scholarly journals Schistosomiasis and Associated Risk Factors Among School-Aged Children in Northern Nigeria

Author(s):  
Musa M. Dogara ◽  
Saadatu Ahmad ◽  
Babalola J. Balogun ◽  
Salwa S. Dawaki ◽  
Muzammil B. Mustapha ◽  
...  

Background: The Jigawa State Ministry of Health in Northern Nigeria undertook a pilot intervention without a follow-up to control schistosomiasis through preventive chemotherapy by ensuring that each child swallows praziquantel from 2009 to 2013 in five primary schools in Dutse metropolis. Previously, the overall prevalence for urinary and intestinal schistosomiasis determined using Sedimentation and Kato Katz methods was 22.9%. Methods: A cross sectional study involving 150 randomly selected pupils, aged 6 - 15 years old was conducted using sedimentation and Kato-Katz methods to determine the prevalence of urinary and intestinal schistosomiasis respectively in three schools in July, 2018. Information on demographic and associated risk factors was collected using a structured questionnaire and the data generated was analyzed using SPSS statistics version 18.0. Results: The overall prevalence was 10% with S. haematobium 8%, S. mansoni 2.67% and co-infection 0.67%. Males had higher prevalence, 15.10% than females 1.75%. The 11 - 15 years age group had higher prevalence, 10.10% than 6 - 10 years, 9.68%. Nearly all the infections occurred among class 4-6 pupils with 12.10% and 2.94% in 1-3. Based on parental occupations, children of unskilled laborer had the highest prevalence of 16.67% followed by children of civil servants 12.50%, and children of butchers 0%. Kachi School had the highest prevalence of 14.00% while Sir Muhammadu Sunusi had the lowest 4.00%. Schistosomiasis prevalence was found only to be significantly associated with gender; higher among males than females (15.1% vs 1.75%, P = 0.011). Conclusion and Implications for Translation: Schistosomiasis is still endemic among school-aged children in Dutse metropolis, but with a drop in overall prevalence from 22.9% to 10.00%. Chemotherapy and health education should be sustained on both in and out of school-aged children in order to control the transmission. Key words: • Schistosomiasis • Tropical diseases • Northern Nigeria • Chemotherapy• School-aged Children • Kato - Katz • Sedimentation   Copyright © 2020 Dogara et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

2020 ◽  
Author(s):  
A. G. Ibrahim ◽  
M.K. Tijani ◽  
R. I. Nwuba

AbstractBackgroundIn developing countries, infections caused by soil-transmitted helminthes (STH), such as Ascaris, Trichuris and hookworm, pose major public health problems among the school-age children, resulting in impaired physical growth such as stunting and thinness, and cognitive development. The aim of this study is to determine the prevalence of STH infections, stunting and thinness, and risk factors among school-age-children in Ibadan. This becomes highly imperative in order to serve as a guide on the prevention and control.MethodA cross-sectional study was carried out in 8 primary schools at Ibadan, Oyo State Nigeria, between May and November 2018. All the school-age-children between the ages 5 and 18 years old (mean 10.4 ± 1.7 years), from primary one to six took part in the study. Demographic data were obtained and STH infections was analysed in single-stool samples by Kato-Katz. Anthropometric parameters were taken to calculate Height for-age Z score (HAZ) and Body-Mass-Index (BMI) for-age Z score (BAZ), in order to determine among school-aged-children stunting and thinness respectively.ResultsIn overall, 458 school-age-children partook in the study. The prevalence of STH was 9.0%, out of which 7.6%, 2.8% and 1.5% were recorded for Ascaris, Trichuris and multiparasitism respectively. The overall prevalence obtained revealed that the results of stunting and thinness (HAZ < -2SD, BAZ < -2SD) were 24.7% and 27.3% respectively based on the WHO Child Growth Standards (2007). Notably, ages of the children (P< 0.01), their classes (P=0.05), different schools (P=0.003), washing of hands after toileting (P = 0.05) were important risk factors determining STH infection, HAZ and BAZ.ConclusionThe study showed that specific risk factors among school children in the studied area will make them vulnerable with high risk of STH infection, HAZ and BAZ. Effective prevention and control strategies can be well planned when risk factors and dynamics of transmission in vulnerable groups have been painstakingly identified.SummaryAscaris, Trichuris and hookworm are responsible for major public health problems among the school-age children (SAC); this has led to stunting and thinness, and impaired cognitive development. With the aim to determine prevalence of STH infections, stunting, thinness and associated risk factors, a cross-sectional study of STH infection in 8 primary schools at Ibadan, Oyo State Nigeria was conducted in 2018. School-aged children between the ages of 5 and 18 were enrolled, demographic data, stool samples and anthropometric parameters were obtained in order to determine STH infection and nutritional status. 9.0% was the prevalence of STH, the prevalence of 7.6%, 2.8% and 1.5% were recorded for Ascaris, Trichuris and multiparasitism respectively, while 24.7% and 27.3% were obtained for stunting and thinness respectively. The children’s age, hand washing after toileting and locations of the different schools were significantly correlated with STH infection, HAZ and BAZ. This study is highly imperative because its shows some risk factors associated with STH infection, HAZ and BAZ among SAC, this can serve as a guide on the prevention and control among SAC.


2019 ◽  
Author(s):  
John Paul Byagamy ◽  
Geoffrey Maxwell Malinga ◽  
Harriet Angwech ◽  
Robert Opiro ◽  
Richard Echodu ◽  
...  

Abstract Objective: The aim of this cross-sectional study was to determine the prevalence, infection intensity and associated risk factors of intestinal schistosomiasis among primary school children in Lira district, Uganda. The study was conducted among 532 primary school pupils aged 6-16 years from eight randomly selected primary schools (March-May 2017). Stool samples were collected and examined for schistosomiasis using Odongo-Aginya method. Data on socio-demographic characteristics and risk factors were obtained using questionnaires. Results: The overall prevalence of Schistosoma mansoni was 35.7% indicating a moderate infection. Both males and females were equally affected with S. mansoni . Ogur sub county had highest prevalence (42.1%) than others. Akangi and Akano primary schools both had highest (21.1%) prevalence compared to the others. Individuals aged 14-16 and 10-14 years had heavy infections (mean epg) of 600 and 565 eggs, respectively than those aged 6-9 years. With regard to risk factors, source of drinking water, sub-county location and primary school were associated with infection. Participants who fetch water from spring (85,44.7%) had higher infection than those who fetch from other sources. The study recommends provision of safe water, periodic treatment of school-aged children with praziquantel and public health education to reduce prevalence of S. mansoni .


2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Syed Riazul Hasan ◽  
Zeeshan Hamid ◽  
Muhammad Talha Jawaid ◽  
Rashida Kaizar Ali

Objective: To assess the level of anxiety among doctors during COVID-19 pandemic and the associated risk factors. Methods: This cross-sectional study was conducted from 30th April to 16th May, 2020 in Karachi, Pakistan. The data was collected via an online web-based questionnaire. Questionnaire was used to assess anxiety level using GAD-7 scale among health-care professionals and the risk factors playing role in it. Results: One hundred and fifty-one doctors participated in our study. Out of these 151 participants, 69 (45.7%) had mild, 22 (14.6%) had moderate, and 5 (3.3%) had severe symptoms of anxiety, whereas the remaining 55 (36.4%) had no anxiety according to GAD-7 scale. The median [interquartile range (IQR)] GAD-7 scale scores are 6.0 [3.00-9.00]. Females showed more severe degrees of measurement of anxiety symptoms than males. Doctors dealing with COVID-19 patients showed higher level of anxiety as compared to the doctors who were not dealing with COVID-19 patients, having a significant difference (U = 9.697, p = 0.008). One hundred and forty-one (93.4%) participants were concerned about being exposed to COVID-19 at work and 112 (74.2 %) thought they have inadequate protective equipment for safety. Conclusions: During COVID-19 pandemic, doctors exhibited different grades of anxiety. In order for healthcare workers to perform to the best of their capability, certain guidelines and interventions are needed. doi: https://doi.org/10.12669/pjms.36.6.3113 How to cite this:Hasan SR, Hamid Z, Jawaid MT, Ali RK. Anxiety among Doctors during COVID-19 Pandemic in Secondary and Tertiary Care Hospitals. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.3113 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2019 ◽  
Author(s):  
John Paul Byagamy ◽  
Geoffrey Maxwell Malinga ◽  
Harriet Angwech ◽  
Robert Opiro ◽  
Richard Echodu ◽  
...  

Abstract Abstract Objective: The aim of this cross-sectional study was to determine the prevalence, infection intensity and associated risk factors of intestinal schistosomiasis among primary school children in Lira district, Uganda. The study was conducted among 532 primary school pupils aged 6-16 years from eight randomly selected primary schools (March-May 2017). Stool samples were collected and examined for schistosomiasis using Odongo-Aginya method. Data on socio-demographic characteristics and risk factors were obtained using questionnaires. Results: The overall prevalence of Schistosoma mansoni was 35.7% indicating a moderate infection. Both males and females were equally affected with S. mansoni . Ogur sub county had highest prevalence (65.0%) than others. Akangi (65.5%) and Akano (64.5%) primary schools both had highest prevalence compared to the others. With regard to risk factors, source of drinking water, sub-county location and primary school were associated with prevalence of infection whereas only school location and home distance to water source was associated with intensity. Participants who fetch water from spring, dam and wells had higher infection than those who fetch from boreholes. The study recommends provision of safe water, periodic treatment of school-aged children with praziquantel and public health education to reduce prevalence of S. mansoni .


2021 ◽  
Vol 49 (8) ◽  
pp. 030006052110346
Author(s):  
Techane Sisay Tuji ◽  
Addisu Dabi Wake ◽  
Gezahegn Badeg Adere ◽  
Aselefu Beka Wedajo ◽  
Batu Dekeba Obole ◽  
...  

Objective To assess the prevalence of spontaneous preterm births and to identify the associated risk factors. Methods This single-centre cross-sectional study enrolled women that experienced a preterm birth as registered on the neonatal log-book between 30 December 2019 and 30 December 2020. A pre-tested structured checklist was used to collect data (sociodemographic characteristics; obstetric-related factors; medical history; and pregnancy-related factors). Bivariate logistic regression analyses were applied to identify factors associated with spontaneous preterm birth. A multivariate model identified significant independent risk factors. Results A total of 310 patients participated in the study. The prevalence of spontaneous preterm birth in this population was 67.1% (208 of 310; 95% confidence interval [CI] 61.5, 71.9). Patients without a partner (adjusted odds ratio [AOR] = 1.470, 95% CI 1.23, 4.42), patients residing in a rural area (AOR = 2.51, 95% CI 1.123, 5.513) and those with a history of PIH during their current pregnancy (AOR = 0.104, 95% CI 0.053, 0.014) were significantly more likely to have a spontaneous preterm birth. Conclusion The prevalence of spontaneous preterm birth in in this study was high. Healthcare providers and all stakeholders should focus on screening pregnant women at the risk of spontaneous preterm birth.


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e043814
Author(s):  
Mesfin Tadese ◽  
Andargachew Kassa ◽  
Abebaw Abeje Muluneh ◽  
Girma Altaye

ObjectivesThe study aimed to provide an association between dysmenorrhoea and academic performance among university students in Ethiopia. Further, the study attempts to determine the prevalence and associated risk factors of dysmenorrhoea.Design and methodInstitution-based cross-sectional study was conducted from 1 April to 28 April 2019. A semistructured and pretested self-administered questionnaire was used to collect data. Binary logistic regression analysis and one-way analysis of variance were performed to model dysmenorrhoea and academic performance, respectively.Setting and participantsEthiopia (2019: n=647 female university students).OutcomesThe primary outcome is dysmenorrhoea, which has been defined as painful menses that prevents normal activity and requires medication. The self-reported cumulative grade point average of students was used as a proxy measure of academic performance, which is the secondary outcome.ResultsThe prevalence of dysmenorrhoea was 317 (51.5%). The educational status of father (adjusted OR (AOR) (95% CI) 2.64 (1.04 to 6.66)), chocolate consumption (AOR (95% CI) 3.39 (95% 1.28 to 8.93)), daily breakfast intake (<5 days/week) (AOR (95% CI) 0.63 (0.42 to 0.95)), irregular menstrual cycle AOR (95% CI) 2.34 (1.55 to 3.54)) and positive family history of dysmenorrhoea AOR (95% CI) 3.29 (2.25 to 4.81)) had statistically significant association with dysmenorrhoea. There was no statistically significant difference in academic performance among students with and without dysmenorrhoea (F (3611)=1.276, p=0.28)).ConclusionsDysmenorrhoea was a common health problem among graduating University students. However, it has no statistically significant impact on academic performance. Reproductive health officers should educate and undermine the negative academic consequences of dysmenorrhoea to reduce the physical and psychological stress that happens to females and their families.


2020 ◽  
Vol 18 ◽  
pp. 205873922096054
Author(s):  
Faiz Ullah Khan ◽  
Yu Fang ◽  
Zakir Khan ◽  
Farman Ullah Khan ◽  
Zafar Iqbal Malik ◽  
...  

Globally, surgical site infections are one of the common infections which lead to a large amount of mortality and morbidity in postsurgical care. The risk for surgical site infection is multidimensional which includes mainly; patient, surgery, and hospital-related factors. This study is aimed to determine the burden of SSIs along with contributed risk factors. A prospective observational cross-sectional study was conducted in one of the largest public-sector hospitals in Pakistan. A total of 412 patients were recruited in the study with full consent and monitored for 30 days after surgery with direct and indirect surveillance. Overall, in seven different surgical procedures the incidence (29.8%) rate of SSI was observed; in appendectomy ( n = 17, 4.1%), exploratory laparotomy ( n = 51, 12.6%), laparoscopic cholecystectomy ( n = 12, 2.90%), mesh repair ( n = 17, 4.01%), thyroidectomy (5, 1.2%), transurethral resection of the prostate ( n = 11, 2.6%), and transurethral resection of the bladder (10, 2.4%). The average SSI rate in every single procedure was about 18 (4.27%) per surgical procedure out of 123 (29.85%) SSI cases. Types of SSI identified were superficial, deep incisional and organ/space ( n = 76, 18.4%, n = 23, 5.5%, and n = 24, 5.7%). Incidence of SSIs during admission, at readmission, and post-surveillance cases were ( n = 50, 12.1%, n = 25, 6.0% and n = 48, 11.6%). Associated risk factors found contributed to the incidence of SSI ( p < 0.05). Pre-operative ( n = 348, 84.5%) and 6 (1.5%) surgical patients did not received the post-operative antibiotics. The P. aeruginosa ( n = 15, 12.1%) and S. aureus (13, 10.5%). Cefoperazone and sulbactam were the most prescribed antibiotics. Associated risk factors and treatment outcomes of surgical patients have a direct association with the incidence of SSI. Hospital-based antimicrobial stewardship, implementation of surgical guidelines, patient care, and education are needed to develop at wards level in hospitals.


2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Animen Ayehu ◽  
Yibeltal Aschale ◽  
Wossenseged Lemma ◽  
Animut Alebel ◽  
Ligabaw Worku ◽  
...  

Background. Visceral leishmaniasis (VL, also called kala-azar) is a public health problem in Ethiopia, especially in sesame and sorghum growing areas. Compared to other populations, labor migrants are the most exposed. Knowing the seroprevalence ofLeishmania donovaniand associated risk factors is essential to design appropriate control measures. The main aim of this study was to assess the seroprevalence of asymptomaticL. donovaniamong laborers and associated risk factors in agricultural camps of West Armachiho district, Northwest Ethiopia. Therefore, this study was conducted to know the seroprevalence and associated risk factors ofL. donovaniinfection.Method. A cross-sectional study was conducted among 185 laborers from October to December 2017. A simple random sampling technique was used to select study participants from selected agricultural camps. After obtaining written informed consent, data were collected using a structured pretested Amharic version questionnaire using the interview technique. A single finger prick blood sample was collected from the study participants and the blood samples were subjected to the serological diagnostic method using the rk39 kit. The multivariable logistic regression model was used to identify risk factors associated withL. donovaniinfection.Result. Among 185 participants examined using rk39, 14 (7.6%) were seroreactive forL. donovani.Leishmania donovaniinfection had a statistically significant association with sleeping underBalanitestrees (AOR: 4.36, 95%CI: 1.186-16.06), presence of domestic animals near sleeping place (AOR: 4.68, 95% CI: 1.25-17.56), and lack of knowledge about VL transmission (AOR: 3.79, 95% CI: 1.07-13.47).Conclusion. Seroprevalence of asymptomaticL. donovaniamong laborers in agricultural camps of West Armachiho was low. Prevention measures and health education about risk factors that expose toL. donovaniinfection for the laborers are essential to prevent the spread of the disease.


BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e015758 ◽  
Author(s):  
Fu-Liang Zhang ◽  
Zhen-Ni Guo ◽  
Yan-Hua Wu ◽  
Hao-Yuan Liu ◽  
Yun Luo ◽  
...  

ObjectivesEpidemiological studies aimed at stroke and its risk factors can help identify persons at higher risk and therefore promote stroke prevention strategies. We aimed to explore the current prevalence of stroke and its associated risk factors in northeast China.DesignPopulation based cross sectional study.SettingData were collected using a structured precoded questionnaire designed by the Stroke Screening and Prevention Programme of the National Health and Family Planning Commission of China, between January and March 2016.Participants4100 permanent residents, aged 40 years or older, who had lived in Dehui City of Jilin Province for more than 6 months volunteered to participate in the survey, with a response rate of 92.2%. For the purpose of the present analysis, 48 subjects were excluded due to missing values, giving a total of 4052 people included in this analysis.Main outcome measureThe questionnaire included demographic characteristics, stroke related behavioural factors, personal and family medical history of stroke, physical examination and laboratory testing.ResultsThe overall prevalence of stroke in Jilin Province was 7.2% (95% CI 6.3% to 8.2%). Of all stroke cases, 91.7% (95% CI 87.4% to 94.6%) were ischaemic stroke and 8.3% (95% CI 5.4% to 12.6%) were haemorrhagic stroke. The prevalence rates of dyslipidaemia, smoking and hypertension were ranked as the top three cerebrovascular risk factors and were 62.1%, 61.8% and 57.3%, respectively. We found that hypertension, dyslipidaemia and lack of exercise were associated with ischaemic stroke. However, only hypertension (OR=4.064, 95% CI 1.358 to 12.160) was significantly associated with haemorrhagic stroke.ConclusionsThe prevalence of stroke, especially ischaemic stroke, and associated cerebrovascular risk factors among adults aged 40 years or older in northeast China were high. A higher regional prevalence of hypertension, dyslipidaemia and lack of exercise may be responsible.


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