Urogenital Schistosomiasis Transmission and Human Water Contact Activities in Owena Reservoir/Dam, Ondo East Local Government Area, Ondo State, Nigeria

Abstract

<i>Background</i>: This study on urogenital schistosomiasis transmission and the roles played by human water contact activities was carried out in selected three communities viz Owena, Kajola and Baiken, bordering Owena Reservoir/Dam in Ondo East Local Government Area, Ondo State, Nigeria for a period of twenty four months. <i>Objective</i>: To ascertain the effects of human water contact activities on urogenital schistosomiasis transmission. <i>Materials and Methods</i>: Each site was observed for water contact activities once every month for twenty-four months. Observation was made at each site in February (dry season), May (early rainy season), August (rainy season) and November (early dry season). During this period, records were taken about individuals entering and leaving the water. Various types of human water contact activities were grouped on the basis of general purpose of contact. With regards to degree of body exposure and mean duration of contacts; using canoe, fetching water, washing household utensils, sorting fish and washing exposed limbs, all involved exposure of only parts of the lower limbs (foot and leg) and or the upper limbs (hand and forearm) for a brief period of time grouped as partial contact activities. Water contact activities consist of washing clothes and fish nets, processing food products (such as cassava and palm oil) may involve exposure of most parts of the lower and/or the upper limbs for a longer period. Swimming and bathing commonly involve total exposure for a very long time and were designated as complete contacts. <i>Results</i>: General pattern of human water contact activities in the study revealed 34,686 (61.6%) domestic, 15,897 (28.2%) economic, 5,732 (10.2%) recreational and 15 (0.03%) religious activities. Frequency of these activities varied significantly (p<0.05) among stations and seasons but comparable from one year to the other. School children (5-19 years age group) spent more time on exposure than adults who spent more time on partial and limited exposure. As a result, the exposure index was significantly (p<0.001) age dependent and followed the same pattern as duration of contact. Site containing most infected <i>Bulinus globosus </i>snails was site 4 (KAJ 1) at Kajola community with snail infection rate of 9.2% and the same site 4 (KAJ 1) had the highest relative index of exposure (15,063.80) as well as level of total duration (14,215) of contact in minutes. <i>Conclusion</i>: Site 4 (KAJ 1) at Kajola community was the transmission site in Owena Reservoir/Dam, Ondo East Local Government Area, Ondo State, Nigeria.