Search

Objective: To determine schistosomiasis level and risk factors that exposed school-aged children to infection as well as to model schistosomiasis map in relation to altitude and rainfall in Gashaka Local Government Area, Taraba State, Nigeria. Methods: The study was conducted between January 2014 and June 2014. Urine and faecal samples were collected from 1080 school-aged children and processed using the filtration and formol-ether concentration techniques, respectively. Results: Irrespective of the schistosomes species, a point prevalence of 10.18% was reported out of the 1080 children examined. Males were significantly infected than their female counterparts (11.75% vs. 8.43%) (c2 = 4.86; P = 0.027), as well as children aged 6-10 (11.65%, 72/618) and 11-15 years (10.29%, 35/340) than the other age groups (c2 = 9.274; P = 0.026). No significant difference was observed in schistosomiasis between children whose parents were educated (11.11%, 57/513) and not educated (9.88%, 53/536) (c2 = 1.342; P = 0.247) and those whose parents are farmers (9.74%, 53/544) and non-farmers (10.63%, 57/536) (c2 = 0.787; P = 0.375). Proximity to water bodies (distance < 500 m) (odds ratio = 1.809, confidence interval = 1.057-3.094; P = 0.003 1) and fishing (odds ratio = 2.632, confidence interval = 1.397-4.958; P = 0.003) were the risk factors exposing children to infection. The spatial distribution pattern of schistosomiasis showed that the infection was significantly higher in Serti A (22.2%, 26/180) and Mayo-Selbe (21.1%, 38/180) than the other localities (c2 = 92.99; P = 0.000). Conclusions: This study reported a moderate level of infection among school-aged children with proximity to water bodies and fishing as the main risk factors. The spatial distribution of schistosomiasis in the area will guide in efficient and effective control programmes at local level. It is recommended that continued efforts be made to scale-up distribution of praziquantel to high risk areas so as to curb the progression of the disease. [ABSTRACT FROM AUTHOR]

Abstract: Objective: To determine the prevalence and intensity of infection and the risk factors associated with urinary schistosomiasis in pre-school and school aged children in Guma Local Government Area of Benue State, Nigeria. Methods: Urine filtration technique using polycarbonate membrane filters was employed to process urine specimens and to determine presence of Schistosoma haematobium eggs in urine. Questionnaires were also administered to children to collect information on socio-demographic data and water-contact activities. Results: An overall prevalence of 55.0% (165/300) was recorded out of the 300 urine samples examined. Prevalence of infection varied between 36.0%-64.0% with a significant difference (χ2= 11.59, P=0.041) between the different communities visited. Males were more infected (60.6%, 103/170) than females (47.7%, 62/130) with a significant difference (χ2= 4.95, P=0.026). The age-related prevalence showed higher prevalence (70.5%, 36/52) in the 11-15 year old children than that in the 1-5 year old ones (44.9%, 53/118). A significant difference was observed in the prevalence between the age groups (χ2=10.56, P=0.014). The prevalence of light intensity of infection (1-49 eggs/10 mL of urine) (86.6%) was significantly higher than that of heavy intensity of infection (≥50 eggs/10 mL of urine) (13.3%) in the area (t=16.48, P=0.000). Water contact activities of the children revealed that children that were involved in irrigation and those that went swimming in water bodies were observed to be at higher risk of becoming infected with urinary schistosomiasis in the area with odd ratios (risk factors) of 2.756 (1.334-5.693) and 2.366 (1.131-4.948) respectively at P<0.05 level. Conclusions: The study revealed the hyperendemicity of urinary schistosomiasis in the pre-school and school aged children in Guma Local Government Area. It is therefore recommended that praziquantel should be administered to children in the area and systematic epidemiological studies should be undertaken in the whole Local Government Area and the State at large to discover new foci of infection. [Copyright &y& Elsevier]

Abstract: Objective: To assess women''s perceptions and risk factors that could expose them to intestinal parasitic infections in Makurdi, Benue State, Nigeria. Methods: A total of 750 faecal samples were collected from women at different reproductive stages (pre-menstrual, menstrual and post-menstrual), and the faeces were tested by the formol ether concentration technique. Results: A total of 426 (56.8%) samples were found positive for various intestinal parasites with hookworm (4.8%), Ascaris lumbricoides (9.3%), Taenia sp (2.1%), Entamoeba histolytica (18.9%) and Entamoeba coli (21.6%). Women at pre-menstrual and post-menstrual stages recorded higher prevalence rates with 72.8% and 63.9%, respectively. No significant difference in prevalence was observed between women at different reproductive stages and women infected by different parasites (χ2 = 30.6, P > 0.05). Sweet things, rotten fruits and improperly cooked meat were perceived as the causes of intestinal parasitic infections among the pre and post menstrual women. Sources of drinking water like river, well, water bought from vendors and patronizing food vendors were observed as risk factors contributing to the prevalence of intestinal parasitic infections among women. Factors like not washing hands before eating and after defaecation, use of leaves and ordinary papers for cleaning after defaecation were also observed to be contributing to the prevalence of intestinal parasitic infections. Conclusions: Persuasive health education and rigorous hygiene measures should be employed in schools, maternity clinics and among the populace to reduce transmission and infection with intestinal parasites. [Copyright &y& Elsevier]