Schistosoma mansoni Infection and Its Related Morbidity among Adults Living in Selected Villages of Mara Region, North-Western Tanzania : A Cross-Sectional Exploratory Study :A Cross-Sectional Exploratory Study

Humphrey D. Mazigo; Fred Nuwaha; David W. Dunn; Godfrey M. Kaatano; Tekla Angelo; Stella Kepha; Safari M. Kinung’hi

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자료유형: 학술저널

저자정보: Humphrey D. Mazigo (Catholic University of Health and Allied Sc) Fred Nuwaha (Makerere University) David W. Dunn (Cambridge University) Godfrey M. Kaatano (Mwanza Research Centre) Tekla Angelo (Mwanza Research Centre) Stella Kepha (Mwanza Research Centre) Safari M. Kinung’hi (Mwanza Research Centre)

저널정보: 대한기생충학열대의학회 Parasites, Hosts and Diseases The Korean Journal of Parasitology Vol.55 No.5

발행연도: 2017.10

수록면: 533 - 540 (8page)

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Schistosoma mansoni is highly endemic in Tanzania and affects all age groups at different degrees. However, its control approach does not include adult individuals who are equally at risk and infected. To justify the inclusion of adult individuals in MDA programs in Tanzania, the present study focused on determining the prevalence of S. mansoni infection and its related morbidities among adult individuals. This was a cross sectional study conducted among 412 adult individuals aged 18-89 years living in selected villages of Rorya and Butiama districts located along the shoreline of the Lake Victoria. A pretested questionnaire was used to collect socio-demographic and socio-economic information of participants. Ultrasonographic examinations were conducted for all study participants using the Niamey protocol. A single stool sample was obtained from all study participants and examined for S. mansoni using the Kato-Katz technique. The study revealed a high prevalence of S. mansoni (56.3%), and the majority of infected individuals had a light intensity of infection. Ultrasonographic findings revealed that 22.4% of adult individuals had periportal fibrosis (PPF) (grade C-F), with 18.4% having grade C and D and 4% having grade E and F. Males had the highest prevalence of PPF (31.7% vs 10.8%, P<0.001). Organomegaly was common with 28.5% and 29.6% having splenomegaly and hepatomegaly, respectively. S. mansoni infection and its related morbidities included PPF, hepatomegaly, and splenomegaly were common among adult individuals. To reduce the level of transmission of S. mansoni infection, planned mass drug administration campaigns should include adult individuals living in these villages.

#Schistosoma mansoni #ultrasonography #organomegaly #adult #Mara #Tanzania

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