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Environmental Health and Preventive Medicine
Published in: Environmental Health and Preventive Medicine 1/2018

Open Access 01-12-2018 | Research article

Childhood intestinal parasitic infection and sanitation predictors in rural Dembiya, northwest Ethiopia

Authors: Zemichael Gizaw, Tsegaye Adane, Jember Azanaw, Ayenew Addisu, Daniel Haile

Published in: Environmental Health and Preventive Medicine | Issue 1/2018

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Abstract

Background

Intestinal parasites are a common problem in the world. The greater proportion of infections is associated with poor water, sanitation, and hygiene (WASH). This study was conducted to assess intestinal parasites, WASH condition, and their association in rural Dembiya, northwest Ethiopia.

Methods

A cross-sectional study was employed. Two hundred twenty-five children aged 6–59 months were included. Mothers were interviewed using a structured questionnaire, and the living environment was observed using checklists. Kato-Katz technique was used to determine the intensity of parasitic infections. Escherichia coli (E. coli) was used as a biological indicator for drinking water quality. Multivariable binary logistic regression analysis was conducted to identify WASH predictors of parasites on the basis of adjusted odds ratio (AOR) with 95% confidence interval (CI) and p < 0.05.

Results

The prevalence of intestinal parasites was 25.8% (95% CI = 20.3–32.0%). Ascaris lumbricoides (78%), hookworm (12%), Hymenolepis nana (7%), Enterobius vermicularis (5%), Schistosoma mansoni (3%), Giardia lamblia (3%), and Trichuris trichiuria (2%) were identified infections. Intestinal parasites were associated with poor child hand washing practice [AOR = 3.86, 95% CI = 1.53, 9.75], unprotected water sources [AOR = 7.79, 95% CI = 3.30, 18.40], access to water below 20 l/c/d [AOR = 3.05, 95% CI = 1.28, 7.23], poor food safety[AOR = 4.33, 95% CI = 1.62, 11.58], and poor sanitation [AOR = 5.01, 95% CI = 1.56, 16.16].

Conclusion

A. lumbricoides, hookworm, H. nana, E. vermicularis, S. mansoni, G. lamblia, and T. trichiuria were identified. Child hand washing practice, service level of water supply, water sources, food safety, and sanitation were associated with intestinal parasites. WASH promotion is needed to prevent infections.
Literature
1.
Degarege A, Erko B. Prevalence of intestinal parasitic infections among children under five years of age with emphasis on Schistosoma mansoni in Wonji Shoa Sugar Estate, Ethiopia. PLoS One. 2014;9(10):e109793.CrossRefPubMedPubMedCentral
2.
Bethony J, Brooker S, Albonico M, Geiger SM, Loukas A, Diemert D, Hotez PJ. Soil-transmitted helminth infections: ascariasis, trichuriasis, and hookworm. Lancet. 2006;367(9521):1521–32.CrossRefPubMed
3.
Brooker S, Kabatereine NB, Smith JL, Mupfasoni D, Mwanje MT, Ndayishimiye O, Lwambo NJ, Mbotha D, Karanja P, Mwandawiro C. An updated atlas of human helminth infections: the example of East Africa. Int J Health Geogr. 2009;8(1):42.CrossRefPubMedPubMedCentral
4.
Pullan RL, Smith JL, Jasrasaria R, Brooker SJ. Global numbers of infection and disease burden of soil transmitted helminth infections in 2010. Parasit Vectors. 2014;7:37.CrossRefPubMedPubMedCentral
5.
Hall A, Hewitt G, Tuffrey V, De Silva N. A review and meta-analysis of the impact of intestinal worms on child growth and nutrition. Matern Child Nutr. 2008;4(s1):118–236.CrossRefPubMed
6.
7.
8.
Bdir S, Adwan G. Prevalence of intestinal parasitic infections in Jenin Governorate, Palestine: a 10–year retrospective study. Asian Pac J Trop Med. 2010;3(9):745–7.CrossRef
9.
Oswald WE, Stewart AE, Kramer MR, Endeshaw T, Zerihun M, Melak B, Sata E, Gessese D, Teferi T, Tadesse Z. Association of community sanitation usage with soil-transmitted helminth infections among school-aged children in Amhara Region, Ethiopia. Parasit Vectors. 2017;10(1):91.CrossRefPubMedPubMedCentral
10.
Al-Mohammed HI, Amin TT, Aboulmagd E, Hablus HR, Zaza BO. Prevalence of intestinal parasitic infections and its relationship with socio–demographics and hygienic habits among male primary schoolchildren in Al–Ahsa, Saudi Arabia. Asian Pac J Trop Med. 2010;3(11):906–12.CrossRef
11.
AE-S FA, Salama RA, Taha NS. Predictors of the intestinal parasitic infection among pre-school children in rural lower, Egypt. Egypt J Community Med. 2009;27:17–34.
12.
Strunz EC, Addiss DG, Stocks ME, Ogden S, Utzinger J, Freeman MC. Water, sanitation, hygiene, and soil-transmitted helminth infection: a systematic review and meta-analysis. PLoS Med. 2014;11(3):e1001620.CrossRefPubMedPubMedCentral
13.
Ziegelbauer K, Speich B, Mäusezahl D, Bos R, Keiser J, Utzinger J. Effect of sanitation on soil-transmitted helminth infection: systematic review and meta-analysis. PLoS Med. 2012;9(1):e1001162.CrossRefPubMedPubMedCentral
14.
Schüle SA, Clowes P, Kroidl I, Kowuor DO, Nsojo A, Mangu C, Riess H, Geldmacher C, Laubender RP, Mhina S. Ascaris lumbricoides infection and its relation to environmental factors in the Mbeya region of Tanzania, a cross-sectional, population-based study. PLoS One. 2014;9(3):e92032.CrossRefPubMedPubMedCentral
15.
Riess H, Clowes P, Kroidl I, Kowuor DO, Nsojo A, Mangu C, Schüle SA, Mansmann U, Geldmacher C, Mhina S. Hookworm infection and environmental factors in Mbeya region, Tanzania: a cross-sectional, population-based study. PLoS Negl Trop Dis. 2013;7(9):e2408.CrossRefPubMedPubMedCentral
16.
Asaolu S, Ofoezie I. The role of health education and sanitation in the control of helminth infections. Acta Trop. 2003;86(2):283–94.CrossRefPubMed
17.
Gonder Awraja, Amhara Regional State, Ethiopia—list of all places. Available at http://​www.​placebeam.​com/​?​r=poi&l=13.16667&g=37&type=all&title=Gonder%20Awraja%2C%20Amhara%20Regional%20State%2C%20Ethiopia. Accessed 02 Dec 2017.
18.
Dembiya district finance and economic development office annual report 2017, by Zewudu Fetene and others, Koladiba: officer of finance and economic development, Amhara Region, Ethiopia, 2017.
19.
Dembiya district health office annual report 2017, by Tsigereda Kefale and others, Koladiba: officer of district health office, Amhara Region, Ethiopia, 2017.
20.
Nyantekyi LA, Legesse M, Belay M, Tadesse K, Manaye K, Macias C, et al. Intestinal parasitic infections among under-five children and maternal awareness about the infections in Shesha Kekele, Wondo Genet, Southern Ethiopia. Ethiop J Health Dev. 2010;24(3):185–90.
21.
22.
Helminthiases WS-t. Eliminating soil-transmitted helminthiases as a public health problem in children: progress report 2001–2010 and strategic plan 2011–2020. France: World Health Organization; 2012. p. 19–29.
23.
24.
Sanchez AL, Gabrie JA, Usuanlele M-T, Rueda MM, Canales M, Gyorkos TW. Soil-transmitted helminth infections and nutritional status in school-age children from rural communities in Honduras. PLoS Negl Trop Dis. 2013;7(8):e2378.CrossRefPubMedPubMedCentral
25.
Edberg SC, Rice EW, Karlin RJ, Allen MJ. Escherichia coli: the best biological drinking water indicator for public health protection. Symp Ser Soc Appl Microbiol. 2000(29):106s-16s.
26.
Gwimbi P. The microbial quality of drinking water in Manonyane community: Maseru District (Lesotho). Afr Health Sci. 2011;11(3):474–80.PubMedPubMedCentral
27.
Kabeta A, Assefa S, Hailu D, Berhanu G. Intestinal parasitic infections and nutritional status of pre-school children in Hawassa Zuria District, South Ethiopia. Afr J Microbiol Res. 2017;11(31):1243–51.CrossRef
28.
Shumbej T, Belay T, Mekonnen Z, Tefera T, Zemene E. Soil-transmitted helminths and associated factors among pre-school children in Butajira town, south-central Ethiopia: a community-based cross-sectional study. PLoS One. 2015;10(8):e0136342.CrossRefPubMedPubMedCentral
29.
Haas JP. Handwashing and nail clipping reduce risk of intestinal parasite infection in school-age children. Evid Based Nurs. 2016;19(2):49.CrossRefPubMed
30.
Mahmud MA, Spigt M, Bezabih AM, Pavon IL, Dinant G-J, Velasco RB. Efficacy of handwashing with soap and nail clipping on intestinal parasitic infections in school-aged children: a factorial cluster randomized controlled trial. PLoS Med. 2015;12(6):e1001837.CrossRefPubMedPubMedCentral
31.
Freeman M, Chard A, Nikolay B, Garn J, Okoyo C, Kihara J, Njenga S, Pullan R, Brooker S, Mwandawiro C. Associations between school-and household-level water, sanitation and hygiene conditions and soil-transmitted helminth infection among Kenyan school children. Parasit Vectors. 2015;8(1):412.CrossRefPubMedPubMedCentral
32.
Gelaw A, Anagaw B, Nigussie B, Silesh B, Yirga A, Alem M, Endris M, Gelaw B. Prevalence of intestinal parasitic infections and risk factors among schoolchildren at the University of Gondar Community School, northwest Ethiopia: a cross-sectional study. BMC Public Health. 2013;13(1):304.CrossRefPubMedPubMedCentral
33.
34.
Aiello AE, Coulborn RM, Perez V, Larson EL. Effect of hand hygiene on infectious disease risk in the community setting: a meta-analysis. Am J Public Health. 2008;98(8):1372–81.CrossRefPubMedPubMedCentral
35.
Bloomfield SF, Aiello AE, Cookson B, O’boyle C, Larson EL. The effectiveness of hand hygiene procedures in reducing the risks of infections in home and community settings including handwashing and alcohol-based hand sanitizers. Am J Infect Control. 2007;35(10):S27–64.CrossRef
36.
Michael E, Abah A, Marcus P. Intestinal parasitic infection among primary school children in Port Harcourt City Local Government Area of Nigeria: a review for school-based intervention. Adv Tech Clin Microbiol. 2017;1(4):19.
37.
Asemahagn MA. Parasitic infection and associated factors among the primary school children in Motta town, Western Amhara, Ethiopia. American Journal of Public Health Research. 2014;2(6):248–54.CrossRef
38.
Maru DS. Prevalence of intestinal parasitic infections and associated risk factors among school children in Adigrat town, northern Ethiopia. Int J Emerg Trends in Sci Technol. 2015;4(1):4943–8.CrossRef
39.
Matthys B, Bobieva M, Karimova G, Mengliboeva Z, Jean-Richard V, Hoimnazarova M, Kurbonova M, Lohourignon LK, Utzinger J, Wyss K. Prevalence and risk factors of helminths and intestinal protozoa infections among children from primary schools in western Tajikistan. Parasit Vectors. 2011;4(1):195.CrossRefPubMedPubMedCentral
40.
Steinmann P, Usubalieva J, Imanalieva C, Minbaeva G, Stefiuk K, Jeandron A, Utzinger J. Rapid appraisal of human intestinal helminth infections among schoolchildren in Osh oblast, Kyrgyzstan. Acta Trop. 2010;116(3):178–84.CrossRefPubMed
41.
Ouattara M, N’Guéssan NA, Yapi A, N’Goran EK. Prevalence and spatial distribution of Entamoeba histolytica/dispar and Giardia lamblia among schoolchildren in Agboville area (Côte d’Ivoire). PLoS Negl Trop Dis. 2010;4(1):e574.CrossRefPubMedPubMedCentral
42.
Shields KF, Bain RE, Cronk R, Wright JA, Bartram J. Association of supply type with fecal contamination of source water and household stored drinking water in developing countries: a bivariate meta-analysis. Environ Health Perspect. 2015;123(12):1222.CrossRefPubMedPubMedCentral
43.
Shaheed A, Orgill J, Montgomery MA, Jeuland MA, Brown J. Why? Improved? Water sources are not always safe. Bull World Health Organ. 2014;92(4):283–9.CrossRefPubMedPubMedCentral
44.
Omar MS, Mahfouz AA, Moneim MA. The relationship of water sources and other determinants to prevalence of intestinal protozoal infections in a rural community of Saudi Arabia. J Community Health. 1995;20(5):433–40.CrossRefPubMed
45.
Amenu D, Menkir S, Gobena T: Microbiological quality of drinking water sources and water handling practices among rural communities of Dire Dawa Administrative Council. 2014.
46.
Nyarango RM, Aloo PA, Kabiru EW, Nyanchongi BO. The risk of pathogenic intestinal parasite infections in Kisii municipality, Kenya. BMC public health. 2008;8(1):237.CrossRefPubMedPubMedCentral
47.
Echazú A, Bonanno D, Juarez M, Cajal SP, Heredia V, Caropresi S, Cimino RO, Caro N, Vargas PA, Paredes G. Effect of poor access to water and sanitation as risk factors for soil-transmitted helminth infection: selectiveness by the infective route. PLoS Negl Trop Dis. 2015;9(9):e0004111.CrossRefPubMedPubMedCentral
48.
49.
Idowu O, Rowland S. Oral fecal parasites and personal hygiene of food handlers in Abeokuta, Nigeria. African health sciences. 2006;6(3):160–4.PubMedPubMedCentral
50.
Abate A, Kibret B, Bekalu E, Abera S, Teklu T, Yalew A, Endris M, Worku L, Tekeste Z. Cross-sectional study on the prevalence of intestinal parasites and associated risk factors in Teda Health Centre, northwest Ethiopia. ISRN parasitology. 2013;2013:757451.CrossRefPubMedPubMedCentral
51.
52.
Lewin S, Norman R, Nannan N, Thomas E, Bradshaw D, Collaboration SACRA. Estimating the burden of disease attributable to unsafe water and lack of sanitation and hygiene in South Africa in 2000. S Afr Med J. 2007;97(8):755–62.PubMed
53.
Newell DG, Koopmans M, Verhoef L, Duizer E, Aidara-Kane A, Sprong H, Opsteegh M, Langelaar M, Threfall J, Scheutz F. Food-borne diseases—the challenges of 20years ago still persist while new ones continue to emerge. Int J Food Microbiol. 2010;139:S3–S15.CrossRefPubMed
54.
Kucik CJ, Martin GL, Sortor BV. Common intestinal parasites. Am Fam Physician. 2004;69(5):1161–8.PubMed
55.
Feachem R, Mara DD, Bradley DJ. Sanitation and disease. Washington DC: Wiley; 1983.
56.
Mulatu G, Zeynudin A, Zemene E, Debalke S, Beyene G. Intestinal parasitic infections among children under five years of age presenting with diarrhoeal diseases to two public health facilities in Hawassa, South Ethiopia. Infectious Dis Poverty. 2015;4(1):49.CrossRef
Metadata
Title
Childhood intestinal parasitic infection and sanitation predictors in rural Dembiya, northwest Ethiopia
Authors
Zemichael Gizaw
Tsegaye Adane
Jember Azanaw
Ayenew Addisu
Daniel Haile
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2018
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-018-0714-3

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