ABSTRACT
Schistosomiasis is one of the most important neglected tropical diseases in terms of morbidity and mortalityand it is endemic in the Niger Delta region of Nigeria. The aim of this study was to determine the prevalence of urogenital schistosomiasis in four communities (Agbura, Otakeme, Otuagela and Otuokpoti) in Ogbia Local Government Area, Bayelsa State, Nigeria using Filtration and Sedimentation technique. Snails collected were identified by the shape of their outer shell. Basic statistics method and ANOVA wasused to analyze the data. Out of the 276 urine samples examined, 36 (13.0%) tested positive for Schistosoma haematobium.The age-related infection showed that the age-group 10-14 years (26.9%) had the highest rate of infection, followed by 5-9 years 7 (19.4%). Age-group 50 years and above hadazero infection rate. Sex -related infection showed that an overall prevalence rate of 71.6% was recorded among males and 39.4% for females indicating that infection was higher in males than in females in all the communities; In Otuokpoti, males 8(33.3%) to females 5 (15.1%), In Otakeme, males had 6 (12.8%) than females 5 (15.6%), in Otuagela males had 7 (16.7%) than females 2 (8.7%) and in Agbura males had 3 (8.8%) than females 1 (9.1%). Primary school children had the highest 16 (21.9%) while retired civil servants had 0(0.0%). The difference was significant. Bulinus globosuswas the onlysnail intermediate host identified in both ponds and streams. Human water contact activities observed around the water bodies were recreational activities (washing, bathing, fishing)and harvesting of freshwater snails. Variance (ANOVA) of the age-specific prevalence of urogenital schistosomiasis in the four communities showed no significant difference at P<0.05 (P=0.082) among sampled population and also no significant difference at P<0.05 (P=0.55) across the infected population in the four communities. In conclusion, urogenital schistosomiasis is still prevalent and remains a public health challenge in Ogbia, Bayelsastate. It is strongly recommended that health education and provision of safe water should be stepped up as a control measure of the infection in the area
ABSTRACT
Aim: To determine if there was any association between urogenital schistosomiasis and HIV infection among children in Ore Community, Southwestern Nigeria. Methodology: Urine samples were collected from 438 children and examined microscopically for ova of Schistosoma haematobium. A sample of 3 ml of blood was drawn from each participant for HIV test. Antibodies to HIV were determined using Determine HIV1/2 kit, Unigold kit and enzyme linked immunosorbent assay (ELISA). Results: The overall prevalence of S. haematobium infection was 30.1% while that of HIV infection was 0.9%. None of the 132 S. haematobium infected children had HIV infection while 1.3% of the 306 children negative for S. haematobium were positive for HIV test. Conclusion: This study did not identify an association between urogenital schistosomiasis and HIV infection among children in Ore, Southwestern Nigeria. Therefore, urogenital schistosomiasis may not play a significant role in the spread of HIV infection in a locality where HIV prevalence is low.
ABSTRACT
BACKGROUND: Schistosoma haematobium which causes urogenital schistosomiasis (UGS) is highly prevalent in African countries. Urine microscopy (UM) is the first-line diagnostic method of UGS. Enzyme-linked immunosorbent assay (ELISA) is a common method for screening many parasite infections primarily or alternatively. The present study established an in-house diagnostic system by ELISA and evaluated its diagnostic efficacy in comparison with UM for screening UGS in White Nile State, Republic of Sudan, 2011–2013. METHODS: A total of 490 participants were screened by UM or ELISA, and 149 by both. The in-house ELISA system was established employing soluble egg antigen of S. haematobium and the cut-off absorbance was set at 0.270. RESULTS: Of the 149 subjects, 58 participants (38.9%) were positive by UM, 119 (79.9%) were positive by ELISA and 82 (55.0%) showed consistently positive or negative results by both methods. The diagnostic sensitivity of ELISA was 94.8% and specificity was 29.7% based on UM results. The ELISA positive serum samples also cross-reacted with egg antigens of Schistosoma mansoni and Schistosoma japonicum. CONCLUSION: We have established in-house ELISA for screening serum immunoglobulin (Ig) G antibodies by employing soluble egg antigen of S. haematobium for diagnosis of UGS with 94.8% sensitivity and 29.7% specificity. The ELISA system can supplement the conventional diagnosis by UM.