ARI Volume 2 Number 1.pdf - Zoo-unn.org

ARI Volume 2 Number 1.pdf - Zoo-unn.org ARI Volume 2 Number 1.pdf - Zoo-unn.org

12.07.2015 Views

Prevalence and intensity rates of urinary schistosomiasis 221Table 1: Prevalence rates of urinary schistosomiasis in primary schools (P/S) in Agulu byseasonSchool Village located Dry season Rainy seasonNo.Exam.No.Infection%InfectionNo.Exam.No.Infection%InfectionAgunkwo P/S Amaorji 70 0 0 42 0 0Central ,, Odidama, Obe 200 0 0 192 0 0Chukwuka ,, Uhueme,Ukunu 241 0 0 243 0 0Community ,, Umunowu 219 76 34.7 216 74 34.3Ezeanyanwu ,, Odidama, Okpu 233 0 0 220 0 0Nwanchi ,, Nwanchi,NneohaAmaezike 110 0 0 90 0 0Obe ,, Obe 233 0 219 0 0 0Obeagu ,, Obeagu 169 7 4.1 151 5 3.3Onike ,, Okpu 140 0 0 112 0 0Practicing ,, Nkitaku, Umubiala,Okpuifite, Amatutu 532 128 24.1 506 119 23.5Udoka ,, Ukunu, Isimaigbo 189 0 0 180 0 0Ugwuaba ,, Umuifite 185 80 43.2 174 75 43.1Umuowelle ,, Umuowelle 201 111 55.2 189 105 55.6Ifiteani ,, Ifiteani 141 33 23.4 101 22 21.9Nneogidi ,, Nneogidi 186 55 29.6 172 50 29.1Total 3029 450 16.2 2807 450 16.1Table 2: Infection rate (%) and geometric mean (GM) egg count during dry and rainy seasonin the endemic villages among age groupsSchoolDry seasonRainy season0 – 4 5 – 9 10 – 14 5 – 19 0 – 4 5 – 9 10 – 14 5 – 19% GM % GM % GM % GM % GM % GM % GM % GM1. 29.4 11.2 61.1 29.9 70.1 48.4 55.2 28.5 34.1 8.0 54.8 20.2 73.3 36.4 52.2 24.92 0 0 33.8 19.4 51.2 39.9 42.4 24.5 0 0 36.5 14.0 52.5 30.3 32.3 20.23 10.0 11.5 32.4 16.9 50.0 36.7 27.5 23.5 16.7 8.2 30.0 12.4 48.7 22.5 27.5 15.54 0 0 22.9 14.7 47.1 31.5 18.8 20.2 0 0 19.1 11.2 47.0 24.2 20.0 13.75 0.7 5.0 24.1 10.7 41.3 28.0 32.0 20.0 0 0 22.4 8.2 41.6 21.7 31.9 12.96 0 0 14.3 14.7 33.3 19.4 22.2 11.0 0 0 13.3 11.0 33.3 5.2 14.3 7.07 0 0 1.9 8.3 8.9 14.8 5.3 14.0 0 0 4.2 8.0 5.9 12.2 0 01. Umuowelle Primary School 2. Ugwuaba Primary School 3. Community Primary School 4.Nneogidi Pr imary School 5 .Practicing Primary School 6 . Ifiteani Primary School 7. Obeagu Primary Schoolgroup and then declined. The infection ratesamong the various age groups in the differentschools were close for both dry and wet season.This could be due to the long life span of theworm (3 – 5 years), (Wilkins et al 1984, Fulford etal 1995), thus same infected individuals remaininfected during both seasons. However, theGeometric mean of egg output declinedremarkably in the rainy season. Though thepeople remain infected in the rainy season, thelow egg count during that period could be due to abreak in the transmission of disease during thewet season occasioned by non visit/reducedcontact with transmission sites at such times sincerain water can be collected from the home. Thiswould reduce re-infection as well as accumulatedworm load. Further, some worms may have died inthe infected individuals and because there wouldbe a reduction in rate of contact with thetransmission site, re-infection would not occur.Thus Blum et al (1987) in the study of the effectsof distance and season on the use of boreholes innortheastern Imo State, Nigeria reported that inwet season when the availability of water sourceswas much greater, rain water was the mainsources of 64% of households since it wascollected directly at home. In contrast however,McCullough and Bradley (1973) showed that eggoutput was stable in individuals for long period oftime. But then, their study was conducted inTanzania during the dry season months of 3different years. The egg out put in their studypopulation could have dropped during wet seasonand risen again during the dry season as a result

EKWUNIFE, Chinyelu Angela 222Table 3: Total seasonal infection rate and GM by ageAgeDry seasonRainy seasongroup Infection rate (%) GM Infection rate (%) GM0 – 4 6.4 6.7 8.3 2.35 – 9 26.7 16.8 26.2 10.110 – 14 44.0 31.2 44.5 21.215 – 19 30.9 20.3 28.0 12.3Total 30.0 22.5 29.6 10.7Table 4: The relationship between prevalence and intensity rates and distance of schools fromAgulu lakeGeographicalVillagesDistanceto lake (m and km)Schoolthey attend%PrevalenceIntensity(GM)locationWest Umuowelle ≤200m Umuowelle P/S 55.2 31West Umunifite .3km(300m) Ugwuaba ,, 43.2 20.9North Umunowu .45km(450m) Community ,, 34.7 20.0North Nneogidi .70km(700m) Nneogidi ,, 29.6 16.9West Umubiala 500m Practicing ,,West Amatutu 700m Practicing ,,West Okpuifite 1km(.93km) Practicing ,, 24.1 14.7West Nkitaku 1.5km Practicing ,,North Ifiteani 1.2km Ifiteani ,, 23.4 11.6South Obeagu 2km Obeagu ,, 4.1 8.9South Obe 2.5km Obe & Central , 0 0South Odidama 2.7km Central ,, 0 0East Ukunu 2.9km Udoka 0 0East Isiamaigbo 3.0km Chukwuka ,, 0 0East Amaorji 3.2km Agunkwo ,, 0 0East Uhueme 3.4km Agunkwo ,, 0 0South Nneoha 3.7km Ezeanyanwu ,, 0 0South Okpu 4.0km Ezeanyanwu ,, 0 0South Amaezike 4.2km Onike ,, 0 0South Nwanchi 4,5km Nwanchi ,, 0 0of re-infection. The high Geometric mean eggoutput recorded by Scott et al (1982) in lake VoltaGhana could also be as a result of dry season, onlyone small water contact site was recognized atAgulu lake during the rainy season. Usual sites onthe different arms were over grown by weeds andwere very bushy and lacked human activity duringthe rainy season.Prevalence and intensity of infectionsshowed a significance decrease with increasingdistance to the lake, which is the focus infection.This finding is a pointer to the important role ofdistance from focus of infection in the prevalenceof schistosomiasis in a location, which is portrayedby the fact that children who lived at aconsiderable distance from the lake had noinfection. It is also an indication of the relationshipbetween distance of water bodies fromcommunities and the extent of usage of eachwater body by the communities, pointing to thefact that communities rely on water sources whichare close to their location. Since frequency ofcontact with focus of infection diminishes withincrease in distance, prevalence of water bornedisease such as schistosomiasis would be expectedto decline with increase in distance from such fociof infection. Similarly, since the population relieson harvested rain water during the rainy season,the number of new cases or re-infected individualswould be expected to drop during the rainyseason. The findings of the present study conformto these expectations, and lend support to theobservation by Emejulu (1994) that mosthouseholds use water sources which are very closeto them and that very few use sources up to 2kmaway from home. Distance determines the timespent in collecting water and so affects traveltimes. Saving of time for other chores could beone of the reasons why the villagers resort tonearest water source. In this study however, fewpeople, who live at a distance of 1.2 km to 2 km ormore were found to be infected. This is probablybecause Agulu lake inspite of its distance fromsome villages holds sufficient attraction forchildren from such villages, and such children fromfar distance would still visit it for recreationalpurposes. Further, high temperatures in tropicalAfrica especially in the afternoon compel inhabitantof such tropical areas to look for a place to cool offand the people find such a place of comfort in thelake.The seasonal decrease on geometric meanegg output of individuals is very important in thecontext of control measures for the disease. Since

EKWUNIFE, Chinyelu Angela 222Table 3: Total seasonal infection rate and GM by ageAgeDry seasonRainy seasongroup Infection rate (%) GM Infection rate (%) GM0 – 4 6.4 6.7 8.3 2.35 – 9 26.7 16.8 26.2 10.110 – 14 44.0 31.2 44.5 21.215 – 19 30.9 20.3 28.0 12.3Total 30.0 22.5 29.6 10.7Table 4: The relationship between prevalence and intensity rates and distance of schools fromAgulu lakeGeographicalVillagesDistanceto lake (m and km)Schoolthey attend%PrevalenceIntensity(GM)locationWest Umuowelle ≤200m Umuowelle P/S 55.2 31West Umunifite .3km(300m) Ugwuaba ,, 43.2 20.9North Umunowu .45km(450m) Community ,, 34.7 20.0North Nneogidi .70km(700m) Nneogidi ,, 29.6 16.9West Umubiala 500m Practicing ,,West Amatutu 700m Practicing ,,West Okpuifite 1km(.93km) Practicing ,, 24.1 14.7West Nkitaku 1.5km Practicing ,,North Ifiteani 1.2km Ifiteani ,, 23.4 11.6South Obeagu 2km Obeagu ,, 4.1 8.9South Obe 2.5km Obe & Central , 0 0South Odidama 2.7km Central ,, 0 0East Ukunu 2.9km Udoka 0 0East Isiamaigbo 3.0km Chukwuka ,, 0 0East Amaorji 3.2km Agunkwo ,, 0 0East Uhueme 3.4km Agunkwo ,, 0 0South Nneoha 3.7km Ezeanyanwu ,, 0 0South Okpu 4.0km Ezeanyanwu ,, 0 0South Amaezike 4.2km Onike ,, 0 0South Nwanchi 4,5km Nwanchi ,, 0 0of re-infection. The high Geometric mean eggoutput recorded by Scott et al (1982) in lake VoltaGhana could also be as a result of dry season, onlyone small water contact site was recognized atAgulu lake during the rainy season. Usual sites onthe different arms were over grown by weeds andwere very bushy and lacked human activity duringthe rainy season.Prevalence and intensity of infectionsshowed a significance decrease with increasingdistance to the lake, which is the focus infection.This finding is a pointer to the important role ofdistance from focus of infection in the prevalenceof schistosomiasis in a location, which is portrayedby the fact that children who lived at aconsiderable distance from the lake had noinfection. It is also an indication of the relationshipbetween distance of water bodies fromcommunities and the extent of usage of eachwater body by the communities, pointing to thefact that communities rely on water sources whichare close to their location. Since frequency ofcontact with focus of infection diminishes withincrease in distance, prevalence of water bornedisease such as schistosomiasis would be expectedto decline with increase in distance from such fociof infection. Similarly, since the population relieson harvested rain water during the rainy season,the number of new cases or re-infected individualswould be expected to drop during the rainyseason. The findings of the present study conformto these expectations, and lend support to theobservation by Emejulu (1994) that mosthouseholds use water sources which are very closeto them and that very few use sources up to 2kmaway from home. Distance determines the timespent in collecting water and so affects traveltimes. Saving of time for other chores could beone of the reasons why the villagers resort tonearest water source. In this study however, fewpeople, who live at a distance of 1.2 km to 2 km ormore were found to be infected. This is probablybecause Agulu lake inspite of its distance fromsome villages holds sufficient attraction forchildren from such villages, and such children fromfar distance would still visit it for recreationalpurposes. Further, high temperatures in tropicalAfrica especially in the afternoon compel inhabitantof such tropical areas to look for a place to cool offand the people find such a place of comfort in thelake.The seasonal decrease on geometric meanegg output of individuals is very important in thecontext of control measures for the disease. Since

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