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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Soil-transmitted helminth infection among school-age children in Ogoja, Nigeria: implication for control
Edema Enogiomwan Imalele1, Ekanem Ikpi Braide2, Ubleni Etta Emanghe3
1Department of Zoology and Environmental Biology, Faculty of Biological Sciences, University of Calabar, Calabar, Cross River State, Nigeria. edemaeddy@gmail.com.
Insights
Soil-transmitted helminthiases affect 46% of school children in Ogoja, with higher rates in males and younger children. Poor hygiene and sanitation practices significantly increase infection risk.
Area of Science:
- * Infectious Diseases
- * Public Health
- * Pediatrics
Background:
- * Soil-transmitted helminthiases (STH) are a significant global health concern, particularly affecting school-aged children.
- * Understanding the prevalence and risk factors of STH in specific regions is crucial for targeted interventions.
- * Ogoja Local Government Area in Cross River State has not been extensively studied for STH prevalence in school children.
Purpose of the Study:
- * To determine the prevalence of soil-transmitted helminthiases (STH) among school-aged children in Ogoja LGA.
- * To identify key risk factors associated with STH infections in this population.
- * To provide data for the development of effective control strategies.
Main Methods:
- * A cross-sectional study involving 504 school-aged children in Ogoja LGA.
- * Fecal sample analysis using Kato-Katz and modified Baermann techniques for helminth identification.
- * Statistical analysis to determine prevalence, infection intensities, and associated risk factors.
Main Results:
- * Overall STH prevalence was 46.0%, with *Ascaris lumbricoides* (14.1%), hookworm (16.5%), *Trichuris trichiura* (2.6%), and *Strongyloides stercoralis* (12.9%) being the most common.
- * Infection rates were higher in males (46.6%) and the 5-7 year age group (65.6%).
- * Significant risk factors included lack of knowledge about STH, unsafe drinking water, open defecation, inadequate sanitation, and absence of school toilets. Co-infection of *A. lumbricoides* and hookworm was most common (8.7%).
Conclusions:
- * Soil-transmitted helminthiases pose a substantial public health problem for school-aged children in Ogoja LGA.
- * Interventions must address hygiene, sanitation, access to clean water, and health education alongside preventive chemotherapy.
- * Targeting younger children and males may be beneficial for control programs.
Abstract:
The study aimed at assessing the prevalence and risk factors of soil-transmitted helminthiases among school-aged children in Ogoja Local Government Area, Cross River State. Fecal samples were collected from 504 participants and analyzed using the Kato-Katz technique and modified Baermann technique for identifying larvae of Strongyloides. A total of 232 (46.0%) samples were positive for soil-transmitted helminths. The overall prevalence of Ascaris lumbricoides, hookworm, Trichuris trichiura, and Strongyloides stercoralis were 14.1%, 16.5%, 2.6%, and 12.9% respectively. The prevalence of infections were higher among males (46.6%) than females (45.4%). Overall, parasitic infection was higher in the 5-7-year age group (65.6%) than in the other age groups (p = 0.000). Infection intensities of A. lumbricoides (84.00 EPG) (p = 0.044) and T. trichiura (96.00 EPG) (p = 0.041) were higher in school-age children aged 14-16 years. A. lumbricoides and hookworm co-infection (8.7%) was the most common mixed infection and was significantly higher in males than females. School-aged children who did not have prior knowledge about soil-transmitted helminth infections, the habit of drinking water without boiling, open defecation, use of pit latrine, and children who did not have toilet facilities in school were significantly associated with soil-transmitted helminthiases. There was a significant relationship between washing hands after using the toilet, the habit of putting on footwear outside the house, and soil-transmitted helminth infection. In addition to preventive chemotherapy, control measures should focus on health education, providing clean drinking water, proper disposal of human excreta and sewage, and environmental hygiene.
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