Health-Education Package to Prevent Worm Infections in Chinese Schoolchildren

Bieri, Franziska; Gray, Darren J.; Williams, Gail M.; Raso, Giovanna; Li, Yuesheng; Yuan, Liping; He, Yongkang; Li, Robert S.; Guo, Fengying; Li, Shengming; McManus, Donald P.

doi:10.1056/nejmoa1204885

Cited by 163 publications

(215 citation statements)

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“…Our recent article published in the New England Journal of Medicine reported success in preventing STH infections in Chinese schoolchildren through a health education package incorporating a cartoon video [8]. Our study showed a 50% efficacy in preventing the incidence of STH infection and established proof of principle that the video-based health educational package increases student knowledge and improves hygiene practice, resulting in fewer worm infections.…”

Section: Introductionmentioning

confidence: 56%

“…Overall, our strategy (see Recommendations below) for the development of the cartoon The Magic Glasses and its incorporation into a health education package proved successful [8]. An educational video provides an ideal basis for health education at school since it can be readily disseminated and reused several times, which may substantially increase cost-effectiveness.…”

Section: Resultsmentioning

confidence: 99%

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Development of an educational cartoon to prevent worm infections in Chinese schoolchildren

Bieri

Yuan

et al. 2013

Infect Dis Poverty

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BackgroundWith more than two billion people infected worldwide, soil-transmitted helminths (STH) are the most widespread infections. To date, STH control efforts rely predominantly on recurrent mass drug administration (MDA), which does not prevent reinfection. Additional public health measures including novel health educational tools are required for more sustained integrated control of STH. We describe the development of an educational cartoon video (The Magic Glasses) targeting STH infections in Chinese schoolchildren and its pilot testing in China.We applied an extensive community-based mixed methods approach involving input from the target group of 9–10 year old schoolchildren and key informants, such as teachers, doctors and parents, in order to identify potential STH infection risks in the study area and to formulate key messages for the cartoon. The development of the educational cartoon included three major steps: formative research, production, and pilot testing and revision.ResultsWe found that most adults and approximately 50% of the schoolchildren were aware of roundworm (Ascaris) infection, but knowledge of transmission, prevention and treatment of STH was poor. Observations in the study area showed that unhygienic food practices, such as eating raw and unwashed fruit or playing in vegetable gardens previously fertilised with human faeces, posed major STH infection risks.ConclusionsIt was crucial to assess the intellectual, emotional, social and cultural background of the target population prior to video production in order to integrate the key messages of the cartoon into everyday situations. Overall, our strategy for the development of the cartoon and its incorporation into a health education package proved successful, and we provide a summary of recommendations for the development of future educational videos based on our experiences in China.

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Section: Introductionmentioning

confidence: 56%

Section: Resultsmentioning

confidence: 99%

Development of an educational cartoon to prevent worm infections in Chinese schoolchildren

Bieri

Yuan

et al. 2013

Infect Dis Poverty

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“…A recently developed and tested education-based intervention package, targeting rural schools in Hunan province, People's Republic of China (PR China) included an educational cartoon video and focused on increasing students' knowledge about STH; the package led to a change in behaviour and a reduced incidence of infection by 50% within one school year (Bieri et al, 2013). This and other studies have shown that educational intervention, in combination with mass drug administration (MDA), can have a significant impact on STH infection and improve the quality of life for those living in endemic areas (Bieri et al, 2013;Monse et al, 2013;Nasr et al, 2013aNasr et al, , 2013b. A video-based study is currently underway in the Philippines with the aim, as in PR China, of reducing STH infections , and it is an approach that could be readily extended to include a component to prevent schistosome and tapeworm infections.…”

Section: Organismmentioning

confidence: 99%

Multiplex real-time PCR monitoring of intestinal helminths in humans reveals widespread polyparasitism in Northern Samar, the Philippines

Gordon

McManus

Acosta

et al. 2015

International Journal for Parasitology

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The global socioeconomic importance of helminth parasitic disease is underpinned by the considerable clinical impact on millions of people. While helminth polyparasitism is considered common in the Philippines, little has been done to survey its extent in endemic communities. High morphological similarity of eggs between related species complicates conventional microscopic diagnostic methods which are known to lack sensitivity, particularly in low intensity infections. Multiplex quantitative PCR diagnostic methods can provide rapid, simultaneous identification of multiple helminth species from a single stool sample. We describe a multiplex assay for the differentiation of Ascaris lumbricoides, Necator americanus, Ancylostoma, Taenia saginata and Taenia solium, building on our previously published findings for Schistosoma japonicum. Of 545 human faecal samples examined, 46.6% were positive for at least three different parasite species. High prevalences of S. japonicum (90.64%), A. lumbricoides (58.17%), T. saginata (42.57%) and A. duodenale (48.07%) were recorded. Neither T. solium nor N. americanus were found to be present. The utility of molecular diagnostic methods for monitoring helminth parasite prevalence provides new information on the extent of polyparasitism in the Philippines municipality of Palapag. These methods and findings have potential global implications for the monitoring of neglected tropical diseases and control measures.

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“…Ayrıca ülke genelinde de benzer sonuçlar saptandığından bir devlet politikası olarak basın ve yayın organlarının da desteği ile tüm toplum parazitler konusunda bilinçlendirilmeli, halkımıza temel temizlik alışkanlıkları kazandırılmalıdır. Bieri FA ve arkadaş-larının Çin'de yaptıkları araştırmada öğrencilerde helmint infeksiyonlarının oranı araştırılmış, hijyen eğitimi ve tedavi ile helmint infeksiyonunun görülme oranında % 50 azalma olduğu saptanmıştır (27). Çalışmamızda bu oran enterobiyazis için %76,5, giardiyozis için %94,4 olarak bulunmuş ve eğitim verilen çocuklarda hijyen bilgisi ve davranışlarında belirgin düzelme olmuştur.…”

Section: Sonuçunclassified

Investigation of Intestinal Parasites and Level of Hygiene Knowledge of School Students

Aytar

Ozturk²,

Gocmen³

et al. 2016

TurkiyeParazitolDerg

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ÖZAmaç: Bu çalışmada, bağırsak parazitlerinin prevalansı ile bazı hijyen alışkanlıkları ve sosyo-demografik özelliklerinin ilişkisinin araştırılması amaç-lanmıştır. Yöntemler: Çalışmanın ilk yılı parazitoz prevalansı ve anketlerle hijyen bilgi düzeyleri ölçülmüş, ikinci yıl kontrol ve müdahale grubu belirlenmiştir. Müdahale gruplarına eğitim verilmiştir. Üçüncü yıl bu kontrol ve müdahale gruplarında parazitoz ve hijyen konusundaki gelişme araştırılmış, sonuçlar karşılaştırılmıştır. İlk olarak, toplam 826 çocuğa ulaşılmış ancak öğrencilere ait 523 dışkı örneği ve 540 selofan bant örneği incelenebilmiştir. Dışkı ör-neklerine direk bakı, %0,85'lik NaCl, formol-eter konsantrasyon işlemi sonrasında lugol, kinyoun asit-fast ve trikrom boyama yöntemleri uygulanmıştır. Bulgular: İncelenen örneklerde 87 (% 16,1) Enterobius vermicularis, 79 (% 15,1) Giardia intestinalis, 73 (% 13,9) patojen olmayan çeşitli parazitler, 1 (% 0,19) Ascaris lumbricoides, 1 (% 0,19) Hymenolepis nana, saptanmıştır. Bulunan sonuçlar anket cevapları ile birlikte analiz edilmiştir. Dışkılama sonrası ellerini yıkamayan çocuklarda G. intestinalis yüksek oranda pozitif saptanmıştır. Ayrıca anne-baba eğitim durumu, ailenin gelir düzeyi ve baba mesleği ile bağırsak parazitleri varlığının ilişkili olduğu bulunmuştur. Üçüncü aşamada müdahale grubunda 68 (45,6%), kontrol grubunda 81 (54,4%) toplam 149 çocuk incelenmiştir. Eğitim sonrası müdahale grubunda giardiyazis ve enterobiazis olgu sayılarında belirgin azalma görülmüştür. Sonuç: Paraziter hastalıkların bu bölgede önemli bir halk sağlığı sorunu olduğu görülmüştür. Hijyen konusunda yapılacak eğitimlerin paraziter hastalıkları önlemesi açısından faydalı olacağı düşünülmüştür. ( ABSTRACT Objective: In this study, the prevalence of intestinal parasites and its relationship with some hygiene habits and socio-demographic characteristics of students in Yığılca were investigated. Methods: This study was conducted in three parts. Firstly, the prevalence of parasitic diseases was measured, and questionnaires about the level of knowledge of hygiene were administered. Secondly, control and intervention groups were determined. Lastly, some education and training courses were organized and provided to the intervention group, including parents and children, about the prevention of parasitic diseases and habits of cleaning.Results: In this study, 540 cellophane tapes and 523 stool samples were studied. Among the samples analyzed, 87 (16.1%) with Enterobius vermicularis, 79 (15.1%) with Giardia intestinalis, 73 (13.9%) with various non-pathogenic parasites, 1 (0.19%) with Ascaris lumbricoides, and 1 (0.19%) with Hymenolepis nana were found. G. intestinalis was highly positive among the children who do not wash their hands after defecation. Also, some intestinal parasites were found to be related to the socio-demographic characteristics of families; parental education, family income, and father's profession were found to be associated with the presence of intestinal parasites. After training, the intervention group sho...

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Health-Education Package to Prevent Worm Infections in Chinese Schoolchildren

Cited by 163 publications

References 34 publications

Development of an educational cartoon to prevent worm infections in Chinese schoolchildren

Development of an educational cartoon to prevent worm infections in Chinese schoolchildren

Multiplex real-time PCR monitoring of intestinal helminths in humans reveals widespread polyparasitism in Northern Samar, the Philippines

Investigation of Intestinal Parasites and Level of Hygiene Knowledge of School Students

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