Urinary Schistosomiasis and Primary Evidence of Female Genital Schistosomiasis among Pupils in Nsugbe Community, Anambra State, Nigeria

Urinary schistosomiasis is considered a major public health parasitic disease in African communities. Prior to this study, Nsugbe community was not considered endemic for the disease and as such was not involved in Praziquantel-Preventive Chemotherapy (PC). Longitudinal study of 281 consented pupils aged 5-16 years was carried out with aim of determining the status of urinary schistosomiasis. Urinalysis laboratory test strip, urine filtration technique and syndromic diagnosis were used for the confirmation of the presence of haematuria in urine samples, identification of Schistosoma haematobium ova and the confirmation of female genital schistosomiasis (FGS), respectively. Risk factors for urinary schistosomiasis infection were determined using pre-tested structured questionnaire. Data were analyzed using Minitab 17 software and intensity of infection categorized following World Health Organization (WHO) recommendations. Of the 281 pupils, 117 (42%) were males and 164 (58%) were females with mean age of 9 years. At baseline, an overall prevalence of 0.4% (1/281) which was of light intensity was established. At follow-up, an overall prevalence of 2.1% (6/281) which was of both light (16.7%) and heavy infection (83.3%) was established. The result of the clinical examination showed eggs of S. haematobium in and around the vaginal area indicating FGS of a female pupil aged 12 years. This was treated. Identified risk factors for S. haematobium infection in the community include water-contact activities, ignorance, source of water supply among others. The study revealed the need for an all inclusive mass administration of Praziquantel-PC in the study community for effective control and possible elimination.

Investigation of the sequence profile of the Plasmodium falciparum 18SrRNA diagnostic target in isolates from naturally infected children with uncomplicated malaria

The gold standard for malaria diagnosis is evidence of parasitological confirmation but the traditional method by light microscopy and the routinely used rapid diagnostic tests (RDTs) have limitations. Molecular assays are known to have higher sensitivity and specificity but there are indications that they may also be compromised by genetic variability of the target sequence. The aim of this study therefore, was to evaluate the DNA sequence profile of the diagnostic target of the P. falciparum 18S rRNA PCR assay in field isolates from North-Central Nigeria. Blood samples were collected from 324 children presenting with acute febrile illness suspected to be uncomplicated malaria. Light microscopy and 18S rRNA PCR assay were employed to determine the presence of P. falciparum parasites. Sequence profile of the diagnostic target was evaluated by Sanger sequencing of the PCR products on ABI PRISM® 3100 DNA sequencer (PE Applied Biosystems). Of the 324 children enrolled into this study, 134 (41.4%) were positive for P. falciparum by microscopy while 218 (67.3%) were positive by PCR. The sensitivity of microscopy was 61.47%(95% CI= 57.88% - 69.64%) using the PCR assay as reference standard. The degree of agreement between microscopy and PCR as measured by Cohen's kappa was moderate (κ = 0.502, 95% CI = 0.463 - 0.715).Sequence analysis showed that the DNA target of the P. falciparum 18S rRNA PCR from the field isolates were highly conserved. Only one A>T single nucleotide polymorphism was found within the target sequence among the isolates in this study. This study showed that the DNA target sequence of the18S rRNA PCR assay is highly conserved in field isolates in the study region suggesting little or no impact of selective pressure acting on the locus and has implications for the enhanced sensitivity of the molecular assay.

Detection of Genetic markers associated with Plasmodium falciparum drug resistance among malaria patients in Kaduna State, Nigeria

Malaria is a disease of public health concern in Nigeria and sub-Saharan Africa. It is caused by intracellular parasites of the genus Plasmodium. The aim of this study was to detect genetic markers associated with Plasmodium falciparum drug resistance among malaria patients in Kaduna State, Nigeria. The study was a cross-sectional study that lasted from May 2018 to October 2018. Three hundred blood samples were collected from consenting individuals attending selected hospitals, in the three senatorial districts of Kaduna State, Nigeria. Structured questionnaire were used to obtain relevant data from study participants. The blood samples were screened for malaria parasites using microscopy and rapid diagnostic test kit. Polymerase Chain Reaction was used for detection of the drug resistance genes. Pfcrt, pfmdr1, pfdhfr, pfdhps and pfatpase6 genes were detected at expected amplicon sizes from the malaria positive samples. The pfatpase6 PCR amplicons were sequenced and a phylogenetic tree was created to determine their relatedness. Result showed that Pfcrt (80%) had the highest prevalence, followed by pfdhfr (60%), pfmdr1 (36%) and pfdhps (8%). Pfatpase6 was also detected in 73.3% of the samples, and a phylogenetic tree showed relatedness between the pfatpase6 sequences in this study and those deposited in the GenBank. In conclusion, the study detected that Plasmodium falciparum genes were associated with drug resistance to commonly used antimalarials.

Survey of Tick Infestations on Pet Dogs in Jalingo Local Government Area, Taraba State

The study investigated the prevalence of tick infestation among pet dogs in Jalingo Metropolis, Taraba State. The study area was fragmented into five study sites namely Kona, Magami Mayo-gwoi, Mile Six and Nukkai areas. Thirty samples were collected from each study sites using random sampling method. The prevalence of ticks infestation on dogs recorded was 80%. Prevalence was significantly different between the sites (χ2 = 13.333, p =0.0098). Amongst the tick genera observed, Ammblyomma had the highest prevalence, 44 (29.3%) followed closely by Ixodes spp., 41 (27.3%), and the least was Dermacentor, 33 (22.0%). Dogs of 108 (72.0%) of the respondent were vaccinated. Dogs of 82 (54.7%) of the respondents received treatment for diseases. Only 71 (47.3%) respondents used medicated soap, acaricide or chemicals to control dog ectoparasites. Attitudes of dog owners contributes directly or indirectly to tick infestation of dogs in Jalingo metropolis.

Combined effects of heavy metals and parasite infections on the haematological and biochemical profiles of wild rats from Awotan Municipal Dumpsite in Ibadan City

The combined effects of heavy metals and parasitic infections on wild rats from Awotan municipal dumpsite in Ibadan city southwest Nigeria were determined. A total of thirty rats were captured from the dumpsite and five rats from a control site using live traps. Rats were identified, weighed and body length measured to determine body condition index. Blood samples were collected from the rats using the cardiac puncture method. Rats were euthanized and dissected to extract various organs (kidney, liver and intestine). Intestinal helminths were extracted, identified and preserved. Blood parasites were identified using Giemsa staining technique of thick and thin films while intestinal helminths recovered were preserved and identified to species level. Organs, intestinal helminths and blood samples were digested and concentrated for heavy metals (Fe, Cu, Cr, Cd, and Pb) using Atomic Absorption Spectrophotometry (AAS). Cortisol level was determined using ELISA technique. All statistical significance was at probability value p < 0.05. Three species of rats were captured, Rattus rattus, Rattus novergicus and Cricetomys gambianus. The mean ± sd of the body condition index of the rats from dumpsite and control groups were 1.82±0.17 and 1.59± 0.38 respectively. There were significant differences in the mean values of eosinophils, platelets and white blood cell counts of rats from the two study sites. Overall parasite prevalence in dumpsite and control were 76.6% and 20% respectively. The overall prevalence of parasite species from dumpsite was in the order Hymenolepis diminuta (26.6%) >Monoliformis monoliformis (20%) >Plasmodium spp (20%) >Trypanosoma spp (10%). The mean concentration (mg/kg) of heavy metals in kidney, liver, intestine and blood of wild rats from both dumpsite and control decreased in the order Fe> Cr> Cu> Cd> Pb. Cortisol level was higher in infected rats from dumpsite (351±58.83ng/ml) than in uninfected rats from dumpsite (237.22± 44.46ng/ml), indicating exposure to immune stressors. A higher prevalence of parasitic infection, heavy metal pollution and the elevated cortisol concentrations in infected rats showed that the animals’ health and well-being are compromised.

Prevalence of Eimeria infection and risk factors associated with domestic chickens raised in Nsukka LGA, Enugu State, Southeast Nigeria

Eimeria infection has been considered the most important protozoan infection of the poultry industry in Nigeria because of its high incidence. A total of 400 faecal samples were collected from 10 farms in Nsukka LGA and analyzed using the Wisconsin’s faecal floatation technique. Data on the management practices of these farms were collected using a wellstructured questionnaire. Eimeria tenella was the only identified species. A total of 158 (39.5%) of the domestic chickens sampled were infected with the protozoan parasite. There was significant difference (p < 0.0001) of E. tenella between towns and between the studied farms. Of the 5 towns sampled, the prevalence was highest at Obukpa town 52 (65.0%) and in birds aged 7 weeks 20 (83.3%) and least at Edem 2 (2.5%) and in birds aged 32 weeks 2 (5.0%). The mean intensity of infection was highest at Obukpa (9.35 ± 9.24) and in birds aged 4weeks (11.50 ± 11.09) and least in Edem town and in birds aged 32 weeks. The difference in prevalence between birds of different ages was significant (p <0.0001). Majority of the farms practiced deep litter housing compared to battery cage users (90% vs. 10%). The most used vaccine was combination 7 (70%). Fifty percent of the farms employed the expertise of veterinary doctors in vaccine administration. Eimeria infection, the main cause of coccidiosis in chicken, has continued to be a major challenge in poultry production and management. Conclusively, the prevalence of Eimeria infection is moderately low as a result of the widespread use of vaccines and anticoccidials.

The efficacy of a single oral dose of albendazole against soil-transmitted helminthiasis in Ogun State, Nigeria

Soil Transmitted Helminths (STHs) are Neglected Tropical Diseases of global public health importance. This study evaluated the efficacy of albendazole (ALB) amongst primary school children aged 6 – 16 years in STH-endemic communities in Ogun State, Nigeria. Demographic characteristics were obtained and stool samples were collected and analysed by Kato-Katz at baseline and 15 and 21 days post-treatment. All study participants were treated with a single ALB 400 mg tablet. A total of 282 participants were screened at baseline, of which 151 were found to be excreting STH (51.4%) of which A. lumbricoides was the most prevalent STH (n = 137, 48.6%), followed by hookworm (n = 60 children, 21.3%) and T. trichiura (n = 3; 1.1%). The prevalence across the four schools varied from 31.3% to 73.9% for A. lumbricoides, from 6.8% to 56.3% for hookworm, and from 0.0% and 2.2% for T. trichiura infections. Of the 151 children excreting any STH infection at baseline, 131 (86.8%) provided a stool sample 15 and 21 days after treatment. The mean fecal egg counts across these complete cases at baseline was 5,096 (± 13,735) eggs per gram (EPG) for A. lumbricoides, 2,202 (±7,849) for hookworms and 288 (±375) for T. trichiura. Fifteen days after drug administration the therapeutic efficacy, measured as the reduction in mean fecal egg count (FEC) following drug administration (ERR), was 99.7% (95CI: 99.4-99.9) for A. lumbricoides and 69.2% (95CI: 28.7-92.8) for hookworms. The hookworm ERR at day 14 was reduced due to the continued high egg output of one highly infected individual. One week later, 21 days following drug administration, ERR for hookworm also reached satisfactory levels (99.4% (95CI: 98.7-99.8)). This study highlights that ALB still shows satisfactory efficacy to Ascaris and hookworm infections in Ogun State, Nigeria.

Status of Lymphatic Filariasis in Security Challenged Areas of Borno State, Nigeria

National lymphatic filariasis elimination programme (NLFEP) of Federal Ministry of Health sets to provide status of LF in the country before 2020. Borno State, situated in the North East political zone of Nigeria with an estimated population of 4.1million had been enmeshed in insurgency for over a decade. Following an initial mapping between 2008 and 2016 in 16 LGAs out of 27 LGAs, it became imperative that the status of LF in the remaining 11 LGAs of Borno State be ascertained in order to have complete data for planning and policy. Using stratified sampling method, eleven communities were selected from the 11 LGAs namely: Abadam, Ngala, Guzamala, Ngazai, Gubio, Mafa, Jere, Biu, Bayo, Askirin/Uba, and Kwayar Kusar. Blood samples were obtained from consented 990 participants and filarial test strip (FTS) were employed to determine their LF status between November 2017 and February 2018. Of the 990 consented participants only 15 (1.5%) were positive for lymphatic filariasis. Ten cases of hydrocele in men were observed in 4 communities namely Bunari (3), Peta (3), Zaramiramga (2) and Uba (2). Considering the number of positive cases by FTS and hydrocele, result showed that hydrocele accounted for 66.7% of the total positive cases within the positive communities. It is advised that the State health workers should continue to properly educate communities on health programmes including LF preventive measures. Also both Federal Ministry of Health and State Ministry of Health sensitize health partners to start LF treatment and morbidity management in all positive communities to fast track elimination of LF.

Xenomonitoring of trypanosome infectivity in Tse tse flies from Kagarko Local Government Area, Kaduna State Nigeria

Trypanosomiasis is a re-emerging neglected tropical disease, afflicting domestic, wild animals and humans. In this study, the tsetse fly infectivity and species composition of Trypanosoma species were determined in Kagarko Local Government Area, Kaduna State Nigeria using entomological protocol. The tsetse flies were sampled using standard biconical traps and the flies collected were dissected for trypanosome using microscopy as well as expression of tsetse antigen 5 (TAg 5) using molecular tools. Forty seven (47) tsetse flies were collected over a period of four months, of which 13 (34.21%) were infected with Trypanosoma spp. The species of trypanosome identified include T. vivax 7(53.85%), T. congolense 5(38.46%) and T. brucei 1(7.69%), while expression of TAg 5 was observed in four of the examined flies. The presence of the flies with trypanosome of veterinary and medical importance demonstrate the risk of transmission of trypanosomiasis in the study area.

Evaluation of Hepatitis-B and Its Markers Among Some Attendees of Two Health Facilities In Port Harcourt, Rivers State, Nigeria

A cross-sectional investigation of hepatitis-B status among attendees of Modern Primary Health Centre, Eneka and Rivers State University Teaching Hospital, Port Harcourt was evaluated. Seven hundred (700) subjects of different ages of both sexes were included in the study after ethical approval was obtained from the Rivers State Ministry of Health, Port Harcourt. Consent forms were issued to get subjects’ consent before questionnaire administration to obtain their demographic data. The uninfected subjects were used as control. About 4mls of blood was taken from each subject by vein-puncture; 2mls each was dispensed into EDTA and plain bottles for analysis. The samples were used to assay for hepatitis-B surface antigen (HBsAg), hepatitis–B virus (HBV) markers (HBsAb, HBeAg, HBeAb, HBcAb) using standard techniques. The overall prevalence of HBV was 5.1% in Port Harcourt. The males had higher prevalence of 7.9% HBV than the females 3.4% HBV, although there was no statistically significant difference (P ≥0.05). The HBV was highest among subjects of age group 24-29 years (8.29%) and 30-35 years (9.2%) accordingly. The HBV markers results show that while HBsAg occurred among all the subjects that were positive for HBV, HBeAb was completely absent.