Schistosomiasis Haematobium Prevalence and Risk Factors in a School-age Population of Peri-urban Lusaka, Zambia
Given association of the parasite Schistosoma haematobium with coastal and rural/agricultural populations, there is little documentation to date of infection patterns in today’s rapidly urbanizing non-coastal regions. We conducted an observational study of 5–17-year-old school children (N = 1583) in...
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| Veröffentlicht in: | Journal of tropical pediatrics (1980) 2010-08, Vol.56 (4), p.247-253 |
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| container_title | Journal of tropical pediatrics (1980) |
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| creator | Agnew-Blais, Jessica Carnevale, Julia Gropper, Adrienne Shilika, Edgar Bail, Richard Ngoma, Mary |
| description | Given association of the parasite Schistosoma haematobium with coastal and rural/agricultural populations, there is little documentation to date of infection patterns in today’s rapidly urbanizing non-coastal regions. We conducted an observational study of 5–17-year-old school children (N = 1583) in peri-urban compounds of Lusaka, Zambia. Demographic information, medical history, physical examination findings and urinalysis results were recorded. Prevalence of schistosomiasis in the population was 20.72%. Significant risk factors for infection were male gender [odds ratio (OR) 2.42], age of 9–12 years or 13–17 years (OR 3.33 and 3.26, respectively, compared with 5–8-year-olds) and single and/or double orphan status (OR 1.43). Clinical officers detected schistosomiasis with a sensitivity of 24.70% and a specificity of 98.17% after history and physical examination. These results reveal that peri-urban populations have a significant but under-recognized vulnerability to infection, and suggest that only history and physical examination are inadequate for identifying a treatment population. |
| doi_str_mv | 10.1093/tropej/fmp106 |
| format | Article |
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We conducted an observational study of 5–17-year-old school children (N = 1583) in peri-urban compounds of Lusaka, Zambia. Demographic information, medical history, physical examination findings and urinalysis results were recorded. Prevalence of schistosomiasis in the population was 20.72%. Significant risk factors for infection were male gender [odds ratio (OR) 2.42], age of 9–12 years or 13–17 years (OR 3.33 and 3.26, respectively, compared with 5–8-year-olds) and single and/or double orphan status (OR 1.43). Clinical officers detected schistosomiasis with a sensitivity of 24.70% and a specificity of 98.17% after history and physical examination. These results reveal that peri-urban populations have a significant but under-recognized vulnerability to infection, and suggest that only history and physical examination are inadequate for identifying a treatment population.</description><identifier>ISSN: 0142-6338</identifier><identifier>EISSN: 1465-3664</identifier><identifier>DOI: 10.1093/tropej/fmp106</identifier><identifier>PMID: 19892835</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adolescent ; Age Distribution ; Animals ; Child ; Child, Preschool ; Female ; Humans ; Male ; Parasite Egg Count ; Prevalence ; Risk Factors ; Schistosoma haematobium ; Schistosoma haematobium - isolation & purification ; Schistosoma haematobium - parasitology ; Schistosoma mansoni - isolation & purification ; Schistosoma mansoni - parasitology ; Schistosomiasis haematobia - diagnosis ; Schistosomiasis haematobia - epidemiology ; Schistosomiasis mansoni - diagnosis ; Schistosomiasis mansoni - epidemiology ; Schools ; Sex Factors ; Socioeconomic Factors ; Urban Population ; Urine - parasitology ; Zambia - epidemiology</subject><ispartof>Journal of tropical pediatrics (1980), 2010-08, Vol.56 (4), p.247-253</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c293t-6c06c132a8744c9a30284ae41fabd1d0fd99bbe13fe22af231fde0d6a47c53ee3</citedby><cites>FETCH-LOGICAL-c293t-6c06c132a8744c9a30284ae41fabd1d0fd99bbe13fe22af231fde0d6a47c53ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19892835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Agnew-Blais, Jessica</creatorcontrib><creatorcontrib>Carnevale, Julia</creatorcontrib><creatorcontrib>Gropper, Adrienne</creatorcontrib><creatorcontrib>Shilika, Edgar</creatorcontrib><creatorcontrib>Bail, Richard</creatorcontrib><creatorcontrib>Ngoma, Mary</creatorcontrib><title>Schistosomiasis Haematobium Prevalence and Risk Factors in a School-age Population of Peri-urban Lusaka, Zambia</title><title>Journal of tropical pediatrics (1980)</title><addtitle>J Trop Pediatr</addtitle><description>Given association of the parasite Schistosoma haematobium with coastal and rural/agricultural populations, there is little documentation to date of infection patterns in today’s rapidly urbanizing non-coastal regions. We conducted an observational study of 5–17-year-old school children (N = 1583) in peri-urban compounds of Lusaka, Zambia. Demographic information, medical history, physical examination findings and urinalysis results were recorded. Prevalence of schistosomiasis in the population was 20.72%. Significant risk factors for infection were male gender [odds ratio (OR) 2.42], age of 9–12 years or 13–17 years (OR 3.33 and 3.26, respectively, compared with 5–8-year-olds) and single and/or double orphan status (OR 1.43). Clinical officers detected schistosomiasis with a sensitivity of 24.70% and a specificity of 98.17% after history and physical examination. These results reveal that peri-urban populations have a significant but under-recognized vulnerability to infection, and suggest that only history and physical examination are inadequate for identifying a treatment population.</description><subject>Adolescent</subject><subject>Age Distribution</subject><subject>Animals</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Parasite Egg Count</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Schistosoma haematobium</subject><subject>Schistosoma haematobium - isolation & purification</subject><subject>Schistosoma haematobium - parasitology</subject><subject>Schistosoma mansoni - isolation & purification</subject><subject>Schistosoma mansoni - parasitology</subject><subject>Schistosomiasis haematobia - diagnosis</subject><subject>Schistosomiasis haematobia - epidemiology</subject><subject>Schistosomiasis mansoni - diagnosis</subject><subject>Schistosomiasis mansoni - epidemiology</subject><subject>Schools</subject><subject>Sex Factors</subject><subject>Socioeconomic Factors</subject><subject>Urban Population</subject><subject>Urine - parasitology</subject><subject>Zambia - epidemiology</subject><issn>0142-6338</issn><issn>1465-3664</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQQC0EosvCkSvyDQ6ktT2OkxzRirJIW3XFh4R6sSbOBNxN4tROEP33pNoVvXHyYd48jfwYey3FuRQVXEwxjHR70fajFOYJW0lt8gyM0U_ZSkitMgNQnrEXKd0KIVSp9XN2JquyUiXkKxa-ul8-TSGF3mPyiW-RepxC7eee7yP9xo4GRxyHhn_x6cAv0U0hJu4HjnxZDqHL8CfxfRjnDicfBh5avqfosznWOPDdnPCA7_kN9rXHl-xZi12iV6d3zb5ffvy22Wa760-fNx92mVMVTJlxwjgJCstCa1chPFyOpGWLdSMb0TZVVdckoSWlsFUg24ZEY1AXLgciWLO3R-8Yw91MabK9T466DgcKc7IFaCEXKyzku_-SMlcCCiUWfM2yI-piSClSa8foe4z3Vgr7UMMea9hjjYV_c1LPdU_NI336_kfhkoD-_JtjPFhTQJHb7Y8bCxtp1FUONoe_CG2XnQ</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>Agnew-Blais, Jessica</creator><creator>Carnevale, Julia</creator><creator>Gropper, Adrienne</creator><creator>Shilika, Edgar</creator><creator>Bail, Richard</creator><creator>Ngoma, Mary</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>C1K</scope><scope>F1W</scope><scope>H95</scope><scope>H97</scope><scope>L.G</scope><scope>7X8</scope></search><sort><creationdate>201008</creationdate><title>Schistosomiasis Haematobium Prevalence and Risk Factors in a School-age Population of Peri-urban Lusaka, Zambia</title><author>Agnew-Blais, Jessica ; 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We conducted an observational study of 5–17-year-old school children (N = 1583) in peri-urban compounds of Lusaka, Zambia. Demographic information, medical history, physical examination findings and urinalysis results were recorded. Prevalence of schistosomiasis in the population was 20.72%. Significant risk factors for infection were male gender [odds ratio (OR) 2.42], age of 9–12 years or 13–17 years (OR 3.33 and 3.26, respectively, compared with 5–8-year-olds) and single and/or double orphan status (OR 1.43). Clinical officers detected schistosomiasis with a sensitivity of 24.70% and a specificity of 98.17% after history and physical examination. These results reveal that peri-urban populations have a significant but under-recognized vulnerability to infection, and suggest that only history and physical examination are inadequate for identifying a treatment population.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>19892835</pmid><doi>10.1093/tropej/fmp106</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Adolescent Age Distribution Animals Child Child, Preschool Female Humans Male Parasite Egg Count Prevalence Risk Factors Schistosoma haematobium Schistosoma haematobium - isolation & purification Schistosoma haematobium - parasitology Schistosoma mansoni - isolation & purification Schistosoma mansoni - parasitology Schistosomiasis haematobia - diagnosis Schistosomiasis haematobia - epidemiology Schistosomiasis mansoni - diagnosis Schistosomiasis mansoni - epidemiology Schools Sex Factors Socioeconomic Factors Urban Population Urine - parasitology Zambia - epidemiology |
| title | Schistosomiasis Haematobium Prevalence and Risk Factors in a School-age Population of Peri-urban Lusaka, Zambia |
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