SummaryUrinary schistosomosis is a serious public health problem prevalent in low-income rural regions of sub-Saharan Africa, including coastal part of Kenya. Praziquantel administration to school-aged children is the prevailing tool of schistosomosis control in these regions. The aim of our study was to find out if this control strategy can lead to interruption of parasite trasmission and disease elimination. During February and March 2018, the occurrence of urinary schistosomosis in volunteers of primary health care facilities in Kwale County, Kenya was examined and the occurrence of infected intermediate hosts Bulinus globosus in local water resources was monitored. Participants completed a questionnaire concerning source of water for household purposes, type of housing and health status and were asked to provide urine samples. Diagnosis of urinary schistosomosis was established by detection of Schistosoma haematobium eggs in urine specimens microscopically, using filtration method. Infected B. globosus snails were detected using cercaria shedding tests. From the hemolymph of snails, prepatent period of infection was identified by polymerase chain reaction (PCR). The presence of urinary schistosomosis was detected in 15.07 % (69 out of 451) of study participants. Cercaria shedding test was positive in 2 particular sites of river Pengo and Tsanganyiko. Genetic material (haemolymph) of 68 B. globosus snails tested by DraI PCR revealed 7 Schistosoma spp. positive samples. Six of seven DraI positive snails were infected by S. haematobium, as it was detected by Sh110/SmS1 PCR. The study revealed, that the disease was still present in the region studied and the transmission was not interrupted. The rate of infection was significantly influenced by the water supplies used for household purposes and the type of housing.
Schistosomiasis is the most prevalent neglected tropical disease, which causes a serious health problem in low-income tropical and sub-tropical countries, especially in deprived communities. More than 90% of people suffering from schistosomiasis live in sub-Saharan Africa, where blood flukes
Asbestos fibers have been used in industry for decades. Deleterious effect of asbestos on the lungs has been documented. However, the mechanism of asbestos related diseases has not been fully explained yet. Numerous papers suggest there is a role of reactive oxygen intermediates (ROI) in asbestos-induced lung disease development. The excess ROI produced can be removed from the lungs by enzymatic and nonenzymatic antioxidants. The aim of our study was to compare the levels of antioxidants (ascorbic acid, retinol, a-tocopherol, glutathionperoxidase) as well as some markers of lung injury (lipid peroxides, total amount of protein, alkaline phosphatase) in asbestos treated Wistar-rats both 24 hr and 3 months after exposure to those in the controls, and to find out if the changes in antioxidant levels could affect impairment of the lungs. Decreased levels of antioxidants and increased values of lung tissue injury parameters in exposed groups suggest involvement of ROI in the mechanism of asbestos lung disease development, resulting in lung tissue injury, both 24 hr and 3 months after exposure.
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