Cargando…

Prevalence and factors associated with urogenital schistosomiasis among primary school children in barrage, Magba sub-division of Cameroon

BACKGROUND: The purpose of this study was to determine the prevalence and intensity as well as the factors associated with urogenital schistosomiasis (US) in Barrage, a rural community around the Mape΄ dam, in the West region of Cameroon not previously documented for transmission. METHODS: In this c...

Descripción completa

Detalles Bibliográficos
Autores principales: Njunda, Anna Longdoh, Ndzi, Emmanuel Ngala, Assob, Jules Clement Nguedia, Kamga, Henri-Lucien Fawmno, Kwenti, Emmanuel Tebit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5496429/
https://www.ncbi.nlm.nih.gov/pubmed/28673343
http://dx.doi.org/10.1186/s12889-017-4539-6
_version_ 1783247979589664768
author Njunda, Anna Longdoh
Ndzi, Emmanuel Ngala
Assob, Jules Clement Nguedia
Kamga, Henri-Lucien Fawmno
Kwenti, Emmanuel Tebit
author_facet Njunda, Anna Longdoh
Ndzi, Emmanuel Ngala
Assob, Jules Clement Nguedia
Kamga, Henri-Lucien Fawmno
Kwenti, Emmanuel Tebit
author_sort Njunda, Anna Longdoh
collection PubMed
description BACKGROUND: The purpose of this study was to determine the prevalence and intensity as well as the factors associated with urogenital schistosomiasis (US) in Barrage, a rural community around the Mape΄ dam, in the West region of Cameroon not previously documented for transmission. METHODS: In this cross sectional parasitological survey, 382 children were enrolled from three primary schools in the study area between March and May 2016. A semi-structured questionnaire was used to collect information on demographics, clinical and predisposing factors. The syringe filtration technique was used to analyse urine samples. Samples with visible or gross haematuria were recorded prior to filtration. The Pearson chi-square, the student T-test and logistic regression were all performed as part of the statistical analyses. RESULTS: The overall prevalence of US was 41.1% (95% CI: 36.1–46.2). Infection was more common in children below 10 years (p = 0.009), in males (p = 0.029), and in children who frequently come into contact with water from the dam (p < 0.001). Furthermore, US was more common in children attending Ecole Public (EP) Manbonko Bord (81.1%, p < 0.001) which is very close to the dam and in children from a fishing background (80.9%, p < 0.001). On the contrary, knowledge about schistosomiasis was not observed to be associated with prevalence. In this study, the intensity of infection was observed to be higher in children below 10 years (p < 0.001), in males (p = 0.001), and in children attending EP Manbonko Bord (p < 0.001). The intensity of infection was also highest in children presenting with haematuria (p < 0.001). Frequent contact with water from the dam and having parents whose occupation was fishing were identified as the associated factors for US. CONCLUSION: A high prevalence of US was observed in school-aged children in the study area especially in those attending EP Manbonko Bord. Limiting contact with water from the dam, control of the snail intermediate host, provision of portable water and mass treatment of the entire population are proposed as some of the measures to reduce and eventually eliminate transmission in the area.
format Online
Article
Text
id pubmed-5496429
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-54964292017-07-07 Prevalence and factors associated with urogenital schistosomiasis among primary school children in barrage, Magba sub-division of Cameroon Njunda, Anna Longdoh Ndzi, Emmanuel Ngala Assob, Jules Clement Nguedia Kamga, Henri-Lucien Fawmno Kwenti, Emmanuel Tebit BMC Public Health Research Article BACKGROUND: The purpose of this study was to determine the prevalence and intensity as well as the factors associated with urogenital schistosomiasis (US) in Barrage, a rural community around the Mape΄ dam, in the West region of Cameroon not previously documented for transmission. METHODS: In this cross sectional parasitological survey, 382 children were enrolled from three primary schools in the study area between March and May 2016. A semi-structured questionnaire was used to collect information on demographics, clinical and predisposing factors. The syringe filtration technique was used to analyse urine samples. Samples with visible or gross haematuria were recorded prior to filtration. The Pearson chi-square, the student T-test and logistic regression were all performed as part of the statistical analyses. RESULTS: The overall prevalence of US was 41.1% (95% CI: 36.1–46.2). Infection was more common in children below 10 years (p = 0.009), in males (p = 0.029), and in children who frequently come into contact with water from the dam (p < 0.001). Furthermore, US was more common in children attending Ecole Public (EP) Manbonko Bord (81.1%, p < 0.001) which is very close to the dam and in children from a fishing background (80.9%, p < 0.001). On the contrary, knowledge about schistosomiasis was not observed to be associated with prevalence. In this study, the intensity of infection was observed to be higher in children below 10 years (p < 0.001), in males (p = 0.001), and in children attending EP Manbonko Bord (p < 0.001). The intensity of infection was also highest in children presenting with haematuria (p < 0.001). Frequent contact with water from the dam and having parents whose occupation was fishing were identified as the associated factors for US. CONCLUSION: A high prevalence of US was observed in school-aged children in the study area especially in those attending EP Manbonko Bord. Limiting contact with water from the dam, control of the snail intermediate host, provision of portable water and mass treatment of the entire population are proposed as some of the measures to reduce and eventually eliminate transmission in the area. BioMed Central 2017-07-03 /pmc/articles/PMC5496429/ /pubmed/28673343 http://dx.doi.org/10.1186/s12889-017-4539-6 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Njunda, Anna Longdoh
Ndzi, Emmanuel Ngala
Assob, Jules Clement Nguedia
Kamga, Henri-Lucien Fawmno
Kwenti, Emmanuel Tebit
Prevalence and factors associated with urogenital schistosomiasis among primary school children in barrage, Magba sub-division of Cameroon
title Prevalence and factors associated with urogenital schistosomiasis among primary school children in barrage, Magba sub-division of Cameroon
title_full Prevalence and factors associated with urogenital schistosomiasis among primary school children in barrage, Magba sub-division of Cameroon
title_fullStr Prevalence and factors associated with urogenital schistosomiasis among primary school children in barrage, Magba sub-division of Cameroon
title_full_unstemmed Prevalence and factors associated with urogenital schistosomiasis among primary school children in barrage, Magba sub-division of Cameroon
title_short Prevalence and factors associated with urogenital schistosomiasis among primary school children in barrage, Magba sub-division of Cameroon
title_sort prevalence and factors associated with urogenital schistosomiasis among primary school children in barrage, magba sub-division of cameroon
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5496429/
https://www.ncbi.nlm.nih.gov/pubmed/28673343
http://dx.doi.org/10.1186/s12889-017-4539-6
work_keys_str_mv AT njundaannalongdoh prevalenceandfactorsassociatedwithurogenitalschistosomiasisamongprimaryschoolchildreninbarragemagbasubdivisionofcameroon
AT ndziemmanuelngala prevalenceandfactorsassociatedwithurogenitalschistosomiasisamongprimaryschoolchildreninbarragemagbasubdivisionofcameroon
AT assobjulesclementnguedia prevalenceandfactorsassociatedwithurogenitalschistosomiasisamongprimaryschoolchildreninbarragemagbasubdivisionofcameroon
AT kamgahenrilucienfawmno prevalenceandfactorsassociatedwithurogenitalschistosomiasisamongprimaryschoolchildreninbarragemagbasubdivisionofcameroon
AT kwentiemmanueltebit prevalenceandfactorsassociatedwithurogenitalschistosomiasisamongprimaryschoolchildreninbarragemagbasubdivisionofcameroon