Risk of human helminthiases: geospatial distribution and targeted control

Objectives: We conducted a cross-sectional survey in 2012 among 22 rural barangays in Northern Samar, the Philippines in order to determine the prevalence of single and multiple species helminth infections, their geospatial distribution and underlying risk factors. Methods: A total of 10,434 individ...

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Main Authors: Weiwei Yu, Allen G. Ross, Remigio M. Olveda, Donald A. Harn, Yuesheng Li, Delia Chy, Gail M. Williams
Format: Article
Language:English
Published: Elsevier 2017-02-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971216316563
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author Weiwei Yu
Allen G. Ross
Remigio M. Olveda
Donald A. Harn
Yuesheng Li
Delia Chy
Gail M. Williams
author_facet Weiwei Yu
Allen G. Ross
Remigio M. Olveda
Donald A. Harn
Yuesheng Li
Delia Chy
Gail M. Williams
author_sort Weiwei Yu
collection DOAJ
description Objectives: We conducted a cross-sectional survey in 2012 among 22 rural barangays in Northern Samar, the Philippines in order to determine the prevalence of single and multiple species helminth infections, their geospatial distribution and underlying risk factors. Methods: A total of 10,434 individuals who had completed both a medical questionnaire and a stool examination were included in the analysis. Barangay specific prevalence rates were displayed in ArcMap. Results: The prevalence of Trichuris trichiura infection was found to be the highest at 62.4%, followed by Ascaris lumbricoides, hookworm and S. japonicum with the prevalence rates of 40.2%, 31.32%, and 27.1%, respectively. 52.7% of people were infected with at least two parasites and 4.8% with all four parasites. Males aged 10-19 years were the most vulnerable to coinfection infection. Students, fishermen, farmers and housewives were the most vulnerable occupations for co-infection of A. lumbricoides and T. trichiura. Considerable heterogeneity in the spatial distribution was observed for the different parasite species. There was a considerably higher risk of A. lumbricoides and T. trichiura co-infection in villages with no schistosomiasis infection (P < 0.0001) regardless of MDA treatment. Conclusions: A better understanding of the geospatial distribution of multi-parasitism will guide future integrated strategies leading to elimination.
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spelling doaj.art-7dfb358b7b274bb69ab41a56414a64372022-12-21T17:31:09ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112017-02-0155C13113810.1016/j.ijid.2016.12.013Risk of human helminthiases: geospatial distribution and targeted controlWeiwei Yu0Allen G. Ross1Remigio M. Olveda2Donald A. Harn3Yuesheng Li4Delia Chy5Gail M. Williams6School of Public Health, University of Queensland, Brisbane, AustraliaMenzies Health Institute Queensland, Griffith University, Gold Coast, AustraliaResearch Institute for Tropical Medicine, Department of Health, the PhilippinesCentre for Tropical and Emerging Global Health Diseases, University of Georgia, USAQIMR Berghofer Medical Research Institute, AustraliaMunicipal Medical Officer of Health, Palapag, Northern SamarSchool of Public Health, University of Queensland, Brisbane, AustraliaObjectives: We conducted a cross-sectional survey in 2012 among 22 rural barangays in Northern Samar, the Philippines in order to determine the prevalence of single and multiple species helminth infections, their geospatial distribution and underlying risk factors. Methods: A total of 10,434 individuals who had completed both a medical questionnaire and a stool examination were included in the analysis. Barangay specific prevalence rates were displayed in ArcMap. Results: The prevalence of Trichuris trichiura infection was found to be the highest at 62.4%, followed by Ascaris lumbricoides, hookworm and S. japonicum with the prevalence rates of 40.2%, 31.32%, and 27.1%, respectively. 52.7% of people were infected with at least two parasites and 4.8% with all four parasites. Males aged 10-19 years were the most vulnerable to coinfection infection. Students, fishermen, farmers and housewives were the most vulnerable occupations for co-infection of A. lumbricoides and T. trichiura. Considerable heterogeneity in the spatial distribution was observed for the different parasite species. There was a considerably higher risk of A. lumbricoides and T. trichiura co-infection in villages with no schistosomiasis infection (P < 0.0001) regardless of MDA treatment. Conclusions: A better understanding of the geospatial distribution of multi-parasitism will guide future integrated strategies leading to elimination.http://www.sciencedirect.com/science/article/pii/S1201971216316563Intestinal helminthsRisk FactorsMass Drug Administration (MDA)ControlGeospatial DistributionArcMap
spellingShingle Weiwei Yu
Allen G. Ross
Remigio M. Olveda
Donald A. Harn
Yuesheng Li
Delia Chy
Gail M. Williams
Risk of human helminthiases: geospatial distribution and targeted control
International Journal of Infectious Diseases
Intestinal helminths
Risk Factors
Mass Drug Administration (MDA)
Control
Geospatial Distribution
ArcMap
title Risk of human helminthiases: geospatial distribution and targeted control
title_full Risk of human helminthiases: geospatial distribution and targeted control
title_fullStr Risk of human helminthiases: geospatial distribution and targeted control
title_full_unstemmed Risk of human helminthiases: geospatial distribution and targeted control
title_short Risk of human helminthiases: geospatial distribution and targeted control
title_sort risk of human helminthiases geospatial distribution and targeted control
topic Intestinal helminths
Risk Factors
Mass Drug Administration (MDA)
Control
Geospatial Distribution
ArcMap
url http://www.sciencedirect.com/science/article/pii/S1201971216316563
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