Prevalence Of Urinary Schistosomiasis Research Articles

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.

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 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

Prevalence and intensity of urinary schistosomiasis and soil-transmitted helminths among women of reproductive age in Mwaluphamba, Kwale

Objective: To assess the epidemiology of urinary schistosomiasis and soil-transmitted helminthiasis among women of reproductive age in Mwaluphamba, Kwale County, Kenya. Methods: A community-based cross-sectional study design was employed to randomly sample 422 women of reproductive age (15-<50 years) from four villages in Mwaluphamba location. Stool specimens were collected and examined using the Kato-Katz method, while filtration technique was used to analyze urine specimens. Participants’ sociodemographic details were obtained using a standardized questionnaire. Results: Urinary schistosomiasis prevalence was at 4.7% (20/422, 95% CI 2.8%-6.9%) while the prevalence of soil-transmitted helminthiasis infection was 4.5% (19/422, 95% CI 2.6%-6.7%). The infection intensities of urinary schistosomiasis among the study participants ranged from 1 to 120 eggs/10 mL of urine with median egg count of 18.45 eggs/10 mL. The patients were diagnosed with light infection, of 56.16 egg/gram and 48.48 egg/gram for Trichuris trichiura and hookworms, respectively. Women without latrines had 15.7 times higher risk of having urinary schistosomiasis compared to those with a latrine. Similarly, use of surface water (aOR=1.0, 95% CI 0.2-1.4, P=0.010) and crossing the river to go to a place (aOR=1.1, 95% CI 0.3-1.6, P=0.009) were statistically significant risk factors for getting urinary schistosomiasis. In bivariable regression analysis, defecating around the water source (OR=4.3, 95% CI 1.5-12.9) had a statistically significant association with the prevalence of soil-transmitted helminthiasis (P=0.008). Conclusions: This study has given an insight on the prevalence and intensity of urinary schistosomiasis and soil-transmitted helminthiasis in Mwaluphamba location that form a basis for strengthening the control and elimination programmes for these neglected tropical diseases.

Prevalence and risk factors associated with urinary schistosomiasis (<i>Schistosoma haematobium</i> L.) among school children in Biu Local Government, Borno State, Nigeria

This cross sectional study was conducted between August-October, 2023 among 420 school-age children aged 5-16years attending public primary school in Biu local government, Borno state. The aim was to determine the prevalence, knowledge about the disease and risk factors associated with urinary schistosomiasis in the study area with the view of creating database information and awareness to the stakeholders. 10mls of urine sample was collected from each selected students and determination of Schistosoma haematobium eggs was done using standard sedimentation technique while microhaematuria were determined using a reagent strip and a well-structured questionnaire to obtained other required information. The overall prevalence of schistosomiasis among the students was 0.5% and male students that are in age group between 11-13years has the prevalence of 1.5%. The prevalence rate 0.8% and 0.9% was found in Buratai and Tum while no infected student was found in the Biu metropolis. Also, prevalence of urinary schistosomiasis was found in samples with visible haematuria in their urine as 21.3% of male student has visible haematuria while only 8.6% female has visible haematuria in their urine. The different between different age groups and locations was statistically insignificant while sex and visible haematuria was statistically significant. There was high level of ignorance and poor knowledge about transmission, prevention and treatment of schistosomiasis among the student. The study concluded that the parasite is not endemic in the study area despite the high level of ignorance and poor knowledge about parasites among the student in the study area. There is need for public enlightenment to maintain the status in the area.

Prevalence of Urinary Schistosomiasis Among Primary School Pupils in Keffi Local Government Area, Nasarawa State

Schistosomiasis, also known as bilharziasis or snail fever is primarily a tropical parasitic disease caused by eggs of adult stages of Schistosoma haematobium. Schistosomiasis has significant economic and public health consequences in many tropical and subtropical countries. This research aimed to determine the prevalence of urinary schistosomiasis among pupils of primary schools in Keffi LGA. A survey of S. haematobium was carried out among primary school pupils between the ages of 4 - 12 years in three primary schools that were selected randomly. A Questionnaire was administered to obtain demographic data. A total of 250 urine samples were examined, comprising 152 from males and 98 from females. The sedimentation technique was used, and urine deposits were examined microscopically. The overall prevalence of infection with Schistosoma haematobium in this study was 31.6%. Prevalence of disease varied among different schools, with the highest prevalence recorded at NSUK Demonstration School (20.8%) followed by LEA Primary School GRA (7.2%) while ECWA Primary School had the least prevalence of 3.6%. Males had 20.8% while females had 10.8% prevalence about Gender. Infection prevalence based on age was recorded as highest among the 10 – 12 age group with a prevalence of 20.4%. For prevalence based on source of water, those who used well water had a prevalence of 23.2%; while for prevalence based on parent’s occupation, Farmers had the highest with 22.4%. The study confirmed the prevalence of S. haematobium in the study area.

Prevalence of Urinary Schistosomiasis among Primary School Pupils in Jos, Northcentral Nigeria

Background: Urinary schistosomiasis is a parasitic disease caused by Schistosoma haematobium. It is a neglected tropical disease with Africa responsible for an estimated 90% of all cases requiring treatment. Nigeria is known to be endemic for urinary schistosomiasis with more than 100 million people at risk and about a 25million already infected.
 Aim: This study aimed to determine the prevalence and associated risk factors of urinary schistosomiasis among primary school pupils in Jos, Northcentral Nigeria.
 Study Design: A cross-sectional school-based study of 264 primary school pupils in Jos, Northcentral Nigeria.
 Place and Duration of Study: This study was carried out in Jos, Northcentral Nigeria between September 2021 and February 2022.
 Methodology: About 50ml of terminal urine samples were collected from each pupil in a sterile, wide-mouth universal container after obtaining consent from their parents and filling out a structured questionnaire. Urinalysis was done on-site using Swe-Care Uric 9V Urinalysis Reagent Strip. The ova of Schistosoma haematobium were identified using microscopy. DNA extraction was done on the positive sample and stored for subsequent sequencing. Statistical analysis was done using Statistical Package for Social Sciences (SPSS) version 22.
 Results: The eggs of Schistosoma haematobium were observed in 43(16.3%) of 264 urine samples examined. School B had the highest prevalence of 30.8% followed by School A, while School C with the highest number of recruited pupils was responsible for the lowest prevalence rate at 5(7.1%). Males were more infected than females with the age group 11-13 years old accounting for the highest prevalence rate of 15(25.9%). Haematuria and dysuria were found to have a positive correlation with urinary schistosomiasis among the participants.
 Conclusion: The findings of this research revealed that urinary schistosomiasis is still a major concern among primary school pupils in Jos, Northcentral Nigeria. Preventive chemotherapy using praziquantel should be combined with health education and communication strategies to treat and change risky behaviours among infected pupils such as swimming in snail-infested freshwater.

Prevalence of urinary schistosomiasis among children from three selected local government areas in Adamawa State, Nigeria

Schistosomiasis is a socio-economic and public health important human parasitic disease in the tropics. This study was carried out to determine the prevalence of urinary schistosomiasis among children in Ganye, Jada and Mayo Belwa Local Government Areas (LGAs) of Adamawa State. Urine samples were collected from 600 children between the ages of 5-16, analyzed using modified concentration sedimentation method and examined using microscopy. Diagnosis was based on the presence of Schistosoma haematobium eggs in urine samples. The overall prevalence of urinary schistosomiasis was 5.2% (32/600). Ganye LGA had the highest number positive cases with the prevalence of 9.5% (19/200), followed by Mayo Belwa LGA 4.0% (8/200) and the least in Jada LGA 2.5% (5/200). There was statistically significant difference in the prevalence of schistosomiasis among children and the different LGAs (X2 = 10.761; p<0.05). Highest prevalence of 8.3% was recorded between age groups of 13-16 years, followed by 4.9% in 5-8 years and least of 4.8% in 9-12 years. There was no statistical significant difference between prevalence of schistosomiasis among the age groups (p>0.05). Male children showed higher prevalence (7.5%) than female children (3.1%) with statistical significant difference (p<0.05). Based on parent education, children whose parents had non-formal education had higher prevalence (7.8%) and the least (0.0%) was recorded in children whose parent had tertiary education. Children whose parents were farmers had higher prevalence (5.8%) and the least prevalence was recorded in the children of civil servants (2.7%). No statistical significant association was found between prevalence of schistosomiasis with parent education and occupation (p>0.05). The present study reveals low prevalence of urinary schistosomiasis among children. A further expanded study that may cover the entire state as well as control measures designed to target the parasite and its intermediate host to prevent higher prevalence in future is recommended.

Urinogenital schistosomiasis knowledge, attitude, practices, and its clinical correlates among communities along water bodies in the Kwahu Afram Plains North District, Ghana.

Adequate knowledge and proper practices coupled with knowledge of the burden of disease are necessary for the eradication of Schistosoma infection. This study assessed knowledge, attitude, and practice (KAP) as well as health outcomes related to Schistosoma haematobium infection at Kwahu Afram Plains North District (KAPND). A cross-sectional survey using a structured questionnaire was carried out among 140 participants from four local communities in KAPND in August 2021. From these participants, 10ml of urine was collected for determination of the presence of S. haematobium and urine routine examination. In addition, 4ml of blood was collected and used for haematological examination. Descriptive statistics and logistic regression analysis using IBM SPSS were used to describe and represent the data collected. The study reports a gap in knowledge about schistosomiasis in the study area with the majority indicating that they have not heard of schistosomiasis (60.7%), do not know the mode of transmission (49.3%), and do not know how the disease could be spread (51.5%). The overall prevalence of urinary schistosomiasis was 52.9%. This was associated with age, occupation, perceived mode of Schistosoma transmission, knowledge of Schistosoma prevention, awareness that schistosomiasis can be treated, frequency of visits to water bodies, and water usage patterns. In multivariate analysis, factors that remained significantly associated with S. haematobium infection were age 21-40 (OR = 0.21, 95% CI: 0.06-0.76), 41-60 (OR = 0.01, 95% CI: 0.01-0.52) and ≥ 60 (OR = 0.02, 95% CI: 0.02-0.87), informal employment (OR = 0.01, 95% CI: 0.01-0.69) and awareness of transmission by drinking water from river body (OR = 0.03, 95% CI: 0.03-0.92). In Schistosoma infection, reduced haemoglobin, haematocrit, mean corpuscular volume, mean corpuscular haemoglobin, lymphocytes and eosinophils were observed. White blood cells, neutrophils, and monocytes were significantly elevated in infected states. Urine analysis revealed high pus cells and red blood cells counts among Schistosoma-positive participants. Schistosoma infection is endemic among inhabitants in KAPND, and is associated with a gap in knowledge, awareness, and practice possibly due to inadequate education in the area. Poor clinical outcomes associated with Schistosoma infection have been demonstrated in the area. A well-structured public education, nutritional intervention, and mass drug administration will be necessary to eradicate this menace.

Urinary schistosomiasis and associated microbial infections among pre-school aged and school-aged children in Ipogun, Nigeria

Urinary schistosomiasis is a parasitic infection caused by digenean trematode. In Nigeria, Schistosoma haematobium has been incriminated as the cause of urinary schistosomiasis infection and has been reported from different parts of the country with high prevalence especially in Ondo State. Endemicity in Ipogun village is over two decades due to cultural beliefs and behavioural attitude of the community dwellers to the disease. The study assessed the prevalence of urinary schistosomiasis and associated microbial infections among Pre-School Aged and School-Aged Children (SAC) in Ipogun, Ondo State. Urine samples were collected from 492 children in the village and analysed using the centrifugation method. Similarly, urine samples were cultured using standard microbial methods and examined for the presence of bacteriuria and fungi. The results showed that out of the 492 urine samples examined for parasitology, 306 (62.2%) were positive for urinary schistosomiasis with mean intensity of 22.3 in the sampled population. Haematuria was more prevalent among the male pupils (n =190; 12.2%) than the female (n =116; 6.5%). The prevalence peaked within the age group 16-20 at 82.2%. Staphylococcus aureus, Escherichia coli, Proteus mirabilis, Pseudomonas aeruginosa and Klebsiella sp were isolated as bacteria and Aspergillus sp and Candida sp as fungi solely from the schistosomiasis positive urine samples. This study revealed the prevalence of urinary schistosomiasis in the study area and the predisposition of the infected children to microbial infections. Results suggest routine uninterrupted chemotherapeutic control and the consideration of antibiotics in the treatment regime to control opportunistic microbial infections.

Haematobium infection and the predisposing factors in Fufore LGA of Adamawa State

Background & Objectives: Schistosomiasis, is a major health problem in the rural areas of developing countries where there is high water contact activities with fresh water bodies, poor hygienic practices and no portal drinking water. It ranks the second after Malaria with socio-economic and public health importance in the tropics and subtropical regions. To provide information on the prevalence and predisposing factors of Haematobium infection among School-aged children in relation to their age and gender in Fufore LGA. Methods: A cross sectional study was carried out to determine the prevalence of urinary Schistosomiasis and the predisposing factors in Fofure LGA of Adamawa State between October and November 2022 where five Schools were sampled for the study. 300 Students between the ages 0-15 years were randomly selected and grouped into three age groups (0-5, 6-10 and 11-15) respectively. Urine samples were obtained from the students and transferred to New Boshang Hospital Medical Laboratory for parasitological examination. Each were also issued a structured questionnaire so as to obtain their demographic characteristics and to determine the possible risk factors associated with this infection in the case of study. Results: Out of the total 300 Students examined, 113(37.7%) were positive for Schistosoma haematobium and the Males (43.9%) had significantly higher prevalence (P < 0.05) than the Females (30.2%). In respect to age, the age group 11-15 (51.5%) were significantly more infected (P < 0.05) than the younger age groups 0-5 (8.2%) and 6-10 (36.6%) examined. Haematobium infection was observed to be higher in children whose parents were irrigation farmers/ fishermen 173(57.7%) than those whose parents are not. Students whose household monthly income is below N30, 000 were more infected. Those that used well 97(32.3) and streams 123(41.0%) as source of drinking water showed high prevalence than those who use borehole. Students whose water contact activities were for farming/ fishing 201(67.7%) were significantly more infected with haematobium infection (P < 0.05) than those without ant water contact activity. Interpretation and Conclusion: From the result of the study, it’s clear that poverty, ignorance, socio-cultural practice, poor hygienic practices, inadequate toiletry facility are some of the predisposing factors associated with this infection in the study area. Intervention by the relevant authorities are needed to curtail the transmission of this infection. These interventions includes; massive health education, provision of portable drinking water and provision of good sanitary/ toilet facility.

Assessing the prevalence of Female Genital Schistosomiasis and comparing the acceptability and performance of health worker-collected and self-collected cervical-vaginal swabs using PCR testing among women in North-Western Tanzania: The ShWAB study.

Female Genital Schistosomiasis (FGS) is a neglected disease of the genital tract due to the inflammatory response to the presence of Schistosoma haematobium eggs in the genital tract. The WHO has prioritized the improvement of diagnostics for FGS and previous studies have explored the PCR-based detection of Schistosoma DNA on genital specimens, with encouraging results. This study aimed to determine the prevalence of FGS among women living in an endemic district in North-western Tanzania, using PCR on samples collected though cervical-vaginal swabs, and to compare the performance of self-collected and healthcare worker-collected (operator-collected) samples, and the acceptability of the different sampling methods. A cross-sectional study was conducted involving 211 women living in 2 villages in the Maswa district of North-western Tanzania. Urine, self-collected and operator-collected cervical-vaginal swabs were obtained from participants. A questionnaire was administered, focusing on the comfortability in undergoing different diagnostic procedures. Prevalence of urinary schistosomiasis, as assessed by eggs in urine, was 8.5% (95%CI 5.1-13.1). DNA was pre-isolated from genital swabs and transported at room temperature to Italy for molecular analysis. Prevalence of active schistosomiasis, urinary schistosomiasis, and FGS were 10.0% (95% CI 6.3-14.8), 8.5% (95%CI 5.1-13.1), and 4.7% (95%CI 2.3-8.5), respectively. When real-time PCR was performed after a pre-amplification step, the prevalence of active schistosomiasis increased to 10.4% (95%CI 6.7-15.4), and FGS to 5.2% (95%CI 2.6-9.1). Of note, more cases were detected by self-collected than operator-collected swabs. The vast majority of participants (95.3%) declared that they were comfortable/very comfortable about genital self-sampling, which was indicated as the preferred sampling method by 40.3% of participants. The results of this study show that genital self-sampling followed by pre-amplified PCR on room temperature-stored DNA is a useful method from both technical and acceptability point of views. This encourages further studies to optimize samples processing, and identify the best operational flow to allow integration of FGS screening into women health programmes, such as HPV screening.

Ultrasound aspects and risk factors associated with urogenital schistosomiasis among primary school children in Mali

BackgroundUrogenital schistosomiasis is endemic in Mali and is a major cause of serious morbidity in large parts of the world. This disease is responsible for many socio-economic and public health issues. The aim of this study was to investigate the impact of the disease on morbidity and to describe demographic and socioeconomic factors in relation to the status of children with urogenital schistosomiasis in Mali.MethodsWe conducted a cross-sectional study in November 2021 of 971 children aged 6 to 14 years selected at random from six schools in three districts in the Kayes Region of Mali. Demographic and socioeconomic data were collected on survey forms. Clinical data were collected following a medical consultation. Hematuria was systematically searched for through the use of strips. The search for Schistosoma haematobium eggs in urine was done via the filtration method. The urinary tract was examined by ultrasound. Associations between each of these variables and disease infection were tested using multivariate logistic regression.ResultsThe overall prevalence of urinary schistosomiasis detected was 50.2%. The average intensity of infection was 36 eggs/10 ml of urine. The associated risk factors for urogenital schistosomiasis showed that children who bathed, used the river/pond as a domestic water source, and who habitually urinated in the river/pond were more affected (P < 0.05). Children with farming parents were most affected (P = 0.032). The collection of clinical signs revealed that boys had more pollakiuria (58.6%) and dysuria (46.4%) than girls. Ultrasound data showed that focal lesion rates were recorded in all villages with the lowest rate in Diakalel (56.1%). Ultrasound and parasitological findings showed that irregularity and thickening were strongly associated with urinary schistosomiasis (P < 0.0001).ConclusionsSchistosoma haematobium infection was still endemic in the study site despite more than a decade of mass treatment with praziquantel. However, the high percentage of symptoms associated with high intensity reinforces the idea that further studies in terms of schistosomiasis-related morbidity are still needed.

Prevalence of Schistosoma haematobium and Intestinal Helminth Infections among Nigerian School Children

Schistosomiasis and soil-transmitted helminthiases (STH) are two parasitic diseases mainly affecting school children. The purpose of this study was to estimate the current prevalence and infection intensity, in addition to the associations of these infections with age and sex, in children aged 4-17 years living in Osun State, Nigeria. From each participant (250 children), one urine and one stool sample were taken for the study, for the microscopic detection of eggs or larvae in faeces by means of the Kato-Katz method and eggs in filtrated urine. The overall prevalence of urinary schistosomiasis was 15.20%, with light infection. The intestinal helminthic species identified (and their prevalence) were S. stercoralis (10.80%), S. mansoni (8%), A. lumbricoides (7.20%), hookworm (1.20%), and T. trichiura (0.4%), all of them being classified as light infections. Single infections (67.95%) are more frequent than multiple infections (32.05%). With this study, schistosomiasis and STH are still endemic in Osun State, but with a light to moderate prevalence and light infection intensity. Urinary infection was the most prevalent, with higher prevalence in children over 10 years. The >10 years age group had the highest prevalence for all of the intestinal helminths. There were no statistically significant associations between gender and age and urogenital or intestinal parasites.

PREVALENCE OF URINAR SCHISTOSOMIASIS AMONG PUPILS ATTENDING ANGWAN LAMBU PRIMARY SCHOOL, KEFFI, NASARAWA STATE, NIGERIA

This research aims to investigate the prevalence of urinary tract schistosomiasis among pupils of Angwan Lambu Primary School in Keffi Local Government Area of Nasarawa State conducted from June to September 2021. One hundred and fifty (150) urine samples were collected from the pupils and brought to the laboratory for parasitological examination of schistosome eggs using sedimentation method. The overall prevalence of schistosomiasis was 23(15.33%). The prevalence of urinary schistosomiasis was significantly higher (P &gt; 0.05) in male 15(10%) than the female 8(5%). There was no significant association (P &gt; 0.05) in the prevalence of urinary infection between genders and age. The results of the study showed highest prevalence in age group 7-9 (6%) followed by age group 10-12 (5%) while the lowest prevalence was observed among age group 4-6 (2%) which revealed the prevalence of S. haematobium in the study area. Therefore, periodic chemotherapy of the affected populations with praziquantel, improved health education, provision of portable water, adequate sanitation and control of fresh water snails will reduce the risk of morbidity and disease transmission in the area

Prevalence of Urinary Schistosomiasis among pupils attending Kust, Wudil Staff School, Kano State, Nigeria

Urinary schistosomiasis otherwise known as urogenital schistomiasis, caused by Schistosoma haematobium is a vector-borne disease transmitted by snails (bollinus spp.). This study assessed the prevalence of urinary schistosomiasis among pupils of KUST, Wudil staff school in Wudil Local Government of Kano State. A total of 150 urine samples were collected from the pupils between 10:00 a.m. to 2:00 p.m. Each pupil was given a clean, dry, universal bottle to urinate in with emphasis on the last drop. The urine samples collected were then transported aseptically to laboratory for analysis. Centrifugation technique was employed to sediment the urine samples and microscopy was used to examine the sediment for ova of S. haematobium. The results showed that 113 of the pupils were positive, representing 75.33% and 37 of the pupils were negative, representing 24.67%. A high incidence of the infection was discovered in boys 89 (59.33%) and much lower incidence was observed in girls 24 (16.00%). The highest prevalence was observed among age group 13-14 years (33.33%) while the least prevalence was discovered in age group 9-10 years (17.33%). It was observed that 107 (71.33%) of the pupils had contact with water bodies while 43 (28.67%) never had contact with water bodies. It was also discovered that the infection was highest among pupils who had contact with river (65.33%) and very much lower in those who never had contact with river (10%). The finding of this study discovered that urinary schistosomiasis is prevalent in the study area. On this background, authorities in Wudil local government should devise effective control and prevention strategies for the infection in order to reduce the burden of the disease on the affected pupils.

Urinary Schistosomiasis Prevalence and Diagnostic Performance of Reagent Strip at Point-of-Care

Due to limited resources and experience, rapid diagnostic techniques are advocated in nations with a resource shortage when diagnosing schistosomiasis. We used rapid diagnostic tests to access the prevalence and intensity of schistosome infection in North Central, Nigeria. A total of 1951 participants were recruited for this study. The participants were screened for S. haematobium infection; haematuria and proteinuria were monitored in the recruited patients with a commercial reagent strip. Of the 1951 participants recruited for the study, 587 were found to be infected. Children aged 0 to 10 years showed the highest levels of haematuria with (100%) specificity. Meanwhile, other age groups (11 - 20, 21 - 30, 31 - 40 and above 40 years) had rates higher than 90%. The degree of haematuria increased with egg intensity. The same was seen in proteinuria, with a percentage of 41.9%. A significant difference (p S. haematobium in rural endemic areas.

Urogenital schistosomiasis transmission, malaria and anemia among school-age children in Northern Ghana

BackgroundIn sub-Saharan Africa, co-morbidity with malaria, schistosomiasis, and soil transmitted helminths (STH) is common among young children. The current study investigated malaria, urinary schistosomiasis and their co-infection and anemia among school-age children in an endemic community, Nakolo in the Kassena-Nankana East District of northern Ghana. MethodsA cross-sectional survey of 336 school-age children, 5–16 years was undertaken. Urine samples were examined for Schistosoma haematobium ova using microscopy. Finger prick blood samples were examined for Plasmodium parasites using microscopy and haemoglobin concentration measured with HemoCue Hb301 photometer. ResultsThe mean age was 10.52 (Standard deviation: ±2.27; range: 5–16 years), of which 50.6% (170/336) were males. The overall prevalence of urinary schistosomiasis and Plasmodium (P.) falciparum was 12.8% (43/336) and 37.8% (127/336), respectively with 6.0% (20/336) coinfection. Participants with only P. falciparum infection had 17.8% (19/107) of moderate anemia whilst 21.7% (5/23) of children infected with only S. haematobium had moderate anemia and 4.3% (1/23) had severe anemia. 5.0 % (1/20) of moderate anemia was observed in concurrent infections of P. falciparum and S. haematobium. Use of open water bodies was associated with increased risk of S. haematobium infection (OR = 1.21; 95% CI = [1.06–1.39]; p = 0.001), with females being at reduced risk (OR = 0.93; 95%CI = [0.87–0.99]; p = 0.005). Absence of self-reported haematuria had 0.81 times reduced odds of S. haematobium infection (OR = 0.81; 95%CI = [0.74–0.87]; p < 0.001). ConclusionThis study has revealed that urinary schistosomiasis remains prevalent in Kassena-Nankana East district and suggests that urinary schistosomiasis may contribute to moderate anemia among school-age children as compared to asymptomatic malaria infection. These findings call for an evaluation of the annual mass drug administration of Praziquantel among in-school children to ascertain its impact on urinary schistosomiasis prevalence across the district.

The Prevalence Study of Urinary Schistosomiasis among the Primary School Pupils in Kisayhip, Bassa Local Government Area, Plateau State-Nigeria

Schistosomiasis is a chronic disease caused by parasitic flat worms also known as trematodes, which belongs to the genus Schistosoma. Schistosomiasis is considered to be the third most acute tropical illnesses globally, after malaria and helminthiasis as it is a main origin of morbidity and mortality, highly prevalent among school children, adolescents and young adults. The study was aimed to determine the prevalence of schistosomiasis of the urine and intestine in primary school pupils in Kisayhip, Bassa local Government Area of Plateau State. This study was conducted in five primary schools in Kisayhip, Bassa Local Government Area, Plateau State. A total of 230 children who were within the age 5-14years participated in the study. The schools and participating subjects were selected randomly provided they met the inclusion criteria. Fresh urine samples were collected between 10am-2pm, twice a week. The samples were examined macroscopically and microscopically to determine physical characteristics and parasite presence respectively. The result showed that prevalence of urinary schistosomiasis in A, B, C, D and E schools in Bassa Local government area were 6.00%, 4.00%, 8.00 and 4.00% respectively. There was no significant difference in the prevalence among the participating schools, P-value&gt;0.05. There was also no significant difference was recorded in gender based comparison, P-value&gt;0.05. There was no significant difference in the prevalence with respect to various age distributions. The study has revealed that though schistosomiasis was present in the area, the prevalence of the infection was very low and below WHO threshold.