Soil-transmitted helminth infections and anemia in children attending government run schools on Samosir Island, Indonesia

Background: Worldwide, >654 million children live in regions where soil-transmitted helminth (STH) infections are endemic. These parasites cause a variety of symptoms, including anemia. Methods: In May 2023, fecal and blood samples were collected from children aged 6 to 11 years attending governm...

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Main Authors: Mara Ipa, Tri Isnani, Vierto Irennius Girsang, Amila, Ester Saripati Harianja, Yunita Purba, Toni Wandra, Christine M. Budke, Ivan Elisabeth Purba
Format: Article
Language:English
Published: Elsevier 2024-05-01
Series:Parasite Epidemiology and Control
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405673124000084
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author Mara Ipa
Tri Isnani
Vierto Irennius Girsang
Amila
Ester Saripati Harianja
Yunita Purba
Toni Wandra
Christine M. Budke
Ivan Elisabeth Purba
author_facet Mara Ipa
Tri Isnani
Vierto Irennius Girsang
Amila
Ester Saripati Harianja
Yunita Purba
Toni Wandra
Christine M. Budke
Ivan Elisabeth Purba
author_sort Mara Ipa
collection DOAJ
description Background: Worldwide, >654 million children live in regions where soil-transmitted helminth (STH) infections are endemic. These parasites cause a variety of symptoms, including anemia. Methods: In May 2023, fecal and blood samples were collected from children aged 6 to 11 years attending government run (public) elementary schools in the Simanindo and Ronggur Nihuta sub-districts of Samosir Island, Indonesia where a twice a year mass drug administration (MDA) program is currently in place. A questionnaire was administered to students' parents or adult family members on possible risk factors for STH infections. Qualitative data were collected through in-depth interviews and focus group discussions. Results: In total, 187 and 221 children in Simanindo and Ronggur Nihuta provided samples, respectively. The STH infection prevalence in Simanindo was 4.8% (9/187) and the infection prevalence in Ronggur Nihuta was 5.9% (13/221). In Simanindo, all infections were caused by Trichuris trichiura (n = 9), and in Ronggur Nihuta infections were caused by Ascaris lumbricoides (n = 6), Trichuris trichiura (n = 5), and A. lumbricoides + T. trichiura (n = 2). Three children had anemia but were negative for STH infections. While the results of the parent/adult questionnaires indicated access to a generally safe water supply and septic system, information from the in-depth interviews and focus groups revealed that the local water supply becomes greatly diminished during the dry season. Conclusions: While MDA has been shown to effectively control roundworms and hookworms, additional measures to control trichuriasis are needed. There is also a need for the government to invest in improving the public water supply infrastructure.
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spelling doaj.art-f4c34b2b90644740bb6e230da49cc2552024-03-03T04:29:49ZengElsevierParasite Epidemiology and Control2405-67312024-05-0125e00344Soil-transmitted helminth infections and anemia in children attending government run schools on Samosir Island, IndonesiaMara Ipa0Tri Isnani1Vierto Irennius Girsang2 Amila3Ester Saripati Harianja4Yunita Purba5Toni Wandra6Christine M. Budke7Ivan Elisabeth Purba8Research Center for Public Health and Nutrition, National Research and Innovation Agency, Bogor, Republic of IndonesiaResearch Center for Public Health and Nutrition, National Research and Innovation Agency, Bogor, Republic of IndonesiaFaculty of Pharmacy and Health Science, Sari Mutiara Indonesia University, Medan, IndonesiaFaculty of Pharmacy and Health Science, Sari Mutiara Indonesia University, Medan, IndonesiaFaculty of Pharmacy and Health Science, Sari Mutiara Indonesia University, Medan, IndonesiaFaculty of Vocational Education, Sari Mutiara Indonesia University, Medan, IndonesiaDirectorate of Postgraduate, Sari Mutiara Indonesia University, Medan, IndonesiaDepartment of Veterinary Integrative Biosciences, School of Veterinary Medicine & Biomedical Sciences, Texas A & M University, College Station, TX, USADirectorate of Postgraduate, Sari Mutiara Indonesia University, Medan, Indonesia; Corresponding author at: Sari Mutiara Indonesia University, Jl. Kapten Muslim No.79, Medan Helvetia, Medan, Sumatera Utara 20256, Indonesia.Background: Worldwide, >654 million children live in regions where soil-transmitted helminth (STH) infections are endemic. These parasites cause a variety of symptoms, including anemia. Methods: In May 2023, fecal and blood samples were collected from children aged 6 to 11 years attending government run (public) elementary schools in the Simanindo and Ronggur Nihuta sub-districts of Samosir Island, Indonesia where a twice a year mass drug administration (MDA) program is currently in place. A questionnaire was administered to students' parents or adult family members on possible risk factors for STH infections. Qualitative data were collected through in-depth interviews and focus group discussions. Results: In total, 187 and 221 children in Simanindo and Ronggur Nihuta provided samples, respectively. The STH infection prevalence in Simanindo was 4.8% (9/187) and the infection prevalence in Ronggur Nihuta was 5.9% (13/221). In Simanindo, all infections were caused by Trichuris trichiura (n = 9), and in Ronggur Nihuta infections were caused by Ascaris lumbricoides (n = 6), Trichuris trichiura (n = 5), and A. lumbricoides + T. trichiura (n = 2). Three children had anemia but were negative for STH infections. While the results of the parent/adult questionnaires indicated access to a generally safe water supply and septic system, information from the in-depth interviews and focus groups revealed that the local water supply becomes greatly diminished during the dry season. Conclusions: While MDA has been shown to effectively control roundworms and hookworms, additional measures to control trichuriasis are needed. There is also a need for the government to invest in improving the public water supply infrastructure.http://www.sciencedirect.com/science/article/pii/S2405673124000084Soil-transmitted helminth infectionanemiaschool-age childrenSamosirIndonesia
spellingShingle Mara Ipa
Tri Isnani
Vierto Irennius Girsang
Amila
Ester Saripati Harianja
Yunita Purba
Toni Wandra
Christine M. Budke
Ivan Elisabeth Purba
Soil-transmitted helminth infections and anemia in children attending government run schools on Samosir Island, Indonesia
Parasite Epidemiology and Control
Soil-transmitted helminth infection
anemia
school-age children
Samosir
Indonesia
title Soil-transmitted helminth infections and anemia in children attending government run schools on Samosir Island, Indonesia
title_full Soil-transmitted helminth infections and anemia in children attending government run schools on Samosir Island, Indonesia
title_fullStr Soil-transmitted helminth infections and anemia in children attending government run schools on Samosir Island, Indonesia
title_full_unstemmed Soil-transmitted helminth infections and anemia in children attending government run schools on Samosir Island, Indonesia
title_short Soil-transmitted helminth infections and anemia in children attending government run schools on Samosir Island, Indonesia
title_sort soil transmitted helminth infections and anemia in children attending government run schools on samosir island indonesia
topic Soil-transmitted helminth infection
anemia
school-age children
Samosir
Indonesia
url http://www.sciencedirect.com/science/article/pii/S2405673124000084
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