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Mass drug administration significantly reduces infection of Schistosoma mansoni and hookworm in school children in the national control program in Sierra Leone

Identifieur interne : 003290 ( Main/Exploration ); précédent : 003289; suivant : 003291

Mass drug administration significantly reduces infection of Schistosoma mansoni and hookworm in school children in the national control program in Sierra Leone

Auteurs : Mary H. Hodges [Sierra Leone] ; Nsa Dada [Royaume-Uni] ; Anna Warmsley [Royaume-Uni] ; Jusufu Paye [Sierra Leone] ; Momodu M. Bangura [Sierra Leone] ; Emanuel Nyorkor [Sierra Leone] ; Mustapha Sonnie [Sierra Leone] ; Yaobi Zhang [Sénégal]

Source :

RBID : PMC:3282666

Abstract

Background

The first-ever round of school-based mass drug administration (MDA) with praziquantel together with mebendazole targeting school-aged children in endemic districts was conducted in 2009 by the National Neglected Tropical Diseases Control Program. To evaluate the impact of the treatment regimen, a cross-sectional sentinel site survey was conducted 6 months post-MDA.

Methods

Fifteen sentinel schools from six highly endemic districts (according to data from national and pre-MDA surveys) with Schistosoma mansoni affecting over 50% of the population, and moderate to high prevalence of hookworms (> 20%). Approximately 30 children aged 9-14 years were selected from each school and stool samples (one per student) were examined by the Kato-Katz method.

Results

The overall prevalence (and intensity) in these sentinel sites pre-MDA of S. mansoni was 69.0% (170.8 epg), hookworm: 41.7% (71.7 epg), Ascaris lumbricoides: 1.8% and Trichuris trichiura: 3.8%. Six months post MDA, the findings were S. mansoni: 38.2% (47.3 epg) and hookworm: 14.5% (8.7 epg), representing a reduction from pre-MDA levels of 44.6% (65.2%) and 72.3% (87.9%) respectively. The proportion of children who were moderately or heavily infected with S. mansoni fell from 35.6% pre MDA to 9.9% post MDA.

Conclusions

Significant reduction in S. mansoni and hookworm infection was achieved by this first round MDA in school-going children in Sierra Leone. This reduction in infection burden can potentially contribute to a reduction of morbidity, such as anaemia, in these children.


Url:
DOI: 10.1186/1471-2334-12-16
PubMed: 22264258
PubMed Central: 3282666


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<title>Background</title>
<p>The first-ever round of school-based mass drug administration (MDA) with praziquantel together with mebendazole targeting school-aged children in endemic districts was conducted in 2009 by the National Neglected Tropical Diseases Control Program. To evaluate the impact of the treatment regimen, a cross-sectional sentinel site survey was conducted 6 months post-MDA.</p>
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<title>Methods</title>
<p>Fifteen sentinel schools from six highly endemic districts (according to data from national and pre-MDA surveys) with
<italic>Schistosoma mansoni </italic>
affecting over 50% of the population, and moderate to high prevalence of hookworms (> 20%). Approximately 30 children aged 9-14 years were selected from each school and stool samples (one per student) were examined by the Kato-Katz method.</p>
</sec>
<sec>
<title>Results</title>
<p>The overall prevalence (and intensity) in these sentinel sites pre-MDA of
<italic>S. mansoni </italic>
was 69.0% (170.8 epg), hookworm: 41.7% (71.7 epg),
<italic>Ascaris lumbricoides: 1.8% </italic>
and
<italic>Trichuris trichiura: 3.8%</italic>
. Six months post MDA, the findings were
<italic>S. mansoni</italic>
: 38.2% (47.3 epg) and hookworm: 14.5% (8.7 epg), representing a reduction from pre-MDA levels of 44.6% (65.2%) and 72.3% (87.9%) respectively. The proportion of children who were moderately or heavily infected with
<italic>S. mansoni </italic>
fell from 35.6% pre MDA to 9.9% post MDA.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Significant reduction in
<italic>S. mansoni </italic>
and hookworm infection was achieved by this first round MDA in school-going children in Sierra Leone. This reduction in infection burden can potentially contribute to a reduction of morbidity, such as anaemia, in these children.</p>
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<author>
<name sortKey="Sonnie, M" uniqKey="Sonnie M">M Sonnie</name>
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<author>
<name sortKey="Kennedy, N" uniqKey="Kennedy N">N Kennedy</name>
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<author>
<name sortKey="Cotter, E" uniqKey="Cotter E">E Cotter</name>
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<author>
<name sortKey="Whawell, S" uniqKey="Whawell S">S Whawell</name>
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<name sortKey="Kabatereine, Nb" uniqKey="Kabatereine N">NB Kabatereine</name>
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<author>
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<author>
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<author>
<name sortKey="Webster, Jp" uniqKey="Webster J">JP Webster</name>
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<author>
<name sortKey="Stothard, Jr" uniqKey="Stothard J">JR Stothard</name>
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<author>
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</author>
<author>
<name sortKey="Tukahebwa, E" uniqKey="Tukahebwa E">E Tukahebwa</name>
</author>
<author>
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</author>
<author>
<name sortKey="Webster, Jp" uniqKey="Webster J">JP Webster</name>
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<author>
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<name sortKey="Boisier, P" uniqKey="Boisier P">P Boisier</name>
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<name sortKey="Zhang, Y" uniqKey="Zhang Y">Y Zhang</name>
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<author>
<name sortKey="Bosque Oliva, E" uniqKey="Bosque Oliva E">E Bosque-Oliva</name>
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<name sortKey="Bertrand, S" uniqKey="Bertrand S">S Bertrand</name>
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<analytic>
<author>
<name sortKey="Shaw, C" uniqKey="Shaw C">C Shaw</name>
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<affiliations>
<list>
<country>
<li>Royaume-Uni</li>
<li>Sierra Leone</li>
<li>Sénégal</li>
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<name sortKey="Sonnie, Mustapha" sort="Sonnie, Mustapha" uniqKey="Sonnie M" first="Mustapha" last="Sonnie">Mustapha Sonnie</name>
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