ABSTRACT
We carried out a parasitological survey of Schistosoma haematobium infection among the residents of Lowveld Siphofaneni, Swaziland, an area which is devoid of sanitation. Subjects with positive infection were confirmed by the detection of S. haematobium ova in their urine. The intensity of the infection was estimated by calculating the total number of S. haematobium ova present in 10 ml urine specimen (geometric mean intensity; GMI). Overall, the prevalence of S. haematobium infection was 6.1% (18/295) with a GMI of 20.7 (95% CI=9.1~32.2). Female (10.5%, 16/153) had significantly higher prevalence than that in male (1.4%, 2/142) (ORs=8.2, 95% CI=1.8- 36.2, P<0.01); conversely, male had higher GMI (60.0) than that (17.3) in female. The age group of ≤5 yrs (15.3%, 9/59) had significantly higher prevalence than that in age group of ≥19 yrs (2.6%, 3/115) (ORs=0.2, 95% CI=0.04-0.57, P<0.01). The highest GMI of 27.9 (95% CI=7.6~48.2) was also seen in age group of ≤5 yrs.
Subject(s)
Schistosoma haematobium , Schistosomiasis haematobia/epidemiology , Adolescent , Adult , Animals , Child , Child, Preschool , Endemic Diseases , Eswatini/epidemiology , Female , Humans , Infant , Male , Odds Ratio , Prevalence , Risk Factors , Young AdultABSTRACT
As there appeared to be no data available on Toxocara canis infection in the children of Swaziland, a serological survey of T. canis infection was recently conducted among 92 children aged 3-12 years from rural slums in the low- and middle-veld. A child was considered seropositive if, in western blots based on the excretory-secretory antigens of larval T. canis, his or her serum gave a positive result when diluted 1 : 64. Forty-one (44.6%) of the children were found seropositive. There were no statistically significant differences in seroprevalence between the 49 boys and 43 girls investigated (46.9% v. 41.8%) or between the eight subjects aged 12 years and the 47 aged < or = 5 years (62.5% v. 38.3%); the corresponding odds ratios were 0.81 (95% confidence interval=0.36-1.86; P=0.62) and 2.69 (95% confidence interval=0.57-12.62; P=0.20), respectively. The 66 subjects from the middleveld were, however, significantly more likely to be seropositive than the 26 subjects from the lowveld (54.5% v. 19.2%; odds ratio=5.04, with a 95% confidence interval of 1.70-14.98; P<0.01). It seems likely that T. canis infection is common among the children who live in slums in Swaziland, particularly in the country's middleveld, probably as the result of poor hygiene and poor sanitation.
