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Published on: August 22, 2012
Intestinal parasitosis in school going children of Dharan municipality, Nepal
Narayan Gyawali1, Ritu Amatya, Hari Prasad Nepal
1Department of Microbiology, B P Koirala Institute of Health Sciences, Dharan, Nepal.
Insights
Intestinal parasitic infections affected 22.5% of primary school children in Nepal. Poor sanitation and hygiene practices were linked to higher infection rates, emphasizing the need for improved public health measures.
Area of Science:
- Public Health
- Infectious Diseases
- Pediatrics
Background:
- Intestinal parasitic infections are a significant global health concern, particularly in resource-limited settings.
- Children in primary schools are vulnerable to parasitic infections due to their environment and hygiene practices.
Purpose of the Study:
- To determine the prevalence of intestinal parasitosis among primary school children in Dharan municipality, Nepal.
- To identify risk factors associated with parasitic infections in this population.
Main Methods:
- A community-based study involving 182 primary school children (ages 4-10) in Dharan, Nepal (2007-2008).
- Stool samples were analyzed using direct wet mount and formol-ether concentration methods.
- Parental questionnaires collected data on predisposing factors, including socioeconomic status, sanitation, and hygiene.
Main Results:
- An overall prevalence of 22.5% for intestinal parasitic infections was observed.
- Giardia lamblia was the most prevalent parasite (11.5%), followed by Entamoeba histolytica/dispar (4.4%).
- Infection rates showed a significant correlation with socioeconomic status, toilet facilities, and handwashing practices (p < 0.05).
Conclusions:
- Socioeconomic factors, inadequate sanitation, and poor hygiene practices are strongly associated with intestinal parasitic infections in school children.
- Interventions focusing on improving sanitation, promoting hygiene education, and ensuring access to safe water are crucial for controlling parasitic infections.
Abstract:
This community-based investigation was carried out to estimate the prevalence of intestinal parasitosis in primary school-going children of the Dharan municipality, Sunsari, Nepal from 2007 through 2008. A total of 182 stool samples were collected from 101 male and 81 female children of ages 4 to 10 years. A questionnaire including the factors predisposing to parasitosis, was filled up by the parents of each child. Parasitic examination was carried out by direct wet mount examination and concentration method using 10% formol-ether. The prevalence rate was found to be 22.5%. The result revealed preponderance of Giardia lamblia (11.5%) followed by Entamoeba histolytica/dispar (4.4%), Ascaris lumbricoides (3.3%), hookworm (1.6%) and Enterobius vermicularis (0.5%). Statistically significant difference in the prevalence with respect to age and gender was not seen. However, socioeconomic status, type of toilet used and the practice of hand washing had a strong correlation (p < 0.05) with the prevalence of parasitic infection. Abdominal discomfort also had a strong statistical association (p < 0.05) with the prevalence of parasitic infection. Proportionally higher infection rate was seen in participants not using filtered or boiled water. Lack of education of mothers and children, improper toilets and failure to practice proper hand washing were perceived from this study as contributors to the acquisition of intestinal parasitic infections.
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