Prevalence of Schistosoma Mansoni and Other Intestinal Parasites among Individuals Living Nearby Three Rivers of Jimma Town and the Risk Factors Involved

Mengistu, Mulugeta (2008) Prevalence of Schistosoma Mansoni and Other Intestinal Parasites among Individuals Living Nearby Three Rivers of Jimma Town and the Risk Factors Involved. Masters thesis, Addis Ababa University.

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Abstract

Schistosomiasis is highly prevalent in tropics and sub tropics. The disease is responsible for many deaths in developing countries. S. mansoni and its intermediate hosts are widely distributed in many localities of Ethiopia. In the present study, a cross-sectional study was conducted to determine the prevalence of S. mansoni and other intestinal parasites among individuals living nearby three rivers of jimma town and the risk factors involved, between July and February 2007. A total of 517 individuals were enrolled in the study. Structured questionnaires were used to collect data on predisposing factors such as availability of latrine, water source for different purposes, habit of swimming and other factors. The clinical findings of S. mansoni infection were also taken from all study subjects. Stool examination was performed using parasitological techniques (Formol Ether and Kato- Katz techniques) on all stool samples. Data were entered, cleaned and analysed using EPINFO and SPSS version 13.0 statistical soft ware package. In the present study, the overall prevalence rate for one or multiple intestinal parasites was 68.7%. The most frequent parasites encountered in the present study were T. trichuria, A. lumbricoides followed by S. mansoni and Hook worm. The prevalence of S. mansoni was found to be 26.3 % with mean of intensity infection(108 e.p.g). The prevalence of S. mansoni in the age groups 10-14 and 15-19 was 42.9% and 40.9% respectively. The prevalence was higher among individuals who live in Setosemero /Chore area. The rate of S. mansoni infection in the snails from these sites was 70.5%, which was the highest as compared to the other two rivers. The bivarate regression analysis showed that, age group 10-14, 15-19 and 20-24 was associated with high risk of S. mansoni infection than the rest age groups. In addition, there was statistically significant difference between sex and S. mansoni infection; males were 1.78 times higher than females. Further analysis which was made on water contact habits of study subjects confirmed that, swimming in the river, any water contact during crossing and washing cloths in the river was associated with high risk of S. mansoni infection. In general S. mansoni is prevalent in Jimma town. The burden of the disease is high among individuals whose age is less than 25 years old, mainly on those who live Chore/Setosemero area. Finally, based on the finding of the study, the following points are recommended: provision of safe water supply especially to the area where the prevalence of S. mansoni is higher, which is Setosemero localities, local bridge construction, health education and treating those rivers which showed high rate of infected snails (Chore and Awettu) with the available molluscicides like, Endod.

Item Type: Thesis (Masters)
Subjects: Q Science > QR Microbiology
Q Science > QR Microbiology > QR180 Immunology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 27 Nov 2018 09:00
Last Modified: 27 Nov 2018 09:00
URI: http://thesisbank.jhia.ac.ke/id/eprint/7644

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