PREVALENCE OF SOIL TRANSMITTED HELMINTHS AMONG UNDER FIVE CHILDREN AND ASSOCIATED ENVIRONMENTAL FACTORS IN SELECTED MATERNAL HEALTHCARE CENTRES IN IBADAN, NIGERIA
DOI:
https://doi.org/10.51699/mjssh.v1i5.361Keywords:
Soil, Environmental FactorsAbstract
Neglected Tropical Diseases (NTDs), which are common in sub-Saharan Africa, Latin America, China, and East Asia, include soil-transmitted Helminths. Over 1.45 billion individuals are affected on a global scale. Children under the age of six are at a greater risk of contracting Soil Transmitted Helminths (STH) infections.This study was designed to investigate the prevalence of STH infections in stool samples obtained from selected under five children in maternal healthcare centres in Ibadan. The objectives of this study were to determine the prevalence, associated environmental factors of STH infections and identify the types of STH present. A cross sectional survey was conducted among 384 people in two maternal healthcare centers in Ibadan. A total of 100 stool samples were collected between December 2021 and January 2022 from two different locations and parasitological examination of the stool samples were done for the presence of STH eggs using a Kato-Katz thick smear technique. Furthermore, questionnaires which probed into their knowledge of cause, symptoms, predisposing factors to infection, level of hygiene and sanitation of each respondent were administered. The spatial distribution of STH prevalence were determined. The parasitological examination of the 100 stool samples collected showed that 36% were positive for STHs. Parasite types found included Hookworm (Necator americanus (20.9%) and Ancylostoma duodenale (20.6%)), Trichuris trichiura (24.8%) and Ascaris lumbricoides (37.5%). Adeoyo hospital had the highest prevalence of Ascaris (26.1%) while Oni and Sons hospital had the highest prevalence of Trichuris (24.8%). The male gender had a higher infection of Ascaris (52.4%) while the female gender had a higher infection rate of Trichuris (72.7%). There was no statistical relationship between knowledge of STH and infections. The presence of viable STHs eggs/ larvae in soil suggests possible active transmission and high rate of exposure to infective agents among the school children. There is a need for health education on risk associated with STH infection in the environment. The study recommends chemotherapy treatment to control the infection in the study area.
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Government should provide good infrastructure to eradicate the spread of STH infections;
Regular and proper sanitation as at when due;
Government should provide chemotherapy treatment for those suffering from the infections;
Regular and proper deworming of students and inhabitants should be done at intervals;
Clean, safe and drinkable water should be provided by government;
Clean public toilets should be provided for those without toilet facilities at home;
Proper monitoring of this facilities should be done by assigned officers.
References
Adu-Gyasi, D., Asante, K.P., Frempong, M.T., Gyasi, D.K., Iddrisu, L.F., Ankrah, L., Dosoo, D., Adeniji, E., Agyei, O., Gyaase, S., Amenga-Etego, S., Gyan, B. and Owusu-Agyei, S. (2018). Epidemiology of soil transmitted Helminth infections in the middle-belt of Ghana, Africa. Parasite Epidemiol Control. 3(3): e00071.
Alemu, A., Tegegne, Y., Damte, D. and Melku, M. (2016). “Schistosoma mansoni and soil-transmitted helminths among preschool aged children in Chuahit, Dembia district, Northwest Ethiopia: prevalence, intensity of infection and associated risk factors”. BMC Public Health. 16: 422.
Alli, J.A., Kayode, A.F. and Okonkwo, I.O. (2011). “Prevalence of intestinal nematode infection among pregnant women attending antenatal clinic at the University College Hospital, Ibadan, Nigeria”. Advances in Applied Science Research. 2: 1-13.
Anantaphruti, M.T., Waikagul, J., Maipanich, W., Nuamtanong, S. and Pubampen, S. (2004). Soil-transmitted helminthiases and health behaviors among schoolchildren and community members in a west-central border area of Thailand. Southeast Asia J Trop Med Public Health. 35(2): 260-6.
Belyhun, Y., Medhin G. and Amberbir A. (2010). Prevalence and risk factors for soil-transmitted helminth infection in mothers and their infants in Butajira, Ethiopia: a population based study. BMC Public Health. 10:21.
Bansal, R., Huang, T. and Chun, S. (2018). Trichuriasis. American Journal of Medical Science. 355(2):e3.
Bopda, J., Nana-Djeunga, H., Tenaguem, J., Kamtchum-Tatuene, J., Gounoue-Kamkumo, R., Assob-Nguedia, C. and Kamgno, J. (2016). Prevalence and Intensity of Human Soil Transmitted Helminth infections in the Akonolinga health district (Centre region, Cameroon): Are adult hosts contributing in the persistence of the transmission? Parasite Epidemiology and Control 6: 199-204.
Bradbury, R.S., Harrington, H., Kekeubata, E., Esau, D., Esau, T., Kilivisi, F., Harrington, N., Gwala, J., Speare, R. and MacLaren, D. (2018). High prevalence of ascariasis on two coral atolls in the Solomon Islands. Trans R Soc Trop Med Hyg. 112(4):193-199.
Chhabra, M.B and Singla, L.D (2009). Food-borne parasitic zoonoses in India: Review of recent reports of human infections. Journal of Veterinary Parasitology 23(2):103-110.
Connelly, L.M. (2008). Pilot studies. Medsurg nursing. 17(6): 411-2.
Cringoli, G., Rinaldi, L., Maurelli, M.P. and Utzinger, J. (2010). FLOTAC: New multivalent techniques for qualitative and quantitative copromicroscopic diagnosis of parasites in animals and humans. Nat. Protoc. 5: 503.
Dada, E.O. (2016). Study of human intestinal parasites among primary school children in Ipogun community of Ifedore Local Government Area of Ondo state Nigeria. Journal of Global Bioscience. 5(1):3401-340.
Dada, E.O., Ogunsakin, A.P. and Oloye, A.B. (2015). Study on prevalence of human intestinal protozoa parasites and enteric bacteria among children in Shagari Federal Housing Estate, Akure South Local Government, Ondo state. International Journal of Advance Research in Biological Sciences. 2(11):120-125.
