High burden of Schistosoma mansoni infection in school-aged children in Marolambo District, Madagascar

Autor: Alain M. Rahetilahy, Andriamahitsisambatra L. D. Rakotomampianina, Anjara Mihaja Nandimbiniaina, James M. St. John Penney, Anthony P. Howe, Amaya L. Bustinduy, Hannah J Russell, S. Bertel Squire, Stephen A. Spencer, Cortland Linder, J. Russell Stothard
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Parasites & Vectors, Vol 10, Iss 1, Pp 1-8 (2017)
Parasites & Vectors
ISSN: 1756-3305
Popis: Background A school-based survey was undertaken to assess prevalence and infection intensity of schistosomiasis in school-aged children in the Marolambo District of Madagascar. Methods School-aged children from six purposively selected schools were tested for Schistosoma haematobium by urine filtration and Schistosoma mansoni using circulating cathodic antigen (CCA) and Kato-Katz stool analysis. The investigators did not address soil-transmitted helminths (STH) in this study. Results Of 399 school-aged children screened, 93.7% were infected with S. mansoni based on CCA analysis. Kato-Katz analysis of stool revealed S. mansoni infection in 73.6% (215/ 292). Heavy infections (> 400 eggs per gram) were common (32.1%; 69/ 215), with a mean of 482 eggs per gram of stool. Moderate infection intensities were detected in 31.2% (67/ 215) and light infection intensities in 36.7% (79/ 215) of infected participants. No infection with S. haematobium was detected by urine filtration. Conclusions Intestinal schistosomiasis appears a considerable public health issue in this remote area of Madagascar where there is a pressing need for mass drug administration.
Databáze: OpenAIRE