Sustaining the Control of Schistosoma mansoni in Western Côte d'Ivoire: Baseline Findings Before the Implementation of a Randomized Trial.

Am J Trop Med Hyg

Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland; Unité de Formation et de Recherche Biosciences, Université Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire; Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire; Wolfson Wellcome Biomedical Laboratories, Department of Life Sciences, Natural History Museum, London, United Kingdom

Published: February 2016

AI Article Synopsis

  • A baseline survey was conducted in 75 schools in western Côte d'Ivoire to assess the prevalence of Schistosoma mansoni before a 4-year intervention trial using praziquantel.
  • The study involved nearly 12,000 children, revealing a prevalence rate of 5.4% in first graders and 22.1% in older children, highlighting significant differences based on age.
  • Key factors such as open defecation practices were noted, as they may influence transmission dynamics, providing essential context for evaluating treatment impacts over the trial period.

Article Abstract

We report baseline findings before the implementation of a 4-year intervention trial designed to assess the impact of three different school-based treatment schedules with praziquantel to sustain the control of intestinal schistosomiasis. The baseline survey was conducted in 75 schools of western Côte d'Ivoire previously identified with moderate Schistosoma mansoni endemicity (prevalence: 10-24% in children aged 13-14 years). Three stool samples collected over consecutive days were subjected to duplicate Kato-Katz thick smears each. A questionnaire was administered to collect village-specific information that is relevant for schistosomiasis transmission. Overall, 4,953 first graders (aged 5-8 years) and 7,011 school children (aged 9-12 years) had complete parasitologic data. The overall prevalence of S. mansoni was 5.4% among first graders and 22.1% in 9- to 12-year-old children. Open defecation was practiced in all villages. The current baseline findings will be important to better understand the dynamics of S. mansoni prevalence and intensity over the course of this trial that might be governed by village characteristics and specific treatment interventions.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4751931PMC
http://dx.doi.org/10.4269/ajtmh.15-0530DOI Listing

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