Assessing the WHO 50% Prevalence Threshold in School-Aged Children as Indication for Treatment of Urogenital Schistosomiasis in Adults in Central Nigeria

Darin S. Evans The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by Darin S. Evans in
Current site
Google Scholar
PubMed
Close
,
Jonathan D. King The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by Jonathan D. King in
Current site
Google Scholar
PubMed
Close
,
Abel Eigege The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by Abel Eigege in
Current site
Google Scholar
PubMed
Close
,
John Umaru The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by John Umaru in
Current site
Google Scholar
PubMed
Close
,
William Adamani The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by William Adamani in
Current site
Google Scholar
PubMed
Close
,
Kal Alphonsus The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by Kal Alphonsus in
Current site
Google Scholar
PubMed
Close
,
Yohanna Sambo The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by Yohanna Sambo in
Current site
Google Scholar
PubMed
Close
,
Emmanual S. Miri The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by Emmanual S. Miri in
Current site
Google Scholar
PubMed
Close
,
Danjuma Goshit The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by Danjuma Goshit in
Current site
Google Scholar
PubMed
Close
,
Gladys Ogah The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by Gladys Ogah in
Current site
Google Scholar
PubMed
Close
, and
Frank O. Richards The Carter Center, Atlanta, Georgia; The Carter Center Nigeria, Jos, Plateau, Nigeria; Plateau State Ministry of Health, Plateau State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, Nasarawa State Secretariat, Lafia, Nigeria

Search for other papers by Frank O. Richards in
Current site
Google Scholar
PubMed
Close
Restricted access

Preventive chemotherapy with praziquantel is recommended in adults by the World Health Organization when prevalence of schistosomiasis in school-aged children (SAC) is ≥ 50%. This study ascertained the value of this threshold in predicting prevalence and intensity of Schistosoma hematobium (SH) infection in adults in central Nigeria. We evaluated urogenital schistosomiasis prevalence in 1,164 adults: 659 adults in 12 communities where mean hematuria among SAC in 2008 was 26.6% and 505 adults in 7 communities where the mean hematuria among SAC in 2008 was 70.4%. No statistically significant differences were found between the two groups of adults in prevalence of hematuria, prevalence of SH eggs, or intensity of infections. We conclude that, in this setting, the SAC threshold is not useful for treatment decisions in adults. Given the increased risk of subtle morbidity or urogenital schistosomiasis as a risk factor for human immunodeficiency virus (HIV), more liberal treatment of adults with praziquantel is warranted.

Author Notes

* Address correspondence to Darin S. Evans, The Carter Center, 453 Freedom Parkway NE, Atlanta, GA 30307. E-mail: dsevans@emory.edu

Financial support: Mass drug administration was carried out with support from The Bill & Melinda Gates Foundation and the World Health Organization. Praziquantel is donated in Plateau and Nasarawa by E-Merck. The Carter Center works in close collaboration with Federal and State Ministries of Health of Nigeria.

Authors' addresses: Darin S. Evans, The Carter Center, Atlanta, GA, E-mail: dsevans@emory.edu. Jonathan D. King and Frank O. Richards, The Carter Center—Health Programs, Atlanta, GA, E-mails: jdking@emory.edu and frich01@emory.edu. Abel Eigege, John Umaru, William Adamani, Kal Alphonsus, Yohanna Sambo, and Emmanuel S. Miri, The Carter Center—Nigeria, Jos, Nigeria, E-mails: eigegea@yahoo.com, umaruja@yahoo.com, williamadamani@yahoo.com, kalalphonsus@yahoo.com, yohannachusang@yahoo.com, and emmamiri@yahoo.com. Danjuma Goshit, Plateau Ministry of Health—Nigeria, Jos, Nigeria, E-mail: goshitdam@yahoo.com. Gladys Ogah, Nasarawa Ministry of Health—Nigeria, Lafia, Nigeria, E-mail: gladyseogar@yahoo.com.

  • 1.

    World Health Organization, 2006. Preventive Chemotherapy in Human Helminthiasis: Coordinated Use of Anthelminthic Drugs in Control Interventions: A Manual for Health Professionals and Programme Managers. Geneva, Switzerland: World Health Organization.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Savioli L, Gabrielli AF, Montresor A, Chitsulo L, Engels D, 2009. Schistosomiasis control in Africa: 8 years after World Health Assembly Resolution 54.19. Parasitoloty 136: 16771681.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Gutman J, Fagbemi A., Alphonsus K, Eigege A, Miri ES, Richards FO Jr, 2008. Missed treatment opportunities for schistosomiasis mansoni, in an active programme for the treatment of urinary schistosomiasis in Plateau and Nasarawa states, Nigeria. Ann Trop Med Parasitol 102: 335346.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    King JD, Eigege A, Richards FO, Jip N, Umaru J, Deming M, Miri E, McFarland D, Emerson P, 2009. Integrating NTD mapping protocols: can surveys for trachoma and urinary schistosomiasis be done simultaneously? Am J Trop Med Hyg 81: 793798.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    King CH, Sturrock RF, Kariuki HC, Hamburger J, 2006. Transmission control for schistosomiasis—why it matters now. Trends Parasitol 22: 575582.

  • 6.

    King CH, Dickman K, Tisch DJ, 2005. Reassessment of the cost of chronic helminthic infection: a meta-analysis of disability-related outcomes in endemic schistosomiasis. Lancet 365: 15611569.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Gray DJ, McManus DP, Li Y, Williams GM, Bergquist R, Ross AG, 2010. Schistosomiasis elimination: lessons from the past guide the future. Lancet Infect Dis 10: 733736.

  • 8.

    World Health Organization, 2012. Meeting of the International Task Force for Disease Eradication, April 2012. Wkly Epidemiol Rec 87: 305309.

  • 9.

    Downs JA, Mguta C, Kaatano GM, Mitchell KB, Bang H, Simplice H, Kalluvya SE, Changlucha JM, Johnson WD Jr, Fitzgerald DW, 2011. Urogenital schistosomiasis in women of reproductive age in Tanzania's Lake Victoria region. Am J Trop Med Hyg 84: 362369.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Da'dara AA, Harn DA, 2010. Elimination of helminth infection restores HIV-1c vaccine-specific T cell responses independent of helminth-induced IL-10. Vaccine 28: 13101317.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Savardekar LS, Balaiah D, Mali BN, 2010. Association of Schistosoma haematobium and human papillomavirus incervical cancer: a case report. Acta Cytol 54: 205208.

  • 12.

    Lyons B, Stothard R, Rollinson D, Khamis S, Simai KA, Hunter PR, 2009. A comparsion of urinary tract pathology and morbidity in adult populations from endemic and non-endmeic zones for urinary schistosomiasis on Unguja Island, Zanzibar. BMC Infect Dis 9: 189.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Kjetland EF, Leutsher PDC, Ndhlovu PD, 2012. A review of female genital schistosomiasis. Trends Parasitol 28: 5865.

  • 14.

    Richards FO, Eigege A, Miri ES, Jinadu MY, Hopkins DR, 2006. Integration of mass drug administration programmes in Nigeria: the challenge of schistosomiasis. Bull World Health Organ 84: 673676.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Fatiregun AA, Osungbabe KO, Olumide AE, 2009. Cost-effectiveness of screening methods for urinary schistosomiasis in a school-based control programme in Ibadan, Nigeria. Health Policy 89: 7277.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Kolaczinski JH, Hanson K, Robinson E, Picon D, Sabasio A, Mpakanteni M, Lado M, Moore S, Petty N, Brooker S, 2010. Integrated surveys of neglected tropical diseases in southern Sudan: how much do they cost and can they be refined? PLoS Negl Trop Dis 4: e745.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Guo J, Booth M, Jenkins J, Wang H, Tanner M, 1998. Field activity cost estimates for the first 3 years of the World Bank loan project for schistosomiasis control in China. Southeast Asian J Trop Med Pub Hlth 29: 706713.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Wang L, Chen H, Guo J, Zeng X, Hong X, Xiong J, Wu X, Wang X, Wang L, Xia G, Hao Y, Chin D, Zhou X, 2009. A strategy to control transmission of Schistosoma japonicum in China. N Engl J Med 360: 121128.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Salem S, Mitchell RI, El-Alim El-Dorey A, Smith JA, Barocas DA, 2011. Successful control of schistosomiasis and the changing epidemiology of bladder cancer in Egypt. BJU Int 107: 206211.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    World Health Organization, 2012. Schistosomiasis: population requiring preventive chemotherapy and number of people treated in 2010. Wkly Epidemiol Rec 27: 3744.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 546 510 15
Full Text Views 387 9 1
PDF Downloads 91 9 1
 
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save