1. Hotspots and correlates of soil-transmitted helminth infections in a Venezuelan rural community: Which are the 'wormy' houses?
- Author
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Incani, Renzo Nino, Grillet, María Eugenia, Mughini-Gras, Lapo, IRAS OH Epidemiology Microbial Agents, dIRAS RA-I&I I&I, IRAS OH Epidemiology Microbial Agents, and dIRAS RA-I&I I&I
- Subjects
Rural Population ,0301 basic medicine ,Microbiology (medical) ,Geospatial analysis ,Soil-transmitted helminthiasis ,030106 microbiology ,Helminthiasis ,Strongyloides stercoralis ,Feces ,Soil ,03 medical and health sciences ,0302 clinical medicine ,Helminths ,Environmental health ,Prevalence ,medicine ,Animals ,Humans ,030212 general & internal medicine ,Ascaris lumbricoides ,Trichuris trichiura ,Rural community ,biology ,Wormy houses ,Overcrowding ,biology.organism_classification ,medicine.disease ,Cross-Sectional Studies ,Infectious Diseases ,Geography ,Hookworms ,Hookworm Infections ,Geographical information system ,Hotspots - Abstract
Objectives To determine spatial clustering and risk factors for occurrence and intensity of infection for soil-transmitted helminthiasis (STH), namely Ascaris lumbricoides, Trichuris trichiura, Strongyloides stercoralis and hookworms in a Venezuelan rural community. Methods MIF-fixed faecal samples were individually collected for STH testing. The Getis–Ord statistic was used to determine significant STH clustering within 25/50/100 m radiuses around houses. Individual- and house-level factors associated with STH occurrence and intensity of infection were determined using generalized estimating equations. Results Significant clusters of “wormy” houses for one or multiple parasites were found at distances of 25–50 m around 13 houses. Risk factors differed between occurrence and intensity of infection. Overcrowding in the house increased occurrence of S. stercoralis, T. trichiura and hookworm infections, while poor housing conditions increased A. lumbricoides infection risk. Overcrowding, poor faecal disposal system, economic dependency and lack of basic services differentially influenced the STHs. The “wormy” houses were mainly those built with waste materials, under economic dependency and lacking indoor water supply. Conclusions STH distribution in a community is clustered, with significant hotspots of STH occurrence and intensity of infection and different associated risk factors. Targeting the “wormy” houses is expected to affect STH morbidity more efficiently.
- Published
- 2021