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Pediatric Medicaid Visits for Soil-Transmitted Helminth Infections in the Black Belt Region—Alabama, 2010–2018
Guillermo V. Sanchez
Guillermo V. Sanchez
Centers for Disease Control and Prevention, Atlanta, Georgia;
Alabama Department of Public Health, Montgomery, Alabama;
Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, Georgia
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Alabama Department of Public Health, Montgomery, Alabama;
Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, Georgia
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Anna J. Blackstock
Anna J. Blackstock
Centers for Disease Control and Prevention, Atlanta, Georgia;
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Sherri L. Davidson
Sherri L. Davidson
Alabama Department of Public Health, Montgomery, Alabama;
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ABSTRACT.
Areas of rural Alabama may be at risk for re-emergence of soil-transmitted helminthiasis (STH) where environmental conditions are favorable for STH transmission, including in the agricultural Black Belt region. We describe pediatric Medicaid STH visits in Alabama and compare STH visit rates in Black Belt counties with those of non-Black Belt counties. Alabama Medicaid visit claims among children aged 0–18 years who received an STH diagnosis during January 2010–December 2018 were examined. STH-related pediatric visits were uncommon, but several counties with higher STH rates were identified. Visit rates did not differ meaningfully when comparing Black Belt with non-Black Belt region counties (rate ratio: 1.10; 95% CI: 0.73–1.64). Additional studies examining STH prevalence among children living in communities at risk for STH in Alabama can further clarify STH burden and identify communities experiencing environmental and sanitation conditions favorable to STH endemicity.
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Author Notes
Disclaimers: The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the Centers for Disease Control and Prevention or the institutions with which the authors are affiliated.
Authors’ addresses: Guillermo V. Sanchez, Centers for Disease Control and Prevention, Atlanta, GA, Alabama Department of Public Health, Montgomery, AL, and Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, GA, E-mail: xkv4@cdc.gov. Anna J. Blackstock, Centers for Disease Control and Prevention, Atlanta, GA, E-mail: hyp9@cdc.gov . Sherri L. Davidson, Alabama Department of Public Health, Montgomery, AL, E-mail: sherri.davidson@adph.state.al.us.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Humphreys M, 2009. How four once common diseases were eliminated from the American South. Health Aff (Millwood) 28: 1734–1744.
-
2.
Starr MC, Montgomery SP, 2011. Soil-transmitted helminthiasis in the United States: a systematic review–1940–2010. Am J Trop Med Hyg 85: 680–684.
-
3.
Hosty TS, Wells DM, Freear MA, Whitfield NK, 1954. Hookworm in Alabama. J Med Assoc State Ala 23: 179–182.
-
4.
McKenna ML et al., 2017. Human intestinal parasite burden and poor sanitation in rural Alabama. Am J Trop Med Hyg 97: 1623–1628.
-
5.
Alabama Department of Public Health, 2018. Community Assessment of Knowledge and Concerns About Open Sewage and Related Illnesses. Available at: http://www.alabamapublichealth.gov/infectiousdiseases/assets/Lowndes_County_Community_Assessment_2018.05.pdf.
-
6.
Winemiller T, 2009. Black Belt Region in Alabama | Encyclopedia of Alabama. Available at: http://www.encyclopediaofalabama.org/article/h-2458.
-
7.
U.S. Census Bureau , American Community Survey, 2019. 2017 American Community Survey 5-Year Estimates, Table S1901 . Generated by Guillermo Sanchez; using American FactFinder. Available at: http://factfinder.census.gov.
-
8.
Alabama Medicaid Agency 2017 Annual Report, 2017. Alabama Medicaid Website. Available at: https://medicaid.alabama.gov/content/2.0_Newsroom/2.6_Statistics.aspx.
-
9.
Bright RA, Avorn J, Everitt DE, 1989. Medicaid data as a resource for epidemiologic studies: strengths and limitations. J Clin Epidemiol 42: 937–945.
-
10.
Bradbury RS et al., 2020. Parasitic infection surveillance in Mississippi Delta children. Am J Trop Med Hyg 103: 1150–1153.
-
11.
Bradbury R et al., 2021. Parasitic disease surveillance, Mississippi, USA. Emerg Infect Dis J 27: 2201–2204. Available at: https://wwwnc.cdc.gov/eid/article/27/8/20-4318_article.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 5173 | 1031 | 97 |
| Full Text Views | 216 | 109 | 0 |
| PDF Downloads | 107 | 12 | 0 |