Environmental influences on helminthiasis and nutritional status among Pacific schoolchildren.

This paper describes a study undertaken to: (1) determine the prevalence of Ascaris lumbricoides, Trichuris trichiura and hookworm infections and nutritional status among Pacific Island school children; (2) identify factors influencing helminthiasis; (3) identify interventions to improve school heal...

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Publicado en:International Journal of Environmental Health Research Vol. 14; no. 3; pp. 163 - 178
Autores principales: Hughes RG, Sharp DS, Hughes MC, Akau'ola S, Heinsbroek P, Velayudhan R, Schulz D, Palmer K, Cavalli-Sforza T, Galea G
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jun2004
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Environmental influences on helminthiasis and nutritional status among Pacific schoolchildren.
      aug:
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          Hughes RG
          Sharp DS
          Hughes MC
          Akau'ola S
          Heinsbroek P
          Velayudhan R
          Schulz D
          Palmer K
          Cavalli-Sforza T
          Galea G
        affil: Nutrition Program, Australian Centre for International & Tropical Health & Nutrition, PO Box 103, Royal Brisbane Hospital, Q 4029, Australia; R.Hughes@sph.uq.edu.au
      sug:
        subj:
          Helminthiasis Epidemiology
          Nutritional Status In Infancy and Childhood
          School Health
          Anemia Epidemiology
          Asians
          Chi Square Test
          Child
          Child, Preschool
          Confidence Intervals
          Data Analysis Software
          Data Analysis, Statistical
          Descriptive Statistics
          Feces Analysis
          Female
          Funding Source
          Male
          Odds Ratio
          Pacific Islands
          Regression
          T-Tests
          Water Supply Evaluation
          Human
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Female
          Male
      ab: This paper describes a study undertaken to: (1) determine the prevalence of Ascaris lumbricoides, Trichuris trichiura and hookworm infections and nutritional status among Pacific Island school children; (2) identify factors influencing helminthiasis; (3) identify interventions to improve school health. A total of 3,683 children aged 5-12 years attending 27 primary schools in 13 Pacific Island countries were surveyed along with school environmental data. Stool samples were collected from 1996 children (54.2%) and analysed for ova and helminths. Total prevalence of helminthiasis was 32.8%. Anaemia prevalence was 12.4%. Children with helminthiasis and anaemia were found to be 8.7 times more likely to be stunted and 4.3 times more likely to be underweight than non-anaemic and non-infected children. Four significant environmental influences on helminthiasis were identified: (1) an inadequate water supply; (2); availability of a school canteen; (3) regular water/sanitation maintenance regimes; and (4) overcrowded classrooms. Helminthiasis was found to be strongly associated with anaemia, stunting and underweight and environmental influences identified. Although mass anti-helminthic drug administrations (MDA) have been taking place, reinfection is common as drug therapy alone is not enough. Programme effectiveness depends upon upgrading school environments to include an adequate water supply, controlled food preparation/provision, well-maintained water/sanitation facilities and class sizes of 30 students or less.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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