Background: There is a paucity of knowledge on the epidemiology of parasitic diseases which remain rampant in the Dschang municipality. Three communities around Dschang town-Ngui (slummy), Paidground (heterogeneous) and the Administrative Quarter-AQ (wealthy) were investigated to highlight the aetiology of intestinal parasitic infections (IPIs) in children in order to enhance health policy intervention priorities. Methods: Between July and November 2009, 31 stools amples were collected from children aged six months to 18 years (mean 9 years) in 295 households across the three communities. A structured questionnaire was used to obtain information on socio-demographic characteristics, source of water supply, de-worming practice and treatment history. Stool samples were screened for ova/larvae of intestinal parasites using direct wet mount, brine floatation and formol-ether sedimentation methods. Results from stool tests and information obtained from questionnaires were analyzed using SPSS. Results: In total, 223 (26.8%) children had single (19.9%) and multiple (7%) infections from seven parasites: the overall prevalence was 34.7%; helminthes 19.3% and protozoa 15.4% (χ 2 = 4.3, P < 0.0380); corresponding to Entamoeba histolytica 8.8%, Ascaris lumbricoides 7.5%, Trichuris trichiura 6.8%, Entamoeba coli (5.8%), hookworm 4.6%, Giardia lamblia 0.8% and Vampirolepis (Syn: Hymenolepis) nana 0.4%. Infections were more severe and rates significantly higher in Ngui (45.9%, χ 2 = 86.83, P < 0.0001) than in the AQ (17.7%) and Paidground (16.7%), and in the oldest children above 15 years (55.3%, χ 2 = 111.97, P < 0.0001). Conclusion: Regular sustained synchronized deworming alongside antiprotozoaics, periodic diSagnostics for all children and slummed residents which lend to intestinal protozoa; sanitary inspection of homes and water supplies; adequate drainage and community wastes disposal; and prevention education on hygiene, sanitation, safe water and health were desirable.
Background Soil-transmitted helminths (STH) infections remain an important public health problem in the tropics. This study aimed to evaluate the soil contamination rate and prevalence of infestations of geohelminth among residents in Bazou. Methods Four hundred (400) soil samples and 182 stool specimens were collected respectively from four sites and from inhabitants aged 1 to 40 years and above in 12 households. A questionnaire was administered to evaluate risk factors of STH-infections. Soil samples were screened using sucrose centrifugal flotation method while stool specimens were analyzed using two techniques. Results Out of the 400 soil and 182 stool samples examined, 13(3.3%) and 9(4.95%) were positive respectively after analyses. Soil contamination rates were 2%, 1% and 0.3% for Ascaris, Trichuris and hookworm eggs respectively while 4.95% of stool samples were positive to one species nematode (Ascaris lumbricoides). The soil contamination rate observed (5%) in the rainy season was significantly different (p>0.05) from the one observed (1.5%) in the dry season. Irrespectively of the season, the most frequent parasite identified was Ascaris spp. Soils around houses were more contaminated 6(12%) as compared to those collected from markets 5(10%) and roads 2(4%) while those around classrooms were not contaminated. Participants in the age group of 1–10 were more infected. Factors such as no hand washing habit and untrimmed finger nails were found to be important risk factors for STH. Conclusion These results suggest the necessity to promote measures that could help to reduce STH infections.
Cockroaches have been recognized as mechanical vectors of pathogens that can infest humans or animals. A total of 844 adult cockroaches (436 males and 408 females) were caught. In the laboratory, cockroaches were first washed in saturated salt solution to remove ectoparasites and then rinsed with 70% alcohol, dried, and dissected for endoparasites. An overall transport rate of 47.39% was recorded. Six genera of parasites were identified. These were Ascaris (33.76%), Trichuris (11.97%), Capillaria (6.16%), Toxocara (4.86%), Hook Worm (4.86%), and Eimeria (2.73%). The parasites were more recorded on the external surface (54.27%) of cockroaches than in the internal surface (GIT, 38.51%). The same tendency was obtained between sexes with female cockroaches having a higher transport rate (36.69%). Cockroaches caught in toilets carried more parasites (31.99%) as compared to those from kitchens (22.63%) and houses (11.14%). Almost all encountered parasites were recognized as responsible of zoonosis and they can be consequently released in nature by hosts and easily disseminated by cockroaches as mechanical vectors. Sanitary education, reenforcement of worms' eradication programs, and the fight against these insects remain a necessity in the Mélong Subdivision.
Although field trials of the application of molluscicides for the control of human schistosomiasis have been conducted in several settings, the acceptability of molluscide use at the community level has been poorly documented. The death and putrefaction of aquatic organisms in water treated with niclosamide (Bayluscide), for example, and the yellowish colouration of such water, may decrease the molluscide's acceptability. It may be possible, however, to use doses of a molluscicide that are only just high enough to kill the target snails but not high enough to kill non-target fish and frogs, thereby reducing the application's impact on water quality and colour and improving its acceptability to local communities. In a study in northern Cameroon, Bayluscide WP70 was applied to ponds at concentrations of 0, 0.25, 0.5 or 1 g/m(3). Changes in human contact with the water in the ponds were explored both by direct observation and by in-depth interviews with key informants from the local community. Although all applications of niclosamide greatly decreased human use of the treated ponds for a few days, most informants (99%) were in favour of niclosamide application and only 6% of the interviewees gave change in water colour or bad smell as a reason for not using a particular water body. Over the few days post-application, use of ponds treated with 0.25 or 0.5 g Bayluscide WP70/m(3) was higher than that of the ponds treated with 1 g/m(3), indicating that relatively low-dose applications, if effective in controlling snails, may be more acceptable to local communities than applications at higher doses.
Helminthiasis and protozoans infections have been recognized as an important public health problem. The aim of the present study was to screen soil samples collected from 10 primary schools in the city of Dschang for the presence of soil-transmitted helminth eggs, cysts, and oocysts of protozoans. A total of 400 soil samples were collected around latrines, at playgrounds, and behind classrooms in each school. These samples were examined using the sucrose flotation method. From the result obtained, an overall contamination rate of 7.75% was observed. Five genera of nematodes (Ascaris, Trichuris, Capillaria, Cooperia, and hookworms) were identified, while neither cysts nor oocysts of protozoans were detected. The contamination rate and the number of species found were significantly different in wet season as compared to the dry season. During the rainy season, this rate was 12.5% with all the parasitic stages identified, while, in the dry season, the soil contamination rate was 3% with the presence of only two genera (Ascaris and Trichuris). This suggests that parasite infection may occur mainly in rainy season rather than in the dry season. The most common eggs were those of Ascaris with 2% and 5% contamination rates in the dry and rainy seasons, respectively. Also, the soils around latrines were more contaminated (11.9%) as compared to those collected behind classrooms (7.5%) and those at playground (2.5%). It was concluded that the pupils of these schools may have played a major role in the contamination of their environment. Thus, sanitary education, enforcement of basic rules of hygiene, and deworming remain a necessity in the entire population of the study area in general and in the schools in particular in order to prevent helminth infections and to ensure effective environmental health.
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