scholarly journals Polyparasitism with Malaria and Intestinal Parasite Infections among Infants and Preschool-Aged Children in Egbedore, Osun State, Nigeria

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
S. N. Odoemene ◽  
A. S. Oluwole ◽  
H. O. Mogaji ◽  
M. V. Adegbola ◽  
O. O. Omitola ◽  
...  
Keyword(s):  
Rural Communities ◽  
Intestinal Parasites ◽  
Demographic Data ◽  
Parasitic Infection ◽  
Sub Saharan Africa ◽  
Bivariate Analysis ◽  
Parasitic Infections ◽  
Significant Difference ◽  
Fresh Stool ◽  
Preschool Aged Children

Polyparasitism is widespread in many communities in Sub-Saharan Africa. However, there is paucity of data on polyparasitism in infants and preschool-aged children (IPSAC), to inform policy developments. Therefore, a survey of 1110 consented IPSAC was undertaken in Egbedore Local Government Area (LGA), Osun State, Nigeria, to determine the prevalence of polyparasitism in IPSAC in ten randomly selected rural communities. Fresh stool and blood samples were collected and processed for intestinal parasites and malaria infection. Mothers/caregivers were interviewed using a structured questionnaire to obtain demographic data of their IPSAC and to document knowledge, attitude, and practice (KAP) on parasitic infections. Data obtained through the questionnaire were analyzed using EpiData version 3.1, while parasitological data were analyzed using Statistical Package for Social Sciences (version 20.0). Descriptive statistics were computed for demographic data and association which were tested using bivariate analysis at a 95% confidence level while significance was set at p<0.05. The results showed that 349 (46.29%) were infected with a single parasite. Infants and preschool-aged children infected with double, triple, and quadruple parasites are 268 (35.54%), 122 (16.18%), and 15 (1.99%), respectively. The prevalence of polyparasitism is 405 (53.71%). Although females (54.07%) were more infected than males (45.93%), there was no significant difference (p>0.05) observed. Significantly (p<0.05) more preschool children (65.93%) harbour more infections than the infants do (34.07%). Ara community (14.81%) had the highest cases of polyparasitized IPSAC, but no significant difference (p>0.05) was observed across the communities. Double parasitic infection of Plasmodium falciparum and Ascaris lumbricoides (30.12%) and triple parasitic infection of P. falciparum, A. lumbricoides, and T. trichiura (14.81%) were the most common forms of polyparasitism encountered in the study. This study showed that polyparasitism is a burden in IPSAC and needs further investigation.

scholarly journals Enteric Parasitic Infections among School Children at Rupandehi, Nepal

2018 ◽  
Vol 4 (2) ◽  
pp. 30-34
Author(s):  
Rita Khanal ◽  
Sweety Upadhaya ◽  
Pramila Lamichhane ◽  
Subash Lal Karn ◽  
Sandeep Pokhrel ◽  
...  
Keyword(s):  
School Children ◽  
Intestinal Parasites ◽  
Demographic Data ◽  
Parasitic Infection ◽  
Primary School Children ◽  
Stool Examination ◽  
Parasitic Infections ◽  
Age Group ◽  
Government School ◽  
Intestinal Parasitosis

INTRODUCTION: Soil-transmitted helminths (STHs), are the common intestinal parasites among school age children in Nepal. Periodic epidemiological studies and transmission dynamics in parasitic infections will provide accurate understanding. The aim of this study is to find out the prevalence of intestinal parasitic infections among primary school children at Rupandehi district Nepal.MATERIALS AND METHODS: This is a school based cross-sectional descriptive study including 217 students studying at primary level in two Government School in Rupandehi. The demographic data and anthropometric data was collected. Routine Stool examination was done and concentration techniques were used for maximum recovery of parasites.RESULTS: The prevalence of parasitic infection was 60% (130/217). Statistically significant association was found between parasitic infection and source of drinking water (p<0.05) A. lumbricoides was most common followed by Taenia spp, Hymenolepsis nana and others. Parasitic infection was highest 70% (21/30) in age group 13-15 years and lowest i.e. 38.1% (8/21) in age group 4-6 years. The mean height and weight of children was found to be 1.28 m and 26.5 kg respectively. Among total children 90.8% (197/217) of the children were malnourished (BMI<18.5 kg/m2) and among infected children 90% (117/130) were malnourished.CONCLUSION: The intestinal parasitosis was found comparatively higher in school children in this region. Higher rate of infection was found in malnourished children.Journal of Universal College of Medical Sciences (2016) Vol.04 No.02 Issue 14, page: 30-34

scholarly journals Prevalence of Intestinal Parasites among Patients attending a Tertiary Care Centre in Central Nepal

2019 ◽  
Vol 15 (3) ◽  
pp. 175-178
Author(s):  
Sanjana Raj Kumari ◽  
Damodar Sharma ◽  
Brajesh Jha
Keyword(s):  
Intestinal Parasites ◽  
Tertiary Care ◽  
Parasitic Infection ◽  
Public Health Problem ◽  
Parasitic Infections ◽  
Tertiary Care Centre ◽  
Important Public Health Problem ◽  
Intestinal Parasitic Infections ◽  
Stool Samples ◽  
Fresh Stool

Background: Intestinal parasitic infections are important public health problem and are globally endemic. These parasites are responsible for the major share of morbidity and mortality in those communities where there is overcrowding, poor environmental sanitation and personal hygienic practices. Intestinal parasitic infection is highly prevalent among the general population in Nepal. This study was aimed to evaluate the burden of the intestinal parasitic infections and the pattern of distributions among patients attending in a tertiary care setting in Bharatpur, Nepal, over a period of one year (August 2017 to July 2018). Methods: Stool samples of patients received in the Microbiology laboratory, COMS that were subjected for routine stool investigations were included in this study. Naked eye physical examination, microscopic examination was carried out and parasites were identified in the received stool samples. The results were recorded, and data were entered into excel spreadsheet 2007. The percentages of the parasites present were calculated to find out the frequency and distribution. Results: A total of 1,558 fresh stool samples were screened, of which 20.60% (n=321) were positive for various intestinal parasites. Overall, helminthic infections (81.30%) were higher than protozoal infections (18.70%). On the whole, Ascaris lumbricoides showed higher prevalence (39.56%) followed by Ancylostoma duodenale (19.31%) and Giardia lamblia (9.97%).  17(1.09%) of the samples showed more than one parasite. Highest prevalence was seen in age group 15 to 25 years of age (27.40%). Conclusions: Parasitic infection is endemic. Apart from the early diagnosis and effective treatment, health education is a requisite to control infections in this area and awareness of sanitation to reduce and control parasitic infection.  

scholarly journals Prevalence of Intestinal Parasitic Infection among Food Handlers in Northwest Iran

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Davoud Balarak ◽  
Mohammad Jafari Modrek ◽  
Edris Bazrafshan ◽  
Hossein Ansari ◽  
Ferdos Kord Mostafapour
Keyword(s):  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Parasitic Infections ◽  
Parasitic Diseases ◽  
Food Handlers ◽  
Intestinal Parasitic Infections ◽  
Health Card ◽  
Significant Difference ◽  
To Receive ◽  
The City

Parasitic diseases are among the most important infectious diseases and pose health problems in many countries, most especially in developing countries. Workers at food centers could transmit parasitic infections in the absence of sanitation. This is a descriptive study conducted to determine the prevalence of intestinal parasitic infections in food clerks in the city of Tabriz in 2014. Data was recorded in the offices of the health center for all food handlers who were referred to the laboratory for demographic and stool tests to receive the health card. Parasitic infection was observed in 172 cases (3.73%) of 4612 samples. A total of 156 positive samples (90.69%) were related to protozoa and 16 (9.3%) were related to helminthes. Most of the parasitic infections were related toGiardiaandEntamoeba coliand the lowest infection was related toH. nana. Also, there was a significant relationship between level of education and parasitic infection rate (P=0.0044). But there was no significant difference between the type of infection and amount of intestinal parasites. The results show that the prevalence of intestinal parasites, especially pathogenic protozoa, is common in some food handlers. Therefore, more sanitary controls are required and increasing of education will play a crucial role in improving the health of these people.

scholarly journals Detection of Hookworm (Necator Americanus) and Other Intestinal Parasitic Infection among Primary School Children in Sokoto Metropolis

2021 ◽  
pp. 13-24
Author(s):  
K. Mohammed ◽  
E. Emeagubor ◽  
M. U. Iduh ◽  
M. K. Garba ◽  
S. U. Nataala ◽  
...  
Keyword(s):  
Primary School ◽  
School Children ◽  
Prevalence Rate ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Sub Saharan Africa ◽  
Primary School Children ◽  
Parasitic Infections ◽  
Intestinal Parasitic Infection ◽  
The Government

Background: Hookworm is an intestinal parasite of human and is one of the major public health burdens in developing countries, particularly in Sub-Saharan Africa. It is estimated that about 3.5 billion people globally and 450 million people are thought to be ill as a result of such infections, the majority being children. Aims: The study aimed to determine the prevalence of Hookworm and other intestinal parasitic infection among primary school children Study Design: This was a cross-sectional, descriptive study Place and Duration of Study: This study was conducted in among patients attending Usmanu Danfodiyo University, Teaching Hospital, Sokoto, Sokoto state, between March to November, 2017. Methodology: A total of 224 participants were enrolled for the study. Standard parasitological  examination  was carried  out  on  stool  samples  using microscopy followed by formal  ether  concentration  methods Results: Finding revealed, an overall prevalence of 4.5% out of 224 samples examined recorded for both Hookworm and other intestinal parasitic infection. There was high prevalence rate of Hookworm and other intestinal parasitic infection among males (5.3%) than females (3.6%).29 (12%) were positive for intestinal parasitic infections. Males  recorded  higher  prevalence  than  the  females  with 19 (11.9%)  and  10 (11.8%)  respectively Conclusion: The total low prevalence rate of Hookworm and other intestinal parasitic infection may be as a result of improved standard of living and awareness of the Hookworm and other intestinal parasites in the study area. The government, non-governmental agencies and private individuals should help in the provision of social amenities to ensure total eradication of these diseases. The teaching of health education in both private schools should be encouraged by the government which will go a long way in  reducing  prevalence and  intensity  of  Hookworm  infections  among  the  study community.

scholarly journals Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, Nigeria

2011 ◽  
Vol 6 (05) ◽  
pp. 430-435 ◽  
Author(s):  
Frederick Olusegun Akinbo ◽  
Christopher Ehis Okaka ◽  
Richard Omoregie
Keyword(s):  
Plasmodium Falciparum ◽  
Risk Factor ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Parasitic Infections ◽  
Hiv Patients ◽  
Benin City ◽  
Standard Procedures ◽  
Increased Risk ◽  
Significant Difference

Introduction: Human co-infection with Plasmodium falciparum and helminthes is ubiquitous throughout Africa. This study aimed to determine the co-infections of Plasmodium falciparum infection in HIV and intestinal parasitic infections, and their immunological distribution, in Benin City, Nigeria. Methodology: A total of 2,000 stool specimens from HIV-positive patients and 500 controls (HIV-negative individuals) were examined for ova, cysts, or parasites using standard procedures. In addition, patients' blood samples were analyzed for CD4 counts by flow cytometry and examined for Plasmodium falciparum by microscopy. Results: The prevalence of single parasitic infection among HIV patients was 18.1% in males and 16.9% among females with no significant difference (p = 0.536) while gender was a risk factor in multiple parasitic infections (male versus female: 4.2% and 1.8% OR = 2.384; 95% CI = 1.371, 4.147) (p = 0.0025). Increasing age was not associated with increased risk of both single and multiple parasitic infections (p = 0.083; p = 0.248). CD4 + T cell count less than 200 cells/µl was a risk factor for acquiring single and multiple parasitic infections among HIV patients (OR = 5.565; 95% CI = 4.136, 7.486; p = 0.0001; OR = 4.283; 95% CI = 2.424, 7.566; p = 0.0001). The most common co-infection observed was between Plasmodium falciparum and Ascaris lumbricoides 43% (10) among HIV patients. Conclusion: This study provides evidence of co-infections between Plasmodium falciparum and intestinal parasites. Diagnosis of parasitic infections among HIV patients is advocated as this will enhance better management of HIV-infected patients.

scholarly journals Occurrence of Gastrointestinal Parasitic Associated with Exotic Dogs in Commercial Breeding Mills in Jos Metropolis-Nigeria

2019 ◽  
pp. 15-22
Author(s):  
Amapu T. Y. Amapu T. Y. ◽  
Latu M. Y. Latu M. Y. ◽  
Dapiya H. S. Dapiya H. S. ◽  
Pam K. V. Pam K. V. ◽  
Job M. O. Job M. O. ◽  
...  
Keyword(s):  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Age Groups ◽  
Gastrointestinal Parasites ◽  
Parasitic Infections ◽  
Ancylostoma Caninum ◽  
Dipylidium Caninum ◽  
Significant Difference ◽  
Parasitic Burden ◽  
Commercial Breeding

In Nigeria, there has been an increasing trend towards establishing puppy mills for commercial breeding of exotic dogs. This study determined gastrointestinal parasites associated with exotic dogs of the existing puppy mills in Jos Metropolis Nigeria. A total of 150 dogs’ fresh feacal samples were collected from 25 different puppy mills and examined using formol ether and floatation concentration techniques. Data on risks factors variables of dogs’ age, number of dogs per kernel kennel type, nature of food and history of antiparasitic drugs usage were collected from the breeders using predesigned questionnaire. The result revealed an overall prevalence of 71.33% intestinal parasitic burden among the dogs. Chi square (χ2) analysis showed association (p< 0.05) between breeds of dogs and occurrence of parasites. The gastrointestinal parasites associated were most prevalent dogs in Neapolitan mastiff (86.36%) followed by Rottweiler (75.70%) and German Shepherd (57.14%) was the least infected Predominantly, a total of seven (7) species of intestinal parasites; Ancylostoma caninum (28.00%) Dipylidium caninum (23.33%), Toxocara canis (14.00%), Trichuris vulpis (11.33%), Taenia sp. (5.33%) Giardia sp. (7.33%) and Coccidia sp. (5.33%) were identified. Among different gastrointestinal parasitic infections, occurrence of Ancylostoma caninum (28.00%) was highest, followed by Dipylidium caninum (23.33%). Multiple parasitic infections among positive dogs sampled were observed, however, risk factors variables did not (p > 0.05) affect parasitic infection. Age based gastrointestinal parasitic infection peak (77.78%) was reported among 7 9 months old and decreased with ages of dogs The result showed no significant difference in prevalence of gastrointestinal parasites among age groups of the dogs (χ2 = 2.616, d.f. = 5, P = 0.624). This trend implies that puppies of younger age groups had higher prevalence and tendency for infection with gastrointestinal parasites than their older counterparts.This study provides baseline data on the spectrum of intestinal parasitic infection of exotic dogs in commercial puppy mills in Jos-Nigeria. Therefore, the phenomenon could represent an important health threat and needs to be regulated, so that breeders adhere to hygiene practices and veterinary guidelines. This will serve as an approach to reduce the tendency of increasing intestinal parasitic burden of local dogs as well as eliminate emergent zoonotic intestinal parasites in the dogs.

scholarly journals Prevalence and Determinants of Intestinal Parasitic Infections among Pregnant Women Receiving Antenatal Care in Kasoa Polyclinic, Ghana

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Albert Abaka-Yawson ◽  
Solomon Quarshie Sosu ◽  
Precious Kwablah Kwadzokpui ◽  
Salomey Afari ◽  
Samuel Adusei ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Sub Saharan Africa ◽  
Stool Examination ◽  
Parasitic Infections ◽  
Cross Sectional ◽  
Intestinal Parasitic Infections

Background. Intestinal parasitic infections affect pregnant women worldwide. The infection has been implicated in causing life-threatening conditions in both gravid women and their developing foetus. Sub-Saharan Africa is known to harbor the greatest proportion of intestinal parasitic infections largely due to socioeconomic and environmental factors. In Kasoa, Southern Ghana, there is paucity of data on the prevalence and associated factors of intestinal parasitic infections among pregnant women. Objective. The aim of the study was to determine the prevalence of intestinal parasitic infections and associated factors among pregnant women attending antenatal care in Kasoa Polyclinic. Methods. A hospital based analytical cross-sectional study was carried out among three hundred (300) conveniently sampled pregnant women receiving antenatal care services at the Kasoa Polyclinic. Structured questionnaires were administered to the study participants to assess sociodemographic and other possible factors. Stool samples were collected from each pregnant woman and examined for the presence of intestinal parasites by microscopy using direct wet mount as well as formol-ether sedimentation techniques. Results. Overall prevalence of intestinal parasites was 14.3% (95% CI 11–19%). Entamoeba histolytica (5.0%) was the most predominant parasite species identified followed by Ascaris lumbricoides (4.3%), Giardia lamblia (2.3%), Trichuris trichiura (1.3%), Schistosoma mansoni (0.3%), Hookworm (0.3%), Hymenolepis nana (0.3%), and Isospora belli (0.3%). Age > 30 years (AOR = 0.17, 95% CI = 0.06–0.48; p=0.001), multigravidity (AOR = 0.43, 95% CI = 0.19–0.97; p=0.043), and 2nd and 3rd trimesters (AOR = 4.73, 95% CI = 1.36–16.49; p=0.015) were independently associated with intestinal parasitic infections among pregnant women. Conclusions. A prevalence of 14.3% pregnant women compared to previous studies in Ghana is relatively low. It however suggests that intestinal parasitic infection is still a problem. The major factors noted were age, gravidity, and gestational age. Routine stool examination and provision of public health education are recommended to prevent infection of pregnant mothers and their unborn babies.

scholarly journals Prevalence and Related Risk Factors of Intestinal Parasitosis among Private School-Going Pupils of Dharan Submetropolitan City, Nepal

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Bijay Kumar Shrestha ◽  
Manita Tumbahangphe ◽  
Jenish Shakya ◽  
Anu Rai ◽  
Kabita Dhakal ◽  
...  
Keyword(s):  
Risk Factors ◽  
Drinking Water ◽  
Private School ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Parasitic Infections ◽  
Intestinal Parasitic Infections ◽  
Nail Biting ◽  
Related Risk ◽  
Significant Difference

Introduction. Intestinal parasitic infections are most common and prevalent among children and accounts for great morbidity and mortality. Objective. This research is aimed at studying the prevalence and related risk factors of parasitic infections among private school-going pupils of Dharan Submetropolitan City. Methods and Materials. This was a cross-sectional laboratory-based study conducted from 13 November 2018 to 26 February 2019 among 400 private school pupils. The stool samples were collected and microscopically examined for parasites using the formalin ethyl acetate sedimentation technique. Data Analysis. Statistical analysis was performed by using SPSS version 16.0. Pearson’s Chi-square test was used to establish association between dependent and independent variables. The association was also determined using crude and adjusted odds ratio, and the test considered a P value < 0.05 as statistically significant with 95% confidence interval. Result. In this study, 46 (11.5%) children were positive for intestinal parasites. In this study, 3 protozoans (Entamoeba histolytica = 3 (0.75%)) and 43 helminths (Ascaris lumbricoides = 22 (5.5%); Enterobiusvermicularis = 6 (1.5%); Ancylostoma duodenale = 2 (0.5%); and Trichuris trichiura = 13 (3.25%)) were isolated and identified. Statistically, significant difference in the parasitic prevalence with respect to age and gender was not seen ( P > 0.05 ). However, the prevalence of parasitic infection was strongly associated with the ethnicity of the pupils ( P = 0.001 ). The strong associated risk factors of intestinal parasitic infections were nail-biting habit, source of drinking water, biannual deworming, thumb-sucking, hand sanitation before having food and after toilet, knowledge of parents on parasitosis, health and sanitation, keeping cat/dog as pet, and wearing protective shoes during play ( P = 0.001 ). Bowel syndromes like abdominal cramp and constipation also had a strong statistical association ( P = 0.001 ) with the prevalence of parasitic infection. According to binary and multivariate logistic regression analyses, the parents without awareness, pupils with a nail-biting habit, pupils not wearing shoes during play, lack of deworming, drinking direct tap water, and pupils with poor hand sanitation were more likely to be infested with intestinal parasitic infections. Conclusion. This study concludes that intestinal parasites are still prevalent among private school-going pupils of Dharan Submetropolitan City. The poor sanitation and sanitary habits like biting nails, consumption of untreated drinking water, and failure to practice proper hand washing were studied as contributors to the acquisition of intestinal parasitic infections. Therefore, integration of control measures such as provision of clean and safe drinking water, improved sanitation and hygiene, with biannual administration of drugs are necessary for effective eradication of parasitic infections.

What are Hidden Facts behind Intestinal Parasitic Infections in Ilam City?

2019 ◽  
Vol 19 (3) ◽  
pp. 284-287
Author(s):  
S. Viesy ◽  
J. Abdi ◽  
Z. Rezaei
Keyword(s):  
Public Health ◽  
Intestinal Parasites ◽  
Parasitic Infection ◽  
Public Health Education ◽  
Health Problems ◽  
Parasitic Infections ◽  
Blastocystis Hominis ◽  
Cross Sectional ◽  
Intestinal Parasitic Infections ◽  
Number Of Patients

Background: Intestinal parasitic infections are the one of the most common health problems in developing countries. Objective: A number of patients die annually due to complications caused by these parasites.Therefore, the aim of this study was to investigate the rate and type of parasitic infections, determine the factors affecting them in Ilam city and also provide strategies to prevent them.In this descriptive cross-sectional study conducted in one of the Ilam labs in 2016, 417 stool specimens were randomly collected. All specimens were examined using direct and ethanol formaldehyde.Suspect specimens were examined using Trichrom staining. Demographic information was also recorded in a questionnaire, and finally the results were analyzed using statistical software SPSS 20.The data were then compared with Chi-square test. Results: Out of the 417 patients examined, 59 (14.1%) were infected with intestinal parasites. The type of parasitic infection in 9.4% was Blastocystis hominis, 3.6% Entamoeba coli, 0.5% Entamoeba histolytica, 0.5% Giardia and 0.2% Trichomonas hominis. Conclusion: Despite the improvement of public health, parasitic infections are still considered as one of the health problems in the city of Ilam. Therefore, proper planning, public health education, raising the level of health in the area and the provision of safe drinking water are some of the ways to reduce parasitic infections in the region.

scholarly journals Prevalence and Correlates of Intestinal Parasites among Patients Admitted to Mirembe National Mental Health Hospital, Dodoma, Tanzania

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Azan A. Nyundo ◽  
David Z. Munisi ◽  
Ainory P. Gesase
Keyword(s):  
Neglected Tropical Diseases ◽  
Intestinal Parasites ◽  
Psychiatric Patients ◽  
Parasitic Infection ◽  
Parasitic Infections ◽  
Intestinal Parasitic Infection ◽  
Psychiatric Facility ◽  
Concentration Data ◽  
Cross Sectional ◽  
Stool Samples

Background. Neglected tropical diseases continue to be one of the leading causes of morbidity and mortality in the developing world. Psychiatric patients are among groups at risk for parasitic infection although control and monitoring programs largely overlook this population. This study aimed at determining prevalence and factors associated with intestinal parasitic infection among patients admitted to a psychiatric facility.Method. The study followed cross-sectional design; all the residing patients that met the inclusion criteria were included in the survey. Stool samples were collected and examined by direct wet preparation and formol-ether concentration. Data were analyzed with STATA version 12.1; Chi-square test was computed to determine the level of significance atpvalue < 0.05.Results.Of all 233 patients who returned the stool samples, 29 (12.45%) screened were positive for an intestinal parasite. There was no significant association between parasite carriage and age, sex, or duration of hospital stay.Conclusion. The study shows that intestinal parasitic infection is common among patients in a psychiatric facility and highlights that parasitic infections that enter through skin penetration may be a more common mode of transmission than the oral route. Furthermore, the study underscores the need for surveillance and intervention programs to control and manage these infections.

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