Intestinal parasite prevalence in an area of ethiopia after implementing the SAFE strategy, enhanced outreach services, and health extension program.
BACKGROUND: The SAFE strategy aims to reduce transmission of Chlamydia trachomatis through antibiotics, improved hygiene, and sanitation. We integrated assessment of intestinal parasites into large-scale trachoma impact surveys to determine whether documented environmental improvements promoted by a...
Published in: | PLoS Neglected Tropical Diseases |
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ftdoajarticles:oai:doaj.org/article:3f224c0da6c947b5a7e36510bb709ce4 2023-05-15T15:15:23+02:00 Intestinal parasite prevalence in an area of ethiopia after implementing the SAFE strategy, enhanced outreach services, and health extension program. Jonathan D King Tekola Endeshaw Elisabeth Escher Genetu Alemtaye Sileabatt Melaku Woyneshet Gelaye Abebe Worku Mitku Adugna Berhanu Melak Tesfaye Teferi Mulat Zerihun Demelash Gesese Zerihun Tadesse Aryc W Mosher Peter Odermatt Jürg Utzinger Hanspeter Marti Jeremiah Ngondi Donald R Hopkins Paul M Emerson 2013-01-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0002223 https://doaj.org/article/3f224c0da6c947b5a7e36510bb709ce4 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC3675016?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0002223 https://doaj.org/article/3f224c0da6c947b5a7e36510bb709ce4 PLoS Neglected Tropical Diseases, Vol 7, Iss 6, p e2223 (2013) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2013 ftdoajarticles https://doi.org/10.1371/journal.pntd.0002223 2022-12-31T02:55:07Z BACKGROUND: The SAFE strategy aims to reduce transmission of Chlamydia trachomatis through antibiotics, improved hygiene, and sanitation. We integrated assessment of intestinal parasites into large-scale trachoma impact surveys to determine whether documented environmental improvements promoted by a trachoma program had collateral impact on intestinal parasites. METHODOLOGY: We surveyed 99 communities for both trachoma and intestinal parasites (soil-transmitted helminths, Schistosoma mansoni, and intestinal protozoa) in South Gondar, Ethiopia. One child aged 2-15 years per household was randomly selected to provide a stool sample of which about 1 g was fixed in sodium acetate-acetic acid-formalin, concentrated with ether, and examined under a microscope by experienced laboratory technicians. PRINCIPAL FINDINGS: A total of 2,338 stool specimens were provided, processed, and linked to survey data from 2,657 randomly selected children (88% response). The zonal-level prevalence of Ascaris lumbricoides, hookworm, and Trichuris trichiura was 9.9% (95% confidence interval (CI) 7.2-12.7%), 9.7% (5.9-13.4%), and 2.6% (1.6-3.7%), respectively. The prevalence of S. mansoni was 2.9% (95% CI 0.2-5.5%) but infection was highly focal (range by community from 0-52.4%). The prevalence of any of these helminth infections was 24.2% (95% CI 17.6-30.9%) compared to 48.5% as found in a previous study in 1995 using the Kato-Katz technique. The pathogenic intestinal protozoa Giardia intestinalis and Entamoeba histolytica/E. dispar were found in 23.0% (95% CI 20.3-25.6%) and 11.1% (95% CI 8.9-13.2%) of the surveyed children, respectively. We found statistically significant increases in household latrine ownership, use of an improved water source, access to water, and face washing behavior over the past 7 years. CONCLUSIONS: Improvements in hygiene and sanitation promoted both by the SAFE strategy for trachoma and health extension program combined with preventive chemotherapy during enhanced outreach services are plausible explanations ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLoS Neglected Tropical Diseases 7 6 e2223 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Jonathan D King Tekola Endeshaw Elisabeth Escher Genetu Alemtaye Sileabatt Melaku Woyneshet Gelaye Abebe Worku Mitku Adugna Berhanu Melak Tesfaye Teferi Mulat Zerihun Demelash Gesese Zerihun Tadesse Aryc W Mosher Peter Odermatt Jürg Utzinger Hanspeter Marti Jeremiah Ngondi Donald R Hopkins Paul M Emerson Intestinal parasite prevalence in an area of ethiopia after implementing the SAFE strategy, enhanced outreach services, and health extension program. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND: The SAFE strategy aims to reduce transmission of Chlamydia trachomatis through antibiotics, improved hygiene, and sanitation. We integrated assessment of intestinal parasites into large-scale trachoma impact surveys to determine whether documented environmental improvements promoted by a trachoma program had collateral impact on intestinal parasites. METHODOLOGY: We surveyed 99 communities for both trachoma and intestinal parasites (soil-transmitted helminths, Schistosoma mansoni, and intestinal protozoa) in South Gondar, Ethiopia. One child aged 2-15 years per household was randomly selected to provide a stool sample of which about 1 g was fixed in sodium acetate-acetic acid-formalin, concentrated with ether, and examined under a microscope by experienced laboratory technicians. PRINCIPAL FINDINGS: A total of 2,338 stool specimens were provided, processed, and linked to survey data from 2,657 randomly selected children (88% response). The zonal-level prevalence of Ascaris lumbricoides, hookworm, and Trichuris trichiura was 9.9% (95% confidence interval (CI) 7.2-12.7%), 9.7% (5.9-13.4%), and 2.6% (1.6-3.7%), respectively. The prevalence of S. mansoni was 2.9% (95% CI 0.2-5.5%) but infection was highly focal (range by community from 0-52.4%). The prevalence of any of these helminth infections was 24.2% (95% CI 17.6-30.9%) compared to 48.5% as found in a previous study in 1995 using the Kato-Katz technique. The pathogenic intestinal protozoa Giardia intestinalis and Entamoeba histolytica/E. dispar were found in 23.0% (95% CI 20.3-25.6%) and 11.1% (95% CI 8.9-13.2%) of the surveyed children, respectively. We found statistically significant increases in household latrine ownership, use of an improved water source, access to water, and face washing behavior over the past 7 years. CONCLUSIONS: Improvements in hygiene and sanitation promoted both by the SAFE strategy for trachoma and health extension program combined with preventive chemotherapy during enhanced outreach services are plausible explanations ... |
format |
Article in Journal/Newspaper |
author |
Jonathan D King Tekola Endeshaw Elisabeth Escher Genetu Alemtaye Sileabatt Melaku Woyneshet Gelaye Abebe Worku Mitku Adugna Berhanu Melak Tesfaye Teferi Mulat Zerihun Demelash Gesese Zerihun Tadesse Aryc W Mosher Peter Odermatt Jürg Utzinger Hanspeter Marti Jeremiah Ngondi Donald R Hopkins Paul M Emerson |
author_facet |
Jonathan D King Tekola Endeshaw Elisabeth Escher Genetu Alemtaye Sileabatt Melaku Woyneshet Gelaye Abebe Worku Mitku Adugna Berhanu Melak Tesfaye Teferi Mulat Zerihun Demelash Gesese Zerihun Tadesse Aryc W Mosher Peter Odermatt Jürg Utzinger Hanspeter Marti Jeremiah Ngondi Donald R Hopkins Paul M Emerson |
author_sort |
Jonathan D King |
title |
Intestinal parasite prevalence in an area of ethiopia after implementing the SAFE strategy, enhanced outreach services, and health extension program. |
title_short |
Intestinal parasite prevalence in an area of ethiopia after implementing the SAFE strategy, enhanced outreach services, and health extension program. |
title_full |
Intestinal parasite prevalence in an area of ethiopia after implementing the SAFE strategy, enhanced outreach services, and health extension program. |
title_fullStr |
Intestinal parasite prevalence in an area of ethiopia after implementing the SAFE strategy, enhanced outreach services, and health extension program. |
title_full_unstemmed |
Intestinal parasite prevalence in an area of ethiopia after implementing the SAFE strategy, enhanced outreach services, and health extension program. |
title_sort |
intestinal parasite prevalence in an area of ethiopia after implementing the safe strategy, enhanced outreach services, and health extension program. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2013 |
url |
https://doi.org/10.1371/journal.pntd.0002223 https://doaj.org/article/3f224c0da6c947b5a7e36510bb709ce4 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 7, Iss 6, p e2223 (2013) |
op_relation |
http://europepmc.org/articles/PMC3675016?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0002223 https://doaj.org/article/3f224c0da6c947b5a7e36510bb709ce4 |
op_doi |
https://doi.org/10.1371/journal.pntd.0002223 |
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PLoS Neglected Tropical Diseases |
container_volume |
7 |
container_issue |
6 |
container_start_page |
e2223 |
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1766345748615528448 |