offers promise for the PCR using DNA extracted from formalin-fixed stools as a sensitive epidemiologic tool for detecting E. histolytica and E. dispar infections.The intestinal protozoan parasite Entamoeba histolytica is the causative agent of human amebiasis. Entamoeba histolytica is responsible for up to 100,000 deaths per year, placing it second only to malaria in mortality due to protozoan parasites.1 The infection is common in developing countries and predominantly affects individuals with poor socioeconomic conditions, nonhygienic practices, and malnutrition.A number of epidemiologic studies of E. histolytica infection were performed before the clear distinction of two separate species, E. dispar and E. histolytica, was established.2 Because they are morphologically indistinguishable, studies based on stool surveys have raised the question on the validity of most of these studies. Moreover, seroepidemiologic studies that were carried out in a number of endemic countries 3-8 usually reflected the seroprevalence of the disease even in the near past. Also, the major problem with current serologic test results is that they remain positive for years after an episode of amebiasis. To date, the standardization of antigen preparation and the relative measurement of positive cut-off antibody titers for use in serodiagnosis still pose a problem.In recent years, a number of methods such as isoenzyme typing, 9 DNA probes for the polymerase chain reaction (PCR) and hybridization, 10-13 restriction pattern analysis, [14][15][16][17][18][19] and monoclonal antibodies [20][21][22][23][24] have been developed for the clear distinction of the two species. Clearly, accurate diagnostic tools are required for the clinical and public health management of the disease. The use of a stool ELISA has recently been shown to be useful in routine diagnostic procedure and epidemiologic studies. 25,26 However, a comparative study on the use of the ELISA and PCR for the detection of E. histolytica and E. dispar indicated that the PCR was more advantageous than the ELISA in epidemiologic st...