EFFECTS OF SCHISTOSOMIASIS ON HAEMOGLOBIN CONCENTRATION AND NUTRITIONAL STATUS IN CHILDREN UNDER 5 YEARS TAITA/TAVETA COUNTY KENYA.
Introduction:
Bilharziasis is a common parasitic disease caused by flatworms called schistosomes.rnGenerally this infection is common and prevalent disease in Sub-Saharan AfricarnMiddle East Asia and the Caribbean. With slowed down treatment the infection inrnyoung children under 5 years can potentially cause long term harm health effects.rnThis disease causes unsatisfactory development and advancement in this early criticalrnphase of life.
Objectives:
. This study was meant to attest to the burden of schistosomiasis in TaitarnTaveta County by unmasking the prevalence and intensity of the disease among 5rnyears and below of age.
Methodology:
The study recruited children under 5 years from six villagesrnusing stratified random technique. The selected children were referred to the nearestrnhealth facility for specimen collection. Stool and urine specimens were examinedrnmicroscopically for helminths. Blood specimens were analyzed for malaria parasitesrnand hemoglobin concentration. Data on anthropometric indices were also collected.rnAnalysis were done using WHO Anthros and IBM SPSS
Findings:
132 participants werernadmitted in the study predominant sex 53.8 being males. The age of thernparticipants ranged from 7 to 59 complete months with a median age of 48 39 59rnmonths. The number of participants who tested positive for bilharziasis was 37 28rn95 CI 21.1 - 36.2. Cases of haematobium and mansoni were discovered in 18.9rnpercent 95 CI 13.2 - 26.5 and 15.9 percent 95 CI 10.7 - 23.1 of thernsampled participants sequentially. Participants who were positive for other intestinalrnnematodes 6.8 percent 95 CI 3.6 - 12.5. The other STH infections were:rnascariasis 6.8 hookworm infection 4.5 and trichuriasis 1.5. The proportionrnof study participants whohad heavy intensity infections of urinary schistosomiasisrnwere 16.0. Heavy intensity infections were not detected in STH and S. mansoni.rnBilharziasis was associated with nutritional aspects which comprises of stunting oddsrnratio OR 3.665 95 CI 1.443 - 9.309 p0.006 and underweight OR 12.698rn95 CI 3.107 - 51.900 p0.001. Anemia was evidenced among the participantsrnwith schistosome infection when compared with the schistosome-negative participantsrn57.1 percent versus 42.9 percent respectively OR 7.897 95 CI 3.383 18.438rnp0.001. This survey confirmed a significant burden of schistosomiasis amongrnpopulation aged 5 years and below in the study area. Additionally this studyrnindisputable demonstrated that a lot of concerted efforts need to be prioritized forrninterventions including treatment and deworming to the pre-school age childrenrnPSAC in the study area. For example in line with WHO exhortation since the ovarnpatent prevalence of schistosomiasis in this age group is within the range of more thanrn10 but not exceeding 50 then biennial treatment with praziquantel should bernconducted. With the great ambitious goal of World health organization ofrnoutstretching 75 coverage of prophylactic chemotherapy with a target of majorrnhelminthiases among PSAC
Results:
Conclusion:
Our data support the call forrninstitutionalized mass treatment in lieu of school-based approaches only. This willrnensure that deserving PSAC are reached by pertinent interventions via alternativerndelivery platforms such as through the Integrated Management of Childhood Illnessesrnand through Early Childhood Development and Education Centers
Publication Information
Author(s):
Focus County(s):
Taita Taveta County
Programme Area(s):
Infectious and Parasitic Diseases
Research Priority Area(s):
Disease Domain(s):
Schistosomiasis Nutrition
Document History:
Publication Date: 01.Mar.2022
Conference Title:
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