Epidemiology of Schistosomiasis in Two High-Risk Communities of South Côte d'Ivoire with Particular Emphasis on Pre-School–Aged Children
Open Access
- 10 July 2013
- journal article
- Published by American Society of Tropical Medicine and Hygiene in The American Journal of Tropical Medicine and Hygiene
- Vol. 89 (1), 32-41
- https://doi.org/10.4269/ajtmh.12-0346
Abstract
Schistosomiasis control efforts mainly target school–aged children. We studied the epidemiology of schistosomiasis in two high-risk communities in south Côte d'Ivoire, placing particular emphasis on pre-school–aged children. We used a suite of diagnostic techniques, including Kato–Katz, urine filtration, reagent strips, and urine circulating cathodic antigen cassettes. Risk factors for schistosomiasis were determined by focus group discussions and a structured questionnaire. The prevalence of Schistosoma mansoni in the two study villages among the pre-school–aged children (age < 6 years) was 20.9% and 25.0%, whereas several-fold higher prevalences were found in school–aged children (58.7–68.4%) and adolescents/adults (59.5–61.7%). The prevalence of S. haematobium in the three age groups was 5.9–17.3%, 10.9–18.4%, and 3.8–21.3%, respectively. Most participants had light-intensity infections. Mothers' occupations and older siblings play important roles in the epidemiology of schistosomiasis in pre-schoolers. In the current epidemiologic settings, more attention is warranted on pre-school–aged children and adolescents/adults for successful schistosomiasis control.This publication has 43 references indexed in Scilit:
- Accuracy of Urine Circulating Cathodic Antigen (CCA) Test for Schistosoma mansoni Diagnosis in Different Settings of Côte d'IvoirePLoS Neglected Tropical Diseases, 2011
- Closing the praziquantel treatment gap: new steps in epidemiological monitoring and control of schistosomiasis in African infants and preschool-aged childrenParasitology, 2011
- Urinary schistosomiasis among preschool-aged children in Sahelian rural communities in MaliParasites & Vectors, 2011
- Schistosoma mansoni Infections in Young Children: When Are Schistosome Antigens in Urine, Eggs in Stool and Antibodies to Eggs First Detectable?PLoS Neglected Tropical Diseases, 2011
- Treatment of intestinal schistosomiasis in Ugandan preschool children: best diagnosis, treatment efficacy and side-effects, and an extended praziquantel dosing poleInternational Health, 2010
- Parasites and poverty: The case of schistosomiasisActa Tropica, 2010
- Urinary schistosomiasis among preschool children in a rural community near Abeokuta, NigeriaParasites & Vectors, 2010
- Schistosomiasis and neglected tropical diseases: towards integrated and sustainable control and a word of cautionParasitology, 2009
- Schistosomiasis and water resources development: systematic review, meta-analysis, and estimates of people at riskThe Lancet Infectious Diseases, 2006
- Incorporating a Rapid-Impact Package for Neglected Tropical Diseases with Programs for HIV/AIDS, Tuberculosis, and MalariaPLoS Medicine, 2006