SOCIO-DEMOGRAPHIC RISK FACTORS OF SCHISTOSOMIASIS MANSONI IN PATIENTS WITH GASTROINTESTINAL SYMPTOMS: A
Journal of the Egyptian Society of Parasitology
|August 29, 2018
Summary
Schistosomiasis mansoni infection in Egypt affects 43% of individuals, with higher prevalence in males and those with canal water contact. New foci are emerging across governorates, indicating a shifting epidemiology.
Area of Science:
- Medical Parasitology
- Epidemiology
- Public Health
Background:
- Limited data exists on the current epidemiologic status of schistosomiasis mansoni in Egypt.
- Understanding the prevalence and risk factors is crucial for control strategies.
Purpose of the Study:
- To explore the seroepidemiological status of Schistosoma mansoni infection in Egypt.
- To correlate infection with morbid symptoms and socio-demographic risk factors.
Main Methods:
- A cross-sectional study of 1788 individuals across 22 Egyptian governorates.
- Indirect haemagglutination test (IHAT) for antibody detection and health questionnaires for risk factor assessment.
- Multivariate regression analysis to identify significant associations.
Main Results:
- A significant Schistosoma mansoni titre (≥ 1:160) was detected in 43% of participants.
- Highest prevalence observed in Al-Fayoum (15.2%), Kafr El-Sheikh (11.2%), and Assiut (10.9%).
- Emerging foci indicated in Cairo, Luxor, Aswan, and Suez governorates. Male gender and canal water contact were significant risk factors.
Conclusions:
- Schistosomiasis mansoni prevalence varies across Egyptian governorates, with evidence of new foci.
- Socio-demographic factors, particularly male gender and canal water exposure, significantly influence infection risk.
- Findings highlight the need for updated control strategies addressing evolving transmission patterns.
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