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Healthcare Associated Infections II: Preventive Measures01:22

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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Strategies to Decrease the Prevalence of Soil-Transmitted Helminths in Central India.

Archa Sharma1, Shashank Purwar2, Shipra Gupta2

  • 1Department of Microbiology, Gandhi Medical College, Bhopal, Madhya Pradesh, India.

Journal of Laboratory Physicians
|June 16, 2023
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Summary
This summary is machine-generated.

Control strategies like Swachh Bharat Abhiyan and National Deworming Day significantly reduced intestinal parasite infections in Central India. Soil-transmitted helminth infections saw a greater decrease than protozoan infections due to albendazole

Keywords:
National Deworming DaySwachh Bharat Abhiyancentral Indianeglected tropical diseasesoil-transmitted helminths

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Parasitology

Background:

  • Intestinal parasites pose a significant global health challenge, particularly in tropical regions.
  • India accounts for a substantial burden of soil-transmitted helminths (STH), affecting millions.
  • Poor sanitation, unsafe water, and inadequate hygiene are key contributing factors to parasitic infections.

Purpose of the Study:

  • To evaluate the effectiveness of public health interventions on intestinal parasite prevalence.
  • To assess the impact of the Swachh Bharat Abhiyan (Clean India Mission) and National Deworming Day on parasitic infections.
  • To analyze the reduction in protozoan and helminthic infections following control strategies.

Main Methods:

  • Analysis of stool samples from all age groups at AIIMS Bhopal Microbiology laboratory.
  • Microscopic examination for protozoan trophozoites/cysts and helminthic ova.
  • Correlation of infection rates with national control initiatives: open-defecation free drive and mass drug administration of albendazole.

Main Results:

  • Out of 4,620 stool samples, 8.41% (389) were positive for parasitic infections.
  • Protozoan infections were more prevalent, with Giardia duodenalis (51.67%) and Entamoeba histolytica (44.73%) being most common.
  • Helminthic infections, including Hookworm, represented 3.5% of positive cases.

Conclusions:

  • The Swachh Bharat Abhiyan and National Deworming Day initiatives have demonstrably reduced intestinal parasite infections in Central India.
  • A notable decrease in soil-transmitted helminths was observed compared to protozoan infections.
  • Albendazole's efficacy spectrum contributed to the differential reduction in infection types.