1. High prevalence of intestinal schistosomiasis in school-age children in the villages adjacent to Lake Chamo in the southern Rift Valley of Ethiopia.
- Author
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Ayele, Yenenesh, Wegayehu, Teklu, Woldeyes, Daniel, and Massebo, Fekadu
- Subjects
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INTESTINAL parasites , *NEGLECTED diseases , *SCHISTOSOMA mansoni , *JUVENILE diseases , *ASCARIS lumbricoides - Abstract
Background: The prevalence of intestinal schistosomiasis remains a challenge despite government efforts to eliminate the disease. This study aims to assess the prevalence of intestinal schistosomiasis in school-age children living in the villages surrounding Lake Chamo in southern Rift Valley of Ethiopia. Methodology/Principal findings: A cross-sectional study was conducted from January to July 2023 in Shele Mela Kebele in Gamo Zone, South Ethiopia. Stool samples were collected from 597 school-age children. A singe Kato-Katz for helminths and formalin-ether concentration technique for protozoan parasites were used to process the samples. The intensity of Schistosoma mansoni infection among school-age children was determined by counting the number of eggs per gram of stool. Of the 597 children screened, 52.3% (95% CI: 48.4.4–56.4) were positive for Schistosoma mansoni. These findings showed that 55% of the infections were light, 30.3% were moderate, and 14.7% were heavy. The mean egg count of S. mansoni parasites was 182.1 eggs per gram. The prevalence of other intestinal parasites (Hymenolopis nana, Ascaris lumbricoides, Hookworm, Taenia species, Giardia lamblia and Entamoeba histolytica) was found to be 7.7% (46/597). The overall prevalence of S. mansoni co-infection with other intestinal parasites was 5.0% (30/597). Specifically, the co-infection rates were 1.5% for A. lumbricoides, 1.3% for H. nana, 1.0% for Taenia species, 0.2% for Hookworm, 0.2% for E. histolytica, and 0.2% for G. lamblia. Conclusions/Significances: The study showed a high rate of S. mansoni infection among school-age children. This calls for immediate action, such as school-based deworming, to protect these children from the disease and reduce the burden. Further research is needed to understand the transmission of the infection by the intermediate host. Author summary: Schistosomiasis is a neglected tropical parasitic disease that affects over 220 million people globally. Although there is a deworming mass drug administration (MDA) program for soil-transmitted helminths, the study area still needs to be integrated into the Praziquantel MDA. The study focused on school-age children to better understand the prevalence of the disease and recommend interventions. Hence, we assessed the prevalence and intensity of intestinal schistosomiasis among school-age children living in selected villages near Lake Chamo in the southern Rift Valley of Ethiopia. The results revealed that the prevalence of Schistosoma mansoni was 52.3%. The overall prevalence of other intestinal parasites (Hymenolopis nana, Ascaris lumbricoides, Hookworm, Taenia species, Giardia lamblia, and Entamoeba histolytica) was 7.7%. We documented a 5% S. mansoni co-infection with all other intestinal parasites including A. lumbricoides, H. nana, Taenia species, Hookworm, E. histolytica, and G. lamblia. This implies a high prevalence of intestinal parasites in school-age children, necessitating immediate action to alleviate this burden. Implementing school-based mass drug administration (MDA) for schistosomiasis is advisable in the study villages. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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