Prevalence Of Schistosomiasis Research Articles

Soil-Transmitted Helminthiasis, Intestinal Schistosomiasis and Malaria Co-Infections among Children in Rural Communities Around Rwasave and Cyarwa Valleys

Background: Soil-transmitted helminthiasis, schistosomiasis and malaria remain a threat in developing countries, especially to people living in rural areas near large water bodies, valleys or swamps whose daily life activities revolve around those areas. In addition, these parasites affect different groups of people especially those in contact with their breeding sites including children mostly due to their developing immunity compared to that of old people. Methodology: This cross-sectional study was conducted in rural communities near the Rwasave and Cyarwa valleys, with 124 school-aged children participating. Stool samples were tested for the presence of STH eggs and intestinal Schistosoma parasites using the Kato Katz technique, and thick blood smears were made to aid in the identification of plasmodium species in blood. The threshold intensity of infection on STHs and Schistosoma sp. was estimated by counting their eggs microscopically, which aided in classifying infections as light, moderate, or heavy according to WHO standards. Furthermore, Plasmodium species were identified by the presence of schizonts, trophozoites, or gametocytes on Giemsa-stained thick blood smears, and parasitic density was calculated as a result. Results: In this study, the highest prevalence of soil transmitted helminthiasis was 12.7% in Cyarwa valley compared to 12.5% in Rwasave valley. The highest prevalence of Schistosomiasis was 3.2% in Cyarwa valley compared to 1.3% in Rwasave valley. Prevalence of malaria in Cyarwa valley was 3.3% in 63 children. Where children infected were only males falling in 5-8 age group. Conclusion: Results showed high prevalence of soil transmitted helminthiasis which was 12.7% in Cyarwa compared to 12.5% in Rwasave valley especially in children aged 5-8, this due to poor sanitation (P<0.001) that have assessed. Surprisingly, Cyarwa valley is located nearby town. Whereas malaria, intestinal schistosomiasis was low and there were not significantly associated with their risk factors with p-values 0.4, 0.092 respectively which can show that, preventive measures that have been established by government of Rwanda have positive impacts. Furthermore, there was a low prevalence of soil transmitted helminthiasis, intestinal schistosomiasis and malaria co-infection. Keywords: soil transmitted helminthiasis, intestinal schistosomiasis, malaria.

Prevalence of Schistosomiasis among Pupils of Umunya Central School, Oyi Local Government, Anambra State, Nigeria

Background: Schistosomiasis is a disease of medical importance caused by the parasitic worm Schistosoma haematobium. It is responsible for morbidities such as blood and protein deficiency in those infected. The study on the prevalence of urogenital schistosomiasis and contributory risk factors was carried out among pupils of Umunya Central School, Oyi Local Government, Anambra State between November and December, 2021. Methods: The children were between the ages of 4-15 years. One hundred and twenty respondents of children were selected and their urine samples were collected and examined for the presence of haematuria and proteinuria using a combi 9 strip before the filtration technique was used to detect the presence of the parasite. Pupils data were collected using Google Forms researcher’s questionnaire. Results: Out of the 120 (62 males and 58 females) children examined, a total prevalence of 0% was gotten. The pupils had a good source of water although a few of them (8%) still drank from the rivers in the community which could predispose them to the disease. Knowledge of the disease was very little among the children and many of them visited the rivers for different activities (78%). Conclusion: Health education of the children and residents for improved perception of the behavioural and socio-economic activities associated with the disease will help reduce the burden of disease transmission.

Barriers and misconceptions hindering reduction of intestinal schistosomiasis in Mbita Sub-County, Western Kenya

BackgroundCommunity and individual participation are crucial for the success of schistosomiasis control. The World Health Organization (WHO) has highlighted the importance of enhanced sanitation, health education, and Mass Drug Administration (MDA) in the fight against schistosomiasis. These approaches rely on the knowledge and practices of the community to be successful; however, where the community knowledge is low and inappropriate, it hinders intervention efforts. Hence, it is essential to identify barriers and misconceptions related to awareness of schistosomiasis, sources of infection, mode of transmission, symptoms, and control measures.MethodsThis was a mixed-method cross-sectional study involving 1200 pre-school children randomly selected and examined for Schistosoma mansoni infection using the Kato-Katz technique. All parents/guardians of selected children were enrolled for a pre-tested questionnaire survey, while 42 were engaged in focus group discussions (FGDs). The level of knowledge and awareness among parents/guardians about schistosomiasis was evaluated in relation to the infection status of their pre-school children.ResultsAmong pre-school children, the prevalence of intestinal schistosomiasis was 45.1% (95% CI 41.7–48.5). A majority of parents/guardians (85.5%) had heard about schistosomiasis, and this awareness was associated with the participant’s level of education (OR = 0.16, 95% CI 0.08, 0.34). In addition, a positive association was observed between higher educational attainment and knowledge of the causative agent (OR = 0.69, 95% CI 0.49, 0.96). Low education level was significantly associated with limited knowledge of transmission through lake water contact (OR = 0.71, 95% CI 0.52, 0.97) and infection from the lake (OR = 0.33, 95% CI 0.19, 0.57). Notably, parents/guardians who have heard of schistosomiasis could not recognize symptoms of S. mansoni infection, such as abdominal pain (91.8%, 815/888) and blood in the stool (85.1%, 756/888). Surprisingly, 49.8% (442/888) incorrectly identified hematuria (blood in urine), a key sign of S. haematobium, but not S. mansoni, in an endemic area for S. mansoni infection. The majority (82.6%, 734/888) of parents/guardians were unaware that dams are potential infection sites, despite 53.9% (479/888) of their pre-school-aged children testing positive for schistosome infection.ConclusionsDespite the high level of awareness of intestinal schistosomiasis in the study area, we identified a low level of knowledge regarding its causes, modes of transmission, signs and symptoms and potential sites of transmission within the community. This study emphasizes the need for targeted educational interventions to address the misconceptions and knowledge gaps surrounding intestinal schistosomiasis through tailored community-based programs.

Prevalence of urinary schistosomiasis among school children in Giwa and Markafi Local Government Areas, Kaduna State, Nigeria

Urinary schistosomiasis is a neglected tropical disease that is affecting the health of many children, especially in Nigeria. Awareness about schistosomiasis in some communities is low; hence more children undertake activities in unsafe bodies of water. This study determined the prevalence, socio-demography, risk factors and symptoms of urinary schistosomiasis among school children in Giwa and Makarfi LGAs. A total of 200 school children were enrolled in this study and each of them submitted 10 mL urine sample. Each urine sample was concentrated by centrifugation and the sediment was examined using a light compound microscope. Data collected were analyzed using IBM SPSS Version 23 at 95% confidence interval. Overall prevalence of urinary schistosomiasis in this study was 19(9.5%). Spatial prevalence was 10.0% and 9.0% in Giwa and Makarfi LGAs respectively. There was no infection among the females (0.0%), but 13.5% of infection occurred among the males (P=0.003, OR =1.156). School children within the age-group of 18–19 years old had highest infection of 20.0%, followed by 12.1% and 5.6% among those within age-groups of 14-15 and 12-13 years old respectively. The infection was more occurring among children in junior secondary school (10.4%) than among those in senior secondary school (7.7%). Significant risk factors were irrigation farming, swimming, fishing and washing of clothes in rivers (P<0.05, OR >1). Significant symptoms of the disease among them included painful urination and terminal haematuria (P<0.05, OR >1). However, infected individuals mostly encountered frequent urination and abdominal pains (OR>1). Urinary schistosomiasis prevails in the study area. It is important to create widespread awareness and treatment intervention.

Determination of prevalence, risk factors and symptoms of urinary schistosomiasis among school children in Kaduna South Local Government Area, Kaduna State

Schistosomiasis negatively impacts children’s health. Children expose themselves daily to schistosome infections due to lack of awareness and knowledge about the disease or the danger of infested water bodies. This study was aimed at determining the prevalence, risk factors and symptoms of urinary schistosomiasis among school children in Kaduna South Local Government Area, Kaduna State, Nigeria. Four hundred (400) consented school children submitted 10mL urine each and responded to structured questionnaires. Sediment of each urine sample was examined by light microscopy, after centrifugation at 3000 rpm for 5 min. Overall prevalence of urinary schistosomiasis was 4.5%. Both male and female children were equally infected (4.5% each). Older children between 13-17 years old were more infected (5.0%) and more at risk (OR = 2.982) than younger children (8-12 years old) who had 1.7% of the infection. No infection was recorded among children who had awareness about the disease. Water-based activities that served as significant risk factors for the infection included swimming in river (8.7%, P=0.016, OR= 3.064), fishing (12.2%, P=0.005, OR=3.942) and washing of clothes in river (17.4%, P=0.002, OR=5.459). Significant symptoms of urinary schistosomiasis identified were frequent urination (12.5%, P=0.023, OR=3.612), abdominal pain (10.0%, P=0.045, OR=2.880), and terminal haematuria (13.6%, P=0.002, OR=4.526). Infected individuals were more at risk of experiencing pains during urination (7.4%, OR=2.047). Unawareness promotes the spread of schistosomiasis among Nigerian children; their continuous exposure to infested water poses a greater risk. Creation of awareness amongst children will help to control their play habits in unsafe water bodies.

The effects of selected neglected tropical diseases on economic performance at the macrolevel in Africa

BackgroundNeglected tropical diseases (NTDs) such as leprosy, lymphatic filariasis (LF), schistosomiasis and onchocerciasis are endemic in several African countries. These diseases can lead to severe pain and permanent disability, which can negatively affect the economic productivity of the affected person(s), and hence resulting into low economic performance at the macrolevel. Nonetheless, empirical evidence of the effects of these NTDs on economic performance at the macrolevel is sparse. This study therefore investigates the effects of the above-mentioned NTDs on economic performance at the macrolevel in Africa.MethodsThe study employs a panel design with data comprising 24 to 45 African countries depending on the NTD in question, over the period, 2002 to 2019. Gross domestic product (GDP) is used as the proxy for economic performance (Dependent variable) and the prevalence of the above-mentioned NTDs are used as the main independent variables. The random effects (RE), fixed effects (FE) and the instrumental variable fixed effects (IVFE) panel data regressions are used as estimation techniques.ResultsWe find that, an increase in the prevalence of the selected NTDs is associated with a fall in economic performance in the selected African countries, irrespective of the estimation technique used. Specifically, using the IVFE regression estimates, we find that a percentage increase in the prevalence of leprosy, LF, schistosomiasis and onchocerciasis is associated with a reduction in economic performance by 0.43%, 0.24%, 0.28% and 0.36% respectively, at either 1% or 5% level of significance.ConclusionThe findings highlight the need to increase attention and bolster integrated efforts or measures towards tackling these diseases in order to curb their deleterious effects on economic performance. Such measures can include effective mass drug administration (MDA), enhancing access to basic drinking water and sanitation among others.

Effects of paediatric schistosomiasis control programmes in sub-Saharan Africa: A systematic review.

Preventive chemotherapy by mass drug administration is globally recommended as the primary method of reaching the elimination of schistosomiasis, especially in the high risk-paediatric population. This systematic review provides a summary of the effects of paediatric schistosomiasis control programs on eliminating schistosomiasis in sub-Saharan Africa. A systematic search was conducted in PubMed, EBSCOhost, and other databases to obtain studies regarding the effects of paediatric schistosomiasis control programmes in sub-Saharan Africa. 3455 studies were screened for eligibility, included articles reported on both paediatrics control programmes and schistosomiasis, and articles were excluded when they did not report on schistosomiasis control programmes in paediatrics exclusively. 40 selected studies were critically appraised using the JBI critical appraisal tools for relevance and 30 studies were included in the study. An in-depth quantitative descriptive analysis was conducted, and a comprehensive narrative summary explained the results within the scope of the review questions. The results show that despite preventive chemotherapy lowering schistosomiasis prevalence, chances of re-infection are high in endemic areas. Preventive chemotherapy without complementary interventions including safe water provision and proper sanitation, snail control and health education on the aetiology of schistosomiasis, transmission pattern and control practices might not eliminate schistosomiasis.

Low schistosomiasis and soil-transmitted helminthiasis prevalence and intensities in selected communities in Davao de Oro and Davao del Norte, the Philippines: A setting for interruption of transmission?

Parasitic neglected tropical diseases, such as schistosomiasis and soil-transmitted helminthiasis (STH), remain as significant public health concerns in developing countries such as the Philippines. This study aimed to determine the prevalence and intensity of schistosomiasis and STH among school-age children (SAC) and adults in two co-endemic provinces in Mindanao in southern Philippines as part of monitoring of national control programs. Stool samples were collected, processed using Kato-Katz technique, and examined microscopically for presence of intestinal helminth ova. A total of 776 SAC and 526 adults participated in the study. Low schistosomiasis prevalence was generally observed in SAC (0.8%) and adults (0.4%). Generally low STH prevalence was reported in both SAC (3.9%) and adults (3.4%). Only three SAC had heavy intensity STH, which was not seen in adults. Results indicate a state of good morbidity control, which may be a result of effective implementation of mass drug administration (MDA) strategy for schistosomiasis, STH, and lymphatic filariasis in the last several years. The low prevalence and intensities of infections may also be partly attributed to the low diagnostic sensitivity of Kato-Katz technique in detecting low intensity intestinal helminth infections. While results of this study also indicate similarly low levels of both these infections in previous studies, sustaining high MDA coverage rates and addressing remaining challenges related to intensified case finding and treatment, improvements in safe water, sanitation, and hygiene, veterinary public health, and vector ecology and management will be necessary to interrupt transmission in these areas.

Awareness towards urinary schistosomiasis and its relation with active infection among primary school pupils and students in North Kordofan state, Sudan 2022

ObjectivesThis study intends to evaluate the prevalence of active Schistosomiasis in school children, as well as their awareness, attitude, and behavior towards the illness in El-Rahad province. MethodsThis facility-based analytical cross-sectional study among 495 primary school children aged seven to 13 in five villages; Structured and pre-tested questionnaires were used to collect the data in face-to-face interviews, in addition, urine samples were collected from each pupil and then assessed microscopically for S. Haematobium eggs Presence. Data was analyzed using SPSS version 25.0. ResultsA total of 424 primary school students participated in the study. Almost all the students (96%) had poor knowledge about urinary schistosomiasis. In general, 100% of the students had poor practices. Attitude revealed that females have lower chance of having the infection than their male counterparts. About 27% (n = 115) of them had active urinary schistosomiasis infection at the time of the study. ConclusionThe study revealed poor level of awareness and knowledge, positive attitude, and poor practices among primary school students. There was also high level of active infection among participants.

Prevalence of intestinal schistosomiasis among school children in Biu Local Government Area, Borno State, Nigeria

Intestinal schistosomiasis is one of the neglected tropical diseases caused by four species of the genus Schistosoma. The aim of this study was to determine the prevalence, knowledge and risk factors associated with intestinal schistosomiasis in the study area. A total number offour hundred and twenty (420) fecal samples were collected from the study participants in the three sampling locations; Tum, Buratai and Biu metropolis. Samples collected were examined using formal-ether concentration technique. Other information about the participants’ knowledge on the disease and associated risk factors were obtained using a structured questionnaire. Three 3(0.7%) out of the entire samples examined were found with the eggs of Schistosoma mansoni and only age group 11-13years and 14-16years 1(0.7%) and 2(1.8%) has egg of Schistosoma mansoni in their fecal samples respectively. All the 3(1.6%) infected participants were male while no female 58 participant was infected with the parasite. Miringa had the highest prevalence of (1.9%) followed by Buratai(0.9%) and no infection in Biu metropolis. The difference in the prevalence rate between the age groups, sexes and locations of th eparticipants was statistically not significant. There was high level of ignorance and poor knowledge about the transmission, prevention and treatment of schistosomiasis among the participants. Other parasites encountered during the study were Ascaris lumbricoides (54%) Trichiuris trichiuria (33%), Giardia intestinalis (3%), Entamoeba histolytica (4%), Ancylostoma duodenale (6%). During this study, Schistosomiasis was not endemic in the study area but other intestinal parasites. Therefore, there is need for stakeholders to educate the people on the effect of this parasite and treat the few infected individuals using praziquantel for schistosoma spp and other anthelmintic drugs for mass administration to avoid further escalation of the intestinal parasites in the area.

An empirical analysis of the effects of schistosomiasis and lymphatic filariasis on macroeconomic output in Ghana

BackgroundSchistosomiasis and Lymphatic Filariasis (LF) are endemic in Ghana. These diseases cause significant morbidity and disability which can adversely affect the participation of affected persons and their caregivers in economic activities, resulting in reduced economic output at the macrolevel. This study, therefore aims to provide the first empirical evidence of the effects of these diseases on economic output at the macrolevel in Ghana. MethodsThe study uses annual time series data on Ghana collected from secondary sources over the period, 1990–2019. Gross Domestic Product (GDP) is used as the proxy for macroeconomic output (i.e., dependent variable) and the main independent variables are the point prevalence of schistosomiasis and LF (including their sex disaggregation). The Ordinary Least Square (OLS) and the Instrumental Variable Two-Stage Least Square (IV2SLS) regressions are employed as estimation techniques. ResultsUsing the OLS (IV2SLS) regressions, a percentage increase in the overall prevalence of schistosomiasis as well as the prevalence of schistosomiasis among males and females is found to be associated with a 1.37% (1.36%), 1.29% (1.30%) and 1.41% (1.39%) fall in macroeconomic output respectively, at the 1% level of significance. Similarly, a percentage increase in the overall prevalence of LF as well as the prevalence of LF among males and females is found to be associated with a 0.34% (0.37%), 0.34% (0.37%) and 0.34% (0.38%) fall in macroeconomic output respectively, at the 1% level of significance. ConclusionThere is the need to strengthen efforts towards fighting schistosomiasis and LF in Ghana in order to reduce their associated economic losses.

Prevalence of Bovine Schistosomiasis and Associated Risk Factors in and Around Haramaya, Oromia Region, East Ethiopia.

Schistosomiasis is caused by the Schistosoma genus and is transmitted through intermediate hosts, such as snails. A cross-sectional investigation was conducted within and surrounding Haramaya town between December 2022 and May 2023 to estimate the prevalence of schistosomiasis in cattle and associated risk factors. The degree of prevalence was estimated using surveys carried out in slaughterhouses and coprological laboratories. For statistical estimation, chi-square tests and logistic regression were utilized. A total of 390 samples were obtained through simple random sampling. In the survey that was undertaken on abattoirs, a total of 384 samples were chosen through the utilization of a systematic random sampling approach. The recovery of Schistosoma eggs from fecal specimens was achieved by sedimentation. The overall rates of schistosomiasis in cattle were estimated to be 21.28% and 18.23% through coprological and postmortem examinations, respectively. The analysis conducted through multivariable logistic regression indicated that management system, body condition, and age were significant risk factors. Cattle under extensive management (OR = 5.9, 95% CI = 2-17) and those in the young age category (OR = 2.7, 95% CI = 1.0-7.00) were more susceptible to acquiring schistosomiasis than cattle under intensive management and those in the adult age category, respectively. According to the odds ratio, there was a positive association between the incidence rate of schistosomiasis in cattle and poor body condition (OR: 3.048, 95% CI = 1.07-8.68; P = 0.00). Schistosomiasis infection was 3.048 times more likely to manifest in animals in poor physical condition. This affliction has had a profound impact on the livestock industry, as substantiated by the elevated prevalence of schistosomiasis in cattle within the studied region. Consequently, an integrated approach to prevention and control that targets the parasite is needed.

Age-group associations of schistosomiasis prevalence from trial data, Côte d'Ivoire, Kenya and the United Republic of Tanzania.

To determine if the prevalence of schistosomiasis in children aged 9-12years is associated with the prevalence in 5-8-year-olds and adults after preventive chemotherapy in schools or the community. We combined data from four community-randomized, preventive chemotherapy trials in treatment-naïve populations in Côte d'Ivoire, Kenya and the United Republic of Tanzania during 2010-2016 according to the number of praziquantel treatments and the delivery method. Schistosoma mansoni infection was sought on two slides prepared from each participant's first stool using the Kato-Katz technique. We assessed associations between S. mansoni prevalence in 9-12-year-olds and 5-8-year-olds and adults in the community before and after treatment using Bayesian regression models. Stool samples from 47 985 5-8-year-olds, 81 077 9-12-year-olds and 20 492 adults were analysed. We found associations between the prevalence in 9-12-year-olds and that in 5-8-year-olds and adults after preventive treatment, even when only school-age children were treated. When the prevalence in 9-12-year-olds was under 10%, the prevalence in 5-8-year-olds was consistently under 10%. When the prevalence in 9-12-year-olds was under 50%, the prevalence in adults after two or four rounds of preventive chemotherapy was 10%-15% lower than before chemotherapy. Post-chemotherapy age-group associations were consistent with pre-chemotherapy associations in this analysis and previous studies. The prevalence of S. mansoni infection in 9-12-year-olds was associated with the prevalence in other age groups and could be used to guide community treatment decisions.

Prevalence of Urinary Schistosomiasis among Primary School Pupils in Riverine Community of Garko Local Government Area, Kano State, Nigeria

Schistosomiasis is a neglected tropical disease that has become endemic in the riverine communities, primarily among school-age children, leading to school absenteeism. The study determines the prevalence of urinary Schistosomiasis and predisposition factors. A total of One hundred and fifty urine samples were examined for the presence of Schistosoma haematobium ova and detection of haematuria. The result obtained was tested using the Chi-Square test, and the overall prevalence was 53.3%. The infection rate was higher among males (58%) than the females (42%). The infection rate was higher among the ≥15 years age group (69.2%), while the 5-9 years age group had the least infection rate (47.2%). The study observed that the highest prevalence (62.0%) was recorded in Kafinchiri Primary School; this might be due to the influence of the water body in the community. The predisposition factors include gender, as males recorded the higher prevalence, which might be related to the economic activities such as irrigation, fishing, and laundry occurring in the riverine area. Age groups among the pupils had an impact on the prevalence of school absenteeism, and running away before closing hours is partially attributed to recreational activities, including swimming. Maintaining a safe distance between schools and water bodies and limiting frequent visits to the riverine area is crucial. The use of personal protective clothing and prompt treatment of infected persons should be encouraged to curtail the infection.

Urinary schistosomiasis among female secondary school students in Ndokwa East Local Government Area in Delta State, Nigeria: Knowledge, risk factors and prevalence

x`Undiagnosed and untreated cases of urinary schistosomiasis in females usually lead to severe gynaecological complications, collectively known as Female Genital Schistosomiasis. Periodic assessment of schistosomiasis in vulnerable endemic communities will prevent late diagnosis and treatment. This study was conducted to determine the prevalence, knowledge, and risk factors of urinary schistosomiasis among female secondary school students in Ndokwa East Local Government Area, Delta State, Nigeria. A Cross-sectional research design and multi-stage sampling technique were used to select 401 female secondary school students in the Ndokwa East Local Government Area. Participants’ urine samples were obtained and examined for Schistosoma haematobium eggs. A questionnaire was administered to collect information on the knowledge of schistosomiasis and exposure to known schistosomiasis risk factors from each participant. Urinary schistosomiasis was not detected in any of the analysed samples. Most students were uneducated (8% had good knowledge) regarding the infection. The absence of egg- patent prevalence in the samples may be due to mass administration of praziquantel to control the disease in the LGA. Knowledge about the disease was low. None of the independent variables was a significant predictor of knowledge about urinary schistosomiasis.

Sexual and reproductive health among men with genital schistosomiasis in southern Tanzania: A descriptive study.

Male genital schistosomiasis (MGS) is a significantly neglected condition, and its consequences often receive inadequate attention. The disease is suggested to cause schistosomiasis-induced sexual and reproductive health problems among males. The study was conducted to investigate the prevalence of MGS, sexual and reproductive health problems that could be caused by MGS among adult males in Mtama district. A community-based cross-sectional study using quantitative methods was carried out among males aged ≥ 18 years in selected households. Semen and urine samples were collected from each participant to establish the prevalence of MGS and urogenital schistosomiasis respectively. Semen quality was macroscopically and microscopically assessed. Urine samples were analyzed using filtration technique. A structured questionnaire interview was carried out to collect socio-demographic data, sexual and reproductive health information. Descriptive statistics were used to provide a summary of each variable. The prevalence (proportions) were presented in percentages and their respective 95% confidence intervals. A total of 223 adult males participated in this study. The prevalence of MGS and urogenital schistosomiasis were 5.8% (95% CI; 3.1%-9.0%) and 22.4% (95% CI; 16.6%-27.8%) respectively. The prevalence of Schistosoma haematobium eggs in semen was found high among young adults 12/129 (9.3%, 95% CI; 4.9%-15.7%), who never attended to school 6/35 (17.1%, 95% CI; 6.6%-33.6%), petty traders 4/26 (15.4%, 95% CI; 4.4%-34.9%), never impregnated woman 9/70 (12.9%, 95% CI: 6.6%-33.6%), experienced pain during ejaculation 4/17 (23.5%, 95% CI; 4.9%-15.7%), and with brownish semen 2/5 (40%, 95% CI; 4.9%-15.7%). According to the findings, MGS, like urogenital schistosomiasis, is prevalent in southern Tanzania. The disease is prevalent among males with some reproductive and sexual issues. This highlight the need for more research to investigate the association of MGS and male reproductive and sexual health for improved health services among males.

URINARY SCHISTOSOMIASIS AMONG SCHOOL-AGE CHILDREN IN SELECTED RURAL COMMUNITIES IN HADHRAMOUT GOVERNORATE, YEMEN

Background: Urinary schistosomiasis is a potentially life-threatening public health issue in some areas of Yemen, particularly in Hadhramout rural communities. It is considered as one of the most common neglected tropical parasitic diseases. This study aimed to investigate the prevalence of urinary schistosomiasis and associated risk factors among school-age males and females in selected rural communities of Hadhramout, Yemen. Methods: A total of 450 students participated in this cross-sectional study. Urine samples were collected, then examined for haematuria and Schistosoma haematobium (S. haematobium) eggs using urine dipsticks and filtration technique respectively. To assess knowledge and practices regarding the transmission of urinary schistosomiasis, a pre-tested questionnaire was employed. Results: An overall (66)14.7% of participants tested positive for S. haematobium, and of those, 54 (12.0%) developed haematuria with a statistically significant difference (p=0.001). A total of 35(53.0% eggs/10 ml urine) had heavy intensity of infection, with a significant difference (p=0.001) between the different communities visited: high in Al-Dhulaya'a (18.2 eggs/10 ml urine) and low in Yabaith (6.1 eggs/10 ml urine). S. haematobium infection showed significantly higher (p=0.002) in males (13.8%) than females (0.9%), and increased with age of participants. Multivariate logistic analysis of risk factors were significantly associated with the prevalence of urinary schistosomiasis such as swimming activities (p=0.016), washing clothes (p=0.14), time spent in infested areas more than 15 minutes (p=0.012), habits of defecation/urination in open water sources (p=0.44), self-reported symptoms suggestive of the disease (p=0.03), participants with a history of illness (p=0.014), lack of awareness of schistosomiasis (p=0.050), and no prior treatment with praziquantel (p=0.001). Conclusions: Urinary schistosomiasis remains highly prevalent among schoolchildren in rural communities in Hadhramaut. The study highlights the urgent need to implement preventive measures, safe drinking water supply, proper sanitation, and vector control programs in order to reduce transmission and morbidity caused by schistosomiasis. Peer Review History: Received 3 December 2023; Revised 28 January 2024; Accepted 27 February; Available online 15 March 2024 Academic Editor: Dr. Marwa A. A. Fayed, University of Sadat City, Egypt, maafayed@gmail.com Average Peer review marks at initial stage: 6.0/10 Average Peer review marks at publication stage: 7.5/10 Reviewers: Dr. Owanaro Peter, Nigeria, Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Niger Delta University, Wilberforce Island, Bayelsa State, Nigeria. owonaropeter@gmail.com Dr. George Zhu, Tehran University of Medical Sciences, Tehran, Iran, sansan4240732@163.com

Unraveling trends in schistosomiasis: deep learning insights into national control programs in China.

To achieve the ambitious goal of eliminating schistosome infections, the Chinese government has implemented diverse control strategies. This study explored the progress of the 2 most recent national schistosomiasis control programs in an endemic area along the Yangtze River in China. We obtained village-level parasitological data from cross-sectional surveys combined with environmental data in Anhui Province, China from 1997 to 2015. A convolutional neural network (CNN) based on a hierarchical integro-difference equation (IDE) framework (i.e., CNN-IDE) was used to model spatio-temporal variations in schistosomiasis. Two traditional models were also constructed for comparison with 2 evaluation indicators: the mean-squared prediction error (MSPE) and continuous ranked probability score (CRPS). The CNN-IDE model was the optimal model, with the lowest overall average MSPE of 0.04 and the CRPS of 0.19. From 1997 to 2011, the prevalence exhibited a notable trend: it increased steadily until peaking at 1.6 per 1000 in 2005, then gradually declined, stabilizing at a lower rate of approximately 0.6 per 1000 in 2006, and approaching zero by 2011. During this period, noticeable geographic disparities in schistosomiasis prevalence were observed; high-risk areas were initially dispersed, followed by contraction. Predictions for the period 2012 to 2015 demonstrated a consistent and uniform decrease. The proposed CNN-IDE model captured the intricate and evolving dynamics of schistosomiasis prevalence, offering a promising alternative for future risk modeling of the disease. The comprehensive strategy is expected to help diminish schistosomiasis infection, emphasizing the necessity to continue implementing this strategy.

Progress in controlling the transmission of schistosome parasites in Southern Ethiopia: the Geshiyaro Project in the Wolaita Zone

BackgroundThis paper describes changes in the prevalence and intensity of schistosome parasite infections in a project integrating mass drug administration (MDA), water, sanitation, and hygiene (WaSH), and behavioral change interventions.MethodsThe Geshiyaro Project comprises three intervention arms. Arm 1 is subdivided into “Arm 1 pilot” (one district) and Arm 1 (four other districts), both receiving integrated community-wide MDA with intensive WaSH interventions. Arm 2 involves 17 districts with community-wide MDA interventions, while Arm 3 serves as a control with school-based MDA interventions in three districts. A total of 150 individuals, stratified by age group, were randomly selected from each of the 45 sentinel sites. Arm sizes were 584 (Arm 1 pilot), 1636 (Arm 1), 2203 (Arm 2), and 2238 (Arm 3). Statistical tests were employed to compare infection prevalence and intensity across the different arms.ResultsThe prevalence of schistosome parasite infection ranged from 0% to 2.6% and from 1.7% to 25.7% across districts, employing the Kato-Katz (KK) and point-of-care circulating cathodic antigen (POC-CCA) diagnostics, respectively. The mean infection intensity level showed no marked difference between baseline and follow-up surveys when measured by KK, except in Arm 2 (t = 6.89, P < 0.0001). Infection prevalence decreased significantly in Arm 1 (t = 8.62, P < 0.0001), Arm 2 (t = 6.94, P < 0.0001), and Arm 3 (t = 8.83, P < 0.0001), but not in Arm 1 pilot (t = 1.69, P = 0.09) by POC-CCA, when trace was considered positive. The decrease was significant only in Arm 1 (t = 3.28, P = 0.0001) and Arm 2 (t = 7.62, P < 0.0001) when the trace was considered negative in POC-CCA. Arm 2 demonstrated a significant difference in difference (DID) compared to the control group, Arm 3, regardless of whether trace in POC-CCA was considered positive (DID = 3.9%, df = 8780, P = 0.025) or negative (DID = −5.2, df = 8780, P = 0.0004).ConclusionsThe prevalence of schistosomiasis was low when employing the KK diagnostic but moderate in some locations by the POC-CCA diagnostic. The infection level had decreased across all arms of the Geshiyaro study at mid-term of the 7-year project, but further efforts are needed to reduce the rate of parasite transmission based on the POC-CCA diagnostic scores.Graphical

Mathematical model of voluntary vaccination against schistosomiasis

Human schistosomiasis is a chronic and debilitating neglected tropical disease caused by parasitic worms of the genus Schistosoma. It is endemic in many countries in sub-Saharan Africa. Although there is currently no vaccine available, vaccines are in development. In this paper, we extend a simple compartmental model of schistosomiasis transmission by incorporating the vaccination option. Unlike previous models of schistosomiasis transmission that focus on control and treatment at the population level, our model focuses on incorporating human behavior and voluntary individual vaccination. We identify vaccination rates needed to achieve herd immunity as well as optimal voluntary vaccination rates. We demonstrate that the prevalence remains too high (higher than 1%) unless the vaccination costs are sufficiently low. Thus, we can conclude that voluntary vaccination (with or without mass drug administration) may not be sufficient to eliminate schistosomiasis as a public health concern. The cost of the vaccine (relative to the cost of schistosomiasis infection) is the most important factor determining whether voluntary vaccination can yield elimination of schistosomiasis. When the cost is low, the optimal voluntary vaccination rate is high enough that the prevalence of schistosomiasis declines under 1%. Once the vaccine becomes available for public use, it will be crucial to ensure that the individuals have as cheap an access to the vaccine as possible.