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

Abstract 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 urin...

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Main Authors: Stephen A. Spencer, James M. St. John Penney, Hannah J. Russell, Anthony P. Howe, Cortland Linder, Andriamahitsisambatra L. D. Rakotomampianina, Anjara M. Nandimbiniaina, S Bertel Squire, J. Russell Stothard, Amaya L. Bustinduy, Alain M. Rahetilahy
Format: Article
Language:English
Published: BMC 2017-06-01
Series:Parasites & Vectors
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13071-017-2249-7
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author Stephen A. Spencer
James M. St. John Penney
Hannah J. Russell
Anthony P. Howe
Cortland Linder
Andriamahitsisambatra L. D. Rakotomampianina
Anjara M. Nandimbiniaina
S Bertel Squire
J. Russell Stothard
Amaya L. Bustinduy
Alain M. Rahetilahy
author_facet Stephen A. Spencer
James M. St. John Penney
Hannah J. Russell
Anthony P. Howe
Cortland Linder
Andriamahitsisambatra L. D. Rakotomampianina
Anjara M. Nandimbiniaina
S Bertel Squire
J. Russell Stothard
Amaya L. Bustinduy
Alain M. Rahetilahy
author_sort Stephen A. Spencer
collection DOAJ
description Abstract 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.
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spelling doaj.art-2be2b2a2841b4a15970a38e856d2dab92022-12-22T02:56:42ZengBMCParasites & Vectors1756-33052017-06-011011810.1186/s13071-017-2249-7High burden of Schistosoma mansoni infection in school-aged children in Marolambo District, MadagascarStephen A. Spencer0James M. St. John Penney1Hannah J. Russell2Anthony P. Howe3Cortland Linder4Andriamahitsisambatra L. D. Rakotomampianina5Anjara M. Nandimbiniaina6S Bertel Squire7J. Russell Stothard8Amaya L. Bustinduy9Alain M. Rahetilahy10Royal United Hospitals Bath NHS Foundation TrustThe University of Manchester Medical SchoolThe University of Manchester Medical SchoolThe University of Manchester Medical SchoolThe University of Manchester Medical SchoolUniversité d’AntananarivoUniversité d’AntananarivoLiverpool School of Tropical MedicineLiverpool School of Tropical MedicineLondon School of Hygiene & Tropical MedicineMinistère de la Santé PubliqueAbstract 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.http://link.springer.com/article/10.1186/s13071-017-2249-7SchistosomiasisSchistosoma mansoniNeglected diseasesChild healthRural healthMadagascar
spellingShingle Stephen A. Spencer
James M. St. John Penney
Hannah J. Russell
Anthony P. Howe
Cortland Linder
Andriamahitsisambatra L. D. Rakotomampianina
Anjara M. Nandimbiniaina
S Bertel Squire
J. Russell Stothard
Amaya L. Bustinduy
Alain M. Rahetilahy
High burden of Schistosoma mansoni infection in school-aged children in Marolambo District, Madagascar
Parasites & Vectors
Schistosomiasis
Schistosoma mansoni
Neglected diseases
Child health
Rural health
Madagascar
title High burden of Schistosoma mansoni infection in school-aged children in Marolambo District, Madagascar
title_full High burden of Schistosoma mansoni infection in school-aged children in Marolambo District, Madagascar
title_fullStr High burden of Schistosoma mansoni infection in school-aged children in Marolambo District, Madagascar
title_full_unstemmed High burden of Schistosoma mansoni infection in school-aged children in Marolambo District, Madagascar
title_short High burden of Schistosoma mansoni infection in school-aged children in Marolambo District, Madagascar
title_sort high burden of schistosoma mansoni infection in school aged children in marolambo district madagascar
topic Schistosomiasis
Schistosoma mansoni
Neglected diseases
Child health
Rural health
Madagascar
url http://link.springer.com/article/10.1186/s13071-017-2249-7
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