WorldWideScience

Sample records for schistosomiasis assessing levels

  1. Measuring morbidity associated with urinary schistosomiasis: assessing levels of excreted urine albumin and urinary tract pathologies.

    Science.gov (United States)

    Sousa-Figueiredo, José C; Basáñez, María-Gloria; Khamis, I Simba; Garba, Amadou; Rollinson, David; Stothard, J Russell

    2009-10-06

    Urinary schistosomiasis is responsible for a variety of debilitating conditions; foremost perhaps are urinary tract pathologies (UTPs). Although portable ultrasonography can be used to detect UTPs visually, there is still a need for rapid morbidity assessment (henceforth referred to as RaMA) tools that can be deployed in the field during implementation, monitoring and evaluation of control programmes. We therefore aimed to determine associations between excreted urine-albumin, as measured using a HemoCue photometer, and UTPs, as detected by ultrasonography, in children and adults from an urinary schistosomiasis endemic area in Zanzibar. In a survey of 140 school-children of both sexes (aged 9 to 15 yr) and 47 adult males (> or =16 yr) on the island of Unguja, the prevalence of egg-patent urinary schistosomiasis was 36.4% (CI(95) 28.5-45.0%) and 46.8% (CI(95) 32.1-61.9%) (P = 0.14), and that of UTPs was 39.4% (CI(95) 31.0-48.3%) and 64.4% (CI(95) 48.8-78.1%) (P = 0.006), respectively. In school-children, raised urine-albumin concentrations (>40 mg/L) were associated, albeit non-significantly, with prevalence of infection (OR = 3.1, P = 0.070), but more specifically and significantly with the prevalence of micro-haematuria (OR = 76.7, Palbumin excretion was associated with UTPs, particularly lesions of the bladder wall (OR = 8.4, P = 0.013). Albuminuria showed promising diagnostic performance, especially in school-aged children with sensitivity of 63.3% and specificity of 83.1% at detecting lower UTPs, i.e. bladder-wall lesions (ultrasonography as 'gold standard'). This study indicates that albuminuria assays could be used as a RaMA tool for monitoring UTP prevalence during control programmes, as well as a tool for selecting those with more chronic bladder-wall lesions without resorting to ultrasonography.

  2. Measuring morbidity associated with urinary schistosomiasis: assessing levels of excreted urine albumin and urinary tract pathologies.

    Directory of Open Access Journals (Sweden)

    José C Sousa-Figueiredo

    2009-10-01

    Full Text Available Urinary schistosomiasis is responsible for a variety of debilitating conditions; foremost perhaps are urinary tract pathologies (UTPs. Although portable ultrasonography can be used to detect UTPs visually, there is still a need for rapid morbidity assessment (henceforth referred to as RaMA tools that can be deployed in the field during implementation, monitoring and evaluation of control programmes. We therefore aimed to determine associations between excreted urine-albumin, as measured using a HemoCue photometer, and UTPs, as detected by ultrasonography, in children and adults from an urinary schistosomiasis endemic area in Zanzibar.In a survey of 140 school-children of both sexes (aged 9 to 15 yr and 47 adult males (> or =16 yr on the island of Unguja, the prevalence of egg-patent urinary schistosomiasis was 36.4% (CI(95 28.5-45.0% and 46.8% (CI(95 32.1-61.9% (P = 0.14, and that of UTPs was 39.4% (CI(95 31.0-48.3% and 64.4% (CI(95 48.8-78.1% (P = 0.006, respectively. In school-children, raised urine-albumin concentrations (>40 mg/L were associated, albeit non-significantly, with prevalence of infection (OR = 3.1, P = 0.070, but more specifically and significantly with the prevalence of micro-haematuria (OR = 76.7, P<0.0001. In adults, elevated urine-albumin excretion was associated with UTPs, particularly lesions of the bladder wall (OR = 8.4, P = 0.013. Albuminuria showed promising diagnostic performance, especially in school-aged children with sensitivity of 63.3% and specificity of 83.1% at detecting lower UTPs, i.e. bladder-wall lesions (ultrasonography as 'gold standard'.This study indicates that albuminuria assays could be used as a RaMA tool for monitoring UTP prevalence during control programmes, as well as a tool for selecting those with more chronic bladder-wall lesions without resorting to ultrasonography.

  3. Measuring Morbidity Associated with Urinary Schistosomiasis: Assessing Levels of Excreted Urine Albumin and Urinary Tract Pathologies

    Science.gov (United States)

    Sousa-Figueiredo, José C.; Basáñez, María-Gloria; Khamis, I. Simba; Garba, Amadou; Rollinson, David; Stothard, J. Russell

    2009-01-01

    Background Urinary schistosomiasis is responsible for a variety of debilitating conditions; foremost perhaps are urinary tract pathologies (UTPs). Although portable ultrasonography can be used to detect UTPs visually, there is still a need for rapid morbidity assessment (henceforth referred to as RaMA) tools that can be deployed in the field during implementation, monitoring and evaluation of control programmes. We therefore aimed to determine associations between excreted urine-albumin, as measured using a HemoCue photometer, and UTPs, as detected by ultrasonography, in children and adults from an urinary schistosomiasis endemic area in Zanzibar. Methodology/Principal Findings In a survey of 140 school-children of both sexes (aged 9 to 15 yr) and 47 adult males (≥16 yr) on the island of Unguja, the prevalence of egg-patent urinary schistosomiasis was 36.4% (CI95 28.5–45.0%) and 46.8% (CI95 32.1–61.9%) (P = 0.14), and that of UTPs was 39.4% (CI95 31.0–48.3%) and 64.4% (CI95 48.8–78.1%) (P = 0.006), respectively. In school-children, raised urine-albumin concentrations (>40 mg/L) were associated, albeit non-significantly, with prevalence of infection (OR = 3.1, P = 0.070), but more specifically and significantly with the prevalence of micro-haematuria (OR = 76.7, P<0.0001). In adults, elevated urine-albumin excretion was associated with UTPs, particularly lesions of the bladder wall (OR = 8.4, P = 0.013). Albuminuria showed promising diagnostic performance, especially in school-aged children with sensitivity of 63.3% and specificity of 83.1% at detecting lower UTPs, i.e. bladder-wall lesions (ultrasonography as ‘gold standard’). Conclusion/Significance This study indicates that albuminuria assays could be used as a RaMA tool for monitoring UTP prevalence during control programmes, as well as a tool for selecting those with more chronic bladder-wall lesions without resorting to ultrasonography. PMID:19806223

  4. Assessing the influence of water level on schistosomiasis in Dongting Lake region before and after the construction of Three Gorges Dam.

    Science.gov (United States)

    Li, Zhongwu; Nie, Xiaodong; Zhang, Yan; Huang, Jinquan; Huang, Bin; Zeng, Guangming

    2016-01-01

    Schistosomiasis is a severe public health problem in the Dongting Lake region, and its distribution, prevalence, and intensity of infection are particularly sensitive to environmental changes. In this study, the human and bovine schistosomiasis variations in the Dongting Lake region were studied from 1996 to 2010, and the relationships between schistosomiasis and water level were examined. Furthermore, based on these results, the potential effects of the Three Gorges Dam (TGD) on schistosomiasis were investigated. Results showed an increase in human schistosomiasis and in the scope of seriously affected regions, along with a decrease in bovine schistosomiasis. Human schistosomiasis was negatively correlated with water level during wet season (from May to October), particularly the average water level in October. This finding indicated that the decreasing water level may be highly related to the increasing of human schistosomiasis in the Dongting Lake region. Based on this result and the variation of schistosomiasis before and after the construction and operation of TGD, the impoundment of the Three Gorges reservoir is believed to decrease the water level and increase the contact between people and schistosomiasis. Therefore, the TGD, which is operated by regulating water and scheduling water operations, is not good for the control of human schistosomiasis in the Dongting Lake region. Although the extent of the influence of the TGD on schistosomiasis remains unclear, the influence of the TGD on preventing and controlling schistosomiasis should not be ignored.

  5. Schistosomiasis

    OpenAIRE

    Husnawati, Eka; Lusiyana, Novyan

    2016-01-01

    Schistosomiasis, also known as bilharzia, is a zoonosis disease caused by blood flukes (trematodes) of the genus Schistosoma sp. There are a few species that can infect humans and animals, including Schistosoma aponicum, Schistosoma mansonia, Schistosoma hematobium, Schistosoma intercalatum Schistosoma guineensis and Schistosoma mekongi.1 This disease is endemic in 78 countries, in which 52 of them are countries with moderate-high level of endemicity. Schistosoma sp are very difficult to elim...

  6. Assessment of schistosomiasis and intestinal helminths following ...

    African Journals Online (AJOL)

    The following intestinal parasites were found in stools with various prevalence: Schistosoma mansoni 0.1% (95% CI: 0% - 0.3%) and Ancylostoma duodenale 0.1% (95% CI: 0% - 0.2%). The prevalence of urinary schistosomiasis in the Centre and Plateau Central regions had been greatly reduced from the previous level in ...

  7. Training elements at different levels in the strategies for control of schistosomiasis

    DEFF Research Database (Denmark)

    Ørnbjerg, Niels; Simonsen, P. E.; Furu, Peter

    1989-01-01

    trained personnel at the local, district and central levels. Training of health personnel as well as motivation of the community are fundamental and essential elements in any schistosomiasis control programme. The training elements and approaches are discussed.......Recently acquired comprehensive knowledge concerning the epidemiology of schistosomiasis has provided the background for the establishment of schistosomiasis control strategies. However, the planning, implementation, and maintenance of such control programmes requires sufficient numbers of well...

  8. [Risk assessment of schistosomiasis transmission on rescue workers involved in "Oriental Star shipwreck event"].

    Science.gov (United States)

    Ying, Zhao-yu; Tan, Xiao-dong; Gao, Xu-dong; Ni, Zi-ling; Liu, Bei

    2015-10-01

    To assess the impact of the "Oriental Star shipwreck event" on the risk of schistosomiasis transmission in Jianli County, Hubei Province, so as to provide the evidence for formulating appropriate measures of schistosomiasis prevention and control. Based on the field observation and investigation, the data of the on-the-spot rescue and the historical endemic situation of schistosomiasis in Jianli County were collected and analyzed. Meanwhile, the focus group discussion and risk matrix were conducted to assess the risk of schistosome infection of the rescuers. Over 10 000 rescuers participated in the search operation, including the armed police forces, local people, reservists and so on. The armed police forces were the major components, which accounted for 39%. Jianli country was schistosomiasis endemic area with a high infection level in history, but the endemic situation had been mitigated significantly after years of positive prevention and treatment; the schistosome infection rate of population was 0.44% in 2014 and the Oncomelania hupensis snail area was only 6.6 hm2 around the rescue areas in the upstream and downstream. In addition, the snail density was not high, and no infected snails had been found for 11 years. The risk of schistosome infection was in the medium level. Though there exists the schistosome infection risk in the water area where the accident happened, the probability of occurrence is not high. In order to prevent the outbreak and endemic of schistosomiasis, the protection measures and health education to the rescuers as well as snail control and monitoring, and early-warning should be strengthened.

  9. Quantitative assessment of the impact of partially protective anti-schistosomiasis vaccines.

    Directory of Open Access Journals (Sweden)

    Ramzi A Alsallaq

    2017-04-01

    Full Text Available Mass drug administration (MDA of praziquantel has been the intervention of choice against schistosomiasis but with limited success in interrupting the transmission. The development of anti-Schistosoma vaccines is underway. Our objective is to quantify the population-level impact of anti-Schistosoma vaccines when administered alone and in combination with mass drug administration (MDA and determine factors in vaccine design and public health implementation that optimize vaccination role in schistosomiasis control and elimination.We developed a deterministic compartmental model simulation of schistosomiasis transmission in a high-risk Kenyan community, including stratification by age, parasite burden, and vaccination status. The modeled schistosomiasis vaccines differed in terms of vaccine duration of protection (durability and three biological efficacies. These are vaccine susceptibility effect (SE of reducing person's susceptibility to Schistosoma acquisition, vaccine mortality effect (ME of reducing established worm burden and vaccine fecundity effect (FE of reducing egg release by mature worms. We quantified the population-level impact of vaccination over two decades under diverse vaccination schemes (childhood vs. mass campaigns, with different age-targeting scenarios, different risk settings, and with combined intervention with MDA. We also assessed the sensitivity of our predictions to uncertainties in model parameters. Over two decades, our base case vaccine with 80% SE, FE, and ME efficacies, 10 years' durability, provided by mass vaccination every 10 years, reduced host prevalence, mean intensity, incidence, and patent snail prevalence to 31%, 20 eggs/10-ml sample/person, 0.87 worm/person-year, and 0.74%, from endemic-state values of 71%, 152, 3.3, and 0.98%, respectively. Lower impact was found when coverage did not encompass all potential contaminators, and childhood-only vaccination schemes showed delayed and lower impact. In lower

  10. Quantitative assessment of the impact of partially protective anti-schistosomiasis vaccines.

    Science.gov (United States)

    Alsallaq, Ramzi A; Gurarie, David; Ndeffo Mbah, Martial; Galvani, Alison; King, Charles

    2017-04-01

    Mass drug administration (MDA) of praziquantel has been the intervention of choice against schistosomiasis but with limited success in interrupting the transmission. The development of anti-Schistosoma vaccines is underway. Our objective is to quantify the population-level impact of anti-Schistosoma vaccines when administered alone and in combination with mass drug administration (MDA) and determine factors in vaccine design and public health implementation that optimize vaccination role in schistosomiasis control and elimination. We developed a deterministic compartmental model simulation of schistosomiasis transmission in a high-risk Kenyan community, including stratification by age, parasite burden, and vaccination status. The modeled schistosomiasis vaccines differed in terms of vaccine duration of protection (durability) and three biological efficacies. These are vaccine susceptibility effect (SE) of reducing person's susceptibility to Schistosoma acquisition, vaccine mortality effect (ME) of reducing established worm burden and vaccine fecundity effect (FE) of reducing egg release by mature worms. We quantified the population-level impact of vaccination over two decades under diverse vaccination schemes (childhood vs. mass campaigns), with different age-targeting scenarios, different risk settings, and with combined intervention with MDA. We also assessed the sensitivity of our predictions to uncertainties in model parameters. Over two decades, our base case vaccine with 80% SE, FE, and ME efficacies, 10 years' durability, provided by mass vaccination every 10 years, reduced host prevalence, mean intensity, incidence, and patent snail prevalence to 31%, 20 eggs/10-ml sample/person, 0.87 worm/person-year, and 0.74%, from endemic-state values of 71%, 152, 3.3, and 0.98%, respectively. Lower impact was found when coverage did not encompass all potential contaminators, and childhood-only vaccination schemes showed delayed and lower impact. In lower prevalence

  11. Predictive vs. empiric assessment of schistosomiasis: implications for treatment projections in Ghana.

    Directory of Open Access Journals (Sweden)

    Achille Kabore

    Full Text Available BACKGROUND: Mapping the distribution of schistosomiasis is essential to determine where control programs should operate, but because it is impractical to assess infection prevalence in every potentially endemic community, model-based geostatistics (MBG is increasingly being used to predict prevalence and determine intervention strategies. METHODOLOGY/PRINCIPAL FINDINGS: To assess the accuracy of MBG predictions for Schistosoma haematobium infection in Ghana, school surveys were evaluated at 79 sites to yield empiric prevalence values that could be compared with values derived from recently published MBG predictions. Based on these findings schools were categorized according to WHO guidelines so that practical implications of any differences could be determined. Using the mean predicted values alone, 21 of the 25 empirically determined 'high-risk' schools requiring yearly praziquantel would have been undertreated and almost 20% of the remaining schools would have been treated despite empirically-determined absence of infection - translating into 28% of the children in the 79 schools being undertreated and 12% receiving treatment in the absence of any demonstrated need. CONCLUSIONS/SIGNIFICANCE: Using the current predictive map for Ghana as a spatial decision support tool by aggregating prevalence estimates to the district level was clearly not adequate for guiding the national program, but the alternative of assessing each school in potentially endemic areas of Ghana or elsewhere is not at all feasible; modelling must be a tool complementary to empiric assessments. Thus for practical usefulness, predictive risk mapping should not be thought of as a one-time exercise but must, as in the current study, be an iterative process that incorporates empiric testing and model refining to create updated versions that meet the needs of disease control operational managers.

  12. Community's awareness about intestinal schistosomiasis and the ...

    African Journals Online (AJOL)

    BACKGROUND: Intestinal schistosomiasis caused by Schistosoma mansoni(S. mansoni) infection is a widely distributed disease in several localities of Ethiopia. However, very limited information is available on the level of community's awareness about the disease. The aim of this study was to assess community's ...

  13. Rapid Risk Assessment Report for Schistosomiasis Epidemic in Jianli County Caused by the Sunk "Oriental Star" Cruise Ship.

    Science.gov (United States)

    Ni, Ziling; Tan, Xiaodong; Liu, Bei; Ying, Zhaoyu; Gao, Xudong; Yang, Fen

    2017-09-15

    At 9:28 pm on June 1, 2015, the cruise ship "Oriental Star" sank into Yangtze River in Jianli County, with 422 people killed. When the accident occurred, the Chinese government took immediate action and dispatched more than 9000 rescuers. The risk for outbreak of schistosomiasis was increased because of the shipwreck. Obviously it is critical to carry out risk assessment as soon as possible. By means of the Delphi method, the situation was analyzed so that the government could fathom the severity of the accident. Then, through matrix and sigma-plotting (3-dimensional graphics) methods, related authorities performed risk assessment after site investigation. The latest news reported that more than 9000 people were involved in the rescue. The affected river was analyzed and mapped using SigmaPlot software, according to which the possibility, harmfulness, and controllability of the accident were determined to be medium (6), medium (6), and poor (7), respectively. The site of the accident where the cruise ship sank and rescue operations were carried out is a schistosomiasis epidemic area with high mortality and morbidity. The chance of an outbreak of the schistosomiasis epidemic in Jianli County is quite high. To protect people in this county from the epidemic, relevant logistic services should be arranged and all remains should be cleared up carefully. (Disaster Med Public Health Preparedness. 2017;page 1 of 7).

  14. Control of schistosomiasis transmission

    Directory of Open Access Journals (Sweden)

    Luiz C. de S. Dias

    1995-04-01

    Full Text Available Despite the success of control programmes, schistosomiasis is still a serious public health problem in the world. More than 70 countries where 200 million individuals are evaluated to be infected of a total 600 million at risk. Though there have been important local success in the control of transmission, globally the infection has increased. Economic constrains in developing countries, environmental changes associated with migration and water resources development have been blocking the progress. The main objective of schistosomiasis control is to achieve reduction of disease due to schistosomiasis. We discussed the control measures like: health education, diagnosis and chemotherapy, safe water supplies, sanitation and snail control. We emphasized the need to give priority to school-age children and the importance of integrating the measures of control into locally available systems of health care. The control of schistosomiasis is directly related to the capacity of the preventive health services of an endemic country. The strategy of control requires long-term commitment from the international to the local level.

  15. Long-term impact of the World Bank Loan Project for schistosomiasis control: a comparison of the spatial distribution of schistosomiasis risk in China.

    Science.gov (United States)

    Zhang, Zhijie; Zhu, Rong; Ward, Michael P; Xu, Wanghong; Zhang, Lijuan; Guo, Jiagang; Zhao, Fei; Jiang, Qingwu

    2012-01-01

    The World Bank Loan Project (WBLP) for controlling schistosomiasis in China was implemented during 1992-2001. Its short-term impact has been assessed from non-spatial perspective, but its long-term impact remains unclear and a spatial evaluation has not previously been conducted. Here we compared the spatial distribution of schistosomiasis risk using national datasets in the lake and marshland regions from 1999-2001 and 2007-2008 to evaluate the long-term impact of WBLP strategy on China's schistosomiasis burden. A hierarchical Poisson regression model was developed in a Bayesian framework with spatially correlated and uncorrelated heterogeneities at the county-level, modeled using a conditional autoregressive prior structure and a spatially unstructured Gaussian distribution, respectively. There were two important findings from this study. The WBLP strategy was found to have a good short-term impact on schistosomiasis control, but its long-term impact was not ideal. It has successfully reduced the morbidity of schistosomiasis to a low level, but can not contribute further to China's schistosomiasis control because of the current low endemic level. A second finding is that the WBLP strategy could not effectively compress the spatial distribution of schistosomiasis risk. To achieve further reductions in schistosomiasis-affected areas, and for sustainable control, focusing on the intermediate host snail should become the next step to interrupt schistosomiasis transmission within the two most affected regions surrounding the Dongting and Poyang Lakes. Furthermore, in the lower reaches of the Yangtze River, the WBLP's morbidity control strategy may need to continue for some time until snails in the upriver provinces have been well controlled. It is difficult to further reduce morbidity due to schistosomiasis using a chemotherapy-based control strategy in the lake and marshland regions of China because of the current low endemic levels of infection. The future control

  16. Long-term impact of the World Bank Loan Project for schistosomiasis control: a comparison of the spatial distribution of schistosomiasis risk in China.

    Directory of Open Access Journals (Sweden)

    Zhijie Zhang

    Full Text Available BACKGROUND: The World Bank Loan Project (WBLP for controlling schistosomiasis in China was implemented during 1992-2001. Its short-term impact has been assessed from non-spatial perspective, but its long-term impact remains unclear and a spatial evaluation has not previously been conducted. Here we compared the spatial distribution of schistosomiasis risk using national datasets in the lake and marshland regions from 1999-2001 and 2007-2008 to evaluate the long-term impact of WBLP strategy on China's schistosomiasis burden. METHODOLOGY/PRINCIPAL FINDINGS: A hierarchical Poisson regression model was developed in a Bayesian framework with spatially correlated and uncorrelated heterogeneities at the county-level, modeled using a conditional autoregressive prior structure and a spatially unstructured Gaussian distribution, respectively. There were two important findings from this study. The WBLP strategy was found to have a good short-term impact on schistosomiasis control, but its long-term impact was not ideal. It has successfully reduced the morbidity of schistosomiasis to a low level, but can not contribute further to China's schistosomiasis control because of the current low endemic level. A second finding is that the WBLP strategy could not effectively compress the spatial distribution of schistosomiasis risk. To achieve further reductions in schistosomiasis-affected areas, and for sustainable control, focusing on the intermediate host snail should become the next step to interrupt schistosomiasis transmission within the two most affected regions surrounding the Dongting and Poyang Lakes. Furthermore, in the lower reaches of the Yangtze River, the WBLP's morbidity control strategy may need to continue for some time until snails in the upriver provinces have been well controlled. CONCLUSION: It is difficult to further reduce morbidity due to schistosomiasis using a chemotherapy-based control strategy in the lake and marshland regions of China

  17. Schistosomiasis control in China

    Directory of Open Access Journals (Sweden)

    Hong-Chang Yuan

    1995-04-01

    Full Text Available After three decades' efforts, schistosomiasis japonica were controlled in one-third (4/12 of endemic provinces and 68.2 (259/380 of endemic counties throughout the country. The remaining 121 endemic counties are located primarily in the lake and mountainous regions. The epidemiological and ecological features of the lake and mountainous areas are different from the other endemic areas. The major schistosomiasis control efforts in China can be characterized as follows: (1 Application of centralized leadership and management, since schistosomiasis control is a task not only of the Ministry of Public Health, but also of all local governments in the endemic areas; (2 Integration of actions taken by various departments or bureaus, such as agriculture, water conservation and public health; (3 Promotion of mass participation; (4 Organization of strong professional teams; (5 Raising sufficient funds. Strategies on schistosomiasis control applied in different areas are divided into three levels: (1 In the areas where the schistosomiasis has been successfully controlled, surveillance must be maintained and immediate action should be taken where new infections occur and/or vector snails are found, so that control can be reestablished quickly; (2 In the areas where schistosomiasis has been partially controlled, any residents and/or live-stock infected should be examined and treated promptly with due care, and environment modifying and/or mollusciding must be used to eliminate the remaining snails; (3 In the areas where transmission has not been controlled, the main strategy is to control morbidity. Mass or selective chemotherapy with praziquental should be applied to both infected persosns and the live-stock, and environment modification for the snail-ridden areas should be taken but should be coordinated with agriculture where possible. Advance cases must be treated; and epidemics of Katayama fever prevented; water supply and sanitation shoud be improved

  18. HIV and schistosomiasis in rural Zimbabwe

    DEFF Research Database (Denmark)

    Kotzé, Sebastian Ranzi; Zinyama-Gutsire, Rutendo; Kallestrup, Per

    2015-01-01

    BACKGROUND: Vitamin A has widespread effects on immune function and is therefore interesting in HIV-infection. Retinol-binding protein (RBP or RBP4) is a negative acute-phase protein and a marker of vitamin A status. Our aim was to investigate the association of RBP with HIV progression, infection...... with schistosomiasis, inflammatory cytokines, and mortality. METHODS: The study included 192 HIV-infected and 177 HIV-uninfected individuals from Mupfure in rural Zimbabwe. Of these, 208 were infected with Schistosoma haematobium, 27 with S. mansoni and 48 with both. Plasma RBP, HIV-RNA, CD4 cell count, haemoglobin......, cytokines, clinical staging (CDC category), self-reported level of function (Karnoffsky Performance Score, KPS) and schistosomiasis status were assessed at baseline. Participants were followed up for survival 3-4 years post-enrolment. RESULTS: RBP levels were lower in HIV-infected individuals(p

  19. Urinary Schistosomiasis And Iron Deficiency Anemia Among Malian ...

    African Journals Online (AJOL)

    However, unlike malaria and hookworm infections, little is known on the role of urinary schistosomiasis in iron deficiency anemia. The objective of this study was to assess the prevalence of iron deficiency anemia and the effect of iron supplementation on hemoglobin (Hb) and serum ferritin (SF) levels among school children ...

  20. A tale of two neglected tropical infections: using GIS to assess the spatial and temporal overlap of schistosomiasis and leprosy in a region of Minas Gerais, Brazil.

    Science.gov (United States)

    Phillips, David Alexander; Ferreira, José Antonio; Ansah, Deidra; Teixeira, Herica Sa; Kitron, Uriel; Filippis, Thelma de; Alcântara, Marcelo H de; Fairley, Jessica K

    2017-04-01

    Despite public health efforts to reduce the global burden of leprosy, gaps remain in the knowledge surrounding transmission of infection. Helminth co-infections have been associated with a shift towards the lepromatous end of the disease spectrum, potentially increasing transmission in co-endemic areas. Using this biologically plausible association, we conducted a geographic information systems (GIS) study to investigate the spatial associations of schistosomiasis and leprosy in an endemic area of Minas Gerais (MG), Brazil. Data on new cases of Mycobacterium leprae and Schistosoma mansoni infections from 2007-2014 were retrieved from the Brazilian national notifiable diseases information system for seven municipalities in and surrounding Vespasiano, MG. A total of 139 cases of leprosy and 200 cases of schistosomiasis were mapped to a municipality level. For one municipality, cases were mapped to a neighborhood level and a stratified analysis was conducted to identify spatial associations. A relative risk of 6.80 [95% confidence interval (CI) 1.46 - 31.64] of leprosy was found in neighborhoods with schistosomiasis. Incidence rates of leprosy increased with corresponding incidence rates of schistosomiasis, and the temporal trends of both infections were similar. The associations found in this project support the hypothesis that helminth infections may influence the transmission of leprosy in co-endemic areas.

  1. A tale of two neglected tropical infections: using GIS to assess the spatial and temporal overlap of schistosomiasis and leprosy in a region of Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    David Alexander Phillips

    Full Text Available BACKGROUND Despite public health efforts to reduce the global burden of leprosy, gaps remain in the knowledge surrounding transmission of infection. Helminth co-infections have been associated with a shift towards the lepromatous end of the disease spectrum, potentially increasing transmission in co-endemic areas. OBJECTIVES Using this biologically plausible association, we conducted a geographic information systems (GIS study to investigate the spatial associations of schistosomiasis and leprosy in an endemic area of Minas Gerais (MG, Brazil. METHODS Data on new cases of Mycobacterium leprae and Schistosoma mansoni infections from 2007-2014 were retrieved from the Brazilian national notifiable diseases information system for seven municipalities in and surrounding Vespasiano, MG. A total of 139 cases of leprosy and 200 cases of schistosomiasis were mapped to a municipality level. For one municipality, cases were mapped to a neighborhood level and a stratified analysis was conducted to identify spatial associations. FINDINGS A relative risk of 6.80 [95% confidence interval (CI 1.46 - 31.64] of leprosy was found in neighborhoods with schistosomiasis. Incidence rates of leprosy increased with corresponding incidence rates of schistosomiasis, and the temporal trends of both infections were similar. CONCLUSIONS The associations found in this project support the hypothesis that helminth infections may influence the transmission of leprosy in co-endemic areas.

  2. Assessment of control and epidemiologic details of the schistosomiasis mansoni in Bananal, São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Horacio Manuel Santana Teles

    2014-06-01

    Full Text Available The purpose of our study in the municipality of Bananal, state of São Paulo, Brazil, was to stop the transmission of schistosomiasis mansoni. Particular emphasis was given to such items as the active surveillance and eventual treatment of hosts, mapping parasite foci, and increasing the extent of basic sanitation in the municipality. Now, our records indicate that the eradication of schistosomiasis in the municipality of Bananal is attainable. However, as the vector Biomphalaria tenagophila can still be found in some water bodies within this municipality, it remains included in the area where schistosomiasis is endemic, which calls for very strict measures to avoid the human cases of schistososomiasis. The expansion of the coverage of the basic sanitation network and treatment of Schistosoma mansoni cases diagnosed during periodic surveys are part of the plans to eradicate schistosomiasis in Bananal.

  3. Decline in transmission of schistosomiasis mansoni in Oman.

    Science.gov (United States)

    Al Abaidani, Idris; Al-Abri, Seif; Shaban, Mahmoud; Ghugey, Satish L; Al Kathery, Salem; Al-Mashikhi, Khalid; Garba, Amadou; Gabrielli, Albis Francesco

    2016-12-12

    Intestinal schistosomiasis due to Schistosoma mansoni was first reported in Oman in 1979. We describe the trend in parasitological and serological prevalence of human infection with S. mansoni in the endemic area over the period 1982-2014, and the compliance of data generated by the national monitoring and evaluation system with schistosomiasis elimination criteria set by the Ministry of Health of Oman. Parasitological and serological assessments were carried out on population (mainly children) living in the area at risk for schistosomiasis in Dhofar, the country's only endemic Governorate, for a period of over 30 years. Kato-Katz thick smear and Indirect Haemagglutination Assay were the techniques employed. Data indicate a progressive decline in prevalence of S. mansoni throughout the 1980s and the 1990s, a recrudescence in the early 2000s, and a more marked decrease following the implementation of six rounds of mass treatment with praziquantel from 2007 to 2013. Latest parasitological prevalence (2011) was 0%, while latest serological prevalence (2014) was 0.11%. Transmission of schistosomiasis has reached very low levels in Oman. Elimination criteria established by the Ministry of Health of Oman (parasitological prevalence ≤ 1% and serological prevalence ≤ 5%) have been met since 2008. Further investigations are required to assess whether interruption of transmission has been achieved in some or all foci, in view of the establishment of a formal verification process under the auspices of WHO.

  4. Schistosomiasis and associated infections

    Directory of Open Access Journals (Sweden)

    Lambertucci JR

    1998-01-01

    Full Text Available In hospital-based series viral hepatitis B has been frequently described in association with schistosomiasis whilst in field-based studies the association has not been confirmed. The association between schistosomiasis and Salmonella bacteraemia has been well documented. More recently, acute schistosomiasis has been shown to be a facilitating factor in the genesis of pyogenic liver abscesses caused by Staphylococcus aureus. New evidences indicate an interaction between the acquired immunodeficiency syndrome (AIDS and schistosomiasis. In this paper, data on the association of schistosomiasis with other infections are updated.

  5. [Research on competency building standards of institutions of schistosomiasis prevention and control in Hubei Province I Investigation of institution management].

    Science.gov (United States)

    Liu, Han-cheng; Zhong, Chen-hui; Liao, Si-qi; He, Hui

    2014-08-01

    To investigate the current situation of management of institutions of schistosomiasis prevention and control in Hubei Province, so as to explore the probable competency building standards for these institutions at the county and township levels. By using a combination of quantitative and qualitative methods, the institutions of schistosomiasis prevention and control at county and township levels were investigated for the institutional setup, staffing and fulfillment functions since the reform of 2004. Among 63 schistosomiasis endemic counties (cities, districts) of Hubei Province, there were 26 independent schistosomiasis control institutions (41.27%), there were 24 institutions which were incorporated into CDC (38.10%), and there were no institutions in 13 counties (20.63%). Among 518 endemic towns, there were 299 institutions (57.72%). The total staffing size were 1 932, but there were 1 586 (82.09%) people actually working in the post, and therefore there were 346 (17.91%) empty positions. The average rates of carrying out the six functions were 91.48%-71.19%, but only 19.23% of the institutions participated in the comprehensive schistosomiasis control management project and its effect assessment. According to the management model for schistosomiasis control institutions under the current institutional mechanisms, we need a rigorous industry standard to constrain, guide and standardize the management and capacity-building of the institutions in different historical periods.

  6. CASE REPORT Cerebral schistosomiasis

    African Journals Online (AJOL)

    0b013e3182704d1e]. 5. Sanelli PC, Lev MH, Gonzalez RG, Schaefer PW. Unique linear and nodular MR enhancement pattern in schistosomiasis of the central nervous system: Report of three patients. AJR 2001;177(6):1471-1474. Cerebral schistosomiasis.

  7. Schistosomiasis research in Africa

    DEFF Research Database (Denmark)

    Utzinger, Jürg; Brattig, Norbert W.; Kristensen, Thomas K.

    2013-01-01

    , social and cross-cutting issues pertaining to the epidemiology and control of schistosomiasis. We summarize key achievements made by CONTRAST, many of which are featured in this special issue of Acta Tropica. Together with an independent view put forth by an eminent schistosomiasis researcher...... alliance to optimize schistosomiasis control and transmission surveillance in sub-Saharan Africa - was ahead of the game. Indeed, launched in October 2006, this 4-year project funded by the European Commission made important contributions for sustainable schistosomiasis control in the selected African...... countries through innovation, validation and application of new tools and locally adapted intervention strategies complementary to preventive chemotherapy. Moreover, CONTRAST articulated a research agenda for schistosomiasis elimination, framed by 10 key questions. Here, we provide a rationale for CONTRAST...

  8. Splenectomy Improves Hemostatic and Liver Functions in Hepatosplenic Schistosomiasis Mansoni.

    Directory of Open Access Journals (Sweden)

    Luiz Arthur Calheiros Leite

    Full Text Available Schistosomiasis mansoni is a chronic liver disease, in which some patients (5-10% progress to the most severe form, hepatosplenic schistosomiasis. This form is associated with portal hypertension and splenomegaly, and often episodes of gastrointestinal bleeding, even with liver function preserved. Splenectomy is a validated procedure to reduce portal hypertension following digestive bleeding. Here, we evaluate beneficial effects of splenectomy on blood coagulation factors and liver function tests in hepatosplenic schistosomiasis mansoni compared to non-operated patients.Forty-five patients who had undergone splenectomy surgery were assessed by laboratory analyses and ultrasound examination and compared to a non-operated group (n = 55. Blood samples were obtained for liver function tests, platelet count and prothrombin time. Coagulation factors (II, VII, VIII, IX and X, protein C and antithrombin IIa, plasminogen activator inhibitor-1 were measured by routine photometric, chromogenic or enzyme-linked immunosorbent assays, while hyperfibrinolysis was defined by plasminogen activator inhibitor-1 levels. Both groups had similar age, gender and pattern of periportal fibrosis. Splenectomized patients showed significant reductions in portal vein diameter, alkaline phosphatase and bilirubin levels compared to non-operated patients, while for coagulation factors there were significant improvement in prothrombin, partial thromboplastin times and higher levels of factor VII, VIII, IX, X, protein C and plasminogen activator inhibitor-1.This study shows that the decrease of flow pressure in portal circulation after splenectomy restores the capacity of hepatocyte synthesis, especially on the factor VII and protein C levels, and these findings suggest that portal hypertension in patients with hepatosplenic schistosomiasis influences liver functioning and the blood coagulation status.

  9. Five-year longitudinal assessment of the downstream impact on schistosomiasis transmission following closure of the Three Gorges Dam.

    Directory of Open Access Journals (Sweden)

    Darren J Gray

    Full Text Available Schistosoma japonicum is a major public health concern in the Peoples' Republic of China (PRC, with about 800,000 people infected and another 50 million living in areas at risk of infection. Based on ecological, environmental, population genetic and molecular factors, schistosomiasis transmission in PRC can be categorised into four discrete ecosystems or transmission modes. It is predicted that, long-term, the Three Gorges Dam (TGD will impact upon the transmission of schistosomiasis in the PRC, with varying degree across the four transmission modes.We undertook longitudinal surveillance from 2002 to 2006 in sentinel villages of the three transmission modes below the TGD across four provinces (Hunan, Jiangxi, Hubei and Anhui to determine whether there was any immediate impact of the TGD on schistosomiasis transmission. Eight sentinel villages were selected to represent both province and transmission mode. The primary end point measured was human incidence. Here we present the results of this five-year longitudinal cohort study. Results showed that the incidence of human S. japonicum infection declined considerably within individual villages and overall mode over the course of the study. This is also reflected in the yearly odds ratios (adjusted for infection risk that showed significant (P<0.01 downward trends in all modes over the follow-up period.The decrease in human S. japonicum incidence observed across all transmission modes in this study can probably be attributed to the annual human and bovine PZQ chemotherapy. If an increase in schistosome transmission had occurred as a result of the TGD, it would be of negligible size compared to the treatment induced decline seen here. It appears therefore that there has been virtually no immediate impact of the TGD on schistosomiasis transmission downstream of the dam.

  10. Interventions for treating schistosomiasis mansoni.

    Science.gov (United States)

    Saconato, H; Atallah, A

    2000-01-01

    Schistosomiasis is a parasite that is carried by freshwater snails. The intestinal form infects the intestine, liver and spleen and can be fatal. The objective of this review was to assess the effects of oxamniquine or praziquantel for treating Schistosomiasis mansoni We searched the Cochrane Infectious Diseases Group trials register, the Cochrane Controlled Trials Register, Medline, Lilacs and reference lists of articles. The Revista da Sociedade Brasileira de Medicina Tropical and Brazilian Tropical Medicine Congress abstracts were handsearched Randomised and quasi-randomised trials comparing oxamniquine and/or praziquantel to placebo for the treatment of Schistosomiasis mansoni. Two reviewers independently assessed trial quality and extracted data. Thirteen trials met the inclusion criteria. Praziquantel and oxamniquine were effective in curing Schistosoma mansoni infection when compared to placebo. In Africa, praziquantel 40 mg/Kg is more effective than oxamniquine 15 mg/Kg in individuals older than 14 years (OR 3.54, 95%CI 1.70, 7.38), but no difference was found when compared with oxamniquine 30 mg/Kg (OR 0.29, 95%CI 0.08, 1.01). In Brazil, praziquantel was equally effective when compared with oxamniquine in individuals older than 14 years (OR 1.70, 95%CI 0.83, 3.49). Both drugs appear safe. There was no difference in reinfection rate between zinc supplementation and placebo (OR 0.82, 95%CI 0.47, 1.41). IPraziquantel and oxamniquine both appear to be effective for the treatment of Schistosomiasis mansoni, although lower doses of oxamniquine (less than 30 milligrams per kilogram) may not be as effective.

  11. Five-year longitudinal assessment of the downstream impact on schistosomiasis transmission following closure of the Three Gorges Dam.

    Science.gov (United States)

    Gray, Darren J; Thrift, Aaron P; Williams, Gail M; Zheng, Feng; Li, Yue-Sheng; Guo, Jiagang; Chen, Honggen; Wang, Tianping; Xu, Xin Jiang; Zhu, Rong; Zhu, Hongqing; Cao, Chun Li; Lin, Dan Dan; Zhao, Zhen Yuan; Li, Robert S; Davis, George M; McManus, Donald P

    2012-01-01

    Schistosoma japonicum is a major public health concern in the Peoples' Republic of China (PRC), with about 800,000 people infected and another 50 million living in areas at risk of infection. Based on ecological, environmental, population genetic and molecular factors, schistosomiasis transmission in PRC can be categorised into four discrete ecosystems or transmission modes. It is predicted that, long-term, the Three Gorges Dam (TGD) will impact upon the transmission of schistosomiasis in the PRC, with varying degree across the four transmission modes. We undertook longitudinal surveillance from 2002 to 2006 in sentinel villages of the three transmission modes below the TGD across four provinces (Hunan, Jiangxi, Hubei and Anhui) to determine whether there was any immediate impact of the TGD on schistosomiasis transmission. Eight sentinel villages were selected to represent both province and transmission mode. The primary end point measured was human incidence. Here we present the results of this five-year longitudinal cohort study. Results showed that the incidence of human S. japonicum infection declined considerably within individual villages and overall mode over the course of the study. This is also reflected in the yearly odds ratios (adjusted) for infection risk that showed significant (Pdam.

  12. Immunological Aspects of Urinary Schistosomiasis in Ibadan, South ...

    African Journals Online (AJOL)

    Humans infected with Schistosoma parasite demonstrate substantial immune responses against both the ... Nigeria, urinary schistosomiasis is known to have. ~ existed from time immemorial and might have been .... larly elevated levels of IgG 1 , IgA and IgE in urinary schistosomiasis are associated with Th2 responses.

  13. Schistosomiasis in Malawi

    DEFF Research Database (Denmark)

    Makaula, Peter; Sadalaki, John R.; Muula, Adamson S.

    2014-01-01

    and Google Scholar using th keywords: "schistosomiasis", "Bilharzia", "Bulinus" and "Biomphalaria" in combination with "Malawi". These searche were supplemented by iterative reviews of reference lists for relevant publications in peer reviewed internationa scientific journals or other media. The recovered......Introduction: Schistosomiasis remains an important public health problem that undermines social and economi development in tropical regions of the world, mainly Sub-Saharan Africa. We are not aware of any systematic revie of the literature of the epidemiology and transmission of schistosomiasis...... in Malawi since 1985. Therefore, w reviewed the current state of knowledge of schistosomiasis epidemiology and transmission in this country an identified knowledge gaps and relevant areas for future research and research governance Methods: We conducted computer-Aided literature searches of Medline, SCOPUS...

  14. Molluscicides in schistosomiasis control

    OpenAIRE

    McCullough, F. S.; Gayral, Ph.; DUNCAN, J; Christie, J. D.

    1980-01-01

    Although mollusciciding can be a cost-effective method of controlling schistosomiasis transmission, only one organic molluscicide, niclosamide, is now being produced commercially, and only a few compounds are at present being tested in the laboratory. In future, improved cost-effective use of molluscicides will require more precise knowledge of schistosomiasis transmission patterns in each endemic area and improved application techniques. In snail control studies using controlled-release form...

  15. The Prevalence and Intensity of Urinary Schistoso-miasis Among School Children Living along the Bakalori Dam, Nigeria.

    Science.gov (United States)

    Umar, A S; Parakoyi, D B

    2005-09-01

    Children are known to be the major reservior of urinary schistosomiasis in endemic communities. This study was conducted to assess the prevalence and intensity of urinary schistosomiasis among school children living along the Bakalori dam. The study was a cross sectional assessment using a pre-tested standardised structured questionnaire interviews. A total of 240 pupils were recruited through a multistage sampling technique. Urine samples from the pupils were examined for the presence of ova of schistosoma haematobium. A total of 125(52.1%) of respondents were 11-12 years old with a mean age of 11.7 +/- 1.4 years. The prevalence of urinary schistosomiasis among school children was found to be 42.1%. The highest age and sex specific prevalence rate was recorded among the 13-14 years age group for both males (43.1%) and females (50.0%). The age, sex, level of school attainment, occupation of respondents' father/guardian and source of water for domestic use were found to have a significant statistical association with the risk of being infected (P<0.05). It is concluded that the prevalence and intensity of urinary schistosomiasis is high. To reverse the situation requires mass chemotherapy, community mobilisation and provision of portable water. Key words: schistosomiasis, prevalence, intensity, school children, dams.

  16. Epidemiological survey on schistosomiasis caused by Schistosoma ...

    African Journals Online (AJOL)

    Objective: To assess the current state of schistosomiasis (Schistosoma haematobium and Schistosoma mansoni) in Taïbong Sub Division, in Mayo-Kani Division, an epidemiological survey was conducted from September to November 2014 in four government primary schools, to determine the prevalence of these human ...

  17. Intestinal Schistosomiasis and the Associated Transmission Factors ...

    African Journals Online (AJOL)

    cost, and simplicity. However, the sensitivity of this method is low particularly in areas of low endemicity, and low- infection intensities (e.g. in young children), and may be affected by day to day .... Schistosomiasis were assessed using logistic regression. ..... Transactions of the Royal Society of Tropical. Medicine and ...

  18. Index of Potential Contamination for Intestinal Schistosomiasis ...

    African Journals Online (AJOL)

    Bheema

    deployedto assess associated risk factors among infected children. Out of the examined children, ... health problem, and to a great extent children of 10-14 years age group were responsible in the transmission and ... Although several epidemiological studies for intestinal schistosomiasis due to S. mansoni infection were ...

  19. Enhancing Schistosomiasis Control Strategy for Zimbabwe: Building on Past Experiences

    Directory of Open Access Journals (Sweden)

    Moses J. Chimbari

    2012-01-01

    Full Text Available Schistosoma haematobium and Schistosoma mansoni are prevalent in Zimbabwe to levels that make schistosomiasis a public health problem. Following three national surveys to map the disease prevalence, a national policy on control of schistosomiasis and soil transmitted helminths is being developed. This paper reviews the experiences that Zimbabwe has in the area of schistosomiasis control with a view to influence policy. A case study approach to highlight key experiences and outcomes was adopted. The benefits derived from intersectoral collaboration that led to the development of a model irrigation scheme that incorporates schistosomiasis control measures are highlighted. Similarly, the benefits of using plant molluscicides and fish and duck biological agents (Sargochromis codringtonii and Cairina moschata are highlighted. Emphasis was also placed on the importance of utilizing locally developed water and sanitation technologies and the critical human resource base in the area of schistosomiasis developed over years. After synthesis of the case studies presented, it was concluded that while there is a need to follow the WHO recommended guidelines for schistosomiasis control it is important to develop a control strategy that is informed by work already done in the country. The importance of having a policy and local guidelines for schistosomiasis control is emphasized.

  20. Schistosomiasis control in Brazil

    Directory of Open Access Journals (Sweden)

    Katz Naftale

    1998-01-01

    Full Text Available In 1975 the Special Programme for Schistosomiasis Control was introduced in Brazil with the objective of controlling this parasitic disease in six northeastern states. The methodology applied varied largely from state to state, but was based mainly on chemotherapy, This Programme was modified about ten years after it beginning with the main goals including control of morbidity and the blockage of establishment of new foci in non-endemic areas. In two states, Bahia and Minas Gerais, the schistosomiasis control programme started in 1979 and 1983, respectively. The recently made evaluation of those two programmes is the main focus of this paper. It must also be pointed out, that the great majority of the studies performed by different researchers in Brazil, at different endemic areas, consistently found significant decrease on prevalence and incidence, when control measures are repeatedly used for several years. Significant decrease of hepatosplenic forms in the studied areas is well documented in Brazil. After more than 20 years of schistosomiasis control programmes in our country, chemotherapy has shown to be a very important tool for the control of morbidity and to decrease prevalence and incidence in endemic areas. Nevertheless, in medium and long terms, sanitation, water supply, sewage draining and health education seem to be the real tools when the aim is persistent and definitive schistosomiasis control.

  1. implications for schistosomiasis control

    African Journals Online (AJOL)

    of adult and 26% school children could relate hematuria to wading, a common means of exposure to urinary schistosomiasis. More than half ... energy malnutrition, and reduced mental and physiological performance [2]. Control measures ..... performance in Guatemala. Transactions of the Royal Society of Tropical Medicine ...

  2. Assessing the benefits of five years of different approaches to treatment of urogenital schistosomiasis: A SCORE project in Northern Mozambique.

    Directory of Open Access Journals (Sweden)

    Anna E Phillips

    2017-12-01

    Full Text Available In Mozambique, schistosomiasis is highly endemic across the whole country. The Schistosomiasis Consortium for Operational Research and Evaluation (SCORE coordinates a five-year study that has been implemented in various African countries, including Mozambique. The overall goal of SCORE was to better understand how to best apply preventive chemotherapy with praziquantel (PZQ for schistosomiasis control by evaluating the impact of alternative treatment approaches.This was a cluster-randomised trial that compared the impact of different treatment strategies in study areas with prevalence among school children of ≥21% S. haematobium infection by urine dipstick. Each village was randomly allocated to one of six possible combinations of community-wide treatment (CWT, school-based treatment (SBT, and/or drug holidays over a period of four years, followed by final data collection in the fifth year. The most intense intervention arm involved four years of CWT, while the least intensive arm involved two years of SBT followed by two consecutive years of PZQ holiday. Each study arm included 25 villages randomly assigned to one of the six treatment arms. The primary outcome of interest was change in prevalence and intensity of S. haematobium among 100 children aged 9-to-12-years that were sampled each year in every village. In addition to children aged 9-to-12 years, 100 children aged 5-8 years in their first-year of school and 50 adults (aged 20-55 years were tested in the first and final fifth year of the study. Prevalence and intensity of S. haematobium infection was evaluated by two filtrations, each of 10mL, from a single urine specimen.In total, data was collected from 81,167 individuals across 149 villages in ten districts of Cabo Delgado province, Northern Mozambique. Overall PZQ treatment resulted in a significant reduction in the prevalence of S. haematobium infection from Year 1 to Year 5, where the average prevalence went from 60.5% to 38

  3. Enhancing control of schistosomiasis in Niger : assessing morbidity in preschool-aged children, praziquantel treatment efficacy and cost implication for control

    OpenAIRE

    Garba, Amadou

    2013-01-01

    Background: Schistosomiasis, accounted among the neglected tropical diseases (NTDs), represents a major public health problem, particularly in Africa, where more than 95% of all the cases of the world are currently concentrated. The health consequences of Schistosoma infection are considerable. Apart from the known long-term complications of a chronic infection (e.g. portal hypertension, kidney failure, bladder cancer and sterility), schistosomiasis is a debilitating disease leading to anaemi...

  4. Molecular characterization of thyroid hormone receptor beta from Schistosoma japonicum and assessment of its potential as a vaccine candidate antigen against schistosomiasis in BALB/c mice

    Directory of Open Access Journals (Sweden)

    Qiu Chunhui

    2012-08-01

    Full Text Available Abstract Background Thyroid hormones (TH modulate growth, development and differentiation and metabolic processes by interacting with thyroid hormone receptors (THRs. The purpose of this study was to identify a novel thyroid hormone receptor beta encoding gene of Schistosoma japonicum (SjTHRβ and to investigate its potential as a vaccine candidate antigen against schistosomiasis in BALB/c mice. Methods The full-length cDNA sequence of SjTHRβ, its gene organization, and its transcript levels were characterized, and the phylogenetic relationship between THR, RAR and RXR from other organisms were analysis, the ability of this protein binding to a conserved DNA core motif, and its potential as a vaccine candidate antigen against schistosomiasis in BALB/c mice were evaluated. Results The SjTHRβ cDNA was cloned, verified by 5’ and 3’ Rapid Amplification of cDNA Ends and shown to be polyadenylated at the 3’end, suggesting the transcript is full-length. SjTHRβ is homologous to THRs from other species and has a predicted conservative DNA binding domain and ligand binding domain that normally characterizes these receptors. A comparative quantitative PCR analysis showed that SjTHRβ was the highest expressed in 21d worms and the lowest in 7 d and 13 d schistosomula. The cDNA corresponding to DNA binding domain (SjTHRβ-DBD and ligand binding domain (SjTHRβ-LBD were cloned and subsequently expressed in E coli. The expressed proteins were used to immunize mice and generate specific serum against recombinant SjTHRβ (rSjTHRβ. Western blotting revealed that anti-rSjTHRβ-LBD serum recognized two protein bands in extracts from 21 d worm with molecular sizes of approximately 95 kDa and 72 kDa. Electrophoretic mobility shift assay (EMSA analysis showed that rSjTHRβ-DBD could bind to a conserved DNA core motif. Immunization of BALB/c mice with rSjTHRβ-LBD could induce partial protective efficacy(27.52% worm reduction and 29.50% liver eggs

  5. Uptake of mass drug administration programme for schistosomiasis control in Koome Islands, Central Uganda.

    Directory of Open Access Journals (Sweden)

    Doreen Tuhebwe

    Full Text Available Schistosomiasis is one of the neglected tropical diseases targeted for elimination in Uganda through the Mass Drug Administration (MDA programme. Praziquantel has been distributed using community resource persons in fixed sites and house-to-house visits; however the uptake is still below target coverage. In 2011/2012 MDA exercise, uptake stood at 50% yet WHO target coverage is 75% at community level. We assessed the uptake of MDA and the associated factors in Koome Islands, Central Uganda.In March 2013, we conducted a mixed methods cross sectional study in 15 randomly selected villages. We interviewed a total of 615 respondents aged 18 years and above using semi structured questionnaires and five key informants were also purposively selected. Univariate and multivariate analysis was done. MDA uptake was defined as self reported swallowing of praziquantel during the last (2012 MDA campaign. We conducted key informant interviews with Ministry of Health, district health personnel and community health workers.Self reported uptake of praziquantel was 44.7% (275/615, 95% confidence interval (CI 40.8-48.7%. Of the 275 community members who said they had swallowed praziquantel, 142 (51.6% reported that they had developed side effects. Uptake of MDA was more likely if the respondent was knowledgeable about schistosomiasis transmission and prevention (adjusted odds ratio [AOR] 1.85, 95% CI 1.22-2.81 and reported to have received health education from the health personnel (AOR 5.95, 95% CI 3.67-9.65. Service delivery challenges such as drug shortages and community health worker attrition also influenced MDA in Koome Islands.Uptake of MDA for schistosomiasis control in Koome was sub optimal. Lack of knowledge about schistosomiasis transmission and prevention, inadequate health education and drug shortages are some of the major factors associated with low uptake. These could be addressed through routine health education and systematic drug supply for the

  6. Nutrition and acute schistosomiasis

    Directory of Open Access Journals (Sweden)

    Eridan M. Coutinho

    1992-01-01

    Full Text Available In northeast Brazil, nutritional deficiency diseases and schistosomiasis mansoni overlap. An experimental model, wich reproduces the marasmatic clinical form of protein-energy malnutrition, was developed in this laboratory to study these interactions. Albino Swiss mice were fed with a food association ingested usually by human populations in northeast Brazil. This diet (Regional Basic Diet - RBD has negative effects on the growth, food intake and protein utilization in infected mice (acute phase of murine schistosomiasis. Nitrogen balance studies have also shown that infection with Schistosoma mansoni has apparently no effect on protein intestinal absorption in well nourished mice. However, the lowest absorption ratios have been detected among RBD - fed infected animals, suggesting that suprerimposed schistosome infection aggravated the nutritional status of the undernourished host. The serum proteins electrophoretic pattern, as far as albumins are concerned, is quite similar for non-infected undernourished and infected well-fed animals. So, the significance of albumins as a biochemical indicator of the nutritional status of human populations residing in endemic foci of Manson's schistosomiasis, is discussable.

  7. Gaining and sustaining schistosomiasis control

    DEFF Research Database (Denmark)

    Ezeamama, Amara E.; He, Chun-La; Shen, Ye

    2016-01-01

    chemotherapy (PCT) with praziquantel (PZQ)? This paper describes the process SCORE used to transform this question into a harmonized research protocol, the study design for answering this question, the village eligibility assessments and data resulting from the first year of the study. METHODS: Beginning......-aged children. Seven studies are currently being implemented in five African countries. During the first year, villages were screened for eligibility, and data were collected on prevalence and intensity of infection prior to randomisation and the implementation of different schemes of PZQ intervention...... strategies. RESULTS: These studies of different treatment schedules with PZQ will provide the most comprehensive data thus far on the optimal frequency and continuity of PCT for schistosomiasis infection and morbidity control. CONCLUSIONS: We expect that the study outcomes will provide data for decision...

  8. Some social determinants of urinary schistosomiasis in Northern Cameroon: implications for schistosomiasis control.

    Science.gov (United States)

    Takougang, Innocent; Meli, Jean; Fotso, Siméon; Angwafo, Fru; Kamajeu, Raoul; Ndumbe, Peter M

    2004-01-01

    The present study was designed to assess the perceptions of hematuria, the most conspicuous sign of urinary schistosomiasis, in selected communities of the sudano-sahelian zone of Cameroon. Study questionnaires related to knowledge, beliefs and stigma associated with hematuria were administered to 964 pupils from 15 randomly selected schools. In order to ascertain children perceptions, we interviewed 143 adults living less than 2 kilometers from the target school. School children provided urine samples that were examined using the dip stick and sedimentation methods. Exposure to sun was the most reported cause of hematuria (53% adult and 62% children respondents), followed by drinking of dirty water (18% adults and 41% children). Only 15% of adult and 26% school children could relate hematuria to wading, a common means of exposure to urinary schistosomiasis. More than half of the school children stated that hematuria was a sign of disease (56%). Few pupils perceived hematuria to be a sign of strength (6%), while others related it to puberty (30%). Most pupils (80%) reported that hematuria was preventable while others (20% ) ascribed it to witchcraft. Pupils reported that hematuria could be cured in the hospital (65%), by the traditional healer (21%), or by reading Holy Scriptures (14%). Some respondents (35% of adult, and 40% of school children) stated that it was shameful to have blood in urine. Almost half of the adult respondents and 26% of the school children reported that hematuria was contagious. Boys and girls had similar levels of oviuria (OR=0.79 p>0.05), but boys were 4 times more likely to report hematuria (OR= 3.62, p<0.001). There was a poor understanding of the means of exposure, transmission and treatment of hematuria. Some aspects of the perceptions of hematuria reported herein corroborate with previous studies carried out in Cameroon, Niger, Ghana, Kenya and Tanzania. They should be considered, together with other socioeconomic and cultural

  9. TGF beta and IL13 in Schistosomiasis mansoni associated pulmonary arterial hypertension; a descriptive study with comparative groups.

    Science.gov (United States)

    Ferreira, Rita de Cassia dos Santos; Montenegro, Silvia Maria Lucena; Domingues, Ana Lucia Coutinho; Bandeira, Angela Pontes; Silveira, Carlos Antonio da Mota; Leite, Luiz Arthur Calheiros; Pereira, Clara de Almeida; Fernandes, Izolda Moura; Mertens, Alessandra Brainer; Almeida, Milena Oliveira

    2014-05-21

    It is suggested that interleukin (IL)-13 and transforming growth factor (TGF)-beta play a role in the pulmonary vascular changes found in animal models of schistosomiasis. The aim of this study was to assess and compare the serum levels of total TGF-beta and IL-13 of patients with schistosomiasis with pulmonary arterial hypertension (PAH) and patients with schistosomiasis without PAH. 34 patients from the schistosomiasis outpatient clinic of the Hospital das Clinicas, Recife, Pernambuco, Brazil, without PAH assessed by echocardiography and 34 patients from the Reference Centre of Pulmonary Hypertension of Pronto Socorro Cardiológico de Pernambuco, Recife, Brazil with PAH, confirmed by right heart catheterization, were enrolled on the study. Both groups presented with schistosomal periportal fibrosis after abdominal ultrasound. Serum levels of TGF-beta1 and IL-13 were determined by ELISA. Student t test to independent samples, Mann-Whitney test to nonparametric variables, Pearson correlation test for correlation analyses and Fisher Chi-squared test to compare categorical analyses were used. The median value of TGF-beta1 was significantly higher in patients with PAH (22496.9 pg/ml, interquartile range [IR] 15936.7 - 32087.8) than in patients without PAH (13629.9 pg/ml, IR: 10192.2- 22193.8) (p = 0.006). There was no difference in the median value of IL-13 in the group with Sch-PAH compared to patients without Sch-PAH (p > 0.05). Our results suggest that TGF-beta possibly plays a role in the pathogenesis of schistosomiasis-associated PAH.

  10. Changing patterns of spatial clustering of schistosomiasis in Southwest China between 1999-2001 and 2007-2008: assessing progress toward eradication after the World Bank Loan Project.

    Science.gov (United States)

    Hu, Yi; Xiong, Chenglong; Zhang, Zhijie; Luo, Can; Cohen, Ted; Gao, Jie; Zhang, Lijuan; Jiang, Qingwu

    2014-01-03

    We compared changes in the spatial clustering of schistosomiasis in Southwest China at the conclusion of and six years following the end of the World Bank Loan Project (WBLP), the control strategy of which was focused on the large-scale use of chemotherapy. Parasitological data were obtained through standardized surveys conducted in 1999-2001 and again in 2007-2008. Two alternate spatial cluster methods were used to identify spatial clusters of cases: Anselin's Local Moran's I test and Kulldorff's spatial scan statistic. Substantial reductions in the burden of schistosomiasis were found after the end of the WBLP, but the spatial extent of schistosomiasis was not reduced across the study area. Spatial clusters continued to occur in three regions: Chengdu Plain, Yangtze River Valley, and Lancang River Valley during the two periods, and regularly involved five counties. These findings suggest that despite impressive reductions in burden, the hilly and mountainous regions of Southwest China remain at risk of schistosome re-emergence. Our results help to highlight specific locations where integrated control programs can focus to speed the elimination of schistosomiasis in China.

  11. Assessing the effect of an integrated control strategy for schistosomiasis japonica emphasizing bovines in a marshland area of Hubei Province, China: a cluster randomized trial.

    Directory of Open Access Journals (Sweden)

    Xi-Cheng Hong

    Full Text Available INTRODUCTION: More than 80% of schistosomiasis patients in China live in the lake and marshland regions. The purpose of our study is to assess the effect of a comprehensive strategy to control transmission of Schistosoma japonicum in marshland regions. METHODOLOGY/PRINCIPAL FINDINGS: In a cluster randomized controlled trial, we implemented an integrated control strategy in twelve villages from 2009 through 2011 in Gong'an County, Hubei Province. The routine interventions included praziquantel chemotherapy and controlling snails, and were implemented in all villages. New interventions, mainly consisting of building fences to limit the grazing area for bovines, building safe pastures for grazing, improving the residents' health conditions and facilities, were only implemented in six intervention villages. Results showed that the rate of S. japonicum infection in humans, bovines, snails, cow dung and mice in the intervention group decreased from 3.41% in 2008 to 0.81% in 2011, 3.3% to none, 11 of 6,219 to none, 3.9% to none and 31.7% to 1.7%, respectively (P0.05 for all comparisons. Moreover, a generalized linear model showed that there was a higher infection risk in humans in the control group than in the intervention group (OR = 1.250, P = 0.001 and an overall significant downward trend in infection risk during the study period. CONCLUSIONS/SIGNIFICANCE: The integrated control strategy, designed to reduce the role of bovines and humans as sources of S. japonicum infection, was highly effective in controlling the transmission of S. japonicum in marshland regions in China. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR-PRC-12002405.

  12. Molluscicides in schistosomiasis control.

    Science.gov (United States)

    McCullough, F S; Gayral, P; Duncan, J; Christie, J D

    1980-01-01

    Although mollusciciding can be a cost-effective method of controlling schistosomiasis transmission, only one organic molluscicide, niclosamide, is now being produced commercially, and only a few compounds are at present being tested in the laboratory. In future, improved cost-effective use of molluscicides will require more precise knowledge of schistosomiasis transmission patterns in each endemic area and improved application techniques. In snail control studies using controlled-release formulations only the organotins, especially tributyltin oxide (TBTO), have given satisfactory long-term results. However, large-scale field trials of organotin formulations have not been implemented and their use cannot be recommended as their chronic toxicity in mammals has not yet been determined. The development of molluscicides of indigenous plant origin deserves support. Endod, derived from the berries of the climbing plant Phytolacca dodecandra, is the most extensively tested plant molluscicide, but data on its chronic toxicity to non-target organisms are lacking. The mode of action of molluscicides has not been extensively studied, though knowledge of the properties required of molluscicidal molecules has contributed to the discovery and development of niclosamide and nicotinanilide. In general, molluscicides probably cause stress on the water balance system, which in gastropods in thought to be under neurosecretory control.

  13. Modelling within Host Parasite Dynamics of Schistosomiasis

    Directory of Open Access Journals (Sweden)

    Edward T. Chiyaka

    2010-01-01

    Full Text Available Schistosomiasis infection is characterized by the presence of adult worms in the portal and mesenteric veins of humans as part of a complex migratory cycle initiated by cutaneous penetration of the cercariae shed by infected freshwater snails. The drug praziquantel is not always effective in the treatment against schistosomiasis at larvae stage. However, our simulations show that it is effective against mature worms and eggs. As a result, the study and understanding of immunological responses is key in understanding parasite dynamics. We therefore introduce quantitative interpretations of human immunological responses of the disease to formulate mathematical models for the within-host dynamics of schistosomiasis. We also use numerical simulations to demonstrate that it is the level of T cells that differentiates between either an effective immune response or some degree of infection. These cells are responsible for the differentiation and recruitment of eosinophils that are instrumental in clearing the parasite. From the model analysis, we conclude that control of infection is much attributed to the value of a function f, a measure of the average number of larvae penetrating a susceptible individual having hatched from an egg released by an infected individual. This agrees with evidence that there is a close association between the ecology, the distribution of infection and the disease.

  14. Technology Performance Level Assessment Methodology.

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, Jesse D.; Bull, Diana L; Malins, Robert Joseph; Costello, Ronan Patrick; Aurelien Babarit; Kim Nielsen; Claudio Bittencourt Ferreira; Ben Kennedy; Kathryn Dykes; Jochem Weber

    2017-04-01

    The technology performance level (TPL) assessments can be applied at all technology development stages and associated technology readiness levels (TRLs). Even, and particularly, at low TRLs the TPL assessment is very effective as it, holistically, considers a wide range of WEC attributes that determine the techno-economic performance potential of the WEC farm when fully developed for commercial operation. The TPL assessment also highlights potential showstoppers at the earliest possible stage of the WEC technology development. Hence, the TPL assessment identifies the technology independent “performance requirements.” In order to achieve a successful solution, the entirety of the performance requirements within the TPL must be considered because, in the end, all the stakeholder needs must be achieved. The basis for performing a TPL assessment comes from the information provided in a dedicated format, the Technical Submission Form (TSF). The TSF requests information from the WEC developer that is required to answer the questions posed in the TPL assessment document.

  15. Indirect assessment of eosinophiluria in urinary schistosomiasis using eosinophil cationic protein (ECP) and eosinophil protein X (EPX)

    DEFF Research Database (Denmark)

    Reimert, C M; Ouma, J H; Mwanje, M T

    1993-01-01

    of infection (eggs/10 ml of urine), albuminuria and pathological changes as detected by ultrasonography. ECP and EPX were determined by means of specific ELISA methods and levels were determined in both urine supernatants and extracted urine deposits (cells and cell debris). The level of ECP was significantly...

  16. Schistosomiasis and infection with human immunodeficiency virus 1 in rural Zimbabwe

    DEFF Research Database (Denmark)

    Erikstrup, Christian; Kallestrup, Per; Zinyama-Gutsire, Rutendo B L

    2008-01-01

    We previously reported that treatment for schistosomiasis in persons infected with human immunodeficiency virus 1 (HIV-1) attenuated HIV replication as measured by plasma HIV RNA. We investigated systemic inflammation as measured by plasma levels of soluble tumor necrosis factor-alpha receptor II...... (sTNF-rII), interleukin-8, (IL-8), and IL-10 during schistosomiasis and HIV co-infection and after schistosomiasis treatment. The cohort was composed of 378 persons who were or were not infected with HIV-1, Schistosoma haematobium, or S. mansoni. Schistosomiasis-infected persons were randomized...... to receive praziquantel (40 mg/kg) at baseline or at the three-month follow-up. sTNF-rII and IL-8 were positively associated with schistosomiasis intensity as measured by circulating anodic antigen (CAA), regardless of HIV status. Interleukin-10 was positively associated with CAA in HIV-negative participants...

  17. Cerebral schistosomiasis | Ravi | SA Journal of Radiology

    African Journals Online (AJOL)

    Although schistosomiasis (bilharzia) is one of the most common parasitic infections in humans, schistosomal infection of the nervous system is rare. This report is of an unusual case of primary cerebral schistosomiasis and describes its magnetic resonance imaging appearance.

  18. Prevalence of urinary schistosomiasis among secondary school ...

    African Journals Online (AJOL)

    Prevalence of urinary schistosomiasis among secondary school students in Ibadan, Nigeria. ... The inclusion of health education package aimed at changing behavior of school children from adverse water contact practices was recommended. Keywords: prevalence, urinary schistosomiasis, secondary school students.

  19. Prevalence of urinary schistosomiasis and associated haemato ...

    African Journals Online (AJOL)

    Schistosomiasis was found to be associated with hematuria (97.3%) and proteinuria (79.6%). Conclusion: Haematuria and proteinuria have a potential value in the screening for community diagnosis of urinary schistosomiasis in endemic areas. Vesical schistosomiasis is recognized as a significant public health problem ...

  20. Association of Eumycetoma and Schistosomiasis

    Science.gov (United States)

    van Hellemond, Jaap J.; Vonk, Alieke G.; de Vogel, Corné; Koelewijn, Rob; Vaessen, Norbert; Fahal, Ahmed H.; van Belkum, Alex; van de Sande, Wendy W. J.

    2013-01-01

    Eumycetoma is a morbid chronic granulomatous subcutaneous fungal disease. Despite high environmental exposure to this fungus in certain regions of the world, only few develop eumycetoma for yet unknown reasons. Animal studies suggest that co-infections skewing the immune system to a Th2-type response enhance eumycetoma susceptibility. Since chronic schistosomiasis results in a strong Th2-type response and since endemic areas for eumycetoma and schistosomiasis do regionally overlap, we performed a serological case-control study to identify an association between eumycetoma and schistosomiasis. Compared to endemic controls, eumycetoma patients were significantly more often sero-positive for schistosomiasis (p = 0.03; odds ratio 3.2, 95% CI 1.18–8.46), but not for toxoplasmosis, an infection inducing a Th1-type response (p = 0.6; odds ratio 1.5, 95% CI 0.58–3.83). Here, we show that schistosomiasis is correlated to susceptibility for a fungal disease for the first time. PMID:23717704

  1. The role of snail aestivation in transmission of schistosomiasis in ...

    African Journals Online (AJOL)

    This review assesses the possible impacts of climate change on the temporal and spatial distribution of schistosomiasis-transmitting snails with special emphasis on aestivation, and discusses the effect of schistosome infection on aestivation ability. The impacts of parasite development on snails, as well as physiological ...

  2. Some social determinants of urinary schistosomiasis in Northern ...

    African Journals Online (AJOL)

    The present study was designed to assess the perceptions of hematuria, the most conspicuous sign of urinary schistosomiasis, in selected communities of the sudano-sahelian zone of Cameroon. Study questionnaires related to knowledge, beliefs and stigma associated with hematuria were administered to 964 pupils from ...

  3. 5. Surveys for Schistosomiasis and Soil Transmitted Helminths in ...

    African Journals Online (AJOL)

    Esem

    Hymenolepis nana and Enterobius vermicularis. Conclusions: The study confirmed that schistosomiasis and STH infections were endemic at the study sites, but also suggested that the prevalences had declined compared to earlier reports. There is need for more surveys to be carried out to assess the current distribution.

  4. Schistosomiasis mansoni in school attenders and non-attenders in ...

    African Journals Online (AJOL)

    Background: Information on epidemiology of schistosomiasis in school age children and particularly non school attenders are scanty in northwestern Ethiopia. Objective: To assess the prevalence of Schistosoma mansoni in school attenders and non-attenders in Northwest Ethiopia. Methods: A parasitological survey was ...

  5. Vaccine strategies against schistosomiasis

    Directory of Open Access Journals (Sweden)

    A. Capron

    1992-01-01

    Full Text Available In this review the authors analyze the effector and regulatory mechanisms in the immune response to schistosomiasis. To study these mechanisms two animal models were used, mouse and rat. The mouse totaly permissive host like human, show prominent-T cell control in the acquisition of resistance. But other mechanisms like antibody mediated cytotoxity (ADCC involving eosinophils and IgG antibodies described in humans, are observed in rats. Also in this animal, it is observed specific IgE antibody high production and blood and tisssue eosinophilia. Using the rat model and schistosomula as target, some ADCC features have emerged: the cellular population involved are bone marrow derived inflammatory cell (mononuclear phagocytes, eosinophils and platelets, interacting with IgE through IgE Fc receptors. Immunization has been attempted using the recombinant protein Sm28/GST. Protection has been observed in rodents with significant decrease of parasite fecundity and egg viability affecting the number, size and volume of liver egg granulomas. The association of praziquantel and immunization with with Sm28/GST increases the resistance to infection and decreases egg viability. The authors suggest the possibility of the stablishment of a future vaccine against Schistosoma mansoni.

  6. Níveis séricos de globulinas e a intensidade da fibrose hepática em pacientes com esquistossomose mansônica Serum globulin levels and intensity of hepatic fibrosis in patients with mansonic schistosomiasis

    Directory of Open Access Journals (Sweden)

    Henrique S. T. Correia

    2009-09-01

    Full Text Available CONTEXTO: Tem sido descrita correlação entre os níveis séricos de globulinas e o grau de fibrose hepática nas hepatites crônicas, mas não se encontram relatos na esquistossomose mansônica. OBJETIVO: Avaliar os níveis séricos de globulinas e de IgG, e a intensidade da fibrose periportal mensurada pela ultrassonografia em pacientes com esquistossomose mansônica. MÉTODOS: Entre novembro de 2006 e fevereiro de 2007, foram estudados 41 pacientes que preencheram ficha clínica e realizaram dosagens de IgG por imunoturbidimetria e de globulinas indiretamente pelo método do biureto. A ultrassonografia foi realizada por um único pesquisador, seguindo os protocolos do Cairo e de Niamey. RESULTADOS: A média de idade foi 41 anos, sendo 25 pacientes (61% do sexo feminino. Dez dos 41 pacientes (24% apresentaram elevação dos níveis séricos de globulinas e 21 (51% dos de IgG. Conforme a classificação do Cairo, 21 pacientes apresentaram grau I de fibrose, 18 grau II e 2 grau III, e pela classificação de Niamey 8 apresentavam padrão C, 20 D e 13 E. Aqueles com graus II ou III de fibrose tiveram maiores níveis de IgG do que os de grau I (P = 0,047, assim como aqueles que apresentaram padrões D e E em relação ao C (P = 0,011. Não houve associação entre os níveis de globulinas e o grau ou padrão de fibrose. CONCLUSÃO: Em pacientes com esquistossomose mansônica, observou-se elevação dos níveis séricos de IgG de acordo com a progressão do grau e do padrão de fibrose periportal, mas o mesmo não se observou com os níveis de globulinas.BACKGROUND: A correlation between the levels of serum globulins and the hepatic fibrosis degree in chronic hepatitis was described, but reports in schistosomiasis mansoni have not been found. OBJECTIVE: To evaluate the serum globulins and IgG levels, and periportal fibrosis intensity measured by ultrasound in patients with schistosomiasis mansoni. METHODS: Between November, 2006 and February 2007

  7. Investigation of the Risk of Infection of Urinary Schistosomiasis at ...

    African Journals Online (AJOL)

    Urinary schistosomiasis is of great public health importance in developing countries. It has adverse economic and health implications on residents living in endemic areas. Various factors including human behaviour are known to play key role in the transmission of the disease. The knowledge of the levels of risk of infection ...

  8. Mao Zedong's fight against schistosomiasis.

    Science.gov (United States)

    Fan, Kawai; Lai, Honkei

    2008-01-01

    In 1956, Mao Zedong began a mass campaign against schistosomiasis in the People's Republic of China. The campaign, which integrated mass mobilization, science, agricultural production, local construction projects, and prophylactic measures, was fueled primarily by a determination to accelerate China's agricultural development. The initial success of this campaign encouraged Mao to embark on the next stage of socialism, the Great Leap Forward. As attention was diverted away from schistosomiasis, however, the disease has again become a major burden to the health of the country.

  9. Akut schistosomiasis (Katayama-feber)

    DEFF Research Database (Denmark)

    Jensen, T; Rønne-Rasmussen, J O; Bygbjerg, Ib Christian

    1995-01-01

    Acute schistosomiasis (Katayama fever) may present with a broad spectrum of symptoms three to six weeks after primary infection by Schistosoma (S) mansoni, S. japonicum or, more rarely, S. haematobium. The acute phase of schistosomiasis is frequently confused with other feverish diseases. It occurs...... almost exclusively in nonimmune visitors to endemic areas. We describe seven cases of acute S. mansoni infection. The pathogenesis, clinical features, diagnosis and treatment are briefly discussed. Katayama fever should be considered in patients returning from endemic areas with fever and eosinophilia...

  10. Control of urinary schistosomiasis on Zanzibar (Unguja Island: a pilot evaluation of the educational impact of the Juma na Kichocho health booklet within primary schools

    Directory of Open Access Journals (Sweden)

    JR Stothard

    2006-10-01

    Full Text Available To improve health education within primary schools, the health education booklet Juma na kichocho was evaluated during a study within 5 schools using key-informant questionnaires that recorded children's knowledge and attitude (KA towards schistosomiasis before and after daily structured-use of booklets. A total of 229 schoolchildren (114 boys : 115 girls of between 11 and 15 years of age were interviewed and re-assessed after a working school week. Existing and putative booklet-induced changes in KA scores for schistosomiasis were compared directly against equivalent KA scores for malaria. In total 47.4% of children were already aware that schistosomiasis was a water-borne disease while only 10.5% knew of its exact aetiology; after booklet intervention these levels increased to 54.6 and 15.7%, respectively. The majority of children still failed, however, to realise that re-infection could take place soon after treatment. While a positive increase was observed for children's total KA questionnaire scores for both malaria and schistosomiasis after booklet intervention, these were not statistically significant. In the context of control, further educational efforts are needed to promote and guide behavioural change, especially in relation to reduction of environmental water contact.

  11. Epidemiological aspects of schistosomiasis in workers of the Movement of Landless Rural Workers

    Directory of Open Access Journals (Sweden)

    Genilde Gomes de Oliveira

    2013-07-01

    Full Text Available Introduction Schistosomiasis is endemic in 74 countries and is considered a serious public health problem in some locations. Methods A transverse study was performed of 13 landless settlements in southern Sergipe from February to December 2009. The study included 822 settlers, of whom 601 underwent stool testing. Results The prevalence of schistosomiasis in landless workers was 4.3%. The population has a low education level, and basic sanitation services are not available to all residents. Conclusions The prevalence of schistosomiasis was low in the population and among different settlements, possibly because of different forms of water use by the settlers.

  12. REVIEW ARTICLE Schistosomiasis and malignancy

    African Journals Online (AJOL)

    and colon carcinoma reviewed. SAfrMedJ1994; 84: 211-215. It has been estimated that over 250 million ... Historical background. Theodor Bilharz first found adult worms of the trema- tode, now known ..... A raised incidence of colorectal cancer in association with schistosomiasis due to S. mansoni has not been detected in ...

  13. A case of vulval schistosomiasis

    African Journals Online (AJOL)

    the lesions on the left that may be lichen planus like, but not typical. The nodules. A case of vulval schistosomiasis. O'Mahony D, MBBCh, DCH, DTM&H, DPH, DIP MID COG (SA), FRCGP. Family Practitioner, Bridge Street, Port St Johns. Banach L, MD, PhD, MIAC. Associate Professor, Department of Pathology, Faculty of ...

  14. Human schistosomiasis in Ngamiland, Botswana

    DEFF Research Database (Denmark)

    Andersen, L; Magnussen, Pascal; Wouters, J S

    1985-01-01

    To reassess the schistosomiasis problem in Ngamiland and especially in Maun area 552 primary school children and 213 adult labourers were examined with urinalysis and rectal snip. Of the pupils 80.3% were found positive for S. mansoni and 1.4% for S. haematobium; of the labourers 35.7% were...

  15. Schistosomiasis collection at NHM (SCAN

    Directory of Open Access Journals (Sweden)

    Emery Aidan M

    2012-09-01

    Full Text Available Abstract Background The Natural History Museum (NHM is developing a repository for schistosomiasis-related material, the Schistosomiasis Collection at NHM (SCAN as part of its existing Wolfson Wellcome Biomedical Laboratory (WWBL. This is timely because a major research and evaluation effort to understand control and move towards elimination of schistosomiasis in Africa has been initiated by the Schistosomiasis Consortium for Operational Research and Evaluation (SCORE, resulting in the collection of many important biological samples, including larval schistosomes and snails. SCAN will collaborate with a number of research groups and control teams and the repository will acquire samples relevant to both immediate and future research interest. The samples collected through ongoing research and field activities, WWBL’s existing collections, and other acquisitions will be maintained over the long term and made available to the global research community for approved research purposes. Goals include: · Consolidation of the existing NHM schistosome and snail collections and transfer of specimens into suitable long-term storage systems for DNA retrieval, · Long-term and stable storage of specimens collected as part of on going field programmes initially in Africa especially relating to the SCORE research programmes, · Provision of access to snail and schistosome collections for approved research activities.

  16. Screening of Tanzanian women of childbearing age for urinary schistosomiasis: validity of urine reagent strip readings and self-reported symptoms.

    Science.gov (United States)

    Poggensee, G; Krantz, I; Kiwelu, I; Feldmeier, H

    2000-01-01

    The screening of women of childbearing age for haematuria, leukocyturia and proteinuria to detect urinary schistosomiasis can be confounded by several factors such as menstruation, pregnancy and genitourinary infections. We therefore undertook a study in an area endemic for Schistosoma haematobium in the United Republic of Tanzania to carry out the following: assess the sensitivity, specificity and predictive values--in women of childbearing age--of indirect indicators of urinary schistosomiasis, as measured by urine reagent strip readings; assess the predictive values of self-reported symptoms; and finally to estimate the morbidity attributable to S. haematobium. A total of 303 women (128 and 175, respectively, living in high- and low-risk sites) participated in the study. Haematuria was more frequent among women excreting S. haematobium eggs than among those who did not (65% versus 32%). The predictive potential of all indirect disease markers was poor in the highly endemic site, while in the sites with low endemicity the negative predictive values were high. Among infected women, 54% of haematuria could be attributed to S. haematobium, but for patients with more than 10 eggs/10 ml the attributable fraction rose to 70%. Symptoms of "bloody urine" and "pain while urinating" were recalled significantly more often by women living in the highly endemic site. On a population level, one-third of the self-reported cases with bloody urine could be attributed to urinary schistosomiasis. Screening of women of childbearing age for urinary schistosomiasis using urine reagent strips can be biased in two directions. The prevalence of S. haematobium will be overestimated if other causes of haematuria, such as reproductive tract infections, are highly endemic. On the other hand, women with light or very light infections will be missed and will not be treated. This is of concern because genital schistosomiasis, a possible risk factor for the transmission of HIV, occurs among

  17. Have You Heard of Schistosomiasis? Knowledge, Attitudes and Practices in Nampula Province, Mozambique.

    Science.gov (United States)

    Rassi, Christian; Kajungu, Dan; Martin, Sandrine; Arroz, Jorge; Tallant, Jamie; Zegers de Beyl, Celine; Counihan, Helen; Newell, James N; Phillips, Anna; Whitton, Jane; Muloliwa, Artur Manuel; Graham, Kirstie

    2016-03-01

    Schistosomiasis is a parasitic disease which affects almost 300 million people worldwide each year. It is highly endemic in Mozambique. Prevention and control of schistosomiasis relies mainly on mass drug administration (MDA), as well as adoption of basic sanitation practices. Individual and community perceptions of schistosomiasis are likely to have a significant effect on prevention and control efforts. In order to establish a baseline to evaluate a community engagement intervention with a focus on schistosomiasis, a survey to determine knowledge, attitudes and practices relating to the disease was conducted. A representative cross-sectional household survey was carried out in four districts of Nampula province, Mozambique. Interviews were conducted in a total of 791 households, using a structured questionnaire. While awareness of schistosomiasis was high (91%), correct knowledge of how it is acquired (18%), transmitted (26%) and prevented (13%) was low among those who had heard of the disease. Misconceptions, such as the belief that schistosomiasis is transmitted through sexual contact (27%), were common. Only about a third of those who were aware of the disease stated that they practiced a protective behaviour and only a minority of those (39%) reported an effective behaviour. Despite several rounds of MDA for schistosomiasis in the recent past, only a small minority of households with children reported that at least one of them had received a drug to treat the disease (9%). Poor knowledge of the causes of schistosomiasis and how to prevent it, coupled with persisting misconceptions, continue to pose barriers to effective disease prevention and control. To achieve high levels of uptake of MDA and adoption of protective behaviours, it will be essential to engage individuals and communities, improving their understanding of the causes and symptoms of schistosomiasis, recommended prevention mechanisms and the rationale behind MDA.

  18. The prevalence of schistosomiasis in school-aged children as an appropriate indicator of its prevalence in the community

    Directory of Open Access Journals (Sweden)

    Ana Paula Braz Pereira

    2010-07-01

    Full Text Available School-aged children (6-15 years from the endemic area of Pernambuco were evaluated both as a target group for and an indicator of schistosomiasis control in the community. Parasitological data were drawn from baseline stool surveys of whole populations that were obtained to diagnose Schistosoma mansoni infection. Nineteen representative localities were selected for assessing the prevalence of schistosomiasis among individuals in the following age groups: 0-5, 6-15, 16-25, 26-40 and 41-80 years. For each locality, the prevalence in each age group was compared to that of the overall population using contingency table analysis. To select a reference group, the operational difficulties of conducting residential surveys were considered. School-aged children may be considered to be the group of choice as the reference group for the overall population for the following reasons: (i the prevalence of schistosomiasis in this age group had the highest correlation with the prevalence in the overall population (r = 0.967, (ii this age group is particularly vulnerable to infection and plays an important role in parasite transmission and (iii school-aged children are the main target of the World Health Organization in terms of helminth control. The Schistosomiasis Control Program should consider school-aged children both as a reference group for assessing the need for intervention at the community level and as a target group for integrated health care actions of the Unified Health System that are focused on high-risk groups.

  19. Schistosomiasis among pregnant women in rural communities in Nigeria.

    Science.gov (United States)

    Salawu, Oyetunde T; Odaibo, Alexander B

    2013-07-01

    To assess the epidemiology of urogenital schistosomiasis among pregnant women in rural communities of southwestern Nigeria. The present cross-sectional epidemiologic survey of urogenital schistosomiasis was conducted during 2010-2011 among pregnant women in Yewa North Local Government, Ogun State, Nigeria. The women were microscopically screened for infection with Schistosoma haematobium. Of 313 volunteer participants, 20.8% tested positive for S. haematobium infection. The prevalence of infection was highest (31.5%) among women aged 20-24years. The infection intensity did not differ significantly between age groups (t=1.848, P=0.71). Primigravidae and women in the first trimester of pregnancy had the highest intensity of infection with 33.1 and 27.7 eggs/10mL of urine, respectively. There was an association between disease prevalence and parasite intensity across the age groups (χ(2)=68.82, P=0.02). The prevalence of S. haematobium was not associated with age or pregnancy trimester (P=0.06), but associations existed between intensity of infection and gravidity (P=0.001). The prevalence of urogenital schistosomiasis among pregnant women in Nigeria was high, with younger women and primigravidae at the greatest risk. These data can be used to develop a schistosomiasis control program among pregnant women in the study area. Copyright © 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  20. Risk factors for human schistosomiasis in the Upper Benue valley, in northern Cameroon.

    Science.gov (United States)

    Ndassa, A; Mimpfoundi, R; Gake, B; Paul Martin, M V; Poste, B

    2007-09-01

    The Upper Benue valley is inhabited by human populations of mixed background and socio-economic status. The area is an old and intense focus of both urinary schistosomiasis (caused by Schistosoma haematobium) and intestinal schistosomiasis (caused by S. mansoni). Most of the local villages have stand-pipes that provide clean drinking water but bathing, laundry, dishwashing and swimming are largely confined to nearby, snail-infested rivers, streams, irrigation canals and pools. The results of interviews and a multivariate analysis indicated that, in this region of Cameroon, a subject's age, knowledge of schistosomiasis, ethnic group and intensity of water contact (with rivers, streams and pools) were all significantly associated with schistosome infection. Curiously, a high level of knowledge about schistosomiasis was positively associated with infection.

  1. schistosomiasis presenting as acute appendicitis

    African Journals Online (AJOL)

    Damary

    2006-10-10

    Oct 10, 2006 ... Revista Do Institution De Medicina Tropical de Sao Paulo. 1962; 8: 167-172. 5. Jones H.J.S., Ibrahim A.E.K. and Deroda J.K.. Schistosomiasis of the appendix in the UK. Brit. J. Clin. Pract. 1997; 51: 183. 6. Lee J.FY., Chung C.C. and Lau W.Y. A case of schistosomal appendicitis. IJCP 1997; 51: 518-519. 7.

  2. Protection motivation theory in predicting intention to engage in protective behaviors against schistosomiasis among middle school students in rural China.

    Directory of Open Access Journals (Sweden)

    Han Xiao

    2014-10-01

    Full Text Available Among millions of people who suffer from schistosomiasis in China, adolescents are at increased risk to be infected. However, there is a lack of theory-guided behavioral prevention intervention programs to protect these adolescents. This study attempted to apply the Protection Motivation Theory (PMT in predicting intentions to engage in protective behaviors against schistosomiasis infection.The participants were selected using the stratified cluster sampling method. Survey data were collected using anonymous self-reported questionnaire. The advanced structural equation modeling (SEM method was utilized to assess the complex relationship among schistosomiasis knowledge, previous risk exposure and protective measures in predicting intentions to engage in protective behavior through the PMT constructs.Approximately 70% of participants reported they were always aware of schistosomiasis before exposure to water with endemic schistosomiasis, 6% of the participants reported frequency of weekly or monthly prior exposure to snail-conditioned water. 74% of participants reported having always engaged in protective behaviors in the past three months. Approximately 7% were unlikely or very unlikely to avoid contact with snail-conditioned water, and to use protective behaviors before exposure. Results from SEM analysis indicated that both schistosomiasis knowledge and prior exposure to schistosomiasis were indirectly related to behavior intentions through intrinsic rewards and self-efficacy; prior protective behaviors were indirectly related to behavior intentions through severity, intrinsic rewards and self-efficacy, while awareness had an indirect relationship with behavior intentions through self-efficacy. Among the seven PMT constructs, severity, intrinsic rewards and self-efficacy were significantly associated with behavior intentions.The PMT can be used to predict the intention to engage in protective behaviors against schistosomiasis. Schistosomiasis

  3. Protection motivation theory in predicting intention to engage in protective behaviors against schistosomiasis among middle school students in rural China.

    Science.gov (United States)

    Xiao, Han; Li, Shiyue; Chen, Xinguang; Yu, Bin; Gao, Mengting; Yan, Hong; Okafor, Chukwuemeka N

    2014-10-01

    Among millions of people who suffer from schistosomiasis in China, adolescents are at increased risk to be infected. However, there is a lack of theory-guided behavioral prevention intervention programs to protect these adolescents. This study attempted to apply the Protection Motivation Theory (PMT) in predicting intentions to engage in protective behaviors against schistosomiasis infection. The participants were selected using the stratified cluster sampling method. Survey data were collected using anonymous self-reported questionnaire. The advanced structural equation modeling (SEM) method was utilized to assess the complex relationship among schistosomiasis knowledge, previous risk exposure and protective measures in predicting intentions to engage in protective behavior through the PMT constructs. Approximately 70% of participants reported they were always aware of schistosomiasis before exposure to water with endemic schistosomiasis, 6% of the participants reported frequency of weekly or monthly prior exposure to snail-conditioned water. 74% of participants reported having always engaged in protective behaviors in the past three months. Approximately 7% were unlikely or very unlikely to avoid contact with snail-conditioned water, and to use protective behaviors before exposure. Results from SEM analysis indicated that both schistosomiasis knowledge and prior exposure to schistosomiasis were indirectly related to behavior intentions through intrinsic rewards and self-efficacy; prior protective behaviors were indirectly related to behavior intentions through severity, intrinsic rewards and self-efficacy, while awareness had an indirect relationship with behavior intentions through self-efficacy. Among the seven PMT constructs, severity, intrinsic rewards and self-efficacy were significantly associated with behavior intentions. The PMT can be used to predict the intention to engage in protective behaviors against schistosomiasis. Schistosomiasis intervention

  4. Knowledge, attitude and practices in relation to prevention and control of schistosomiasis infection in Mwea Kirinyaga county, Kenya

    Directory of Open Access Journals (Sweden)

    J Mwai

    2016-08-01

    Full Text Available Abstract Background Schistosomiasis remains a major public health problem in Kenya. Inadequate knowledge, attitudes and practices (KAP on causative factors are some of the critical factors for the increased prevalence. The study assessed KAP on the control and prevention of schistosomiasis infection in Mwea division, Kirinyaga County-Kenya. Four hundred and sixty five house-hold heads were enrolled in this study by use of simple random sampling technique. Methods The study employed an analytical descriptive cross sectional design utilizing both quantitative and qualitative data collection methods. A pretested structured questionnaire, Focus Group Discusions (FGDs and Key Informant Interviews (KII guides were used for data collection. Descriptive statistics and Chi square tests and Fisher’s exact tests were computed where applicable. Data from the FGDs and KIIs were analyzed using NUID.IST NUIRO.6 software. Results Significant associations between knowledge and demographic factors i.e. age (p = 0.011, education level (p = 0.046, were reported. Handwashing after visiting the toilet (p = 0.001, having a toilet facility at home (p = 0.014; raring animals at home (p = 0.031, households being affected by floods (p = 0.005 and frequency of visits to the paddies (p = 0.037 had a significant association with respondents practices and schistosomiasis infection. Further significance was reported on households being affected by floods during the rainy season (p < 0.001, sources of water in a household (p < 0.047 and having a temporary water body in the area (p = 0.024 with increase in schistosomiasis infection. Results revealed that respondents practices were not significantly associated with gender (p = 0.060, marital status (p = 0.71, wearing of protective gear (p = 0.142 and working on the paddies (p = 0.144. Conclusions This study reveals that knowledge about the cause, transmission, symptoms and

  5. Schistosomiasis and malignancy | Lemmer | South African Medical ...

    African Journals Online (AJOL)

    It is generally accepted that schistosomiasis, if not causative, is at least associated with malignancy. In this review, the epidemiology of schistosomiasis and bladder carcinoma, as well as the role of chronic bladder infection, are discussed together with known carcinogenic factors, possible abnormal vitamin metabolism ...

  6. Community perceptions of schistosomiasis transmission, prevalence ...

    African Journals Online (AJOL)

    Most respondents were familiar with the snails' habitats, but had poor knowledge on aquatic plants harbouring snails, as 57% of the respondents did not know about aquatic plants being associated with schistosomiasis snails. Only 3% of the respondents associated snails with schistosomiasis transmission. Sixty percent ...

  7. Intestinal Schistosomiasis and the Associated Transmission Factors ...

    African Journals Online (AJOL)

    Africa, affecting populations living where water supply and sanitation are poor and inadequate. Pre-school aged children (PSAC) have ... Keywords: Intestinal schistosomiasis prevalence, Pre-school children, Rwanda. Background. Schistosomiasis is a .... facilities (Republic of Rwanda, 2012). Study design and population.

  8. The risk of schistosomiasis in Zimbabwean triathletes

    African Journals Online (AJOL)

    incidence of schistosomiasis was 64%. Exposure of triathletes to fresh-water dam swimming in Zimbabwe ... Humans may become infected with schistosomiasis by bathing, wading or immersing limbs in infested ... questionnaire enquiring about other recreational activities in fresh water, and whether they had recently (in the ...

  9. The Three Gorges Dam: Does it accelerate or delay the progress towards eliminating transmission of schistosomiasis in China?

    Science.gov (United States)

    Zhou, Yi-Biao; Liang, Song; Chen, Yue; Jiang, Qing-Wu

    2016-07-05

    The Three Gorges Dam, located in the largest endemic area of schistosomiasis in China, is one of the world's largest hydroelectric projects to date. Some large-scale hydro projects have resulted in schistosomiasis emergence or re-emergence. Therefore, the dam's potential impact on the transmission of Schistosoma japonicum has raised concerns from medical researchers worldwide. A systematic literature review, coupled with an analysis of data on the water level and snail density in the Yangtze River was conducted to assess the impact of the dam on schistosomiasis transmission after more than 10 years of operation. The dam has significantly altered the water levels in the Yangtze River according to different seasons. These changes directly impact the ecology of the schistosome snail host. Due to the dam, there has been a reduction in the density of Oncomelania snails and/or changes in the distribution of snails. The prevalence of infection with S. japonicum has decreased in the downstream areas of the dam, including in the Dongting and Poyang Lakes. The prevalence of infection with S. japonicum in humans has decreased from 6.80 % in 2002 (before the dam began operating) to 0.50 % in 2012, and the number of people infected with S. japonicum have decreased from 94 208 in 2002 to 59 200 in 2011 in the Poyang Lake region. The presence of the dam does not seem to affect snail breeding or the prevalence of schistosomiasis in the Three Gorges Reservoir. Overall, the Three Gorges Dam has significantly contributed to changes in hydrology after more than 10 years of the dam operating. The changes caused by the dam, together with integrated control of schistosomiasis, might be accelerating the progress towards eliminating the transmission of S. japonicum in the middle and lower reaches of the Yangtze River. Despite the positive effect the dam is having in controlling S. japonicum transmission, continued surveillance is required to monitor the future ecological impacts of the

  10. Monocyte Subsets in Schistosomiasis Patients with Periportal Fibrosis

    Directory of Open Access Journals (Sweden)

    Jamille Souza Fernandes

    2014-01-01

    Full Text Available A major issue with Schistosoma mansoni infection is the development of periportal fibrosis, which is predominantly caused by the host immune response to egg antigens. Experimental studies have pointed to the participation of monocytes in the pathogenesis of liver fibrosis. The aim of this study was to characterize the subsets of monocytes in individuals with different degrees of periportal fibrosis secondary to schistosomiasis. Monocytes were classified into classical (CD14++CD16−, intermediate (CD14++CD16+, and nonclassical (CD14+CD16++. The expressions of monocyte markers and cytokines were assessed using flow cytometry. The frequency of classical monocytes was higher than the other subsets. The expression of HLA-DR, IL-6, TNF-α, and TGF-β was higher in monocytes from individuals with moderate to severe fibrosis as compared to other groups. Although no differences were observed in receptors expression (IL-4R and IL-10R between groups of patients, the expression of IL-12 was lower in monocytes from individuals with moderate to severe fibrosis, suggesting a protective role of this cytokine in the development of fibrosis. Our data support the hypothesis that the three different monocyte populations participate in the immunopathogenesis of periportal fibrosis, since they express high levels of proinflammatory and profibrotic cytokines and low levels of regulatory markers.

  11. Schistosomiasis: Geospatial Surveillance and Response Systems in Southeast Asia

    Science.gov (United States)

    Malone, John; Bergquist, Robert; Rinaldi, Laura; Xiao-nong, Zhou

    2016-10-01

    Geographic information system (GIS) and remote sensing (RS) from Earth-observing satellites offer opportunities for rapid assessment of areas endemic for vector-borne diseases including estimates of populations at risk and guidance to intervention strategies. This presentation deals with GIS and RS applications for the control of schistosomiasis in China and the Philippines. It includes large-scale risk mapping including identification of suitable habitats for Oncomelania hupensis, the intermediate host snail of Schistosoma japonicum. Predictions of infection risk are discussed with reference to ecological transformations and the potential impact of climate change and the potential for long-term temperature increases in the North as well as the impact on rivers, lakes and water resource developments. Potential integration of geospatial mapping and modeling in schistosomiasis surveillance and response systems in Asia within Global Earth Observation System of Systems (GEOSS) guidelines in the health societal benefit area is discussed.

  12. SCHISTOSOMIASIS: GEOSPATIAL SURVEILLANCE AND RESPONSE SYSTEMS IN SOUTHEAST ASIA

    Directory of Open Access Journals (Sweden)

    J. Malone

    2016-10-01

    Full Text Available Geographic information system (GIS and remote sensing (RS from Earth-observing satellites offer opportunities for rapid assessment of areas endemic for vector-borne diseases including estimates of populations at risk and guidance to intervention strategies. This presentation deals with GIS and RS applications for the control of schistosomiasis in China and the Philippines. It includes large-scale risk mapping including identification of suitable habitats for Oncomelania hupensis, the intermediate host snail of Schistosoma japonicum. Predictions of infection risk are discussed with reference to ecological transformations and the potential impact of climate change and the potential for long-term temperature increases in the North as well as the impact on rivers, lakes and water resource developments. Potential integration of geospatial mapping and modeling in schistosomiasis surveillance and response systems in Asia within Global Earth Observation System of Systems (GEOSS guidelines in the health societal benefit area is discussed.

  13. Effect of national schistosomiasis control programme on Taenia solium taeniosis and porcine cysticercosis in rural communities of Tanzania

    DEFF Research Database (Denmark)

    Braae, Uffe Christian; Magnussen, Pascal; Harrison, Wendy

    2016-01-01

    Taenia solium is found throughout sub-Saharan Africa and co-endemic with schistosomiasis in many regions. Taenia solium leads to taeniosis and neurocysticercosis - the leading cause of preventable epilepsy globally. This study aimed to assess the effects of the National Schistosomiasis Control...

  14. Human Schistosomiasis: Clinical Perspective: Review

    Directory of Open Access Journals (Sweden)

    Rashad S. Barsoum

    2013-09-01

    Full Text Available The clinical manifestations of schistosomiasis pass by acute, sub acute and chronic stages that mirror the immune response to infection. The later includes in succession innate, TH1 and TH2 adaptive stages, with an ultimate establishment of concomitant immunity. Some patients may also develop late complications, or suffer the sequelae of co-infection with other parasites, bacteria or viruses. Acute manifestations are species-independent; occur during the early stages of invasion and migration, where infection-naivety and the host’s racial and genetic setting play a major role. Sub acute manifestations occur after maturity of the parasite and settlement in target organs. They are related to the formation of granulomata around eggs or dead worms, primarily in the lower urinary tract with Schistosoma haematobium, and the colon and rectum with Schistosoma mansoni, Schistosoma japonicum, Schistosoma intercalatum and Schistosoma mekongi infection. Secondary manifestations during this stage may occur in the kidneys, liver, lungs or other ectopic sites. Chronic morbidity is attributed to the healing of granulomata by fibrosis and calcification at the sites of oval entrapment, deposition of schistosomal antigen-antibody complexes in the renal glomeruli or the development of secondary amyloidosis. Malignancy may complicate the chronic lesions in the urinary bladder or colon. Co-infection with salmonella or hepatitis viruses B or C may confound the clinical picture of schistosomiasis, while the latter may have a negative impact on the course of other co-infections as malaria, leishmaniasis and HIV. Prevention of schistosomiasis is basically geared around education and periodic mass treatment, an effective vaccine being still experimental. Praziquantel is the drug of choice in the treatment of active infection by any species, with a cure rate of 80%. Other antischistosomal drugs include metrifonate for S. haematobium, oxamniquine for S. mansoni and

  15. Assessment of oltipraz in schistosomiasis mansoni clinical trial Avaliação do oltipraz na esquistossomose mansônica. Ensaio clínico

    Directory of Open Access Journals (Sweden)

    Naftale Katz

    1984-06-01

    Full Text Available Seventy three children (6-15 years and 75 adults (18-47 years with active schistosomiasis mansoni were treated with oltipraz. All cases had at least 100 eggs per gram of feces as determined by the Kato-Katz technique. Children and adults were divided in two groups receiving respectively 25 or 30 mg/kg, as a single oral dose. Clinical examination, laboratories tests (haemogram, urinalysis, hepatic and kidney functions tests, glycemia, cholesterol, triglicerides, lipoprotein — HLD and LDL and ECG were performed before, 3 or 7 days and 1 month after treatment. Parasitological control with 3 daily coprological examinations, was done on the 1st, 3rd j 6th month after drug administration. Giddiness, somnolence, headache, nausea, vomiting and abdominal distress were the most frequent side effects. Pain in the finger tips that need further investigations also occurred. No significant alteration in complementary tests were observed, whereas eosinophilia 1 month after treatment was detected, probably indicating worm death. The cure rate in children was 81.8% and 74.2% with 25 and 30 mg/kg respectively, and in adults 75.0% and 81.2% of the patients. No statistical significant difference was observed between cure rate and side effects at different dosages employed, neither between adults nor children. In all groups the percentage of egg reduction in feces in the non cured patients was higher than 96.0%. Further investigation with this new compound is necessary to accomplish the real value of oltipraz in the schistosomiasis chemotherapy.Setenta e três crianças (6 a 15 anos e 75 adultos (18-47 anos com esquistossomose mansoni foram tratados com oltipraz. O diagnóstico foi feito através do exame parasitológico quantitativo de Kato-Katz e só os pacientes com 100 ou mais ovos por grama de fezes foram admitidos no ensaio. Crianças e adultos foram divididos em dois grupos cada, os quais eram tratados com 25 ou 30 mg/kg em dose única oral. Exame cl

  16. [Urinary schistosomiasis in ancient Egypt].

    Science.gov (United States)

    Ziskind, Bernard

    2009-12-01

    First described by Theodor Bilharz in 1851, Schistosoma haematobium, the worm responsible for urinary schistosomiasis, was a major health problem along the Nile Valley until the present days. Haematuria, the main symptom of this parasitic disease, was known and treated in Egyptian medical papyri since 1550 B.C. A relationship between haematuria and the god Seth was envisaged. Sir Marc Armand Ruffer, pioneer of paleopathology, found (1910) calcified Schistosoma eggs in Egyptian mummies of the xxth dynasty, establishing that bilharzia plagued ancient Egypt people. The ELISA method demonstrated the Schistosoma circulating anodic antigen in 45% of mummies studied.

  17. High prevalence and presumptive treatment of schistosomiasis and strongyloidiasis among African refugees.

    Science.gov (United States)

    Posey, Drew L; Blackburn, Brian G; Weinberg, Michelle; Flagg, Elaine W; Ortega, Luis; Wilson, Marianna; Secor, W Evan; Sanders-Lewis, Kolby; Won, Kimberly; Maguire, James H

    2007-11-15

    Schistosomiasis and strongyloidiasis cause substantial morbidity and mortality among hundreds of millions of infected persons worldwide. In the United States, these infections are most commonly found among international travelers, immigrants, and refugees from areas of endemicity. Refugees resettled to the United States since 2000 include >3800 "Lost Boys and Girls" of Sudan and 8000 Somali Bantu. Many Lost Boys and Girls of Sudan reported chronic abdominal pain only since arrival, and some received diagnoses of schistosomiasis or strongyloidiasis. We assessed seroprevalence of these infections among these refugees and hypothesized an association between infection and abdominal pain. We offered a survey assessing chronic abdominal pain and serologic testing for schistosomiasis and strongyloidiasis to all 800 attendees of a Lost Boys and Girls of Sudan reunion in the United States. Serologic testing was performed on preimmigration specimens obtained from 100 United States-bound Somali Bantu refugees. Of the 462 Sudanese refugees (58%) tested, 44% and 46% were seropositive for schistosomiasis (primarily due to Schistosoma mansoni) and strongyloidiasis, respectively; 24% of those who tested positive for schistosomiasis had S. mansoni antigenemia. Forty-six percent reported chronic abdominal pain, which was not associated with either infection. Among 100 Somali Bantu, 73% and 23% tested seropositive for schistosomiasis (primarily due to Schistosoma haematobium) and strongyloidiasis, respectively. The high seroprevalence of schistosomiasis and strongyloidiasis among Sudanese Lost Boys and Girls and Somali Bantu refugees supports presumptive treatment for these refugees. Current refugee resettlement policies inadequately address these diseases; our data support consideration of predeparture presumptive therapy for all refugees from areas of endemicity.

  18. Urinary schistosomiasis among schoolchildren in Yemen: prevalence, risk factors, and the effect of a chemotherapeutic intervention.

    Science.gov (United States)

    Al-Waleedi, Ali A; El-Nimr, Nessrin A; Hasab, Ali A; Bassiouny, Hassan K; Al-Shibani, Latifa A

    2013-12-01

    Schistosomiasis is one of the most important public health problems in Yemen. The prevalence of urinary schistosomiasis varies considerably across different parts of Yemen and was estimated to be 10% among schoolchildren in Sana'a. Praziquantel (PZQ) is highly effective against all five major human species of schistosomes. The aim of the present work was to estimate the prevalence of urinary schistosomiasis, describe the risk factors associated with its endemicity, and implement and assess a chemotherapeutic intervention using PZQ in a village in Yemen. The sample included 696 schoolchildren from a village in Abyan Governorate. During the baseline school survey, personal, sociodemographic, and environmental data, and data on practices in relation to water contact were collected from each study participant using a predesigned structured questionnaire. Urine samples from each participant were examined for macrohematuria and the presence of Schistosoma haematobium eggs. The chemotherapeutic intervention was assessed 3 and 6 months after the treatment and certain indicators were calculated. The prevalence of S. haematobium was 18.1%. The main significant risk factors were male sex; proximity of houses to water ponds; and using pond water for swimming, agricultural activities, and for bathing in houses. PZQ treatment reduced the prevalence of infection and decreased the prevalence of high-intensity infection. Survival analysis showed that the probability of residual infection also dropped after the treatment intervention. Male sex and using pond water for various activities were the main significant risk factors associated with urinary schistosomiasis. PZQ is still a cornerstone drug in reducing or eliminating morbidity associated with schistosomiasis infection. Health education programs tailored for the community are required for the control and prevention of urinary schistosomiasis. To address schoolchildren, school curricula should include lessons about urinary

  19. [Survey of schistosomiasis KAP and influencing factors of behaviors among residents in Jiangsu Province].

    Science.gov (United States)

    De-Rong, Hang; Yi-Xin, Huang; Yao-Bao, Liu; Xu, Zhang; Yi-Qing, Xie; Wei-Gang, Yin; Kai, Tang; Lian-Heng, Zhang; Dao-Kuan, Sun

    2017-05-05

    To understand the schistosomiasis control knowledge, attitude, and practice (KAP), and influencing factors of behaviors among residents in Jiangsu Province, so as to provide the evidence for making effective health education and health promotion models. The probability proportionate to size sampling (PPS) and multi-stage sampling methods were adopted to sample the research objects. A questionnaire survey of schistosomiasis control KAP was conducted in the residents of 16 to 69 years old in schistosomiasis endemic areas of Jiangsu Province, and the results were statistically analyzed. The total awareness rate of the participants was 95.98% for schistosomiasis control knowledge. The correct rates of attitude and practice were 89.06% and 77.43%, respectively. The awareness/correct rates of knowledge, attitude and practice reduced in turns significantly ( χ 2 =1 282.96, P education level increasing, their practice correct rate rose, and the participants with the college degree or above had a higher correct rate compared to illeterate ones ( OR = 6.411, 95% CI : 4.896-8.395). The practice correct rate of the fisher-men and boatmen was only 5.1% of the rate of the farmers ( OR = 0.051, 95% CI : 0.029-0.091). The total awareness rate of basic knowledge of schistosomiasis prevention and control in the residents of Jiangsu Province has reached the requirements in the "National Schistosomiasis Control Long-term Planning Outline (2004-2015)", but the correct rate of behaviors is low. The education level, occupation and residential areas affect the health behaviors of schistosomiasis prevention and control. Therefore, it is necessary to carry out targeted health promotion activities to promote the formation of healthy lifestyle and behaviors.

  20. A new mouse model for female genital schistosomiasis.

    Directory of Open Access Journals (Sweden)

    Monica L Richardson

    2014-05-01

    Full Text Available Over 112 million people worldwide are infected with Schistosoma haematobium, one of the most prevalent schistosome species affecting humans. Female genital schistosomiasis (FGS occurs when S. haematobium eggs are deposited into the female reproductive tract by adult worms, which can lead to pelvic pain, vaginal bleeding, genital disfigurement and infertility. Recent evidence suggests co-infection with S. haematobium increases the risks of contracting sexually transmitted diseases such as HIV. The associated mechanisms remain unclear due to the lack of a tractable animal model. We sought to create a mouse model conducive to the study of immune modulation and genitourinary changes that occur with FGS.To model FGS in mice, we injected S. haematobium eggs into the posterior vaginal walls of 30 female BALB/c mice. A control group of 20 female BALB/c mice were injected with uninfected LVG hamster tissue extract. Histology, flow cytometry and serum cytokine levels were assessed at 2, 4, 6, and 8 weeks post egg injection. Voiding studies were performed at 1 week post egg injection.Vaginal wall injection with S. haematobium eggs resulted in synchronous vaginal granuloma development within 2 weeks post-egg injection that persisted for at least 6 additional weeks. Flow cytometric analysis of vaginal granulomata revealed infiltration by CD4+ T cells with variable expression of the HIV co-receptors CXCR4 and CCR5. Granulomata also contained CD11b+F4/80+ cells (macrophages and eosinophils as well as CXCR4+MerTK+ macrophages. Strikingly, vaginal wall-injected mice featured significant urinary frequency despite the posterior vagina being anatomically distant from the bladder. This may represent a previously unrecognized overactive bladder response to deposition of schistosome eggs in the vagina.We have established a new mouse model that could potentially enable novel studies of genital schistosomiasis in females. Ongoing studies will further explore the

  1. [Schistosomiasis due to Schistosoma intercalatum and urbanization in central Africa].

    Science.gov (United States)

    Ripert, C

    2003-08-01

    The species name of Schistosoma intercalatum, Fischer 1934 is linked to the shape and the size of his eggs, which are intermediate between those of S. haematobium and S. bovis. S. intercalatum is the instrument of an intestinal form of schistosomiasis looking like the form induced by S. mansoni but characterized by a low location of the lesions, mainly situated at the rectum and sigmoid level. The spreading area of S. intercalatum is bound to Central Africa. The foci are often urban and of a size limited to a town district. Bulinus forskalii is the intermediate host mostly involved in transmitting S. intercalatum lower Guinea strain, which is the strain found in the largest number of foci. B. crystallinus too transmits the parasite in the area of Gamba in Gabon. The Central Basin congolese strain of S. intercalatum is transmitted by Bulinus globosus. The houses where inhabitants are voiding eggs of S. intercalatum are just in front of the river bank or stream which are snails'breeding places. S. intercalatum is expending at the present time because of the development of built-up areas which are characterized by a disorganized town-planning. The disease is due to the high faecal pollution of the environment, causing a contamination of the urban hydrographic network which is the setting of schistosomiasis transmission. Although primely linked to the forest area, S. intercalatum is spreading with deforestation. Coming from the savannah area, S. haematobium is now invading the forest area, entering into competition with S. intercalatum. But since Bulinus acting as intermediate hosts of S. haematobium are more heliophilous than Bulinus transmitting S. intercalatum, urinary schistosomiasis has a tendency to supplant recto-sigmoidal schistosomiasis, especially in foci where hybridization between the two species of schistosomes is occurring.

  2. Building a global schistosomiasis alliance: an opportunity to join forces to fight inequality and rural poverty.

    Science.gov (United States)

    Savioli, Lorenzo; Albonico, Marco; Colley, Daniel G; Correa-Oliveira, Rodrigo; Fenwick, Alan; Green, Will; Kabatereine, Narcis; Kabore, Achille; Katz, Naftale; Klohe, Katharina; LoVerde, Philip T; Rollinson, David; Stothard, J Russell; Tchuem Tchuenté, Louis-Albert; Waltz, Johannes; Zhou, Xiao-Nong

    2017-03-23

    Schistosomiasis, one of the 17 neglected tropical diseases listed by the World Health Organization, presents a substantial public health and economic burden. Of the 261 million people requiring preventive chemotherapy for schistosomiasis in 2013, 92% of them lived in sub-Saharan Africa and only 12.7% received preventive chemotherapy. Moreover, in 2010, the WHO reported that schistosomiasis mortality could be as high as 280 000 per year in Africa alone.In May 2012 delegates to the sixty-fifth World Health Assembly adopted resolution WHA65.21 that called for the elimination of schistosomiasis, and foresees the regular treatment of at least 75% of school age children in at-risk areas. The resolution urged member states to intensify schistosomiasis control programmes and to initiate elimination campaigns where possible.Despite this, in June 2015, schistosomiasis was indicated to have the lowest level of preventive chemotherapy implementation in the spectrum of neglected tropical diseases. It was also highlighted as the disease most lacking in progress. This is perhaps unsurprising, given that it was also the only NTD with access to drug donations but without a coalition of stakeholders that collaborates to boost commitment and implementation.As a consequence, and to ensure that the WHO NTDs Roadmap Targets of 2012 and World Health Assembly Resolution WHA65.21 are met, the Global Schistosomiasis Alliance (GSA) has been set up. Diverse and representative, the GSA aims to be a partnership of endemic countries, academic and research institutions, international development agencies and foundations, international organizations, non-governmental development organizations, private sector companies and advocacy and resource mobilisation partners. Ultimately, the GSA calls for a partnership to work for the benefit of endemic countries by addressing health inequity and rural poverty.

  3. Acute Schistosomiasis: Report on Five Singular Cases

    Directory of Open Access Journals (Sweden)

    Lambertucci JR

    1997-01-01

    Full Text Available The cases of five patients with unusual manifestations of acute schistosomiasis mansoni are described in this paper. One patient developed skin lesions, three displayed diverse lung involvement, and one presented pyogenic liver abscesses caused by Staphylococcus aureus

  4. Urinary schistosomiasis, perception and treatment-seeking ...

    African Journals Online (AJOL)

    structured questionnaire. The degree of awareness stood at 94.75% though none of the respondents knew the causative agent of urinary schistosomiasis. The number of respondents that accepted involvement in one water-related activity or the ...

  5. Schistosomiasis in the People's Republic of China: the era of the Three Gorges Dam.

    Science.gov (United States)

    McManus, Donald P; Gray, Darren J; Li, Yuesheng; Feng, Zheng; Williams, Gail M; Stewart, Donald; Rey-Ladino, Jose; Ross, Allen G

    2010-04-01

    The potential impact of the Three Gorges Dam (TGD) on schistosomiasis transmission in China has invoked considerable global concern. The TGD will result in changes in the water level and silt deposition downstream, favoring the reproduction of Oncomelania snails. Combined with blockages of the Yangtze River's tributaries, these changes will increase the schistosomiasis transmission season within the marshlands along the middle and lower reaches of the Yangtze River. The changing schistosome transmission dynamics necessitate a comprehensive strategy to control schistosomiasis. This review discusses aspects of the epidemiology and transmission of Schistosoma japonicum in China and considers the pathology, clinical outcomes, diagnosis, treatment, immunobiology, and genetics of schistosomiasis japonica together with an overview of current progress in vaccine development, all of which will have an impact on future control efforts. The use of synchronous praziquantel (PZQ) chemotherapy for humans and domestic animals is only temporarily effective, as schistosome reinfection occurs rapidly. Drug delivery requires a substantial infrastructure to regularly cover all parts of an area of endemicity. This makes chemotherapy expensive and, as compliance is often low, a less than satisfactory control option. There is increasing disquiet about the possibility that PZQ-resistant schistosomes will develop. Consequently, as mathematical modeling predicts, vaccine strategies represent an essential component in the future control of schistosomiasis in China. With the inclusion of focal mollusciciding, improvements in sanitation, and health education into the control scenario, China's target of reducing the level of schistosome infection to less than 1% by 2015 may be achievable.

  6. A real-time platform for monitoring schistosomiasis transmission supported by Google Earth and a web-based geographical information system

    Directory of Open Access Journals (Sweden)

    Kun Yang

    2012-05-01

    Full Text Available A basic framework for the rapid assessment of the risk for schistosomiasis was developed by combining spatial data from Google Earth® with a geographical information system (GIS package, bundling the modules together with an Internet connection into a WebGIS platform. It operates through functions such as “search“, “evaluation“, “risk analysis“ and “prediction“ and is primarily aimed to be a dynamic, early-warning system (EWS providing user-friendly, evidencebased, near real-time awareness of the status of an important endemic disease. It contributes to rapid information-sharing at all levels of decision-making, facilitating “point-of-care“ response, i.e. treatment provided at newly discovered transmission sites. The experience using the platform is encouraging and it has the potential to improve support systems and strengthen schistosomiasis control activities, in particular with regard to surveillance and EWS. It can quickly and intuitively locate early, high-risk areas, retrieve all important data needed as well as provide detailed, up-to-date information on the performance of the control programme. This WebGIS, the first of its kind in the People’s Republic of China, is not only applicable for schistosomiasis but can easily be adapted for improving control of any endemic disease in any geographical area.

  7. Schistosomiasis and infection with human immunodeficiency virus 1 in rural Zimbabwe: systemic inflammation during co-infection and after treatment for schistosomiasis

    DEFF Research Database (Denmark)

    Erikstrup, C.; Kallestrup, P.; Zinyama-Gutsire, R.B.

    2008-01-01

    We previously reported that treatment for schistosomiasis in persons infected with human immunodeficiency virus 1 (HIV-1) attenuated HIV replication as measured by plasma HIV RNA. We investigated systemic inflammation as measured by plasma levels of soluble tumor necrosis factor-alpha receptor II...

  8. Health-seeking behaviour for schistosomiasis: a systematic review of qualitative and quantitative literature

    Science.gov (United States)

    Cronin, Thomas; Sheppard, James; de Wildt, Gilles

    2013-01-01

    Schistosomiasis is a chronic and debilitating parasitic disease acquired through contact with infested freshwater. An essential component of its control is passive case finding, which, in order to be effective, requires a detailed understanding of health-seeking behaviour. This study aimed to systematically review evidence on health-seeking behaviour for schistosomiasis, in order to determine factors influencing use or non-use of modern health services for the infection. Quantitative, qualitative and mixed method studies reporting on factors related to seeking treatment from modern health services for schistosomiasis were obtained, combining electronic and hand searching. Data extraction and quality assessment of the included articles were performed, with all studies qualitatively analysed using thematic synthesis. A total of 19 studies were included in the review. Six themes were identified from the analysis: biomedical knowledge on schistosomiasis, perceptions of modern treatment and health services, financial considerations of treatment, perceptions on the symptoms, stigma of the infection, and physical location and community. These findings were consistent across studies of different design, setting and quality. Many of the themes identified echo existing literature on health-seeking behaviour. The synthesis also highlighted the role of stigma, and aspects of the physical location and community that may affect treatment-seeking for schistosomiasis. Health education programmes that intend to improve the utilisation of modern health services for the infection need to acknowledge the multiple determinants influencing their use. Future research should move beyond describing health-seeking behaviour to identifying the factors that underlay such behaviour. PMID:24839538

  9. The urine circulating cathodic antigen (CCA) dipstick: a valid substitute for microscopy for mapping and point-of-care diagnosis of intestinal schistosomiasis.

    Science.gov (United States)

    Sousa-Figueiredo, José Carlos; Betson, Martha; Kabatereine, Narcis B; Stothard, J Russell

    2013-01-01

    The World Health Organization now recommends the provision of praziquantel treatment to preschool-aged children infected with schistosomiasis. For intestinal schistosomiasis the current operational field diagnostic standard is examination of a thick Kato-Katz smear by microscopy prepared from a single stool specimen, and although pragmatic, this methodology has well-known shortcomings. Here, as a potential alternative, the performance of the urine circulating cathodic antigen (CCA) dipstick test was assessed in terms of disease-mapping and point-of-care diagnosis for intestinal schistosomiasis in preschool-aged children. Our manuscript reports on findings at baseline and at the end of a one-year longitudinal treatment study. A total of 925 children (mean age 2.8 years) were initially recruited from six lakeshore villages representative of high, moderate and low levels of disease transmission. At baseline, all children were tested for intestinal schistosomiasis by microscopic examination of duplicate Kato-Katz smears prepared from a single stool faecal, by antigen detection with the urine CCA dipstick test and by serology with a commercially available ELISA test (as 'gold-standard') that measures host antibody titres to soluble egg antigens. As a point-of-care diagnosis, the urine CCA dipstick test achieved sensitivity and specificity values ranging from 52.5-63.2% and 57.7-75.6%, respectively, with faecal microscopy achieving very high specificities (>87%) but sensitivities as low as 16.7% in the low transmission setting. The urine CCA test was shown to be more effective than faecal microscopy especially in lower transmission settings. The diagnostic performance of this test was not significantly impacted by treatment history or co-infections with other intestinal helminths.

  10. [Ecological civilization and schistosomiasis control in Yujiang County].

    Science.gov (United States)

    Ai, Dong-Yun; Liu, Bu-Yun

    2012-02-01

    This article describes the main approach of ecological civilization construction and great changes and achievements in the original schistosomiasis endemic areas, Yujiang County, Jiangxi Province. Ecological civilization is an important part of schistosomiasis control work.

  11. High rate of failure in treatment of imported schistosomiasis

    DEFF Research Database (Denmark)

    Helleberg, Marie; Thybo, Sören

    2011-01-01

    There is an increasing number of imported cases of schistosomiasis in Europe, but there are only few studies on the efficacy of praziquantel for the treatment of schistosomiasis in non-endemic settings.......There is an increasing number of imported cases of schistosomiasis in Europe, but there are only few studies on the efficacy of praziquantel for the treatment of schistosomiasis in non-endemic settings....

  12. [Essential issues for project management and quality control in the national schistosomiasis control programme of China].

    Science.gov (United States)

    Zhou, Xiao-Nong; Li, Shi-Zhu

    2012-08-01

    Based on theoretic management and quality control of the project, this paper summarizes the 3 major management modes in the national schistosomiasis control programme of China, and the health system management mechanisms under the guidance of national legislation, national programme and national standard and regulation. It is revealed that scientific assessment and assurance of the quality of each control programme is one of the highlighted concerns in the management mode of schistosomiasis control in China after a case study on mollusciciding project. Therefore, it is recommended that the actions, including management of every step in the project management of schistosomiasis control, formulation of operation procedure for each control programme and standardization of the working flow for professional staff, are not only a prerequistite to achievment-based evaluation, but also the key to ensure the quality of every control intervention and present the actual control effect.

  13. Rapid diagnosis of schistosomiasis in Yemen using a simple questionnaire and urine reagent strips.

    Science.gov (United States)

    Bassiouny, H K; Hasab, A A; El-Nimr, N A; Al-Shibani, L A; Al-Waleedi, A A

    2014-05-01

    Schistosomiasis ranks second to malaria in terms of socioeconomic and public health importance in Yemen. This study assessed the validity of a morbidity questionnaire and urine reagent strips as a rapid tool for screening schoolchildren for urinary schistosomiasis as compared with the presence of eggs in urine as the gold-standard parasitological diagnosis. The study examined urine samples and interviewed 696 children (mean age 12.5 years) attending a primary-preparatory school in south Yemen. Urinary schistosomiasis was confirmed in 126 (18.1%) children. Diagnostic performance was poor for 2 items in the morbidity questionnaire (self-reported history of previous infection and self-reported history of antischistosomal treatment). However, self-reported dysuria, self-reported haematuria in the questionnaire and microhaematuria by reagent strips (alone or with macrohaematuria) revealed good diagnostic performance. The results indicated that reagent strips are a valid method for detection of microhaematuria for identifying individuals and communities infected with Schistosoma haematobium.

  14. Schistosomiasis

    Science.gov (United States)

    ... to its preferred body part, depending on its species. These areas include the: Bladder Rectum Intestines Liver ... subtropical areas worldwide. Symptoms Symptoms vary with the species of worm and the phase of infection. Many ...

  15. Elimination of schistosomiasis: the tools required.

    Science.gov (United States)

    Bergquist, Robert; Zhou, Xiao-Nong; Rollinson, David; Reinhard-Rupp, Jutta; Klohe, Katharina

    2017-11-20

    Historically, the target in the schistosomiasis control has shifted from infection to morbidity, then back to infection, but now as a public health problem, before moving on to transmission control. Currently, all endemic countries are encouraged to increase control efforts and move towards elimination as required by the World Health Organization (WHO) roadmap for the global control of the neglected tropical diseases (NTDs) and the WHA65.21 resolution issued by the World Health Assembly. However, schistosomiasis prevalence is still alarmingly high and the global number of disability-adjusted life years (DALYs) due to this infection has in fact increased due to inclusion of some 'subtle' clinical symptoms not previously counted. There is a need to restart and improve efforts to reach the elimination goal. To that end, the first conference of the Global Schistosomiasis Alliance (GSA) Research Working Group was held in mid-June 2016 in Shanghai, People's Republic of China. It reviewed current progress in schistosomiasis control and elimination, identified pressing operational research gaps that need to be addressed and discussed new tools and strategies required to make elimination a reality. The articles emanating from the lectures and discussions during this meeting, together with some additional invited papers, have been collected as a special issue of the 'Infectious Diseases of Poverty' entitled 'Schistosomiasis Research: Providing the Tools Needed for Elimination', consisting of 26 papers in all. This paper refers to these papers and discusses critical questions arising at the conference related to elimination of schistosomiasis. The currently most burning questions are the following: Can schistosomiasis be eliminated? Does it require better, more highly sensitive diagnostics? What is the role of preventive chemotherapy at the elimination stage? Is praziquantel sufficient or do we need new drugs? Contemplating these questions, it is felt that the heterogeneity

  16. Assessment of schistosomiasis and soil-transmitted helminths prevalence in school-aged children and opportunities for integration of control in local health services in Kwilu Province, the Democratic Republic of the Congo.

    Science.gov (United States)

    Inocencio da Luz, R; Linsuke, S; Lutumba, P; Hasker, E; Boelaert, M

    2017-11-01

    To determine the prevalence of schistosomiasis (SCH) and soil-transmitted helminths (STH) in the Democratic Republic of Congo, and to assess the capacity of the local health centres for diagnosis and treatment. Cross-sectional school-based survey in two health districts in the Province of Kwilu. We collected a stool and a urine sample for parasitological examination. Urine filtration and duplicate Kato-Katz thick smears were used for the diagnosis of SCH. Health centres were evaluated using a structured questionnaire. In total, 526 children participated in the study and the overall prevalence of Schistosoma mansoni infection was 8.9% (95% CI: 3.5-13.2) in both districts. The prevalence was higher in Mosango (11.7%; 95% CI: 8.9-14.8) than Yasa Bonga district (6.2%; 95% CI: 1.1-11.4). Urine filtration showed that Schistosoma haematobium infection was not present. The combined STH infection prevalence was 58.1% in both districts; hookworm infection was the most common STH found in 52.9% (95% CI: 29.3-62.4) of subjects, followed by Ascaris lumbricoides 9.3% (95% CI: 5.8-15.5) and Trichuris trichiura 2.1% (95% CI: 0.9-4.9). Mixed STH infections were observed as well as SCH-STH coinfection. Further mapping of both SCH and STH burden is needed, and coverage of preventive chemotherapy in school-aged children should be increased. © 2017 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  17. Integrated community-directed intervention for schistosomiasis and soil transmitted helminths in western Kenya – a pilot study

    Directory of Open Access Journals (Sweden)

    Mwinzi Pauline NM

    2012-08-01

    Full Text Available Abstract Background Schistosome and soil-transmitted helminth (STH infections are recognized as major global public health problems, causing severe and subtle morbidity, including significant educational and nutritional effects in children. Although effective and safe drugs are available, ensuring access to these drugs by all those at risk of schistosomiasis and STHs is still a challenge. Community-directed intervention (CDI has been used successfully for mass distribution of drugs for other diseases such as onchocerciasis and lymphatic filariasis. A national control programme is yet to be instituted in Kenya and evidence for cost-effective strategies for reaching most affected communities is needed. This study evaluated the effectiveness and feasibility of the CDI strategy in the control of schistosomiasis and STHs, in East Uyoma location, Rarieda district, a community of western Kenya that is highly endemic for both infections. Results Pre-treatment prevalence of S. mansoni averaged 17.4% (range 5-43% in the entire location. Treatment coverage in different villages ranged from 54.19 to 96.6% by community drug distributor (CDD records. Assessment from a household survey showed coverage of 52.3 -91.9% while the proportion of homesteads (home compounds covered ranged from 54.9-98.5%. Six months after one round of drug distribution, the prevalence levels of S. mansoni, hookworm and Trichuris trichura infections were reduced by 33.2%, 69.4% and 42.6% respectively. Conclusions This study shows that CDI is an accepted and effective strategy in the mass treatment of schistosomiasis and STH infections in resource constrained communities in Kenya and may be useful in similar communities elsewhere. A controlled trial comparing CDI and school based mass drug administration to demonstarte their relative advantages is ongoing.

  18. Continuous Classroom Assessment at Primary Level

    Science.gov (United States)

    Ali, Imtiaz; Shah, Syed Manzoor Hussein; Gujjar, Aijaz Ahmed

    2014-01-01

    This study was designed to analyze the continuous classroom assessment at primary level in Pakistan. Findings of the study revealed that the students' achievement of single class teacher in the subject of English, General science, Urdu and mathematics were almost on average and rubric observation during continuous classroom assessment ranked…

  19. Three Gorges Dam and its impact on the potential transmission of schistosomiasis in regions along the Yangtze River.

    Science.gov (United States)

    Zhu, Huai-Min; Xiang, Shuo; Yang, Kun; Wu, Xiao-Hua; Zhou, Xiao-Nong

    2008-06-01

    Large-scale hydroprojects have a propensity for incurring schistosomiasis epidemics by altering the environments of their vicinities. As the construction of the Three Gorges Dam, one of the world's largest hydroprojects to date, draws near its conclusion, an assessment of the dam's capacity in causing schistosomiasis becomes more urgent and pressing. This article reviews recent investigations into the possible effects of the dam on schistosomiasis in the Three Gorges region and areas along the Yangtze downstream from the dam. Data used in this article were extracted from peer-reviewed papers found in PubMed, Chinese Journal of Parasitology and Parasitic Diseases, and Chinese Journal of Schistosomiasis Control. Results indicate that the Three Gorges Dam is capable of inducing a wide variety of environmental and ecological changes both within the Three Gorges region and in downstream areas. These changes, however, carry ambivalent implications for the reproduction of Oncomelania snails and the spreading of schistosome infections. Furthermore, major changes in the demographics and agricultural practices of the Three Gorges and downstream Yangtze areas caused by the dam could also exert significant influence on the transmission of schistosomiasis in these regions. Major conclusions of this review include the need for further ecological simulations of the Three Gorges Dam and the need for deploying monitoring and intervention systems to provide successful prophylaxis of the Three Gorges Dam-associated schistosomiasis emergence.

  20. 20 YEARS OF PROGRESS IN SCHISTOSOMIASIS RESEARCH

    Directory of Open Access Journals (Sweden)

    M. Sudomo

    2012-09-01

    Full Text Available Preliminary studies of schistosomiasis in Indonesia were made in the late 1930's and the early 1940's. The first human case of S. japonicum was discovered by Muller and Tesch from the Lindu valley of Central Sulawesi (Celebes. Early epidemiological studies prior to World War II demonstrated that, in addition to man, wild deer and domestic dogs served as reservoir hosts, "and subsequent microscopic examination of adult worms from these mammals confirmed them to be S. japonicum. Although extensive snail surveys were conducted at that time, the molluscan host was not found. The schistosomiasis problem in Lindu Valley virtually remained dormant until the 1970's. In the 1970's there was a resurgence of interest in the epidemiology of schistosomiasis in Indonesia. A new schistosomiasis area in the Napu valley was discovered. During this period, the intermediate host, Oncomelania hupensis was found in the Lake Lindu valley. This confirmed that the uisease situation in Indonesia was, in fact, a form of classical oriental schistosomiasis similar in its biology and transmission to that found in the Philippines, Japan, and China. The molluscan host of S. japonicum in the Lake Lindu Valley was subsequently described as a new species, O. h. iindoensis, and is most similar to O. h. quadrasi, the vector host in the Philippines. The disease occurs now only in two very isolated areas, the Lake Lindu valley and Napu valley in Central Sulawesi.

  1. Malnutrition and hepatic fibrosis in murine schistosomiasis

    Directory of Open Access Journals (Sweden)

    Eridan M Coutinho

    2004-08-01

    Full Text Available In this paper, four different approaches attempting to reproduce the schistosomal liver fibrosis in undernourished mice are reported: shifting from a deficient to a balanced diet and vice-versa, repeated infections, influence of the genetic background, and immunological response. Infections were performed with 30 cercariae of Schistosoma mansoni and lasted at least four months. Undernourished mice were unable to reproduce the picture of "pipestem" fibrosis, except the C57 BL/10 inbred strain, four out of 21 mice developing the liver lesion. A link of this histological finding to the type of parasite strain can not be discarded at the moment. Repeated infections increased collagen deposition mainly in well nourished animals (seven out of 16 Swiss mice developed "pipestem"-like fibrosis. In undernourished infected Swiss mice the serum levels of soluble egg antigen specific antibodies IgG1, IgG2a, IgG2b, and IgG3 were two to four times lower than those detected for well nourished controls. The decreased humoral immune response coupled to the morphological, morphometric, and biochemical results reinforce the influence of the host nutritional status on the connective tissue changes of hepatic schistosomiasis.

  2. Epidemiology of intestinal schistosomiasis in ruminants of Bangladesh

    OpenAIRE

    Islam, M. N.; Begum, N; Alam, M. Z.; M.A.A. Mamun

    2011-01-01

    We assessed the prevalence and seasonal variations of intestinal schistosomiasis in association with age, sex, breed and rearing system of cattle and goats in different districts of Bangladesh. Fecal samples from 240 cattle and 146 goats were examined. Schistosoma eggs were found in 47.5% cattle and 43.84% goats. Two species of schistosomes were identified. No mixed infection was recorded. Prevalence of Schistosoma indicum was higher in cattle (42.5%) than in goats (34.25%) whereas goats (9.5...

  3. Schistosomiasis transmission at high altitude crater lakes in Western Uganda

    Directory of Open Access Journals (Sweden)

    Philbert Clouds

    2008-08-01

    Full Text Available Abstract Background Contrary to previous reports which indicated no transmission of schistosomiasis at altitude >1,400 m above sea level in Uganda, in this study it has been established that schistosomiasis transmission can take place at an altitude range of 1487–1682 m above sea level in western Uganda. Methods An epidemiological survey of intestinal schistosomiasis was carried out in school children staying around 13 high altitude crater lakes in Western Uganda. Stool samples were collected and then processed with the Kato-Katz technique using 42 mg templates. Thereafter schistosome eggs were counted under a microscope and eggs per gram (epg of stool calculated. A semi-structured questionnaire was used to obtain demographic data and information on risk factors. Results 36.7% of the pupils studied used crater lakes as the main source of domestic water and the crater lakes studied were at altitude ranging from 1487–1682 m above sea level. 84.6% of the crater lakes studied were infective with over 50% of the users infected. The overall prevalence of Schistosoma mansoni infection was 27.8% (103/370 with stool egg load ranging from 24–6048 per gram of stool. 84.3%( 312 had light infections (400 egg/gm of stool. Prevalence was highest in the age group 12–14 years (49.5% and geometric mean intensity was highest in the age group 9–11 years (238 epg. The prevalence and geometric mean intensity of infection among girls was lower (26%; 290 epg compared to that of boys (29.6%; 463 epg (t = 4.383, p Conclusion and recommendations The altitudinal threshold for S. mansoni transmission in Uganda has changed and use of crater water at an altitude higher than 1,400 m above sea level poses a risk of acquiring S. mansoni infection in western Uganda. However, further research is required to establish whether the observed altitudinal threshold change is as a result of climate change or other factors. It is also necessary to establish the impact this could

  4. Schistosomiasis and infection with human immunodeficiency virus 1 in rural Zimbabwe

    DEFF Research Database (Denmark)

    Erikstrup, Christian; Kallestrup, Per; Zinyama-Gutsire, Rutendo B L

    2008-01-01

    We previously reported that treatment for schistosomiasis in persons infected with human immunodeficiency virus 1 (HIV-1) attenuated HIV replication as measured by plasma HIV RNA. We investigated systemic inflammation as measured by plasma levels of soluble tumor necrosis factor-alpha receptor II...

  5. Potential of Sentinel Satellites for Schistosomiasis Monitoring

    Science.gov (United States)

    Li, C.-R.; Tang, L.-L.; Niu, H.-B.; Zhou, X.-N.; Liu, Z.-Y.; Ma, L.-L.; Zhou, Y.-S.

    2012-04-01

    Schistosomiasis is a parasitic disease that menaces human health. In terms of impact this disease is second only to malaria as the most devastating parasitic disease. Oncomelania hupensis is the unique intermediate host of Schistosoma, and hence monitoring and controlling of the number of oncomelania is key to reduce the risk of schistosomiasis transmission. Remote sensing technology can real-timely access the large-scale environmental factors related to oncomelania breeding and reproduction, such as temperature, moisture, vegetation, soil, and rainfall, and can also provide the efficient information to determine the location, area, and spread tendency of oncomelania. Many studies show that the correlation coefficient between oncomelania densities and remote sensing environmental factors depends largely on suitable and high quality remote sensing data used in retrieve environmental factors. Research achievements on retrieving environmental factors (which are related to the living, multiplying and transmission of oncomelania) by multi-source remote data are shown firstly, including: (a) Vegetation information (e.g., Modified Soil-Adjusted Vegetation Index, Normalized Difference Moisture Index, Fractional Vegetation Cover) extracted from optical remote sensing data, such as Landsat TM, HJ-1A/HSI image; (b) Surface temperature retrieval from Thermal Infrared (TIR) and passive-microwave remote sensing data; (c) Water region, soil moisture, forest height retrieval from synthetic aperture radar data, such as Envisat SAR, DLR's ESAR image. Base on which, the requirements of environmental factor accuracy for schistosomiasis monitoring will be analyzed and summarized. Our work on applying remote sensing technique to schistosomiasis monitoring is then presented. The fuzzy information theory is employed to analyze the sensitivity and feasibility relation between oncomelania densities and environmental factors. Then a mechanism model of predicting oncomelania distribution and

  6. Knowledge, attitude, and practices on intestinal schistosomiasis among primary schoolchildren in the Lake Victoria basin, Rorya District, north-western Tanzania

    Directory of Open Access Journals (Sweden)

    David Z. Munisi

    2017-09-01

    Full Text Available Abstract Background Globally school-age children, adolescents and young adults bear the highest burden of schistosomiasis. When developing a specific intervention to improve community’s knowledge, attitudes, and practices (KAPs, existing KAPs must be taken into account. Therefore, this study was designed to determine schoolchildren’s KAPs on schistosomiasis in the study area. Methods A cross-sectional study was conducted in Busanga and Kibuyi villages involving 513 schoolchildren. A pre-tested questionnaire was used to collect socio-demographic data and to assess KAP on schistosomiasis among primary schoolchildren in the study area. Results Of the 488 interviewed children, 391 (80.12% reported to have heard of schistosomiasis, with the majority 289 (73.91% citing school as the source of this knowledge. Swimming in the lake, worms, witchcraft, and mosquitoes were mentioned to be the cause for intestinal schistosomiasis. Fishing in the lake, drinking unboiled lake water, walking bare footed, and shaking hands were reported to be practices that may lead to contracting schistosomiasis. Only 156 (39.90% of the study respondents reported to know the signs of intestinal schistosomiasis. Avoiding swimming in the lake, drinking unboiled water and eating unwashed fruits were mentioned as preventive measures. Nearly 85% (412 reported understanding that there was a disease known as schistosomiasis; additionally, 419 (85.86% considered schistosomiasis as a dangerous disease and 418 (85.66% believed that schistosomiasis was treatable. Fishermen and schoolchildren were reported to be groups most at risk of schistosomiasis infection. Visiting the lake (for swimming and other gatherings was a common practice among study participants 471 (96.52%.Nearly 93% (451 of participants mentioned using lake water for domestic chores, and, although 407 (84.61% reported to own a toilet at home, only 229 (55.31% reported to always use a toilet for sanitation purposes

  7. Quantifying quality of life and disability of patients with advanced schistosomiasis japonica.

    Directory of Open Access Journals (Sweden)

    Tie-Wu Jia

    Full Text Available BACKGROUND: The Chinese government lists advanced schistosomiasis as a leading healthcare priority due to its serious health and economic impacts, yet it has not been included in the estimates of schistosomiasis burden in the Global Burden of Disease (GBD study. Therefore, the quality of life and disability weight (DW for the advanced cases of schistosomiasis japonica have to be taken into account in the re-estimation of burden of disease due to schistosomiasis. METHODOLOGY/PRINCIPAL FINDINGS: A patient-based quality-of-life evaluation was performed for advanced schistosomiasis japonica. Suspected or officially registered advanced cases in a Schistosoma japonicum-hyperendemic county of the People's Republic of China (P.R. China were screened using a short questionnaire and physical examination. Disability and morbidity were assessed in confirmed cases, using the European quality of life questionnaire with an additional cognitive dimension (known as the "EQ-5D plus", ultrasonography, and laboratory testing. The age-specific DW of advanced schistosomiasis japonica was estimated based on patients' self-rated health scores on the visual analogue scale of the questionnaire. The relationships between health status, morbidity and DW were explored using multivariate regression models. Of 506 candidates, 215 cases were confirmed as advanced schistosomiasis japonica and evaluated. Most of the patients reported impairments in at least one health dimension, such as pain or discomfort (90.7%, usual activities (87.9%, and anxiety or depression (80.9%. The overall DW was 0.447, and age-specific DWs ranged from 0.378 among individuals aged 30-44 years to 0.510 among the elderly aged ≥ 60 years. DWs are positively associated with loss of work capacity, psychological abnormality, ascites, and active hepatitis B virus, while splenectomy and high albumin were protective factors for quality of life. CONCLUSIONS/SIGNIFICANCE: These patient-preference disability

  8. Concept of economic readiness levels assessment

    Science.gov (United States)

    Yuniaristanto, Sutopo, W.; Widiyanto, A.; Putri, A. S.

    2017-11-01

    This research aims to build a concept of Economic Readiness Level (ERL) assessment for incubation center. ERL concept is arranged by considering both market and business aspects. Every aspect is divided into four phases and each of them consists of some indicators. Analytic Hierarchy Process (AHP) is used to develop the ERL in calculating the weight of every single aspect and indicator. Interval scale between 0 and 4 is also applied in indicator assessment. In order to calculate ERL, score in every indicator and the weight of both the aspect and indicator are considered. ERL value is able to show in detail the innovative product readiness level from economic sight, market and business aspect. There are four levels in Economic Readiness Level scheme which are investigation, feasibility, planning and introduction.

  9. Schistosomiasis and HIV in rural Zimbabwe: efficacy of treatment of schistosomiasis in individuals with HIV coinfection

    DEFF Research Database (Denmark)

    Kallestrup, Per; Zinyama, Rutendo; Gomo, Exnevia

    2006-01-01

    There is evidence from experimental models that the praziquantel-induced clearance of schistosomiasis is dependent on the host's immune response. Consequently, human immunodeficiency virus (HIV)-related immunodeficiency may impair the effect of praziquantel treatment.......There is evidence from experimental models that the praziquantel-induced clearance of schistosomiasis is dependent on the host's immune response. Consequently, human immunodeficiency virus (HIV)-related immunodeficiency may impair the effect of praziquantel treatment....

  10. Schistosomiasis mansoni: novel chemotherapy using a cysteine protease inhibitor.

    Directory of Open Access Journals (Sweden)

    Maha-Hamadien Abdulla

    2007-01-01

    Full Text Available Schistosomiasis is a chronic, debilitating parasitic disease infecting more than 200 million people and is second only to malaria in terms of public health importance. Due to the lack of a vaccine, patient therapy is heavily reliant on chemotherapy with praziquantel as the World Health Organization-recommended drug, but concerns over drug resistance encourage the search for new drug leads.The efficacy of the vinyl sulfone cysteine protease inhibitor K11777 was tested in the murine model of schistosomiasis mansoni. Disease parameters measured were worm and egg burdens, and organ pathology including hepato- and splenomegaly, presence of parasite egg-induced granulomas in the liver, and levels of circulating alanine aminotransferase activity as a marker of hepatocellular function. K11777 (25 mg/kg twice daily [BID], administered intraperitoneally at the time of parasite migration through the skin and lungs (days 1-14 postinfection [p.i.], resulted in parasitologic cure (elimination of parasite eggs in five of seven cases and a resolution of other disease parameters. K11777 (50 mg/kg BID, administered at the commencement of egg-laying by mature parasites (days 30-37 p.i., reduced worm and egg burdens, and ameliorated organ pathology. Using protease class-specific substrates and active-site labeling, one molecular target of K11777 was identified as the gut-associated cathepsin B1 cysteine protease, although other cysteine protease targets are not excluded. In rodents, dogs, and primates, K11777 is nonmutagenic with satisfactory safety and pharmacokinetic profiles.The significant reduction in parasite burden and pathology by this vinyl sulfone cysteine protease inhibitor validates schistosome cysteine proteases as drug targets and offers the potential of a new direction for chemotherapy of human schistosomiasis.

  11. A case control study on the structural equation model of the mechanism of coagulation and fibrinolysis imbalance in chronic schistosomiasis.

    Science.gov (United States)

    Le, Aiping; Zhang, Lunli; Liu, Wei; Li, Xiaopeng; Ren, Jianwei; Ning, An

    2017-02-01

    A structural equation model was used for verification with chronic schistosomiasis to investigate the coagulation-anticoagulation system imbalance and to deduce the mechanism of D-dimer (D-D) level elevation in patients with advanced schistosome hepatic disease. We detected the plasma levels of tissue-type fiber plasminogen activator (tPA), urokinase type plasminogen activator (uPA), plasmin-antiplasmin complex (PAP), plasminogen (PLG), antithrombin (AT), plasminogen activator inhibitor 1 (PAI1), D-D, factor VIII: C (FVIII:C), antithrombin-III (AT-III), PLG, protein S (PS), and protein C (PC) in the healthy people as control (69), patients with chronic schistosomiasis (150) or advanced chronic schistosomiasis (90). FVIII, PAP, D-D, tPA, and uPA plasma levels were significantly higher in the chronic group than in the control group and were also significantly higher in the advanced group. However, AT-III, PC, PS, AT, PLG, and PAI1 plasma levels in the advanced and chronic groups were significantly lower than those in the control group. With progression of disease in patients with schistosomiasis japonica, a hypercoagulable state is induced by the coagulation-anticoagulation imbalance, eventually leading to patients with high levels of D-D. Furthermore, we established a structural equation model path of a "chronic schistosomiasis disease stage-(coagulation-anticoagulation-fibrinolysis)-D-D." By using analysis of moment structures (AMOS), it was shown that the chronic schistosomiasis stage was positively related to factor VIII and had negative correlation with AT-III; a good positive correlation with PAP, tPA, and uPA; and a good negative correlation with PLG and PAI1. In addition, our results show that the path coefficient of anticoagulation-fibrinolysis system to the chronic stage of schistosomiasis or D-D levels was significantly higher than that of the coagulation system. In conclusion, the coagulation and fibrinolysis imbalance in patients with chronic

  12. Prevalence of Schistosomiasis in Wurukum, Makurdi Local ...

    African Journals Online (AJOL)

    prevalence 43.3%), while none of those who use pipe borne and bore-hole water exclusively was infected (p < 0.05). Key words: urinary schistosomiasis, prevalence, water sources. Journal of Medical Laboratory Science Vol.12(2) 2003: 47 - 51 ...

  13. Perceptions and practices on schistosomiasis among communities ...

    African Journals Online (AJOL)

    Abstract: A study on perceptions and practices related to schistosomiasis was conducted among adult people in Ukerewe. Island, in north-western Tanzania where ... Symptoms such as swollen abdomen were associated with witchcraft and taboos such as smelling, seeing or killing a python. Treatment-seeking practices ...

  14. Human Schistosomiasis, And Nigerian Environment And Climate ...

    African Journals Online (AJOL)

    Human schistosomiasis, commonly called “bilharziasis” after a German pathologist, Theodor Bilharz (who first discovered the parasitic agent in Egypt in 1851) is caused by parasitic trematode of the genus, Schistosoma. There are at least 19 varieties of schistosomes, of which five are pathogenic parasites of man: S.

  15. Urinary schistosomiasis and concomitant urinary tract pathogens ...

    African Journals Online (AJOL)

    This study on the prevalence of urinary schistosomiasis and concomitant urinary tract pathogens was carried out between August and December, 1998, among school children in Ibadan North Local Government Area. Terminal urine sample collected from only pupils in classes 3 to 6 for the study were analyzed accordingly ...

  16. community perceptions of schistosomiasis transmission, prevalence ...

    African Journals Online (AJOL)

    91 No. 7 July 2014. COMMUNITY PERCEPTIONS OF SCHISTOSOMIASIS TRANSMISSION, PREVALENCE AND CONTROL IN RELATION ..... yacinth. & hippo grass. W ater H yacinth. & ambatch trees. W ater H yacinth. & reeds. W ater H yacinth h/grass & reeds. H ippo grass. A mbatch tree. A mbatch tree &. R eeds. R eeds.

  17. Prevalence of schistosomiasis infection among primary school ...

    African Journals Online (AJOL)

    A study on the prevalence of schistosomiasis infection was carried out among primary schools pupils in Awgu LGA, Enugu State, Nigeria. The primary schools include; Central Primary School Agbaogugu, Akegbi Primary School, Ogbaku Primary School, Ihe Primary School and Owelli-Court Primary School between ...

  18. HIV and schistosomiasis : studies in Tanzania

    NARCIS (Netherlands)

    Downs, J.A.

    2016-01-01

    Schistosomiasis is a helminthic worm infection that affects 260 million people worldwide, 90% of whom live in sub-Saharan Africa. In Tanzania, where the research in this thesis was conducted, two species of schistosomes are highly endemic (Schistosoma haematobium and S. mansoni), with more than 50%

  19. coinfection with malaria, hookworm and schistosomiasis among ...

    African Journals Online (AJOL)

    Esem

    Introduction:A school based rapid survey was conducted th th from the 17 to the 19 of May 2011in Zambezi District of. Zambia to determine the prevalence and coinfection rate of malaria, hookworm and schistosomiasis in schoolchildren in other to inform decision maker. Methodology: The study design, sampling methods,.

  20. Schistosomiasis vaccine development: progress and prospects

    Directory of Open Access Journals (Sweden)

    NR Bergquist

    1998-01-01

    Full Text Available The undisputed, worldwide success of chemotherapy notwithstanding, schistosomiasis continues to defy control efforts in as much rapid reinfection demands repeated treatment, sometimes as often as once a year. There is thus a need for a complementary tool with effect for the longer term, notably a vaccine. International efforts in this direction have been ongoing for several decades but, until the recombinant DNA techniques were introduced, antigen production remained an unsurmountable bottleneck. Although animal experiments have been highly productive and are still much needed, they probably do not reflect the human situation adequately and real progress can not be expected until more is known about human immune responses to schistosome infection. It is well-known that irradiated cercariae consistently produce high levels of protection in experimental animals but, for various reasons, this proof of principle cannot be directly exploited. Research has instead been focussed on the identification and testing of specific schistosome antigens. This work has been quite successful and is already at the stage where clinical trials are called for. Preliminary results from coordinated in vitro laboratory and field epidemiological studies regarding the protective potential of several antigens support the initiation of such trials. A series of meetings, organized earlier this year in Cairo, Egypt, reviewed recent progress, selecteded suitable vaccine candidates and made firm recommendations for future action including pledging support for large-scale production according to good manufacturing practice (GMP and Phase I trials. Scientists at the American Centers for Disease Control and Prevention (CDC have drawn up a detailed research plan. The major financial support will come from USAID, Cairo, which has established a scientific advisory group of Egyptian scientists and representatives from current and previous international donors such as WHO, NIAID, the

  1. Spatial pattern, water use and risk levels associated with the transmission of schistosomiasis on the north coast of Pernambuco, Brazil Padrão espacial, uso da água e níveis de risco associados à transmissão da esquistossomose no litoral norte de Pernambuco, Brasil

    Directory of Open Access Journals (Sweden)

    Helen Paredes

    2010-05-01

    Full Text Available This study aimed to describe epidemiological aspects of schistosomiasis in Carne de Vaca, Goiana, on the coast of Pernambuco State, Brazil and analyze the spatial distribution of households' sanitary conditions and patterns of water contact. A parasitological survey was conducted between 2006 and 2007. An indicator was set to establish risk levels for schistosomiasis based on variables of water contact pattern, household characteristics and proximity to the foci of vector snails. The prevalence was 18.71 in men and 15.96 in women. The age groups most affected were 20-29 years among men and 10-19 among women. The most common parasite load was 1-99 eggs per gram of feces. The prevalence was 17.3 cases per 100 inhabitants and its spatial distribution was not homogeneous. The Bayesian analysis proved unsatisfactory. It is concluded that schistosomiasis is endemic in Carne de Vaca and the risk indicator, based on geoprocessing, proved to be satisfactory, highlighting areas where the problem is more acute.O estudo objetivou descrever aspectos epidemiológicos da esquistossomose em Carne de Vaca, litoral de Pernambuco, Brasil, e analisar a distribuição espacial das condições de esgotamento sanitário e padrão de contato com a água. Foi realizado um inquérito parasitológico entre 2006 e 2007, e criado indicador de risco para a esquistossomose com base em variáveis do padrão de água de contato, características do agregado familiar e da proximidade com focos de moluscos vetores. A prevalência em homens foi de 18,71, e 15,96 em mulheres. A faixa etária mais acometida em homens e mulheres foi de 20-29 e 10-19, respectivamente. A carga parasitária mais freqüente foi de 1-99 ovos por grama de fezes. A prevalência foi de 17,3 casos por 100 habitantes e sua distribuição espacial não foi homogênea. A estatística Bayesiana não se mostrou satisfatória. Conclui-se que a esquistossomose é endêmica em Carne de Vaca e que o indicador de risco

  2. Urinary schistosomiasis in school aged children of two rural endemic communities in Edo State, Nigeria.

    Science.gov (United States)

    Noriode, Rukeme M; Idowu, Emmanuel T; Otubanjo, Olubunmi A; Mafe, Margaret A

    2017-09-29

    Urinary schistosomiasis is endemic in many rural communities of Nigeria and school aged children are mostly affected. A cross-sectional study was carried out to assess the prevalence and intensity of urinary schistosomiasis infection among 251 school aged children in two communities of Ovia South West LGA of Edo State, Nigeria, as well as their knowledge on the control/elimination measures. Urine samples were collected and examined by microscopy using filtration technique. In addition, a questionnaire survey was conducted among school-aged children and health care providers, probing their knowledge, attitude and practices on on-going control activities. The prevalence of urinary schistosomiasis among the school-aged children was 65.3%. The prevalence was generally higher among females (68.8%) and children in the age groups 10-14 (69.9%). The intensity of infection ranged from 1 to 5044 (mean=449.8) eggs/10ml of urine with a higher proportion having heavy infections (76.8%, P<0.05). Water contact was attested by 123 (49.0%) of the children; of these 123, 74 (60.1%) were infected. The children's knowledge on urinary schistosomiasis was deficient. The high prevalences reported in these communities require integrated approach to control which essentially should incorporate the provision of safe water supply and sanitary facilities, and health education in addition to the annual mass praziquantel distribution, to reduce transmission. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  3. RE-EVALUATION OF SCHISTOSOMIASIS MANSONI IN MINAS GERAIS, BRAZIL. III. "NOROESTE DE MINAS" MESOREGION

    Directory of Open Access Journals (Sweden)

    CARVALHO Omar S.

    1998-01-01

    Full Text Available This study was conducted to assess the presence of schistosomiasis mansoni in the "Noroeste de Minas" mesoregion, an area considered non-endemic. A malacologic survey and parasitologic stool examinations were undertaken in 13 municipalities of the mesoregion. A sample of 3,283 primary school students was submitted to fecal examination by the Kato-Katz method. A total of 3,627 planorbids was collected and examined. The molluscs were identified as Biomphalaria straminea in seven municipalities (Unaí, Bonfinópolis de Minas, Paracatu, João Pinheiro, Vazante, Lagamar and Lagoa Grande and as Biomphalaria peregrina in one (Presidente Olegário. All planorbids were negative for Schistosoma mansoni. Four students were diagnosed with schistosomiasis in the municipalities of Buritis, Formoso, Paracatu and Unaí, but none of these cases was considered autochthonous. The data obtained indicate that the "Noroeste de Minas" mesoregion continues to be non-endemic for schistosomiasis mansoni, although the presence of intermediate hosts associated with parasitized individuals emphasizes the need for epidemiological surveillance of schistosomiasis in this mesoregion.

  4. Polychlorinated dibenzo-p-dioxins and dibenzofurans in blood and breast milk samples from residents of a schistosomiasis area with Na-PCP application in China.

    Science.gov (United States)

    Xiao, Ke; Zhao, Xingru; Liu, Zhengtao; Zhang, Bing; Fang, Liping; Liu, Wenbin; Zheng, Minghui

    2010-04-01

    Schistosomiasis has prevailed in some areas of China for a long time. Chinese technical sodium pentachlorophenate (Na-PCP) has been used to control the spread of snail-borne schistosomiasis since the 1960s. Polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), impurities contained in the Na-PCP, enter the soil and may accumulate in the food chain. In order to evaluate their potentially harmful effects on local residents, 50 breast milk samples and 20 blood samples were collected in 2004 from residents in the Dongting Lake area, one of China's known schistosomiasis areas. Levels of 17 PCDD/F congeners were measured in all samples, and DNA damage was simultaneously assessed in blood samples. The PCDD/F congener distribution patterns in human tissue samples from the Dongting Lake area were similar to those in Na-PCP, and the octachlorodibenzodioxin (OCDD) congener was predominant in all samples. We also had a primary investigation that the breast milk WHO-TEQ associated with some factors such as: age, dietary habit, body mass index (BMI) and the total menses times. In blood samples, the samples with higher OCDD level had higher DDS (DNA damage score) values than those samples with low OCDD level, which indicated that the higher DNA damage value in general population might be caused directly or indirectly by PCDD/Fs. The results also indicated that the WHO-TEQ values in blood were associated with age (r=0.6, p=0.007). 2010 Elsevier Ltd. All rights reserved.

  5. ADVANCED LEVEL VOCATIONAL TRAINING STUDENTS’ SELF ASSESSMENT

    Directory of Open Access Journals (Sweden)

    Zsuzsanna KISS

    2017-06-01

    Full Text Available This paper is intended to clarify the phenomenon that lower achieving students tend to evaluate their own academic performance less accurately than those who do better in their studies. Previous studies have found that lower performers generally overestimate while higher performers underestimate their performance. The current study analyses self-assessment behaviour and efficiency among Hungarian higher vocational education students. We found that the lowest level of higher education students typically overestimate their performance. Our results strengthen the empirical evidences from previous studies that showed that higher-achieving students evaluate their performance more accurately than their lower achieving fellows. Furthermore we found that higher-achieving students tend to over-assess their examination results to a lesser degree than low-achieving students. We also analysed the difference between the two genders. Compared to female students, males tend to overestimate their own performance.

  6. The WHO Collaborating Centre for Research and Control of Schistosomiasis at Niamey, Niger

    Directory of Open Access Journals (Sweden)

    Chippaux J-P

    1997-01-01

    Full Text Available The Centre de Recherche sur les Méningites et les Schistosomes (CERMES is a research institute depending on the Organisation de Coordination et de Coopération pour la lutte contre les Grandes Endémies - a West African Organization for Public Health - devoted to the studies on schistosomiasis and meningitis. The staff includes 32 persons with 11 scientists and one financial officer. The activities of the CERMES involving schistosomiasis concern three research units: (a ecology of human and animal schistosomiasis transmission; the CERMES defined the different patterns of schistosomiasis transmission in Niger (involving African dry savana; in this field, we have shown, (i the existence of important variability in conditions of transmission of S. haematobium and, (ii natural hybridization between parasitic species of the ruminants (S. bovis and S. curassoni and genetic interaction between human and animal parasites; (b definition of morbidity indicators usable for rapid assessment methods, for appraisal of the severity of the disease and for the evaluation of the efficiency of control methods; we have established the correlation between ultrasonographic data and some cheap and simple field indicators; (c immune response and protective immunity induced by recombinant glutathion S-transferase (Sm28, Sb28 and Sh28 in homologous and heterologous animal models including goats, sheep and non human primates (Erythrocebus patas. In Niger, we participate in all control programs against schistosomiasis to define control strategies, to supervise operations and to participate in their evaluation with external experts. International collaborations constitute a frame including four laboratories in Africa and six laboratories in developed countries (Europe and USA

  7. Relationship between splenomegaly and hematologic findings in patients with hepatosplenic schistosomiasis

    Directory of Open Access Journals (Sweden)

    Luiz Arthur Calheiros Leite

    2013-01-01

    Full Text Available BACKGROUND Schistosomiasis is a tropical disease. Patients who develop hepatosplenic schistosomiasis have clinical findings including periportal fibrosis, portal hypertension, cytopenia, splenomegaly and gastrointestinal hemorrhage. OBJECTIVE The aim of this study was to analyze the hemostatic and hematologic findings of patients with schistosomiasis and correlate these to the size of the spleen. METHODS Fifty-five adults with hepatosplenic schistosomiasis and 30 healthy subjects were selected through a history of contact with contaminated water, physical examination and ultrasound characteristics such as periportal fibrosis and splenomegaly in the Gastroenterology Service of the Universidade Federal de Pernambuco. Blood samples were collected to determine liver function, blood counts, prothrombin (international normalized ratio, partial thromboplastin time and fibrinogen and D-Dimer levels using the Pentra 120 hematological analyzer (HORIBA/ABX, Density Plus (test photo-optical Trinity Biotech, Ireland and COBAS analyzer 6000 (Roche. Furthermore, the longitudinal size of the spleen was measured by ultrasound (Acuson X analyzer 150, Siemens. The Student t-test, the Fisher test and Pearson's correlation were used to analyze the results with statistical significance being set for a p-value < 0.05. RESULTS The mean age was higher for the Study Group than for the Control Group (54 ± 13.9 vs. 38 ± 12.7 years. The average longitudinal diameter of the spleen was 16.9 cm (Range: 12.3-26.3 cm. Anemia is a common finding in patients with schistosomiasis (36.3%. The mean platelet and leukocyte counts of patients were lower than for the Control Group (p-value < 0.001. Moreover, the international normalized ratio (1.42 vs. 1.04, partial thromboplastin time (37.9 vs. 30.5 seconds and D-Dimer concentration (393 vs. 86.5 ng/mL were higher for the Study Group compared to the Control Group. CONCLUSION This study suggests that hematological and hemostatic

  8. Ruptured ectopic pregnancy associated with tubal schistosomiasis

    Directory of Open Access Journals (Sweden)

    L Sahu

    2013-01-01

    Full Text Available Endemic in major parts of Africa and Middle East, Schistosoma haematobium is a common cause of recurrent urogenital infections and obstetric complications such as spontaneous abortions, ectopic pregnancies, and low birth weight babies. The involvement of fallopian tubes is not rare in endemic areas and may predispose to ectopic pregnancy and infertility. Indian subcontinent is a very lowrisk region for schistosoma infection. Tubal schistosomiasis is not exceptional in endemic zones, but is rarely found in India. The species most often isolated is S. haematobium. Contamination occurs via vascular anastomoses between the bladder and the genital organs. We report a case of tubal schistosomiasis presenting as ruptured ectopic pregnancy discovered on a surgical specimen after salpingectomy.

  9. The Scourge of Tropical Water Resources, Schistosomiasis,

    Science.gov (United States)

    1980-12-13

    schistosomiasis, we are actually referring to three distinct diseases caused by three different species to helmninth parasites: Schistosoma mansoni, S...African dams in human terms, we need to consider the communities of people and animals that had to be resettled to make way for them: 75,000 people in the...the flies and mosquitoes that spread parasitic infections. Moved into new areas, people and their animals have been exposed to local disease-causing

  10. Schistosomiasis mansoni in Yemen: A review.

    Science.gov (United States)

    Sallam, J A; Wright, S G

    1992-05-01

    Schistosomiasis is a major public health problem in Yemen. In 1922 Schistosomiasis mansoni was first reported to be found in Yemeni patients. In 1951 the first population survey was carried out in Taiz and revealed the presence of Biomphalaria biossyi arabica where 35% of the snails were heavily infected with S. mansoni and in San'a no snails were infected. Although S. mansoni and S. hematobium infections have been found in most parts of Yemen Arab Republic (YAR) it seems that the disease is not a public health problem in some parts of the country such as Hodeidah, Al-Beidah, Mareb, and Al-Gouff. The source of S. mansoni and S. hematobium in Yemen was attributed to the continual migration of infected persons from Eritrea and other countries of East Africa to Yemen. The prevalence of infection is higher in rural than in urban areas. The complications of S. mansoni, notably portal hypertension, esophageal varices, and hematemesis have become a major clinical problem. The availability of Praziquantel as a safe and effective treatment makes case findings and treatment an important part of schistosomiasis control. Control of the disease also requires field studies followed by mollusciding, improvement of water supply and sanitation and, perhaps most importantly, health education.

  11. Factors influencing community participation in control and related operational research for urogenital schistosomiasis and soil-transmitted helminths in rural villages of Kwale County, coastal Kenya

    Science.gov (United States)

    Macharia, Jacinta Wairimu; Ng'ang'a, Zipporah W; Njenga, Sammy Michugu

    2016-01-01

    Introduction helminthic infections caused by soil-transmitted helminths (STH) and schistosomes are among the most prevalent afflictions of humans who live in areas of poverty. An operational research was undertaken in 5 villages of Kwale County during a pilot control programme which included both the adults and school going children. Willingness of community members to participate in the treatment as well as in the research is critical. A cross sectional study sought to determine factors influencing community participation in control and related operational research and assess the treatment coverage for urogenital schistosomiasis and hookworms in rural villages of Kwale County. Methods cross-sectional survey utilized quantitative and qualitative methods of data collection. A total of 220 households were recruited and household heads interviewed. Bivariate analysis was used to test association between different independent and dependent factors. Multivariate analysis was done using binary logistic regression to control for confounders and effect modification. Qualitative data was transcribed, coded and analyzed thematically. Results religion and levels of income were significantly (P =0.04 and P = 0.026 respectively) associated with participation in the research and control programme, history of ever suffering from schistosomiasis and intestinal worms was found to be significantly (P = 0.008) associated with participation in the research. The study established that 82% (178) of the respondents received treatment for urogenital schistosomiasis and hookworms and 67% (146) of the respondents had participated in the research. Conclusion this information will be useful in promoting health, enhancing learning and behaviour changes which will lead to increased community participation in similar disease control. PMID:27642474

  12. Towards the Elimination of Schistosomiasis japonica through Control of the Disease in Domestic Animals in The People's Republic of China: A Tale of over 60Years.

    Science.gov (United States)

    Cao, Z-G; Zhao, Y-E; Lee Willingham, A; Wang, T-P

    2016-01-01

    Schistosomiasis japonica, an endemic, zoonotic tropical parasitic disease caused by Schistosoma japonicum, remains an important public health concern in The People's Republic of China. Unlike other species of Schistosoma, over 40 species of wild and domestic animals can act as reservoir hosts of S. japonicum, which increases the difficulty for the control of this tropical disease. It is widely recognized that domestic animals, particularly water buffaloes and cattle, play an important role in the transmission of S. japonicum. Hence, since the 1950s when The People's Republic of China commenced fight against the disease, the control of animal schistosomiasis has been carried out almost synchronously with that of human schistosomiasis, such that great strides have been made over the past six decades. In this chapter, we review the history and current status of schistosomiasis control in domestic animals in The People's Republic of China. We thoroughly analyse the prevalence of domestic animal schistosomiasis at different stages of schistosomiasis control and the role of different species of domestic animals in transmission of the disease, summarize the control strategies and assess their effectiveness. Furthermore, the challenges ahead are discussed and recommendations for future direction are provided. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. Sera of some urinary schistosomiasis subjects affect migration and ...

    African Journals Online (AJOL)

    Leucocyte migration- and bactericidal- indices were determined to establish the effect of sera from urinary schistosomiasis subjects on host defense mechanism. Both leucocyte migration and bacterial activity were diminished by sera from 66% of children with untreated urinary schistosomiasis subjects (uUSS), 25% of ...

  14. Gastric Schistosomiasis Mimicking Gastric Cancer - A Case Report ...

    African Journals Online (AJOL)

    These parasites cause hepatosplenic and hepatointestinal schistosomiasis associated with significant morbidity and mortality especially in children and young people. We report a case of middle aged northern Nigerian farmer who had gastric schistosomiasis that mimicked an ulcerated gastric tumor at endoscopy with good ...

  15. Irrigation and Rural Welfare: Implications of Schistosomiasis among ...

    African Journals Online (AJOL)

    This paper examines the effects of the prevalence of urinary schistosomiasis infection on the socio-economic health of irrigation farmers in the rural districts of Kazaure Area, Northern Nigeria. It first reviews some general consideration of irrigation environment and schistosomiasis, its major associated health problem.

  16. Taenia solium taeniosis/cysticercosis and the co-distribution with schistosomiasis in Africa

    DEFF Research Database (Denmark)

    Braae, Uffe Christian; Saarnak, Christopher; Mukaratirwa, Samson

    2015-01-01

    BACKGROUND: This study aimed to map the distribution of Taenia solium taeniosis/cysticercosis and the co-distribution with schistosomiasis in Africa. These two major neglected tropical diseases are presumed to be widely distributed in Africa, but currently the level of co-distribution is unclear...... to combine the epidemiological data on the apparent prevalence with external information on test characteristics to estimate informed district-level prevalence of taeniosis and porcine cysticercosis. Districts with T. solium taeniosis/cysticercosis presence were cross-referenced with the Global Neglected...... countries identified from OIE reports. All 31 countries were considered, on national scale, to have co-distribution with schistosomiasis. Presence of both parasites was confirmed in 124 districts in 17 countries. The informed prevalence of taeniosis and porcine cysticercosis were estimated for 14 and 41...

  17. Treatment and education reduce the severity of schistosomiasis periportal fibrosis

    Directory of Open Access Journals (Sweden)

    Paula Carolina Valenca Silva

    2013-07-01

    Full Text Available Introduction This study evaluates the factors associated with the development of severe periportal fibrosis in patients with Schistosoma mansoni. Methods A cross-sectional study was conducted from April to December 2012 involving 178 patients infected with S. mansoni who were treated in the Hospital das Clínicas of Pernambuco, Brazil. Information regarding risk factors was obtained using a questionnaire. Based on the patients' epidemiological history, clinical examination, and upper abdomen ultrasound evaluation, patients were divided into 2 groups: 137 with evidence of severe periportal fibrosis and 41 patients without fibrosis or with mild or moderate periportal fibrosis. Univariate and multivariate analyses were conducted using EpiInfo software version 3.5.5. Results Illiterate individuals (30.1% and patients who had more frequent contact with contaminated water in towns in the Zona da Mata of Pernambuco (33.2% were at greater risk for severe periportal fibrosis. Based on multivariate analysis, it was determined that an education level of up to 11 years of study and specific prior treatment for schistosomiasis were preventive factors for severe periportal fibrosis. Conclusions The prevailing sites of the severe forms of periportal fibrosis are still within the Zona da Mata of Pernambuco, although there has been an expansion to urban areas and the state coast. Specific treatment and an increased level of education were identified as protective factors, indicating the need for implementing social, sanitary, and health education interventions aimed at schistosomiasis to combat the risk factors for this major public health problem.

  18. Transmission Risks of Schistosomiasis Japonica: Extraction from Back-propagation Artificial Neural Network and Logistic Regression Model

    Science.gov (United States)

    Xu, Jun-Fang; Xu, Jing; Li, Shi-Zhu; Jia, Tia-Wu; Huang, Xi-Bao; Zhang, Hua-Ming; Chen, Mei; Yang, Guo-Jing; Gao, Shu-Jing; Wang, Qing-Yun; Zhou, Xiao-Nong

    2013-01-01

    Background The transmission of schistosomiasis japonica in a local setting is still poorly understood in the lake regions of the People's Republic of China (P. R. China), and its transmission patterns are closely related to human, social and economic factors. Methodology/Principal Findings We aimed to apply the integrated approach of artificial neural network (ANN) and logistic regression model in assessment of transmission risks of Schistosoma japonicum with epidemiological data collected from 2339 villagers from 1247 households in six villages of Jiangling County, P.R. China. By using the back-propagation (BP) of the ANN model, 16 factors out of 27 factors were screened, and the top five factors ranked by the absolute value of mean impact value (MIV) were mainly related to human behavior, i.e. integration of water contact history and infection history, family with past infection, history of water contact, infection history, and infection times. The top five factors screened by the logistic regression model were mainly related to the social economics, i.e. village level, economic conditions of family, age group, education level, and infection times. The risk of human infection with S. japonicum is higher in the population who are at age 15 or younger, or with lower education, or with the higher infection rate of the village, or with poor family, and in the population with more than one time to be infected. Conclusion/Significance Both BP artificial neural network and logistic regression model established in a small scale suggested that individual behavior and socioeconomic status are the most important risk factors in the transmission of schistosomiasis japonica. It was reviewed that the young population (≤15) in higher-risk areas was the main target to be intervened for the disease transmission control. PMID:23556015

  19. Uncertainties in different level assessments of domestic ventilation systems

    NARCIS (Netherlands)

    Bokel, R.M.J.; Yang, Z.; Cauberg, J.J.M.

    2013-01-01

    In order to improve the quality of ventilation systems, assessments are widely used. In this paper, 3 main assessment levels are distinguished based on the number of ventilation systems to be assessed and the assessment objective. The main assessment levels distinguished in this paper are global

  20. Testing of Compounds for Efficacy against Schistosomiasis.

    Science.gov (United States)

    1987-08-25

    2 UNCLASSIFIED DAMDi7-95-C-5209 F/ G 6/15 UL 11𔃿 j j . 11_. W-I - - % (*J~f ~ HP OlIC FILE COPY *AD "Testing of Compounds for Efficacy Against...Liang, Y.S., 1974. Cultivation of Bulinus (5hy Q pis) g2.kous (Morelet) and BiQmphalaria pfeiffri pfeifferi (Krauss), snail hosts of schistosomiasis...Digenea). flacQ1. g " 11:225:280. 10. Sandt, D.G., Bruce, H.I. and Radke, M.G., 1965. A system for mass producing the snail Ausatra1Qbjiz Lbi.atus and

  1. Studies on heterologous immunity in schistosomiasis

    Science.gov (United States)

    Preston, J. M.; Nelson, G. S.; Saeed, A. A.

    1972-01-01

    Previous studies have shown that when cattle are exposed to cercariae of Schistosoma mansoni they develop considerable resistance to subsequent challenge with S. mattheei. The present study showed that when sheep are immunized with S. mansoni cercariae they too develop a marked resistance to subsequent challenge with S. mattheei. A small proportion of the immunizing cercariae reached maturity and a few viable S. mansoni eggs were found in the faeces of the sheep. The results of this experiment provide further evidence that heterologous immunity may be of significance in limiting the severity of schistosomiasis in both man and domestic animals in areas where animal and human schistosomes occur together. PMID:4540678

  2. Examining the relationship between urogenital schistosomiasis and HIV infection.

    Directory of Open Access Journals (Sweden)

    Pamela Sabina Mbabazi

    2011-12-01

    Full Text Available Urogenital schistosomiasis, caused by infection with Schistosoma haematobium, is widespread and causes substantial morbidity on the African continent. The infection has been suggested as an unrecognized risk factor for incident HIV infection. Current guidelines recommend preventive chemotherapy, using praziquantel as a public health tool, to avert morbidity due to schistosomiasis. In individuals of reproductive age, urogenital schistosomiasis remains highly prevalent and, likely, underdiagnosed. This comprehensive literature review was undertaken to examine the evidence for a cause-effect relationship between urogenital schistosomiasis and HIV/AIDS. The review aims to support discussions of urogenital schistosomiasis as a neglected yet urgent public health challenge.We conducted a systematic search of the literature including online databases, clinical guidelines, and current medical textbooks. We describe plausible local and systemic mechanisms by which Schistosoma haematobium infection could increase the risk of HIV acquisition in both women and men. We also detail the effects of S. haematobium infection on the progression and transmissibility of HIV in co-infected individuals. We briefly summarize available evidence on the immunomodulatory effects of chronic schistosomiasis and the implications this might have for populations at high risk of both schistosomiasis and HIV.Studies support the hypothesis that urogenital schistosomiasis in women and men constitutes a significant risk factor for HIV acquisition due both to local genital tract and global immunological effects. In those who become HIV-infected, schistosomal co-infection may accelerate HIV disease progression and facilitate viral transmission to sexual partners. Establishing effective prevention strategies using praziquantel, including better definition of treatment age, duration, and frequency of treatment for urogenital schistosomiasis, is an important public health priority. Our

  3. Standardization of dot-enzyme-linked immmunosorbent assay for the diagnosis of bovine visceral schistosomiasis

    Directory of Open Access Journals (Sweden)

    Kommu Sudhakar

    2017-05-01

    Full Text Available Aim: Bovine visceral schistosomiasis has been reported as an important disease entity as it affects animal health, productivity, causes economic losses due to liver condemnation, and produces a high morbidity. This study was conducted to standardize an easy, reliable dot-enzyme-linked immmunosorbent assay (ELISA for the diagnosis of visceral schistosomiasis caused by Schistosoma spindale and to know the prevalence rate in and around Hyderabad. Materials and Methods: A dot-ELISA was standardized in the laboratory using whole worm antigen (WWA and excretory-secretory antigen (ESA of S. spindale. The standardized test was used for the diagnosis of bovine visceral schistosomiasis at field level. The sensitivity and specificity of the test was compared with counter current immunoelectrophoresis. In total, 288 sera (125 cattle and 163 buffalo were screened by dot-ELISA. Results: The dot-ELISA detected 32.63% of infection (94/288 using WWA and 40.62% of infection (117/288 using ESA. In cattle, the prevalence rate was 32.80% (41/125 using WWA and 40.80% (51/125 of infection. Similarly, in buffaloes, the prevalence rate was 32.51% (53/163 using WWA and 40.49% (66/163 of infection using ESA. The overall sensitivity of dot-ELISA was 76.74% and 80.48% with WWA and ESA, respectively, and specificity was 73.3% and 78.57% in WWA and ESA, respectively. Conclusion: As ante-mortem diagnosis of visceral schistosomiasis is difficult in subclinical conditions, dot-ELISA can be used as a reliable immunodiagnostic test for diagnosis at field level.

  4. Standardization of dot-enzyme-linked immmunosorbent assay for the diagnosis of bovine visceral schistosomiasis.

    Science.gov (United States)

    Sudhakar, Kommu; Murthy, G S Sreenivasa; Rajeshwari, Gaddam

    2017-05-01

    Bovine visceral schistosomiasis has been reported as an important disease entity as it affects animal health, productivity, causes economic losses due to liver condemnation, and produces a high morbidity. This study was conducted to standardize an easy, reliable dot-enzyme-linked immmunosorbent assay (ELISA) for the diagnosis of visceral schistosomiasis caused by Schistosoma spindale and to know the prevalence rate in and around Hyderabad. A dot-ELISA was standardized in the laboratory using whole worm antigen (WWA) and excretory-secretory antigen (ESA) of S. spindale. The standardized test was used for the diagnosis of bovine visceral schistosomiasis at field level. The sensitivity and specificity of the test was compared with counter current immunoelectrophoresis. In total, 288 sera (125 cattle and 163 buffalo) were screened by dot-ELISA. The dot-ELISA detected 32.63% of infection (94/288) using WWA and 40.62% of infection (117/288) using ESA. In cattle, the prevalence rate was 32.80% (41/125) using WWA and 40.80% (51/125) of infection. Similarly, in buffaloes, the prevalence rate was 32.51% (53/163) using WWA and 40.49% (66/163) of infection using ESA. The overall sensitivity of dot-ELISA was 76.74% and 80.48% with WWA and ESA, respectively, and specificity was 73.3% and 78.57% in WWA and ESA, respectively. As ante-mortem diagnosis of visceral schistosomiasis is difficult in subclinical conditions, dot-ELISA can be used as a reliable immunodiagnostic test for diagnosis at field level.

  5. Strategy formulation for schistosomiasis japonica control in different environmental settings supported by spatial analysis: a case study from China

    Directory of Open Access Journals (Sweden)

    Zhao Chen

    2007-05-01

    Full Text Available With the aim of exploring the usefulness of spatial analysis in the formulation of a strategy for schistosomiasis japonica control in different environmental settings, a population-based database was established in Dangtu county, China. This database, containing the human prevalence of schistosomiasis at the village level from 2001 to 2004, was analyzed by directional trend analysis supported with ArcGIS 9.0 to select the optimum predictive approach. Based on the approach selected, different strata of prevalence were classified and the spatial distribution of human infection with Schistosoma japonicum was estimated. The second-order ordinary kriging approach of spatial analysis was found to be optimal for prediction of human prevalence of S. japonicum infection. The mean prediction error was close to 0 and the root-mean-square standardised error was close to 1. Starting with the different environmental settings for each stratum of transmission, four areas were classified according to human prevalence, and different strategies to control transmission of schistosomiasis were put forward. We conclude that the approach to use spatial analysis as a tool to predict the spatial distribution of human prevalence of S. japonicum infection improves the formulation of strategies for schistosomiasis control in different environmental settings at the county level.

  6. Spatial distribution of schistosomiasis and geohelminthiasis cases in the rural areas of Pernambuco, Brazil

    Directory of Open Access Journals (Sweden)

    Verônica Santos Barbosa

    2012-10-01

    Full Text Available INTRODUCTION: The prevalence and intensity of geohelminth infections and schistosomiasis remain high in the rural areas of Zona da Mata, Pernambuco (ZMP, Brazil, where these parasites still represent a significant public health problem. The present study aimed to spatially assess the occurrences of schistosomiasis and geohelminthiasis in the ZMP. METHODS: The ZMP has a population of 1,132,544 inhabitants, formed by 43 municipalities. An ecological study was conducted, using secondary data relating to positive human cases and parasite loads of schistosomiasis and positive human cases of geohelminthiasis that were worked up in Excel 2007. We used the coordinates of the municipal headquarters to represent the cities which served as the unit of analysis of this study. The Kernel estimator was used to spatially analyze the data and identify distribution patterns and case densities, with analysis done in ArcGIS software. RESULTS: Spatial analysis from the Kernel intensity estimator made it possible to construct density maps showing that the northern ZMP was the region with the greatest number of children infected with parasites and the populations most intensely infected by Schistosoma mansoni. In relation to geohelminths, there was higher spatial distribution of cases of Ascaris lumbricoides and Trichuris trichiura in the southern ZMP, and greater occurrence of hookworms in the northern/central ZMP. CONCLUSIONS: Despite several surveys and studies showing occurrences of schistosomiasis and geohelminthiasis in the ZMP, no preventive measures that are known to have been effective in decreasing these health hazards have yet been implemented in the endemic area.

  7. Study and implementation of urogenital schistosomiasis elimination in Zanzibar (Unguja and Pemba islands using an integrated multidisciplinary approach

    Directory of Open Access Journals (Sweden)

    Knopp Stefanie

    2012-10-01

    Full Text Available Abstract Background Schistosomiasis is a parasitic infection that continues to be a major public health problem in many developing countries being responsible for an estimated burden of at least 1.4 million disability-adjusted life years (DALYs in Africa alone. Importantly, morbidity due to schistosomiasis has been greatly reduced in some parts of the world, including Zanzibar. The Zanzibar government is now committed to eliminate urogenital schistosomiasis. Over the next 3–5 years, the whole at-risk population will be administered praziquantel (40 mg/kg biannually. Additionally, snail control and behaviour change interventions will be implemented in selected communities and the outcomes and impact measured in a randomized intervention trial. Methods/Design In this 5-year research study, on both Unguja and Pemba islands, urogenital schistosomiasis will be assessed in 45 communities with urine filtration and reagent strips in 4,500 schoolchildren aged 9–12 years annually, and in 4,500 first-year schoolchildren and 2,250 adults in years 1 and 5. Additionally, from first-year schoolchildren, a finger-prick blood sample will be collected and examined for Schistosoma haematobium infection biomarkers. Changes in prevalence and infection intensity will be assessed annually. Among the 45 communities, 15 were randomized for biannual snail control with niclosamide, in concordance with preventive chemotherapy campaigns. The reduction of Bulinus globosus snail populations and S. haematobium-infected snails will be investigated. In 15 other communities, interventions triggering behaviour change have been designed and will be implemented in collaboration with the community. A change in knowledge, attitudes and practices will be assessed annually through focus group discussions and in-depth interviews with schoolchildren, teachers, parents and community leaders. In all 45 communities, changes in the health system, water and sanitation infrastructure will

  8. Study and implementation of urogenital schistosomiasis elimination in Zanzibar (Unguja and Pemba islands) using an integrated multidisciplinary approach.

    Science.gov (United States)

    Knopp, Stefanie; Mohammed, Khalfan A; Ali, Said M; Khamis, I Simba; Ame, Shaali M; Albonico, Marco; Gouvras, Anouk; Fenwick, Alan; Savioli, Lorenzo; Colley, Daniel G; Utzinger, Jürg; Person, Bobbie; Rollinson, David

    2012-10-30

    Schistosomiasis is a parasitic infection that continues to be a major public health problem in many developing countries being responsible for an estimated burden of at least 1.4 million disability-adjusted life years (DALYs) in Africa alone. Importantly, morbidity due to schistosomiasis has been greatly reduced in some parts of the world, including Zanzibar. The Zanzibar government is now committed to eliminate urogenital schistosomiasis. Over the next 3-5 years, the whole at-risk population will be administered praziquantel (40 mg/kg) biannually. Additionally, snail control and behaviour change interventions will be implemented in selected communities and the outcomes and impact measured in a randomized intervention trial. In this 5-year research study, on both Unguja and Pemba islands, urogenital schistosomiasis will be assessed in 45 communities with urine filtration and reagent strips in 4,500 schoolchildren aged 9-12 years annually, and in 4,500 first-year schoolchildren and 2,250 adults in years 1 and 5. Additionally, from first-year schoolchildren, a finger-prick blood sample will be collected and examined for Schistosoma haematobium infection biomarkers. Changes in prevalence and infection intensity will be assessed annually. Among the 45 communities, 15 were randomized for biannual snail control with niclosamide, in concordance with preventive chemotherapy campaigns. The reduction of Bulinus globosus snail populations and S. haematobium-infected snails will be investigated. In 15 other communities, interventions triggering behaviour change have been designed and will be implemented in collaboration with the community. A change in knowledge, attitudes and practices will be assessed annually through focus group discussions and in-depth interviews with schoolchildren, teachers, parents and community leaders. In all 45 communities, changes in the health system, water and sanitation infrastructure will be annually tracked by standardized questionnaire

  9. Reinfection immunity in schistosomiasis. With special reference to immunity induced by radiation attenuated Cercariae

    Energy Technology Data Exchange (ETDEWEB)

    Kamiya, Haruo

    1987-07-01

    Schistosomiasis is one of the most important parasitic diseases in the world, especially in endemic areas of developing countries. This situation has prompted parasitologist to attempt intensive researches on immune mechanisms, especially those of reinfection immunity associated with eliminating challenge infection. The current knowledge of reinfection immunity against Schistosoma spp. infection was therefore reviewed briefly and discussed with special reference to our data on protective immune responses induced by radiation-attenuated cercarial infection. A recently developed technique of compressed organ autoradiography (COA) has contributed to assessing parasite attrition in immune animals following challenge infection. Our study using COA has demonstrated that major attrition of schistosomula from challenge infection occurs in the skin of CBA/Ca mice vaccinated with 20 Krad gamma radiation-attenuated cercariae of S. mansoni, while in both lungs and liver of similarly vaccinated guinea pig model. Furthermore, gamma-irradiation to cercariae affected their migration potential and surface-antigen profiles. The immunizing stimuli of gamma radiation-attenuated cercariae profoundly affected the expression of responsiveness in vaccinated animals. The change in antigenic profiles and migration potential of those vaccinating population was discussed in relation to the kinetics of reinfection immunity induced in vaccinated amimal models. These works might provide a base line data to develop a practical vaccine for schistosomiasis using defined antigens. It must be emphasized that these vaccines could serve as a practical prophylactic measure for schistosomiasis in the endemic areas, even if the vaccines fail to induce sterilizing immunity. (author). 141 refs.

  10. Biosensor for Hepatocellular Injury Corresponds to Experimental Scoring of Hepatosplenic Schistosomiasis in Mice

    Directory of Open Access Journals (Sweden)

    Martina Sombetzki

    2016-01-01

    Full Text Available Severe hepatosplenic injury of mansonian schistosomiasis is caused by Th2 mediated granulomatous response against parasite eggs entrapped within the periportal tissue. Subsequent fibrotic scarring and deformation/sclerosing of intrahepatic portal veins lead to portal hypertension, ascites, and oesophageal varices. The murine model of Schistosoma mansoni (S. mansoni infection is suitable to establish the severe hepatosplenic injury of disease within a reasonable time scale for the development of novel antifibrotic or anti-infective strategies against S. mansoni infection. The drawback of the murine model is that the material prepared for complex analysis of egg burden, granuloma size, hepatic inflammation, and fibrosis is limited due to small amounts of liver tissue and blood samples. The objective of our study was the implementation of a macroscopic scoring system for mice livers to determine infection-related organ alterations of S. mansoni infection. In addition, an in vitro biosensor system based on the detection of hepatocellular injury in HepG2/C3A cells following incubation with serum of moderately (50 S. mansoni cercariae and heavily (100 S. mansoni cercariae infected mice affirmed the value of our scoring system. Therefore, our score represents a valuable tool in experimental schistosomiasis to assess severity of hepatosplenic schistosomiasis and reduce animal numbers by saving precious tissue samples.

  11. Transcriptional profiling of the bladder in urogenital schistosomiasis reveals pathways of inflammatory fibrosis and urothelial compromise.

    Directory of Open Access Journals (Sweden)

    Debalina Ray

    Full Text Available Urogenital schistosomiasis, chronic infection by Schistosoma haematobium, affects 112 million people worldwide. S. haematobium worm oviposition in the bladder wall leads to granulomatous inflammation, fibrosis, and egg expulsion into the urine. Despite the global impact of urogenital schistosomiasis, basic understanding of the associated pathologic mechanisms has been incomplete due to the lack of suitable animal models. We leveraged our recently developed mouse model of urogenital schistosomiasis to perform the first-ever profiling of the early molecular events that occur in the bladder in response to the introduction of S. haematobium eggs. Microarray analysis of bladders revealed rapid, differential transcription of large numbers of genes, peaking three weeks post-egg administration. Many differentially transcribed genes were related to the canonical Type 2 anti-schistosomal immune response, as reflected by the development of egg-based bladder granulomata. Numerous collagen and metalloproteinase genes were differentially transcribed over time, revealing complex remodeling and fibrosis of the bladder that was confirmed by Masson's Trichrome staining. Multiple genes implicated in carcinogenesis pathways, including vascular endothelial growth factor-, oncogene-, and mammary tumor-related genes, were differentially transcribed in egg-injected bladders. Surprisingly, junctional adhesion molecule, claudin and uroplakin genes, key components for maintaining the urothelial barrier, were globally suppressed after bladder exposure to eggs. This occurred in the setting of urothelial hyperplasia and egg shedding in urine. Thus, S. haematobium egg expulsion is associated with intricate modulation of the urothelial barrier on the cellular and molecular level. Taken together, our findings have important implications for understanding host-parasite interactions and carcinogenesis in urogenital schistosomiasis, and may provide clues for novel therapeutic

  12. [A manufacture method of schistosomiasis epidemic maps based on Google Earth].

    Science.gov (United States)

    Wang, Wei-Chun; Zhan, Ti; Zhu, Ying-Fu

    2014-02-01

    To make various schistosomiasis epidemic maps based on Google Earth. The various elements for schistosomiasis epidemic maps were marked in the Google Earth platform by adding the place mark, path, polygon, overlay and so on. Various schistosomiasis epidemic maps were produced and saved, such as the schistosomiasis epidemic area map of the city, the map of Oncomelania hupensis snail distribution in the town, and the schematic map of snail environments. The schistosomiasis epidemic maps based on Google Earth are clear and visual. The production process is very simple and easy to learn. It is suitable for the use in the grass-root schistosomiasis control stations.

  13. Assessment of Customers' Level of Interest

    NARCIS (Netherlands)

    Popa, M.C.; Rothkrantz, L.J.M.; Shan, C.; Wiggers, P.

    2012-01-01

    Surveillance systems in shopping malls or supermarkets are usually designated for assuring safety and detecting abnormal behavior. We used the distributed video cameras system to design digital shopping assistants which assess the behavior of customers while shopping, detect when they need

  14. Profile of an epidemiological study of urinary schistosomiasis in two ...

    African Journals Online (AJOL)

    McRoy

    2, .... In each local government, school children were screened during school hours. However, pre-school children in the communities were screened in the house of community heads. ..... Few studies have dealt with urinary schistosomiasis.

  15. The impact of irrigated rice on the transmission of schistosomiasis ...

    African Journals Online (AJOL)

    Ivoire, from April to September. 2001 .... Those results indicated significant influence of irrigated rice growing on the transmission of urinary schistosomiasis in savannah areas. (Niakaramandougou). .... Burkina Faso, Benin, Cape Verde, Côte.

  16. Predation of schistosomiasis vector snails by ostracoda (crustacea)

    Science.gov (United States)

    Sohn, I.G.; Kornicker, L.S.

    1972-01-01

    An ostracod species of Cypretta is an effective predator in laboratory experiments on 1- to 3-day-old Biomphalaria glabrata, a vector snail of the blood fluke that causes the tropical and subtropical disease schistosomiasis.

  17. Epidemiology of Schistosomiasis and Usefulness of Indirect Diagnostic Tests in School-Age Children in Cubal, Central Angola.

    Directory of Open Access Journals (Sweden)

    Cristina Bocanegra

    Full Text Available Schistosomiasis remains a public health major problem and little is known in many areas, mainly in Sub-Saharan Africa.To assess the burden and risk factors of schistosomiasis and intestinal parasitic helminthes in the children of Cubal, Angola, and to compare different diagnostic approaches for urinary schistosomiasis under field conditions.A cross-sectional study was conducted. Urine and faeces samples of school children were microscopically studied. A random sample of children was obtained from an alphabetically arranged list of children, taking one of two children. Urine dipstick, colorimetric test and macrohaematuria were considered as indirect diagnostic methods and compared to direct urine examination. Possible risk factors for the infection were sex, age, distance to the river and previous treatment with praziquantel; the assessment was performed using Chi-square test.A total of 785 (61.18% children showed S. haematobium eggs in urine; children living within 500 meters from the river had a higher odds for infection: Odds ratio 1.97 (1.45-2.7 CI 95%; urine dipstick showed sensitivity of 96% and specificity of 61.3%, with a positive predictive value; colorimetric test showed sensitivity of 52.5%, specificity of 74.6% and a positive predictive value of 77%. Proteinuria was present in 653 (51.1% children, being more frequent in children with S. haematobium in urine (75.2%; 32 of 191 stool samples (16% showed the presence of other intestinal parasites and 8 (4% for S. haematobium.Prevalence of urinary schistosomiasis in our study area is much higher than the national average, considering it as a high-risk community. Proximity to a source of water was a risk factor for the infection. Indirect tests, as urine dipstick and colorimetric test, were useful tools for diagnosis, due to ease of use and low cost. Proteinuria was a common finding, probably showing an early structural damage due to schistosomiasis in this group of children.

  18. Development and testing of Schisto and Ladders™, an innovative health educational game for control of schistosomiasis in schoolchildren.

    Science.gov (United States)

    Ejike, Cynthia Uchechukwu; Oluwole, Akinola Stephen; Mogaji, Hammed Oladeji; Adeniran, Adebiyi Abdulhakeem; Alabi, Oladimeji Michael; Ekpo, Uwem Friday

    2017-06-28

    Schistosomiasis remains a public health problem in many regions of the world, including Nigeria. Current control strategy involves mass drug administration with praziquantel to the endemic population. To complement and sustain on-going preventive chemotherapy, we developed a health educational game named Schisto and Ladders™ and tested its potential for the control of schistosomiasis among schoolchildren living in Imala-Odo, a highly endemic community near Abeokuta, Nigeria. One hundred school children were randomly selected and divided into intervention and control groups through balloting. Their knowledge, attitudes and practices (KAP) concerning schistosomiasis transmission, control and prevention were assessed using structured questionnaires. Schisto and Ladders™ game were given to the intervention group and the popular Snake and Ladders™ game to the control group. Both games were played for 2 months under the supervision of their class teachers. A post-KAP assessment was carried out in both groups, including focus group discussions (FGDs) to investigate knowledge and the impact of the games. Knowledge about urinary schistosomiasis and its transmission significantly improved (P = 0.000) in the intervention group (68.0%) compared to the control group (8.0%). FGDs showed that the frequency of visits to dam water also significantly reduced (P = 0.048) in the intervention group (18.0%) compared to the control group (40.0%). There was a significant increase in knowledge regarding risk behaviours, prevention and control of schistosomiasis among the intervention group, but no new knowledge gained in the control group. This study demonstrates the potential of the health education game Schisto and Ladders™ for teaching basic health education and promoting behavioural changes among schoolchildren in endemic communities.

  19. Schistosomiasis control in China: the impact of a 10-year World Bank Loan Project (1992-2001).

    Science.gov (United States)

    Xianyi, Chen; Liying, Wang; Jiming, Cai; Xiaonong, Zhou; Jiang, Zheng; Jiagang, Guo; Xiaohua, Wu; Engels, D; Minggang, Chen

    2005-01-01

    China has been carrying out large-scale schistosomiasis control since the mid-1950s, but in the early 1990s, schistosomiasis was still endemic in eight provinces. A World Bank Loan Project enabled further significant progress to be made during the period 1992-2001. The control strategy was focused on the large-scale use of chemotherapy -- primarily to reinforce morbidity control -- while at the same time acting on transmission with the ultimate goal of interrupting it. Chemotherapy was complemented by health education, chemical control of snails and environmental modification where appropriate. A final evaluation in 2002 showed that infection rates in humans and livestock had decreased by 55% and 50%, respectively. The number of acute infections and of individuals with advanced disease had also significantly decreased. Although snail infection rates continued to fluctuate at a low level, the densities of infected snails had decreased by more than 75% in all endemic areas. The original objectives of the China World Bank Loan Project for schistosomiasis control had all been met. One province, Zhejiang, had already fulfilled the criteria for elimination of schistosomiasis by 1995. The project was therefore a success and has provided China with a sound basis for further control.

  20. Epidemiology of Schistosomiasis in Egypt: Travel through Time: Review

    Directory of Open Access Journals (Sweden)

    Rashida M.R. Barakat

    2013-09-01

    Full Text Available Schistosomiasis is a parasitic disease caused by blood flukes (Trematodes of the genus Schistosoma (S.. It is well documented that schistosomiasis haematobium was endemic in Ancient Egypt. Infection was diagnosed in mummies 3000, 4000 and 5000 years old. Scott was the first to describe the pattern of schistosomiasis infection in Egypt. Schistosomiasis haematobium was highly prevalent (60% both in the Nile Delta and Nile Valley South of Cairo in districts of perennial irrigation while it was low (6% in districts of basin irrigation. Schistosoma mansoni infected 60% of the population in the Northern and Eastern parts of the Nile Delta and only 6% in the Southern part. Neither S. mansoni cases nor its snail intermediate host were found in the Nile Valley South of Cairo. The building of the Aswan High Dam -which was completed in 1967 – did not cause any increase in schistosomiasis prevalence. In 1990, a study conducted in nine governorates of Egypt confirmed the change in the pattern of schistosomiasis transmission in the Delta. There was an overall reduction in S. mansoni prevalence while Schistosoma haematobium had continued to disappear. In Middle and Upper Egypt there was consistent reduction in the prevalence of S. haematobium except in Sohag, Qena, and Aswan governorates. However, foci of S. mansoni were detected in Giza, Fayoum, Menya and Assiut. All schistosomiasis control projects implemented in Egypt from 1953 to 1985 adopted the strategy of transmission control and were based mainly on snail control supplemented by anti-bilharzial chemotherapy. In 1997, the National Schistosomiasis Control Program (NSCP was launched in the Nile Delta. It adopted morbidity control strategy with Praziquantel mass treatment as the main component. In 1996, before the NSCP, 168 villages had S. mansoni prevalence >30%, 324 villages 20–30% and 654 villages 10–20%. By the end of 2010, in the whole country only 29 villages had prevalence >3% and none had

  1. Awareness and knowledge of schistosomiasis infection and prevention in the "Three Gorges Dam" reservoir area: a cross-sectional study on local residents and health personnel.

    Science.gov (United States)

    Zeng, Huan; Yang, Xiaowei; Meng, Siying; Wang, Hong; Tang, Xiaojun; Tang, Wenge; Zeng, Shu; Jeschke, Sandra; Wang, Yang

    2011-12-01

    Schistosomiasis is a severe public health problem in China. It has been predicted that the ecological changes caused by the "Three Gorges Dam", the world's largest hydropower project, could potentially aggravate the spread of schistosomiasis in the area. This study focused on investigating (a) local residents' knowledge on the potential risks of schistosomiasis and (b) the capability of local health personnel in preventing schistosomiasis. A quantitative survey combined with qualitative interviews was conducted in three counties of the reservoir area during November and December 2008. A total of 1386 inhabitants and 180 local health personals participated in questionnaire survey; 18 inhabitants, 21 health professionals, and 8 local government officials were interviewed. Of the surveyed inhabitants, 66.3% had no access to safe drinking water; 47.9% had water-contact regularly through farming or swimming; 58.7% did not have hygienic toilets; and only 13.7% used methane for energy. Besides, only 3.8% of the inhabitants had knowledge scores higher than 6 points within the range 0-10. Educational level, occupation and income were significant predictors of knowledge score (P<0.05). Only about 5% of the inhabitants had some knowledge on schistosomiasis. Among health professionals surveyed, 6.7% had college or higher education; 26.7% had prior schistosomiasis control experience; 75.6% did not receive any relevant training in the past year; and only 52.2% had basic knowledge of schistosomiasis. The logistic regression analysis identified occupation and time at work as significant factors to their knowledge level (P<0.05). Moreover, the surveillance work was often severely hindered by a shortage of funding, and challenged by monitoring of migrant population. There were very limited training opportunities for the health workers, and almost no health education for inhabitants, if any, neither efficient nor effective. Although there were multiple risks for potential Schistosoma

  2. Modeling Alternative Assessment for Pre-Service Middle Level Teachers

    Science.gov (United States)

    Ziegenfuss, Robert G.

    2011-01-01

    College assessment models for our future middle school teachers must be varied, on-going, engaging, equitable and empowering. Traditional assessments do not often model the critical components of what makes assessment appropriate for middle level students. To provide the appropriate model for future middle level teachers, the establishment of…

  3. Knowledge attitudes and practices of grade three primary schoolchildren in relation to schistosomiasis, soil transmitted helminthiasis and malaria in Zimbabwe

    Directory of Open Access Journals (Sweden)

    Brouwer Kimberly C

    2011-06-01

    Full Text Available Abstract Background Helminth infection rates in grade three children are used as proxy indicators of community infection status and to guide treatment strategies in endemic areas. However knowledge, attitudes and practices (KAP of this target age group (8-10 years in relation to schistosomiasis, soil transmitted helminthiasis (STHs and malaria is not known at a time when integrated plasmodium - helminth control strategies are being advocated. This study sought to assess KAP of grade 3 children in relation to schistosomiasis, STHs and malaria in order to establish an effective school based health education for disease transmission control. Methods Grade 3 children (n = 172 attending four randomly selected primary schools (one in rural and 3 in the commercial farming areas in Zimbabwe were interviewed using a pre-tested interviewer administered questionnaire. The urine filtration technique was used to determine S. haematobium infection status. Infection with S. mansoni and STHs was determined using a combination of results from the Kato Katz and formol ether concentration techniques. P. falciparum was diagnosed by examination of Giemsa stained thick blood smears. Results It was observed that 32.0%, 19.2% and 4.1% of the respondents had correct knowledge about the causes of schistosomiasis, malaria and STHs, respectively, whilst 22.1%, 19.2% and 5.8% knew correct measures to control schistosomiasis, malaria and STHs. Sixty-two percent and 44.8% did not use soap to wash hands after toilet and before eating food respectively, whilst 33.1% never wore shoes. There were no functional water points and soap for hand washing after toilet at all schools. There was a high prevalence distribution of all parasites investigated in this study at Msapa primary school - S. haematobium (77.8%, S. mansoni (33.3% hookworms (29.6% and P. falciparum (48.1%. Reports that participant had suffered from schistosomiasis and malaria before were significant predictors of

  4. Acute schistosomiasis mansoni: revisited and reconsidered

    Directory of Open Access Journals (Sweden)

    José Roberto Lambertucci

    2010-07-01

    Full Text Available Acute schistosomiasis is a systemic hypersensitivity reaction against the migrating schistosomula and eggs. A variety of clinical manifestations appear during the migration of schistosomes in humans: cercarial dermatitis, fever, pneumonia, diarrhoea, hepatomegaly, splenomegaly, skin lesions, liver abscesses, brain tumours and myeloradiculopathy. Hypereosinophilia is common and aids diagnosis. The disease has been overlooked, misdiagnosed, underestimated and underreported in endemic areas, but risk groups are well known, including military recruits, some religious congregations, rural tourists and people practicing recreational water sports. Serology may help in diagnosis, but the finding of necrotic-exudative granulomata in a liver biopsy specimen is pathognomonic. Differentials include malaria, tuberculosis, typhoid fever, kala-azar, prolonged Salmonella bacteraemia, lymphoma, toxocariasis, liver abscesses and fever of undetermined origin. For symptomatic hospitalised patients, treatment with steroids and schistosomicides is recommended. Treatment is curative in those timely diagnosed.

  5. Storage of organochlorine inseticides in hepatosplenic schistosomiasis

    Directory of Open Access Journals (Sweden)

    M. Wassermann

    1974-10-01

    Full Text Available This paper reports on the findings of a survey on OCI storage in people in Bahia, Brasil. In this survey 11 samples of adipose tissue were taken from people who underwent splenectomy for hepato splenic schistosomiasis. In these patients, total DDT averaged 10.66 ppm as compared to 4,83 ppm of total DDT found in presumably healthy people. The difference was statistically significant. It is considered that the increased DDT storage in patients with hepatosplenic schistosomiass may be the result of a reduced metabolzation of p,p'-DDT and reduced excretion of its metabolites. Another possíbility is the increased exposure to organochlorine nsectedes by hepatosplenc patients who frequently come from irrigation zones, where these compounds are more used in intensive cultivatíon.

  6. A mixed-methods approach to understanding water use and water infrastructure in a schistosomiasis-endemic community: case study of Asamama, Ghana

    Directory of Open Access Journals (Sweden)

    Karen Claire Kosinski

    2016-04-01

    Full Text Available Abstract Background Surface water contaminated with human waste may transmit urogenital schistosomiasis (UGS. Water-related activities that allow skin exposure place people at risk, but public health practitioners know little about why some communities with access to improved water infrastructure have substantial surface water contact with infectious water bodies. Community-based mixed-methods research can provide critical information about water use and water infrastructure improvements. Methods Our mixed-methods study assessed the context of water use in a rural community endemic for schistosomiasis. Results Eighty-seven (35.2 % households reported using river water but not borehole water; 26 (10.5 % reported using borehole water but not river water; and 133 (53.8 % households reported using both water sources. All households are within 1 km of borehole wells, but tested water quality was poor in most wells. Schistosomiasis is perceived by study households (89.3 % to be a widespread problem in the community, but perceived schistosomiasis risk fails to deter households from river water usage. Hematuria prevalence among schoolchildren does not differ by household water use preference. Focus group data provides context for water preferences. Demand for improvements to water infrastructure was a persistent theme; however, roles and responsibilities with respect to addressing community water and health concerns are ill-defined. Conclusions Collectively, our study illustrates how complex attitudes towards water resources can affect which methods will be appropriate to address schistosomiasis.

  7. Travel-related schistosomiasis, strongyloidiasis, filariasis, and toxocariasis: the risk of infection and the diagnostic relevance of blood eosinophilia

    Directory of Open Access Journals (Sweden)

    Sonder Gerard J

    2011-04-01

    Full Text Available Abstract Background This study prospectively assessed the occurrence of clinical and subclinical schistosomiasis, strongyloidiasis, filariasis, and toxocariasis, and the screening value of eosinophilia in adult short-term travelers to helminth-endemic countries. Methods Visitors of a pre-travel health advice centre donated blood samples for serology and blood cell count before and after travel. Samples were tested for eosinophilia, and for antibodies against schistosomiasis, strongyloidiasis, filariasis, and toxocariasis. Previous infection was defined as seropositivity in pre- and post-travel samples. Recent infection was defined as a seroconversion. Symptoms of parasitic disease were recorded in a structured diary. Results Previous infection was found in 112 of 1207 subjects: schistosomiasis in 2.7%, strongyloidiasis in 2.4%, filariasis in 3.4%, and toxocariasis in 1.8%. Recent schistosomiasis was found in 0.51% of susceptible subjects at risk, strongyloidiasis in 0.25%, filariasis in 0.09%, and toxocariasis in 0.08%. The incidence rate per 1000 person-months was 6.4, 3.2, 1.1, and 1.1, respectively. Recent infections were largely contracted in Asia. The positive predictive value of eosinophilia for diagnosis was 15% for previous infection and 0% for recent infection. None of the symptoms studied had any positive predictive value. Conclusion The chance of infection with schistosomiasis, strongyloidiasis, filariasis, and toxocariasis during one short-term journey to an endemic area is low. However, previous stay leads to a cumulative risk of infection. Testing for eosinophilia appeared to be of no value in routine screening of asymptomatic travelers for the four helminthic infections. Findings need to be replicated in larger prospective studies.

  8. [Cost-effectiveness evaluation on comprehensive control measures carrying out in schistosomiasis endemic areas with regard to different layers of administrative villages stratified by infection situation of human and domestic animals. II Correlation analysis of costs and inputs with changes of schistosomiasis endemic situation in inner embankment of marshland and lake regions from 2006 to 2013].

    Science.gov (United States)

    Hu, He-hua; Yu, Qing; Zhang, Xia; Cao, Chun-li; Li, Shi-zhu; Zhu, Hong

    2015-02-01

    To investigate the correlations between inputs and costs and endemic situation of schistosomiasis in inner embankment, so as tb provide the references for the strategy optimization of schistosomiasis control. Jiangling County was selected as the study field. The correlatibn and regression analyses were applied to analyze the endemic situation of schistosomiasis in Jiangling County from 2006 to 2013. The methods of two-stages least squares and path analysis were applied to analyze the impacts between costs and inputs and endemic situation of schistosomiasis. The adjusted infection rate of population, number of bovines and Oncomelania hupensis snail areas reduced by 77.42%, 76.34% and 19.43%, respectively in Jiangling County from 2006 to 2013. The correlations between the infection rate of snails and the population positive rates of blood and fecal exams, and the infection rate of bovines were significant (all P costs and the population positive rate of fecal exams and the infection rates of bovines and snails (all P costs and the population positive rate by blood exams (P > 0.05). The inputs at county level had an impact on the population positive rate of blood exams; the costs of comprehensive treatment had an impact on the population positive rate of fecal exams; the costs of human labor and measures for exams and treatments had an impact on the infeiction rate of bovines; the inputs at national level and the costs of measures for exams and treatments had an impact on the infection rate of snails (all P costs of schistosomiasis control were related to the epidemic situation of schistosomiasis in Jiangling County from 2006 to 2013; therefore, it is necessary to develop a comprehensive surveillance system as substitute for the current indexes on schistosomiasis control.

  9. Assessment of level-walking aperiodicity

    Directory of Open Access Journals (Sweden)

    Zok Mounir

    2006-12-01

    Full Text Available Abstract Background: In gait analysis, walking is assumed to be periodic for the sake of simplicity, despite the fact that, strictly speaking, it can only approximate periodicity and, as such, may be referred to as pseudo-periodic. This study aims at: 1 quantifying gait pseudo-periodicity using information concerning a single stride; 2 investigating the effects of walking pathway length on gait periodicity; 3 investigating separately the periodicity of the upper and lower body parts movement; 4 verifying the validity of foot-floor contact events as markers of the gait cycle period. Methods: Ten young healthy subjects (6 males, 23 ± 5 years were asked to perform various gait trials, first along a 20-m pathway that allowed reaching a steady-state condition, and then along an 8-m pathway. A stereophotogrammetric system was used to reconstruct the 3D position of reflective markers distributed over the subjects' body. Foot contact was detected using an instrumented mat. Three marker clusters were used to represent the movement of the whole body, the upper body (without upper limbs, and the lower body, respectively. Linear and rotational kinetic, and gravitational and elastic potential "energy-like" quantities were used to calculate an index J(t that described the instantaneous "mechanical state" of the analysed body portion. The variations of J(t in time allowed for the determination of the walking pseudo-period and for the assessment of gait aperiodicity. Results: The suitability of the proposed approach was demonstrated, and it was shown that, for young, healthy adults, a threshold of physiological pseudo-periodicity of walking at natural speed could be set. Higher pseudo-periodicity values were found for the shorter pathway only for the upper body. Irrespective of pathway length, the upper body had a larger divergency from periodicity than the lower body. The error that can be made in estimating the gait cycle duration for the upper body from the

  10. [Application of high resolution remote sensing technology in research of schistosomiasis surveillance].

    Science.gov (United States)

    Xue, Jing-bo; Zhang, Li-juan; Wang, Qiang; Lu, Yan-xin; Li, Shi-zhu

    2015-10-01

    Schistosomiasis is closely related to environmental factors, the changes of environmental factors, such as vegetation, temperature, hydrology and soil, could impact the transmission of the disease. The environmental factors associated with schistosomiasis could be extracted by remote sensing technology quickly and precisely, and be applied to monitor the schistosomiasis transmission. The studies on high resolution remote sensing technology applied in the research of schistosomiasis are reviewed in this paper.

  11. Summary Report: Risk Assessment Forum Technical Workshop on Population-level Ecological Risk Assessment

    Science.gov (United States)

    2008 technical workshop regarding development of additional guidelines or best practices for planning, implementing and interpreting ecological risk assessments that involve population-level assessment endpoints.

  12. Hemostatic dysfunction is increased in patients with hepatosplenic schistosomiasis mansoni and advanced periportal fibrosis.

    Directory of Open Access Journals (Sweden)

    Luiz Arthur Calheiros Leite

    Full Text Available BACKGROUND: Schistosomiasis mansoni is an endemic parasitic disease and a public health problem in Northeast Brazil. In some patients, hepatic abnormalities lead to periportal fibrosis and result in the most severe clinical form, hepatosplenic schistosomiasis. This study aimed to evaluate whether abnormal blood coagulation and liver function tests in patients with hepatosplenic schistosomiasis (n = 55 correlate with the severity of their periportal fibrosis. METHODOLOGY/PRINCIPAL FINDINGS: Blood samples were used for liver function tests, hemogram and prothrombin time (International Normalized Ratio, INR. The blood coagulation factors (II, VII, VIII, IX and X, protein C and antithrombin IIa (ATIIa, plasminogen activator inhibitor 1 (PAI-1 and D-dimer were measured by photometry or enzyme linked immunosorbent assay. Hyperfibrinolysis was defined on the basis of PAI-1 levels and a D-dimer concentration greater than a standard cut-off of 483 ng/mL. Standard liver function tests were all abnormal in the patient group compared to healthy controls (n = 29, including raised serum transaminases (p<0.001 and lower levels of albumin (p = 0.0156. Platelet counts were 50% lower in patients, while for coagulation factors there was a 40% increase in the INR (p<0.001 and reduced levels of Factor VII and protein C in patients compared to the controls (both p<0.001. Additionally, patients with more advanced fibrosis (n = 38 had lower levels of protein C compared to those with only central fibrosis (p = 0.0124. The concentration of plasma PAI-1 in patients was one-third that of the control group (p<0.001, and D-dimer levels 2.2 times higher (p<0.001 with 13 of the 55 patients having levels above the cut-off. CONCLUSION/SIGNIFICANCE: This study confirms that hemostatic abnormalities are associated with reduced liver function and increased liver fibrosis. Of note was the finding that a quarter of patients with hepatosplenic schistosomiasis and

  13. Experimental schistosomiasis in the Common Marmoset Callithrix jacchus

    Directory of Open Access Journals (Sweden)

    Oliveira Ana Luna de

    2004-01-01

    Full Text Available In order to evaluate Callithrix jacchus as an animal model for mansoni schistosomiasis, a group of 10 male animals were once percutaneously exposed to 250 cercariae of the Schistosoma mansoni SLM (São Lourenço da Mata strain. Animals were periodically bled for measuring serum level of enzymes and proteins and for blood cell counting. When comparing pre-infection to post-infection values, a significant increase was found for alkaline phosphatase at 15 to 120 days p.i., differential counts of eosinophil at 45 and 60 days, and total protein and global eosinophil counts at 120 days. No Schistosoma mansoni eggs were found in stools. Adult worms of small size were recovered from five animals. At day 120, the number of Schistosoma mansoni eggs/g of tissue was 0-289.7 (liver, 0-30.1 (large intestine and 0-171.4 (small intestine. These findings lead us to classify Callithrix jacchus as a non-permissive host to the SLM strain of Schistosoma mansoni.

  14. Schistosomiasis mansoni in urban Northeast Brazil: influence of rainfall regime on the population dynamics of Biomphalaria sp.

    Directory of Open Access Journals (Sweden)

    Daniel Santos Oliveira

    2013-09-01

    Full Text Available Introduction Our objective was to evaluate the influence of rainfall regime on the population dynamics of Biomphalaria in a potential urban focus of schistosomiasis in Aracaju, Brazil, during 2009-2010. Methods Snails were collected monthly and were counted, measured and identified; the level of infection and fecal contamination at the sampling sites was determined; rainfall data were obtained. Results High levels of fecal contamination were observed, and the abundance of Biomphalaria glabrata increased during the rainy and post-rainy seasons. The snails' size was variable, and infected snails were identified independently of rainfall. Conclusions These results provide evidence of anthropogenic and climate interference in an urban focus of schistosomiasis in the Aracaju metropolitan area.

  15. Evaluation of the cytokine mannose-binding lectin as a mediator of periportal fibrosis progression in patients with schistosomiasis

    Directory of Open Access Journals (Sweden)

    Paula Carolina Valença Silva

    2015-06-01

    Full Text Available INTRODUCTION : We hypothesized higher mannose-binding lectin level and classic factors (i.e., age, sex, alcohol consumption, exposure, and specific treatment are associated with the severity of periportal fibrosis in schistosomiasis. METHODS : This cross-sectional study involved 79 patients infected with Schistosoma mansoni with severe or mild/moderate periportal fibrosis. Serum concentrations of mannose-binding lectin were obtained by enzyme-linked immunosorbent assay (ELISA. RESULTS: Higher serum level of mannose-binding lectin was significantly associated with advanced periportal fibrosis. CONCLUSIONS: Mannose-binding lectin may contribute to liver pathology in schistosomiasis and may represent a risk factor for advanced periportal fibrosis in the Brazilian population studied.

  16. An interactive perspective of health education for the tropical disease control: the schistosomiasis case.

    Science.gov (United States)

    Schall, V T

    1998-01-01

    Some municipalities in Brazil have been requesting orientation for the implementation of health education programs related to the control of schistosomiasis. This demand was based on experiences in the development of health education researches, strategies and materials for school-age children, involving the communities and secretaries of health and education. Motivated by this request and the recently implemented plan of health services (Unified Health System-Sistema Unico de Saúde-SUS) that gives autonomy to the municipalities to utilize health resources and services in Brazil, this paper presents an interactive perspective of planning health education research and programs. The purpose of this perspective is to stimulate a reflection on the needs and actions of institutions and people involved in health education research and/or programs to obtain sustainability, commitment and effectiveness--not only in the control of schistosomiasis, but also in the improvement of environmental conditions, quality of life and personal health. This perspective comprises interaction among three levels related to health education programs: the decision level, the executive level and the beneficiary level. The needs and lines of action at each of these levels are discussed, as well as the ways in which they can interact with each other. This proposal may lead to useful interactive ways of planing, organizing, executing and evaluating health education research and/or program, not only towards the prevention and control of the disease at stake, but also to promote health in general.

  17. An interactive perspective of health education for the tropical disease control: the schistosomiasis case

    Directory of Open Access Journals (Sweden)

    Virgínia T Schall

    1998-01-01

    Full Text Available Some municipalities in Brazil have been requesting orientation for the implementation of health education programs related to the control of schistosomiasis. This demand was based on experiences in the development of health education researches, strategies and materials for school-age children, involving the communities and secretaries of health and education. Motivated by this request and the recently implemented plan of health services (Unified Health System - Sistema Único de Saúde - SUS that gives autonomy to the municipalities to utilize health resources and services in Brazil, this paper presents an interactive perspective of planning health education research and programs. The purpose of this perspective is to stimulate a reflection on the needs and actions of institutions and people involved in health education research and/or programs to obtain sustainability, commitment and effectiveness - not only in the control of schistosomiasis, but also in the improvement of environmental conditions, quality of life and personal health. This perspective comprises interaction among three levels related to health education programs: the decision level, the executive level and the beneficiary level. The needs and lines of action at each of these levels are discussed, as well as the ways in which they can interact with each other. This proposal may lead to useful interactive ways of planing, organizing, executing and evaluating health education research and/or program, not only towards the prevention and control of the disease at stake, but also to promote health in general.

  18. A rare case of urinary schistosomiasis in Turkey.

    Science.gov (United States)

    Uysal, H Kirkoyun; Akgul, O; Aliyev, E; Tunc, M H; Oner, Y A

    2014-01-01

    Schistosomiasis is a chronic, parasitic disease and is endemic in some countries, primarily in Africa, Latin America and Asia. In some regions, Schistosoma haematobium is one of the principal causes of haematuria. In Turkey, due to the increasing amount of travel to and from endemic regions, the number of cases is also rising. We report a case of a 22-year-old Nigerian male who was admitted to our hospital with haematuria. Direct microbiological examination revealed S. haematobium eggs in his urine specimen. Schistosomiasis was diagnosed by pathology testing. Schistosomiasis has not been seen frequently in Turkey, and we therefore discuss the epidemiology, treatment options and clinical importance of S. haematobium. Copyright © 2013 Elsevier Ltd. All rights reserved.

  19. Evaluation of Lethal Giant Larvae as a Schistosomiasis Vaccine Candidate

    Directory of Open Access Journals (Sweden)

    Yufan Cao

    2016-01-01

    Full Text Available Schistosomiasis is a neglected tropical disease of humans, and it is considered to be the second most devastating parasitic disease after malaria. Eggs produced by normally developed female worms are important in the transmission of the parasite, and they responsible for the pathogenesis of schistosomiasis. The tumor suppressor gene lethal giant larvae (lgl has an essential function in establishing apical-basal cell polarity, cell proliferation, differentiation, and tissue organization. In our earlier study, downregulation of the lgl gene induced a significant reduction in the egg hatching rate of Schistosoma japonicum (Sj eggs. In this study, the Sjlgl gene was used as a vaccine candidate against schistosomiasis, and vaccination achieved and maintained a stable reduction of the egg hatching rate, which is consistent with previous studies, in addition to reducing the worm burden and liver egg burden in some trials.

  20. Drug resistance in Schistosomiasis: a review

    Directory of Open Access Journals (Sweden)

    John I. Bruce

    1987-01-01

    Full Text Available Drug resistance associated with the treatment of human schistosomiasis appears to be an emerging problem requiring more attention from the scientific community than the subject currently receives. Drug-resistant strains of Schistosoma mansoni have been isolated by various investigators as a result of laboratory experimentation or from a combination of field and laboratory studies. Review of this data appears to indicate that the lack of susceptibility observed for some of the isolated strains cannot be ascribed solely to previous administration of antischistosome drugs and thus further studies are required to elucidate this phenomena. Strains of S. mansoni have now been identified from Brazil which are resistant to oxamniquine, hycanthone and niridazole; from Puerto Rico which are resistant to hycanthone and oxamniquine; and from Kenya which are resistant to niridazole and probably oxamniquine. Strains derived by in vitro selection and resistant to oxamniquine and possibly to oltipraz are also available. All of these strains are currently maintained in the laboratory in snails and mice, thus providing for the first time an opportunity for indepth comparative studies. Preliminary data indicates that S. haematobium strains resistant to metrifonate may be occurring in Kenya. This problem could poise great difficulty in the eventual development of antischistosomal agents. Biomphalaria glabrata from Puerto Rico and Brazil were found to be susceptible to drug-resistant S. mansoni from each country.

  1. Studies on heterologous immunity in schistosomiasis*

    Science.gov (United States)

    Amin, M. A.; Nelson, G. S.; Saoud, M. F. A.

    1968-01-01

    Previous studies on heterologous immunity in mice have indicated that Schistosoma bovis and S. mattheei could be used to limit the severity of infection resulting from subsequent challenge by S. mansoni. These observations have now been extended to study the immunizing effect in rhesus monkeys of both S. mattheei and S. bovis. The bovine schistosomes were shown to be relatively non-pathogenic in rhesus monkeys. Immunization with 1000-2000 cercariae resulted in a marked reduction in the pathogenic effect of subsequent challenge with S. mansoni. This effect was demonstrated by a decrease in the worm load and tissue egg densities in 10 immunized monkeys as compared with 5 control animals. There was no correlation between fluorescent antibody titres and the intensity of infection or the degree of acquired immunity. There was a cross-reaction between S. mansoni and the bovine schistosomes. It is suggested that natural heterologous immunity (zooprophylaxis) may be of considerable epidemiological importance in determining the severity of schistosomiasis in man. PMID:4970323

  2. Immunity to schistosomiasis in animals: an update.

    Science.gov (United States)

    Vercruysse, J; Gabriel, S

    2005-01-01

    The present paper reviews the available literature on the development of immunity to animal Schistosoma infections. The majority of the studies on animal schistosomiasis were performed in cattle and pigs and only Schistosoma mattheei, S. bovis and S. japonicum received particular attention, mainly because of their recognized veterinary significance or zoonotic aspect. Although it is an accepted fact that acquired resistance to Schistosoma is of major importance in the regulation of infection intensity in the field, almost nothing is yet known of either the nature of the antigens or of the immune mechanisms involved. The recent studies on immunity development focus in particular on the occurrence of maternal to foetal transfer of immunological substances related to animal Schistosoma infections and possible effects of these transfers on the immunity development of the foetus/newborn. Since congenital infections for Schistosoma species other than S. japonicum are extremely rare, the most plausible route for foetal contact is the transplacental or postnatal transfer of immunological substances. Prenatal transfers of specific antibodies and antigens via placental lesions and postnatal transfers via the colostrum were observed in cattle and pigs, and subsequent modifications of the immune response of the newborn were observed. Placental lesions induced by Schistosoma eggs could allow other pathogens to cross the placenta.

  3. Studies on heterologous immunity in schistosomiasis

    Science.gov (United States)

    Massoud, J.; Nelson, G. S.

    1972-01-01

    Experiments were carried out in mice, cattle, and sheep to investigate the possibility that heterologous immune reactions may occur between the schistosomes prevalent in man and domestic animals in Iran. Immunization with Ornithobilharzia turkestanicum from cattle produced a considerable degree of immunity in mice against challenge with Schistosoma bovis, S. haematobium, and S. mansoni. The results of immunizing cattle with O. turkestanicum, S. bovis, and S. haematobium were even more striking; there was a reduction of 30-40% in the number of adult worms and a proportionally greater reduction in the tissue egg counts. Sheep developed a less marked immunity. Supplementary experiments on homologous immunity showed that mice developed a considerable degree of immunity against S. bovis. The results of the heterologous immunity experiments with S. haematobium and S. bovis are of particular interest as both parasites often occur in the same area and are often transmitted by the same snail host, man and cattle being exposed to the cercariae of both species simultaneously. The reciprocal immunity produced by these infections may be mutually beneficial in limiting the severity of schistosomiasis in man and domestic animals in the endemic areas. PMID:4540679

  4. Inflammation, oxidative stress and L-fucose as indispensable participants in schistosomiasis-associated colonic dysplasia.

    Science.gov (United States)

    Soliman, Nema Ali; Keshk, Walaa Arafa; Shoheib, Zeinab Salah; Ashour, Dalia Salah; Shamloula, Maha Moustafa

    2014-01-01

    Schistosomiasis is a parasitic disease causing chronic ill health in humans with a serious consequences for socio-economic development in tropical and subtropical regions. There is also evidence linking Schistosoma mansoni to colonic carcinoma occurrence. The aim of this study was to evaluate some inflammatory and oxidative stress biomarkers, as well as L-fucose as linkers between intestinal schistosomiasis and colonic dysplasia development in mice. This study was conducted upon 80 mice that were divided the control group (10 non infected mice) and infected group which was subdivided into 7 sub-groups (10 mice each) according to the time of sacrifaction in the post infection (p.i.) period, 10 mice being sacrificed every two weeks from 6 weeks p.i. to 18 weeks p.i. Tumor necrosis factor alpha (TNF-α), inducible nitric oxide synthase (iNOS), and pentraxin 3 (PTX3) levels were estimated by immunoassay. The L-fucose level, and thioredoxin reductase (TrxR) and lactate dehydrogenase (LDH) activities were also evaluated in colonic tissue. The current study revealed statistically significant elevation in the studied biochemical markers especially at 16 and 18 weeks p.i. The results were confirmed by histopathological examination that revealed atypical architectural and cytological changes in the form of epithelial surface serration and nuclear hyper-chromatizia at 14, 16 and 18 weeks p.i. inflammation, oxidative stress and L-fucose together may form an important link between Schistosomal mansoni infection and colonic dysplasia and they can be new tools for prediction of colonic dysplasia development in experimental schistosomiasis.

  5. [Effect of comprehensive schistosomiasis prevention and control strategy in Runzhou District, Zhenjiang City].

    Science.gov (United States)

    Zhong, Liu-Hua; Tao, Heng-Ye; Jiang, Jun

    2012-12-01

    The comprehensive schistosomiasis prevention and control strategy which relied mainly on Oncomelania snail control, schistosomiasis detection and chemotherapy in residents and livestock was carried out in Runzhou District, 2004-2011. There were no acute schistosomiasis patients for 7 years and no acute schistosomiasis occurred in livestock for 8 years. A total of 107 331 person-times were examined by the serological test and the number of positive cases was 843 (0.8%), and there were 796 person-times who received chemotherapy from 2004 to 2011. There were no infected snails for 2 successive years. Runzhou District achieved the criteria of schistosomiasis endemic control in 2007 and the criteria of schistosomiasis transmission interrupted in 2011. The comprehensive schistosomiasis prevention and control strategy is very effective in Runzhou District.

  6. Visceral schistosomiasis among domestic ruminants slaughtered in Wayanad, South India.

    Science.gov (United States)

    Ravindran, R; Lakshmanan, B; Ravishankar, C; Subramanian, H

    2007-11-01

    This short communication reports the prevalence of visceral schistosomiasis by worm counts from the mesentery of domestic ruminants of the hilly district of Wayanad, located in Kerala, one of the states in South India. We found 57.3, 50, and 4.7% of cattle, buffaloes and goats, respectively, had visceral schistosomiasis upon slaughter at a municipal slaughter house in Kalpetta. Our findings show that the prevalence of Schistosoma spindale infection is very high in Wayanad in comparison to previous reports from this and neighboring countries.

  7. Intergenerational representations of schistosomiasis in endemic area, Jaboticatubas, Minas Gerais

    Directory of Open Access Journals (Sweden)

    Celina Maria Modena

    2006-10-01

    Full Text Available The analysis of the intergenerational process of disease/health representations constitutes a requisite for the construction of projects and health education interventions. The objective of this work is to describe the meaning attributed to schistosomiasis in the family context. Twenty-one residents of an endemic area were interviewed. The interviews were submitted to content analysis. The results demonstrated different representations of the disease by the children, parents and grandparents. This paper discusses the differences in these representations and its impact in schistosomiasis control programs.

  8. [Potential impact of water transfer project from Yangtze River to Huaihe River on snail spread and schistosomiasis transmission].

    Science.gov (United States)

    Cao, Zhi-guo; Wang, Tian-ping; Wu, Wei-duo; Zhang, Shi-qing; Lv, Da-bing; Fang, Guo-ren; Zhao, Feng; Ling, Xian-sheng; Sha, Jian-jun; Wang, Feng-feng; Zhu, Lei

    2007-10-01

    To investigate the possibility of spread of snails and transmission of schistosomiasis japonica due to the construction of water transfer project from Yangtze River to Huaihe River. In order to understand the current endemic situation of schistosomiasis in the project area, the distribution of snails was surveyed by routine methods, level of anti-schistosome antibody in human sera was detected by indirect haemagglutination test (IHA), and the prevalence of schistosomiasis in cattle was detected by egg hatching method. The snail survival and reproduction were observed in Chaohu Lake area(experimental area) and a control area for one year. Snail density was high in two starting points, from where the water in Yangtze River will be directed to Huaihe River. In counties of Wuwei and Hexian, through which the project will be built, the positive rate of anti-schistosome antibody in residents was 22.11% (168/760) and 18.59% (37/199), schistosomiasis prevalence in cattle was 2.42% (9/371) and 0.2% (2/997), respectively. Schistosomiasis was also endemic in Juchao District of Chaohu City. Snails respectively from grassland and hilly area were collected and put in Chaohu Lake for breed and newborn snails were found one year later. During the egg-laying season, the survival rate of snails from grassland in 2 experiment areas and a control area was 11.3%-16.7%, 3.0%-20.8% and 4.7%-14.7% respectively (chi2 = 0.093, 0.760, P > 0.05; chi2 = 0.647, 0, P > 0.05), and that of snails from hilly area was 24.1%-44.4%, 37.8%-67.3% and 86.3%-93.1% respectively (chi2 = 9.575, 5.302, P < 0.05; chi2 = 56.863, 36.218, P < 0.05). There was no significant difference between the experimental area and the control area on the number of eggs in the ovaries of the same type female snails. The one-year observation reveals that the construction of the project might result in spread of snails and transmission of schistosomiasis japonica in the relevant areas.

  9. Macrophage P2X7 Receptor Function Is Reduced during Schistosomiasis: Putative Role of TGF-β1

    Directory of Open Access Journals (Sweden)

    Suellen D’arc Santos Oliveira

    2014-01-01

    Full Text Available Schistosomiasis is a chronic inflammatory disease whose macrophages are involved in immunopathology modulation. Although P2X7 receptor signaling plays an important role in inflammatory responses mediated by macrophages, no reports have examined the role of P2X7 receptors in macrophage function during schistosomiasis. Thus, we evaluated P2X7 receptor function in peritoneal macrophages during schistosomiasis using an ATP-induced permeabilization assay and measurements of the intracellular Ca2+ concentration. ATP treatment induced significantly less permeabilization in macrophages from S. mansoni-infected mice than in control cells from uninfected animals. Furthermore, P2X7-mediated increases in intracellular Ca2+ levels were also reduced in macrophages from infected mice. TGF-β1 levels were increased in the peritoneal cavity of infected animals, and pretreatment of control macrophages with TGF-β1 reduced ATP-induced permeabilization, mimicking the effect of S. mansoni infection. Western blot and qRT-PCR data showed no difference in P2X7 protein and mRNA between uninfected, infected, and TGF-β1-treated groups. However, immunofluorescence analysis revealed reduced cell surface localization of P2X7 receptors in macrophages from infected and TGF-β1-treated mice compared to controls. Therefore, our data suggest that schistosomiasis reduces peritoneal macrophage P2X7 receptor signaling. This effect is likely due to the fact that infected mice have increased levels of TGF-β1, which reduces P2X7 receptor cell surface expression.

  10. Epidemiology of Urinary Schistosomiasis among School Children in the Alsaial Alsagair Village, River Nile State, Sudan

    Directory of Open Access Journals (Sweden)

    Yassir SULIEMAN

    2017-06-01

    Full Text Available Background: Schistosomiasis is a debilitating disease, infects millions of people in tropical and subtropical regions. This study assessed the situation of the urinary schistosomiasis among schoolchildren of the Alsaial Alsagair village, Sudan.Methods: A cross-sectional survey was carried out in 2016, in the Alsaial Alsagair village, and 385 samples of urine were collected and processed using the centrifugation/sedimentation technique.Results: The overall prevalence and intensity of the disease among the pupils studied were 1.82% and 40.1 eggs/10ml urine, respectively. The prevalence of infection among male pupils was 3.1%, and for females was 0.52%, while the intensity among males was 42.3 eggs/10ml and for females was 27 eggs/10ml urine. No significant difference in the disease prevalence between the 7-10 yr age group and the 11-14 yr age group was found, while the over 14 yr age group was found to be free from infection. However, a considerably higher intensity of the parasite was found among the 7-10 yr age group compared to the other age group infected. A high prevalence and intensity of infection was observed among pupils who were active in swimming and working in the fields. Most of the pupils interviewed were found to be unaware of the disease and the prevalence and intensity of the infection was found to be higher among the group who were aware of the disease.Conclusion: Findings show the need for an integrated control program against urinary schistosomiasis including the treatment of all infected children and the implementation of a health education program.

  11. Absence of linkage between MHC and a gene involved in susceptibility to human schistosomiasis

    Directory of Open Access Journals (Sweden)

    Chiarella J.M.

    1998-01-01

    Full Text Available Six hundred million people are at risk of infection by Schistosoma mansoni. MHC haplotypes have been reported to segregate with susceptibility to schistosomiasis in murine models. In humans, a major gene related to susceptibility/resistance to infection by S. mansoni (SM1 and displaying the mean fecal egg count as phenotype was detected by segregation analysis. This gene displayed a codominant mode of inheritance with an estimated frequency of 0.20-0.25 for the deleterious allele and accounted for more than 50% of the variance of infection levels. To determine if the SM1 gene segregates with the human MHC chromosomal region, we performed a linkage study by the lod score method. We typed for HLA-A, B, C, DR and DQ antigens in 11 informative families from an endemic area for schistosomiasis in Bahia, Brazil, by the microlymphocytotoxicity technique. HLA-DR typing by the polymerase chain reaction with sequence-specific primers (PCR-SSP and HLA-DQ were confirmed by PCR-sequence-specific oligonucleotide probes (PCR-SSOP. The lod scores for the different q values obtained clearly indicate that there is no physical linkage between HLA and SM1 genes. Thus, susceptibility or resistance to schistosomiasis, as defined by mean fecal egg count, is not primarily dependent on the host's HLA profile. However, if the HLA molecule plays an important role in specific immune responses to S. mansoni, this may involve the development of the different clinical aspects of the disease such as granuloma formation and development of hepatosplenomegaly.

  12. Assessing Static and Dynamic Influences on Inmate Violence Levels

    Science.gov (United States)

    Steiner, Benjamin

    2009-01-01

    Inmate misconduct creates problems for other inmates as well as correctional staff. Most empirical assessments of the correlates of inmate misconduct have been conducted at the individual level; however, a facility's level of misconduct may be of equal importance to prison management and state officials because these numbers can reflect order, or…

  13. Assessment of the level of chromium species in the discharged ...

    African Journals Online (AJOL)

    The purpose of this study was to assess the level of chromium species in the discharged effluents of selected tanneries in the Amhara Region; Haik and Debre Berhan tanneries. The level of total chromium, and hexavalent chromium in the discharged effluent of the studied tanneries were determined using the ICP-OES, and ...

  14. Assessment of personality-related levels of functioning

    DEFF Research Database (Denmark)

    Thylstrup, Birgitte; Simonsen, Sebastian; Nemery, Caroline

    2016-01-01

    BACKGROUND: The personality disorder categories in the Diagnostic and Statistical Manual of Mental Disorders IV have been extensively criticized, and there is a growing consensus that personality pathology should be represented dimensionally rather than categorically. The aim of this pilot study...... was to test the Clinical Assessment of the Level of Personality Functioning Scale, a semi-structured clinical interview, designed to assess the Level of Personality Functioning Scale of the DSM-5 (Section III) by applying strategies similar to what characterizes assessments in clinical practice. METHODS......: The inter-rater reliability of the assessment of the four domains and the total impairment in the Level of Personality Functioning Scale were measured in a patient sample that varied in terms of severity and type of pathology. Ratings were done independently by the interviewer and two experts who watched...

  15. Hanford low-level tank waste interim performance assessment

    Energy Technology Data Exchange (ETDEWEB)

    Mann, F.M.

    1996-09-16

    The Hanford Low-Level Tank Waste Interim Performance Assessment examines the long-term environmental and human health effects associated with the disposal of the low-level fraction of the Hanford single- and double-shell tank waste in the Hanford Site 200 East Area. This report was prepared as a good management practice to provide needed information about the relationship between the disposal system design and its performance as early as possible in the project cycle. The calculations in this performance assessment show that the disposal of the low-level fraction can meet environmental and health performance objectives.

  16. Hanford low-level tank waste interim performance assessment

    Energy Technology Data Exchange (ETDEWEB)

    Mann, F.M.

    1997-09-12

    The Hanford Low-Level Tank Waste Interim Performance Assessment examines the long-term environmental and human health effects associated with the disposal of the low-level fraction of the Hanford single and double-shell tank waste in the Hanford Site 200 East Area. This report was prepared as a good management practice to provide needed information about the relationship between the disposal system design and performance early in the disposal system project cycle. The calculations in this performance assessment show that the disposal of the low-level fraction can meet environmental and health performance objectives.

  17. Nationwide cross-sectional survey of schistosomiasis and soil-transmitted helminthiasis in Sudan: study protocol

    Directory of Open Access Journals (Sweden)

    Seungman Cha

    2017-09-01

    Full Text Available Abstract Background Schistosomiasis and soil-transmitted helminthiasis (STHs are target neglected tropical diseases (NTDs of preventive chemotherapy, but the control and elimination of these diseases have been impeded due to resource constraints. Few reports have described study protocol to draw on when conducting a nationwide survey. We present a detailed methodological description of the integrated mapping of schistosomiasis and STHs on the basis of our experiences, hoping that this protocol can be applied to future surveys in similar settings. In addition to determining the ecological zones requiring mass drug administration interventions, we aim to provide precise estimates of the prevalence of these diseases. Methods A school–based cross-sectional design will be applied for the nationwide survey across Sudan. The survey is designed to cover all districts in every state. We have divided each district into 3 different ecological zones depending on proximity to bodies of water. We will employ a probability-proportional-to-size sampling method for schools and systematic sampling for student selection to provide adequate data regarding the prevalence for schistosomiasis and STHs in Sudan at the state level. A total of 108,660 students will be selected from 1811 schools across Sudan. After the survey is completed, 391 ecological zones will be mapped out. To carry out the survey, 655 staff members were recruited. The feces and urine samples are microscopically examined by the Kato-Katz method and the sediment smears for helminth eggs respectively. For quality control, a minimum of 10% of the slides will be rechecked by the federal supervisors in each state and also 5% of the smears are validated again within one day by independent supervisors. Discussion This nationwide mapping is expected to generate important epidemiological information and indicators about schistosomiasis and STHs that will be useful for monitoring and evaluating the control

  18. Knowledge, attitude, and practices towards schistosomiasis among rural population in Yemen.

    Science.gov (United States)

    Sady, Hany; Al-Mekhlafi, Hesham M; Atroosh, Wahib M; Al-Delaimy, Ahmed K; Nasr, Nabil A; Dawaki, Salwa; Al-Areeqi, Mona A; Ithoi, Init; Abdulsalam, Awatif M; Chua, Kek Heng; Surin, Johari

    2015-08-25

    Schistosomiasis is highly prevalent in Yemen, with an estimated 3 million cases, particularly among rural communities. This community-based study aims to evaluate the knowledge, attitude and practices (KAP) on schistosomiasis among rural communities in Yemen. A cross-sectional study was carried out among 250 households from ten rural districts in Yemen. Overall, 400 children were screened for urogenital and intestinal schistosomiasis. Moreover, parents were interviewed using a pre-tested questionnaire to collect information about the demographic and socioeconomic information and their KAP concerning schistosomiasis. A total of 127 (31.8%) children were found to be excreting schistosome eggs in either their urine or faeces (22.5% S. haematobium and 8.0% S. mansoni). Although 92.4% of the respondents had heard about schistosomiasis, 49.8%, 68.0% and 47.2% had knowledge concerning the transmission, signs and symptoms, and prevention, respectively. In addition, 77.1% considered schistosomiasis as harmful while 48.5% believed that schistosomiasis could be prevented, albeit their practices to prevent infections were still inadequate. Significant associations between the KAP and age, education, employment status and household monthly income were reported (P Yemen was inadequate, and that this could be a challenging obstacle to the elimination of schistosomiasis in these communities. Besides the current mass drug administration, school and community-based health education regarding schistosomiasis is imperative among these communities to significantly reduce the transmission and morbidity of schistosomiasis.

  19. The importance of animals in human schistosomiasis in South Africa ...

    African Journals Online (AJOL)

    The importance of animals in human schistosomiasis in South Africa. ... following exposureto animal or bird bilharzia are considered. it is concluded that, as regards animal schistosomes, at present only S. mattheei and a hybrid of S. mattheei and S. haematobium pose a potential threat to human health in South Africa.

  20. Soil transmitted helminth infections and schistosomiasis in school ...

    African Journals Online (AJOL)

    Soil transmitted helminth infections and schistosomiasis in school age children in sub-Saharan Africa: Efficacy of chemotherapeutic intervention since World Health ... for regular treatment of school children, development of alternative antihelminthic drugs and vaccines, environmental control measures and health education.

  1. Epidemiological survey of urinary and intestinal schistosomiasis in ...

    African Journals Online (AJOL)

    Objective: In order to determine the presence of bilharzia parasites in the populations, an epidemiological study on urinary and intestinal schistosomiasis was conducted from 09 September 2012 to 14 June 2013 in three villages namely: Badadji, Ouro-Marey and Kakala in Mayo-Louti Sub-Division, North Region Cameroon.

  2. Schistosomiasis Morbidity and Management of Cases in Africa

    NARCIS (Netherlands)

    M.J. van der Werf (Marieke)

    2003-01-01

    textabstractSchistosomiasis is one of the most prevalent parasitic infections and an important public health problem in many developing countries. The main early symptom if Schistosoma haematobium infection is hematuria, and S. mansoni infection causes bloody diarrhea. Current estimates of the

  3. Urinary schistosomiasis in Ihitte Uboma Local Government Area of ...

    African Journals Online (AJOL)

    A survey was conducted to determine the prevalence and intensity of urinary schistosomiasis in six communities in Ihitte Uboma Local Government Area of Imo State, Nigeria, between February and July 2005. Centrifuge concentration technique was employed in the analysis of urine for the eggs of Schistosoma ...

  4. Epidemiological Study on Urinary Schistosomiasis in Oguta local ...

    African Journals Online (AJOL)

    A survey was conducted to determine the prevalence and intensity of urinary schistosomiasis in seven communities in Oguta Local Government Area of Imo State, Nigeria. The standard centrifugation method of analysis of urine for the examination of schistosome ova was employed. Of the 997 urine specimens examined in ...

  5. human intestinal schistosomiasis in communities living near three ...

    African Journals Online (AJOL)

    Abrham

    2011-07-02

    Jul 2, 2011 ... snails (Biomphalaria pfeifferi and. Biomphalaria sudanica) are responsible for the transmission of S. mansoni in the country (6). The former is the most ..... G, VanLieshout L. Schistosomiasis mansoni in school attenders and non- attenders in Northwest Ethiopia. Ethiop J. Health Dev 2001; 15(2):117-23. 17.

  6. Metabolic changes reveal the development of schistosomiasis in mice.

    Directory of Open Access Journals (Sweden)

    Junfang Wu

    Full Text Available Schistosomiasis is a parasitic zoonosis caused by small trematode worms called schistosomes, amongst which Schistosoma japonicum (S. japonicum is endemic in Asia. In order to understand the schistosome-induced changes in the host metabolism so as to facilitate early diagnosis of schistosomiasis, we systematically investigated the dynamic metabolic responses of mice biofluids and liver tissues to S. japonicum infection for five weeks using (1H NMR spectroscopy in conjunction with multivariate data analysis. We were able to detect schistosomiasis at the third week post-infection, which was one week earlier than "gold standard" methods. We found that S. japonicum infection caused significant elevation of urinary 3-ureidopropionate, a uracil catabolic product, and disturbance of lipid metabolism, stimulation of glycolysis, depression of tricarboxylic acid cycle and disruption of gut microbiota regulations. We further found that the changes of 3-ureidopropionate and overall metabolic changes in both urinary and plasma samples were closely correlated with the time-course of disease progression. Furthermore, such changes together with liver tissue metabonome were clearly associated with the worm-burdens. These findings provided more insightful understandings of host biological responses to the infection and demonstrated that metabonomic analysis is potentially useful for early detection of schistosomiasis and comprehension of the mechanistic aspects of disease progression.

  7. Profile of an epidemiological study of urinary schistosomiasis in two ...

    African Journals Online (AJOL)

    Aim: This study was conducted in an attempt to establish the prevalence of urinary schistosomiasis in relation to epidemiological factors among children in Buruku and Katsina-Ala local government areas, Benue, Nigeria. Materials and Methods: Urine filtration technique using polycarbonate membrane filters was employed ...

  8. [Schistosomiasis in an ecotourism area in Minas Gerais State, Brazil].

    Science.gov (United States)

    Massara, Cristiano Lara; Amaral, Graciela Larissa; Caldeira, Roberta Lima; Drummond, Sandra Costa; Enk, Martin Johannes; Carvalho, Omar dos Santos

    2008-07-01

    This paper discusses schistosomiasis transmission in São José da Serra, a village with a population of 500 in the county of Jaboticatubas, Minas Gerais State, Brazil. The area receives thousands of visitors a year for ecotourism. The study was motivated by a case of acute schistosomiasis involving a couple that spent the 2007 Carnival (Mardi Gras) holiday in the area. Stool tests from 268 local residents (53.6% of the population) showed that 35 (13%) were positive for the infection. A comparison with a previous survey (2005) in the same location showed an increase in the schistosomiasis-positive rate from 9.6% to 12.5%, among the 56 individuals who participated in both surveys. A malacological survey of 65 Biomphalaria glabrata snails showed one specimen (1.5%) eliminating cercariae. In a similar survey in 2005, no positive snail specimens were found. The study indicates that active schistosomiasis transmission is occurring in the area, and that integrated educational programs are needed for both the local community and tourists.

  9. Prevalence of Snail Vectors of Schistosomiasis in the Kpong Head ...

    African Journals Online (AJOL)

    Schistosomiasis, a parasitic disease caused by the blood fluke Schistosoma sp. became a serious public health problem in Ghana after the Volta River was dammed in Akosombo in 1964. The formation of the Kpong head pond, about 25 km below the Akosombo dam, as a result of a second dam built at Kpong became an ...

  10. Urinary Schistosomiasis in a Rice- Farming Community in Biase ...

    African Journals Online (AJOL)

    The data indicates that there is a high prevalence of urinary schistosomiasis in the community and a poor knowledge of the disease and means of transmission. Health education is recommended along with provision of safe water and proper sanitation facilities for the community as a first step in eradication of the disease.

  11. Treatment of bovine schistosomiasis with medicinal plant Veronia ...

    African Journals Online (AJOL)

    Results: During present studies, buffalos naturally infected with Schistosomiasis were treated with Veronia anthelmintica (Kaliziri), with dose 75 mg/kg, 150 mg/kg and 225 mg/kg body weight respectively, and their impact on various parameters like eggs reduction, milk production, weight gain and feed intake was noted.

  12. Health care seeking-behaviour of people in Schistosomiasis ...

    African Journals Online (AJOL)

    A study of the dynamics of health-care seeking-behaviour of people living in communities endemic for schistosomiasis was carried out in Borgu and Shagamu Local Government areas of Niger State and Ewekoro, Odeda and Abeokuta North Local Government Areas of Ogun State, Nigeria. Questionnaires were ...

  13. Prevalence of Snail Vectors of Schistosomiasis in the Kpong Head ...

    African Journals Online (AJOL)

    Administrator

    Introduction. Schistosomes (blood flukes) are digenetic trematodes of the super family Schistoso- matoidea. They cause the disease schistoso- miasis, which is commonly called bilharziasis. The parasites undergo part of their developmental phase into infective forms in water borne planorbid snails. Hence, schistosomiasis ...

  14. Urinary schistosomiasis in a rural community in Edo state, Nigeria ...

    African Journals Online (AJOL)

    The prevalence of urinary schistosomiasis in Ikpeshi, a rural community of Edo State, Nigeria showed that 195(65%) out of 300 volunteers harboured Schistosoma haematobium ova in their urine. Eosinophiluria was markedly significant > 5 eosinophilic leucocyturia/hpf and reported among 250 (83.3%) inhabitants. Of these ...

  15. Reversal of Liver Fibrosis in Chronic Murine Schistosomiasis ...

    African Journals Online (AJOL)

    Purpose: To evaluate the safety, pharmacological effect and mechanism of action of an antifibrotic compound, safironil (SAF)/praziquantel (PZQ) combination on reversal of liver fibrogenesis in chronic murine Schistosomiasis mansoni. Methods: The antifibrotic effect of 0.5, 1 and 2 mg/ml of SAF was evaluated in vitro ...

  16. Schistosomiasis: a case of severe infection with fatal outcome

    Directory of Open Access Journals (Sweden)

    Cristiane Rúbia Ferreira

    2012-03-01

    Full Text Available Schistosomiasis is one of the most common parasitic diseases, stillconsidered of public health significance. Acute schistosomiasis is of difficultdiagnosis and therefore has been overlooked, misdiagnosed, underestimatedand underreported in endemic areas. The delay between the exposure tocontaminated water and the initial symptoms may explain this challengingdiagnosis. Acute schistosomiasis is frequently reported in non-immuneindividuals while reinfection cases occurring in endemic areas is scarcelydocumented. The later usually shows a benign course but fatal cases do exist.The authors report a case of a young female patient, in the late puerperium,with a three-month history of weight loss, intermittent fever, cough, thoracicand abdominal pain and increased abdominal girth. Physical examinationshowed a tachycardia, tachypnea and hypotension. Laboratory tests showeda mild anemia, eosinophilia, and a slightly elevation of liver enzymes. Thoraxand abdominal multidetector computed tomography evidenced a diffuseand bilateral pulmonary micronodules and peritoneal and intestinal wallthickening. The patient progressed rapidly to hepatic insufficiency, and deathafter respiratory insufficiency. An autopsy was performed and the findingswere compatible with acute Schistosomiasis in a patient previously exposedto Schistosoma mansoni.

  17. Soil-Transmitted Helminth Infections and Schistosomiasis mansoni ...

    African Journals Online (AJOL)

    Background: Schistosomes and geohelminths are highly prevalent causing serious health problem in the tropics. School children carry the heaviest burden of morbidity due to intestinal helminths and schistosomiasis infections. The aim of this study was to determine the prevalence and intensity of the major intestinal ...

  18. Impact of iron supplementation on schistosomiasis control in ...

    African Journals Online (AJOL)

    ... Once weekly iron supplementation can decrease S haematobium reinfection after 6 months and should be incorporated into school based schistosomiasis control programs in highly endemic areas. Clinical trials.gov identifier: NCT 00276224, sponsored by DBL-Institute for Health Research and Development, Denmark.

  19. Schistosomiasis mansoni and soil-transmitted helminthiasis in ...

    African Journals Online (AJOL)

    Results: The overall infection rates of schistosomiasis mansoni, trichuriasis, ascariasis and hookworm infection were 73.7%, 41.5%, 37.2% and 28.4%, respectively. Other parasitic infections observed were caused by Hymenolepis nana (1.7%), Taenia species (1.4%), and Enterobius vermicularis (1.4%). Children in the age ...

  20. Surveys for Schistosomiasis and Soil Transmitted Helminths in ...

    African Journals Online (AJOL)

    Other more rare STH infections noted were Ascaris lumbricoides, Hymenolepis nana and Enterobius vermicularis. Conclusions: The study confirmed that schistosomiasis and STH infections were endemic at the study sites, but also suggested that the prevalences had declined compared to earlier reports. There is need for ...

  1. 111 . original article prevalence of urinary schistosomiasis in ...

    African Journals Online (AJOL)

    User

    humans. Although schistosomiasis is not found in the. United States, over 200 million people are infected worldwide (1). Schistosomes belong to the kingdom ..... Activities the communities include fishing, swimming, wash and bathing. Majority of these activities took place the shallower portion of the water bodies usua.

  2. Schistosomiasis mansoni and soil-transmitted helminthiasis in ...

    African Journals Online (AJOL)

    Background: Schistosomiasis mansoni and soil-transmitted helminthiasis (STHs) are considerable medical and public health problems in Ethiopia. However, information is limited on the epidemiology of these infections in different localities even though it is needed to plan effective prevention and control measures.

  3. Soil-Transmitted Helminth Infections and Schistosomiasis mansoni ...

    African Journals Online (AJOL)

    user

    ABSTRACT. Background: Schistosomes and geohelminths are highly prevalent causing serious health problem in the tropics. School children carry the heaviest burden of morbidity due to intestinal helminths and schistosomiasis infections. The aim of this study was to determine the prevalence and intensity of the major.

  4. Current status of intestinal Schistosomiasis and soil- transmitted ...

    African Journals Online (AJOL)

    Bernt Lindtjorn

    Table 2: Prevalence and intensity of intestinal schistosomiasis and ascariasis using Kato-Katz method in 8 elementary schools in Adwa Town, northern Ethiopia, 2007. School. No. Examined. Positive for. Male. Female. Total no. examined. S. mansoni. A. lumbricoides. No. (%) epg. No. (%). Epg. May Guagua. 28. 22. 50.

  5. urinary schistosomiasis infection in dumbin dutse, igabi local

    African Journals Online (AJOL)

    Administrator

    Journal of Biotechnology. 7 (16), 2773-2776. Uneke, C. J.; Oyibo, P. G.; Ugwuoru, C.D.C.; Nwanokwai, A. P.;. Iloegbunam, R. O. (2007): Urinary Schistosomiasis Among School. Age Children In Ebonyi State, Nigeria. The Internet Journal of. Laboratory Medicine. 2(1):1. Clennon, J. A., King, C. H., Muchiri, E. M, Kariuki, H. C., ...

  6. Studies on Urinary Schistosomiasis in Selected Villages around ...

    African Journals Online (AJOL)

    Available online at http://www.ajol.info/index.php/njbas/index. Nigerian Journal of Basic and Applied Science (September, 2012), 20(3): 189-194. ISSN 0794-5698. Studies on Urinary Schistosomiasis in Selected Villages around Gusau Dam Site, Zamfara State,. Nigeria. *1M.U Ladan, 1U. Abubakar, 1K. Abdullahi, 1M.

  7. Whole genome analysis of a schistosomiasis-transmitting freshwater snail

    DEFF Research Database (Denmark)

    Adema, Coen M; Hillier, Ladeana W; Jones, Catherine S

    2017-01-01

    Biomphalaria snails are instrumental in transmission of the human blood fluke Schistosoma mansoni. With the World Health Organization's goal to eliminate schistosomiasis as a global health problem by 2025, there is now renewed emphasis on snail control. Here, we characterize the genome of Biompha...

  8. The impact of irrigated rice on the transmission of schistosomiasis ...

    African Journals Online (AJOL)

    ,. Nigeria, Togo (Cunin et al., 2000; Audibert and Mathonnat, 2001; Moné et al., 2010;. Wallet et al., 2016). Many parts of West. African States have been a constant in the prevalence of malaria and schistosomiasis after six years of practice rice.

  9. Impact of human schistosomiasis in sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Abiola Fatimah Adenowo

    Full Text Available Schistosomiasis, a neglected tropical disease of poverty ranks second among the most widespread parasitic disease in various nations in sub-Saharan Africa. Neglected tropical diseases are causes of about 534,000 deaths annually in sub-Saharan Africa and an estimated 57 million disability-adjusted life-years are lost annually due to the neglected tropical diseases. The neglected tropical diseases exert great health, social and financial burden on economies of households and governments. Schistosomiasis has profound negative effects on child development, outcome of pregnancy, and agricultural productivity, thus a key reason why the "bottom 500 million" inhabitants of sub-Saharan Africa continue to live in poverty. In 2008, 17.5 million people were treated globally for schistosomiasis, 11.7 million of those treated were from sub-Saharan Africa. This enervating disease has been successfully eradicated in Japan, as well as in Tunisia. Morocco and some Caribbean Island countries have made significant progress on control and management of this disease. Brazil, China and Egypt are taking steps towards elimination of the disease, while most sub-Saharan countries are still groaning under the burden of the disease. Various factors are responsible for the continuous and persistent transmission of schistosomiasis in sub-Saharan Africa. These include climatic changes and global warming, proximity to water bodies, irrigation and dam construction as well as socio-economic factors such as occupational activities and poverty. The morbidity and mortality caused by this disease cannot be overemphasized. This review is an exposition of human schistosomiasis as it affects the inhabitants of various communities in sub-Sahara African countries. It is hoped this will bring a re-awakening towards efforts to combat this impoverishing disease in terms of vaccines development, alternative drug design, as well as new point-of-care diagnostics.

  10. Impact of human schistosomiasis in sub-Saharan Africa.

    Science.gov (United States)

    Adenowo, Abiola Fatimah; Oyinloye, Babatunji Emmanuel; Ogunyinka, Bolajoko Idiat; Kappo, Abidemi Paul

    2015-01-01

    Schistosomiasis, a neglected tropical disease of poverty ranks second among the most widespread parasitic disease in various nations in sub-Saharan Africa. Neglected tropical diseases are causes of about 534,000 deaths annually in sub-Saharan Africa and an estimated 57 million disability-adjusted life-years are lost annually due to the neglected tropical diseases. The neglected tropical diseases exert great health, social and financial burden on economies of households and governments. Schistosomiasis has profound negative effects on child development, outcome of pregnancy, and agricultural productivity, thus a key reason why the "bottom 500 million" inhabitants of sub-Saharan Africa continue to live in poverty. In 2008, 17.5 million people were treated globally for schistosomiasis, 11.7 million of those treated were from sub-Saharan Africa. This enervating disease has been successfully eradicated in Japan, as well as in Tunisia. Morocco and some Caribbean Island countries have made significant progress on control and management of this disease. Brazil, China and Egypt are taking steps towards elimination of the disease, while most sub-Saharan countries are still groaning under the burden of the disease. Various factors are responsible for the continuous and persistent transmission of schistosomiasis in sub-Saharan Africa. These include climatic changes and global warming, proximity to water bodies, irrigation and dam construction as well as socio-economic factors such as occupational activities and poverty. The morbidity and mortality caused by this disease cannot be overemphasized. This review is an exposition of human schistosomiasis as it affects the inhabitants of various communities in sub-Sahara African countries. It is hoped this will bring a re-awakening towards efforts to combat this impoverishing disease in terms of vaccines development, alternative drug design, as well as new point-of-care diagnostics. Copyright © 2015 Elsevier Editora Ltda. All rights

  11. Impact of human schistosomiasis in sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Abiola Fatimah Adenowo

    2015-03-01

    Full Text Available Schistosomiasis, a neglected tropical disease of poverty ranks second among the most widespread parasitic disease in various nations in sub-Saharan Africa. Neglected tropical diseases are causes of about 534,000 deaths annually in sub-Saharan Africa and an estimated 57 million disability-adjusted life-years are lost annually due to the neglected tropical diseases. The neglected tropical diseases exert great health, social and financial burden on economies of households and governments. Schistosomiasis has profound negative effects on child development, outcome of pregnancy, and agricultural productivity, thus a key reason why the “bottom 500 million” inhabitants of sub-Saharan Africa continue to live in poverty. In 2008, 17.5 million people were treated globally for schistosomiasis, 11.7 million of those treated were from sub-Saharan Africa. This enervating disease has been successfully eradicated in Japan, as well as in Tunisia. Morocco and some Caribbean Island countries have made significant progress on control and management of this disease. Brazil, China and Egypt are taking steps towards elimination of the disease, while most sub-Saharan countries are still groaning under the burden of the disease. Various factors are responsible for the continuous and persistent transmission of schistosomiasis in sub-Saharan Africa. These include climatic changes and global warming, proximity to water bodies, irrigation and dam construction as well as socio-economic factors such as occupational activities and poverty. The morbidity and mortality caused by this disease cannot be overemphasized. This review is an exposition of human schistosomiasis as it affects the inhabitants of various communities in sub-Sahara African countries. It is hoped this will bring a re-awakening towards efforts to combat this impoverishing disease in terms of vaccines development, alternative drug design, as well as new point-of-care diagnostics.

  12. Increased endothelial cell-leukocyte interaction in murine schistosomiasis: possible priming of endothelial cells by the disease.

    Directory of Open Access Journals (Sweden)

    Suellen D S Oliveira

    Full Text Available BACKGROUND AND AIMS: Schistosomiasis is an intravascular parasitic disease associated with inflammation. Endothelial cells control leukocyte transmigration and vascular permeability being modulated by pro-inflammatory mediators. Recent data have shown that endothelial cells primed in vivo in the course of a disease keep the information in culture. Herein, we evaluated the impact of schistosomiasis on endothelial cell-regulated events in vivo and in vitro. METHODOLOGY AND PRINCIPAL FINDINGS: The experimental groups consisted of Schistosoma mansoni-infected and age-matched control mice. In vivo infection caused a marked influx of leukocytes and an increased protein leakage in the peritoneal cavity, characterizing an inflamed vascular and cellular profile. In vitro leukocyte-mesenteric endothelial cell adhesion was higher in cultured cells from infected mice as compared to controls, either in the basal condition or after treatment with the pro-inflammatory cytokine tumor necrosis factor (TNF. Nitric oxide (NO donation reduced leukocyte adhesion to endothelial cells from control and infected groups; however, in the later group the effect was more pronounced, probably due to a reduced NO production. Inhibition of control endothelial NO synthase (eNOS increased leukocyte adhesion to a level similar to the one observed in the infected group. Besides, the adhesion of control leukocytes to endothelial cells from infected animals is similar to the result of infected animals, confirming that schistosomiasis alters endothelial cells function. Furthermore, NO production as well as the expression of eNOS were reduced in cultured endothelial cells from infected animals. On the other hand, the expression of its repressor protein, namely caveolin-1, was similar in both control and infected groups. CONCLUSION/SIGNIFICANCE: Schistosomiasis increases vascular permeability and endothelial cell-leukocyte interaction in vivo and in vitro. These effects are partially

  13. Monocyte chemotactic protein-1 (MCP-1 in patients with chronic schistosomiasis mansoni: evidences of subclinical renal inflammation.

    Directory of Open Access Journals (Sweden)

    Ana Lúcia P Hanemann

    Full Text Available The aim of this study is to investigate renal markers and the biomarker MCP-1 in patients with schistosomiasis mansoni. This is a cross-sectional study with 85 patients aged 5 to 48 years, with a confirmed diagnosis of schistosomiasis mansoni through the Kato-Katz method. The patients were divided in three groups: control (G-I; infected by S. mansoni before treatment (G-II and infected by S. mansoni after treatment (G-III. Renal function was evaluated by tubular and glomerular biomarkers and through urinary MCP-1. Patients' mean age was 23.2 ± 13 years. There was no statistically significant difference between the groups regarding tubular and glomerular function evaluated through the traditional biomarkers. MCP-1 was higher in G-II and G-III, when compared to G-I; p=0.009 and p=0.007, respectively. There was no difference when comparing groups G-II and G-III (p=0.892. Although it was not different among the groups, there was a significant correlation between albuminuria and MCP-1. There was a significant increase in urinary MCP-1 levels in patients with schistosomiasis mansoni, which was associated with albuminuria. This protein has a role in the recruitment of monocytes to injury and inflammation sites . The increase of MCP-1 in the urine evidences that there is silent renal inflammation in these patients and the inflammatory status is not interrupted by specific treatment of the offending agent. Our findings suggest that urinary MCP-1 can be a sensitive marker of renal injury in patients with schistosomiasis mansoni.

  14. Attribute-Level and Pattern-Level Classification Consistency and Accuracy Indices for Cognitive Diagnostic Assessment

    Science.gov (United States)

    Wang, Wenyi; Song, Lihong; Chen, Ping; Meng, Yaru; Ding, Shuliang

    2015-01-01

    Classification consistency and accuracy are viewed as important indicators for evaluating the reliability and validity of classification results in cognitive diagnostic assessment (CDA). Pattern-level classification consistency and accuracy indices were introduced by Cui, Gierl, and Chang. However, the indices at the attribute level have not yet…

  15. Dynamics of spatial clustering of schistosomiasis in the Yangtze River Valley at the end of and following the World Bank Loan Project.

    Science.gov (United States)

    Hu, Yi; Xiong, Chenglong; Zhang, Zhijie; Luo, Can; Ward, Michael; Gao, Jie; Zhang, Lijuan; Jiang, Qingwu

    2014-06-01

    The 10-year (1992-2001) World Bank Loan Project (WBLP) contributed greatly to schistosomiasis control in China. However, the re-emergence of schistosomiasis in recent years challenged the long-term progress of the WBLP strategy. In order to gain insight in the long-term progress of the WBLP, the spatial pattern of the epidemic was investigated in the Yangtze River Valley between 1999-2001 and 2007-2008. Two spatial cluster methods were jointly used to identify spatial clusters of cases. The magnitude and number of clusters varied during 1999-2001. It was found that prevalence of schistosomiasis had been greatly reduced and maintained at a low level during 2007-2008, with little change. Besides, spatial clusters most frequently occurred within 16 counties in the Dongting Lake region and within 5 counties in the Poyang Lake region. These findings precisely pointed out the prior places for future public health planning and resource allocation of schistosomiasis. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  16. Cx3cr1 deficiency in mice attenuates hepatic granuloma formation during acute schistosomiasis by enhancing the M2-type polarization of macrophages

    Directory of Open Access Journals (Sweden)

    Lin Ran

    2015-07-01

    Full Text Available Acute schistosomiasis is characterized by pro-inflammatory responses against tissue- or organ-trapped parasite eggs along with granuloma formation. Here, we describe studies in Cx3cr1−/− mice and demonstrate the role of Cx3cr1 in the pathoetiology of granuloma formation during acute schistosomiasis. Mice deficient in Cx3cr1 were protected from granuloma formation and hepatic injury induced by Schistosoma japonicum eggs, as manifested by reduced body weight loss and attenuated hepatomegaly along with preserved liver function. Notably, S. japonicum infection induced high levels of hepatic Cx3cr1 expression, which was predominantly expressed by infiltrating macrophages. Loss of Cx3cr1 rendered macrophages preferentially towards M2 polarization, which then led to a characteristic switch of the host immune defense from a conventional Th1 to a typical Th2 response during acute schistosomiasis. This immune switch caused by Cx3cr1 deficiency was probably associated with enhanced STAT6/PPAR-γ signaling and increased expression of indoleamine 2,3-dioxygenase (IDO, an enzyme that promotes M2 polarization of macrophages. Taken together, our data provide evidence suggesting that CX3CR1 could be a viable therapeutic target for treatment of acute schistosomiasis.

  17. Cx3cr1 deficiency in mice attenuates hepatic granuloma formation during acute schistosomiasis by enhancing the M2-type polarization of macrophages.

    Science.gov (United States)

    Ran, Lin; Yu, Qilin; Zhang, Shu; Xiong, Fei; Cheng, Jia; Yang, Ping; Xu, Jun-Fa; Nie, Hao; Zhong, Qin; Yang, Xueli; Yang, Fei; Gong, Quan; Kuczma, Michal; Kraj, Piotr; Gu, Weikuan; Ren, Bo-Xu; Wang, Cong-Yi

    2015-07-01

    Acute schistosomiasis is characterized by pro-inflammatory responses against tissue- or organ-trapped parasite eggs along with granuloma formation. Here, we describe studies in Cx3cr1(-/-) mice and demonstrate the role of Cx3cr1 in the pathoetiology of granuloma formation during acute schistosomiasis. Mice deficient in Cx3cr1 were protected from granuloma formation and hepatic injury induced by Schistosoma japonicum eggs, as manifested by reduced body weight loss and attenuated hepatomegaly along with preserved liver function. Notably, S. japonicum infection induced high levels of hepatic Cx3cr1 expression, which was predominantly expressed by infiltrating macrophages. Loss of Cx3cr1 rendered macrophages preferentially towards M2 polarization, which then led to a characteristic switch of the host immune defense from a conventional Th1 to a typical Th2 response during acute schistosomiasis. This immune switch caused by Cx3cr1 deficiency was probably associated with enhanced STAT6/PPAR-γ signaling and increased expression of indoleamine 2,3-dioxygenase (IDO), an enzyme that promotes M2 polarization of macrophages. Taken together, our data provide evidence suggesting that CX3CR1 could be a viable therapeutic target for treatment of acute schistosomiasis. © 2015. Published by The Company of Biologists Ltd.

  18. Community participation as an interactive learning process: experiences from a schistosomiasis control project in Zimbabwe.

    Science.gov (United States)

    Ndekha, Addmore; Hansen, Ebba Holme; Mølgaard, Per; Woelk, Godfrey; Furu, Peter

    2003-03-01

    A schistosomiasis control project was undertaken from 1994 to 1998 in Guruve District, Zimbabwe, based on the active involvement of local communities in the growing and application of the molluscicidal plant Phytolacca dodecandra as a supplement to other control measures such as chemotherapy and health education. The berries of P. dodecandra are highly molluscicidal to the intermediate host snails of schistosomiasis and is rapidly degradable in water. It was observed that plant care fluctuated during the study period. Only a few households participated in snail control activities, although 97% of respondents in a baseline survey had stated a willingness to take part. This invoked an investigation to explore the reality from a user perspective. Focus group discussions, semi-structured interviews and observations were used to solicit information. In spite of a cultural inclination for collective work, many reasons for low-level involvement emerged, inter alia the low perceived value of the project, demands for tangible benefits, inaccessible fields and weak leadership. This study shows that community participation is a complex process upon which a multiplicity of social and cultural determinants have an impact. If community participation is to become successful in development programmes it ought to be viewed as a mutual learning process where obstacles are identified and discussed and solutions shared among community members and project staff.

  19. Advanced Level Biology Teachers' Attitudes towards Assessment and Their Engagement in Assessment for Learning

    Science.gov (United States)

    Bramwell-Lalor, Sharon; Rainford, Marcia

    2015-01-01

    This paper reports on a Mixed Methods study involving an investigation into the attitudes of advanced level biology teachers towards assessment and describes the teachers' experiences while being engaged in Assessment for Learning (AfL) practices such as sharing of learning objectives and peer- and self-assessment. Quantitative data were collected…

  20. [Development and application of information management system for advanced schistosomiasis chemotherapy and assistance in Jiangxi Province].

    Science.gov (United States)

    Mao, Yuan-Hua; Li, Dong; Ning, An; Qiu, Ling; Xiong, Ji-Jie

    2011-04-01

    To develop the information management system for advanced schistosomiasis chemotherapy and assistance in Jiangxi Province. Based on Access 2003, the system was programmed by Visual Basic 6.0 and packaged by Setup Factory 8.0. In the system, advanced schistosomiasis data were able to be input, printed, indexed, and statistically analyzed. The system could be operated and maintained easily and timely. The information management system for advanced schistosomiasis chemotherapy and assistance in Jiangxi Province is successfully developed.

  1. Assessing plasma glucose and lipid levels, body weight and acute ...

    African Journals Online (AJOL)

    The study was aimed at evaluating the safety and hypoglycaemic effects of Parinari curatellifolia seeds used in the treatment of diabetes. The plasma glucose level and other biochemical parameters, body weight and liver, heart, renal and acute toxicities were assessed following oral administration of an aqueous ethanol ...

  2. An assessment of the concentration levels of toxic chemicals within ...

    African Journals Online (AJOL)

    Ingestion of crop produce from the dumpsite area and its vicinity is likely to put lives at risk. This paper assesses the concentration levels of toxic chemicals lead (pb), cadmium (cd) and sulphides (so2) within and around Gweru dumpsite. Sampling points for soil were randomly selected using Arcview GIS along each transect ...

  3. An assessment of the hygiene level in animal product processing ...

    African Journals Online (AJOL)

    A study was carried out to assess hygiene level in the 20 local animal product processing plants. Questionnaire based interviews with managers and food handlers gave an overview of perception of hygiene and practices related to it. Checklists using a scoring system, were designed for objective hygiene inspection.

  4. Integrating urbanization into landscape-level ecological assessments.

    Science.gov (United States)

    Jeffrey D. Kline; Alissa Moses; Ralph J. Alig

    2001-01-01

    Economists and ecologists are often asked to collaborate on landscape-level analyses designed to jointly assess economic and ecological conditions resulting from environmental policy scenarios. This trend toward multidisciplinary projects, coupled with the growing use of geographic information systems, has led to the development policy scenarios. This trend toward...

  5. Assessing Students' Levels of Understanding Multiplication through Problem Writing

    Science.gov (United States)

    Drake, Jill Mizell; Barlow, Angela T.

    2008-01-01

    When the word problems of forty-five sixth-grade students were examined, multiple levels of understanding and misunderstanding multiplication were exposed. The purpose of this article is to demonstrate the potential of problem writing as a technique for assessing the depths of students' mathematical understandings. Discussions include sample…

  6. An Assessment of Users' Level of Satisfaction with Library ...

    African Journals Online (AJOL)

    The purpose of this study was to assess users' level of satisfaction with circulation policy in university libraries in North Central zone of Nigeria. The descriptive survey design was adopted for the study. The population comprised of all the undergraduate registered users in the university libraries in the zone. The stratified ...

  7. Repeatability of leaf disc test for assessing resistance levels of ...

    African Journals Online (AJOL)

    Developing efficient and reliable screening tests to assess the level of resistance of a perennial crop such as cocoa to diseases is essential to reduce the length of the breeding cycle. The resistance of cacao (Theobroma cacao L.) leaves to two species of Phytophthora was investigated in 25 genotypes of cacao using the ...

  8. Assessment of participation and poverty levels of IFAD/NDDC ...

    African Journals Online (AJOL)

    Participation and poverty levels of IFAD/NDDC/Community-Based Natural Resource Management Programme farmers in Abia State were studied and assessed in 2012. Purposive and multistage random sampling techniques were used in the selection of Local Government Areas, participating communities, farmer groups ...

  9. Assessment of the levels of communication between youth, parents ...

    African Journals Online (AJOL)

    2mikitser

    Objective: To assess levels of communication between the youth and their parents, peers and teachers about reproductive health issues and .... obtained from the Nekemte town local government and the respective sub-city officials. The participants were informed that participation was voluntary. Strict confidentiality was ...

  10. Assessment of Serum Levels of Magnesium and Manganese among ...

    African Journals Online (AJOL)

    Pregnant women in developing countries have been reported to consume diets with low density of minerals and essential trace elements. Therefore, this study aims to assess the serum levels of magnesium and manganese and its trimester correlates among pregnant women in Ika community of Delta state, Nigeria.

  11. Assessment of testosterone level among infertile Sudanese ladies ...

    African Journals Online (AJOL)

    Objectives The aim of this study is to determine the level of serum testosterone among infertile ladies and to assess its role in female infertility. Materials and Methods A case-controlled study of 150 Sudanese ladies suffering from infertility was compared to 50 fertile subjects as a control group with a mean age of 31 years.

  12. An assessment of the level of knowledge about diabetes mellitus ...

    African Journals Online (AJOL)

    rural areas, with an estimated 65% literacy rate and unemployment standing at over 50%. The patients at the rural .... Information can help people assess their ..... This reflects that patients who are more knowledgeable about their blood glucose levels are more likely to have a better general knowledge of diabetes mellitus.

  13. Assessing plasma glucose and lipid levels, body weight and acute ...

    African Journals Online (AJOL)

    STORAGESEVER

    2008-09-03

    Sep 3, 2008 ... The study was aimed at evaluating the safety and hypoglycaemic effects of Parinari curatellifolia seeds used in the treatment of diabetes. The plasma glucose level and other biochemical parameters, body weight and liver, heart, renal and acute toxicities were assessed following oral administration of an.

  14. Environmental income improves household-level poverty assessments and dynamics

    DEFF Research Database (Denmark)

    Walelign, Solomon Zena; Charlery, Lindy Callen; Smith-Hall, Carsten

    2016-01-01

    Household-level poverty assessments and analyses of poverty dynamics in developing countries typically do not include environmental income. Using household (n = 427 in 2006, 2009 and 2012) total income panel data sets, with and without environmental income, from Nepal, we analysed the importance...... of environmental income in household-level poverty assessments (Foster-Greer-Thorbecke indices) and dynamics (movements in the Poverty Transition Matrix). Random effects logit and ordered logit models were applied to estimate variables covarying with poverty categories and compared for annual household incomes...... with and without environmental income. Using the without environmental income data set significantly changed the number of households classified as poor, as well as rates of movements in and out of poverty. Excluding household-level environmental income also distorted estimation of covariates of poverty incidence...

  15. [Schistosomiasis status of staff in Hydrology Bureau of Yangtze Water Resources Committee in 2013].

    Science.gov (United States)

    Fu, Jun; Leng, Cheng-mei; Tang, Min; Yao, Wei-gang

    2014-08-01

    To understand the status of schistosomiasis of staff in the Hydrology Bureau of Yangtze Water Resources Committee and the Oncomelania hupensis snail condition of their work areas in 2013, so as to provide the evidences for the schistosomiasis control in the industry. The physical examination data about schistosomiasis of the staff from 2006 to 2013 were collected and analyzed to understand the schistosomiasis prevalence condition of the staff and the changes of their liver parenchyma. Meanwhile, the snail status in the work areas was surveyed. There were 1,393 staff involved in the physical examinations of schistosomiasis in 2003, 197 of them were schistosomiasis patients, the prevalence rate was 14.14%, and no new acute schistosomiasis case occurred. The cases whose liver parenchyma were classified as Grade 0, I , II , III occupied 28.9%, 67.0%, 3.05% and 1.02%, respectively. A total of 24 work areas were involved in the snail survey, and 71 snails were captured. Among the whole snails captured, 39 were living snails, but no schistosome infected snails were found. The prevalence rate of schistosomiasis in staff of the Hydrology Bureau of Yangtze Water Resources Committee is relatively high, so the schistosomiasis surveillance as well as the snail survey and control still should be carried out consistently.

  16. Communicating uncertainties in assessments of future sea level rise

    Science.gov (United States)

    Wikman-Svahn, P.

    2013-12-01

    How uncertainty should be managed and communicated in policy-relevant scientific assessments is directly connected to the role of science and the responsibility of scientists. These fundamentally philosophical issues influence how scientific assessments are made and how scientific findings are communicated to policymakers. It is therefore of high importance to discuss implicit assumptions and value judgments that are made in policy-relevant scientific assessments. The present paper examines these issues for the case of scientific assessments of future sea level rise. The magnitude of future sea level rise is very uncertain, mainly due to poor scientific understanding of all physical mechanisms affecting the great ice sheets of Greenland and Antarctica, which together hold enough land-based ice to raise sea levels more than 60 meters if completely melted. There has been much confusion from policymakers on how different assessments of future sea levels should be interpreted. Much of this confusion is probably due to how uncertainties are characterized and communicated in these assessments. The present paper draws on the recent philosophical debate on the so-called "value-free ideal of science" - the view that science should not be based on social and ethical values. Issues related to how uncertainty is handled in scientific assessments are central to this debate. This literature has much focused on how uncertainty in data, parameters or models implies that choices have to be made, which can have social consequences. However, less emphasis has been on how uncertainty is characterized when communicating the findings of a study, which is the focus of the present paper. The paper argues that there is a tension between on the one hand the value-free ideal of science and on the other hand usefulness for practical applications in society. This means that even if the value-free ideal could be upheld in theory, by carefully constructing and hedging statements characterizing

  17. Genital manifestations of schistosomiasis mansoni in women: important but neglected

    Directory of Open Access Journals (Sweden)

    Hermann Feldmeier

    1998-01-01

    Full Text Available Egg-induced lesions in the upper and the lower female reproductive tract are important complications of the infection with Schistosoma mansoni. The understanding of the pathophysiology and pathology of genital lesions is only rudimentary, simple and reliable diagnostic tools are not at hand, epidemiological data do not exist and how to treat best the women affected, is not known. In view of recent advances in the understanding of genital lesions induced by S. haematobium the existing literature is critically analysized and possible consequences of female genital schistosomiasis are outlined. We estimate that 6 to 27 % girls and women with intestinal schistosomiasis, at least temporarily, suffer from pathology induced by eggs sequestered somewhere in their genital organs. This is a mattern of concern and warrants more research into the epidemiology, pathology, diagnosis and therapy of this disease entity.

  18. Bilateral Tubal Gestation Associated with Schistosomiasis in an African Woman

    Directory of Open Access Journals (Sweden)

    K. H. Odubamowo

    2014-01-01

    Full Text Available Background. The incidence of tubal ectopic gestation caused by schistosomiasis induced tubal pathology is undocumented in this environment, which may be due to rarity of this pathology. Bilateral tubal gestation is common in patients that have undergone in vitro fertilization. We report a hitherto undocumented case of spontaneous bilateral ectopic gestation following tubal schistosomiasis. Case Report. Mrs. OB was a 32-year-old G4P3+0 (3 alive woman who complained of abdominal pain and bleeding per vaginam of 4 and 2 days’ duration respectively following 8 weeks of amenorrhea. A clinical impression of ruptured ectopic gestation was confirmed by ultrasound scanning. She had bilateral salpingectomy with histology of specimens showing bilateral ectopic gestation with Schistosoma haematobium induced salpingitis (findings of Schistosoma haematobium ova noted on slide. Conclusion. Schistosoma induced salpingitis is a rare but possible cause of bilateral tubal gestation.

  19. The situation of hepatosplenic schistosomiasis in Brazil today

    Directory of Open Access Journals (Sweden)

    Zilton A Andrade

    1998-01-01

    Full Text Available Specific chemotherapy against schistosomiasis together with environmental changes occurring in endemic areas of Brazil are causing a revolution in the clinico-pathological presentation of the disease when comparing to date from 10 to 15 years ago. To update the subject, an inquire was made among the most experienced Brazilian investigators in this field. They agree that a decrease of about 50 to 70% in prevalence, and an even higher decrease in incidence are taking place in Brazil today. The prevalence of schistosome-infection has decreased in some areas and increased in other, with spreading sometimes occurring to peri-urban regions, indicating that schistosomiasis control depends on the application of multiple measures. General clinical and pathological manifestations related to hepatosplenic disease, such as ascites, gastric hemorrhages, big-spleen syndrome, cor pulmonale, glomerulopathy, etc. are also less severe nowadays than they used to be in the past

  20. AN ASSESSMENT OF THE TRANSPARENCY LEVEL IN ROMANIAN PUBLIC UNIVERSITIES

    Directory of Open Access Journals (Sweden)

    Andrei-Razvan CRISAN

    2016-12-01

    Full Text Available Transparency in the public sector is of paramount importance for the general sentiment of trust in the system itself, as public servants are publicly accountable for the use of and effects on public resources. In this respect, ensuring an increase in transparency would allow these public servants to discharge accountability accordingly and would provide the necessary frame for assessment of public resource use from stakeholders. This paper aims to determine whether transparency levels are adequate in the case of Romanian public universities, using a refined assessment tool which consists of multiple criteria based on principles and required elements for the reduction of information asymmetry. Our findings show that overall, in the case of Romanian public universities, the transparency level is high and there is a prerequisite to ensure the fair judgement from stakeholders.

  1. Screening-Level Ecological Risk Assessment Methods, Revision 3

    Energy Technology Data Exchange (ETDEWEB)

    Mirenda, Richard J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2012-08-16

    This document provides guidance for screening-level assessments of potential adverse impacts to ecological resources from release of environmental contaminants at the Los Alamos National Laboratory (LANL or the Laboratory). The methods presented are based on two objectives, namely: to provide a basis for reaching consensus with regulators, managers, and other interested parties on how to conduct screening-level ecological risk investigations at the Laboratory; and to provide guidance for ecological risk assessors under the Environmental Programs (EP) Directorate. This guidance promotes consistency, rigor, and defensibility in ecological screening investigations and in reporting those investigation results. The purpose of the screening assessment is to provide information to the risk managers so informed riskmanagement decisions can be made. This document provides examples of recommendations and possible risk-management strategies.

  2. Vesical schistosomiasis in north eastern part of Imo state, Nigeria ...

    African Journals Online (AJOL)

    More females (30.8%) than males (24.1%) were infected in all the age groups and high rate of hematuria (56.6%) was observed among the infected subjects. Prevalence of vesical schistosomiasis was significantly higher (77.9%) among those in the age group 11-20 years than those of 41-50 years (p<0.05). The intensity of ...

  3. Screening Level Risk Assessment for the New Waste Calcining Facility

    Energy Technology Data Exchange (ETDEWEB)

    M. L. Abbott; K. N. Keck; R. E. Schindler; R. L. VanHorn; N. L. Hampton; M. B. Heiser

    1999-05-01

    This screening level risk assessment evaluates potential adverse human health and ecological impacts resulting from continued operations of the calciner at the New Waste Calcining Facility (NWCF) at the Idaho Nuclear Technology and Engineering Center (INTEC), Idaho National Engineering and Environmental Laboratory (INEEL). The assessment was conducted in accordance with the Environmental Protection Agency (EPA) report, Guidance for Performing Screening Level Risk Analyses at Combustion Facilities Burning Hazardous Waste. This screening guidance is intended to give a conservative estimate of the potential risks to determine whether a more refined assessment is warranted. The NWCF uses a fluidized-bed combustor to solidify (calcine) liquid radioactive mixed waste from the INTEC Tank Farm facility. Calciner off volatilized metal species, trace organic compounds, and low-levels of radionuclides. Conservative stack emission rates were calculated based on maximum waste solution feed samples, conservative assumptions for off gas partitioning of metals and organics, stack gas sampling for mercury, and conservative measurements of contaminant removal (decontamination factors) in the off gas treatment system. Stack emissions were modeled using the ISC3 air dispersion model to predict maximum particulate and vapor air concentrations and ground deposition rates. Results demonstrate that NWCF emissions calculated from best-available process knowledge would result in maximum onsite and offsite health and ecological impacts that are less then EPA-established criteria for operation of a combustion facility.

  4. Association between Schistosomiasis mansoni and hepatitis C: systematic review

    Directory of Open Access Journals (Sweden)

    Daniele Silva de Moraes Van-Lume

    2013-06-01

    Full Text Available OBJECTIVE: To perform a systematic review of the prevalence of the HCV/ S. mansoni co-infection and associated factors in Schistosoma mansoni -infected populations. METHODS: The bibliographic search was carried out using the Medline, Lilacs, SciELO, Cochrane Library and Ibecs databases. The criteria for the studies' selection and the extraction data were based on systematic review methods. Forty five studies were found, with nine being excluded in a first screening. Thirteen articles were used for data extraction. RESULTS: The HCV infection rates in schistosomiasis populations range from 1% in Ethiopia to 50% in Egypt. Several studies had poorly defined methodologies, even in areas characterized by an association between hepatitis C and schistosomiasis, such as Brazil and Egypt, which meant conclusions were inconsistent. HCV infection rates in schistosomotic populations were heterogeneous and risk factors for acquiring the virus varied widely. CONCLUSIONS: Despite the limitations, this review may help to identify regions with higher rates of hepatitis C and schistosomiasis association. However, more studies are necessary for the development of public health policies on prevention and control of both diseases.

  5. Epidemiological and control aspects of schistosomiasis in Brazilian endemic areas

    Directory of Open Access Journals (Sweden)

    JR Coura

    2004-08-01

    Full Text Available The present work analyzes the epidemiology of schistosomiasis in Brazil, its expansion, the attempts to control the disease, and the overall difficulties. The authors present the distribution of schistosomiasis intermediary hosts in Brazil, the migration routes of the human population, and disease distribution in highly and lowly endemic areas and isolated foci. They also analyze the controlling programs developed from 1977 to 2002, indicating the prevalence evolution and the reduction of disease morbi-mortality. In addition, the authors also evaluate controlling methods and conclude that: (a no isolated method is able to control schistosomiasis, and every controlling program should consider the need of a multidisciplinary application of existing methods; (b in long term, basic sanitation, potable water supply, as well as sanitary education, and community effective participation are important for infection control; (c in short term, specific treatment at endemic areas, associated with control of intermediary hosts at epidemiologically important foci, are extremely relevant for controlling disease morbidity, although not enough for interrupting infection transmission.

  6. Developing micro-level urban ecosystem indicators for sustainability assessment

    Energy Technology Data Exchange (ETDEWEB)

    Dizdaroglu, Didem, E-mail: dizdaroglu@bilkent.edu.tr

    2015-09-15

    Sustainability assessment is increasingly being viewed as an important tool to aid in the shift towards sustainable urban ecosystems. An urban ecosystem is a dynamic system and requires regular monitoring and assessment through a set of relevant indicators. An indicator is a parameter which provides information about the state of the environment by producing a quantitative value. Indicator-based sustainability assessment needs to be considered on all spatial scales to provide efficient information of urban ecosystem sustainability. The detailed data is necessary to assess environmental change in urban ecosystems at local scale and easily transfer this information to the national and global scales. This paper proposes a set of key micro-level urban ecosystem indicators for monitoring the sustainability of residential developments. The proposed indicator framework measures the sustainability performance of urban ecosystem in 3 main categories including: natural environment, built environment, and socio-economic environment which are made up of 9 sub-categories, consisting of 23 indicators. This paper also describes theoretical foundations for the selection of each indicator with reference to the literature [Turkish] Highlights: • As the impacts of environmental problems have multi-scale characteristics, sustainability assessment needs to be considered on all scales. • The detailed data is necessary to assess local environmental change in urban ecosystems to provide insights into the national and global scales. • This paper proposes a set of key micro-level urban ecosystem indicators for monitoring the sustainability of residential developments. • This paper also describes theoretical foundations for the selection of each indicator with reference to the literature.

  7. Evolution of schistosomiasis-induced pathology after therapy and interruption of exposure to schistosomes: a review of ultrasonographic studies.

    Science.gov (United States)

    Richter, J

    2000-10-23

    Ultrasonography (US) is suitable for diagnosing schistosomiasis-related organic pathology and is particularly useful to assess its evolution after therapy and/or interruption of exposure to the Schistosoma parasites. Evolution of pathology after treatment: Regression of hepatic abnormalities in Schistosma mansoni-infected children and adolescents has been observed already from 7 months post-therapy on. This does, however, not occur in all cases: individual differences are great ranging from spontaneous regression of pathology without treatment to persistence of pathology lasting for years after therapy even without re-infection. Intensity and duration of exposure, different parasite strains, patients' age and genetic background all influence the evolution of pathology. In communities at continuous exposure to S. mansoni infection, repeated re-treatment is required to control hepatosplenic morbidity. In Schistosoma japonicum infection, changes around the portal tree may regress, but characteristic diffuse abnormalities described as 'network pattern' abnormalities do not resolve. In Schistosoma haematobium infection bladder abnormalities and urinary tract obstruction frequently resolve after treatment. Clinically relevant pathology may resurge from 1 year after therapy on if exposure continues. Subjects with more advanced pathology before therapy, appear to be at higher risk of pathology re-appearance. Evolution of pathology after interruption of exposure to schistosomiasis: Knowledge on the evolution of pathology induced by S. mansoni is limited to some reports in emigrants and to the experience of ultrasonographists working in areas, where transmission has been partially interrupted. Due to the longevity of the parasite, infection may last for many years. Even after elimination of the parasites severe pathology may persist for long. In S. haematobium infection spontaneous healing after interruption of re-exposure may occur, but cases have been reported where

  8. Comparison of motor competence levels on two assessments across childhood.

    Science.gov (United States)

    Ré, Alessandro H N; Logan, Samuel W; Cattuzzo, Maria T; Henrique, Rafael S; Tudela, Mariana C; Stodden, David F

    2018-01-01

    This study compared performances and motor delay classifications for the Test of Gross Motor Development-2nd edition (TGMD-2) and the Körperkoordinationstest Für Kinder (KTK) in a sample of 424 healthy children (47% girls) between 5 and 10 years of age. Low-to-moderate correlations (r range = 0.34-0.52) were found between assessments across age. In general, both boys and girls demonstrated higher raw scores across age groups. However, percentile scores indicated younger children outperformed older children, denoting a normative percentile-based decrease in motor competence (MC) in the older age groups. In total, the TGMD-2 and KTK classified 39.4% and 18.4% children, respectively, as demonstrating very low MC (percentile ≤5). In conclusion, the TGMD-2 classified significantly more children with motor delays than the KTK and the differences between children's motor skill classification levels by these assessments became greater as the age groups increased. Therefore, the TGMD-2 may demonstrate more susceptibility to sociocultural influences and be more influenced by cumulative motor experiences throughout childhood. Low-to-moderate correlations between assessments also suggest the TGMD-2 and KTK may measure different aspects of MC. As such, it may be important to use multiple assessments to comprehensively assess motor competence.

  9. Diversity, variation and fairness: Equivalence in national level language assessments

    Directory of Open Access Journals (Sweden)

    Albert Weideman

    2017-01-01

    Full Text Available The post-1994 South African constitution proudly affirms the language diversity of the country, as do subsequent laws, while ministerial policies, both at further and higher education level, similarly promote the use of all 11 official languages in education. However, such recognition of diversity presents several challenges to accommodate potential variation. In language education at secondary school, which is nationally assessed, the variety being promoted immediately raises issues of fairness and equivalence. The final high-stakes examination of learners’ ability in home language at the exit level of their pre-tertiary education is currently contentious in South Africa. It is known, for example, that in certain indigenous languages, the exit level assessments barely discriminate among learners with different abilities, while in other languages they do. For that reason, the Council for Quality Assurance in General and Further Education, Umalusi, has commissioned several reports to attempt to understand the nature of the problem. This article will deal with a discussion of a fourth attempt by Umalusi to solve the problem. That attempt, undertaken by a consortium of four universities, has already delivered six interim reports to this statutory body, and the article will consider some of their content and methodology. In their reconceptualisation of the problem, the applied linguists involved first sought to identify the theoretical roots of the current curriculum in order to articulate more sharply the construct being assessed. That provides the basis for a theoretical justification of the several solutions being proposed, as well as for the preliminary designs of modifications to current, and the introduction of new assessments. The impact of equivalence of measurement as a design requirement will be specifically discussed, with reference to the empirical analyses of results of a number of pilots of equivalent tests in different languages.

  10. Epidemiology of malaria, schistosomiasis, geohelminths, anemia and malnutrition in the context of a demographic surveillance system in northern Angola.

    Directory of Open Access Journals (Sweden)

    José Carlos Sousa-Figueiredo

    Full Text Available BACKGROUND: Malaria, schistosomiasis and geohelminth infection are linked to maternal and child morbidity and mortality in sub-Saharan Africa. Knowing the prevalence levels of these infections is vital to guide governments towards the implementation of successful and cost-effective disease control initiatives. METHODOLOGY/PRINCIPAL FINDINGS: A cross-sectional study of 1,237 preschool children (0-5 year olds, 1,142 school-aged children (6-15 year olds and 960 women (>15 year olds was conducted to understand the distribution of malnutrition, anemia, malaria, schistosomiasis (intestinal and urinary and geohelminths in a north-western province of Angola. We used a recent demographic surveillance system (DSS database to select and recruit suitable households. Malnutrition was common among children (23.3% under-weight, 9.9% wasting and 32.2% stunting, and anemia was found to be a severe public health problem (i.e., >40%. Malaria prevalence was highest among preschool children reaching 20.2%. Micro-hematuria prevalence levels reached 10.0% of preschool children, 16.6% of school-aged children and 21.7% of mothers. Geohelminth infections were common, affecting 22.3% of preschool children, 31.6% of school-aged children and 28.0% of mothers. CONCLUSIONS: Here we report prevalence levels of malaria, schistosomiasis and geohelminths; all endemic in this poorly described area where a DSS has been recently established. Furthermore we found evidence that the studied infections are associated with the observed levels of anemia and malnutrition, which can justify the implementation of integrated interventions for the control of these diseases and morbidities.

  11. Epidemiology of Malaria, Schistosomiasis, Geohelminths, Anemia and Malnutrition in the Context of a Demographic Surveillance System in Northern Angola

    Science.gov (United States)

    Sousa-Figueiredo, José Carlos; Gamboa, Dina; Pedro, João Mário; Fançony, Cláudia; Langa, António Justino; Soares Magalhães, Ricardo J.; Stothard, J. Russell; Nery, Susana Vaz

    2012-01-01

    Background Malaria, schistosomiasis and geohelminth infection are linked to maternal and child morbidity and mortality in sub-Saharan Africa. Knowing the prevalence levels of these infections is vital to guide governments towards the implementation of successful and cost-effective disease control initiatives. Methodology/Principal Findings A cross-sectional study of 1,237 preschool children (0–5 year olds), 1,142 school-aged children (6–15 year olds) and 960 women (>15 year olds) was conducted to understand the distribution of malnutrition, anemia, malaria, schistosomiasis (intestinal and urinary) and geohelminths in a north-western province of Angola. We used a recent demographic surveillance system (DSS) database to select and recruit suitable households. Malnutrition was common among children (23.3% under-weight, 9.9% wasting and 32.2% stunting), and anemia was found to be a severe public health problem (i.e., >40%). Malaria prevalence was highest among preschool children reaching 20.2%. Micro-hematuria prevalence levels reached 10.0% of preschool children, 16.6% of school-aged children and 21.7% of mothers. Geohelminth infections were common, affecting 22.3% of preschool children, 31.6% of school-aged children and 28.0% of mothers. Conclusions Here we report prevalence levels of malaria, schistosomiasis and geohelminths; all endemic in this poorly described area where a DSS has been recently established. Furthermore we found evidence that the studied infections are associated with the observed levels of anemia and malnutrition, which can justify the implementation of integrated interventions for the control of these diseases and morbidities. PMID:22493664

  12. From innovation to application: social-ecological context, diagnostics, drugs and integrated control of schistosomiasis.

    Science.gov (United States)

    Utzinger, Jürg; N'goran, Eliézer K; Caffrey, Conor R; Keiser, Jennifer

    2011-09-01

    Compared to malaria, tuberculosis and HIV/AIDS, schistosomiasis remains a truly neglected tropical disease. Schistosomiasis, perhaps more than any other disease, is entrenched in prevailing social-ecological systems, since transmission is governed by human behaviour (e.g. open defecation and patterns of unprotected surface water contacts) and ecological features (e.g. living in close proximity to suitable freshwater bodies in which intermediate host snails proliferate). Moreover, schistosomiasis is intimately linked with poverty and the disease has spread to previously non-endemic areas as a result of demographic, ecological and engineering transformations. Importantly though, thanks to increased advocacy there is growing awareness, financial and technical support to control and eventually eliminate schistosomiasis as a public health problem at local, regional and global scales. The purpose of this review is to highlight recent progress made in innovation, validation and application of new tools and strategies for research and integrated control of schistosomiasis. First, we explain that schistosomiasis is deeply embedded in social-ecological systems and explore linkages with poverty. We then summarize and challenge global statistics, risk maps and burden estimates of human schistosomiasis. Discovery and development research pertaining to novel diagnostics and drugs forms the centrepiece of our review. We discuss unresolved issues and emerging opportunities for integrated and sustainable control of schistosomiasis and conclude with a series of research needs. Copyright © 2010 Elsevier B.V. All rights reserved.

  13. commu ity's aware ess about i testi al schistosomiasis ad the prevale

    African Journals Online (AJOL)

    user

    on what the community knows about the infection and socio-cultural factors that influence community's perception about the disease, to make the control of schistosomiasis more effective and sustainable in endemic areas (6-12). In Ethiopia, a number of epidemiological studies showed that intestinal schistosomiasis due to ...

  14. The protective potentials of 4-chloro-3, 5-xylenol (Dettol) against Mansonian schistosomiasis.

    Science.gov (United States)

    Edungbola, L D

    1980-01-01

    Laboratory tests were conducted to determine the prophylactic effectiveness of 4-chloro-3, 5-xylenol (Dettol) against mammalian schistosomiasis. The findings showed that this antiseptic was capable of protecting the albino mice against Mansonian schistosomiasis and of acting as an effective miracidicide, cercaricide and molluscicide.

  15. How to Assess the Biomechanical Risk Levels in Beekeeping.

    Science.gov (United States)

    Maina, G; Rossi, F; Baracco, A

    2016-01-01

    Beekeepers are at particular risk of developing work-related musculoskeletal disorders, but many of the studies lack detailed exposure assessment. To evaluate the biomechanical overload exposure in a specific farming activity, a multitasking model has been developed through the characterization of 37 basic operational tasks typical of the beekeeping activity. The Occupational Repetitive Actions (OCRA) Checklist and the National Institute for Occupational Safety and Health (NIOSH) Lifting Index methodologies have been applied to these elementary tasks to evaluate the exposure, and the resulting risk indices have been time-weighted averaged. Finally, an easy access, computer-assisted toolkit has been developed to help the beekeepers in the biomechanical risk assessment process. The risk of biomechanical overload for the upper limbs ranges from acceptable (maintenance and recovery of woody material and honey packaging with dosing machine tasks) to high (distribution of the top supers) risk level. The risk for back injury is always borderline in women and increases with exposure time, whereas it ranges from acceptable to borderline in men. The definition of the biomechanical risk levels allows for planning of corrective actions aimed at preventing and reducing the risk of musculoskeletal disorders through engineering, administrative, and behavioral interventions. The methodology can be used for risk assessment in other mainly manual agricultural activities.

  16. Thoracic hyperkyphosis: assessment of the distal fusion level.

    Science.gov (United States)

    Lundine, Kristopher; Turner, Peter; Johnson, Michael

    2012-06-01

    Study Design This is a retrospective study. Objective The objective of this study was to assess the sagittal stable vertebra (SSV) versus the first lordotic vertebra (FLV) as the inferior fusion level in patients undergoing spinal surgery for thoracic hyperkyphosis. The main outcome of interest was the development of distal junctional kyphosis (DJK). Summary of Background Data Prior research has pointed to selection of the FLV for the distal instrumentation level in fusion for thoracic hyperkyphosis. In 2009, Cho et al introduced the concept of the SSV after recognizing the development of DJK despite fusion to the FLV. Methods Patients were reviewed who had undergone spinal fusion for thoracic hyperkyphosis. Preoperative radiographs were reviewed to assess thoracic kyphosis, lumbar lordosis, SSV, and FLV. Postoperative radiographs were reviewed to assess curve correction and whether patients developed DJK or implant failure. Results We reviewed 22 patients with a mean age at surgery of 18 (range 14 to 22). Mean preoperative kyphosis was 85 ± 14 degrees, and mean postoperative kyphosis at final follow-up was 59 ± 12 degrees for a mean correction of 26 ± 12 degrees. Eleven patients developed DJK and four patients experienced hardware failure. In 12 patients, the SSV was inferior to the FLV. Rates of DJK when the instrumentation included the SSV or FLV were 13 and 38%, respectively. Conclusions Fusion to the SSV is superior at preventing DJK when compared with fusion to the FLV.

  17. Bioprinting: an assessment based on manufacturing readiness levels.

    Science.gov (United States)

    Wu, Changsheng; Wang, Ben; Zhang, Chuck; Wysk, Richard A; Chen, Yi-Wen

    2017-05-01

    Over the last decade, bioprinting has emerged as a promising technology in the fields of tissue engineering and regenerative medicine. With recent advances in additive manufacturing, bioprinting is poised to provide patient-specific therapies and new approaches for tissue and organ studies, drug discoveries and even food manufacturing. Manufacturing Readiness Level (MRL) is a method that has been applied to assess manufacturing maturity and to identify risks and gaps in technology-manufacturing transitions. Technology Readiness Level (TRL) is used to evaluate the maturity of a technology. This paper reviews recent advances in bioprinting following the MRL scheme and addresses corresponding MRL levels of engineering challenges and gaps associated with the translation of bioprinting from lab-bench experiments to ultimate full-scale manufacturing of tissues and organs. According to our step-by-step TRL and MRL assessment, after years of rigorous investigation by the biotechnology community, bioprinting is on the cusp of entering the translational phase where laboratory research practices can be scaled up into manufacturing products specifically designed for individual patients.

  18. Objectively assessed physical activity levels in Spanish cancer survivors.

    Science.gov (United States)

    Ruiz-Casado, Ana; Verdugo, Ana Soria; Solano, María J Ortega; Aldazabal, Itziar Pagola; Fiuza-Luces, Carmen; Alejo, Lidia Brea; del Hierro, Julio R Padilla; Palomo, Isabel; Aguado-Arroyo, Oscar; Garatachea, Nuria; Cebolla, Héctor; Lucia, Alejandro

    2014-01-01

    To objectively assess physical activity (PA) levels in a cohort of Spanish cancer survivors. Descriptive, cross-sectional. The Hospital Universitario de Fuenlabrada and two healthcare centers in Madrid, Spain. 204 cancer survivors and 115 adults with no history of cancer. Participants wore a triaxial accelerometer for seven or more consecutive days to assess PA levels. Body mass index (BMI), indirect indicators of adiposity (waist circumference, waist-to-hip ratio), and cardiorespiratory fitness also were determined. Light, moderate, vigorous, and total PA (sum of the former). Most (94%) of the cancer survivors met international recommendations for moderate PA, but very few (3%) fulfilled those (75 minutes or more per week) for vigorous PA. Except for lower total (minute per day, p=0.048) and vigorous PA levels (p0.05). A high percentage of the survivors (33%) were obese (BMI greater than 30 kg/m2), and many also showed poor cardiorespiratory fitness (45% were below the 8 metabolic equivalent threshold). Although cancer survivors overall met international PA recommendations for a healthy lifestyle, their BMI and cardiorespiratory profiles were not within the healthy range. Cancer survivors need to be informed about healthy lifestyle habits and should be regularly monitored.

  19. Development of the Brazilian anti Schistosomiasis vaccine based on the recombinant FABP Sm14 +GLA-SE

    Directory of Open Access Journals (Sweden)

    Miriam eTendler

    2015-05-01

    Full Text Available Data herein reported and discussed refer to vaccination with the recombinant Fatty Acid Binding protein family member of the Schistosomes, called Sm14, discovered and developed under a Brazilian platform leaded by the Oswaldo Cruz Foundation, from the Health Ministry in Brazil, undertaken to assess safety and immunogenicity in healthy volunteers. This paper reviews past and recent outcomes of developmental phases of the Sm14 based anti Schistosomiasis vaccine addressed to, ultimately, impact transmission of the second most prevalent parasitic endemic disease worldwide.

  20. Persistent Transmission of Schistosomiasis in Southwest Nigeria: Contexts of Culture and Contact with Infected River Water.

    Science.gov (United States)

    Olorunlana, Adetayo; Jegede, Ayodele Samuel; Morenikeji, Olajumoke; Hassan, Adesola A; Nwuba, Roseangela I; Anumudu, Chiaka I; Salawu, Oyetunde T; Odaibo, Alexander B

    2016-01-01

    Transmission of schistosomiasis is aided by human behaviour. Globally, about 800 million people are at risk of schistosomiasis infection. Data exist on biomedical understanding of the disease transmission; there is a dearth of information from the social science perspective. Hence, this study explored the social and cultural context of schistosomiasis transmission among Yewa People in Nigeria. Qualitative methods were employed with purposive sampling, using the key informant interviews and focus group discussions, among 57 participants aged 17 to 54 years. The data were content-analyzed. River water was the most reported source of water supply among others. Participants drew from the cultural milieu the use of river water for "drinking" and "swimming" as part of the continual transmission of schistosomiasis. Transmission of schistosomiasis may not be abated without behavioural change.

  1. Proportion of Urinary Schistosomiasis among HIV-Infected Subjects in Benin City, Nigeria

    Directory of Open Access Journals (Sweden)

    Akinbo Frederick Olusegun

    2011-05-01

    Full Text Available Objectives: This study aimed to determine the prevalence of urinary schistosomiasis, and the effect of CD4+ T cell counts and demographics on its prevalence among HIV-positive patients in Benin City, Nigeria.Methods: Urine and blood samples were collected from 2000 HIV-positive subjects. A wet preparation of the urine deposit was examined microscopically to identify ova of Schistosoma haematobium. The blood specimens were analyzed using the flow cytometry for CD4 + T-lymphocyte count.Results: An overall prevalence rate of 0.3% was reported. Gender and CD4 count <200 cells/µL did not affect the prevalence of urinary schistosomiasis, while HIV patients that were single had significantly higher prevalence of urinary schistosomiasis (p=0.002.Conclusion: The prevalence of urinary schistosomiasis among HIV patients in Benin City is low. CD4+ count did not affect the prevalence of urinary schistosomiasis.

  2. [Research of preferences and security management of tourists in Poyang Lake based on schistosomiasis prevention].

    Science.gov (United States)

    Feng, Shu-hua

    2015-04-01

    To discuss the prevention of schistosomiasis in tourism of lake region. The seasonal distribution of tourism activities and spatial distribution of scenic spots, as well as the coupling between space and temporal of Oncomelania snail distribution and the transmission time of schistosomiasis in Poyang Lake region were analyzed. The travel preference of schistosomiasis susceptible population was surveyed by questionnaires and interviews. There were couplings of space and temporal between tourism activities in Poyang Lake region and transmission time of schistosomiasis as well as space distribution of snails, respectively. The most popular tourism items were Shuishangrenjia (overwater household) and fishing folk culture with property of participation and experience. The suggestion is to establish health records of tourists, carry out health education of schistosomiasis, and enhance the management of tourism and activities of tourists.

  3. Reduction of Urogenital Schistosomiasis with an Integrated Control Project in Sudan

    Science.gov (United States)

    Lee, Young-Ha; Jeong, Hoo Gn; Kong, Woo Hyun; Lee, Soon-Hyung; Cho, Han-Ik; Nam, Hae-Sung; Ismail, Hassan Ahmed Hassan Ahmed; Alla, Gibril Nouman Abd; Oh, Chung Hyeon; Hong, Sung-Tae

    2015-01-01

    Purpose Schistosomiasis remains a major public health concern in Sudan, particularly Schistosoma haematobium infection. This study presents the disease-reduction outcomes of an integrated control program for schistosomiasis in Al Jabalain locality of White Nile State, Sudan from 2009 through 2011. Methods The total population of the project sites was 482,902, and the major target group for intervention among them was 78,615 primary school students. For the cross-sectional study of the prevalence, urine and stool specimens were examined using the urine sedimentation method and the Kato cellophane thick smear method, respectively. To assess the impacts of health education for students and a drinking water supply facility at Al Hidaib village, questionnaire survey was done. Results The overall prevalence for S. haematobium and S. mansoni at baseline was 28.5% and 0.4%, respectively. At follow-up survey after 6–9 months post-treatment, the prevalence of S. haematobium infection was reduced to 13.5% (95% CI = 0.331–0.462). A higher reduction in prevalence was observed among girls, those with moderately infected status (around 20%), and residents in rural areas, than among boys, those with high prevalence (>40%), and residents in urban areas. After health education, increased awareness about schistosomiasis was checked by questionnaire survey. Also, a drinking water facility was constructed at Al Hidaib village, where infection rate was reduced more compared to that in a neighboring village within the same unit. However, we found no significant change in the prevalence of S. mansoni infection between baseline and follow-up survey (95% CI = 0.933–6.891). Conclusions At the end of the project, the prevalence of S. haematobium infection was reduced by more than 50% in comparison with the baseline rate. Approximately 200,000 subjects had received either praziquantel therapy, health education, or supply of clean water. To consolidate the achievements of this

  4. Task-Level vs. Segment-Level Quantitative Metrics for Surgical Skill Assessment.

    Science.gov (United States)

    Vedula, S Swaroop; Malpani, Anand; Ahmidi, Narges; Khudanpur, Sanjeev; Hager, Gregory; Chen, Chi Chiung Grace

    2016-01-01

    Task-level metrics of time and motion efficiency are valid measures of surgical technical skill. Metrics may be computed for segments (maneuvers and gestures) within a task after hierarchical task decomposition. Our objective was to compare task-level and segment (maneuver and gesture)-level metrics for surgical technical skill assessment. Our analyses include predictive modeling using data from a prospective cohort study. We used a hierarchical semantic vocabulary to segment a simple surgical task of passing a needle across an incision and tying a surgeon's knot into maneuvers and gestures. We computed time, path length, and movements for the task, maneuvers, and gestures using tool motion data. We fit logistic regression models to predict experience-based skill using the quantitative metrics. We compared the area under a receiver operating characteristic curve (AUC) for task-level, maneuver-level, and gesture-level models. Robotic surgical skills training laboratory. In total, 4 faculty surgeons with experience in robotic surgery and 14 trainee surgeons with no or minimal experience in robotic surgery. Experts performed the task in shorter time (49.74s; 95% CI = 43.27-56.21 vs. 81.97; 95% CI = 69.71-94.22), with shorter path length (1.63m; 95% CI = 1.49-1.76 vs. 2.23; 95% CI = 1.91-2.56), and with fewer movements (429.25; 95% CI = 383.80-474.70 vs. 728.69; 95% CI = 631.84-825.54) than novices. Experts differed from novices on metrics for individual maneuvers and gestures. The AUCs were 0.79; 95% CI = 0.62-0.97 for task-level models, 0.78; 95% CI = 0.6-0.96 for maneuver-level models, and 0.7; 95% CI = 0.44-0.97 for gesture-level models. There was no statistically significant difference in AUC between task-level and maneuver-level (p = 0.7) or gesture-level models (p = 0.17). Maneuver-level and gesture-level metrics are discriminative of surgical skill and can be used to provide targeted feedback to surgical trainees. Copyright © 2016 Association of Program

  5. Safety and Immunogenicity of rSh28GST Antigen in Humans: Phase 1 Randomized Clinical Study of a Vaccine Candidate against Urinary Schistosomiasis

    OpenAIRE

    Gilles Riveau; Dominique Deplanque; Franck Remoué; Anne-Marie Schacht; Hubert Vodougnon; Monique Capron; Michel Thiry; Joseph Martial; Christian Libersa; André Capron

    2012-01-01

    Background Treatment of urinary schistosomiasis by chemotherapy remains challenging due to rapid re-infection and possibly to limited susceptibility to praziquantel treatment. Therefore, therapeutic vaccines represent an attractive alternative control strategy. The objectives of this study were to assess the safety and tolerability profile of the recombinant 28 kDa glutathione S-transferase of Schistosoma haematobium (rSh28GST) in healthy volunteers, and to determine its immunogenicity. Metho...

  6. An assessment ofvitamin D serum levels in allergic children

    Directory of Open Access Journals (Sweden)

    Agnieszka Rustecka

    2016-03-01

    Full Text Available In recent years, there has been a worldwide increase in the incidence of allergy, particularly in the paediatric population. The most common allergic conditions include asthma, allergic rhinitis, allergic conjunctivitis, atopic dermatitis, food allergies and urticaria. There are a number of publications showing the importance of serum vitamin D levels in atopic diseases. The effects of vitamin D on the balance between Th1 and Th2 lymphocyte-mediated immune response as well as the antiinflammatory effects by limiting TNF-α overproduction are emphasised. The role of vitamin D in the formation of natural endogenous antibiotics and antimicrobials, such as defensins and cathelicidins, is also known. Aim of the study: The aim of the study was to assess serum vitamin D levels in allergic children. Material and methods: Children diagnosed with allergy and/or monitored for atopic disease as well as children with recurrent respiratory infections were included in the study. The children were diagnosed and treated at the Department of Paediatrics, Paediatric Nephrology and Allergology of the Military Institute of Medicine in the period from September 2011 to August 2013. A total of 60 children were qualified to a group with allergy diagnosis (group I, and 49 children formed a group with recurrent respiratory infections (group II. Vitamin D levels were measured in 109 children aged from 2 months to 18 years. Results: Low levels of vitamin D (below the normal limit were shown in both paediatric groups. No statistically significant (p = 0.25 effects of the season on vitamin D levels were found in the whole evaluated population of children. A statistically significant (p < 0.0001 negative correlation was shown between vitamin D serum levels and the age of the assessed children (vitamin D levels decreased with age.

  7. Assessment of Communication Skills Level among Healthcare Practitioners

    Directory of Open Access Journals (Sweden)

    M. Barati

    2012-04-01

    Full Text Available Introduction & Objective: Communication skills are the most important characteristics for healthcare providers. The aim of this study was to assess communication skills level and its related factors among healthcare practitioners in Bahar-Hamadan.Materials & Methods: This descriptive-analytical study was carried out on 309 employees in Bahar health care system. Data-gathering tools consisted of a 3-part questionnaire: communication skills level measuring feedback, listening, and verbal communication. Subjects’ demographic variables such as age, gender, education level and job were also recorded. The obtained data was analyzed by means of the statistical software SPSS-13 using coefficient correlation, liner regression, t-test, and One-way Anova.Results: The subjects reported 62.2, 57.1, and 60.2% of receivable scores of verbal, listening, and feedback communication, respectively. Overall communication skills of 27.8% of the participants were evaluated at the desired level. Significant differences were observed in average score of communication skills related to age, gender, education degree, employment status, workhouse, and experience (P<0.05. In liner regression, factors influencing communication skills were age, gender, and education degree (P< 0.05.Conclusion: The results reveal that the communication skills of more than half of the medical practitioners are weak and moderate. It is recommended to design some program to improve medical practitioners' communication skills. (Sci J Hamadan Univ Med Sci 2012;19(1:62-69

  8. A Fasciola hepatica-derived fatty acid binding protein induces protection against schistosomiasis caused by Schistosoma bovis using the adjuvant adaptation (ADAD) vaccination system.

    Science.gov (United States)

    Vicente, Belén; López-Abán, Julio; Rojas-Caraballo, José; Pérez del Villar, Luis; Hillyer, George V; Martínez-Fernández, Antonio R; Muro, Antonio

    2014-10-01

    Several efforts have been made to identify anti-schistosomiasis vaccine candidates and new vaccination systems. The fatty acid binding protein (FAPB) has been shown to induce a high level of protection in trematode infection. The adjuvant adaptation (ADAD) vaccination system was used in this study, including recombinant FABP, a natural immunomodulator and saponins. Mice immunised with the ADAD system were able to up-regulate proinflammatory cytokines (IL-1 and IL-6) and induce high IgG2a levels. Moreover, there was a significant reduction in worm burden, egg liver and hepatic lesion in vaccinated mice in two independent experiments involving Schistosoma bovis infected mice. The foregoing data shows that ADAD system using FABP provide a good alternative for triggering an effective immune response against animal schistosomiasis. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. Assessment of soy aeroallergen levels in different work environments.

    Science.gov (United States)

    Gómez-Ollés, S; Cruz, M J; Bogdanovic, J; Wouters, I M; Doekes, G; Sander, I; Morell, F; Rodrigo, M J

    2007-12-01

    Airborne soybean hull proteins are known causes of asthma epidemics around harbours and soy processing plants. Soy flour dust proteins may cause occupational allergy in food and feed industries. To compare enzyme immunoassays (EIAs) for soy hull and soy flour aeroallergens, exposure assessment in various work environments. Airborne dust samples (n=324) from soy unloading and/or processing plants, the animal feed industry and pig stables were analysed by two soy flour assays: one assay for measuring complete soy hull proteins and two assays for measuring the purified low-molecular-weight (LMW) soy hull allergens. Immunoblotting confirmed strong differences between antibody specificities and soy preparations. The results of the two soy flour assays and the assay for measuring complete soy hull proteins were highly correlated (r>0.85). The two LMW soy hull assays also showed a strong mutual correlation (r=0.91), but much less correlation with assays for measuring soy flour and complete soy hull. The levels of LMW soy hull proteins were the highest at sites of soybean unloading or processing, while soy flour levels were particularly high in the soy and animal feed industry. The optimal EIA procedure for soy aeroallergen exposure assessment depends on the type of work environment and the local soy dust composition. Thus, the type of work environment should always be taken into account in future soy allergy studies in order to prevent a possible underestimation of the workers' actual risk of developing soy allergy.

  10. STUDI KEBIJAKAN PENGENDALIAN SCHISTOSOMIASIS DI KABUPATEN POSO DAN KABUPATEN SIGI PROVINSI SULAWESI TENGAH TAHUN 2012

    Directory of Open Access Journals (Sweden)

    Ahmad Erlan

    2014-05-01

    Full Text Available AbstrakSchistosomiasis merupakan salah satu penyakit parasit terpenting dalam kesehatan masyarakat. Di Indonesiaschistosomiasis disebabkan oleh cacing Schistosoma japonicum dengan hospes perantara keong Oncomelaniahupensis lindoensis. Penyakit ini hanya ditemukan di Provinsi Sulawesi Tengah di dua kabupaten yaitu Kabupaten Posodan Sigi. Selama ini pengendalian yang dilakukan masih bersifat rutin yaitu pengobatan, survei fokus keong,pengumpulan tinja, dan pengadaan tool kit. Belum pernah dilakukan penelitian dari aspek kebijakan pemerintah daerahdalam pengendalian schistosomiasis. Penelitian ini secara umum bertujuan untuk memberikan opsi kebijakan bagipemerintah daerah dalam pengendalian schistosomiasis. Tujuan khusus yang ingin dicapai adalah menilai persepsistakeholder mengenai pengendalian schistosomiasis, menilai kebijakan yang selama ini dilakukan oleh pemerintahdaerah dalam pengendalian schistosomiasis dan merumuskan suatu opsi kebijakan. Metode penelitian yang dipakaiadalah studi kualitatif dengan wawancara mendalam kepada stakeholder di Kabupaten Poso, Kabupaten Sigi, danpemerintah daerah Provinsi Sulawesi Tengah. Penentuan sampel dilakukan secara purposive sampling dimana sampeladalah stakeholder yang berkompeten mengeluarkan kebijakan tentang pengendalian schistosomiasis. Data primerdikumpulkan dengan wawancara mendalam, sedangkan data sekunder diperoleh dengan mengumpulkan dokumendokumenyang terkait dengan kebijakan pengendalian schistosomiasis. Hasil wawancara mendalam menunjukkanbahwa pada umumnya semua stakeholder sudah tahu kalau schistosomiasis adalah penyakit spesifik lokal yang diIndonesia cuma ada di Provinsi Sulawesi Tengah, apa penyebabnya dan bagaimana cara pengendaliannya. Tindaklanjut dari surat keputusan yang sudah dikeluarkan oleh Gubernur Sulawesi Tengah yang membentuk tim terpadupengendalian schistosomiasis sampai sekarang belum ada gerakan. Satuan Kerja Perangkat Daerah (SKPD yangdiharapkan terlibat, belum tahu apa

  11. [Challenges and countermeasures for water conservancy combined with schistosomiasis prevention and control in China in new era].

    Science.gov (United States)

    Jia-Sheng, Wang; Jin-You, Lu; Feng-Yang, Min; Kong-Xian, Zhu

    2017-04-27

    The spread of schistosomiasis seriously threaten the health of people and hinder the economic and social development in China. The water conservancy combined with schistosomiasis prevention and control effectively controlled the spread of schistosomiasis by controlling the spread of Oncomelania hupensis , the only intermediate host of Schistosoma japonicum . This paper reviews the evolution of the strategy of schistosomiasis prevention and control in China and points out the historical role of water conservancy combined with schistosomiasis prevention and control. Furthermore, this article analyzes the problems and challenges of water conservancy combined with schistosomiasis prevention and control in the new period. In response to the challenges, the new strategy of water conservancy combined with schistosomiasis prevention and control is put forward, including: developing the research of the new strategy of water conservancy combined with schistosomiasis prevention and control, enhancing the research of water conservancy technology combined with schistosomiasis prevention and control, improving the efficiency and applicability of water conservancy projects combined with schistosomiasis prevention and control, strengthening the guidance of water conservancy technology combined with schistosomiasis prevention and control, and perfecting the evaluation system.

  12. Urban schistosomiasis and soil transmitted helminthiases in young school children in Dar es Salaam and Tanga, Tanzania, after a decade of anthelminthic intervention

    DEFF Research Database (Denmark)

    Mwakitalu, Mbutolwe E.; Malecela, Mwele N.; Mosha, Franklin W.

    2014-01-01

    Rapid urbanization in resource poor countries often results in expansion of unplanned settlements with overcrowding and inadequate sanitation. These conditions potentially support transmission of schistosomiasis and soil transmitted helminths (STH), but knowledge on the occurrence, transmission...... to have been accomplished by implementation of drug based intervention programs, in combination with environmental change (fewer snail habitats) and generally improved levels of hygiene. Continued efforts, including anthelminthic treatment and health education, are important to maintain these positive...

  13. The relationship between water, sanitation and schistosomiasis: a systematic review and meta-analysis.

    Directory of Open Access Journals (Sweden)

    Jack E T Grimes

    2014-12-01

    Full Text Available Access to "safe" water and "adequate" sanitation are emphasized as important measures for schistosomiasis control. Indeed, the schistosomes' lifecycles suggest that their transmission may be reduced through safe water and adequate sanitation. However, the evidence has not previously been compiled in a systematic review.We carried out a systematic review and meta-analysis of studies reporting schistosome infection rates in people who do or do not have access to safe water and adequate sanitation. PubMed, Web of Science, Embase, and the Cochrane Library were searched from inception to 31 December 2013, without restrictions on year of publication or language. Studies' titles and abstracts were screened by two independent assessors. Papers deemed of interest were read in full and appropriate studies included in the meta-analysis. Publication bias was assessed through the visual inspection of funnel plots and through Egger's test. Heterogeneity of datasets within the meta-analysis was quantified using Higgins' I2.Safe water supplies were associated with significantly lower odds of schistosomiasis (odds ratio (OR = 0.53, 95% confidence interval (CI: 0.47-0.61. Adequate sanitation was associated with lower odds of Schistosoma mansoni, (OR = 0.59, 95% CI: 0.47-0.73 and Schistosoma haematobium (OR = 0.69, 95% CI: 0.57-0.84. Included studies were mainly cross-sectional and quality was largely poor.Our systematic review and meta-analysis suggests that increasing access to safe water and adequate sanitation are important measures to reduce the odds of schistosome infection. However, most of the studies were observational and quality was poor. Hence, there is a pressing need for adequately powered cluster randomized trials comparing schistosome infection risk with access to safe water and adequate sanitation, more studies which rigorously define water and sanitation, and new research on the relationships between water, sanitation, hygiene, human

  14. The relationship between water, sanitation and schistosomiasis: a systematic review and meta-analysis.

    Science.gov (United States)

    Grimes, Jack E T; Croll, David; Harrison, Wendy E; Utzinger, Jürg; Freeman, Matthew C; Templeton, Michael R

    2014-12-01

    Access to "safe" water and "adequate" sanitation are emphasized as important measures for schistosomiasis control. Indeed, the schistosomes' lifecycles suggest that their transmission may be reduced through safe water and adequate sanitation. However, the evidence has not previously been compiled in a systematic review. We carried out a systematic review and meta-analysis of studies reporting schistosome infection rates in people who do or do not have access to safe water and adequate sanitation. PubMed, Web of Science, Embase, and the Cochrane Library were searched from inception to 31 December 2013, without restrictions on year of publication or language. Studies' titles and abstracts were screened by two independent assessors. Papers deemed of interest were read in full and appropriate studies included in the meta-analysis. Publication bias was assessed through the visual inspection of funnel plots and through Egger's test. Heterogeneity of datasets within the meta-analysis was quantified using Higgins' I2. Safe water supplies were associated with significantly lower odds of schistosomiasis (odds ratio (OR) = 0.53, 95% confidence interval (CI): 0.47-0.61). Adequate sanitation was associated with lower odds of Schistosoma mansoni, (OR = 0.59, 95% CI: 0.47-0.73) and Schistosoma haematobium (OR = 0.69, 95% CI: 0.57-0.84). Included studies were mainly cross-sectional and quality was largely poor. Our systematic review and meta-analysis suggests that increasing access to safe water and adequate sanitation are important measures to reduce the odds of schistosome infection. However, most of the studies were observational and quality was poor. Hence, there is a pressing need for adequately powered cluster randomized trials comparing schistosome infection risk with access to safe water and adequate sanitation, more studies which rigorously define water and sanitation, and new research on the relationships between water, sanitation, hygiene, human behavior

  15. Novel Therapeutic and Prevention Approaches for Schistosomiasis: Review

    Directory of Open Access Journals (Sweden)

    Rashika A.F. El Ridi

    2013-09-01

    Full Text Available Schistosomiasis is a debilitating disease affecting approximately 600 million people in 74 developing countries, with 800 million, mostly children at risk. To circumvent the threat of having praziquantel (PZQ as the only drug used for treatment, several PZQ derivatives were synthesized, and drugs destined for other parasites were used with success. A plethora of plant-derived oils and extracts were found to effectively kill juvenile and adult schistosomes, yet none was progressed to pre- and clinical studies except an oleo-gum resin extracted from the stem of Commiphora molmol, myrrh, which action was challenged in several trials. We have proposed an essential fatty acid, a component of our diet and cells, the polyunsaturated fatty acid arachidonic acid (ARA as a remedy for schistosomiasis, due to its ability to activate the parasite tegument-bound neutral sphingomyelinase, with subsequent hydrolysis of the apical lipid bilayer sphingomyelin molecules, allowing access of specific antibody molecules, and eventual worm attrition. This concept was convincingly supported using larval and adult Schistosoma mansoni and Schistosoma haematobium worms in in vitro experiments, and in vivo studies in inbred mice and outbred hamsters. Even if ARA proves to be an entirely effective and safe therapy for schistosomiasis, it will not prevent reinfection, and accordingly, the need for developing an effective vaccine remains an urgent priority. Our studies have supported the status of S. mansoni calpain, glutathione-S-transferase, aldolase, triose phosphate isomerase, glyceraldehyde 3-phosphate dehydrogenase, enolase, and 2-cys peroxiredoxin as vaccine candidates, as they are larval excreted-secreted products and, contrary to the surface membrane molecules, are entirely accessible to the host immune system effector elements. We have proposed that the use of these molecules, in conjunction with Th2 cytokines-inducing adjuvants for recruiting and activating

  16. Impaired Lymphocyte Profile in Schistosomiasis Patients with Periportal Fibrosis

    Directory of Open Access Journals (Sweden)

    Luciana Santos Cardoso

    2013-01-01

    Full Text Available The Th2 immune response in chronic schistosomiasis is associated with the development of periportal fibrosis. However, little is known about the phenotype and activation status of T cells in the process. Objective. To evaluate the profile of T cells in schistosomiasis patients with periportal fibrosis. Methods. It was a cross-sectional study, conducted in the village of Agua Preta, Bahia, Brazil, which included 37 subjects with periportal fibrosis determined by ultrasound. Peripheral blood mononuclear cells were obtained by the Ficcol-hypaque gradient and the frequency of T cells expressing the surface markers CD28, CD69, CD25, and CTLA-4 was determined by flow cytometry. Results. The frequency of CD4+CD28+ T lymphocytes was higher in individuals with moderate to severe fibrosis compared to patients with incipient fibrosis. We did not observe any significant difference in the frequency of CD4+ T cells expressing CD69 among groups of individuals. There was also no significant difference in the frequency of CD8+ T cells expressing CD28 or CD69 among the studied groups. Individuals with moderate to severe fibrosis presented a lower frequency of CD8+ T cells, CD4+CD25high T cells, and CD4+CTLA-4+ T cells when compared to patients without fibrosis or incipient fibrosis. The frequency of CD4+CD25low cells did not differ between groups. Conclusion. The high frequency of activated T cells coinciding with a low frequency of putative Treg cells may account for the development of periportal fibrosis in human schistosomiasis.

  17. Human schistosomiasis mansoni: studies on in vitro granuloma modulation

    Directory of Open Access Journals (Sweden)

    Juçara C. Parra

    1992-01-01

    Full Text Available Infection with Schistosoma mansoni induces humoral and T cell mediated responses and leads to delayed hipersensitivity that results in granulomatous inflamatory disease around the parasite eggs. Regulation of these responses resulting in a reduction in this anti-egg inflamatory disease is appsrently determined by idiotypic repertoires of the patient, associated with genetic background and multiple external factors. We have previously reported on idiotype/anti-idiotype-receptor transactions in clinical human schistosomiasis. These findings support a hypothesis that anti-SEA cross-reactive idiotypes develop in some patients during the course of a chronic infection and participate in regulation of anti-SEA cellular immune responses. We repport here on experiments wich extend those observations to the regulation of granulomatous hypersensitivity measured by an in vitro granuloma model. T cells from chronic intestinal schistosomiasis patients were stimulated in vitro with anti-SEA idiotypes and assayed in an autologous in vitro granuloma assay for modulation of granuloma formation. These anti-SEA idiotype reactive T cells were capable of regulating autologous in vitro granuloma formation. This regulatory activity, initiated with stimulatory anti-SEA idiotypic antibodies, was antigenically specific and was dependent on the present of intact (F(ab'2 immunoglobulin molecules. The ability to elicit this regulatory activity appears to be dose dependent and is more easily demonstrated in chronically infected intestinal patients or SEA sensitized individuals. These data support the hypothesis that anti-SEA cross reactive idiotypes are important in regulating granulomatous hypersensitivy in chronic intestinal schistosomiasis patients and these cross-reactive idiotypes appear to play a major role in cell-cell interactions which result in the regulation of anti-SEA cellular immune responses.

  18. Specific schistosomiasis treatment as a strategy for disease control

    Directory of Open Access Journals (Sweden)

    José Rodrigues Coura

    2010-07-01

    Full Text Available The great hope for schistosomiasis treatment began with the development of oxamniquine and praziquantel. These drugs can be administered orally in a single dose and have a high curative power with minor side effects. In this study, we carried out a field experiment involving a population of 3,782 people. The population was examined at four localities in Minas Gerais within the valleys of the Doce and Jequitinhonha Rivers. In this cohort, there were 1,790 patients infected with Schistosoma mansoni (47.3% and we showed that only 1,403 (78.4% could be treated with oxamniquine in a single dose of 12.5-20 mg/kg orally. The other 387 (21.6% were not treated during the first stage because of contraindications (pregnancy or impeditive diseases, absences or refusals. It was observed that, on average, 8.8-17% of the infected patients continued to excrete S. mansoni eggs at the end of the 2nd month after treatment and 30-32% of the cohort was infected by the end of the 24th month. In one of the areas that we followed-up for a total of 30 years, the prevalence of the infection with S. mansoni fell from 60.8-19.3% and the hepatosplenic form of the disease dropped from 5.8-1.3%. We conclude that specific treatment of schistosomiasis reduces the prevalence of infection in the short-term and the morbidity due to schistosomiasis in medium to long-term time frames, but does not help to control disease transmission.

  19. The spatial and seasonal distribution of Bulinus truncatus, Bulinus forskalii and Biomphalaria pfeifferi, the intermediate host snails of schistosomiasis, in N’Djamena, Chad

    Directory of Open Access Journals (Sweden)

    Wendelin Moser

    2014-11-01

    Full Text Available There is a paucity of epidemiological and malacological data pertaining to schistosomiasis in Chad. In view of a recently articulated elimination agenda, a deeper understanding of the spatio-temporal distribution of schistosomiasis inter- mediate host snails is pivotal. We conducted cross-sectional malacological surveys during the dry season (April/May 2013 and after the short rainy season (October 2013 in N’Djamena, the capital of Chad. Snails were identified at the genus and species level using morphological keys and molecular DNA barcoding approaches. Those belonging to Bulinus and Biomphalaria were examined for cercarial shedding. Snail habitats were characterised and their predictive potential for the presence of schistosomiasis intermediate host snails explored. Seasonal patterns were studied using geographical information system and kriging in order to interpolate snail abundance data to make predictions at non-sampled locations across N’Djamena. Overall, 413 Bulinus truncatus, 369 Bulinus forskalii and 108 Biomphalaria pfeifferi snails were collected and subjected to cercarial shedding. During the dry season, one Bu. truncatus of 119 snails collected shed Schistosoma spp. cer- cariae (0.84%, while S. mansoni was shed by one of 108 Bi. pfeifferi snails (0.93%. None of the snails collected after the rainy season shed Schistosoma spp. cercariae. The abundance of Bu. truncatus and Bu. forskalii showed an inverse U-shape relationship with the square term of conductivity, i.e. low abundance at the lowest and highest levels of conductivity and high abundance at intermediate levels. Bi. pfeifferi showed a negative, linear association with pH in the dry seasons. It is planned to link these intermediate host snail data to infection data in human populations with the goal to draw a predictive risk map that can be utilised for control and elimination of schistosomiasis in N’Djamena.

  20. [Investigations and review of literature relating to carcinogenesis. I. Communication: Cancer from asbestos, schistosomiasis, and cicatrization (author's transl)].

    Science.gov (United States)

    Brand, G; Brand, I

    1980-06-01

    scar-cancer in man. (Common factors of promotion; differences regarding induction mechanisms, cells of origin, latencies, frequencies; immune defense). Consequences for prevention: Asbestos cancer. - Fiber cancer. - Schistosomiasis cancer. - Foreign body cancer (assessing the peril in man; testing of materials for carcinogenicity; recommendations).

  1. Potential cost-effectiveness of schistosomiasis treatment for reducing HIV transmission in Africa--the case of Zimbabwean women.

    Directory of Open Access Journals (Sweden)

    Martial L Ndeffo Mbah

    Full Text Available Epidemiological data from Zimbabwe suggests that genital infection with Schistosoma haematobium may increase the risk of HIV infection in young women. Therefore, the treatment of Schistosoma haematobium with praziquantel could be a potential strategy for reducing HIV infection. Here we assess the potential cost-effectiveness of praziquantel as a novel intervention strategy against HIV infection.We developed a mathematical model of female genital schistosomiasis (FGS and HIV infections in Zimbabwe that we fitted to cross-sectional data of FGS and HIV prevalence of 1999. We validated our epidemic projections using antenatal clinic data on HIV prevalence. We simulated annual praziquantel administration to school-age children. We then used these model predictions to perform a cost-effectiveness analysis of annual administration of praziquantel as a potential measure to reduce the burden of HIV in sub-Saharan Africa.We showed that for a variation of efficacy between 30-70% of mass praziquantel administration for reducing the enhanced risk of HIV transmission per sexual act due to FGS, annual administration of praziquantel to school-age children in Zimbabwe could result in net savings of US$16-101 million compared with no mass treatment of schistosomiasis over a ten-year period. For a variation in efficacy between 30-70% of mass praziquantel administration for reducing the acquisition of FGS, annual administration of praziquantel to school-age children could result in net savings of US$36-92 million over a ten-year period.In addition to reducing schistosomiasis burden, mass praziquantel administration may be a highly cost-effective way of reducing HIV infections in sub-Saharan Africa. Program costs per case of HIV averted are similar to, and under some conditions much better than, other interventions that are currently implemented in Africa to reduce HIV transmission. As a cost-saving strategy, mass praziquantel administration should be prioritized

  2. Surgical hepatosplenic mansonic schistosomiasis in adolescents: repercussions of the post-treatment schistosomotic burden on the hepatic functional reserve

    Directory of Open Access Journals (Sweden)

    Carlos Teixeira Brandt

    2001-09-01

    Full Text Available Schistosomiasis mansoni affects the hepatic functional reserve. Clinical treatment with oxamniquine is not 100% effective and there has been found strain of this parasite resistant to this drug. The aims of this investigation were: (1 to examine the presence of residual parasite burden after medical and surgical treatment on adolescents with surgical schistosomiasis mansoni and (2 to assess the effect on the hepatic functional reserve in patients with and without residual infection. Twenty nine children with hepatosplenic schistosomiasis mansoni and bleeding esophageal varices were treated with oxamniquine. They underwent splenectomy, ligature of the left gastric vein and autologous implantation of spleen tissue into the greater omentum. After a mean post-operative follow up of five years they underwent rectal biopsy for schistosomotic egg search. They were divided in patients with and without infection. In 20 patients the submucosal egg search was negative, however, in 9 it was positive. The hepatic functional reserve in the patients without infection was as follows: 17 were Child-Pugh A and 3 Child-Pugh B. In the patients who were still infected 6 were Child-Pugh A and 3 Child-Pugh B. The chi2 analysis of the hepatic functional reserve showed chi2 = 3.19 - p= 0.07. From the results the following conclusion can be drawn: residual infection or reinfection in the follow up period had not interfered with the distribution of the hepatic functional reserve of the patients in this series. However, there was a trend for a decrease of this parameter in patients with residual infection.

  3. Saliva: A tool in assessing glucose levels in Diabetes Mellitus.

    Science.gov (United States)

    Satish, B N V S; Srikala, P; Maharudrappa, B; Awanti, Sharanabasappa M; Kumar, Prashant; Hugar, Deepa

    2014-04-01

    Diabetes mellitus is a metabolic disorder affecting people worldwide, which require constant monitoring of their glucose levels. Commonly employed procedures include collection of blood or urine samples causing discomfort to the patients. Hence the need for an alternative non invasive technique is required to monitor glucose levels. Saliva present in the oral cavity not only maintains the health of the oral cavity but plays a important role in diagnosis of cancers of the oral cavity, periodontal diseases, HIV, heart diseases etc. The aim of the present study was undertaken to correlate the glucose levels in saliva and blood of diabetic and healthy non diabetic individuals and to determine the efficacy of saliva as a diagnostic tool. A total of 30 individuals of which 20 patients were diabetic patients and on medication and 10 patients were healthy non diabetic individuals were included in the study. Blood and saliva were collected under resting conditions and were subjected to glucose estimation. Salivary and blood glucose concentrations were determined in non diabetic healthy individuals (n=10) and Type II Diabetes mellitus patients (n=20). Glycosylated haemoglobin A1c was also determined in both Type II diabetic patients and Control group and a significant correlation (r=0.73) and (r=0.46) was found between HbA1c and serum glucose concentrations in diabetic and control group respectively. A significant correlation (r=0.54) and (r=0.45) was found between fasting blood glucose and fasting salivary glucose for diabetic group and control group respectively. A positive correlation (r=0.39) and (r=0.38) was found between fasting salivary glucose and HbA1c for diabetic and control group respectively. These findings suggest that the saliva can be used in the assessment of the blood glucose concentration in diabetes mellitus patients. How to cite the article: Satish BN, Srikala P, Maharudrappa B, Awanti M, Kumar P, Hugar D. Saliva: A tool in assessing glucose levels in

  4. Induction and regulation of pathogenic Th17 cell responses in schistosomiasis.

    Science.gov (United States)

    Larkin, Bridget M; Smith, Patrick M; Ponichtera, Holly E; Shainheit, Mara G; Rutitzky, Laura I; Stadecker, Miguel J

    2012-11-01

    Schistosomiasis is a major tropical disease caused by trematode helminths in which the host mounts a pathogenic immune response against tissue-trapped parasite eggs. The immunopathology consists of egg antigen-specific CD4 T cell-mediated granulomatous inflammation that varies greatly in magnitude in humans and among mouse strains in an experimental model. New evidence, covered in this review, intimately ties the development of severe pathology to IL-17-producing CD4 T helper (Th17) cells, a finding that adds a new dimension to the traditional CD4 Th1 vs. Th2 cell paradigm. Most examined mouse strains, in fact, develop severe immunopathology with substantial Th17 as well as Th1 and Th2 cell responses; a solely Th2-polarized response is an exception that is only observed in low-pathology strains such as the C57BL/6. The ability to mount pathogenic Th17 cell responses is genetically determined and depends on the production of IL-23 and IL-1β by antigen presenting cells following recognition of egg antigens; analyses of several F2 progenies of (high × low)-pathology strain crosses demonstrated that quantitative trait loci governing IL-17 levels and disease severity vary substantially from cross to cross. Low pathology is dominant, which may explain the low incidence of severe disease in humans; however, coinfection with intestinal nematodes can also dampen pathogenic Th17 cell responses by promoting regulatory mechanisms such as those afforded by alternatively activated macrophages and T regulatory cells. A better understanding of the pathways conducive to severe forms of schistosomiasis and their regulation should lead to interventions similar to those presently used to manage other immune-mediated diseases.

  5. County-Level Climate Uncertainty for Risk Assessments: Volume 1.

    Energy Technology Data Exchange (ETDEWEB)

    Backus, George A.; Lowry, Thomas Stephen; Jones, Shannon M; Walker, La Tonya Nicole; Roberts, Barry L; Malczynski, Leonard A.

    2017-06-01

    This report uses the CMIP5 series of climate model simulations to produce country- level uncertainty distributions for use in socioeconomic risk assessments of climate change impacts. It provides appropriate probability distributions, by month, for 169 countries and autonomous-areas on temperature, precipitation, maximum temperature, maximum wind speed, humidity, runoff, soil moisture and evaporation for the historical period (1976-2005), and for decadal time periods to 2100. It also provides historical and future distributions for the Arctic region on ice concentration, ice thickness, age of ice, and ice ridging in 15-degree longitude arc segments from the Arctic Circle to 80 degrees latitude, plus two polar semicircular regions from 80 to 90 degrees latitude. The uncertainty is meant to describe the lack of knowledge rather than imprecision in the physical simulation because the emphasis is on unfalsified risk and its use to determine potential socioeconomic impacts. The full report is contained in 27 volumes.

  6. The Potential of Molecular Diagnosis of Cutaneous Ectopic Schistosomiasis

    Science.gov (United States)

    van Dijk, Karin; Starink, Markus V.; Bart, Aldert; Nijhuis, Erik W. P.; van der Wal, Allard C.; van Thiel, Pieter P. A. M.; de Vries, Henry J. C.; van Gool, Tom

    2010-01-01

    A 28-year-old woman presented with extensive erythematous lesions on her back after visiting Malawi. Skin biopsies showed ova, which could belong to Schistosoma spp. Sequencing of the Schistosoma 28S rRNA gene, extracted and amplified from paraffin biopsies, identified DNA of Schistosoma haematobium. Cutaneous ectopic schistosomiasis can present with extensive lesions and should be considered in the differential diagnosis of skin lesions in returning travelers. Microscopy and serology are the classical methods to obtain a diagnosis. Alternatively, molecular methods can be a valuable new tool for diagnosis and species determination. PMID:20889899

  7. Assessment of stress level of forestry experts with academic education.

    Science.gov (United States)

    Landekić, Matija; Martinić, Ivan; Lovrić, Marko; Sporcić, Mario

    2011-12-01

    This paper provides the results of an applied research of forests engineers connected to their risk of mental stress occurrence in everyday work. This paper also has a component of a basic research, in which the adequacy and reliability of applied methodology in this kind of researches is examined. The mental stress induced risk is tested by usage of an e-mail survey which consists out of 23-part ERI (Effort-Reward Imbalance) questionnaire. For the assessment of mental stress exposure level following indicators have been used: 1) ERI--ratio of devoted effort and achieved reward, and 2) overcommitment. These indicators have been analyzed in comparison to the demographic parameters (gender, age) and the complexity of assigned jobs of the interviewees. The interview was applied on a randomly sampled forestry experts employed in public and private sector. The analysis of reliability of the three components of ERI questionnaire has showed satisfactory internal consistency. Descriptive statistics has been done regarding gender and the complexity of assigned jobs. The testing of the "devoted effort/achieved reward" variable (E/R index) has shown a statistically significant difference of the index value between male interviewees on managerial and standard expert positions. The value of E/R index was x > or = 1 at 18.97% of the sampled interviewees, which indicates a divergence between devoted effort and achieved reward, and also points to a possibility of mental stress occurrence risk. Multiple response tables have shown that female interviewees with less than 20 years of professional experience manifest stress related symptoms earlier than their male colleagues with similar professional experience do. Regression analysis has shown a significant correlation of E/R index to gender, internship and overcommitment. This research also assesses the viability of the applied method as an instrument of forestry experts' mental stress level determination.

  8. Urinary schistosomiasis among preschool-age children in an endemic area of Kinondoni municipality, Dar es Salaam, Tanzania 2016

    Directory of Open Access Journals (Sweden)

    Samwel Bushukatale Ng`weng`weta

    2017-03-01

    Full Text Available Objective: To examine the magnitude of Schistosoma haematobium (S. haematobium infection and the factors associated with exposure of preschool children in Kigogo Ward, Kinondoni District, Dar es Salaam. Methods: A quantitative cross-sectional survey of Class I pupils (preschool-age in 2015 was carried out from May to June 2016 to examine the prevalence and intensity of S. haematobium infection and associated factors. Urine samples were examined for haematuria, S. haematobium eggs and intensity. Parents or guardians were interviewed on their awareness and level of knowledge on urinary schistosomiasis disease (symptoms, mode of transmission, treatment and prevention, as well as their perceived risk of infection to young children. Potential sites of transmission were identified and searched for Bulinus spp., snails and the activities that exposed young children to infection were recorded. Results: A total of 424 pupils and 408 female parents or guardians were recruited. Haematuria was detected in 51 (12.0% pupils, S. haematobium eggs were observed in 8 (1.9% pupils and all were light infection. Bulinus spp., snails were identified mostly at cross-points of rivers. The large majority (91.7% of parents or guardians were aware of urinary schistosomiasis disease, but three quarter (76% did not consider it as a health problem. More than two thirds (71.3% reported that anybody could get urinary schistosomiasis; two thirds (65.9% reported that infection was likely to be acquired at cross-points of rivers. The large majority (> 90% had the notion that young children could be exposed; and all the activities that might lead a child to come into contact with potentially infested waters were judged to be risk factors. The larger majority (83.6% had a high level of knowledge on urinary schistosomiasis (transmission, symptoms, availability of modern treatment and the preventive measures, reflecting the ongoing advocacy campaigns. Conclusions: Young children left

  9. Integrated Control Strategy of Schistosomiasis in The People's Republic of China: Projects Involving Agriculture, Water Conservancy, Forestry, Sanitation and Environmental Modification.

    Science.gov (United States)

    Yang, Y; Zhou, Y-B; Song, X-X; Li, S-Z; Zhong, B; Wang, T-P; Bergquist, R; Zhou, X-N; Jiang, Q-W

    2016-01-01

    Among the three major schistosome species infecting human beings, Schistosoma japonicum is the only endemic species in The People's Republic of China. Schistosomiasis is endemic in 78 countries and regions and poses a severe threat to public health and socioeconomic development. Through more than 60years of hard work and endeavour, The People's Republic of China has made considerable achievements and reduced the morbidity and prevalence of this disease to the lowest level ever recorded, especially since the introduction of the new integrated control strategy in 2004. This review illustrates the strategies implemented by giving successful examples of schistosomiasis control from the different types of remaining endemic areas. The challenge to control or eliminate S. japonicum is analysed in order to provide useful information to policy makers and scientists. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Host regulation of liver fibroproliferative pathology during experimental schistosomiasis via interleukin-4 receptor alpha.

    Directory of Open Access Journals (Sweden)

    Justin Komguep Nono

    2017-08-01

    Full Text Available Interleukin-4 receptor (IL-4Rα is critical for the initiation of type-2 immune responses and implicated in the pathogenesis of experimental schistosomiasis. IL-4Rα mediated type-2 responses are critical for the control of pathology during acute schistosomiasis. However, type-2 responses tightly associate with fibrogranulomatous inflammation that drives host pathology during chronic schistosomiasis. To address such controversy on the role of IL-4Rα, we generated a novel inducible IL-4Rα-deficient mouse model that allows for temporal knockdown of il-4rα gene after oral administration of Tamoxifen. Interrupting IL-4Rα mediated signaling during the acute phase impaired the development of protective type-2 immune responses, leading to rapid weight loss and premature death, confirming a protective role of IL-4Rα during acute schistosomiasis. Conversely, IL-4Rα removal at the chronic phase of schistosomiasis ameliorated the pathological fibro-granulomatous pathology and reversed liver scarification without affecting the host fitness. This amelioration of the morbidity was accompanied by a reduced Th2 response and increased frequencies of FoxP3+ Tregs and CD1dhiCD5+ Bregs. Collectively, these data demonstrate that IL-4Rα mediated signaling has two opposing functions during experimental schistosomiasis depending on the stage of advancement of the disease and indicate that interrupting IL-4Rα mediated signaling is a viable therapeutic strategy to ameliorate liver fibroproliferative pathology in diseases like chronic schistosomiasis.

  11. [Gastroscopic and pathological characteristics of patients with or without schistosomiasis in Poyang Lake area].

    Science.gov (United States)

    Xiong, Jiang-Qin; Xiong, Ping-Xiang; Ning, An; Xu, Li-Ping; Hu, Mei-Ying; Yang, De-Ping; Zu, Jing; Ai, You-Sheng; Zou, Jie-Xin; Zhou, Xian-Min; Xiong, Xiao-Liang; Yang, Min

    2011-04-01

    To understand the gastroscopic and pathological characteristics of patients with miasis in Poyang Lake area, and to explore the relationship between schistosomiasis and pathological changes of gastric mucosa. Volunteers with or without schistosomiasis were recruited and divided into a case group and a control group. All the objects were examined by electronic gastroscopy and pathological examinations. Two hundred and fifty-three volunteers diagnosed with chronic or advanced schistosomiasis in the case group showed different degrees of gastric mucosal changes, including 7 cases with schistosomal eggs deposited beneath the gastric mucosa (with an incidence of 2.77%) , 33 cases with dysplastic hyperplasia and intestinal metaplasia (with an incidence of precancerous lesion of 13.04%), and 1 case with gastric cancer. While in the 200 volunteers without schistosomiasis in the control group, the results showed milder gastric mucosal changes, 33 cases were detected with dysplastic hyperplasia and intestinal metaplasia (with an incidence of 7.50%), and 1 case was diagnosed gastric cancer. The difference between the incidences of precancerous lesion in the two groups had no statistic significance (P > 0.05). The incidence and extent of gastric mucosal changes in schistosomiasis patients are higher and more serious than those in non-schistosomiasis patients, and gastrointestinal schistosomiasis is not related to gastric cancer.

  12. Current status of intestinal Schistosomiasis and soiltransmitted ...

    African Journals Online (AJOL)

    ... children and all adults considered to be at risk is required once a year until the level of infection falls below the level of public health importance. There is also a need to supplement chemotherapy with other measures such as environmental sanitation and health education to make the impact of chemotherapy sustainable.

  13. [Effect of water conservancy schistosomiasis control projects combined with molluscicide to controlOncomelania hupensissnails in rivers connecting with Yangtze River in Pukou District, Nanjing City].

    Science.gov (United States)

    Qiang, Zhou; Li-Xin, Wan; De-Rong, Hang; Qi-Hui, You; Jun, You; Yu-Lin, Zhang; Zhao-Feng, Zhu; Yi-Xin, Huang

    2017-12-07

    To evaluate the effect of the water conservancy schistosomiasis control projects combined with molluscicide to control Oncomelania hupensis snails in the rivers connecting with the Yangtze River. The water conservancy schistosomiasis control projects of Zhujiashan River, Qili River and Gaowang River were chosen as the study objects in Pukou District, Nanjing City. The data review method and field investigation were used to evaluate the effect of the water conservancy schistosomiasis control projects combined with molluscicide to control O. hupensis snails. After the projects of the water level control and concrete slope protection and mollusciciding were implemented, the snails in the project river sections were completely eliminated. The snail diffusion did not happen in the inland irrigation area too. In the outside of the river beach, though the snails still existed, the snail densities plunged below 1.0 snail per 1.0 m 2 . The comprehensive measures of the combination of water level control, concrete slope protection and mollusciciding can effectively control and eliminate the snails, and prevent the snails from spreading.

  14. Polarized Th2 like cells, in the absence of Th0 cells, are responsible for lymphocyte produced IL-4 in high IgE-producer schistosomiasis patients

    Directory of Open Access Journals (Sweden)

    Soares-Silveira Alda

    2002-07-01

    Full Text Available Abstract Background Human resistance to re-infection with S. mansoni is correlated with high levels of anti-soluble adult worm antigens (SWAP IgE. Although it has been shown that IL-4 and IL-5 are crucial in establishing IgE responses in vitro, the active in vivo production of these cytokines by T cells, and the degree of polarization of Th2 vs. Th0 in human schistosomiasis is not known. To address this question, we determined the frequency of IL-4 and IFN-γ or IL-5 and IL-2 producing lymphocytes from schistosomiasis patients with high or low levels of IgE anti-SWAP. Results Our analysis showed that high and low IgE-producers responded equally to schistosomiasis antigens as determined by proliferation. Moreover, patients from both groups displayed similar percentages of circulating lymphocytes. However, high IgE-producers had an increased percentage of activated CD4+ T cells as compared to the low IgE-producers. Moreover, intracellular cytokine analysis, after short-term stimulation with anti-CD3/CD28 mAbs, showed that IgE high-producers display an increase in the percentage of T lymphocytes expressing IL-4 and IL-5 as compared to IgE low-responders. A coordinate control of the frequency of IL-4 and IL-5 producing lymphocytes in IgE high, but not IgE low-responders, was observed. Conclusions High IgE phenotype human schistosomiasis patients exhibit a coordinate regulation of IL-4 and IL-5 producing cells and the lymphocyte derived IL-4 comes from true polarized Th2 like cells, in the absence of measurable Th0 cells as measured by co-production of IL-4 and IFN-γ.

  15. Effect of National Schistosomiasis Control Programme on Taenia solium taeniosis and porcine cysticercosis in rural communities of Tanzania

    Directory of Open Access Journals (Sweden)

    Uffe Christian Braae

    2016-09-01

    Full Text Available Taenia solium is found throughout sub-Saharan Africa and co-endemic with schistosomiasis in many regions. Taenia solium leads to taeniosis and neurocysticercosis - the leading cause of preventable epilepsy globally. This study aimed to assess the effects of the National Schistosomiasis Control Programme on prevalence of taeniosis and porcine cysticercosis over a four year period in Tanzania. School-based mass drug administration (MDA of praziquantel was carried out based on schistosomiasis endemicity. Four human and five porcine cross-sectional surveys were carried out from 2012 to 2015 in Mbozi and Mbeya district in Tanzania. Three rounds of school-based MDA of praziquantel were delivered in Mbozi and two in Mbeya. The prevalence of taeniosis and porcine cysticercosis was estimated annually. Stool samples were collected from humans and prevalence of taeniosis estimated by copro-Ag-ELISA. Blood samples from pigs were collected to estimate cysticercosis prevalence by Ag-ELISA. “Track-and-treat” of taeniosis cases was carried out after each survey. In total 12082 stool samples and 4579 porcine serum samples were collected. Significantly fewer children (≤15 from Mbozi were infected throughout the study than children from Mbeya who showed a significant decrease in copro-Ag prevalence after the first treatment only. During the final survey in Mbozi the prevalence of taeniosis in adults (1.8% was significantly lower (p = 0.031, OR 0.40, CI: 0.17–0.89, compared to baseline (4.1%. The prevalence of porcine cysticercosis (8% had also dropped significantly (p = 0.002, OR 0.49, CI: 0.32–0.76 in this district compared to baseline (13%, whereas no significant difference was seen in Mbeya compared to baseline. The study suggests that three rounds of MDA targeting schistosomiasis in school-aged children combined with ‘track-and-treat’ contributed to a reduction in prevalence of T. solium in this population, and also had a spillover effect on

  16. Association between prostate cancer and schistosomiasis in young patients: a case report and literature review

    Directory of Open Access Journals (Sweden)

    Albert Bacelar

    Full Text Available This case report refers to a 47-year old patient with prostate cancer associated with schistosomiasis mansoni, who was submitted to radical prostatectomy. This is the third report published in the literature with respect to this association, and up to the present time it is still not known whether a cause and effect relationship exists between the two pathologies. The association between schistosomiasis and cancer has been well-documented in bladder cancer; however, there are no data yet proving the association of this disease with prostatic neoplasia. In this report, a third documented case of prostatic adenocarcinoma and schistosomiasis mansoni is described and a literature review is performed.

  17. [Role of socio-economy and management in sustainable transmission control of schistosomiasis in Taoyuan County, Hunan Province, China].

    Science.gov (United States)

    Luo, Zhi-Hong; Li, Sheng-Ming; Zhou, Xiao-Nong; Yi, Ping; Ren, Guang-Hui; Franziska, Bieri; Zhao, Zheng-Yuan; Hou, Xun-Ya; Ren, Mao-Yuan; Li, Yi-Yi; Dong, Ru-Lan; Zeng, Jin-Yuan; She, Shu-Ping

    2013-02-01

    To clarify the role of socio-economy and management in the sustainable schistosomiasis-control in Taoyuan County, an endemic area in hilly region, Hunan Province, China. From 1996 to 2011, the data of socio-economy, the management of schistosomiasis control organizations, environment, and the changes in schistosomiasis prevalence were collected in Taoyuan County where schistosomiasis transmission had been controlled since 2008. A sampling survey of schistosomiasis prevalence of human and bovine was performed in 2011 to verify the current status of schistosomiasis transmission. All the data were analyzed statistically to evaluate the role of socio-economy and management in the sustainable schistosomiasis control. During the period from 1998 to 2012, the socio-economy including the residents' productive mode and daily life in Taoyuan County improved dramatically, but the recurrence risk of schistosomiasis endemic still existed due to the retuning of out-going workers and the migrating population. Moreover, the introduction of exotic species of plants and animals may increase the risk. The low running cost of schistosomiasis control organization as well as the efficient and adequate resource allocation in the county was in line with the national requirement to strengthen the rural grass-roots public health system. The harmonious development of socio-economy and the scientific and efficient health system in Taoyuan County are the key factors for the sustainable transmission control of schistosomiasis.

  18. The schistosomiasis problem in the Philippines: a review.

    Science.gov (United States)

    Blas, Bayani L; Rosales, Manuel I; Lipayon, Ignacio L; Yasuraoka, Kazuo; Matsuda, Hajime; Hayashi, Masataka

    2004-06-01

    A descriptive study was carried on the schistosomiasis problem in the Philippines from the time the disease was discovered in 1906 to the latter part of the 1990 s. Some research findings were reviewed including the nature of the disease itself. Based on the thrust of the control program which is centered mainly on selective mass treatment and progressed to disease stratification and mass treatment using praziquantel, a downward trend in the prevalence of the disease was observed-from an average of 10.4% in 1981-1985 to 4.1% in 1996. Recommended prospective action, among others, include the development of strategies on environmental sanitation and snail control/eradication in the thrust of the schistosomiasis control program. Other policy related concerns should be formulated subject to the results of further research activities such as on (a) chemotherapy; (b) drug delivery schemes; (c) diagnosis; (d) search for a safe, economical and effective chemical(s) for vector control; and (e) prophylaxis and vaccine production for protection against infection for disease modulation or reduction of pathology.

  19. Optimization of the Helmintex method for schistosomiasis diagnosis.

    Science.gov (United States)

    Favero, Vivian; Frasca Candido, Renata Russo; De Marco Verissimo, Carolina; Jones, Malcolm K; St Pierre, Timothy G; Lindholz, Catieli Gobetti; Da Silva, Vinicius Duval; Morassutti, Alessandra Loureiro; Graeff-Teixeira, Carlos

    2017-06-01

    A diagnostic test that is reliable, sensitive, and applicable in the field is extremely important in epidemiological surveys, during medical treatment for schistosomiasis, and for the control and elimination of schistosomiasis. The Helmintex (HTX) method is based on the use of magnetic beads to trap eggs in a magnetic field. This technique is highly sensitive, but the screening of fecal samples consumes lots of time, thus delaying the results, especially in field studies. The objective of this work was to determine the effects of incorporation of the detergent Tween-20 into the method in an attempt to decrease the final pellet volume produced by the HTX method as well as the use of ninhydrin to stain the Schistosoma mansoni eggs. We showed that these modifications reduced the final volume of the fecal sediment produced in the last step of the HTX method by up to 69% and decreased the screening time to an average of 10.1 min per sample. The use of Tween 20 and ninhydrin led to a high percentage of egg recovery (27.2%). The data obtained herein demonstrate that the addition of detergent and the use of ninhydrin to the HTX process can optimize the screening step and also improve egg recovery, thus justifying the insertion of these steps into the HTX method. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Nanotechnology as a potential therapeutic alternative for schistosomiasis.

    Science.gov (United States)

    Tomiotto-Pellissier, Fernanda; Miranda-Sapla, Milena Menegazzo; Machado, Laís Fernanda; Bortoleti, Bruna Taciane da Silva; Sahd, Claudia Stoeglehner; Chagas, Alan Ferreira; Assolini, João Paulo; Oliveira, Francisco José de Abreu; Pavanelli, Wander Rogério; Conchon-Costa, Ivete; Costa, Idessania Nazareth; Melanda, Francine Nesello

    2017-10-01

    Schistosomiasis is a neglected disease that affects millions of people worldwide, recognized as the most important human helminth infection in terms of morbidity and mortality. The treatment of choice presents low bioavailability and water solubility, in addition to the induction of parasite resistance. In this context, researchers have been conducting studies seeking to develop new drugs to ensure safety, quality, and efficacy against this parasitosis. In this scenario, nanotechnology arises including the drug delivery systems in nanoscale: nanoemulsions, liposomes and nanoparticles. These drug delivery systems have been extensively applied for in vitro and in vivo studies against Schistosoma spp. with promising results. This review pointed out the most relevant development scenarios regarding the treatment of schistosomiasis as well as the application of nanotechnology as a vaccine, highlighting the use of nanotechnology as an alternative therapy for both the repositioning of drugs and the use of new pharmaceutical products, with promising results regarding the aforementioned disease. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Assessing recent smoking status by measuring exhaled carbon monoxide levels.

    Directory of Open Access Journals (Sweden)

    AnnSofi Sandberg

    Full Text Available BACKGROUND: Cigarette smoke causes both acute and chronic changes of the immune system. Excluding recent smoking is therefore important in clinical studies with chronic inflammation as primary focus. In this context, it is common to ask the study subjects to refrain from smoking within a certain time frame prior to sampling. The duration of the smoking cessation is typically from midnight the evening before, i.e. 8 hours from sampling. As it has been shown that a proportion of current smokers underestimates or denies smoking, objective assessment of recent smoking status is of great importance. Our aim was to extend the use of exhaled carbon monoxide (CO(breath, a well-established method for separating smokers from non-smokers, to assessment of recent smoking status. METHODS AND FINDINGS: The time course of CO(breath decline was investigated by hourly measurements during one day on non-symptomatic smokers and non-smokers (6+7, as well as by measurements on three separate occasions on non-smokers (n = 29, smokers with normal lung function (n = 38 and smokers with chronic obstructive pulmonary disease (n = 19 participating in a clinical study. We used regression analysis to model the decay, and receiver operator characteristics analysis for evaluation of model performance. The decline was described as a mono-exponential decay (r(2 = 0.7 with a half-life of 4.5 hours. CO decline rate depends on initial CO levels, and by necessity a generic cut-off is therefore crude as initial CO(breath varies a lot between individuals. However, a cut-off level of 12 ppm could classify recent smokers from smokers having refrained from smoking during the past 8 hours with a specificity of 94% and a sensitivity of 90%. CONCLUSIONS: We hereby describe a method for classifying recent smokers from smokers having refrained from smoking for >8 hours that is easy to implement in a clinical setting.

  2. Effect of Schistosomiasis and Soil-Transmitted Helminth Infections on Physical Fitness of School Children in Côte d'Ivoire

    Science.gov (United States)

    Müller, Ivan; Coulibaly, Jean T.; Fürst, Thomas; Knopp, Stefanie; Hattendorf, Jan; Krauth, Stefanie J.; Stete, Katarina; Righetti, Aurélie A.; Glinz, Dominik; Yao, Adrien K.; Pühse, Uwe; N'Goran, Eliézer K.; Utzinger, Jürg

    2011-01-01

    Background Schistosomiasis and soil-transmitted helminthiasis are important public health problems in sub-Saharan Africa causing malnutrition, anemia, and retardation of physical and cognitive development. However, the effect of these diseases on physical fitness remains to be determined. Methodology We investigated the relationship between schistosomiasis, soil-transmitted helminthiasis and physical performance of children, controlling for potential confounding of Plasmodium spp. infections and environmental parameters (i.e., ambient air temperature and humidity). A cross-sectional survey was carried out among 156 school children aged 7–15 years from Côte d'Ivoire. Each child had two stool and two urine samples examined for helminth eggs by microscopy. Additionally, children underwent a clinical examination, were tested for Plasmodium spp. infection with a rapid diagnostic test, and performed a maximal multistage 20 m shuttle run test to assess their maximal oxygen uptake (VO2 max) as a proxy for physical fitness. Principal Findings The prevalence of Schistosoma haematobium, Plasmodium spp., Schistosoma mansoni, hookworm and Ascaris lumbricoides infections was 85.3%, 71.2%, 53.8%, 13.5% and 1.3%, respectively. Children with single, dual, triple, quadruple and quintuple species infections showed VO2 max of 52.7, 53.1, 52.2, 52.6 and 55.6 ml kg−1 min−1, respectively. The VO2 max of children with no parasite infections was 53.5 ml kg−1 min−1. No statistically significant difference was detected between any groups. Multivariable analysis revealed that VO2 max was influenced by sex (reference: female, coef. = 4.02, p<0.001) and age (years, coef. = −1.23, p<0.001), but not by helminth infection and intensity, Plasmodium spp. infection, and environmental parameters. Conclusion/Significance School-aged children in Côte d'Ivoire showed good physical fitness, irrespective of their helminth infection status. Future studies on children's physical fitness

  3. Effect of schistosomiasis and soil-transmitted helminth infections on physical fitness of school children in Côte d'Ivoire.

    Directory of Open Access Journals (Sweden)

    Ivan Müller

    2011-07-01

    Full Text Available BACKGROUND: Schistosomiasis and soil-transmitted helminthiasis are important public health problems in sub-Saharan Africa causing malnutrition, anemia, and retardation of physical and cognitive development. However, the effect of these diseases on physical fitness remains to be determined. METHODOLOGY: We investigated the relationship between schistosomiasis, soil-transmitted helminthiasis and physical performance of children, controlling for potential confounding of Plasmodium spp. infections and environmental parameters (i.e., ambient air temperature and humidity. A cross-sectional survey was carried out among 156 school children aged 7-15 years from Côte d'Ivoire. Each child had two stool and two urine samples examined for helminth eggs by microscopy. Additionally, children underwent a clinical examination, were tested for Plasmodium spp. infection with a rapid diagnostic test, and performed a maximal multistage 20 m shuttle run test to assess their maximal oxygen uptake (VO(2 max as a proxy for physical fitness. PRINCIPAL FINDINGS: The prevalence of Schistosoma haematobium, Plasmodium spp., Schistosoma mansoni, hookworm and Ascaris lumbricoides infections was 85.3%, 71.2%, 53.8%, 13.5% and 1.3%, respectively. Children with single, dual, triple, quadruple and quintuple species infections showed VO(2 max of 52.7, 53.1, 52.2, 52.6 and 55.6 ml kg(-1 min(-1, respectively. The VO(2 max of children with no parasite infections was 53.5 ml kg(-1 min(-1. No statistically significant difference was detected between any groups. Multivariable analysis revealed that VO(2 max was influenced by sex (reference: female, coef. = 4.02, p<0.001 and age (years, coef. = -1.23, p<0.001, but not by helminth infection and intensity, Plasmodium spp. infection, and environmental parameters. CONCLUSION/SIGNIFICANCE: School-aged children in Côte d'Ivoire showed good physical fitness, irrespective of their helminth infection status. Future studies on children

  4. Schistosomiasis in european travelers and migrants

    DEFF Research Database (Denmark)

    Lingscheid, Tilman; Kurth, Florian; Clerinx, Jan

    2017-01-01

    non-European immigrants. Overall, only 18.6% of travelers had received pretravel advice; 95% of infections were acquired in the African region. On species level, Schistosoma mansoni was identified in 570 (39%) and Schistosoma haematobium in 318 (22%) cases; 57.5% of patients were symptomatic. Acute...

  5. A history of health technology assessment at the European level.

    Science.gov (United States)

    Banta, David; Kristensen, Finn Børlum; Jonsson, Egon

    2009-07-01

    This study summarizes the experience with health technology assessment (HTA) at the European level. Geographically, Europe includes approximately fifty countries with a total of approximately 730 million people. Politically, twenty-seven of these countries (500 million people) have come together in the European Union. The executive branch of the European Union is named the European Commission, which supports several activities, including research, all over Europe and in many other parts of the world. The European Commission has promoted HTA by several policy positions and has funded a series of projects aimed at strengthening HTA in Europe. Around fifteen of the European countries now have formal national programs on HTA and some also have regional public programs. All countries that are members of the European Union and do not have a national approach to HTA have an interest in becoming more involved. The HTA projects sponsored by the European Commission have focused on networking and collaboration among established agencies and institutions for HTA, however, also on capacity building, support, and facilitation in creating mechanisms for HTA in European countries that still do not have any program in the field.

  6. Assessing state-level active living promotion using network analysis.

    Science.gov (United States)

    Buchthal, Opal Vanessa; Taniguchi, Nicole; Iskandar, Livia; Maddock, Jay

    2013-01-01

    Physical inactivity is a growing problem in the United States, one that is being addressed through the development of active living communities. However, active living promotion requires collaboration among organizations that may not have previously shared goals. A network analysis was conducted to assess Hawaii's active living promotion network. Twenty-six organizations playing a significant role in promoting active living in Hawaii were identified and surveyed about their frequency of contact, level of collaboration, and funding flow with other agencies. A communication network was identified linking all agencies. This network had many long pathways, impeding information flow. The Department of Health (DOH) and the State Nutrition and Physical Activity Coalition (NPAC) were central nodes, but DOH connected state agencies while NPAC linked county and voluntary organizations. Within the network, information sharing was common, but collaboration and formal partnership were low. Linkages between county and state agencies, between counties, and between state agencies with different core agendas were particularly low. Results suggest that in the early stages of development, active living networks may be divided by geography and core missions, requiring work to bridge these divides. Network mapping appears helpful in identifying areas for network development.

  7. Dos nuevas localizaciones para España de Bulinus truncatus (Audouin, 1827 (Gastropoda, Planorbidae, hospedador intermediario de Schistosomiasis urinaria

    Directory of Open Access Journals (Sweden)

    Martínez–Ortí, A.

    2015-07-01

    Full Text Available Two new locations in Spain of Bulinus truncatus (Audouin, 1827 (Gastropoda, Planorbidae, intermediate host of urinary Schistosomiasis Two new populations of the planorbid snail species Bulinus truncatus were found in Spain in 2014. The first consisted of shells only, found in the lagoon of Villena (province of Alicante, which had dried up at the beginning of the 19th century. This finding is of important biogeographic interest because it links the presence of this species in northern Catalonia with its detection in southern Andalucia as this species had not been found previously in the regions of Murcia or Valencia. The second population was found in El Ejido (province of Almeria, and thousands of living specimens were found here. This allowed a complete shell characterisation and molecular assessment by means of sequencing the cox1 gene of the mitochondrial DNA genome, which showed 100% homology with sequences of other populations of the same snail species available in the GenBank. The finding of B. truncatus in Almeria is of additional value given the applied importance of this planorbid species as a vector of urinary Schistosomiasis, thus representing a risk of introduction and autochthonous transmission of the disease in Spain, as has occurred in other southern European countries in the past and recently.

  8. Use of Indicator Kriging to Investigate Schistosomiasis in Minas Gerais State, Brazil

    Directory of Open Access Journals (Sweden)

    Ricardo J. P. S. Guimarães

    2012-01-01

    Full Text Available Geographic Information Systems (GISs are composed of useful tools to map and to model the spatial distribution of events that have geographic importance as schistosomiasis. This paper is a review of the use the indicator kriging, implemented on the Georeferenced Information Processing System (SPRING to make inferences about the prevalence of schistosomiasis and the presence of the species of Biomphalaria, intermediate hosts of Schistosoma mansoni, in areas without this information, in the Minas Gerais State, Brazil. The results were two maps. The first one was a map of Biomphalaria species, and the second was a new map of estimated prevalence of schistosomiasis. The obtained results showed that the indicator kriging can be used to better allocate resources for study and control of schistosomiasis in areas with transmission or the possibility of disease transmission.

  9. [Effect of comprehensive measures on schistosomiasis control in an aquaculture zone].

    Science.gov (United States)

    Tang, Hong-Ping; Huang, Yong-Jun; She, Guang-son; Xie, Yang; Gao, Yang

    2013-10-01

    To evaluate the effect of comprehensive measures on the control of schistosomiasis in an aquaculture zone, so as to provide the evidence for formulating the schistosomiasis control strategy in special environments. From 2003 to 2012, the comprehensive control measures including individual prevention, detection and treatment of schistosomiasis patients, environmental modification, and health education were implemented in an aquaculture zone of Luyang Lake, Jiangdu District of Yangzhou City, Jiangsu Province. The changes in human morbidity of schistosomiasis and the status of Oncomelania snails were investigated annually. No acute infection of Schistosoma japonicum was detected for successive 10 years, and only 5 cases of chronic infection were found in the latest 5 years in the aquaculture zone. Since 2007, no snail habitats were found. The comprehensive control measures are effective.

  10. SNAIL GENERA VARIATION IN FOCUS AREA OF SCHISTOSOMIASIS INTERMEDIATE SNAIL IN LINDU PLATEAU, CENTRAL SULAWESI

    Directory of Open Access Journals (Sweden)

    Anis Nurwidayati

    2016-01-01

    Full Text Available Beberapa penyakit parasitik pada manusia yang disebabkan oleh cacing trematoda seperti schistomiasis, echinostomiasis, paragonimiasis, dan sebagai hospes perantara adalah oleh beberapa anggota famili keong air tawar. Schistosomiasis merupakan penyakit parasitik yang endemis di Indonesia, khususnya di Dataran Tinggi Napu, Lindu dan Bada, Sulawesi Tengah. Informasi mengenai genus keong yang ditemukan di daerah fokus keong perantara schistosomiasis diperlukan dalam menentukan potensi terjadinya penularan penyakit akibat cacing trematoda yang lain. Survei dilakukan di dalam kawasan Taman Nasional Lore Lindu, Sulawesi Tengah pada Bulan Juli 2013. Identifikasi keong dilakukan menggunakan kunci determinasi keong air tawar di Laboratorium Parasitologi, Balai Litbang P2B2 Donggala. Jenis keong yang ditemukan meliputi Oncomelania hupensis lindoensis, Melanoides sp., Helicorbis sp., Indoplanorbis sp. yang merupakan hospes perantara trematoda parasit. Berdasarkan hasil tersebut dapat dilihat bahwa selain berpotensi dalam penularan schistosomiasis daerah tersebut juga berpotensi untuk terjadinya penularan penyakit akibat cacing trematoda lain, seperti Echinostomiasis dan Paragonimiasis. Kata kunci: variasi, keong, schistosomiasis

  11. China-Africa and China-Asia Collaboration on Schistosomiasis Control: A SWOT Analysis.

    Science.gov (United States)

    Xu, J; Bergquist, R; Qian, Y-J; Wang, Q; Yu, Q; Peeling, R; Croft, S; Guo, J-G; Zhou, X-N

    2016-01-01

    Schistosomiasis, a disease caused by a trematode, parasitic worm, is a worldwide public health problem. In spite of great progress with regard to morbidity control, even elimination of this infection in recent decades, there are still challenges to overcome in sub-Saharan Africa and endemic areas in Southeast Asia. Regarded as one of the most successful countries with respect to schistosomiasis control, The People's Republic of China has accumulated considerable experience and learnt important lessons in various local settings that could benefit schistosomiasis control in other endemic countries. Based on an analysis of conceived strengths, weaknesses, opportunities and threats (SWOT) of potential collaborative activities with regard to schistosomiasis in Africa and Asia, this article addresses the importance of collaborative efforts and explores the priorities that would be expected to facilitate the transfer of Chinese experience to low- and middle-income countries in Africa and Asia. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Schistosomiasis of the spinal cord presenting as progressive myelopathy. Case report.

    LENUS (Irish Health Repository)

    Kamel, Mahmoud Hamdy

    2012-02-03

    The authors report on a case of schistosomiasis of the spinal cord in an individual returning to Ireland after a 25-year residence in Africa, where the infection affects approximately 200 million people.

  13. [Analysis of projects of schistosomiasis sponsored by National Science Foundation of China].

    Science.gov (United States)

    Wen-di, Zhou; Liang, Shi; Xue-Dan, Ke; Jie, Wang

    2017-07-27

    To summarize the present development by analysis of projects in schistosomiasis funded by National Science Foundation of China (NSFC). Based on the ISIS database of NFSC, the projects in the studies of schistosomiasis from 2005 to 2016 were analyzed. The distributions of sponsored numbers, amounts, types, agencies, disciplines and changes in research topics by means of network profiles were described. During the study period, 198 projects were funded by NSFC totally with 76.05 million yuan in which the general and youth projects were main types. The main sponsored agencies were research institutes and medical colleges. The top three fields sponsored were medical pathogenic microbes and infection, veterinary and medical immunology. The funding on schistosomiasis researches has a downward trend, but studies are continuing in depth. In this situation, innovative and interdisciplinary researches need to be encouraged to promote the development of schistosomiasis.

  14. [Identification of schistosomiasis risk areas using spatial analysis in Lauro de Freitas, Bahia State, Brazil].

    Science.gov (United States)

    Cardim, Luciana Lobato; Ferraudo, Antonio Sergio; Pacheco, Selma Turrioni Azevedo; Reis, Renato Barbosa; Silva, Marta Mariana Nascimento; Carneiro, Deborah Daniela M Trabuco; Bavia, Maria Emilia

    2011-05-01

    The spread of schistosomiasis mansoni defies efforts by Brazil's Unified National Health System, thus demonstrating the need to reassess endemic control programs in the country. The aim of this study was to demarcate geographic areas at risk of schistosomiasis in Lauro de Freitas, Bahia State, Brazil, and to establish the epidemiological and socioeconomic profile of the disease in this municipality (county). Kernel density estimator exploratory analysis was used for visual identification of areas at risk. Kulldorff & Nagarwalla's spatial analysis was used to obtain statistically significant clusters and to measure risk. These technologies identified four risk areas for schistosomiasis. Clusters identified within the risk areas were characterized by lower socioeconomic conditions. Multiple correspondence analyses showed a distinct profile for positive patients in the primary cluster. The techniques employed here represent an important methodological acquisition for tracking and controlling schistosomiasis in Lauro de Freitas.

  15. Development and evaluation of a Western blot kit for diagnosis of schistosomiasis

    NARCIS (Netherlands)

    Sulahian, Annie; Garin, Yves Jean François; Izri, Arezki; Verret, Caroline; Delaunay, Pascal; van Gool, Tom; Derouin, Francis

    2005-01-01

    We evaluated the performance of Western blot (WB) analysis using commercially available antigen strips and compared the results with those of indirect hemagglutination (IHA) and indirect immunofluorescence (IFAT) for the serodiagnosis of human schistosomiasis. The antigen preparation was a crude

  16. In vivo kinetics of eosinophils and mast cells in experimental murine Schistosomiasis

    Directory of Open Access Journals (Sweden)

    H. L. Lenzi

    1987-01-01

    Full Text Available During the schistosomiasis infection there is a [quot ]dance of the cells[quot ], varying from site to site and related to the time of infection. 1 - Eosinophil levels exhibit a bimodal pattern, with the first peak related to the egg deposition and maturation and increased Kupfferian hyperplasia; the second peak precedes the death of some adult worms; 2 - The peritoneal eosinophilic levels are inversely proportional to the blood eosinophilic levels; 3 - Eosinopoiesis in the bone marrow begins at day 40, reaching the highest levels at day 50 and coincides with hepatic eosinophilic and neutrophilic metaplasia; 4 - Peritoneal mast cell levels present a bimodal pattern similar to the blood eosinophils, and inverse to the peritoneal eosinophils. They also show a cyclic behaviour within the hepatic and intestinal granulomas. Integral analysis of the events related to the eosinophils in the blood, bone marrow, peritoneal cavity and hepatic and intestinal granulomas allows the detection of two important eosinophilic phases: the first is due to mobilization and redistribution of the marginal pool and the second originates from eosinophilic production in the bone marrow and liver. The productive phase is characterized by an increase in the number of eosinophils and monocyte/macrophages, and a decrease in neutrophils and stabilization of megakariocytes and erithroid lineages.

  17. Comparative Study of the Accuracy of Different Techniques for the Laboratory Diagnosis of Schistosomiasis Mansoni in Areas of Low Endemicity in Barra Mansa City, Rio de Janeiro State, Brazil

    Directory of Open Access Journals (Sweden)

    Maria Cristina Carvalho Espírito-Santo

    2015-01-01

    Full Text Available Schistosomiasis constitutes a major public health problem, with an estimated 200 million people infected worldwide. Many areas of Brazil show low endemicity of schistosomiasis, and the current standard parasitological techniques are not sufficiently sensitive to detect the low-level helminth infections common in areas of low endemicity (ALEs. This study compared the Kato-Katz (KK; Hoffman, Pons, and Janer (HH; enzyme-linked immunosorbent assay- (ELISA- IgG and ELISA-IgM; indirect immunofluorescence technique (IFT-IgM; and qPCR techniques for schistosomiasis detection in serum and fecal samples, using the circumoval precipitin test (COPT as reference. An epidemiological survey was conducted in a randomized sample of residents from five neighborhoods of Barra Mansa, RJ, with 610 fecal and 612 serum samples. ELISA-IgM (21.4% showed the highest positivity and HH and KK techniques were the least sensitive (0.8%. All techniques except qPCR-serum showed high accuracy (82–95.5%, differed significantly from COPT in positivity P<0.05, and showed poor agreement with COPT. Medium agreement was seen with ELISA-IgG (Kappa = 0.377 and IFA (Kappa = 0.347. Parasitological techniques showed much lower positivity rates than those by other techniques. We suggest the possibility of using a combination of laboratory tools for the diagnosis of schistosomiasis in ALEs.

  18. Standardization of dot-enzyme-linked immmunosorbent assay for the diagnosis of bovine visceral schistosomiasis

    OpenAIRE

    Kommu Sudhakar; Sreenivasa Murthy, G. S.; Gaddam Rajeshwari

    2017-01-01

    Aim: Bovine visceral schistosomiasis has been reported as an important disease entity as it affects animal health, productivity, causes economic losses due to liver condemnation, and produces a high morbidity. This study was conducted to standardize an easy, reliable dot-enzyme-linked immmunosorbent assay (ELISA) for the diagnosis of visceral schistosomiasis caused by Schistosoma spindale and to know the prevalence rate in and around Hyderabad. Materials and Methods: A dot-ELISA was stand...

  19. A Hybrid Model for Predicting the Prevalence of Schistosomiasis in Humans of Qianjiang City, China

    Science.gov (United States)

    Wang, Ying; Lu, Zhouqin; Tian, Lihong; Tan, Li; Shi, Yun; Nie, Shaofa; Liu, Li

    2014-01-01

    Backgrounds/Objective Schistosomiasis is still a major public health problem in China, despite the fact that the government has implemented a series of strategies to prevent and control the spread of the parasitic disease. Advanced warning and reliable forecasting can help policymakers to adjust and implement strategies more effectively, which will lead to the control and elimination of schistosomiasis. Our aim is to explore the application of a hybrid forecasting model to track the trends of the prevalence of schistosomiasis in humans, which provides a methodological basis for predicting and detecting schistosomiasis infection in endemic areas. Methods A hybrid approach combining the autoregressive integrated moving average (ARIMA) model and the nonlinear autoregressive neural network (NARNN) model to forecast the prevalence of schistosomiasis in the future four years. Forecasting performance was compared between the hybrid ARIMA-NARNN model, and the single ARIMA or the single NARNN model. Results The modelling mean square error (MSE), mean absolute error (MAE) and mean absolute percentage error (MAPE) of the ARIMA-NARNN model was 0.1869×10−4, 0.0029, 0.0419 with a corresponding testing error of 0.9375×10−4, 0.0081, 0.9064, respectively. These error values generated with the hybrid model were all lower than those obtained from the single ARIMA or NARNN model. The forecasting values were 0.75%, 0.80%, 0.76% and 0.77% in the future four years, which demonstrated a no-downward trend. Conclusion The hybrid model has high quality prediction accuracy in the prevalence of schistosomiasis, which provides a methodological basis for future schistosomiasis monitoring and control strategies in the study area. It is worth attempting to utilize the hybrid detection scheme in other schistosomiasis-endemic areas including other infectious diseases. PMID:25119882

  20. Intestinal schistosomiasis among preschool children along the shores of Lake Victoria in Uganda

    DEFF Research Database (Denmark)

    Nalugwa, A.; Olsen, Annette; Tukahebwa, M. E.

    2015-01-01

    prevalence and intensity of infection were examined in 3058 children from 5 districts along Lake Victoria shoreline, eastern Uganda. For each child one stool sample was collected on three consecutive days. The Kato-Katz technique was used to prepare stool smears on slides for microscopic examination. Short...... for schistosomiasis takes preschool children into consideration and that health education on transmission of schistosomiasis is delivered to the endemic communities regularly....

  1. Prevalence and associated factors of Schistosomiasis among children in Yemen: implications for an effective control programme.

    Directory of Open Access Journals (Sweden)

    Hany Sady

    Full Text Available Schistosomiasis, one of the most prevalent neglected tropical diseases, is a life-threatening public health problem in Yemen especially in rural communities. This cross-sectional study aims to determine the prevalence and associated risk factors of schistosomiasis among children in rural Yemen.Urine and faecal samples were collected from 400 children. Urine samples were examined using filtration technique for the presence of Schistosoma haematobium eggs while faecal samples were examined using formalin-ether concentration and Kato Katz techniques for the presence of S. mansoni. Demographic, socioeconomic and environmental information were collected via a validated questionnaire. Overall, 31.8% of the participants were found to be positive for schistosomiasis; 23.8% were infected with S. haematobium and 9.3% were infected with S. mansoni. Moreover, 39.5% of the participants were anaemic whereas 9.5% had hepatosplenomegaly. The prevalence of schistosomiasis was significantly higher among children aged >10 years compared to those aged ≤ 10 years (P<0.05. Multivariate analysis confirmed that presence of other infected family member (P<0.001, low household monthly income (P = 0.003, using unsafe sources for drinking water (P = 0.003, living nearby stream/spring (P = 0.006 and living nearby pool/pond (P = 0.002 were the key factors significantly associated with schistosomiasis among these children.This study reveals that schistosomiasis is still highly prevalent in Yemen. These findings support an urgent need to start an integrated, targeted and effective schistosomiasis control programme with a mission to move towards the elimination phase. Besides periodic drug distribution, health education and community mobilisation, provision of clean and safe drinking water, introduction of proper sanitation are imperative among these communities in order to curtail the transmission and morbidity caused by schistosomiasis. Screening and treating other infected

  2. [Impact of the three gorges dam construction on transmission of schistosomiasis in the reservoir area].

    Science.gov (United States)

    Zhang, Hui-juan; Guo, Jia-gang

    2006-06-01

    Possible impact of ecological and social environmental changes due to the construction of the Three Gorges Dam on the transmission of schistosomiasis draws great attention of the health authority and publics. This article reviews the situation and progress of research on schistosomiasis transmission in reservoir area from three aspects: the possibility of snail spreading and breeding, imported infection sources and social behavioral factors of the people.

  3. LINKING SATELLITE REMOTE SENSING BASED ENVIRONMENTAL PREDICTORS TO DISEASE: AN APPLICATION TO THE SPATIOTEMPORAL MODELLING OF SCHISTOSOMIASIS IN GHANA

    Directory of Open Access Journals (Sweden)

    M. Wrable

    2016-06-01

    Full Text Available 90% of the worldwide schistosomiasis burden falls on sub-Saharan Africa. Control efforts are often based on infrequent, small-scale health surveys, which are expensive and logistically difficult to conduct. Use of satellite imagery to predictively model infectious disease transmission has great potential for public health applications. Transmission of schistosomiasis requires specific environmental conditions to sustain freshwater snails, however has unknown seasonality, and is difficult to study due to a long lag between infection and clinical symptoms. To overcome this, we employed a comprehensive 8-year time-series built from remote sensing feeds. The purely environmental predictor variables: accumulated precipitation, land surface temperature, vegetative growth indices, and climate zones created from a novel climate regionalization technique, were regressed against 8 years of national surveillance data in Ghana. All data were aggregated temporally into monthly observations, and spatially at the level of administrative districts. The result of an initial mixed effects model had 41% explained variance overall. Stratification by climate zone brought the R2 as high as 50% for major zones and as high as 59% for minor zones. This can lead to a predictive risk model used to develop a decision support framework to design treatment schemes and direct scarce resources to areas with the highest risk of infection. This framework can be applied to diseases sensitive to climate or to locations where remote sensing would be better suited than health surveys.

  4. Linking Satellite Remote Sensing Based Environmental Predictors to Disease: AN Application to the Spatiotemporal Modelling of Schistosomiasis in Ghana

    Science.gov (United States)

    Wrable, M.; Liss, A.; Kulinkina, A.; Koch, M.; Biritwum, N. K.; Ofosu, A.; Kosinski, K. C.; Gute, D. M.; Naumova, E. N.

    2016-06-01

    90% of the worldwide schistosomiasis burden falls on sub-Saharan Africa. Control efforts are often based on infrequent, small-scale health surveys, which are expensive and logistically difficult to conduct. Use of satellite imagery to predictively model infectious disease transmission has great potential for public health applications. Transmission of schistosomiasis requires specific environmental conditions to sustain freshwater snails, however has unknown seasonality, and is difficult to study due to a long lag between infection and clinical symptoms. To overcome this, we employed a comprehensive 8-year time-series built from remote sensing feeds. The purely environmental predictor variables: accumulated precipitation, land surface temperature, vegetative growth indices, and climate zones created from a novel climate regionalization technique, were regressed against 8 years of national surveillance data in Ghana. All data were aggregated temporally into monthly observations, and spatially at the level of administrative districts. The result of an initial mixed effects model had 41% explained variance overall. Stratification by climate zone brought the R2 as high as 50% for major zones and as high as 59% for minor zones. This can lead to a predictive risk model used to develop a decision support framework to design treatment schemes and direct scarce resources to areas with the highest risk of infection. This framework can be applied to diseases sensitive to climate or to locations where remote sensing would be better suited than health surveys.

  5. A national baseline prevalence survey of schistosomiasis in the Philippines using stratified two-step systematic cluster sampling design.

    Science.gov (United States)

    Leonardo, Lydia; Rivera, Pilarita; Saniel, Ofelia; Villacorte, Elena; Lebanan, May Antonnette; Crisostomo, Bobby; Hernandez, Leda; Baquilod, Mario; Erce, Edgardo; Martinez, Ruth; Velayudhan, Raman

    2012-01-01

    For the first time in the country, a national baseline prevalence survey using a well-defined sampling design such as a stratified two-step systematic cluster sampling was conducted in 2005 to 2008. The purpose of the survey was to stratify the provinces according to prevalence of schistosomiasis such as high, moderate, and low prevalence which in turn would be used as basis for the intervention program to be implemented. The national survey was divided into four phases. Results of the first two phases conducted in Mindanao and the Visayas were published in 2008. Data from the last two phases showed three provinces with prevalence rates higher than endemic provinces surveyed in the first two phases thus changing the overall ranking of endemic provinces at the national level. Age and sex distribution of schistosomiasis remained the same in Luzon and Maguindanao. Soil-transmitted and food-borne helminthes were also recorded in these surveys. This paper deals with the results of the last 2 phases done in Luzon and Maguindanao and integrates all four phases in the discussion.

  6. A National Baseline Prevalence Survey of Schistosomiasis in the Philippines Using Stratified Two-Step Systematic Cluster Sampling Design

    Directory of Open Access Journals (Sweden)

    Lydia Leonardo

    2012-01-01

    Full Text Available For the first time in the country, a national baseline prevalence survey using a well-defined sampling design such as a stratified two-step systematic cluster sampling was conducted in 2005 to 2008. The purpose of the survey was to stratify the provinces according to prevalence of schistosomiasis such as high, moderate, and low prevalence which in turn would be used as basis for the intervention program to be implemented. The national survey was divided into four phases. Results of the first two phases conducted in Mindanao and the Visayas were published in 2008. Data from the last two phases showed three provinces with prevalence rates higher than endemic provinces surveyed in the first two phases thus changing the overall ranking of endemic provinces at the national level. Age and sex distribution of schistosomiasis remained the same in Luzon and Maguindanao. Soil-transmitted and food-borne helminthes were also recorded in these surveys. This paper deals with the results of the last 2 phases done in Luzon and Maguindanao and integrates all four phases in the discussion.

  7. National Level Assessment of Mangrove Forest Cover in Pakistan

    Science.gov (United States)

    Abbas, S.; Qamer, F. M.; Hussain, N.; Saleem, R.; Nitin, K. T.

    2011-09-01

    . GIS and Remote Sensing based technologies and methods are in use to map forest cover since the last two decades in Pakistan. The national level forest cover studies based upon satellite images include, Forestry Sector Master Plan (FSMP) and National Forest & Range Resources Assessment Study (NFRRAS). In FSMP, the mangrove forest extent was visually determined from Landsat images of 1988 - 1991, and was estimated to be 155,369 ha; whereas, in NFRRAS, Landsat images of 1997 - 2001 were automated processed and the mangroves areas was estimated to be 158,000 ha. To our knowledge, a comprehensive assessment of current mangroves cover of Pakistan has not been made over the last decade, although the mangroves ecosystems have become the focus of intention in context of recent climate change scenarios. This study was conducted to support the informed decision making for sustainable development in coastal areas of Pakistan by providing up-todate mangroves forest cover assessment of Pakistan. Various types of Earth Observation satellite images and processing methods have been tested in relation to mangroves mapping. Most of the studies have applied classical pixel - based approached, there are a few studies which used object - based methods of image analysis to map the mangroves ecosystems. Object - based methods have the advantage of incorporating spatial neighbourhood properties and hierarchical structures into the classification process to produce more accurate surface patterns recognition compared with classical pixel - based approaches. In this research, we applied multi-scale hierarchical approach of object-based methods of image analysis to ALOS - AVNIR-2 images of the year 2008-09 to map the land cover in the mangroves ecosystems of Pakistan. Considering the tide height and phonological effects of vegetation, particularly the algal mats, these data sets were meticulously chosen. Incorporation of multi-scale hierarchical structures made it easy to effectively discriminate

  8. Serological studies on schistosomiasis mansoni in the northeast Brazil (I).

    Science.gov (United States)

    Tanabe, M; Okazaki, M; Okazaki, M; Kobayashi, S; Kaneko, N; Sekiguchi, T; Tateno, S; Motta, S R; Takeuchi, T

    1990-01-01

    Sera from the patients (N = 10) with schistosomiasis mansoni of the hospital of Federal University of Pernambuco, the Schistosoma mansoni egg-positive (N = 51) and -negative (N = 452) inhabitants in Cabo City area, out-patients (N = 37) of the IMIP hospital and Japanese immigrants (N = 127) in Petrolina City area of northeast Brazil as well as Japanese healthy subjects (N = 30) were examined by serological tests including an enzyme-linked immunosorbent assay with antigens prepared from eggs (ELISA-egg) and adult worms (ELISA-adult). The ELISA with egg or adult antigen correctly identified 100% of the uninfected individuals lived in non-endemic area of schistosomiasis. Moreover, when examined cross-reactivity of our ELISA with sera isolated from 78 subjects infected with various intestinal parasitic infections, only one of these sera reacted with the egg and adult antigens. On the examination of 51 sera from the egg-positive subjects, the ELISA-egg revealed the highest sensitivity (98.0%), whereas a large number of false negative reactions of ELISA-adult, Ouchterlony method using adult antigen, circumoval precipitation and immediate intradermal skin test were observed. A low sensitivity of these serologic tests except for ELISA-egg appears to be primarily due to their inability to detect antibody in the sera from egg-positive infantiles. There was no positive correlation between the absorbance values of these two types of ELISA among the sera isolated from ELISA-positive subjects. Rather, by the reactivity of these sera to egg or adult antigen, they could be divided into two subgroups; one reacted more positively with egg antigen and the other with adult antigen. Moreover, it was confirmed that the sera from young subjects (under 20 years old) appear to be highly reactive to the egg antigen than did aged ones. These data suggest that the ELISA with egg antigen, but not with the adult antigen, appears to be useful for the serological survey of schistosomiasis mansoni

  9. Teaching Strategies for Personality Assessment at the Undergraduate Level.

    Science.gov (United States)

    Roche, Michael J; Jacobson, Nicholas C; Roche, Carley A

    2017-01-01

    Personality assessment is a crucial component of clinical practice, and the training and proficiency criteria to develop competence are complex and multifaceted. Like many advanced topics, the field of personality assessment would benefit from early exposure in undergraduate classroom settings. This research evaluates how an undergraduate personality course can be enhanced through 2 enrichment activities (self-assessments and a personality project). Students completed several self-assessments of their personality and wrote a comprehensive and integrative personality assessment about themselves. Results demonstrated that these activities increased interest in personality assessment, deepened understanding of course material, and promoted student growth and self-exploration. We discuss the benefits of these enrichment activities for the student, instructor, and field of personality science.

  10. Performance and safety of praziquantel for treatment of intestinal schistosomiasis in infants and preschool children.

    Directory of Open Access Journals (Sweden)

    José C Sousa-Figueiredo

    Full Text Available In 2012 the WHO formally recognised that infants and preschool children are at significant risk of schistosomiasis and qualify for treatment with praziquantel (PZQ. Targeted surveys determining both the performance and safety of this drug are now needed in endemic areas. We have formally assessed parasitological cure and putative side-effects in a prospective cohort of Schistosoma mansoni-infected children (aged 5 months-7 years old in lakeshore settings of Uganda.From a total of 369 children found to be egg-patent for intestinal schistosomiasis, 305 were followed-up three to four weeks after PZQ treatment and infection status re-assessed. Separately, a previously tested side-effect questionnaire was employed before and 24 hours after PZQ treatment to assess incidence and amelioration of symptoms in young children and their mothers. While the overall observed parasitological cure was 56.4%, a significant difference was found between a sub-set of children who had a history of multiple PZQ treatments (between one and four in an 18 month period, where cure rate was 41.7%, and those who had never received treatment (cure rate was 77·6%. PZQ proved to be safe, with only mild reported side effects which cleared within a month after treatment. Prevalence of reported symptoms was significantly lower in children than in mothers, and fewer side-effects were reported upon subsequent rounds of PZQ treatment.Our findings show that PZQ treatment of young children resulted in satisfactory cure rates, and marked reduction in egg-output, with only mild and transient reported side-effects. However, the cure rate is clearly lower in younger children and those with history of previous treatment. Cure rate, but not egg reduction rate, was also lower in children with heavier pre-intervention infection intensity. With chemotherapy now recommended as a long-term strategy for disease control in young children, research into optimising the periodicity of targeted

  11. [Effect of health education of schistosomiasis control with Yi-Han bilingualism].

    Science.gov (United States)

    Zong-Liang, Feng; Sha-Sha, Li; Jiao, Hua; Lin, Chen; Zi-Song, Wu; Cong-Min, Xu; Yu-Hua, Lai

    2016-07-12

    To evaluate the intervention effect of Yi-Han bilingual health education of schistosomiasis control. Baimiao Village in Daqing Town, Xichang City, where Yi Nationality inhabited, was chosen as a pilot to carry out Yi-Han bilingual health education of schistosomiasis control from 2012 to 2015. The villagers and students in the pilot area were investigated by questionnaires before and after the intervention to understand their awareness and correct behavior status on schistosomiasis control. After the intervention of Yi-Han bilingual health education of schistosomiasis control for 3 years, the awareness rate and the correct rate of behavior on schistosomiasis control of the villagers in the pilot area improved from 45.79% and 51.12% in 2012 to 97.80% and 98.78% in 2015. As for the students, the two rates mentioned above improved from 64.16% and 60.83% in 2012 to 100% and 98.89% in 2015 respectively, and all the differences between the rates before and after the intervention were statistically significant (all P bilingual health education of schistosomiasis control can obviously improve the knowledge awareness rates and the correct rates of behavior of the residents and students in the gathering area of Yi Nationality.

  12. [Effectiveness of integrated schistosomiasis control strategy in marshlands of Qixia District, Nanjing City].

    Science.gov (United States)

    Zhang, Ke; Liu, Ning; Hou, Kai; Hou, Ning; Gong, Yun-hua; Zhang, Qiu-ping; Ye, Jia-ming; Wang, Biao; Sun, Ji-ji

    2015-08-01

    To evaluate the effectiveness of integrated schistosomiasis control strategy in marshlands of Qixia District from 2004 to 2013. The endemic situation and integrated control data of schistosomiasis in Qixia District from 2004 to 2013 were collected, and the morbidity and Oncomelania hupensis snail status before and after the implementa- tion of integrated schistosomiasis control strategy were compared. Following 10-year integrated schistosomiasis control, the human schistosome infection rate gradually decreased in Qixia District, and no infection was detected since 2007. A gradual reduction was observed in the infection rate of domestic animals, and all bovine was eliminated from the regions along the Yangtze River since 2006. In addition, the snail area and the density of living snails in 2013 reduced by 42.25% and 82.56% as compared to those in 2004, and no infected snails were found since 2009. In 2010, the district achieved schistoso- miasis transmission control. The integrated schistosomiasis control strategy is effective to accelerate schistoso- miasis control process and achieve the criteria of schistosomiasis transmission control rapidly.

  13. Association of Schistosoma mansoni-Specific IgG and IgE Antibody Production and Clinical Schistosomiasis Status in a Rural Area of Minas Gerais, Brazil

    Science.gov (United States)

    Negrão-Corrêa, Deborah; Fittipaldi, Juliana F.; Lambertucci, José Roberto; Teixeira, Mauro Martins; Antunes, Carlos Maurício de Figueiredo; Carneiro, Mariângela

    2014-01-01

    Background Studies in murine models and human populations have indicated that the collagen-rich granulomatous response against parasite eggs trapped in the liver is associated with the development of severe hepatosplenic schistosomiasis, characterized by periportal fibrosis and portal hypertension. The role of the humoral response in parasite susceptibility has been well established, but its participation in disease severity remains poorly understood. In this work, we evaluated the relationship between parasite-reactive IgE and IgG levels and schistosomiasis morbidity in infected patients with similar parasite burdens. Methodology/Principal Findings Ninety-seven Schistosoma mansoni-infected individuals were subjected to clinical examination and abdominal ultrasound analysis. IgG reactivity and IgE concentration against Schistosoma mansoni soluble egg antigens (SEA) and adult worm antigen preparation (SWAP) were evaluated by ELISA assay. Multivariable linear regression models were used to evaluate the relationship between parasite-reactive antibodies and the co-variables investigated. The study population showed low parasite burden (median 30 eggs/g feces), constant re-infection, and signs of fibrosis was detected in more than 30% of individuals. Most infected individuals showed IgG reactivity, and the median concentrations of IgE anti-SEA and anti-SWAP antibodies were 1,870 and 1,375 ng/mL, respectively. There was no association between parasite burden and antibody response or any parameter of disease severity. However, IgG anti-SWAP level was positively associated with morbidity parameters, such as spleen size and thickness of portal vein at the entrance and secondary branch. In contrast, the data also revealed independent inverse correlations between concentration of parasite-reactive IgE and gallbladder wall thickness, a marker of fibrosis in schistosomiasis. Conclusions/Significance The data indicate that IgG anti-SWAP is positively associated with severe

  14. ELISA FOR BOVINE SCHISTOSOMIASIS VACCINE EVALUATION: A PRELIMINARY REPORT

    Directory of Open Access Journals (Sweden)

    Imadeldin Elamin Aradaib

    1994-12-01

    Full Text Available Six calves were immunized with schistosomula of Schistosoma bovis irradiated at 3 or 20 Kilorad (Krad and three calves were kept as controls. Twenty four weeks post immunization, three calves (one from the 20 Krad and two from the 3 Krad group were challenged with normal cercaria of S. bovis. The immune response was monitored by agar gel immunodiffusion (AGID and the Enzyme Linked Immunosorbent Assay (ELISA using adult worm antigen. Using AGID, precipitin lines were observed only with sera from challenged animals. Using ELISA, the immune response of the vaccinated calves was first detected by 2-3 weeks, peaking by 6-8 weeks post vaccination. The immune response of the three challenged calves was elevated by 2 weeks post challenge, peaking at 8-10 weeks post challenge and remained high throughout the experimental period. This study suggests that ELISA could be used for diagnosis of bovine schistosomiasis.

  15. Histomorphometry of hepatic portal fibrosis in patients with surgical schistosomiasis mansoni

    Directory of Open Access Journals (Sweden)

    Brandt Carlos Teixeira

    2002-01-01

    Full Text Available The usual histology report of hepatic fibrosis in patients with hepatosplenic schistosomiasis mansoni presents no association with hemodynamic and clinical liver parameters. Histomorphometry is adding a new tool of investigation for measuring density of portal fibrosis in these patients. This investigation was set up for assessing a possible agreement between the well-accepted international classification and the fibrosis density grades measured by histomorphometry. Thirty-five children and equal number of adults were included in this study. All patients underwent splenectomy and ligature of the left gastric vein. Histology findings were assessed in surgical liver biopsy stained with Masson trichrome. The official histology report was used as reference. The histomorphometric studies were done by semi-automatic morphometry. The mean percentage (X of portal fibrosis plus or minus one standard deviation (SD was classified as grade II (7.06% up to 34.72%; grade I was up to 7.06%; and grade III above 34.72%. Although, not reaching statistical significance, there is a tendency of the fibrosis to be more intense in children than adults (X±SD - 22.02±13.46% versus 20.63%±15.33% "t" = 0.379 p>0.05. Seven out of nine (77.8% patients classified as grade I, by morphometry, had the same result on the official report, however, two (22.2% were described as grade III. Sixteen out of forty-four (36.4% classified as grade II on morphometry had the same classification as the histology grade, but, twenty seven (61.4% were classified as grade III and one (2.3% as grade I. Fifteen (21.4% out of 70 patients had grade III on both classifications, but, two (11.8% out of seventeen G III on morphometry were grade II. The kappa (k measurement of agreement between both classification was k = 0.319, showing a fair strength of association. The histomorphometric measurements of Symmers fibrosis in surgical patients with mansonic schistosomiasis partially support the report

  16. Variability in endotoxin exposure levels and consequences for exposure assessment

    NARCIS (Netherlands)

    Spaan, S.; Schinkel, J.; Wouters, I.M.; Preller, L.; Tielemans, E.; Nij, E.T.; Heederik, D.

    2008-01-01

    Objectives: Workers in many industries are exposed to endotoxins, which may cause adverse health effects. In exposure assessment, information about exposure variability is essential. However, variability in exposure has rarely been investigated for biological agents and more specifically for

  17. Levels and occupational health risk assessment of trace metals in ...

    African Journals Online (AJOL)

    The levels of trace metals (Pb, Cu, Ni and Cd) were determined in soils from a major automobile repair workshop located in Uyo, Akwa Ibom State, Nigeria. This was carried out to evaluate the potential occupational risk to operators working in and around the site. The mean of trace metal levels were: lead (14.52 mg/kg); ...

  18. Levels and occupational health risk assessment of trace metals in ...

    African Journals Online (AJOL)

    JohnDOCTOR;OFFIONG, edu

    2015-04-01

    Apr 1, 2015 ... The levels of trace metals (Pb, Cu, Ni and Cd) were determined in soils from a major automobile repair workshop located in Uyo, Akwa Ibom State, Nigeria. This was carried out to evaluate the potential occupational risk to operators working in and around the site. The mean of trace metal levels were: lead.

  19. Assessment of Pesticide Residue Levels in Vegetables sold in some ...

    African Journals Online (AJOL)

    This study investigated pesticide residue levels in the two vegetables commonly eaten in Lagos state Nigeria. The vegetables (Telfairia occidentalis and Celosia argentea) were purchased from six markets (Oyingbo, Mile 12, Mushin, Ajah, Agege and Festac) in Lagos. The pesticide residue levels were determined using gas ...

  20. Evaluation of the mutagenic potential of endod (Phytolacca dodecandra), a molluscicide of potential value for the control of schistosomiasis.

    Science.gov (United States)

    Pezzuto, J M; Swanson, S M; Farnsworth, N R

    1984-07-01

    Extracts of the fruit of Phytolacca dodecandra (endod) demonstrate molluscicidal and other biological activities. Since this plant is indigenous to some countries where schistosomiasis is a common problem, it has been proposed that it may be socioeconomically feasible to employ endod as an aid in the control of this disease through its use to control the snail vector. As an initial step in the safety assessment of this substance, its mutagenic potential was determined utilizing Salmonella typhimurium strain TM677. The seeds and fruit of Phytolacca americana, also molluscicidal, were additionally evaluated for mutagenic potential. Using a variety of conditions, no mutagenic activity could be demonstrated for any of the extracts tested. Thus, subject to the results of future safety assessment, endod remains a viable candidate as a useful molluscicide.

  1. Autotransplant of spleen tissue in children with schistosomiasis: evaluation of splenic function after splenosis.

    Science.gov (United States)

    Brandt, C T; Maciel, D T; Caneca, O A; Castro, C M; Araújo, L B

    2001-01-01

    Autotransplantation of spleen tissue has been done, in the past ten years, in children with schistosomiasis mansoni with bleeding varices. The purposes of this investigation were: (1) to study the morphology and function of the remnant spleen tissue; (2) to quantify the production of tuftsin; and (3) to assess the immune response to pneumococcal vaccine of these patients. Twenty three children, who underwent splenectomy and autologous implantation of spleen tissue into the greater omentum were included in this investigation. The average postoperative follow-up is five years. Splenosis was proved by colloid liver-spleen scans. Search for Howell-Jolly bodies assessed the filtration function. Tuftsin and the titer of pneumococcal antibodies were quantified by ELISA. Splenosis was evident in all children; however, it was insufficient in two. Howell-Jolly bodies were found only in these two patients. The mean tuftsin serum concentration (335.0 +/- 29.8 ng/ml) was inside the normal range. The immune response to pneumococcal vaccination was adequate in 15 patients; intermediate in four; and inadequate in four. From the results the following conclusions can be drawn: splenosis was efficient in maintaining the filtration splenic function in more than 90% and produced tuftsin inside the range of normality. It also provided the immunologic splenic response to pneumococcal vaccination in 65% of the patients of this series.

  2. Autotransplant of spleen tissue in children with schistosomiasis: evaluation of splenic function after splenosis

    Directory of Open Access Journals (Sweden)

    Carlos Teixeira Brandt

    2001-09-01

    Full Text Available Autotransplantation of spleen tissue has been done, in the past ten years, in children with schistosomiasis mansoni with bleeding varices. The purposes of this investigation were: (1 to study the morphology and function of the remnant spleen tissue; (2 to quantify the production of tuftsin; and (3 to assess the immune response to pneomococcal vaccine of these patients. Twenty three children, who underwent splenectomy and autologous implantation of spleen tissue into the greater omentum were included in this investigation. The average postoperative follow-up is five years. Splenosis was proved by colloid liver-spleen scans. Search for Howell-Jolly bodies assessed the filtration function. Tuftsin and the titer of pneumococcal antibodies were quantified by ELISA. Splenosis was evident in all children; however, it was insufficient in two. Howell-Jolly bodies were found only in these two patients. The mean tuftsin serum concentration (335.0 ± 29.8 ng/ml was inside the normal range. The immune response to pneumococcal vaccination was adequate in 15 patients; intermediate in four; and inadequate in four. From the results the following conclusions can be drawn: splenosis was efficient in maintaining the filtration splenic function in more than 90% and produced tuftsin inside the range of normality. It also provided the immunologic splenic response to pneumococcal vaccination in 65% of the patients of this series.

  3. Assessment of accident rate at lithuanian railways level crossings

    Directory of Open Access Journals (Sweden)

    Lionginas Liudvinavichius

    2013-02-01

    Full Text Available Purpose. The most pressing problem facing the rail traffic safety experts is an accident rate at the railway level crossings. The purpose is to investigate the circumstances, which affect traffic safety at the level crossings, and to offer effective tools for experts to improve the safety the problems of these dangerous spaces of railway infrastructure. Methodology. This paper observes the logistic regression as a method to estimate the accident rate at level crossings in Lithuania. The authors have studied and evaluated the key factors affecting the safety of railway crossings. These factors are the intensity of trains and road transport means through the railway level crossing, the visibility of the approaching train from both sides of the traffic, the maximum permissible speed of the trains, the number of tracks (single track, double track, and multi-track, the level of installed alarm and automatic equipment, a density of population in this area, etc. Finally, only the factors, which might be described by mathematical expressions (numbers, were identified. Findings. By using logistic regression method, it was found that the most determinant factors at level crossings are the maximum speed of trains, poor visibility crossing (less than 1,000 m, intensity of the road traffic at crossings, and inappropriate implementation of roads crossing the rails. Based on the study results, the conclusions and recommendations were formulated which primary measures to prevent accidents at level crossing and on what level crossing should be taken urgently. Originality.Revealed trends and major causes of accidents at railway crossings of Lithuania for 2004-2011 year. The necessity of implementation of progressive technical measures for the prevention accidents on railway level crossing is proved. Practical value. About 50% of Lithuanian railway crossings do not meet the requirements of the level crossing legislation. This parameter is one of the key risk

  4. Assessment of cobalt levels in wastewater, soil and vegetable ...

    African Journals Online (AJOL)

    carrot, lettuce, onion, spinach, cabbage, tomato and okra) samples collected on seasonal basis from January, 2013 to September 2014 along Kubanni stream channels in Zaria. The results show cobalt levels in wastewater were in the range of ...

  5. Assessment of older driver performance under low level alcohol impairment.

    Science.gov (United States)

    2013-03-01

    This report summarizes the outcomes, to date, of the work undertaken to examine : the effects of low level alcohol impairment, especially for older drivers, based on : on-road driving studies. Some of the questions the project initially sought answer...

  6. Saliva: A tool in assessing glucose levels in Diabetes Mellitus

    National Research Council Canada - National Science Library

    Satish, B N V S; Srikala, P; Maharudrappa, B; Awanti, Sharanabasappa M; Kumar, Prashant; Hugar, Deepa

    2014-01-01

    .... The aim of the present study was undertaken to correlate the glucose levels in saliva and blood of diabetic and healthy non diabetic individuals and to determine the efficacy of saliva as a diagnostic...

  7. Los Alamos low-level waste performance assessment status

    Energy Technology Data Exchange (ETDEWEB)

    Wenzel, W.J.; Purtymun, W.D.; Dewart, J.M.; Rodgers, J.E. (comps.)

    1986-06-01

    This report reviews the documented Los Alamos studies done to assess the containment of buried hazardous wastes. Five sections logically present the environmental studies, operational source terms, transport pathways, environmental dosimetry, and computer model development and use. This review gives a general picture of the Los Alamos solid waste disposal and liquid effluent sites and is intended for technical readers with waste management and environmental science backgrounds but without a detailed familiarization with Los Alamos. The review begins with a wide perspective on environmental studies at Los Alamos. Hydrology, geology, and meteorology are described for the site and region. The ongoing Laboratory-wide environmental surveillance and waste management environmental studies are presented. The next section describes the waste disposal sites and summarizes the current source terms for these sites. Hazardous chemical wastes and liquid effluents are also addressed by describing the sites and canyons that are impacted. The review then focuses on the transport pathways addressed mainly in reports by Healy and Formerly Utilized Sites Remedial Action Program. Once the source terms and potential transport pathways are described, the dose assessment methods are addressed. Three major studies, the waste alternatives, Hansen and Rogers, and the Pantex Environmental Impact Statement, contributed to the current Los Alamos dose assessment methodology. Finally, the current Los Alamos groundwater, surface water, and environmental assessment models for these mesa top and canyon sites are described.

  8. Assessing Higher Level Learning: Developing Rubrics for Case Analysis

    Science.gov (United States)

    Rochford, Linda; Borchert, Patricia S.

    2011-01-01

    Case study analyses allow students to demonstrate proficiency in executing authentic tasks in marketing and management, facilitating faculty evaluation of higher order learning outcomes. Effective and consistent assessment of case analyses depends in large part on the development of sound rubrics. The authors explored the process of rubric…

  9. Assessment of acidity levels in Eucalyptus Camaldulensis barks ...

    African Journals Online (AJOL)

    Bark samples of Eucalyptus camaldulensis obtained from Bauchi and Gombe States were analysed spectrophotometrically for their sulphate-sulphur content. The aim was to assess the extent of sulphur pollution in the environment. The results showed that S concentration ranged from 0.79 to 1.70mg/g for samples from ...

  10. Continuous assessment for tertiary-level language teaching: an aid ...

    African Journals Online (AJOL)

    In 2004, based on the findings of scholarlyenquiry, the French Section of theUniversity of Cape Town decided to prioritise continuous assessment to measurelanguage acquisition, partly with a view to enabling students to monitor their progressmore effectively. In a spirit of quality control (De Ketele, 2003), the purpose of ...

  11. [Bibliometric analysis of literature regarding integrated schistosomiasis control strategy with emphasis on infectious source control].

    Science.gov (United States)

    Qian, Yi-Li; Wang, Wei; Hong, Qing-Biao; Liang, You-Sheng

    2014-12-01

    To evaluate the outcomes of implementation of integrated schistosomiasis control strategy with emphasis on infectious source control using a bibliometric method. The literature pertaining to integrated schistosomiasis control strategy with emphasis on infectious source control was retrieved from CNKI, Wanfangdata, VIP, PubMed, Web of Science, BIOSIS and Google Scholar, and a bibliometric analysis of literature captured was performed. During the period from January 1, 2004 through September 30, 2014, a total of 94 publications regarding integrated schistosomiasis control strategy with emphasis on infectious source control were captured, including 78 Chinese articles (82.98%) and 16 English papers (17.02%). The Chinese literature was published in 21 national journals, and Chinese Journal of Schistosomiasis Control had the largest number of publications, consisting of 37.23% of total publications; 16 English papers were published in 12 international journals, and PLoS Neglected Tropical Diseases had the largest number of publications (3 publications). There were 37 affiliations publishing these 94 articles, and National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (16 publications), Anhui Institute of Schistosomiasis Control (12 publications) and Hunan Institute of Schistosomiasis Control (9 publications) ranked top three affiliations in number of publications. A total of 157 persons were co-authored in these 94 publications, and Wang, Zhou and Zhang ranked top 3 authors in number of publications. The integrated schistosomiasis control strategy with emphasis on infectious source control has been widely implemented in China, and the achievements obtained from the implementation of this strategy should be summarized and transmitted internationally.

  12. Assessment of Stress Level of Forestry Experts with Academic Education

    OpenAIRE

    Landekić, Matija; Martinić, Ivan; Lovrić, Marko; Šporčić, Mario

    2011-01-01

    This paper provides the results of an applied research of forests engineers connected to their risk of mental stress occurrence in everyday work. This paper also has a component of a basic research, in which the adequacy and reliability of applied methodology in this kind of researches is examined. The mental stress induced risk is tested by usage of an e-mail survey which consists out of 23-part ERI (Effort-Reward Imbalance) questionnaire. For the assessment of mental stress expo...

  13. Property-level environmental assessment tools for outdoor areas

    OpenAIRE

    Myhr, Ulla

    2008-01-01

    There is an increasing interest for building environmental assessment tools in the society. These tools simultaneously consider differing aspects in the built environment although when the aspects most often are of various environmental significance. The structures of the tools i.e. offer a framework to deal with a lot of aspects at the same time. Many actors regard tools to be valuable support for decision making, marketing purposes, communication, and for gaining information. This thesis is...

  14. Assessment of hand hygiene levels among healthcare professionals in India

    OpenAIRE

    Rameswarapu, Rohin; K, Surendranath Sai; Valsangkar, Sameer

    2015-01-01

    IntroductionHand hygiene, either by hand disinfection or hand washing remains to be most pivotal in controlling infection in healthcare settings. Simple preventive measures have been proven effective to contain infections. The exiguity on studies done in healthcare settings in India has galvanized us to undertake this study on hand hygiene assessment among nurses in a healthcare setting in IndiaMaterials and methodsA cross sectional study was done in one of leading organization in preventive ...

  15. Assessment of some physicochemical properties and levels of Pb ...

    African Journals Online (AJOL)

    Some physicochemical properties (pH, electrical conductivity (EC), cation exchange capacity (CEC), organic carbon (OC) and particle size analysis) and levels of Pb, Cu and Zn in soil samples collected from particular dumpsites within Kano Metropolis were analyzed with the view to evaluating the impact of solid wastes on ...

  16. Offshore dredger sounds: Source levels, sound maps, and risk assessment

    NARCIS (Netherlands)

    Jong, C.A.F. de; Ainslie, M.A.; Heinis, F.; Janmaat, J.

    2016-01-01

    The underwater sound produced during construction of the Port of Rotterdam harbor extension (Maasvlakte 2) was measured, with emphasis on the contribution of the trailing suction hopper dredgers during their various activities: dredging, transport, and discharge of sediment. Measured source levels

  17. an assessment of the hygiene level in animal product processing

    African Journals Online (AJOL)

    cistvr

    1997) due to a poor local disease surveillance system. Moreover, if other indicators related to the field of food hygiene are considered, there is cause for concern. ..... Visits of sanitary officers and hygiene status of plants. Level of hygiene. Visits from sanitary officers. Total in the plant. Yes. No. Outstanding. 1. 0. 1. Good. 5. 0.

  18. An Assessment Of The Level Of Entrepreneurial Aspiration Of Ogun ...

    African Journals Online (AJOL)

    The study investigated the level of entrepreneurial aspiration of tertiary institution students in Ogun State. A total of 204 students selected through the purposive sampling technique from Olabisi Onabanjo University Ago- Iwoye, University of Agriculture Abeokuta, Tai Solarin University of Agriculture and Moshood Abiola ...

  19. Navigation forces during wrist arthroscopy: assessment of expert levels

    NARCIS (Netherlands)

    Obdeijn, Miryam; Horeman, Tim; de Boer, Lisanne L.; van Baalen, Sophie Jacobine; Liverneaux, Philippe; Tuijthof, Gabrielle J.M.

    2016-01-01

    Purpose To facilitate effective and efficient training in skills laboratory, objective metrics can be used. Forces exerted on the tissues can be a measure of safe tissue manipulation. To provide feedback during training, expert threshold levels need to be determined. The purpose of this study was to

  20. Navigation forces during wrist arthroscopy: assessment of expert levels

    NARCIS (Netherlands)

    Obdeijn, Miryam C.; Horeman, Tim; de Boer, Lisanne L.; van Baalen, Sophie J.; Liverneaux, Philippe; Tuijthof, Gabrielle J. M.

    2016-01-01

    To facilitate effective and efficient training in skills laboratory, objective metrics can be used. Forces exerted on the tissues can be a measure of safe tissue manipulation. To provide feedback during training, expert threshold levels need to be determined. The purpose of this study was to define

  1. Glycyrrhizic acid: the assessment of a no effect level

    NARCIS (Netherlands)

    van Gelderen, C. E.; Bijlsma, J. A.; van Dokkum, W.; Savelkoul, T. J.

    2000-01-01

    Because from earlier experiments in rats and a pilot study in humans a no-effect level of glycyrrhizic acid could not be established, a second experiment was performed in healthy volunteers. The experiment was performed in females only, because the effects were most marked in females in the pilot

  2. Assessing Maize Foliar Water Stress Levels Under Field Conditions ...

    African Journals Online (AJOL)

    Initially, plant water stress has been measured through destructive approaches that are limited in spatial extent as a result of being labour intensive (Graeff & Claupein,. 2007). The basis of detecting water stress with remote sensing relates to the difference in reflectance properties of plants under different water stress levels ...

  3. The composite indicators used in assessing innovation at national level

    Directory of Open Access Journals (Sweden)

    Daniela HINCU

    2010-12-01

    Full Text Available The purpose of present paper is to present some recent developments in constructing composite innovation (or even, science and technology S&T indicators on a national level. Measuring innovation at the national level is crucial in developing appropriate long term strategies for economic growth, because it is widely believed technological innovation is one of the main drivers of sustained economic-social welfare, if not the single most important driver of economic growth. Our purpose is to present a mapping exercise of metrics – based on composite indicators - found in the STI literature, pointing out those used in practice, with a view to corresponding values in the case of Romania. It has become standard practice to combine several indicators for science, technology, and innovation to form composite numbers. Composite indicators are increasingly being used to make cross-national comparisons of country performance in specified areas such as competitiveness, globalisation, innovation, etc.

  4. Assessment of Metal Levels In Some Plants From Giresun

    Directory of Open Access Journals (Sweden)

    Mustafa Türkmen

    2017-09-01

    Full Text Available The study performed the metal bioaccumulations in seven plant species from Giresun city. A total 140 specimens were collected from two stations (Station A; 40° 48’ N, 38° 19’ E, Station B; 50° 54’ N, 38° 26’ E from March 2012 to September 2012. Plant samples were dissected, homogenized and dried at 105°C for 24 hours. An approximately 0.25 g sample of each plant leaf was digested with Cem Mars 5 microwave oven. After cooling, the residue was transferred to 50 ml volumetric flasks and diluted to level with deionized water. Before analysis, the samples were filtered through a 0.45 µm filter. All samples were analyzed (as mg kg-1 dry weight three times for cobalt chromium, copper, iron, manganese, nickel, lead and zinc by ICP-MS. A logarithmic transformation was done on the data to improve normality. One way ANOVA and Duncan’s multiple range tests were performed to test the differences among metal levels of species. Concentrations of metals in the examined species ranged from 0.05 to 1.80 for cobalt, 0.14 to 3.24 for chromium, 2.33 to 28.1 for copper, 38.9 to 533 for iron, 1.81 to 64.6 for manganese, 0.81 to 18.9 for nickel, 0.32 to 6.22 for lead and 14.3 to 536 for zinc, in mg kg-1 respectively. Iron had the highest concentrations in all examined plant species in both stations except Zn for Sambucus ebulus in Station B. Second highest metal was zinc after iron. On the other hand, cobalt had lowest levels than other metals. The differences among metal levels in plant species were statistically significant. Maximum Provisional Tolerable Weekly Intakes (PTWI in edible plant species were calculated.

  5. Economic assessment of utilizing protective properties of level coal seams

    Energy Technology Data Exchange (ETDEWEB)

    Bakhtin, A.F.; Batmanov, Yu.K.; Gainutdinov, I.A.

    1982-12-01

    Increasing mining depth negatively influences mining efficiency and safety. At depths to 600 m 10% of coal comes from seams prone to rock bursts. At depths exceeding 600 m proportion of coal from seams prone to rock bursts increases to 40%. Investigations carried out in Ukrainian coal mines show that coal losses (due to rock burst hazard) in level seams mined by a longwall system amount to 4.6 Mt per year. Cost of rock burst prevention and repairs after rock bursts amounts to 12 million rubles per year. About 68% of coal from level coal seams comes from long coal pillars mined by a longwall system. In level coal seams prone to rock bursts this proportion is 40% lower (proportion of longwall mining is reduced due to increased rock burst hazards). Only 10% of coal seams prone to rock bursts are mined using a system of stress relaxation by cutting another overlying or underlying coal seam (utilizing protective properties of a coal seam). A method for economic analysis of protective properties of coal seams in seam groups is described. Using the method the optimum order of mining coal seams in a seam group is determined. Examples of the method's use are analyzed. (3 refs.) (In Russian)

  6. The level of diagnostic assessment in severe asthma

    DEFF Research Database (Denmark)

    von Bulow, Anna; Backer, Vibeke; Bodtger, Uffe

    2017-01-01

    .3%) patients fulfilled the criteria for having severe asthma. The diagnosis of asthma was confirmed objectively in 53/98 patients (54.1%). In total, 83.7% underwent at least one diagnostic test for asthma: reversibility test: 63.3%, PEF: 52% and bronchial challenge test: 21.4%. Among patients eligible...... for a bronchial challenge test (FEV1 ≥ 70%; negative PEF measurement/reversibility test), only 23.1% had such a test performed. Inhalation technique and adherence were assessed in 19.4 and 30.6% of patients, respectively. CONCLUSION: Among patients managed for severe asthma in a specialist setting, only half had...

  7. In vivo T cell depletion regulates resistance and morbidity in murine schistosomiasis

    Energy Technology Data Exchange (ETDEWEB)

    Phillips, S.M.; Linette, G.P.; Doughty, B.L.; Byram, J.E.; Von Lichtenberg, F.

    1987-08-01

    These studies assessed the roles of subpopulations of T lymphocytes in inducing and modulating resistance to schistosomiasis and thereby influencing subsequent morbidity. C57BL/6 mice were depleted in vivo of Lyt-1+, Lyt-2+, and L3T4+ cells by the daily administration of monoclonal antibodies. The development of protective immunity, induced by exposure to irradiated Schistosoma mansoni cercariae as expressed in depleted animals, was compared to that demonstrated in undepleted, normal, and congenitally athymic C57BL/6 mice. The development of morbidity was determined by spleen weight, portal pressure and reticuloendothelial system activity. The results indicated that depletion of specific subpopulations of T lymphocytes minimally affected the primary development of parasites; however, depletion strongly influenced the development of resistance to the parasite and subsequent morbidity due to infection. Depletion of T lymphocytes by anti-Lyt-1+ or anti-L3T4+ antibody decreased the development of resistance, antibody and delayed-type hypersensitivity directed against schistosome antigens. Morbidity due to disease was increased. Depletion of Lyt-2+ cells produced opposite changes with augmented resistance and reduced morbidity. Congenitally athymic mice developed minimal resistance and morbidity. Moreover, resistance was inversely related to the morbidity shown by a given animal. These studies indicate that the development of protective immunity to S. mansoni cercariae is regulated by discrete subpopulations of T lymphocytes. The feasibility of decreasing morbidity by increasing specific immunologically mediated resistance is suggested.

  8. Studies on the molluscicidal activity of Agave angustifolia and Pittosporum tobira on schistosomiasis transmitting snails.

    Science.gov (United States)

    Ibrahim, Abdalla M; Abdel-Gawad, Mahfouz M; El-Nahas, Hanan A; Osman, Nadia S

    2015-04-01

    In the search for new molluscicidal plants for controlling the snail vectors of schistosomiasis, laboratory evaluation was made to assess the molluscicidal activity of Agave angustifolia and Pittosporum tobira plants against Biomphalaria alexandrina snails. Results indicated that both plants have promising molluscicidal activity as the LC90 of the dry powder of both plants was 120 ppm. Both plants showed marked cercaricidal and miracidicidal potencies against S. mansoni larvae. The LC90 of both plants (120 ppm) killed most B. alexandrina eggs within 24 h of exposure. The sub-lethal concentrations of both plants markedly suppressed the survival rate of B. alexandrina snails and the mortality increased with increasing the concentrations and the exposure period up to 10 successive weeks. The accumulative toxic effect of these concentrations was continuous during the recovery period. Also, the reproductive rates of exposed snails were greatly affected even through the recovery period. This depression in reproductive ability of snails was accompanied by histological damage in the hermaphrodite glands of exposed snails. Meanwhile, the growth of snails was estimated weekly and it showed great inhibition in exposed snails comparing with the control ones.

  9. Selecting accurate post-elimination monitoring tools to prevent reemergence of urogenital schistosomiasis in Morocco: a pilot study.

    Science.gov (United States)

    Balahbib, Abdelaali; Amarir, Fatima; Corstjens, Paul L A M; de Dood, Claudia J; van Dam, Govert J; Hajli, Amina; Belhaddad, Meryem; El Mansouri, Bouchra; Sadak, Abderrahim; Rhajaoui, Mohamed; Adlaoui, El Bachir

    2017-04-06

    After alleged stop of transmission of schistosomiasis and further down the line in post elimination settings, sensitive tools are required to monitor infection status to prevent potential re-emergence. In Rahala, where transmission cycle of Schistosoma haematobium is interrupted since 2004 but where 30% of snails are still infected by S. bovis, potential human S. bovis infection can't be excluded. As methods based on egg-counts do not provide the required sensitivity, antibody or antigen assays are envisaged as the most appropriate tools for this type of monitoring. In this pilot study, the performances of three assays were compared: two commercially available antibody tests (ELISA and haemagglutination format) indicating exposure, and an antigen test (lateral flow strip format) demonstrating active infection. All 37 recruited study participants resided in Rahala (Akka, province Tata, Morocco). Participants had been diagnosed and cured from schistosomiasis in the period between 1983 and 2003. In 2015 these asymptomatic participants provided fresh clinical samples (blood and urine) for analysis with the aforementioned diagnostics tests. No eggs were identified in the urine of the 37 participants. The haemagglutination test indicated 6 antibody positives whereas the ELISA indicated 28 antibody positives, one indecisive and one false positive. ELISA and haemagglutination results matched for 18 individuals, amongst which 5 out of 6 haemagglutination positives. With the antigen test (performed on paired serum and urine samples), serum from two participants (cured 21 and 32 years ago) indicated the presence of low levels of the highly specific Schistosoma circulating anodic antigen (CAA), demonstrating low worm level infections (less than 5 pg/ml corresponding to probably single worm pair). One tested also CAA positive with urine. ELISA indicated the presence of human anti-Schistosoma antibodies in these two CAA positive cases, haemagglutination results were negative

  10. [Regional difference of schistosomiasis knowledge and behavior of population in Mianzhu City].

    Science.gov (United States)

    Gu, Yong; Li, Da-Ming; Jiang, Jian; Ho, Chun; Tang, Chuan-Xing; Liu, Ke-Gang

    2012-04-01

    To understand the status of schistosomiasis knowledge and behavior and analyze the regional difference of population in Mianzhu City. Nine towns were divided into 3 groups, and each group had 3 towns. In Group I , there were 5 or more than 5 advanced schistosomiasis patients each town; in Group II , there were 1-4 advanced patients each town; in Group III, there was no advanced patient. A total of 2 743 residents were investigated with questionnaire in all the 9 towns. The overall awareness rate of schistosomiasis control knowledge was 88.12%, and the awareness rates of schistosomiasis control knowledge were 94.55%, 88.21% and 81.10% in Group I , Group II and Group III respectively. The total formation rate of correct behavior was 68.10%, and the formation rates of correct behavior were 73.18%, 67.05% and 63.65% in Group I , Group II and Group III respectively. The awareness rates of schistosome transmission were 95.99%, 89.48% and 79.67%; the awareness rates of Oncomelania snails were 87.67%, 82.54% and 73.92%; the awareness rates of schistosomiasis harm were 95.68%, 93.99% and 80.88%; the rates of residents who thought that schistosomiasis patients did not affect others were 9.97%, 12.83% and 15.58%; the rates of residents who did not know the information of the snails should report to which department were 7.91%, 11.33%, 15.69%; the rates of residents who often had wild bowels were 6.17%, 8.79% and 11.38%; the rates of residents who often washed their hands and feet in ditches and ponds were 58.68%, 58.27%, 61.22%; the rates of residents who would not accept the schistosomiasis checks were 5.86%, 5.66%, 11.49% in Group I , Group II and Group III respectively. As a whole, the population of Mianzhu City has positive behaviors to schistosomiasis control. We should still enhance the schistosomiasis control education and interventions according to the characteristics of the different townships.

  11. A cross-sectional survey comparing a free treatment program for advanced schistosomiasis japonica to a general assistance program.

    Science.gov (United States)

    Song, Langui; Wu, Xiaoying; Zhang, Beibei; Liu, Jiahua; Ning, An; Wu, Zhongdao

    2017-11-01

    The prevalence and intensity of schistosomiasis has dropped dramatically in China due to an effective integrated control program. However, advanced schistosomiasis is becoming a key challenge on the road to elimination. The aims of this study were to compare the disease condition between advanced cases under the general assistance program (GAP) and free treatment program (FTP) and to determine whether the FTP should be popularized to provide an objective reference for policymakers in China's advanced schistosomiasis control program. One hundred and ninety-four patients with schistosomiasis japonica who were enrolled in the GAP or FTP participated in this study. Little significant difference was observed in the potential confounders, including general characteristics, comorbidities, and lifestyle, indicating a similar effect on the pathology of liver damage caused by schistosome infection. There was no apparent difference in the incidence of common clinical symptoms. Furthermore, no significant difference was observed in the ultrasound findings, implying that the GAP and FTP groups shared a similar degree of liver lesion. With the exception of the abnormal rates of aspartate aminotransferase (AST), alkaline phosphatase (ALP), and hyaluronic acid (HA), the other serological indicators were comparable between the groups. Overall, the FTP is not a better option for controlling advanced schistosomiasis in China. It is important to reveal the precise mechanism underlying the pathogenesis of advanced schistosomiasis so that specific approaches to treating and preventing the development of advanced schistosomiasis can be developed and schistosomiasis can be eliminated in China.

  12. Treatment of acute experimental schistosomiasis Tratamento da esquistossomose aguda experimental

    Directory of Open Access Journals (Sweden)

    Zilton A. Andrade

    1989-12-01

    Full Text Available A model of acute schistosomiasis of the mouse was used to observe whether curative treatment would be followed by an enhancement of the hepatic and splenic lesions, as a consequence of the massive destruction of worms and eggs within the portal system. Mice infected with 50 cercariae of Schistosoma mansoni were treated with both oxamniquine and praziquantel on the 50th day of infection and submitted to a sequential histologic examination from the 2nd to the 45th day after treatment. Although severe focal lesions due to dead and disintegranting worms were present in the livers of the treated animals, no aggravation of the general changes (reative hepatitis and splenitis, or periovular granulomas was seen in comparison with a control non-treated group. Of 50 animals treated during the acute phase of schistosomiasis only one died espontaneously, while 16 ou of 30 infected controls died before the end of the experiment. The present investigation indicates that curative treatment during the acute phase of schistosomiasis does not enhance previous lesions at first and results in progressive disappearance of the lesions starting six days following chemotherapy.Foi utilizado um modelo de esquistossomose aguda do camundongo para testar se o tratamentop curativo da parasitose nesta fase poderia produzir uma exacerbação das lesões hepáticas e esplênicas, em virtude da destruição maciça de vermes e ovos nointerior do sistema porta. Camundongos infectados com 50 cercárias do Schistosoma mansoni foram tratados no 50º dia da infecção por uma combinação de oxamniquine e praziquantel e submetidos a exames histopatológicos seqüenciados desde o 2º até o 45º dia após o tratamento. Muito embora tenham sido encontrados lesões focais intensas causadas por vermes mortos no interior do fígado, não foi encontrada qualquer evidência de agravamento das lesões gerais (hepatite reacional e esplenite, ou nos granulomas periovulares quando se fez

  13. Effectiveness of a pre-treatment snack on the uptake of mass treatment for schistosomiasis in Uganda

    DEFF Research Database (Denmark)

    Muhumuza, Simon; Olsen, Annette; Katahoire, Anne

    2014-01-01

    -treatment snack on uptake of mass treatment.Methods and Findings:In a cluster randomized trial carried out in Jinja district, Uganda, 12 primary schools were randomized into two groups; one received education messages for schistosomiasis prevention for two months prior to mass treatment, while the other......, in addition to the education messages, received a pre-treatment snack shortly before mass treatment. Four weeks after mass treatment, uptake of praziquantel was assessed among a random sample of 595 children in the snack schools and 689 children in the non-snack schools as the primary outcome. The occurrence...... of side effects and the prevalence and mean intensity of Schistosoma mansoni infection were determined as the secondary outcomes. Uptake of praziquantel was higher in the snack schools, 93.9% (95% CI 91.7%-95.7%), compared to that in the non-snack schools, 78.7% (95% CI 75.4%-81.7%) (p = 0...

  14. African schistosomiasis in mainland China: risk of transmission and countermeasures to tackle the risk.

    Science.gov (United States)

    Wang, Wei; Liang, You-Sheng; Hong, Qing-Biao; Dai, Jian-Rong

    2013-08-28

    Schistosomiasis is a major disease of public health importance in humans occurring in 76 countries of the tropics and sub-tropics. In China, schistosomiasis japonica is one of the highest priorities in communicable disease control defined by the central government. Since 1970s, the habitats of Biomphalaria straminea, an intermediate host of Schistosoma mansoni in South America, have been identified in Hong Kong Special Administrative Region and Shenzhen city, Guangdong province of China. With the sharp growth in the China-aided projects in Africa and labor services export to Africa, a gradual rise in the cases infected with S. haematobium or S. mansoni is reported in those returning from Africa to China. The existence of intermediate snail hosts and import of infectious source of schistosomiasis results in concern about the transmission of African schistosomiasis in mainland China in the context of global climate change. This paper evaluates the risk of transmission of African schistosomiasis in China, and proposes countermeasures and research priorities to tackle the risk.

  15. Schistosomiasis Sustained Control Program in Ethnic Groups Around Ninefescha (Eastern Senegal).

    Science.gov (United States)

    N'Diaye, Monique; Dioukhane, Elhadji M; Ndao, Babacar; Diedhiou, Kemo; Diawara, Lamine; Talla, Idrissa; Vernet, Charlotte; Bessin, François; Barbier, Dominique; Dewavrin, Patrick; Klotz, Francis; Georges, Pierre

    2016-09-07

    Schistosomiasis is the second most significant parasitic disease in children in several African countries. For this purpose, the "Programme National de Lutte contre les Bilharzioses" (PNLB) was developed in partnership with the World Health Organization (WHO) to control this disease in Senegal. However, geographic isolation of Bedik ethnic groups challenged implementation of the key elements of the schistosomiasis program in eastern Senegal, and therefore, a hospital was established in Ninefescha to improve access to health care as well as laboratory support for this population. The program we have implemented from 2008 in partnership with the PNLB/WHO involved campaigns to 1) evaluate schistosomiasis prevalence in children of 53 villages around Ninefescha hospital, 2) perform a mass drug administration following the protocol established by the PNLB in school-aged children, 3) monitor annual prevalence, 4) implement health education campaigns, and 5) oversee the building of latrines. This campaign led to a drop in schistosomiasis prevalence but highlighted that sustainable schistosomiasis control by praziquantel treatment, awareness of the use of latrines, and inhabitants' voluntary commitment to the program are crucial to improve Schistosoma elimination. Moreover, this study revealed that preschool-aged children, for whom praziquantel was not recommended until 2014 in Senegal, constituted a significant reservoir for the parasite. © The American Society of Tropical Medicine and Hygiene.

  16. Biosocial Determinants of Persistent Schistosomiasis among Schoolchildren in Tanzania despite Repeated Treatment

    Directory of Open Access Journals (Sweden)

    Rose E. Donohue

    2017-12-01

    Full Text Available Schistosomiasis is a parasitic disease endemic to Tanzania and other countries of the global south, which is currently being addressed through preventive chemotherapy campaigns. However, there is growing recognition that chemotherapy strategies will need to be supplemented to sustainably control and eventually eliminate the disease. There remains a need to understand the factors contributing to continued transmission in order to ensure the effective configuration and implementation of supplemented programs. We conducted a cross-sectional questionnaire, to evaluate the biosocial determinants facilitating the persistence of schistosomiasis, among 1704 Tanzanian schoolchildren residing in two districts undergoing a preventive chemotherapeutic program: Rufiji and Mkuranga. A meta-analysis was carried out to select the diagnostic questions that provided a likelihood for predicting infection status. We found that self-reported schistosomiasis continues to persist among the schoolchildren, despite multiple rounds of drug administration.Using mixed effects logistic regression modeling, we found biosocial factors, including gender, socio-economic status, and water, sanitation, and hygiene (WASH-related variables, were associated with this continued schistosomiasis presence. These findings highlight the significant role that social factors may play in the persistence of disease transmission despite multiple treatments, and support the need not only for including integrated technical measures, such as WASH, but also addressing issues of poverty and gender when designing effective and sustainable schistosomiasis control programs.

  17. Magnetic Resonance Spectroscopy for Evaluating Portal-Systemic Encephalopathy in Patients with Chronic Hepatic Schistosomiasis Japonicum.

    Science.gov (United States)

    Li, Ying; Mei, Lihong; Qiang, Jinwei; Ju, Shuai; Zhao, Shuhui

    2016-12-01

    Portal-systemic encephalopathy (PSE) is classified as type B hepatic encephalopathy. Portal-systemic shunting rather than liver dysfunction is the main cause of PSE in chronic hepatic schistosomiasis japonicum (HSJ) patients. Owing to lack of detectable evidence of intrinsic liver disease, chronic HSJ patients with PSE are frequently clinically undetected or misdiagnosed, especially chronic HSJ patients with covert PSE (subclinical encephalopathy). In this study, we investigated whether magnetic resonance spectroscopy (MRS) could be a useful tool for diagnosing PSE in chronic HSJ patients. Magnetic resonance (MR) T1-weighted imaging, diffusion-weighted imaging, and MRS were performed in 41 chronic HSJ patients with suspected PSE and in 21 age-matched controls. The T1 signal intensity index (T1SI) and apparent diffusion coefficient (ADC) value were obtained in the Globus pallidus. Liver function was also investigated via serum ammonia and liver function tests. Higher T1SI and ADC values, increased lactate and glutamine levels, and decreased myo-inositol were found in the bilateral Globus pallidus in chronic HSJ patients with PSE. No significantly abnormal serum ammonia or liver function tests were observed in chronic HSJ patients with PSE. On the basis of these findings, we propose a diagnostic procedure for PSE in chronic HSJ patients. This study reveals that MRS can be useful for diagnosing PSE in chronic HSJ patients.

  18. Chronic schistosomiasis during pregnancy epigenetically reprograms T-cell differentiation in offspring of infected mothers.

    Science.gov (United States)

    Klar, Kathrin; Perchermeier, Sophie; Bhattacharjee, Sonakshi; Harb, Hani; Adler, Thure; Istvanffy, Rouzanna; Loffredo-Verde, Eva; R A Oostendorp, Robert; Renz, Harald; Prazeres da Costa, Clarissa

    2017-05-01

    Schistosomiasis is a nontransplacental helminth infection. Chronic infection during pregnancy suppresses allergic airway responses in offspring. We addressed the question whether in utero exposure to chronic schistosome infection (Reg phase) in mice affects B-cell and T-cell development. Therefore, we focused our analyses on T-cell differentiation capacity induced by epigenetic changes in promoter regions of signature cytokines in offspring. Here, we show that naïve T cells from offspring of schistosome infected female mice had a strong capacity to differentiate into TH 1 cells, whereas TH 2 differentiation was impaired. In accordance, reduced levels of histone acetylation of the IL-4 promoter regions were observed in naïve T cells. To conclude, our mouse model revealed distinct epigenetic changes within the naïve T-cell compartment affecting TH 2 and TH 1 cell differentiation in offspring of mothers with chronic helminth infection. These findings could eventually help understand how helminths alter T-cell driven immune responses induced by allergens, bacterial or viral infections, as well as vaccines. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  19. Sea level ECV quality assessment via global ocean model assimilation

    Science.gov (United States)

    Scharffenberg, Martin; Köhl, Armin; Stammer, Detlef

    2015-04-01

    In the ocean modeling community satellite data, especially SSH fields, are assimilated on a regular basis. SSH fields are very important in this context because of their dynamical relevance for constraining the ocean's flow field. However, assimilating SSH data into an ocean model does not only improve the quality of model but in addition, can also help testing the quality and the consistency of the input data as well. In our work we aim to quantify improvements in Sea Level (SL) data through the ESA - Climate Change Initiative (cci) effort and we aim to test the consistency of the Essential Climate Variable (ECV) of Sea Level (SL_ECV) with other ECVs through the assimilation process and to investigate where remaining inconsistencies exist and why. For this purpose the GECCO2 assimilation approach assimilates SSH jointly with in situ data over the ocean. The dynamically consistent ocean state estimation adjusts only uncertain model parameters to bring the model into consistency with ocean observations. Improvements in data products can be investigated by studying the residuals between the different data products and the constrained model. PHASE 1: With this approach we could demonstrate, that in many regions the SL_ECV has been improved from version V0 (AVISO product) to version V1 (SL_cci product). However, there are regions where SL_ECV_V1 is further away from the model "truth". In that sense it is important to understand that the model assimilated SL_ECV_V0 (origianl AVISO product) and therefore has tried to adapt to the SL_ECV_V0. Therefore, inconsistencies existed when comparing the synthesis results to the updated version SL_ECV_V1! These deviations between the model "truth" and the improved data product (SL_ECV_V1) increased mostly in low energetic areas. PHASE 2: Two GECCO2-assimilation-runs (5 additional iterations) have been performed to date: 1) assimilating the original AVISO SL-product (V0) and 2) assimilating the updated-improved sea level estimate

  20. Autotransplantation of spleen tissue in children with mansonic schistosomiasis who underwent splenectomy: Evaluation of splenic residual functions

    Directory of Open Access Journals (Sweden)

    Brandt Carlos Teixeira

    1998-01-01

    Full Text Available Autotransplantation of spleen tissue is an attempt for maintenance of splenic functions when splenectomy is indicated in children. It minimizes the risks of overwhelming postsplenectomy infection and it has been done in children with severe portal hypertension due to hepatosplenic mansonic schistosomiasis that underwent splenectomy. The purposes of this investigation were to study the morphology of the residual splenic tissue; to evaluate the residual filtration function of this splenosis; and to assess the immune response to polyvalent pneumococcal vaccine of these patients. Twenty-three children with portal hypertension from mansonic schistosomiasis who underwent splenectomy, ligature of the left gastric vein, autotransplantation of spleen tissue into an omental pouch were evaluated for residual splenic parenchyma and functions. Tc-99m sulfur colloid liver-spleen scans were used for detection of splenic nodules. The search for Howell Jolly bodies were used for assessing the filtration function and Enzyme-linked immunosorbent assay was used for measuring the relative rise in titter of specific pneumococcal antibodies. Splenosis was evident in all children; however, in two there were less than five splenic nodules in the greater omentum, which was considered insufficient. Howell-Jolly bodies were found in the peripheral blood only in these two patients with less evident splenosis. The immune response was adequate in 15 patients; it was intermediate in 4 patients and inadequate in 4 patients. Autotransplantation of spleen tissue into an omental pouch is efficient in maintaining the filtration splenic function in more than 90% of the cases and the immune response to pneumococcal vaccination in approximately 65% of the children.

  1. Towards a holistic perspective on city-level vulnerability assessment

    DEFF Research Database (Denmark)

    Karlsson Nyed, Patrik; Herslund, Lise Byskov

    The deliverable introduces a map of the vulnerability to flooding in Dar es Salaam at the resolution of the finest administrative level (the subward/mtaa; comprising approx. 5-15 000 residents). Overlaying a hydrological model, representing the areas of the city most likely to become flooded......, the high-risk areas may be identified. That is, where the flood-prone areas coincide with the highly vulnerable subwards. The deliverable explores in a step-by-step manner how to capture, measure and process spatial data of multiple dimensions and integrating them into a Geographical Information System...... (GIS). The overall approach is a spatial multiple criteria evaluation (S-MCE) process, following a series of steps, whereby the most important multi-dimensional indicators of vulnerability to flooding are selected, measured and analyzed. Eventually the output is presented as a product in one...

  2. Are general surgeons able to accurately self-assess their level of technical skills?

    Science.gov (United States)

    Rizan, C; Ansell, J; Tilston, T W; Warren, N; Torkington, J

    2015-11-01

    Self-assessment is a way of improving technical capabilities without the need for trainer feedback. It can identify areas for improvement and promote professional medical development. The aim of this review was to identify whether self-assessment is an accurate form of technical skills appraisal in general surgery. The PubMed, MEDLINE(®), Embase(™) and Cochrane databases were searched for studies assessing the reliability of self-assessment of technical skills in general surgery. For each study, we recorded the skills assessed and the evaluation methods used. Common endpoints between studies were compared to provide recommendations based on the levels of evidence. Twelve studies met the inclusion criteria from 22,292 initial papers. There was no level 1 evidence published. All papers compared the correlation between self-appraisal versus an expert score but differed in the technical skills assessment and the evaluation tools used. The accuracy of self-assessment improved with increasing experience (level 2 recommendation), age (level 3 recommendation) and the use of video playback (level 3 recommendation). Accuracy was reduced by stressful learning environments (level 2 recommendation), lack of familiarity with assessment tools (level 3 recommendation) and in advanced surgical procedures (level 3 recommendation). Evidence exists to support the reliability of self-assessment of technical skills in general surgery. Several variables have been shown to affect the accuracy of self-assessment of technical skills. Future work should focus on evaluating the reliability of self-assessment during live operating procedures.

  3. High-Octane Mid-Level Ethanol Blend Market Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Caley [National Renewable Energy Lab. (NREL), Golden, CO (United States); Newes, Emily [National Renewable Energy Lab. (NREL), Golden, CO (United States); Brooker, Aaron [National Renewable Energy Lab. (NREL), Golden, CO (United States); McCormick, Robert [National Renewable Energy Lab. (NREL), Golden, CO (United States); Peterson, Steve [Lexidyne, LLC, Colorado Springs, CO (United States); Leiby, Paul [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Martinez, Rocio Uria [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Oladosu, Gbadebo [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Brown, Maxwell L. [Colorado School of Mines, Golden, CO (United States)

    2015-12-01

    The United States government has been promoting increased use of biofuels, including ethanol from non-food feedstocks, through policies contained in the Energy Independence and Security Act of 2007. The objective is to enhance energy security, reduce greenhouse gas (GHG) emissions, and provide economic benefits. However, the United States has reached the ethanol blend wall, where more ethanol is produced domestically than can be blended into standard gasoline. Nearly all ethanol is blended at 10 volume percent (vol%) in gasoline. At the same time, the introduction of more stringent standards for fuel economy and GHG tailpipe emissions is driving research to increase the efficiency of spark ignition (SI) engines. Advanced strategies for increasing SI engine efficiency are enabled by higher octane number (more highly knock-resistant) fuels. Ethanol has a research octane number (RON) of 109, compared to typical U.S. regular gasoline at 91-93. Accordingly, high RON ethanol blends containing 20 vol% to 40 vol% ethanol are being extensively studied as fuels that enable design of more efficient engines. These blends are referred to as high-octane fuel (HOF) in this report. HOF could enable dramatic growth in the U.S. ethanol industry, with consequent energy security and GHG emission benefits, while also supporting introduction of more efficient vehicles. HOF could provide the additional ethanol demand necessary for more widespread deployment of cellulosic ethanol. However, the potential of HOF can be realized only if it is adopted by the motor fuel marketplace. This study assesses the feasibility, economics, and logistics of this adoption by the four required participants--drivers, vehicle manufacturers, fuel retailers, and fuel producers. It first assesses the benefits that could motivate these participants to adopt HOF. Then it focuses on the drawbacks and barriers that these participants could face when adopting HOF and proposes strategies--including incentives and

  4. Assessing Education Needs at Tertiary Level: The Focus Group Method

    Directory of Open Access Journals (Sweden)

    Elena-Mirela Samfira

    2015-10-01

    Full Text Available The goal of the paper is to point out the advantages and disadvantages of the focus group method in assessing the education needs of teachers and students in veterinary medicine. It is the first stage of a wider research aiming at developing problem-based teaching and learning methodologies in the field of veterinary medicine. The materials used consisted of literature documents on focus group as a research method in social sciences. The authors studied the literature available in the field and synthesised its main advantages and disadvantages. The paper is the first of this kind in Romania. Results show that there is no agreement yet on the advantages and disadvantages of this method. The research limitation is that there is almost no Romanian literature on focus group as a method. The usefulness of the paper is obvious: it allows other researchers in the field of education see the benefits of using such a research method. The originality of the paper consists in the fact that there has been no such research so far in Romanian higher education. Based on the results of the focus groups organised, the authors will design and implement a problem-based learning methodology for the students in veterinary medicine.

  5. Assessing nurses’ knowledge levels in the nutritional management of diabetes

    Directory of Open Access Journals (Sweden)

    Victor Mogre

    2015-01-01

    Full Text Available Although nutrition education for diabetes patients is the responsibility of dieticians and/or nutritionist, nurses have an important role to play. This study measured the knowledge level of nurses’ and associated factors in the nutritional management of diabetes. In this cross-sectional study a sample of 200 nurses completed a 21-item nutritional management of diabetes knowledge test developed based on the ADA and WHO guidelines for the nutritional management of diabetes. Using Cronbach's alpha, reliability was 0.62. The nurses (n = 200 had almost a 1:1 male to female ratio (n = 99, 49.5% and n = 101, 50.5% and a mean age of 27.24 ± 3.66 years. Total mean score was 12.13 ± 3.17 (44.9% correct. Over 70% of the nurses said diabetes patients could exclude any of the major nutrients from their meals. Almost 90% (n = 179 of the nurses did not know the recommended daily caloric intake of carbohydrates for diabetes patients. Higher mean scores were found in nurses who have ever had a refresher course in nutrition, ever counseled a diabetes patient and took 2–3 nutrition courses during school. Nurses’ knowledge in the nutritional management of diabetes was poor. It raises questions about the adequacy of nurses’ knowledge in the nutritional management of diabetes.

  6. Evaluation of the Schistosoma mansoni Y-box-binding protein (SMYB1 potential as a vaccine candidate against schistosomiasis

    Directory of Open Access Journals (Sweden)

    Silvia Regina Costa Dias

    2014-06-01

    Full Text Available Schistosomiasis is a neglected tropical disease, and after malaria, is the second most important tropical disease in public health. A vaccine that reduces parasitemia is desirable to achieve mass treatment with a low cost. Although potential antigens have been identified and tested in clinical trials, no effective vaccine against schistosomiasis is available. Y-box-binding proteins (YBPs regulate gene expression and participate in a variety of cellular processes, including transcriptional and translational regulation, DNA repair, cellular proliferation, drug resistance and stress responses. The Schistosoma mansoni ortholog of the human YB-1, SMYB1, is expressed in all stages of the parasite life cycle. Although SMYB1 binds to DNA or RNA oligonucleotides, immunohistochemistry assays demonstrated that it is primarily localized in the cytoplasm of parasite cells. In addition, SMYB1 interacts with a protein involved in mRNA processing, suggesting that SMYB1 functions in the turnover, transport and/or stabilization of RNA molecules during post-transcriptional gene regulation. Here we report the potential of SMYB1 as a vaccine candidate. We demonstrate that recombinant SMYB1 stimulates the production of high levels of specific IgG1 antibodies in a mouse model. The observed levels of specific IgG1 and IgG2a antibodies indicate an actual protection against cercariae challenge. Animals immunized with rSMYB1 exhibited a 26% reduction in adult worm burden and a 28% reduction in eggs retained in the liver. Although proteins from the worm tegument are considered optimal targets for vaccine development, this study demonstrates that unexposed cytoplasmic proteins can reduce the load of intestinal worms and the number of eggs retained in the liver.

  7. Evaluation of the Schistosoma mansoni Y-box-binding protein (SMYB1) potential as a vaccine candidate against schistosomiasis.

    Science.gov (United States)

    Dias, Sílvia R C; Boroni, Mariana; Rocha, Elizângela A; Dias, Thomaz L; de Laet Souza, Daniela; Oliveira, Fabrício M S; Bitar, Mainá; Macedo, Andrea M; Machado, Carlos R; Caliari, Marcelo V; Franco, Glória R

    2014-01-01

    Schistosomiasis is a neglected tropical disease, and after malaria, is the second most important tropical disease in public health. A vaccine that reduces parasitemia is desirable to achieve mass treatment with a low cost. Although potential antigens have been identified and tested in clinical trials, no effective vaccine against schistosomiasis is available. Y-box-binding proteins (YBPs) regulate gene expression and participate in a variety of cellular processes, including transcriptional and translational regulation, DNA repair, cellular proliferation, drug resistance, and stress responses. The Schistosoma mansoni ortholog of the human YB-1, SMYB1, is expressed in all stages of the parasite life cycle. Although SMYB1 binds to DNA or RNA oligonucleotides, immunohistochemistry assays demonstrated that it is primarily localized in the cytoplasm of parasite cells. In addition, SMYB1 interacts with a protein involved in mRNA processing, suggesting that SMYB1 functions in the turnover, transport, and/or stabilization of RNA molecules during post-transcriptional gene regulation. Here we report the potential of SMYB1 as a vaccine candidate. We demonstrate that recombinant SMYB1 stimulates the production of high levels of specific IgG1 antibodies in a mouse model. The observed levels of specific IgG1 and IgG2a antibodies indicate an actual protection against cercariae challenge. Animals immunized with rSMYB1 exhibited a 26% reduction in adult worm burden and a 28% reduction in eggs retained in the liver. Although proteins from the worm tegument are considered optimal targets for vaccine development, this study demonstrates that unexposed cytoplasmic proteins can reduce the load of intestinal worms and the number of eggs retained in the liver.

  8. The hidden epidemic of schistosomiasis in recent African immigrants and asylum seekers to Italy.

    Science.gov (United States)

    Beltrame, Anna; Buonfrate, Dora; Gobbi, Federico; Angheben, Andrea; Marchese, Valentina; Monteiro, Geraldo Badona; Bisoffi, Zeno

    2017-08-01

    The prevalence of schistosomiasis among recent refugees from sub-Saharan Africa in Italy is unknown. This is a retrospective review of African immigrants screened at Centre for Tropical Diseases of Negrar from March 2014 to February 2016. Of the 373 immigrants tested, 34% were positive at least at one schistosomiasis test. The proportion of positive ELISA serology was 103/373 (27.6%). At microscopy, infected subjects were 65/373 (17.4%), (51% Schistosoma haematobium, 38% Schistosoma mansoni, 11% both). CCA antigen for S. mansoni was positive in 47/373 individuals (12.6%). We found a particularly high positivity rate in subjects from Mali (72.1%) and Ivory Coast (48%). This "hidden epidemic" of schistosomiasis cannot be longer neglected, considering the risk of severe complications, and the effective and inexpensive treatment available.

  9. Simultaneous giant mucinous cystadenoma of the appendix and intestinal schistosomiasis: 'case report and brief review'.

    Science.gov (United States)

    Lin, Changwei; Li, Xiaorong; Guo, Yihang; Hu, Gui; Zhang, Yi; Yang, Kaiyan; Gan, Yi; Zhou, Jianyu; Lv, Lv; Gao, Kai; Du, Juan

    2014-12-17

    Both mucinous cystadenoma of the appendix and intestinal schistosomiasis are rare lesions. We report a rare case of simultaneous giant mucinous cystadenoma of the appendix and intestinal schistosomiasis. A 64-year-old man from China presented with a one-year history of pain in the right lower quadrant of the abdomen. There were no other pertinent historical findings, other than schistosomiasis. Imaging showed a large, tubular, mesenteric cystic structure extending downwards from the inferior wall of the cecum. Right hemicolectomy was performed for the appendiceal tumor. The final pathological diagnosis was mucinous cystadenoma with calcified Schistosome eggs within the mucosa and submucosa of the appendix, small intestine, colon, and lymph nodes. We deduced that the pathogenesis of appendiceal mucinous cystadenoma in our case was Schistosome eggs causing luminal obstruction, finally resulting in intraluminal accumulation of mucoid material. Postoperatively, the patient recovered well.

  10. Associations between patterns of human intestinal schistosomiasis and snail and mammal species richness in Uganda

    DEFF Research Database (Denmark)

    Stensgaard, Anna-Sofie; Kristensen, Thomas K.; Jørgensen, Aslak

    2016-01-01

    the distribution of human schistosomiasis and biogeographical patterns of freshwater snail and mammal species richness in Uganda. We found that the association between estimated snail richness and human infection was best described by a negative correlation in non-spatial bi- and multivariate logistic mixed effect...... models. However, this association lost significance after the inclusion of a spatial component in a full geostatistical model, highlighting the importance of accounting for spatial correlation to obtain more precise parameter estimates. Furthermore, we found no significant relationships between mammal...... richness and schistosomiasis risk. We discuss the limitations of the data and methods used to test the decoy hypothesis for schistosomiasis, and highlight key future research directions that can facilitate more powerful tests of the decoy effect in snail-borne infections, at geographical scales...

  11. Co-endemicity of Cysticercosis and Schistosomiasis in Africa - how many people are at risk?

    DEFF Research Database (Denmark)

    Saarnak, Christopher; Braae, Uffe Christian; Mukaratirwa, S.

    considered, on national scale, to be co-endemic with schistosomiasis. The co-endemicity dataset was then combined with modelled data on population density for 2015 derived from the WorldPop database. We used the open source GIS software QGIS and GRASS to overlay the two datasets and identified the number......). However, the drug used for this, praziquantel, has been reported to cause dramatic side effects among people suffering from neurocysticercosis. Both diseases are presumed to be widely distributed on the continent, but the co-endemicity is unclear. We carried out a meta-analysis of the literature of T......This study investigates the number of people in Sub-Saharan Africa living in areas where two neglected tropical diseases, cysticercosis and schistosomiasis, are co-endemic. The World Health Organisation is aiming for elimination of schistosomiasis by 2020 through mass drug administration (MDA...

  12. To reduce the global burden of human schistosomiasis, use ‘old fashioned’ snail control

    Science.gov (United States)

    Sokolow, Susanne H.; Wood, Chelsea L.; Jones, Isabel J.; Lafferty, Kevin D.; Kuris, Armand; Hsieh, Michael H.; De Leo, Giulio A.

    2018-01-01

    Control strategies to reduce human schistosomiasis have evolved from ‘snail picking’ campaigns, a century ago, to modern wide-scale human treatment campaigns, or preventive chemotherapy. Unfortunately, despite the rise in preventive chemotherapy campaigns, just as many people suffer from schistosomiasis today as they did 50 years ago. Snail control can complement preventive chemotherapy by reducing the risk of transmission from snails to humans. Here, we present ideas for modernizing and scaling up snail control, including spatiotemporal targeting, environmental diagnostics, better molluscicides, new technologies (e.g., gene drive), and ‘outside the box’ strategies such as natural enemies, traps, and repellants. We conclude that, to achieve the World Health Assembly’s stated goal to eliminate schistosomiasis, it is time to give snail control another look.

  13. The temporal patterns of disease severity and prevalence in schistosomiasis

    Energy Technology Data Exchange (ETDEWEB)

    Ciddio, Manuela; Gatto, Marino, E-mail: marino.gatto@polimi.it; Casagrandi, Renato, E-mail: renato.casagrandi@polimi.it [Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Via Ponzio 34/5, 20133 Milano (Italy); Mari, Lorenzo [Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Via Ponzio 34/5, 20133 Milano (Italy); Laboratory of Ecohydrology, ECHO/IIE/ENAC, École Polytechnique Fédérale de Lausanne, Station 2, 1015 Lausanne (Switzerland); Rinaldo, Andrea [Laboratory of Ecohydrology, ECHO/IIE/ENAC, École Polytechnique Fédérale de Lausanne, Station 2, 1015 Lausanne (Switzerland); Dipartimento di Ingegneria Civile, Edile ed Ambientale, Università di Padova, Via Loredan 20, 35131 Padova (Italy)

    2015-03-15

    Schistosomiasis is one of the most widespread public health problems in the world. In this work, we introduce an eco-epidemiological model for its transmission and dynamics with the purpose of explaining both intra- and inter-annual fluctuations of disease severity and prevalence. The model takes the form of a system of nonlinear differential equations that incorporate biological complexity associated with schistosome's life cycle, including a prepatent period in snails (i.e., the time between initial infection and onset of infectiousness). Nonlinear analysis is used to explore the parametric conditions that produce different temporal patterns (stationary, endemic, periodic, and chaotic). For the time-invariant model, we identify a transcritical and a Hopf bifurcation in the space of the human and snail infection parameters. The first corresponds to the occurrence of an endemic equilibrium, while the latter marks the transition to interannual periodic oscillations. We then investigate a more realistic time-varying model in which fertility of the intermediate host population is assumed to seasonally vary. We show that seasonality can give rise to a cascade of period-doubling bifurcations leading to chaos for larger, though realistic, values of the amplitude of the seasonal variation of fertility.

  14. Oxamniquine, praziquantel and lovastatin association in the experimental Schistosomiasis mansoni

    Directory of Open Access Journals (Sweden)

    Neusa Araújo

    2008-08-01

    Full Text Available The activity of lovastatin associated with oxamniquine or praziquantel against schistosomiasis mansoni was evaluated in mice infected with Schistosoma mansoni. Forty days after infection, mice were treated with lovastatin, 400 mg/kg for five consecutive days by oral route, and on the last day of this sequence with 50 mg/kg oxamniquine or with 200 mg/kg praziquantel, both by oral route, single dose. Fifteen days later, the animals were perfused in parallel with an untreated control group. Studies were carried out in vitro, using lovastatin in culture medium containing S. mansoni worms proceeding from experimentally infected mice. In the in vivo trials, the association of lovastatin with oxamniquine or praziquantel did not show any additive action, but there were oogram changes when lovastatin was associated with oxamniquine. In vitro lovastatin was able to interrupt the maturation of S. mansoni eggs, which remained at the 1st or 2nd stages, depending on the dose used. The total number of morphologically dead eggs found in culture of worms exposed to 2 µg/ml or 4 µg/ml concentrations of lovastatin was significantly higher than the number of viable eggs. Using the probe Hoescht 33258 it was observed that 70% of the eggs considered morphologically viable in the treated groups (against 16% in the control group were labeled, indicating that the majority of the viable eggs had membrane permeability increased due to lovastatin action.

  15. Development of a brazilian nanoencapsulated drug for schistosomiasis treatment

    Directory of Open Access Journals (Sweden)

    Laís Bastos da Fonseca

    2013-11-01

    Full Text Available Schistosomiasis is a parasitic disease that, according to the World Health Organization, constitutes a major public health problem associated with severe morbidity, mostly children in preschool age. The administration of drugs in children always constitutes a difficult task, especially when formulations are not developed specifically for pediatric use, when high doses of drug are required and the drug has a bitter taste, as in the case of praziquantel. Polymer nanoparticles are promising systems for development of encapsulated drugs with low water solubility and bitter taste, due to the good physical and chemical stability, adequate biocompatibility and simple manufacturing processes. Moreover, they can enhance the bioavailabili-ty and reduce variability of treatment among patients. Poly (methyl methacrylate doped with praziquantel was produced through a miniemulsion polymerization pro-cess to compose a pediatric pharmaceutical suspension. Nanoparticles were cha-racterized in terms of physico-chemical properties, toxicological properties and biological activity in mice, being concluded that obtained results were satisfactory. The results were encapsulation rate around 90%, absence of chemical interaction drug - polymer and the presence of biological activity. A collaborative approach was used for this development, involving national partnerships and independent funding mechanisms, a powerful pathway for development of drugs for neglected diseases.

  16. Intestinal schistosomiasis caused by both Schistosoma intercalatum and Schistosoma mansoni.

    Science.gov (United States)

    Tzanetou, Konstantina; Astriti, Myrto; Delis, Vassilios; Moustakas, George; Choreftaki, Theodosia; Papaliodi, Eugenia; Sarri, Katerina; Adamis, George

    2010-05-01

    A case is presented of intestinal schistosomiasis due to both Schistosoma intercalatum and Schistosoma mansoni in a 30-year-old man from Senegal with discussion of diagnostic approach, species identification and determination of the effect of treatment. The patient was admitted to hospital for investigation of renal failure, arterial hypertension and hypereosinophilia. Repeated stool examinations for ova and parasites were negative. Ultrasonography (US) and computed tomography (CT) of the abdomen showed no abnormalities. US of the urinary tract showed kidneys of borderline size with increased echogenicity. Cystoscopy and histopathological examination of bladder biopsy specimens were normal. Flexible colonoscopy revealed numerous nodular lesions in the rectosigmoid region and a few similar lesions in the transverse colon, the histopathological examination of which showed deposition of Schistosoma ova with granuloma formation. Examination of multiple crush biopsy specimens from the rectosigmoid region revealed numerous granulomas formed around Schistosoma eggs which had a terminal spine and were identified as S. intercalatum (longer than Schistosoma haematobium and with a slightly curved terminal spine) and a very few S. mansoni eggs. Crush biopsies from the lesions in the transverse colon showed only S. mansoni eggs. In conclusion, the examination of multiple crush biopsy specimens is a very sensitive and specific technique for species identification of Schistosoma, especially in mixed infections, and for defining the location and extent of the granulomas evoked by each species. Copyright 2010 Elsevier Ltd. All rights reserved.

  17. Identification of Schistosoma mansoni candidate antigens for diagnosis of schistosomiasis

    Directory of Open Access Journals (Sweden)

    Gardenia Braz Figueiredo Carvalho

    2011-11-01

    Full Text Available The development of a more sensitive diagnostic test for schistosomiasis is needed to overcome the limitations of the use of stool examination in low endemic areas. Using parasite antigens in enzyme linked immunosorbent assay is a promising strategy, however a more rational selection of parasite antigens is necessary. In this study we performed in silico analysis of the Schistosoma mansoni genome, using SchistoDB database and bioinformatic tools for screening immunogenic antigens. Based on evidence of expression in all parasite life stage within the definitive host, extracellular or plasmatic membrane localization, low similarity to human and other helminthic proteins and presence of predicted B cell epitopes, six candidates were selected: a glycosylphosphatidylinositol-anchored 200 kDa protein, two putative cytochrome oxidase subunits, two expressed proteins and one hypothetical protein. The recognition in unidimensional and bidimensional Western blot of protein with similar molecular weight and isoelectric point to the selected antigens by sera from S. mansoni infected mice indicate a good correlation between these two approaches in selecting immunogenic proteins.

  18. Modeling and Validation of Environmental Suitability for Schistosomiasis Transmission Using Remote Sensing.

    Science.gov (United States)

    Walz, Yvonne; Wegmann, Martin; Dech, Stefan; Vounatsou, Penelope; Poda, Jean-Noël; N'Goran, Eliézer K; Utzinger, Jürg; Raso, Giovanna

    2015-11-01

    Schistosomiasis is the most widespread water-based disease in sub-Saharan Africa. Transmission is governed by the spatial distribution of specific freshwater snails that act as intermediate hosts and human water contact patterns. Remote sensing data have been utilized for spatially explicit risk profiling of schistosomiasis. We investigated the potential of remote sensing to characterize habitat conditions of parasite and intermediate host snails and discuss the relevance for public health. We employed high-resolution remote sensing data, environmental field measurements, and ecological data to model environmental suitability for schistosomiasis-related parasite and snail species. The model was developed for Burkina Faso using a habitat suitability index (HSI). The plausibility of remote sensing habitat variables was validated using field measurements. The established model was transferred to different ecological settings in Côte d'Ivoire and validated against readily available survey data from school-aged children. Environmental suitability for schistosomiasis transmission was spatially delineated and quantified by seven habitat variables derived from remote sensing data. The strengths and weaknesses highlighted by the plausibility analysis showed that temporal dynamic water and vegetation measures were particularly useful to model parasite and snail habitat suitability, whereas the measurement of water surface temperature and topographic variables did not perform appropriately. The transferability of the model showed significant relations between the HSI and infection prevalence in study sites of Côte d'Ivoire. A predictive map of environmental suitability for schistosomiasis transmission can support measures to gain and sustain control. This is particularly relevant as emphasis is shifting from morbidity control to interrupting transmission. Further validation of our mechanistic model needs to be complemented by field data of parasite- and snail

  19. Modeling and Validation of Environmental Suitability for Schistosomiasis Transmission Using Remote Sensing.

    Directory of Open Access Journals (Sweden)

    Yvonne Walz

    2015-11-01

    Full Text Available Schistosomiasis is the most widespread water-based disease in sub-Saharan Africa. Transmission is governed by the spatial distribution of specific freshwater snails that act as intermediate hosts and human water contact patterns. Remote sensing data have been utilized for spatially explicit risk profiling of schistosomiasis. We investigated the potential of remote sensing to characterize habitat conditions of parasite and intermediate host snails and discuss the relevance for public health.We employed high-resolution remote sensing data, environmental field measurements, and ecological data to model environmental suitability for schistosomiasis-related parasite and snail species. The model was developed for Burkina Faso using a habitat suitability index (HSI. The plausibility of remote sensing habitat variables was validated using field measurements. The established model was transferred to different ecological settings in Côte d'Ivoire and validated against readily available survey data from school-aged children.Environmental suitability for schistosomiasis transmission was spatially delineated and quantified by seven habitat variables derived from remote sensing data. The strengths and weaknesses highlighted by the plausibility analysis showed that temporal dynamic water and vegetation measures were particularly useful to model parasite and snail habitat suitability, whereas the measurement of water surface temperature and topographic variables did not perform appropriately. The transferability of the model showed significant relations between the HSI and infection prevalence in study sites of Côte d'Ivoire.A predictive map of environmental suitability for schistosomiasis transmission can support measures to gain and sustain control. This is particularly relevant as emphasis is shifting from morbidity control to interrupting transmission. Further validation of our mechanistic model needs to be complemented by field data of parasite- and

  20. Some epidemiological and serological studies on schistosomiasis in Najran area, Saudi Arabia

    Directory of Open Access Journals (Sweden)

    El-Shahawy I. S.

    2016-06-01

    Full Text Available Schistosomiasis is a major cause of morbidity and mortality and has been estimated to infect over 200 million people. Diagnosis of schistosomiasis by detection of specific antibodies is likely to be more sensitive than the traditional method of diagnosis by detection of eggs in stool or urine. Therefore the present study was the first attempt to highlight the seroepidemiology of schistosomiasis among the general population of Najran City, southern of Saudi Arabia, as well as to achieve the performance of the diagnostic tests used. A total of 180 participants attending King Khaled hospital in Najran Province, Saudi Arabia, over a one year period, from September 2013 to September 2014 were screened for the presence of Schistosoma antibody in their blood serum using an indirect hemagglutination assay (IHA. Specific immunoglobulin (Ig G antibody was evaluated using an enzyme-linked immunosorbent assay (ELISA. Out of the 180 samples of sera tested using IHA, 32 (20 % were found to be positive with a titer ranging from 1:160 to 1:1280, while 42(23.2 % revealed Schistosoma IgG. A positive relationship was found between the seroprevalence of schistosomiasis and age of tested participants, especially in the age group of 20-40 years old. Additionally, prevalence of infection was more in males (36 % than females (7.5 %, and showed statistical significance (P < 0.001. Similarly, there was significant association between the presence of Schistosoma antibodies and the nationality of residence, and education of participants (P < 0.05. The current investigation reveals an alarmingly high prevalence of schistosomiasis among participants in Najran, southern region of Saudi Arabia and this supports an urgent need to re-evaluate the current control measures and implement an integrated, targeted and effective schistosomiasis control measures.

  1. A spectral analysis of the myoelectric activity of the left colon in patients with schistosomiasis mansoni

    Directory of Open Access Journals (Sweden)

    A.A.B. Ferraz

    2005-05-01

    Full Text Available The objective of the present study was to perform a spectral analysis of the electrical activity of the left colon of patients with hepatosplenic schistosomiasis. Thirty patients were studied, divided into 2 groups: group A was composed of 14 patients (9 males and 5 females with hepatosplenic schistosomiasis and group B was composed of 16 female patients without schistosomiasis mansoni. Three pairs of electrodes were implanted in the left colon at the moment of the surgical treatment. The signals of the electric activity of the colon were captured after postoperative recovery from the ileus and fed into a computer by means of a DATAQ data collection system which identified and captured frequencies between 0.02 and 10 Hz. Data were recorded, stored and analyzed using the WINDAQ 200 software. For electrical analysis, the average voltage of the electrical wave in the three electrodes of all patients, expressed as millivolts (mV, was considered, together with the maximum and minimum values, the root mean square (RMS, the skewness, and the results of the fast Fourier transforms. The average RMS of the schistosomiasis mansoni patients was 284.007 mV. During a long period of contraction, the RMS increased in a statistically significant manner from 127.455 mV during a resting period to 748.959 mV in patients with schistosomiasis mansoni. We conclude that there were no statistically significant differences in RMS values between patients with schistosomiasis mansoni and patients without the disease during the rest period or during a long period of contraction.

  2. Further development of the baboon as a model for acute schistosomiasis

    Directory of Open Access Journals (Sweden)

    Raymond T. Damian

    1992-01-01

    Full Text Available Baboons develop a syndrome, including eosinophilia and transient fever, after infection with carcariae of Schistosoma mansoni that is consistent with the human syndrome of acute schistosomiasis. Radiotelemetry can be used to follow the course of fever in infected baboons. Individual variations in intensity of disease were noted in baboons. These symptoms and signs were more closely linked to the onset of oviposition by the newly matured worms than they were to the presence of migrating schistosoma or maturing worms. The baboon is concluded to be a suitable and useful model for human acute schistosomiasis mansoni.

  3. On the use of plants and plant-derived compounds for the control of schistosomiasis.

    Science.gov (United States)

    Hostettmann, K

    1984-05-01

    The rising costs of chemotherapy and synthetic molluscides have led to an increasing interest in plants which are lethal to the intermediate host of schistosomiasis (bilharzia). Over one thousand species have been tested but only a few have been phytochemically examined. Approximately fifty molluscicidal compounds have so far been isolated from plants, including saponins, terpenoids, flavonoids, naphthoquinones and tannins. The saponins from Phytolacca dodecandra are the most active and have been successfully employed in field tests. The latest results in this area and the problems involved in the use of plants and natural products for the control of schistosomiasis are discussed here.

  4. Mapping and prediction of schistosomiasis in Nigeria using compiled survey data and Bayesian geospatial modelling

    DEFF Research Database (Denmark)

    Ekpo, Uwem F.; Hürlimann, Eveline; Schur, Nadine

    2013-01-01

    Schistosomiasis prevalence data for Nigeria were extracted from peer-reviewed journals and reports, geo-referenced and collated in a nationwide geographical information system database for the generation of point prevalence maps. This exercise revealed that the disease is endemic in 35 of the cou......Schistosomiasis prevalence data for Nigeria were extracted from peer-reviewed journals and reports, geo-referenced and collated in a nationwide geographical information system database for the generation of point prevalence maps. This exercise revealed that the disease is endemic in 35...

  5. Serum hyaluronan and collagen IV as non-invasive markers of liver fibrosis in patients from an endemic area for schistosomiasis mansoni: a field-based study in Brazil

    Directory of Open Access Journals (Sweden)

    Carolina Coimbra Marinho

    2010-07-01

    Full Text Available Non-invasive markers of fibrosis have been used to diagnose liver fibrosis in a variety of diseases. Hyaluronic acid (HA and collagen IV (C-IV levels were measured in the sera of patients from an endemic area for schistosomiasis in Brazil to diagnose and to rank the intensity of liver fibrosis. Seventy-nine adult patients with schistosomiasis, in the age range of 21-82 years (49 ± 13.4 were submitted to clinical and ultrasonographic examinations. Ultrasound was employed to diagnose and categorise liver fibrosis according to World Health Organization patterns. Serum HA and C-IV levels were measured using commercial ELISA kits. Ultrasound revealed six patients with intense liver fibrosis, 21 with moderate, 23 with light and 29 without. Serum HA was able to separate individuals with fibrosis from those without (p < 0.001 and light from intense fibrosis (p = 0.029, but C-IV was not (p = 0.692. The HA diagnostic accuracy for fibrosis was 0.89. The 115.4 ng/mL cut-off level diagnosed patients with fibrosis (sensitivity 0.98, specificity 0.64. HA correlated positively with portal hypertension. Periportal fibrosis (subjective evaluation, age and collateral circulation predicted HA increase. In conclusion, we propose that serum HA can be used to identify patients with liver fibrosis in an endemic area for schistosomiasis mansoni in Brazil.

  6. Accuracy of parasitological and immunological tests for the screening of human schistosomiasis in immigrants and refugees from African countries: An approach with Latent Class Analysis.

    Science.gov (United States)

    Beltrame, Anna; Guerriero, Massimo; Angheben, Andrea; Gobbi, Federico; Requena-Mendez, Ana; Zammarchi, Lorenzo; Formenti, Fabio; Perandin, Francesca; Buonfrate, Dora; Bisoffi, Zeno

    2017-06-01

    Schistosomiasis is a neglected infection affecting millions of people, mostly living in sub-Saharan Africa. Morbidity and mortality due to chronic infection are relevant, although schistosomiasis is often clinically silent. Different diagnostic tests have been implemented in order to improve screening and diagnosis, that traditionally rely on parasitological tests with low sensitivity. Aim of this study was to evaluate the accuracy of different tests for the screening of schistosomiasis in African migrants, in a non endemic setting. A retrospective study was conducted on 373 patients screened at the Centre for Tropical Diseases (CTD) in Negrar, Verona, Italy. Biological samples were tested with: stool/urine microscopy, Circulating Cathodic Antigen (CCA) dipstick test, ELISA, Western blot, immune-chromatographic test (ICT). Test accuracy and predictive values of the immunological tests were assessed primarily on the basis of the results of microscopy (primary reference standard): ICT and WB resulted the test with highest sensitivity (94% and 92%, respectively), with a high NPV (98%). CCA showed the highest specificity (93%), but low sensitivity (48%). The analysis was conducted also using a composite reference standard, CRS (patients classified as infected in case of positive microscopy and/or at least 2 concordant positive immunological tests) and Latent Class Analysis (LCA). The latter two models demonstrated excellent agreement (Cohen's kappa: 0.92) for the classification of the results. In fact, they both confirmed ICT as the test with the highest sensitivity (96%) and NPV (97%), moreover PPV was reasonably good (78% and 72% according to CRS and LCA, respectively). ELISA resulted the most specific immunological test (over 99%). The ICT appears to be a suitable screening test, even when used alone. The rapid test ICT was the most sensitive test, with the potential of being used as a single screening test for African migrants.

  7. Accuracy of parasitological and immunological tests for the screening of human schistosomiasis in immigrants and refugees from African countries: An approach with Latent Class Analysis.

    Directory of Open Access Journals (Sweden)

    Anna Beltrame

    2017-06-01

    Full Text Available Schistosomiasis is a neglected infection affecting millions of people, mostly living in sub-Saharan Africa. Morbidity and mortality due to chronic infection are relevant, although schistosomiasis is often clinically silent. Different diagnostic tests have been implemented in order to improve screening and diagnosis, that traditionally rely on parasitological tests with low sensitivity. Aim of this study was to evaluate the accuracy of different tests for the screening of schistosomiasis in African migrants, in a non endemic setting.A retrospective study was conducted on 373 patients screened at the Centre for Tropical Diseases (CTD in Negrar, Verona, Italy. Biological samples were tested with: stool/urine microscopy, Circulating Cathodic Antigen (CCA dipstick test, ELISA, Western blot, immune-chromatographic test (ICT. Test accuracy and predictive values of the immunological tests were assessed primarily on the basis of the results of microscopy (primary reference standard: ICT and WB resulted the test with highest sensitivity (94% and 92%, respectively, with a high NPV (98%. CCA showed the highest specificity (93%, but low sensitivity (48%. The analysis was conducted also using a composite reference standard, CRS (patients classified as infected in case of positive microscopy and/or at least 2 concordant positive immunological tests and Latent Class Analysis (LCA. The latter two models demonstrated excellent agreement (Cohen's kappa: 0.92 for the classification of the results. In fact, they both confirmed ICT as the test with the highest sensitivity (96% and NPV (97%, moreover PPV was reasonably good (78% and 72% according to CRS and LCA, respectively. ELISA resulted the most specific immunological test (over 99%. The ICT appears to be a suitable screening test, even when used alone.The rapid test ICT was the most sensitive test, with the potential of being used as a single screening test for African migrants.

  8. The use of geographic information system as a tool for schistosomiasis surveillance in the province of Davao del Norte, the Philippines.

    Science.gov (United States)

    Belizario, Vicente Y; Delos Trinos, John Paul Caesar R; Silawan, Berne; De Veyra, Chiqui M; Hornido, Agapito; Amoguis, Hansel; Basalo, Dominic; Dema-Ala, Cherry; Mantilla, Irenn; Layan, Rosele

    2017-11-06

    Schistosomiasis (SCH) in The Philippines is caused by Schistosoma japonicum and remains endemic in 28 provinces in 12 regions. Effective SCH control requires describing areas at risk where control efforts may be focused. This study aims at demonstrating the utility of geographical information system (GIS) as a tool for SCH surveillance in the province of Davao del Norte. Qualitative and quantitative data on SCH determinants, obtained from local government offices, partner agencies and institutions, were standardised, formatted and incorporated into a GIS map. Atrisk areas are described in terms of determinants and (variables), which included geography and climate (topography, temperature and flood-prone areas), agriculture (irrigation and land use), poverty (percentage of households with income below the poverty threshold), sanitation level (percentage of households with sanitary toilets), intermediate and reservoir hosts (presence of snail colonies and reservoir hosts) as well as prevalence and treatment coverage. Endemic villages (barangays) were generally found to be located in flood-prone areas in the lowlands near major rivers. New Corella has the highest poverty index among the SCH-endemic areas studied as well as the highest number of confirmed snail colonies. Among known endemic localities in Davao del Norte, Tagum City was found to be the only city meeting the poverty index target of <16.6%. Clustering of SCH cases were reported in six barangays ranging from 0.48% (8 out of 1,655) in Braulio Dujali to 2% (25 out of 1,405) in Asuncion. This study demonstrates the utility of GIS in predicting and assessing SCH risk, which allows prioritisation and allocation of control resources and delivery of services in areas at the highest risk for SCH.

  9. Assessing the Transition between School and University: Differences in Assessment between A Level and University in English

    Science.gov (United States)

    Wilson, Frances; Child, Simon; Suto, Irenka

    2017-01-01

    High stakes assessments are commonly used at the end of secondary school to select students for higher education. However, growing concerns about the preparedness of new undergraduates for university study have led to an increased focus on the form of assessments used at upper secondary level. This study compared the structure and format of…

  10. Multi-Level Model of Contextual Factors and Teachers' Assessment Practices: An Integrative Review of Research

    Science.gov (United States)

    Fulmer, Gavin W.; Lee, Iris C. H.; Tan, Kelvin H. K.

    2015-01-01

    We present a multi-level model of contextual factors that may influence teachers' assessment practices, and use this model in a selected review of existing literature on teachers' assessment knowledge, views and conceptions with respect to these contextual factors. Adapting Kozma's model, we distinguish three levels of influence on teachers'…

  11. An Analysis of the Text Complexity of Leveled Passages in Four Popular Classroom Reading Assessments

    Science.gov (United States)

    Toyama, Yukie; Hiebert, Elfrieda H.; Pearson, P. David

    2017-01-01

    This study investigated the complexity of leveled passages used in four classroom reading assessments. A total of 167 passages leveled for Grades 1-6 from these assessments were analyzed using four analytical tools of text complexity. More traditional, two-factor measures of text complexity found a general trend of fairly consistent across-grade…

  12. Mapping of Schistosomiasis and Soil-Transmitted Helminths in Namibia: The First Large-Scale Protocol to Formally Include Rapid Diagnostic Tests.

    Science.gov (United States)

    Sousa-Figueiredo, José Carlos; Stanton, Michelle C; Katokele, Stark; Arinaitwe, Moses; Adriko, Moses; Balfour, Lexi; Reiff, Mark; Lancaster, Warren; Noden, Bruce H; Bock, Ronnie; Stothard, J Russell

    2015-01-01

    Namibia is now ready to begin mass drug administration of praziquantel and albendazole against schistosomiasis and soil-transmitted helminths, respectively. Although historical data identifies areas of transmission of these neglected tropical diseases (NTDs), there is a need to update epidemiological data. For this reason, Namibia adopted a new protocol for mapping of schistosomiasis and geohelminths, formally integrating rapid diagnostic tests (RDTs) for infections and morbidity. In this article, we explain the protocol in detail, and introduce the concept of 'mapping resolution', as well as present results and treatment recommendations for northern Namibia. This new protocol allowed a large sample to be surveyed (N = 17,896 children from 299 schools) at relatively low cost (7 USD per person mapped) and very quickly (28 working days). All children were analysed by RDTs, but only a sub-sample was also diagnosed by light microscopy. Overall prevalence of schistosomiasis in the surveyed areas was 9.0%, highly associated with poorer access to potable water (OR = 1.5, Pmaps were produced and hot spots identified to better guide the national programme in drug administration, as well as targeted improvements in water, sanitation and hygiene. The RDTs employed (circulating cathodic antigen and microhaematuria for Schistosoma mansoni and S. haematobium, respectively) performed well, with sensitivities above 80% and specificities above 95%. This protocol is cost-effective and sensitive to budget limitations and the potential economic and logistical strains placed on the national Ministries of Health. Here we present a high resolution map of disease prevalence levels, and treatment regimens are recommended.

  13. Mapping of Schistosomiasis and Soil-Transmitted Helminths in Namibia: The First Large-Scale Protocol to Formally Include Rapid Diagnostic Tests.

    Directory of Open Access Journals (Sweden)

    José Carlos Sousa-Figueiredo

    Full Text Available Namibia is now ready to begin mass drug administration of praziquantel and albendazole against schistosomiasis and soil-transmitted helminths, respectively. Although historical data identifies areas of transmission of these neglected tropical diseases (NTDs, there is a need to update epidemiological data. For this reason, Namibia adopted a new protocol for mapping of schistosomiasis and geohelminths, formally integrating rapid diagnostic tests (RDTs for infections and morbidity. In this article, we explain the protocol in detail, and introduce the concept of 'mapping resolution', as well as present results and treatment recommendations for northern Namibia.This new protocol allowed a large sample to be surveyed (N = 17,896 children from 299 schools at relatively low cost (7 USD per person mapped and very quickly (28 working days. All children were analysed by RDTs, but only a sub-sample was also diagnosed by light microscopy. Overall prevalence of schistosomiasis in the surveyed areas was 9.0%, highly associated with poorer access to potable water (OR = 1.5, P<0.001 and defective (OR = 1.2, P<0.001 or absent sanitation infrastructure (OR = 2.0, P<0.001. Overall prevalence of geohelminths, more particularly hookworm infection, was 12.2%, highly associated with presence of faecal occult blood (OR = 1.9, P<0.001. Prevalence maps were produced and hot spots identified to better guide the national programme in drug administration, as well as targeted improvements in water, sanitation and hygiene. The RDTs employed (circulating cathodic antigen and microhaematuria for Schistosoma mansoni and S. haematobium, respectively performed well, with sensitivities above 80% and specificities above 95%.This protocol is cost-effective and sensitive to budget limitations and the potential economic and logistical strains placed on the national Ministries of Health. Here we present a high resolution map of disease prevalence levels, and treatment regimens are

  14. San Luis Valley - Taos Plateau Landscape-Level Cultural Heritage Values and Risk Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Wescott, Konstance L. [Argonne National Lab. (ANL), Argonne, IL (United States); Abplanalp, Jennifer M. [Argonne National Lab. (ANL), Argonne, IL (United States); Brown, Jeff [Bureau of Land Management, Monte Vista, CO (United States); Cantwell, Brian [Argonne National Lab. (ANL), Argonne, IL (United States); Dicks, Merrill [Bureau of Land Management, Taos, NM (United States); Fredericks, Brian [Bureau of Land Management, Monte Vista, CO (United States); Krall, Angie [US Forest Service, Creede, CO (United States); Rollins, Katherine E. [Argonne National Lab. (ANL), Argonne, IL (United States); Sullivan, Robert [Argonne National Lab. (ANL), Argonne, IL (United States); Valdez, Arnie [Univ. of New Mexico, Albuquerque, NM (United States); Verhaaren, Bruce [Argonne National Lab. (ANL), Argonne, IL (United States); Vieira, Joseph [Bureau of Land Management, Monte Vista, CO (United States); Walston, Lee [Argonne National Lab. (ANL), Argonne, IL (United States); Zvolanek, Emily A. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2016-10-01

    The San Luis Valley – Taos Plateau Landscape-Level Cultural Heritage Values and Risk Assessment (hereafter referred to as cultural assessment) is a BLM pilot project designed to see whether the Rapid Ecoregional Assessment (REA) framework (already established and implemented throughout many ecoregions in the West) can be applied to the cultural environment.

  15. Impact evaluation of intervention models on schistosomiasis control into elimination in People’s Republic of China and African countries

    Directory of Open Access Journals (Sweden)

    Ernest Tambo, Jia Tei-Wu, Xiao Ning, Wei Hu, Zhou Xiao-Nong

    2017-06-01

    Full Text Available Objective: Evidence-based and innovative approaches aiming to reduce or eliminate the local and global burden of schistosomiasis are urgently needed. Local elimination has proved difficult and requires vigorous political and financial commitment for prolonged long-term benefits. Yet, available literature provides limited evidence on the impact and effectiveness of different local and national schistosomiasis programs and community interventions models. Integrated schistosomiasis control interventions models in P.R. China have provided hopes that elimination can be achievable goal both endemic areas in China and African countries, where most vulnerable children population lives. Methods: The paper overviewed to what extent and impact of various implemented models and programs, and provides an understanding of the robustness of schistosomiasis control towards elimination interventions in endemic communities in P.R. China and African countries. Results: It provides vital evidence to galvanize governments and global stakeholders in upholding cost-effective interventions models and research innovations in guiding sustainable decision-making policies and priorities towards achieving global schistosomiasis elimination in China and Africa. Conclusion: Successful Chinese lessons learnt and experiences from varied schistosomiasis models integration and policies practice holds immense promise when transfer and apply within an integrated trans-disciplinary and intersectorial sectors schistosomiasis approaches in ending schistosomiasis endemicity and epidemics episodes in both P.R. China and African countries. Furthermore ensuring community engagement and participation, health education and resilience towards community projects ownership are essential in sustained national schistosomiasis elimination programmes and eventual eradication benefits. J Microbiol Infect Dis 2017; 7(2: 104-118

  16. Strongyloides stercoralis disseminated infection and schistosomiasis in an AIDS patient

    Directory of Open Access Journals (Sweden)

    Rodrigo Martins Brandão

    2012-12-01

    Full Text Available Strongyloides stercoralis hyperinfection syndrome is classically associated with impaired host response and implies in an overburden of larvae in its usual cycle. It has been recognized as a severe and potentially fatal condition in immunocompromised individuals, especially those using oral corticosteroids. Infection with Schistosoma mansoni not only increases the susceptibility to HIV infection, but also promotes progression to disease. The association of the most severe forms of strongyloidiasis and AIDS is scarcely described, even more when S. mansoni is also associated. The authors describe a case of a 34-year-old previously healthy male, admitted to the emergency department with a history of hematemesis associated with dyspnea, hemoptysis, and fever. He referred homosexual relations for 6 years. Physical examination showed an ill-looking patient, and was remarkable for tachycardia, tachypnea, diaphoresis, and pulse oximetry of 70% in room air. Lungs examination revealed the presence of rales in the left base. Chest radiography showed a diffuse and bilateral reticulo-nodular pattern. HIV serology was positive. Empirical antimicrobial therapy and corticosteroids were initiated. On the third day of hospitalization, petechiae appeared over the periumbilical area, but no further investigation was undertaken because the patient died soon after. The autopsy findings were compatible with S. stercoralis disseminated infection, a hepatic intestinal chronic form of schistosomiasis, and septic shock as the primary cause of death. The authors call attention to this infrequent association.

  17. Urogenital schistosomiasis and associated determinant factors among senior high school students in the Dutsin-Ma and Safana Local Government Areas of Katsina State, Nigeria.

    Science.gov (United States)

    Atalabi, Tolulope Ebenezer; Lawal, Umar; Akinluyi, Francis Omowonuola

    2016-08-02

    Human schistosomiasis is a chronic parasitic disease of poverty caused by the cercariae of digenetic trematodes of the genus Schistosoma. The disease is a major source of morbidity and mortality in 77 low- and middle-income countries in the tropics where 700 million people are at risk. In a bid to provide relevant epidemiological information to boost control of urogenital schistosomiasis at the state level in Nigeria, we conducted this study with the aim of investigating the disease's prevalence and intensity, and the determinant factors responsible for its endemicity. Data on risk factors were obtained from a total of 645 students aged 12─25 years using well- designed questionnaires. Samples were collected between 09:45 and 14:00 in universal bottles. Each10μl centrifuged sample was examined for the eggs of S. haematobium using Motic® (Binocular) Light Microscope (model S-10-P) with a x10 objective. Average infection intensity was recorded as number of eggs per 10 ml of urine sample. Survey data were entered into Microsoft Excel 2010 and analyzed using Epi Info™ 7. Associations among variables were determined using the chi square test and bivariate and multivariate logistic regressions. Prevalence of urogenital schistosomiasis was 30.54 % among the study population, with a mean infection intensity of 30.27 eggs/10 ml of urine. Prevalence and average intensity were higher in males (28.37 % and 32.21 eggs/10 ml of urine respectively) than in females (2.17 % and 5 eggs/10 ml of urine respectively). Water contact activities (X (2)   = 29.031, P = 0.0000), sex (male) [X (2)   = 109.82; PGovernment Areas for urogenital schistosomiasis. The strong association between the disease and mother's occupation is of utmost importance and suggests a promising control measure: that is, directing health education as well as grassroots mass chemotherapeutic intervention with praziquantel at mothers. A good network including treated pipe-borne water

  18. Circulating antigen tests and urine reagent strips for diagnosis of active schistosomiasis in endemic areas

    NARCIS (Netherlands)

    Ochodo, Eleanor A; Gopalakrishna, Gowri; Spek, Bea; Reitsma, Johannes B; van Lieshout, Lisette; Polman, Katja; Lamberton, Poppy; Bossuyt, Patrick M M; Leeflang, Mariska M G

    2015-01-01

    BACKGROUND: Point-of-care (POC) tests for diagnosing schistosomiasis include tests based on circulating antigen detection and urine reagent strip tests. If they had sufficient diagnostic accuracy they could replace conventional microscopy as they provide a quicker answer and are easier to use.

  19. Diagnosis of Schistosomiasis by reagent strip test for detection of circulating cathodic antigen

    NARCIS (Netherlands)

    Dam, van G.J.; Wichers, J.H.; Falcao Ferreira, T.M.; Ghati, D.; Amerongen, van A.; Deelder, A.M.

    2004-01-01

    A newly developed reagent strip assay for the diagnosis of schistosomiasis based on parasite antigen detection in urine of infected individuals was evaluated. The test uses the principle of lateral flow through a nitrocellulose strip of the sample mixed with a colloidal carbon conjugate of a

  20. Recent advances in proteomic applications for schistosomiasis research: potential clinical impact.

    Science.gov (United States)

    Sotillo, Javier; Doolan, Denise; Loukas, Alex

    2017-02-01

    Schistosomiasis is a neglected tropical disease affecting hundreds of millions of people worldwide. Recent advances in the field of proteomics and the development of new and highly sensitive mass spectrometers and quantitative techniques have provided new tools for advancing the molecular biology, cell biology, diagnosis and vaccine development for public health threats such as schistosomiasis. Areas covered: In this review we describe the latest advances in research that utilizes proteomics-based tools to address some of the key challenges to developing effective interventions against schistosomiasis. We also provide information about the potential of extracellular vesicles to advance the fight against this devastating disease. Expert commentary: Different proteins are already being tested as vaccines against schistosomiasis with promising results. The re-analysis of the Schistosoma spp. proteomes using new and more sensitive mass spectrometers as well as better separation approaches will help identify more vaccine targets in a rational and informed manner. In addition, the recent development of new proteome microarrays will facilitate characterisation of novel markers of infection as well as new vaccine and diagnostic candidate antigens.

  1. Low transmission areas of schistosomiasis in Venezuela: consequences on the diagnosis, treatment, and control

    Directory of Open Access Journals (Sweden)

    Belkisyolé Alarcón de Noya

    2006-10-01

    Full Text Available Schistosomiasis low transmission areas as Venezuela, can be defined as those where the vector exists, the prevalence of active cases is under 25%, individuals with mild intensity of infection predominate and are mostly asymptomatic. These areas are the consequence of effective control programs, however, "silent" epidemiological places are difficult to trace, avoiding the opportune diagnosis and treatment of infected persons. Clinic and abdominal ultrasound have not shown to discriminate infected from uninfected persons in areas where besides Schistosoma mansoni, intestinal parasites are the rule. Under these conditions, serology remains as a very valuable diagnostic tool, since it gives a closer approximation to the true prevalence. In this sense, circumoval precipitin test, ELISA-SEA with sodium metaperiodate, and alkaline phosphatase immunoassay joined to coprology allow the identification of the "schistosomiasis cases". In relation to public health, schistosomiasis has been underestimated by the sanitary authorities and the investment on its control is being transferred to other diseases of major social and political relevance neglecting sanitary efforts and allowing growth of snail population. Some strategies of diagnosis and control should be done before schistosomiasis reemergence occurs in low transmission areas.

  2. Epidemic transmission of intestinal schistosomiasis in the seasonal part of the Okavango Delta, Botswana

    DEFF Research Database (Denmark)

    Appleton, C.C.; Ellery, W.N.; Byskov, Jens

    2008-01-01

    A well documented epidemic of human intestinal schistosomiasis caused by Schistosoma mansoni occurred at Maun in the seasonal part of the Okavango Delta, Botswana, building from very few cases in the 1950s and early 1960s to a peak prevalence of >80% in the 1980s. A retrospective analysis...

  3. Geostatistical model-based estimates of schistosomiasis prevalence among individuals aged = 20 years in West Africa

    DEFF Research Database (Denmark)

    Schur, Nadine; Hürlimann, Eveline; Garba, Amadou

    2011-01-01

    Schistosomiasis is a water-based disease that is believed to affect over 200 million people with an estimated 97% of the infections concentrated in Africa. However, these statistics are largely based on population re-adjusted data originally published by Utroska and colleagues more than 20 years ...

  4. Increased IL-17, a Pathogenic Link between Hepatosplenic Schistosomiasis and Amyotrophic Lateral Sclerosis: A Hypothesis

    Directory of Open Access Journals (Sweden)

    Oswald Moling

    2014-01-01

    Full Text Available The immune system protects the organism from foreign invaders and foreign substances and is involved in physiological functions that range from tissue repair to neurocognition. However, an excessive or dysregulated immune response can cause immunopathology and disease. A 39-year-old man was affected by severe hepatosplenic schistosomiasis mansoni and by amyotrophic lateral sclerosis. One question that arose was, whether there was a relation between the parasitic and the neurodegenerative disease. IL-17, a proinflammatory cytokine, is produced mainly by T helper-17 CD4 cells, a recently discovered new lineage of effector CD4 T cells. Experimental mouse models of schistosomiasis have shown that IL-17 is a key player in the immunopathology of schistosomiasis. There are also reports that suggest that IL-17 might have an important role in the pathogenesis of amyotrophic lateral sclerosis. It is hypothesized that the factors that might have led to increased IL-17 in the hepatosplenic schistosomiasis mansoni might also have contributed to the development of amyotrophic lateral sclerosis in the described patient. A multitude of environmental factors, including infections, xenobiotic substances, intestinal microbiota, and vitamin D deficiency, that are able to induce a proinflammatory immune response polarization, might favor the development of amyotrophic lateral sclerosis in predisposed individuals.

  5. Innate, adaptive and regulatory immune responses in human schistosomiasis in Gabon

    NARCIS (Netherlands)

    Łabuda, Łucja

    2014-01-01

    The work presented in this thesis is an investigation of the immune responses induced by chronic schistosomiasis in Gabonese schoolchildren. By investigating concurrently various aspects of the immune response, including innate, adaptive and regulatory responses, we are able to gain a more in-depth

  6. Improvement of a tissue maceration technique for the determination of placental involvement in schistosomiasis.

    Science.gov (United States)

    Holtfreter, Martha Charlotte; Neubauer, Heinrich; Groten, Tanja; El-Adawy, Hosny; Pastuschek, Jana; Richter, Joachim; Häussinger, Dieter; Pletz, Mathias Wilhelm; Schleenvoigt, Benjamin Thomas

    2017-04-01

    Schistosomiasis in pregnancy may cause low birth weight, prematurity and stillbirth of the offspring. The placenta of pregnant women might be involved when schistosome ova are trapped in placental tissue. Standard histopathological methods only allow the examination of a limited amount of placental tissue and are therefore not sufficiently sensitive. Thus, placental schistosomiasis remains underdiagnosed and its role in contributing to schistosomiasis-associated pregnancy outcomes remains unclear. Here we investigated an advanced maceration method in order to recover a maximum number of schistosome ova from the placenta. We examined the effect of different potassium hydroxide (KOH) concentrations and different tissue fixatives with respect to maceration success and egg morphology. Placental tissue was kept either in 0.9% saline, 5% formalin or 70% ethanol and was macerated together with Schistosoma mansoni infested mouse livers and KOH 4% or 10%, respectively. We found that placenta maceration using 4% KOH at 37°C for 24 h was the most effective method: placental tissue was completely digested, egg morphology was well preserved and alkaline concentration was the lowest. Ethanol proved to be the best fixative for this method. Here we propose an improved maceration technique in terms of sensitivity, safety and required skills, which may enable its wider use also in endemic areas. This technique may contribute to clarifying the role of placental involvement in pregnant women with schistosomiasis.

  7. The roles of water, sanitation and hygiene in reducing schistosomiasis: a review.

    Science.gov (United States)

    Grimes, Jack E T; Croll, David; Harrison, Wendy E; Utzinger, Jürg; Freeman, Matthew C; Templeton, Michael R

    2015-03-13

    Schistosomiasis is a disease caused by infection with blood flukes of the genus Schistosoma. Transmission of, and exposure to, the parasite result from faecal or urinary contamination of freshwater containing intermediate host snails, and dermal contact with the same water. The World Health Assembly resolution 65.21 from May 2012 urges member states to eliminate schistosomiasis through preventive chemotherapy (i.e. periodic large-scale administration of the antischistosomal drug praziquantel to school-aged children and other high-risk groups), provision of water, sanitation and hygiene (WASH) and snail control. However, control measures focus almost exclusively on preventive chemotherapy, while only few studies made an attempt to determine the impact of upgraded access to safe water, adequate sanitation and good hygiene on schistosome transmission. We recently completed a systematic review and meta-analysis pertaining to WASH and schistosomiasis and found that people with safe water and adequate sanitation have significantly lower odds of a Schistosoma infection. Importantly though, the transmission of schistosomiasis is deeply entrenched in social-ecological systems, and hence is governed by setting-specific cultural and environmental factors that determine human behaviour and snail populations. Here, we provide a comprehensive review of the literature, which explores the transmission routes of schistosomes, particularly focussing on how these might be disrupted with WASH-related technologies and human behaviour. Additionally, future research directions in this area are highlighted.

  8. Exploring the potential of host-environment relationship in the control of schistosomiasis in Africa

    NARCIS (Netherlands)

    Monde, C.; Syampungani, S.; Brink, van den P.J.

    2015-01-01

    A number of human disease prevalences are supported by host-parasite-environment interactions. One such disease is schistosomiasis. Schistosoma parasites are transmitted between the snail intermediate hosts and mammalian definitive hosts in an aquatic environment. This host-environment link

  9. Endomyocardial fibrosis (EMF) in a Ugandan child with advanced hepatosplenic schistosomiasis: coincidence or connection?

    Science.gov (United States)

    Bustinduy, Amaya L; Luzinda, Kenneth; Mpoya, Simon; Gothard, Philip; Stone, Neil; Wright, Stephen; Stothard, J Russell

    2014-10-01

    An association between late-stage hepatosplenic schistosomiasis and endomyocardial fibrosis (EMF) has been suggested but not proven. We present the case of a 12-year-old Ugandan boy with striking comorbidities, including advanced periportal fibrosis caused by Schistosoma mansoni infection and right ventricular EMF, and discuss the possible correlation between both diseases. © The American Society of Tropical Medicine and Hygiene.

  10. Prealbumina, precalicreína e protrombina na forma hepatesplênica da esquistossomose: catabolismo aumentado de proteínas da coagulação? Prealbumin, prekallikrein and prothrombin in hepatosplenic schistosomiasis: increased turnover of the clotting proteins?

    Directory of Open Access Journals (Sweden)

    Nora Manoukian

    1984-10-01

    Full Text Available No plasma de 20 doentes portadores da forma hepatesplênica da esquistossomose mansônica, assim como no de 18 indivíduos normais, foram avaliados pré-albumina, precalicreína (atividade amidolítica e protrombina-antígeno. Os valores da concentração plasmática de pré-albumina obtidos no grupo controle permitiram que se estabelecesse um intervalo de referência (0,5 — 99,5% de 97 — 389 mg/I. Valores anormalmente diminuídos de pré-albumina encontrados em 2 dos doentes indicaram nestes uma disfunção hepatocítica de síntese protêica. Nos 18 doentes restantes a média da pré-albumina (232 ± 13 mg/l não diferiu (p > 0,05 da do grupo controle (243 ± 11 mg/l enquanto as médias da atividade de pró-calicreina (34 ± 1 μKat/l e protrombina (81 ± 3,0 mg/l estavam significativamente diminuídos no grupo de esquistossomóticos (p Prealbumin, prekallikrein and prothrombin were evaluated in 20 patients with the hepatosplenic form of schistosomiasis and in 18 subjects of a control group. With the prealbumin concentration values obtained in the latter group a reference interval (0.5 — 99.5% of 97 to 389 mg/L was calculated and plasma levels below 97 mg/L assessed in 2 patients a deficiency in hepatic synthetic capacity. Mean (± SEM prealbumin concentration in the 18 remaining patients (232 ± 13 mg/L did not differ (p > 0.05 from that of the control group (243 ± 11 mg/L. Otherwise these 18 patients had both mean plasma prekallikrein (34 ± 1.3 /μKat/L and prothrombin-antigen (81 ± 3 mg/L concentrations lower (p < 0.01 than those of the control group (40 ± 1.4 μKat/L and 100 ± 3 mg/L, respectively. The present findings do not necessarily rule out the possibility that prekallikrein and prothrombin may asses a minimal hepatocellular damage earlier than prealbumin; but, since the latter protein have a shorter half-life than the formers and is a reliable index of hepatic synthetic capacity, the present report supports the hypothesis

  11. [Evaluation of effectiveness of comprehensive schistosomiasis control project in Yunnan Province from 2004 to 2013].

    Science.gov (United States)

    Zhang, Yun; Feng, Xi-guang; Wu, Ming-shou; Xiong, Meng-tao; Shen, Mei-fen; Sun, Jia-yu

    2015-04-01

    To evaluate the effect of comprehensive schistosomiasis control project in Yunnan Province after its implementation for ten years, so as to provide the evidence for formulating the future prevention and control strategy. The data of the schistosomiasis comprehensive control project and the endemic situation were collected and analyzed to evaluate the control effect of the project in Yunnan Province from 2004 to 2013. After the comprehensive control project implementation for ten years, the Oncomelania hupensis snail area in Yunnan Province decreased from 4,364.79 hm2 in 2004 to 1,528.50 hm2 in 2013, with a reduction rate of 64.98%, and the occurrence rate of frames with snails and the density of living snails decreased from 4.71% and 0.26 snails/0.1 m2 in 2004 to 1.35% and 0.04 snails/0.1 m2 in 2013, with the reduction rates of 71.34% and 84.62%, respectively. The schistosome infected snails were found only in 2011 and 2013 since 2008. In 2013, the infection rates of human (0.0021%) and cattle (0.0209%) decreased by 99.84% and 99.44%, respectively, compared to those in 2004, and no acute schistosome infection cases were found since 2008. The 212 villages with relatively serious endemic situation (Type One, Type Two and Type Three) all declined to the slight endemic villages (Type Four and Type Five), therefore, they reached the criteria of schistosomiasis transmission controlled or interrupted. The awareness rates of schistosomiasis control among villagers and students in endemic areas were above 90% and 98%, respectively. The effect of the comprehensive schistosomiasis control project is significant in Yunnan Province, but the task to consolidate and enlarge the control results still remains a challenge.

  12. The NIH-NIAID Schistosomiasis Resource Center at the Biomedical Research Institute: Molecular Redux.

    Directory of Open Access Journals (Sweden)

    James J Cody

    2016-10-01

    Full Text Available Schistosomiasis remains a health burden in many parts of the world. The complex life cycle of Schistosoma parasites and the economic and societal conditions present in endemic areas make the prospect of eradication unlikely in the foreseeable future. Continued and vigorous research efforts must therefore be directed at this disease, particularly since only a single World Health Organization (WHO-approved drug is available for treatment. The National Institutes of Health (NIH-National Institute of Allergy and Infectious Diseases (NIAID Schistosomiasis Resource Center (SRC at the Biomedical Research Institute provides investigators with the critical raw materials needed to carry out this important research. The SRC makes available, free of charge (including international shipping costs, not only infected host organisms but also a wide array of molecular reagents derived from all life stages of each of the three main human schistosome parasites. As the field of schistosomiasis research rapidly advances, it is likely to become increasingly reliant on omics, transgenics, epigenetics, and microbiome-related research approaches. The SRC has and will continue to monitor and contribute to advances in the field in order to support these research efforts with an expanding array of molecular reagents. In addition to providing investigators with source materials, the SRC has expanded its educational mission by offering a molecular techniques training course and has recently organized an international schistosomiasis-focused meeting. This review provides an overview of the materials and services that are available at the SRC for schistosomiasis researchers, with a focus on updates that have occurred since the original overview in 2008.

  13. A novel colloidal gold immunochromatography assay strip for the diagnosis of schistosomiasis japonica in domestic animals.

    Science.gov (United States)

    Xu, Rui; Feng, Jintao; Hong, Yang; Lv, Chao; Zhao, Dengyun; Lin, Jiaojiao; Lu, Ke; Li, Hao; Liu, Jinming; Cao, Xiaodan; Wang, Tao; Zai, Jinli; Wang, Zhaozhe; Jia, Bingguang; Han, Qian; Zhu, Chuangang

    2017-04-07

    Schistosomiasis remains a major public health concern in China and an epidemiological survey has revealed that schistosome-infected bovines and goats are the main transmission sources for the disease. Therefore, development of a sensitive technique for the diagnosis of schistosomiasis in domestic animals is necessary. A novel colloidal gold immunochromatography assay (GICA) strip was developed for detecting Schistosoma japonicum in domestic animals. The colloidal gold was conjugated with recombinant streptococcal protein G (rSPG). As the test and control lines, the schistosome soluble egg antigen and rSPG, respectively, were blotted on nitrocellulose membrane. The lowest detectable serum dilution was 1∶640 for schistosome-infected buffaloes. The cross-reaction rate of GICA was 14.29% with Paramphistomum sp. in buffaloes, 16.67% with Haemonchus sp. in goats, and 33.33% with Orientobilharzia sp. in goats. These results were slightly lower and similar to those obtained through ELISA. Moreover, the strips for detecting S. japonicum in mice, rabbits, buffaloes, and goats showed high sensitivity (100.00%, 100.00%, 100.00%, and 100.00%, respectively) and specificity (100.00%, 100.00%, 94.23%, and 88.64%, respectively). And the sensitivity or specificity of the GICA strips did not present any significant differences after storage for 12 months at room temperature. When compared with ELISA, the GICA strips exhibited similar sensitivity and specificity in the diagnosis of schistosomiasis in mice, rabbits, buffaloes, and goats. Besides, only 5 μl of serum are required for the test and the detection can be completed within 5 min. This study is the first to develop a GICA strip using gold-rSPG conjugate for the diagnosing of schistosomiasis in domestic animals, and preliminary results showed that the developed strip may be suitable for large-scale screening of schistosomiasis in endemic areas.

  14. Subjective and Objective Assessment of Mathematics Anxiety Levels among College Students

    OpenAIRE

    Baloğlu, Mustafa

    2018-01-01

    The study investigated the relationship between college students’ subjective and objective assessment of mathematics anxiety levels. Students rated their general and current mathematics anxiety levels, mathematical ability levels, and confidence in doing mathematics. The Revised Mathematics Anxiety Rating Scale was used as an objective measure of their mathematics anxiety levels. Participants were 559 students, 406 (72.6%) women and 151 (27.0%) men. Results showed that perceived general mathe...

  15. Study of the variation of schistosomiasis risk in Lake Poyang in the People's Republic of China using multiple space-borne sensors for the monitoring and modelling.

    Science.gov (United States)

    Tseng, Kuo-Hsin; Liang, Song; Ibaraki, Motomu; Lee, Hyongki; Shum, C K

    2014-05-01

    The dynamics of the Poyang Lake in Jiangxi province, People's Republic of China has been monitored to demonstrate the association of various variables with the distribution of schistosomiasis transmission with particular reference to the annual variation of the habitats for the Oncomelania snail, the intermediate host of Schistosoma japonicum. This was studied with multiple space-borne sensors, including the ENVISAT radar altimeter (RA-2) and MODIS/Terra radiometry data products such as the 16-day enhanced vegetation index, the 8-day sun reflectance, and the derived modified normalized difference water index. The measurements of physical properties were in good accordance with previous reports based on in situ gauge data, spectroradiometry and other optical methods, which encouraged us to build a predictive model based on reported geospatial constraints to assess the limits of potential variation of the snail habitat areas. The simulated results correspond fairly well with surveys conducted by local authorities showing a correlation coefficient of 0.82 between highpotential habitat areas and local estimates in a 9-year (2002-2010) analysis. Taken together, these data indicate that spaceborne observations and in situ measurements can be integrated and used as a first step of a monitoring system for control and analysis of the potential of schistosomiasis dissemination. Since the true range and intensity of transmission in the study region remain elusive at present, a long-term survey around the lake is warranted to build a robust, parametric model.

  16. Zhilinskaya L. Modern approaches to assessing the level of development of industrial enterprises

    OpenAIRE

    Жилінська, Л. О.

    2015-01-01

    The analysis of the main approaches to assessing the level of development of industrial enterprises. Revealed that a number of scientists identifies the concept of "effective development" and "effective functioning". Defined three main positions of contemporary scientists and economists for assessing the level of industrial enterprises (competitive status and competitiveness that make enterprise potential, lifecycle enterprise) and identifies their main advantages and disadvantages. It is pro...

  17. Assessing the Conceptual Understanding about Heat and Thermodynamics at Undergraduate Level

    Science.gov (United States)

    Kulkarni, Vasudeo Digambar; Tambade, Popat Savaleram

    2013-01-01

    In this study, a Thermodynamic Concept Test (TCT) was designed to assess student's conceptual understanding heat and thermodynamics at undergraduate level. The different statistical tests such as item difficulty index, item discrimination index, point biserial coefficient were used for assessing TCT. For each item of the test these indices were…

  18. Aligned assessment in support of high-level learning: A critical ...

    African Journals Online (AJOL)

    This paper takes the form of a critical appraisal of a formative assessment task given to students in an entry-level English for Specific Purposes (ESP) course in an ... construct meaning from learning tasks and the extent to which the assessment is synchronised with learning outcomes and learning activities of the course.

  19. Self and Teacher Assessment as Predictors of Proficiency Levels of Turkish EFL Learners

    Science.gov (United States)

    Ünaldi, Ihsan

    2016-01-01

    Although self-assessment of foreign language skills is not a new topic, it has not yet been widely explored in the Turkish English as a Foreign Language (EFL) context. The current study investigates the potential of self-assessment of foreign language skills in determining proficiency levels of Turkish learners of EFL: 239 learners participated in…

  20. Perceptions of Classroom Assessment Tasks: An Interplay of Gender, Subject Area, and Grade Level

    Science.gov (United States)

    Alkharusi, Hussain Ali; Al-Hosni, Salim

    2015-01-01

    This study investigates students' perceptions of classroom assessment tasks as a function of gender, subject area, and grade level. Data from 2753 students on Dorman and Knightley's (2006) Perceptions of Assessment Tasks Inventory (PATI) were analyzed in a MANOVA design. Results showed that students tended to hold positive perceptions of their…

  1. Protection motivation theory in predicting intention to engage in protective behaviors against schistosomiasis among middle school students in rural China.

    OpenAIRE

    Han Xiao; Shiyue Li; Xinguang Chen; Bin Yu; Mengting Gao; Hong Yan; Chukwuemeka N Okafor

    2014-01-01

    Background Among millions of people who suffer from schistosomiasis in China, adolescents are at increased risk to be infected. However, there is a lack of theory-guided behavioral prevention intervention programs to protect these adolescents. This study attempted to apply the Protection Motivation Theory (PMT) in predicting intentions to engage in protective behaviors against schistosomiasis infection. Methods The participants were selected using the stratified cluster sampling method. Surve...

  2. Serum And Tissue Enzymes And Trace Elements In Hamsters With Schistosomiasis Mansoni And/Or Protein Energy Malnutrition

    OpenAIRE

    Al Nagdy, Sohair A. [سهير علي النجدي; Saoud, M. F. A.; Morcos, N. Y. S.

    1996-01-01

    Schistosomiasis is mostly widespread in communities suffering from protein energy malnutrition. The development of an animal model for each condition is required for better understanding of changes in certain biochemical indices in pure schistosomiasis or pure energy malnutrition or both. Measurements of some enzymes as well as trace elements have been found to be valuable as diagnostic and prognostic indicators for tissue destruction. Accordingly, the present investigation reports measuremen...

  3. Guidance Manual for Conducting Screening Level Ecological Risk Assessments at the INEL

    Energy Technology Data Exchange (ETDEWEB)

    R. L. VanHorn; N. L. Hampton; R. C. Morris

    1995-06-01

    This document presents reference material for conducting screening level ecological risk assessments (SLERAs)for the waste area groups (WAGs) at the Idaho National Engineering Laboratory. Included in this document are discussions of the objectives of and processes for conducting SLERAs. The Environmental Protection Agency ecological risk assessment framework is closely followed. Guidance for site characterization, stressor characterization, ecological effects, pathways of contaminant migration, the conceptual site model, assessment endpoints, measurement endpoints, analysis guidance, and risk characterization are included.

  4. [Development and application of communication materials for participatory health education of schistosomiasis in fishermen and boatmen of Poyang Lake region].

    Science.gov (United States)

    Zhang, Jing; Li, Zhao-jun; Qiu, Ling; Li, Dong; Chen, Jun-jiang; Xie, Hua; Liu, Yue-min; Hu, Fei; Yuan, Min; Lin, Dan-dan

    2016-02-01

    To design and develop new types of health education materials which are suitable for fishermen and boatmen in endemic areas of marshland and lake regions, and to observe their application effects. A total of 292 adult fishmen and boatmen who lived in Houshan Village, Yugan County, the schistosomiasis endemic area of Poyang Lake Region, were selected randomly and investigated by questionnaires to understand the status of their knowledge, attitudes, practices on schistosomiasis control as well as the channels for getting information on schistosomiasis control and the materials that they were willing to accept. Then the information and materials suitable for the target population were developed together by the researchers and the volunteers of the villagers through focus group discussions, personal interviews and the Delphi method. A series of participatory health education materials of schistosomiasis control targeted to the fishmen and boatmen were developed, including 2 live posters, 2 picture puzzles, 2 short opusculums and one song about schistosomiasis control. The field application showed that 98.97%, 84.38%, 78.35% and 80.93% of the participants considered those materials had scientificity, intelligibility, interestingness and practicability, respectively. The participatory health education materials of schistosomiasis control is suitable for fishmen and boatmen, which can be used for reference by other endemic areas in marshland and lake regions.

  5. Schistosomiasis research in the dongting lake region and its impact on local and national treatment and control in China.

    Directory of Open Access Journals (Sweden)

    Donald P McManus

    2011-08-01

    Full Text Available Schistosomiasis is a chronic and debilitating parasitic disease that has often been neglected because it is a disease of poverty, affecting poor rural communities in the developing world. This is not the case in the People's Republic of China (PRC, where the disease, caused by Schistosoma japonicum, has long captured the attention of the Chinese authorities who have, over the past 50-60 years, undertaken remarkably successful control programs that have substantially reduced the schistosomiasis disease burden. The Dongting Lake region in Hunan province is one of the major schistosome-endemic areas in the PRC due to its vast marshland habitats for the Oncomelania snail intermediate hosts of S. japonicum. Along with social, demographic, and other environmental factors, the recent completion and closure of the Three Gorges dam will most likely increase the range of these snail habitats, with the potential for re-emergence of schistosomiasis and increased transmission in Hunan and other schistosome-endemic provinces being a particular concern. In this paper, we review the history and the current status of schistosomiasis control in the Dongting Lake region. We explore the epidemiological factors contributing to S. japonicum transmission there, and summarise some of the key research findings from studies undertaken on schistosomiasis in Hunan province over the past 10 years. The impact of this research on current and future approaches for sustainable integrated control of schistosomiasis in this and other endemic areas in the PRC is emphasised.

  6. Guidelines for Preparing Psychological Specialists: An Entry-Level Course on Intellectual Assessment

    Science.gov (United States)

    Oakland, Thomas; Wechsler, Solange Muglia

    2016-01-01

    This article provides guidelines for an entry-level course that prepares psychology students and practitioners to acquire entry-level skills, abilities, knowledge, and attitudes important to the individual assessment of intellectual abilities of children and youth. The article reviews prominent international, regional, and national policies,…

  7. Low-level waste disposal performance assessments - Total source-term analysis

    Energy Technology Data Exchange (ETDEWEB)

    Wilhite, E.L.

    1995-12-31

    Disposal of low-level radioactive waste at Department of Energy (DOE) facilities is regulated by DOE. DOE Order 5820.2A establishes policies, guidelines, and minimum requirements for managing radioactive waste. Requirements for disposal of low-level waste emplaced after September 1988 include providing reasonable assurance of meeting stated performance objectives by completing a radiological performance assessment. Recently, the Defense Nuclear Facilities Safety Board issued Recommendation 94-2, {open_quotes}Conformance with Safety Standards at Department of Energy Low-Level Nuclear Waste and Disposal Sites.{close_quotes} One of the elements of the recommendation is that low-level waste performance assessments do not include the entire source term because low-level waste emplaced prior to September 1988, as well as other DOE sources of radioactivity in the ground, are excluded. DOE has developed and issued guidance for preliminary assessments of the impact of including the total source term in performance assessments. This paper will present issues resulting from the inclusion of all DOE sources of radioactivity in performance assessments of low-level waste disposal facilities.

  8. Schistosomiasis of the central nervous system: clinical and radiologic correlation; Apresentacoes da esquistossomose no sistema nervoso central: correlacao clinica e radiologica

    Energy Technology Data Exchange (ETDEWEB)

    Faria, Andreia Vasconcelos; Cerqueira, Elza Maria Figueiras Pedreira de; Reis, Fabiano; Menezes Neto, Jose Ribeiro; Zanardi, Veronica de Araujo [Universidade Estadual de Campinas, SP (Brazil). Faculdade de Ciencias Medicas. Dept. de Radiologia]. E-mail: andrea.vf@ig.com.br; Pirani, Clodoaldo; Damasceno, Benito Pereira [Universidade Estadual de Campinas, SP (Brazil). Faculdade de Ciencias Medicas. Dept. de Neurologia

    2002-02-01

    We report four cases of patients with schistosomiasis in the central nervous system and describe and correlate the radiologic findings with clinical manifestations. In one patient, cerebral involvement presented as a pseudotumoral lesion confirmed by autopsy. Three other patients had schistosomiasis in the spinal cord characterized by an intramedullary mass and radicular and leptomeningeal enhancement after administration of gadolinium. Our findings show the importance of considering schistosomiasis in the differential diagnosis of intramedullary or cerebral lesions in patients of endemic areas of schistosomiasis. (author)

  9. Relationship between eosinophil cationic protein and infection intensity in a schistosomiasis endemic community in Ghana

    Directory of Open Access Journals (Sweden)

    Asuming-Brempong E

    2015-01-01

    correlation between ECP and infection intensity (Spearman's r=0.73, P<0.001.Conclusion: This study showed that ECP levels are positively associated with infection intensity by egg count in Schistosomiasis infections, even after multivariate adjustment.Keywords: infection intensity, risk factors, urine filtration, Kato-Katz

  10. Assessing reading levels of health information: uses and limitations of flesch formula.

    Science.gov (United States)

    Jindal, Pranay; MacDermid, Joy C

    2017-01-01

    Written health information is commonly used by health-care professionals (HCPs) to inform and assess patients in clinical practice. With growing self-management of many health conditions and increased information seeking behavior among patients, there is a greater stress on HCPs and researchers to develop and implement readable and understandable health information. Readability formulas such as Flesch Reading Ease (FRE) and Flesch-Kincaid Reading Grade Level (FKRGL) are commonly used by researchers and HCPs to assess if health information is reading grade appropriate for patients. In this article, we critically analyze the role and credibility of Flesch formula in assessing the reading level of written health information. FRE and FKRGL assign a grade level by measuring semantic and syntactic difficulty. They serve as a simple tool that provides some information about the potential literacy difficulty of written health information. However, health information documents often involve complex medical words and may incorporate pictures and tables to improve the legibility. In their assessments, FRE and FKRGL do not take into account (1) document factors (layout, pictures and charts, color, font, spacing, legibility, and grammar), (2) person factors (education level, comprehension, health literacy, motivation, prior knowledge, information needs, anxiety levels), and (3) style of writing (cultural sensitivity, comprehensiveness, and appropriateness), and thus, inadequately assess reading level. New readability measures incorporate pictures and use complex algorithms to assess reading level but are only moderately used in health-care research and not in clinical practice. Future research needs to develop generic and disease-specific readability measures to evaluate comprehension of a written document based on individuals' literacy levels, cultural background, and knowledge of disease.

  11. Integrated monitoring and evaluation and environmental risk factors for urogenital schistosomiasis and active trachoma in Burkina Faso before preventative chemotherapy using sentinel sites

    Directory of Open Access Journals (Sweden)

    Bosqué-Oliva Elisa

    2011-07-01

    Full Text Available Abstract Background Over 1 billion of the world's poorest inhabitants are afflicted by neglected tropical diseases (NTDs. Integrated control programmes aimed at tackling these debilitating NTDs have been recently initiated, mainly using preventative chemotherapy. Monitoring and evaluation (M&E of these integrated programs presents particular challenges over and above those required for single disease vertical programmes. We used baseline data from the National NTD Control Programme in Burkina Faso in order to assess the feasibility of an integrated survey design, as well as to elucidate the contribution of environmental variables to the risk of either Schistosoma haematobium, trachoma, or both among school-aged children. Methods S. haematobium infection was diagnosed by detecting eggs in urine. A trachoma case was defined by the presence of Trachomatous inflammation-Follicular (TF and/or Trachomatous inflammation-Intense (TI in either eye. Baseline data collected from 3,324 children aged 7-11 years in 21 sentinel sites across 11 regions of Burkina Faso were analyzed using simple and multivariable hierarchical binomial logistic regression models fitted by Markov Chain Monte Carlo estimation methods. Probabilities of the risk of belonging to each infection/disease category were estimated as a function of age, gender (individual level, and environmental variables (at sentinel site level, interpolated from national meteorological stations. Results Overall prevalence at the sentinel sites was 11.79% (95% CI: 10.70-12.89 for S. haematobium; 13.30% (12.14-14.45 for trachoma and 0.84% (0.53-1.15 for co-infections. The only significant predictor of S. haematobium infection was altitude. There were significant negative associations between the prevalence of active trachoma signs and minimum temperature, and air pressure. Conditional upon these predictors, these data are consistent with the two pathogens being independent. Conclusions Urogenital

  12. The Geocybernetic Assessment Matrix (GAM) — A new assessment tool for evaluating the level and nature of sustainability or unsustainability

    Energy Technology Data Exchange (ETDEWEB)

    Phillips, Jason, E-mail: jp1@tiscali.co.uk

    2016-01-15

    Evaluating sustainability from EIA-based assessments has been problematic at best. This is due to the use of reductionist and qualitative approaches which is dependent upon the perspective of the assessor(s). Therefore, a more rigorous and holistic approach is required to evaluate sustainability in a more consistent way. In this paper, a matrix-based methodology in order to assess the indicated level and nature of sustainability for any project, policy, indicators, legislation, regulation, or other framework is described. The Geocybernetic Assessment Matrix (GAM) is designed to evaluate the level and nature of sustainability or unsustainability occurring in respect the fundamental and complex geocybernetic paradigms. The GAM method is described in detail in respect to the theory behind it and the methodology. The GAM is then demonstrated using an appropriate case study — Part 1 of the UK Climate Change Act (2008) concerning carbon budgets and targets. The results indicate that the Part 1 of Act may not achieve the desired goals in contributing towards sustainable development through the stated mechanisms for carbon budgets and targets. The paper then discusses the broader context of the GAM with respect to the core themes evident in the development and application of the GAM of: sustainability science; sustainability assessment; application value of the GAM; and future research and development. - Highlights: • A new assessment tool called the Geocybernetic Assessment Matrix (GAM) described. • GAM evaluates the level and nature of sustainability or unsustainability. • GAM demonstrated by application to Part 1 of the UK Climate Change Act (CCA). • Part 1 of CCA has significant flaws in achieving a sustainable pathway. • GAM offers a potentially useful tool for quantitatively evaluating sustainability.

  13. Rate of reversion of hepatosplenic schistosomiasis after specific therapy

    Directory of Open Access Journals (Sweden)

    Reynaldo Dietze

    1986-06-01

    Full Text Available Seventy patients with hepatosplenic schistosomiasis were treated with oxamniquine. The patients lived iti an endemic area and were evaluated 6, 18 and 24 months after treatment, during which time transmission in the area was interrupted. After treatment, clinical improvement occurred in 49 (70% of the patients, as seen by reduction in visceromegaly and reversion of liver nodules. Reversion of hepatosplenic disease occurred in 28 (40% patients and in liver nodularity in 26 (47.3%patients after 24 months. Reversion of hepatosplenic disease was seen in 12 (21% patients and liver nodules disappeared in 4 (8.5% as early as 6 months after treatment. In general, hepatosplenomegaly reverses earlier than liver nodularity. Itis notable that reversion of hepatosplenic disease occurred in many individuals with a history ofprevious treatment and also in some with advanced age. In four cases this clinical form of the disease had existed for 20 years. Therefore, there must exist factors other than age and duration of the condition which determine the reversibility of this clinical form. Ourresults reinforce the concept that, in patients with hepatosplenic disease without esophageal hemorrhages, specific treatment shouldpreceed surgical intervention even in those with a history of previous treatment. At least 18 months should be allowed for the ejfects of treatment to be manifest.Foram tratados com oxamniquine 70 esquistossomóticos, com a forma hepatosplênica. Os pacientes permaneceram na área endêmica e foram avaliados clinicamente antes, 6, 18, e 24 meses após o tratamento. Durante este período a transmissão foi interrompida na área. Após o tratamento específico ocorreu melhora clínica em 49(70% pacientes, traduzida por diminuição nas visceromegalias e reversão do fígado nodular. Houve reversão da forma hepatosplênica em 28(40% e do fígado nodular em 26(47.3% após 24 meses. A reversão da forma hepatosplênica já havia ocorrido após seis

  14. Uncertainty analysis for low-level radioactive waste disposal performance assessment at Oak Ridge National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Lee, D.W.; Yambert, M.W.; Kocher, D.C.

    1994-12-31

    A performance assessment of the operating Solid Waste Storage Area 6 (SWSA 6) facility for the disposal of low-level radioactive waste at the Oak Ridge National Laboratory has been prepared to provide the technical basis for demonstrating compliance with the performance objectives of DOE Order 5820.2A, Chapter 111.2 An analysis of the uncertainty incorporated into the assessment was performed which addressed the quantitative uncertainty in the data used by the models, the subjective uncertainty associated with the models used for assessing performance of the disposal facility and site, and the uncertainty in the models used for estimating dose and human exposure. The results of the uncertainty analysis were used to interpret results and to formulate conclusions about the performance assessment. This paper discusses the approach taken in analyzing the uncertainty in the performance assessment and the role of uncertainty in performance assessment.

  15. Stirred, not shaken: genetic structure of the intermediate snail host Oncomelania hupensis robertsoni in an historically endemic schistosomiasis area

    Directory of Open Access Journals (Sweden)

    Hauswald Anne-Kathrin

    2011-10-01

    Full Text Available Abstract Background Oncomelania hupensis robertsoni is the sole intermediate host for Schistosoma japonicum in western China. Given the close co-evolutionary relationships between snail host and parasite, there is interest in understanding the distribution of distinct snail phylogroups as well as regional population structures. Therefore, this study focuses on these aspects in a re-emergent schistosomiasis area known to harbour representatives of two phylogroups - the Deyang-Mianyang area in Sichuan Province, China. Based on a combination of mitochondrial and nuclear DNA, the following questions were addressed: 1 the phylogeography of the two O. h. robertsoni phylogroups, 2 regional and local population structure in space and time, and 3 patterns of local dispersal under different isolation-by-distance scenarios. Results The phylogenetic analyses confirmed the existence of two distinct phylogroups within O. h. robertsoni. In the study area, phylogroups appear to be separated by a mountain range. Local specimens belonging to the respective phylogroups form monophyletic clades, indicating a high degree of lineage endemicity. Molecular clock estimations reveal that local lineages are at least 0.69-1.58 million years (My old and phylogeographical analyses demonstrate that local, watershed and regional effects contribute to population structure. For example, Analyses of Molecular Variances (AMOVAs show that medium-scale watersheds are well reflected in population structures and Mantel tests indicate isolation-by-distance effects along waterways. Conclusions The analyses revealed a deep, complex and hierarchical structure in O. h. robertsoni, likely reflecting a long and diverse evolutionary history. The findings have implications for understanding disease transmission. From a co-evolutionary standpoint, the divergence of the two phylogroups raises species level questions in O. h. robertsoni and also argues for future studies relative to the

  16. Protective Effect of Chronic Schistosomiasis in Baboons Coinfected with Schistosoma mansoni and Plasmodium knowlesi

    DEFF Research Database (Denmark)

    Nyakundi, Ruth K; Nyamongo, Onkoba; Maamun, Jeneby

    2016-01-01

    models. To examine this interaction, we conducted a randomized controlled study using the baboon (Papio anubis) to analyze the effect of chronic schistosomiasis on severe malaria. Two groups of baboons (n = 8 each) and a schistosomiasis control group (n = 3) were infected with 500 Schistosoma mansoni...... malaria. A total of 81% of baboons exposed to chronic S. mansoni infection with or without praziquantel treatment survived malaria, compared to only 25% of animals infected with P. knowlesi only (P = 0.01). Schistosome-infected animals also had significantly lower parasite burdens (P = 0.004) than...... the baboons in the P. knowlesi-only group and were protected from severe anemia. Coinfection was associated with increased spontaneous production of interleukin-6 (IL-6), suggesting an enhanced innate immune response, whereas animals infected with P. knowlesi alone failed to develop mitogen-driven tumor...

  17. First report of schistosomiasis on Serrambi beach, Ipojuca, State of Pernambuco

    Directory of Open Access Journals (Sweden)

    Verônica Santos Barbosa

    2015-12-01

    Full Text Available Abstract: INTRODUCTION : The expansion of schistosomiasis to previously unaffected areas is being monitored by identifying new cases and georeferencing outbreaks of vector snails. METHODS : In 2014, the Laboratório de Esquistossomose began an epidemiological survey in Serrambi and registered 2,574 people living there. RESULTS : Of these subjects, 1,414 (54.9% underwent feces examination and 63 (4.5% were diagnosed with Schistosoma mansoni infection. At this locality, seven breeding sites each were identified for Biomphalaria straminea and Biomphalaria glabrata. At two sites, B. glabrata were shedding cercariae. CONCLUSIONS : Implementing preventive measures is necessary to avoid the establishment of schistosomiasis in yet another tourist locality, Pernambuco.

  18. [Critical analysis of the estimated number of Schistosomiasis mansoni carriers in Brazil].

    Science.gov (United States)

    Katz, N; Peixoto, S V

    2000-01-01

    The number of carriers of Schistosoma mansoni infection in Brazil was estimated based on the results of parasitological examinations of feces carried out by the Fundação Nacional de Saúde (FNS - National Health Foundation) in 1996 and 1997, as well as population data from 18 states collected by the Instituto Brasileiro de Geografia e Estatística (IBGE - Brazilian Institute of Geography and Statistics). This information allowed the number of carriers of schistosomiasis mansoni to be estimated at 7.1 million in 1996 and 6. 3 million in 1997. These figures may not reflect the true situation since the population sample used was not originally selected for this purpose. The absence of precise data indicates the need for an adequate national survey of the prevalence of schistosomiasis, which continues to be an important endemic parasitic disease, justifying greater efforts for its control in Brazil.

  19. [Eco-fitness of county-level agricultural leading industry structure: assessment and development prediction].

    Science.gov (United States)

    Wang, Liang; Zhu, Li-Qun; Zhang, Si-Wei; Zhang, Pei-Qi; Xu, Min-Lun; Bian, Xin-Min

    2012-11-01

    Based on the 'three critical points' theory of eco-fitness, and by using dynamic weighting and fitting methods, an assessment system for the eco-fitness of county-level agricultural leading industry structure was constructed, and, taking Zhangqiu of Shandong Province, East China as a case, the eco-fitness of county-level agricultural leading industry structure was assessed and predicted. Due to the limited agro-ecological resources, the comprehensive eco-fitness index of four kinds of agricultural leading industry in Zhangqiu presented an upward trend from 2005 to 2010, but a downward trend from 2011 to 2015. The eco-fitness indices of oil crops and fruits would be negative in 2015. The applied research in Zhangqiu confirmed the validity of the assessment system constructed for the eco-fitness of county-level agriculture leading industry structure and the rationality of the prediction model.

  20. Kriged and modeled ambient air levels of benzene in an urban environment: an exposure assessment study

    Directory of Open Access Journals (Sweden)

    Lai Dejian

    2011-03-01

    Full Text Available Abstract Background There is increasing concern regarding the potential adverse health effects of air pollution, particularly hazardous air pollutants (HAPs. However, quantifying exposure to these pollutants is problematic. Objective Our goal was to explore the utility of kriging, a spatial interpolation method, for exposure assessment in epidemiologic studies of HAPs. We used benzene as an example and compared census tract-level kriged predictions to estimates obtained from the 1999 U.S. EPA National Air Toxics Assessment (NATA, Assessment System for Population Exposure Nationwide (ASPEN model. Methods Kriged predictions were generated for 649 census tracts in Harris County, Texas using estimates of annual benzene air concentrations from 17 monitoring sites operating in Harris and surrounding counties from 1998 to 2000. Year 1999 ASPEN modeled estimates were also obtained for each census tract. Spearman rank correlation analyses were performed on the modeled and kriged benzene levels. Weighted kappa statistics were computed to assess agreement between discretized kriged and modeled estimates of ambient air levels of benzene. Results There was modest correlation between the predicted and modeled values across census tracts. Overall, 56.2%, 40.7%, 31.5% and 28.2% of census tracts were classified as having 'low', 'medium-low', 'medium-high' and 'high' ambient air levels of benzene, respectively, comparing predicted and modeled benzene levels. The weighted kappa statistic was 0.26 (95% confidence interval (CI = 0.20, 0.31, indicating poor agreement between the two methods. Conclusions There was a lack of concordance between predicted and modeled ambient air levels of benzene. Applying methods of spatial interpolation for assessing exposure to ambient air pollutants in health effect studies is hindered by the placement and number of existing stationary monitors collecting HAP data. Routine monitoring needs to be expanded if we are to use these data