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Updated: Oct 5, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Geo-helminth infections in a rural area of Sri Lanka
S D Fernando1, H Goonethilleke, K H Weerasena
1Department of Parasitology, Faculty of Medicine, Colombo, Sri Lanka.
Insights
Yearly mass anti-helminth treatment reduced geo-helminth infections in Sri Lankan school children. Prevalence declined significantly, though reinfection likely occurred from untreated populations.
Area of Science:
- Public Health
- Infectious Diseases
- Pediatrics
Background:
- Intestinal helminth infections disproportionately affect school-aged children, contributing significantly to morbidity.
- Understanding the epidemiology of geo-helminth infections in rural settings is crucial for effective control strategies.
Purpose of the Study:
- To investigate the prevalence and incidence of geo-helminth infections in rural Sri Lankan school children.
- To evaluate the impact of a two-year mass anti-helminth treatment program on infection rates.
Main Methods:
- A cohort of 349 school children (aged 6-13) in rural Sri Lanka was studied over two years.
- Stool samples were analyzed annually using direct saline smear; mass treatment with mebendazole was administered yearly.
- Hematological indices, height, and weight were also monitored.
Main Results:
- The prevalence of geo-helminth infections decreased from 5.4% in 1997 to 2.2% in 1998 and 2.0% in 1999.
- The incidence density was recorded as 0.021 cases per child-year.
- The decline in prevalence is attributed to mass treatment, while stable rates in later years suggest re-infection from external sources.
Conclusions:
- Yearly mass anti-helminth treatment effectively reduced geo-helminth infection prevalence in this cohort of school children.
- The study highlights the importance of sustained interventions and community-wide approaches to control helminth infections.
- Ongoing transmission from untreated populations poses a challenge to sustained control efforts.
Abstract:
School children carry the heaviest burden of morbidity due to intestinal helminth infection. The objective of this investigation was to study geo-helminth infections in 349 school children aged 6 to 13 years living in a rural area of Sri Lanka. Stool samples were examined by direct saline smear in an initial survey to determine the prevalence of intestinal parasitic infections and thereafter the children were followed up over a two year period with cross sectional surveys of stool samples being carried out at yearly intervals. Following collection of a stool sample, all the subjects were treated with mebendazole 500 mg as a single dose. Weights and heights were measured using standardized procedures. 2 ml of venous blood were collected from each subject under aseptic conditions to determine hematological indices. The prevalence of geo-helminth infections was low, and the prevalence declined during the two-year period from 5.4% in 1997 to 2.2% in 1998 and 2.0% in 1999 following yearly mass anti-helminth treatment. The incidence density was 0.021 cases per child year. The reduction in the prevalence from the baseline to the second survey is probably due to the reduction of the reservoir of infection among children as a result of mass treatment at baseline. The prevalence of infection during the second and third surveys were almost the same probably due to infections originating from other segments of the untreated population.
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