Intestinal helminth infection and malnutrition among public primary school children in Ibadan, Nigeria
http://dx.doi.org/10.4314/njpar.v41i1.8
Keywords:
Intestinal helminths, school children, malnutrition, hemotherapyAbstract
Intestinal helminthiasis associated with malnutrition in children remains endemic in developing countries despite considerable efforts at control. This study was carried out to determine the current prevalence status and the risk factors associated with intestinal helminth infections among primary school children in Ibadan. A cross-sectional study was undertaken among 5-16 year old pupils, from 7 primary schools in Ibadan, Oyo State. Microscopic examination of stool for ova was carried out using a formol-ether concentration technique. Predisposing risk factors were determined from questionnaire data while anthropometric indices consisting of weight, height and age were the measured indicators of the nutritional status. Of the 485 pupils examined, 187(38.6%) had helminth infections and the parasites identified were Ascaris lumbricoides (35.9%), Strongyloides stercoralis (12.4%), hookworm (8.5%), Enterobius vermicularis (4.9%), Schistosoma mansoni (3.5%) and Trichuris trichiura (0.4%). More male pupils (52.9%, p = 0.05) than females (47.1%) had infections. Pupils aged between 9-12 years (p = 0.02) had highest (49.2%) infection rates. Infections were recorded in 13(18.57%) of 70 pupils treated with levamisole by the local health centres 2 weeks prior to this study. Wearing of footwear, parent’s occupation, drinking water sources, family size and toilet type were risk factors significantly associated (p<0.05) with infection in this study. The overall prevalence of wasting, stunting and underweight were 24.4%, 28.8% and 7.8% respectively, there was however, no statistical relationship (p>0.05) between the prevalence of infection and malnutrition. Intestinal helminthiasis is still prevalent in schoolchildren despite targeted chemotherapy. It is therefore suggested that chemotherapy should include all children in the communities along with continuous enlightenment to ensure the disruption of parasite transmission.
References
Odu, N. N., Okonko, I. O. and Erhi, O. 2011. Study of neglected tropical diseases (Ntds): gastro-intestinal helminths among school children in Port Harcourt, Rivers State, Nigeria. Report and Opinion, 3: 6-16.
Sanchez, A. L., Gabrie, J. A., Usuanlele, M-T., Rueda, M. M., Canales, M., Gyorkos, T. W. 2013. Soiltransmitted helminth infections and nutritional status in school-age children from rural communities in Honduras. PLoS Negl Trop Dis, 7(8): e2378.
UNICEF. 2018. Malnutrition rates remain alarming: stunting is declining too slowly while wasting still impacts the lives of far too many young children. Retrieved from http://data.unicef.org/topic/nutrition/ malnutrition/#.
World Health Organization. 2012. Deworming to combat the health and nutritional impact of soil transmitted helminths. [Internet] 2012 march [sited April, 2012]. http://www.who.int/elena/titles/bbc/ deworming/en/index.html
World Health Organisation. 2017. Guideline: preventive chemotherapy to control soil-transmitted helminth infections in at-risk population groups. Geneva, 1-74.
Word Health Organization. 2010. Working to overcome the global impact of neglected tropical diseases. First WHO report on neglected tropical diseases. http://whqlibdoc.who.int/publications/ 2010/9789241564090_eng.pdf
Tanner, S., Leonard, W.R., Mcdade, T.W.,Reyes-Garcia, V.,Godoy, R. and Huanca T.2009. Influence of helminth infections on childhood nutritional status in lowland Bolivia. American Journal of Human Biology, 21: 651- 656.
Pullan, R. L., Smith, J. L., Jasrasaria, R. and Brooker, S. J. 2014. Global numbers of infection and disease burden of soil-transmitted helminth infections in 2010. Parasite and Vectors, 7: 37.
World Health Organisation. 2018. Schistosomiasis and soil transmitted helminthiases: Number of people treated in 2017. Weekly Epidemiology Record, 50(93): 681- 692.
Auta, T., Kogi, E. and Audu, K. O. 2013. Studies on the intestinal helminth infestation among primary school children in Gwagwada, Kadu, north western Nigeria. Journal of Biology, Agriculture and Health Care, 3: 7.
Emmy-Egbe, I. O., Ekwesianya, E. O., Ukaga, C. N., Eneanya, C. I. and Ajero, C. M. U. 2012. Prevalence of intestinal helminth in students of Ihiala Local Government Area of Anambra State. Journal of Applied Technology in Environmental Sanitation, 2: 23-30.
Cheesbrough, M. 2009. District laboratory practice in tropical countries. Part 1. 2nd Ed. Cambridge: Cambridge University Press.
World Health Organization. 2007. WHO Anthroplus Software: Software for assessing growth and development of the world’s children and adolescents. Geneva: Department of Nutrition for Health and Development.
Adefioye, O. A., Efunshile, A. M., Ojurongbe, O., Akindele, A. A., Adewuyi, I. K., Bolaji, O. S. 2011. Intestinal helminthiasis among school children in Ilie, Osun State, southwest, Nigeria. Sierra Leone Journal of Biomedical Research, 3: 36-42.
Halpenny, C. M., Paller, C., Koski, K. G., ValdeÉs, V. E. and Scott, M. E. 2013. Regional, household and individual factors that influence soil- transmitted helminth reinfection dynamics in preschool children from rural indigenous Panama´. PLOS Neglected Tropical Disease, 7: e2070.
Anand, K., Kant, S. and Kapoor, S. K. 1999. Nutritional status of adolescent school children in rural north India. Indian Journal of Paediatrics, 36: 810-815.
Sehgal, R., Reddya, G. V., Jaco, J., Verweij, B., Atluri, V. and Rao, S. 2010. Prevalence of intestinal parasitic infections among school children and pregnant women in a low socio-economic area, Chandigarh, north India. Reviews in Infection, 1: 100-103.
Odu, N. N., Elechi, V. and Okonko, I. O. 2013. Prevalence of intestinal helminthes infection among primary school children in urban and semi-urban areas in Rivers State, Nigeria. World Rural Observations, 5: 52-61.
Damen, J. G., Luka, J., Biwan, E. I. and Lugos, M. 2006. Prevalence of intestinal parasites among pupils in rural north eastern, Nigeria. Nigeria Medical Journal, 52: 4-6.
Adekeye, T.A., Thompson, E. and Awobode, H. O. 2016Environmental contamination and public health risk of soil parasites in Ibadan South ast LGA, Nigeria. Zoology and Ecology, 26: 150-157.
Fikreslasie, S., Asalif, D., Yonas, A. and Yonas, H. 2017. Soil helminthiasis an associated risk factors among elementary school children in Ambo Town, western Ethiopia. BMC Public Health, 17: 791.
Mohammed, M., Vantsawa, P.A., Abdullahi, U. Y. and Muktar, M. D. 2015. Nutritional status and prevalence of intestinal schistosomiasis among al-majiri population in Kawo district of Kaduna metropolis, Kaduna State-Nigeria. J Bacteriol Parasitol, 6: 4.
Abdi, M., Nibret, E. and Munsheaba, A. 2017. Prevalence of intestinal helminthic infections and malnutrition among schoolchildren of the Zegie Peninsula, northwestern Ethiopia. Journal of Infection and Public Health, 10: 84-92
.24. Degarege, A. and Erko, B. 2013. Association between intestinal helminth infections and underweight among school children in Tikur Wuha elementary school, northwestern Ethiopia. JInfect Public Health, 6: 125- 33.
National Bureau of Statistics and ICF Macro. 2011. Tanzania demographic and health survey 2010. Preliminary report, Dar es Salaam, Tanzania 482pp.
Kramer, C. V. and Allen, S. 2015. Malnutrition in developing countries. Paediatrics and Child Health, 5: 422-427.
Oninla, S.O., Onayade, A.A. and Owa, J.A. 2010. Impact of intestinal helminthiases on the nutritional status of primary school children in Osun State, southwest Nigeria. Ann. Trop. Med. Parasitol., 104: 583-594.
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