Skip to main content
Article thumbnail
Location of Repository

Micronutrient supplements for children after deworming

By Andrew Hall


The availability of a few inexpensive, single dose drugs to treat soil-transmitted\ud helminths and schistosomiasis offers the potential to reduce a considerable\ud burden of acute disease, especially among children sub-Saharan Africa. These\ud treatments are being promoted as "rapid impact interventions" However, if\ud helminth infections cause underweight, stunting, anaemia and impaired mental\ud development in children, how will removing worms alone lead to recovery\ud without treating the underlying deficits that have been caused or made worse by\ud helminth disease? Energy, protein and micronutrients are required by children\ud who are underweight or who have stunted growth; children who are anaemic\ud will require iron and other micronutrients for haemopoiesis; and children who\ud have lost education will need remedial teaching. Treating neglected worm\ud diseases is an essential first step to good health, but anthelmintic drugs need to\ud be integrated with simple and inexpensive nutritional interventions such as\ud micronutrient supplements to promote recovery and have a rapid effect

Topics: UOW2
OAI identifier:
Provided by: WestminsterResearch

Suggested articles


  1. (2002). A randomised trial in Mali of the effectiveness of weekly iron supplements given by teachers on the haemoglobin concentrations of schoolchildren. Public Health Nutr
  2. (2001). A review of studies on the effect of iron deficiency on cognitive development in children.
  3. (2001). An association between chronic undernutrition and educational test scores in Vietnamese children.
  4. (2000). Anthelmintic drugs for treating worms in children: effects on growth and cognitive performance. Cochrane Database Syst Rev
  5. (1995). Catch-up' growth velocities after treatment for Trichuris dysentery syndrome. Trans R Soc Trop Med Hyg
  6. (2004). Community-based school feeding during Indonesia's economic crisis: implementation, benefits, and sustainability. Food Nutr Bull
  7. (2005). Communitydirected interventions strategy enhances efficient and effective integration of health care delivery and development activities in rural disadvantaged communities of Uganda. Trop Med Int Health
  8. (1993). Compliance and absenteeism in school children: implications for helminth control. Trans R Soc Trop Med Hyg
  9. (2006). Effects of routine prophylactic supplementation with iron and folic acid on admission to hospital and mortality in preschool children in a high malaria transmission setting: community-based, randomised, placebo-controlled trial. Lancet
  10. (1993). Effects of treatment for intestinal parasites and malaria on the cognitive abilities of schoolchildren in Zaire, Africa. Health Psychol
  11. (1999). Evidence for an association between hookworm infection and cognitive function in Indonesian school children. Trop Med Int Health
  12. (1998). Evidence of altered central nervous system development in infants with iron deficiency anemia at 6 mo: delayed maturation of auditory brainstem responses.
  13. (2006). Fact sheet: school feeding. Rome: World Food Programme,
  14. (2004). Global crises, global solutions. Cambridge:
  15. (2005). Health Organization Model Formulary. Geneva: World Health Organization,
  16. (2004). How to add deworming to vitamin A distribution. Geneva: World Health Organization,
  17. (1998). Implications for school-based health programmes of age and gender patterns in the Tanzanian primary school. The Partnership for Child Development. Trop Med Int Health
  18. (1992). Intensity of reinfection with Ascaris lumbricoides and its implications for parasite control. Lancet
  19. (1993). Intestinal parasitic worms and the growth of children.
  20. (2003). Iron deficiency anemia in infancy: long-lasting effects on auditory and visual system functioning. Pediatr Res
  21. (1994). Is complete catch-up possible for stunted malnourished children?
  22. (2004). Low Dose Daily Iron Supplementation Improves Iron Status and Appetite but Not Anemia, whereas Quarterly Anthelminthic Treatment Improves Growth, Appetite and Anemia in Zanzibari Preschool
  23. (1992). Moderate to heavy infections of Trichuris trichiura affect cognitive function in Jamaican school children. Parasitology
  24. Multiple micronutrient supplements to enhance foetal and infant survival, growth and development. Workshop to review effectiveness trials
  25. (1998). Periconceptional vitamin A use: how much is teratogenic? Reprod Toxicol
  26. (1993). Physical fitness, growth and appetite of Kenyan school boys with hookworm, Trichuris trichiura and Ascaris lumbricoides infections are improved four months after a single dose of albendazole.
  27. (2002). Prevention and control of schistosomiasis and soil-transmitted helminthiasis.
  28. (2004). Ranking the opportunities.
  29. (1999). Safety of iron supplementation programs in malaria-endemic regions.
  30. (2007). School feeding for improving the physical and psychosocial health of disadvantaged elementary school children: Cochrane Database Syst Rev,
  31. (1994). School performance, nutritional status and trichuriasis in Jamaican schoolchildren. Acta Paediatr
  32. (1999). Soc Trop Med Hyg
  33. (2003). Soiltransmitted helminth infections: updating the global picture. Trends Parasitol
  34. (1997). Stupidity or worms": do intestinal worms impair mental performance? Psychol Bull
  35. (1996). Teratogenicity of high vitamin A intake.
  36. (1999). The cost of large-scale school health programmes which deliver anthelmintics to children in Ghana and Tanzania. Acta Trop
  37. (1998). The effect of intervention methods on nutritional status and cognitive function of primary school children infected with Ascaris lumbricoides. Am J Trop Med Hyg
  38. (1996). The effects of deworming on indicators of school performance in Guatemala. Trans R Soc Trop Med Hyg
  39. (1991). The effects of parasite infections on cognitive processes in children. Ann Trop Med Parasitol
  40. (2004). The sexual health of pupils in years 4 to 6 of primary schools in rural Tanzania. Sex Transm Infect
  41. (2004). Weekly iron supplements given by teachers sustain the haemoglobin concentration of school children in the Philippines. Tropical Medicine and International Health

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.