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Progress in urinary schistosomiasis control measures in Iran

A M Kejbafzadeh1, N Hoghooghi-Rad, I Shenyari

  • 1Department of Urology and Renal Transplantation, School of Medicine, University of Medical Sciences of Ahwaz, Iran.

The Journal of Tropical Medicine and Hygiene
|April 1, 1995
PubMed
Summary

Urinary schistosomiasis caused by Schistosoma haematobium was prevalent in Iran. Control measures significantly reduced infection incidence from 0.653% in 1980 to 0.042% in 1989.

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Area of Science:

  • Medical Parasitology
  • Infectious Diseases Epidemiology

Background:

  • Urinary schistosomiasis, caused by Schistosoma haematobium, is endemic in Khoozestan province, Iran.
  • A ten-year field survey was conducted to assess the prevalence and incidence of this parasitic infection.

Purpose of the Study:

  • To document the prevalence and incidence of Schistosoma haematobium infection in Khoozestan province.
  • To evaluate the impact of control measures on urinary schistosomiasis transmission.

Main Methods:

  • A decade-long field survey (1980-1989) involving urine examinations and bladder biopsies.
  • Analysis of infection incidence rates over the survey period.
  • Implementation of mass chemotherapy and mollusciciding as control strategies.

Main Results:

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  • 1518 cases of Schistosoma haematobium infection were detected.
  • Infection incidence decreased significantly, from 0.653% in 1980 to 0.042% in 1989.
  • The 20-29-year-old age group exhibited the highest infection rates, with no significant sex-based differences.

Conclusions:

  • Strict control measures, including mass chemotherapy and mollusciciding, were effective in reducing urinary schistosomiasis prevalence in Khoozestan.
  • Urinary schistosomiasis remains a public health concern, particularly in the endemic region of south-west Iran.
  • Targeted interventions are crucial for sustained control of Schistosoma haematobium infections.