Animal Research International (2005) 2(1): 219 – 223 219THE EFFECTS OF SEASON AND DISTANCE ON THE PREVALENCE ANDINTENSITY RATES OF URINARY SCHISTOSOMIASIS IN AGULU-LAKE AREAOF ANAMBRA STATE, NIGERIAEKWUNIFE, Chinyelu AngelaDepartment of Biology, P.M.B 1734, Nwafor Orizu College of Education Nsugbe, Anambra State, NigeriaABSTRACTA survey of the effects of season, and distance to water source on the prevalence andintensity rates of Schistosoma haematobium infection in Agulu community of Anambra Statewas conducted using the primary schools in the town, using parasitological screeningapproach. Prevalence was similar in both the dry and rainy season months. Seven out of the15 Primary schools surveyed had pupils with infection. Prevalence in schools with infectionranged from 4.1- 55.2 % during the dry season to 3.3-55.6 % during the rainy season.Prevalence and geometric mean egg count were highest in the 10-14 years age group in allthe schools and in both dry and rainy seasons. Geometric mean of egg count / 10ml urine(intensity) decreased from 22.5 egg/10 ml in dry season to 10.7 egg/10 ml in wet season.Prevalence rates and intensity showed significant decrease with increase in the distance fromthe village to the lake. The implications of these are discussed.Keywords: Urinary schistosomiasis, Season, Distance, Prevalence rate, Intensity, Geometric meanINTRODUCTIONQuantitative urine examination techniques have inrecent years replaced qualitative procedures incommunity studies of schistosomiasis because ofthe useful information provided by quantization ofegg output. This is because the sensitivity of themethod could be tested and the results could beexpressed in terms that allow comparism withother studies e.g. geometric mean. The usefulnessof quantitative technique is now recognized bynational control programmes, which have achievedsignificant reduction on prevalence from double tosingle figures in large areas. The epidemiology ofS. haematobium in man has been described interm of age - specific prevalence and schoolchildren have often been studied. This is becausethey represent he age groups at greatest risk andwith greatest intensity of infections, thus providingconvenient baseline data for the whole population(Forsyth, 1969, Wilkins, 1977). Thus quantitativeurine examination using school children could helpto give useful information on the state of urinaryschistosomiasis in Agulu town during both rainyand dry season conditions. This shall help indisease control and shall allow comparison withother studies on urinary schistosomiasis fromdifferent regions.One of the important determinants of ahousehold’s choice of water source has beenreported to be distance (Blum et al 1987). Jones(1973) found the distance beyond which peoplehad negligible contact with lake Volta to be 5km.Appleton and Bruton (1979) also reported thatonly about 1/4 of the people who live within 5kmof lake Sibaya (South Africa) probably depend on itor its adjacent ponds for water and so havefrequent contact with these habitats. Theremaining 3/4’s they reported use streams or pansfor domestic purposes although some of thosepeople may have to use the lake or ponds duringwinter or dry years. There is a need for morestudies of that kind to evaluate the relationshipbetween distance to water sources in endemicareas and prevalence of schistosomiasis. Such aredeemed to be of great value in planning diseasecontrol programmes. The paper reports a study ofschistosomiasis infection in Agulu town ofAnambra State, Nigeria, where a lake implicated inthe transmission of the disease is situated.MATERIALS AND METHODThe Study Area: Agulu town (Figure 1) waspurposively selected for the study because ofprevious knowledge of the presence of S.haematobium infection in the town (Emejulu 1994,Emejulu et al, 1994). Agulu which is in AnaochaLocal Government Area is located between latitude6 o 06 / N and longitude 7 0 03 / E. Coming from theSouth, the land is generally a steep dive towardsthe lake. It enjoys tropical type of climate.Urine Collection and Analysis: Parasitologicalscreening of all the primary and attachedpreprimary school children in the 15 primaryschools in the town was carried out between 1999– 2000 in both dry and rainy seasons. Widemouthed screw cap containers with numbers foridentification were used to collect urine samplesfrom each pupil in the different schools onvisitation. Urine collection was made between10.00 and 14.00h. This is the period of greatestegg out put (Stimmel and Scott, 1956, Bradley,1963). This was done during the dry seasonmonths for 16 weeks (Nov.1999-Feb.2000) and
EKWUNIFE, Chinyelu Angela 220repeated during the rainy season months for 16weeks (May-August 2000). A simple centrifugalsedimentation procedure (5min at 5000rpm) of10ml aliquot urine drawn from each specimen wasused (Oliver and Uemura, 1973). S. haematobiumova in the sediment poured on a Macmaster slidewere counted under X10 microscope eyepiece.Calculation of geometric mean egg count wasdone using the method in WHO (1987). Distancefrom the centre of each village to the lake, thecrowflies was estimated and recorded.Data Analysis: Dry season age group InfectionRate = <strong>Number</strong> people Infection among age groupin affected school during the dry season/ Total<strong>Number</strong> of people in the age group X 100.Rainy season age group Infection Rate = <strong>Number</strong>people Infection among age group in affectedschool during the rainy season / Total <strong>Number</strong> ofpeople in the age group X 100.Total infection for each season = Total of allinfected in all school for that season / Total<strong>Number</strong> of people in all the school x 100. Agegroup GM = Geometric mean of all the infectedindividuals of an age group in all schools together.Total GM = Geometric mean of all the infectedindividuals in all the schools together. In all thecases descriptive statistics was employed toascertain the means and mean differencesbetween season and distance ascertain using t-test.RESULTSFigure 1: Map of Agulu townSeven schools out of fifteen had individuals thatexcreted S. haematobium ova during both the dryand rainy seasons (Table 1). The schools includeUmuowelle Primary School, Umuifite PrimarySchool, Umunowu Primary School, NneogidiPrimary School, Practicing Primary School, IfiteaniPrimary School and Obeagu Primary School. Fordry and rainy seasons, Umuowelle Primary Schoolrecorded the highest infection rates of 55.2% and56.6% respectively followed by Ugwuaba PrimarySchool with infection rates of 43.2% and 43.1%for both seasons. Obeagu Primary School recordedthe lowest infection rates of 4.1% and 33.3% forthe dry and rainy seasons respectively. Table 2shows that in Umuowelle Primary School, infectionrates of 29.4 %, 61.1 %, 70.1 % and 55.2 % wererecorded for 0-4, 5-9, 10-14 and 15-19 age groupsrespectively during the dry season while infectionrates of 34.1 %, 54.8 %, 73.3 % and 52.2 %respectively were recorded for same age groupsduring the rainy season. Infection rates for theother schools had similar patterns for both season.However, the geometric mean of egg count/10mlurine decreased during the rainy season for thedifferent ages in the different schools. UmuowellePrimary School recorded the geometric mean (GM)of egg output of 11.2, 29.9, 48.4 and 28.5 duringthe dry season for the age groups 0-4, 5-9, 10-14,15-19, respectively while during the rainy seasonthe GM were 8.1, 20.2, 36.4 and 29.9 for sameschool and same age groups. Overall geometricmean of egg count/10ml urine decreased from22.5 egg/10ml in dry season to 10.7 egg/10ml inwet season (Tables 2 and 3).The prevalence and intensity rate amongthe schools in Agulu with respect to distance isshown in Table 4. Agulu lake is situated at thenorthwest of the town. The infection rateincreased as one moved from south to north andfrom east to west. The number of positive cases ofurinary schistosomiasis decreased as one movedaway from the lake. Umuowelle Primary Schoolwhich is closest to the lake (200m) had the highestprevalence rate of 55.2% followed by UmuniftePrimary School at a distance of 300m which had aprevalence of 43.2%, while Obeagu PrimarySchool which is up to 2km had the lowestprevalence 4.1%. Other schools which are at adistance of 2.5km or more had 0%. Correlationanalysis confirm this to be significant (t=2.57,df=5) at 5% level. The intensity of infection alsodecreased as one moved away from the lake.Umuowelle Primary School nearest to the lake(200m) had 31.1 intensity while Obeagu PrimarySchool which is about 2km from the lake had anintensity of 8.9. The decrease in intensity ofinfection with increase in distance from the lake issignificantly correlated at 5% level (t=2.57,df=5).DISCUSSIONGenerally, Prevalence and egg output go together.The most significant association was with age.Both egg output and prevalence rose rapidly in theearly years to a peak level in the 10-14 yrs age
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EYO, Joseph Effiong 286Cyprinidae,