This study is suggestive of the involvement of E. vermicularis in the aetiology of enuresis in Calabar. Children presenting with, especially, uncomplicated enuresis should be screened for enterobiasis.

The prevalence of enterobiasis and its relationship with anal itching and enuresis were investigated among 799, randomly selected children aged 5-14 years, who lived, either in an area of high population density or one with a much lower population density, in Calabar, Nigeria. The eggs of Enterobius vermicularis were found in anal swabs (collected with transparent adhesive tape) from 60 (7.5%) of the subjects tested, with the prevalence of infection appearing markedly higher in the 403 children from the area with a high population density than in the 396 from the less densely populated area (11.7% v. 3.3%; P < 0.05). Questionnaire-based interviews were used to determine which of the children suffered from anal itching, enuresis or both. Compared with the egg-negative subjects, the 60 children who were egg-positive for Enterobius were found to be much more likely to be suffering from anal itching (78.3% v. 28.3%; P < 0.05) or enuresis (53.3% v. 36.4%; P < 0.05). Enterobiasis is therefore not a problem that is restricted to the temperate regions of the world, and may be a cause of enuresis or at least a contributory factor in the development of this complaint.

Background: Malaria and hookworm infections independently have been known to cause anaemia. Coinfection of these two parasites can aggravated the morbidity of these infections with a resulting impact on anaemia especially in pregnancy. Aims and Objective: This work was aimed at assessing the prevalence of malaria and hookworm co-infection and their effects on anaemia among pregnant women in Calabar Metroplis. Materials and Methods: Giemsa stained film of venous blood was examined microscopically for malaria parasites while cyanmethaemoglobin method was used for haemoglobin level estimation. Stool samples were examined microscopically while Stoll's technique was used in counting the ova of hookworm. Results: 19(6.3%) of the subjects were infected with hookworm, 45(15.0%) with malaria, while 9(3.0%) were infected with both parasites. Severe anaemia of 4(44.4%) was observed amongst the test (infected) subjects while the control (uninfected) subjects had a severe anaemia of 3(1.0%). The highest prevalence of co-infections of malaria and hookworm 4(38.6%) occurred among the age group of 26-30years (p=0.371). Subjects in their 3 rd trimester had the highest prevalence of co-infection of 4(4.4%) (p=0.412). The highest prevalence of severe anaemia 1(100.0%) occurred among the age group of 16-20years (p=0.002). Conclusion: This work has shown a low prevalence of malaria and hookworm co-infection. The level of severe anaemia among infected pregnant women was more than that observed among subjects without any of the two infections.

Background: Hand washing with soap and water is a good hand hygiene practice which reduces the chance of infection transmission through hand contact. This study was designed to determine the microbial hand carriage among nursery and primary school children in Calabar Metropolis and to assess the effect of hand washing in the reduction of bacterial hand carriage among these children.