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Published on: August 22, 2012
Selected micronutrient status of school-aged children at risk of
Samson E Olerimi1,2, Ehitare I Ekhoye3, Oriasotie S Enaiho1,2
1Department of Medical Biochemistry, Faculty of Basic Medical Sciences, Ambrose Alli University, Ekpoma, Nigeria.
Insights
Schistosoma haematobium infection in Nigerian children significantly lowers essential micronutrient levels, particularly iron, calcium, copper, and zinc. Early detection and intervention are crucial for managing this widespread parasitic disease.
Area of Science:
- Tropical Medicine
- Infectious Diseases
- Pediatrics
Background:
- Urogenital schistosomiasis, caused by Schistosoma haematobium, is a chronic parasitic infection prevalent in school-age children.
- The study focuses on understanding the infection's impact on micronutrient status in Nigerian children.
Purpose of the Study:
- To investigate the prevalence and intensity of Schistosoma haematobium infection.
- To assess the relationship between infection and serum micronutrient levels (iron, calcium, copper, zinc) in school-age children.
- To determine the influence of age, gender, and infection intensity on micronutrient status.
Main Methods:
- A cross-sectional, school-based study involving 353 children aged 4-16 years in Bekwarra, Nigeria.
- Data collection included socio-demographic information via questionnaire, urine analysis for S. haematobium infection, and serum micronutrient analysis.
- Statistical analyses were performed to determine associations between infection, age, gender, and micronutrient levels.
Main Results:
- Schistosoma haematobium infection was detected in 16.15% of the children, with higher prevalence in girls and children aged 8-11 years.
- Infected children exhibited significantly lower serum levels of iron, calcium, copper, and zinc compared to uninfected children.
- Infection intensity showed a negative association with iron, calcium, copper, and zinc levels.
Conclusions:
- Schistosoma haematobium infection adversely affects the micronutrient status of school-age children in Nigeria.
- Effective interventions, including drug distribution, education, and community engagement, are vital to reduce schistosomiasis prevalence.
- Implementing infection prevention and control measures is essential to mitigate disease transmission and impact.
Background:
The parasite Schistosoma haematobium causes urogenital schistosomiasis, a chronic infectious disease that occurs mainly among school-age children.
Objective:
The prevalence of S. haematobium infection and level of intensity relative to age, gender and status of selected serum micronutrients among school-age children were investigated in suburban communities in Bekwarra, Nigeria.
Methods:
This cross-sectional school-based study randomly recruited 353 children aged between 4 and 16 years from five elementary schools between June 2019 and December 2019. We gathered socio-demographic data about each child using a semi-structured questionnaire. Blood samples were collected for micronutrient analysis and urine samples were collected for assessment of S. haematobium infection.
Results:
A total of 57 (16.15%) school-age children were infected with S. haematobium. Girls (n = 34; 9.63%) were more frequently infected than boys (n = 23; 6.52%). Infection was most frequent among children aged 8-11 years (n = 32; 23.19%) and was significantly associated with age (p = 0.022) and gender (p < 0.001). Serum levels of iron, calcium, copper and zinc among infected children were significantly lower than those of non-infected children. Intensity of infection was negatively associated with iron (r = -0.21), calcium (r = -0.24), copper (r = -0.61; p < 0.001) and zinc (r = -0.41; p < 0.002).
Conclusion:
This study showed that S. haematobium infection adversely impacted the micronutrient status of school-age children in suburban Nigeria. Measures to lower the prevalence of schistosomiasis among school-age children, including efficient drug distribution, education campaigns and community engagement, are necessary.
What This Study Adds:
This research emphasises the significance of implementing infection prevention and control interventions to mitigate the transmission and prevalence of schistosomiasis among school age children.
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