Environmental factors influencing the distribution and prevalence of Schistosoma haematobium in school attenders of ILembe and uThungulu Health Districts, KwaZulu-Natal Province, South Africa
Schistosoma haematobium infection is reported to facilitate the development of urogenital diseases. Its symptoms include haematuria, dysuria and tiredness, and it may cause cognitive decline in children. The prevalence of S. haematobium infection needs to be known in endemic areas and a mass treatme...
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2017-12-01
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author | Nkosinathi Banhela Myra Taylor Siphosenkosi G. Zulu Linnea S. Strabo Eyrun F. Kjetland Svein Gunnar |
author_facet | Nkosinathi Banhela Myra Taylor Siphosenkosi G. Zulu Linnea S. Strabo Eyrun F. Kjetland Svein Gunnar |
author_sort | Nkosinathi Banhela |
collection | DOAJ |
description | Schistosoma haematobium infection is reported to facilitate the development of urogenital diseases. Its symptoms include haematuria, dysuria and tiredness, and it may cause cognitive decline in children. The prevalence of S. haematobium infection needs to be known in endemic areas and a mass treatment programme against the disease implemented. The aim of this study was to investigate the prevalence and intensity of S. haematobium infection in ILembe and uThungulu health districts, using the major symptom, haematuria, as an indicator. A total of 6 265 urine samples, from 96 rural schools, was collected for analysis using dipsticks. The prevalence of haematuria in the ILembe health district was 37% (95% CI, 35–39%) for boys and 39% (95% CI, 37–41%) for girls. The prevalence of haematuria in the uThungulu health district was 56% (95% CI, 53– 59%) and 53% (95% CI, 50–56%) for girls and boys, respectively. Light-intensity infection was the most common infection level in both health districts. A negative relationship was observed between prevalence and altitude (r = −0.262, p = 0.009); whereas, we found a slight, though significant, positive association with mid-summer temperatures (r = 0.234, p = 0.021). Associations between prevalence and distance of school to the nearest river were non-significant. |
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last_indexed | 2024-04-13T15:57:12Z |
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series | Southern African Journal of Infectious Diseases |
spelling | doaj.art-5817fac005b4460db392cd66b78846672022-12-22T02:40:38ZengAOSISSouthern African Journal of Infectious Diseases2312-00532313-18102017-12-0132413213710.4102/sajid.v32i4.3833Environmental factors influencing the distribution and prevalence of Schistosoma haematobium in school attenders of ILembe and uThungulu Health Districts, KwaZulu-Natal Province, South AfricaNkosinathi Banhela0Myra Taylor1Siphosenkosi G. Zulu2Linnea S. Strabo3Eyrun F. Kjetland4Svein Gunnar5Discipline of Public Health Medicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal (UKZN), DurbanDiscipline of Public Health Medicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal (UKZN), DurbanDiscipline of Public Health Medicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal (UKZN), DurbanNorwegian Centre for Imported and Tropical Diseases, Department of Infectious Diseases Ullevaal, Oslo University Hospital, OsloDiscipline of Public Health Medicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal (UKZN), Durban, South Africa; Norwegian Centre for Imported and Tropical Diseases, Department of Infectious Diseases Ullevaal, Oslo University Hospital, OsloResearch Department, Sorlandet Hospital HF, Kristiansand, Norway; Department of Global Development and Planning, University of Agder, KristiansandSchistosoma haematobium infection is reported to facilitate the development of urogenital diseases. Its symptoms include haematuria, dysuria and tiredness, and it may cause cognitive decline in children. The prevalence of S. haematobium infection needs to be known in endemic areas and a mass treatment programme against the disease implemented. The aim of this study was to investigate the prevalence and intensity of S. haematobium infection in ILembe and uThungulu health districts, using the major symptom, haematuria, as an indicator. A total of 6 265 urine samples, from 96 rural schools, was collected for analysis using dipsticks. The prevalence of haematuria in the ILembe health district was 37% (95% CI, 35–39%) for boys and 39% (95% CI, 37–41%) for girls. The prevalence of haematuria in the uThungulu health district was 56% (95% CI, 53– 59%) and 53% (95% CI, 50–56%) for girls and boys, respectively. Light-intensity infection was the most common infection level in both health districts. A negative relationship was observed between prevalence and altitude (r = −0.262, p = 0.009); whereas, we found a slight, though significant, positive association with mid-summer temperatures (r = 0.234, p = 0.021). Associations between prevalence and distance of school to the nearest river were non-significant.https://sajid.co.za/index.php/sajid/article/view/38altitudehaematuriaintensityprevalenceschistosoma haematobiumtemperatureurogenital schistosomiasis |
spellingShingle | Nkosinathi Banhela Myra Taylor Siphosenkosi G. Zulu Linnea S. Strabo Eyrun F. Kjetland Svein Gunnar Environmental factors influencing the distribution and prevalence of Schistosoma haematobium in school attenders of ILembe and uThungulu Health Districts, KwaZulu-Natal Province, South Africa Southern African Journal of Infectious Diseases altitude haematuria intensity prevalence schistosoma haematobium temperature urogenital schistosomiasis |
title | Environmental factors influencing the distribution and prevalence of Schistosoma haematobium in school attenders of ILembe and uThungulu Health Districts, KwaZulu-Natal Province, South Africa |
title_full | Environmental factors influencing the distribution and prevalence of Schistosoma haematobium in school attenders of ILembe and uThungulu Health Districts, KwaZulu-Natal Province, South Africa |
title_fullStr | Environmental factors influencing the distribution and prevalence of Schistosoma haematobium in school attenders of ILembe and uThungulu Health Districts, KwaZulu-Natal Province, South Africa |
title_full_unstemmed | Environmental factors influencing the distribution and prevalence of Schistosoma haematobium in school attenders of ILembe and uThungulu Health Districts, KwaZulu-Natal Province, South Africa |
title_short | Environmental factors influencing the distribution and prevalence of Schistosoma haematobium in school attenders of ILembe and uThungulu Health Districts, KwaZulu-Natal Province, South Africa |
title_sort | environmental factors influencing the distribution and prevalence of schistosoma haematobium in school attenders of ilembe and uthungulu health districts kwazulu natal province south africa |
topic | altitude haematuria intensity prevalence schistosoma haematobium temperature urogenital schistosomiasis |
url | https://sajid.co.za/index.php/sajid/article/view/38 |
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