Performance evaluation of rapid diagnostic test for malaria in high malarious districts of Amhara region, Ethiopia

Background & objectives: Malaria is one of the leading public health challenges in Ethiopia. To address this, the Federal Ministry of Ethiopia launched a laboratory diagnosis programme for promoting use of either rapid diagnostic tests (RDTs) or Giemsa microscopy to all suspected malaria cases. This study was conducted to assess the performance of RDT and influencing factors for Giemsa microscopic diagnosis in Amhara region. Methods: A cross-sectional study was conducted in 10 high burden malaria districts of Amhara region from 15 May to 15 June 2014. Data were collected using structured questionnaire. Blood samples were collected from 1000 malaria suspected cases in 10 health centers. RDT (SD BIOLINE) and Giemsa microscopy were performed as per standard procedures. Kappa value, logistic regression and chi-square test were used for statistical analysis. Results: The overall positivity rate (PR) of malaria parasites by RDT and Giemsa microscopy was 17.1 and 16.5% respectively. Compared to Giemsa microscopy as "gold standard", RDT showed 83.9% sensitivity and 96% specificity. The level of agreement between first reader and second reader for blood film microscopy was moderate (Kappa value = 0.74). Logistic regression showed that male, under five year of age and having fever more than 24 h prior to malaria diagnosis had statistically significant association with malaria positivity rate for malaria parasites. Interpretation & conclusion: The overall specificity and negative predictive values of RDT for malaria diagnosis were excellent. However, the sensitivity and positive predictive values of RDT were low. Therefore, in-service training, quality monitoring of RDTs, and adequate laboratory supplies for diagnostic services of malaria would be crucial for effective intervention measures

Intestinal parasitic infection among household contacts of primary cases, a comparative cross-sectional study.

BackgroundIntestinal parasitic infection affects 3.5 billion people in the world and mostly affecting the low socio-economic groups. The objectives of this research works were to estimate the prevalence and determinants of intestinal parasitic infection among family members of known intestinal parasite infected patients.Methods and materialsA comparative cross-sectional study design was implemented in the urban and rural settings of Mecha district. The data were collected from August 2017toMarch 2019 from intestinal parasite infected patient household members. Epi-info software was used to calculate the sample size, 4531 household members were estimated to be included. Data were collected using interview technique, and collecting stool samples from each household contact of intestinal parasite patients. Descriptive statistics were used to estimate the prevalence of intestinal parasites among known contacts of intestinal parasite patients/family members. Binary logistic regression was used to identify the determinant factors of intestinal parasitic infection among family members.ResultsThe prevalence of intestinal parasite among household contacts of intestinal parasite-infected family members was 86.14% [95% CI: 86.14% - 87.15%]. Hookworm infection was the predominant type of infection (18.8%). Intestinal parasitic infection was associated with sex, environmental sanitation, overcrowding, personal hygiene, residence, substandard house, role in the household, source of light for the house, trimmed fingernails, family size, regular handwashing practice. Protozoa infection was associated with habit of ingesting raw vegetable, playing with domestic animals, water source and the presence of household water filtering materials.ConclusionHigh prevalence of intestinal parasitic infection was observed among household contacts of primary cases

Environmental and human health risks of pesticide presence in the Lake Tana Basin (Ethiopia)

Pesticides are widely used for safeguarding agricultural yields and controlling malaria vectors, yet are simultaneously unintentionally introduced in aquatic environments. To assess the severity of this pressure in the Lake Tana Basin (Ethiopia), we evaluated the occurrence of 17 pesticide residues in the lake, tributary rivers, and associated wetlands during the wet and dry season, followed by a questionnaire. These questionnaires indicated that 35 different compounds were available in the districts surrounding the lake, including pesticides that are banned in Europe, i.e., endosulfan, dicofol, and malathion. Nevertheless, only 7 pesticide residues were detected in the assessed aquatic habitats. Of these, DDE and bifenthrin occurred most often (97.7% and 62.3%, respectively), while alachlor displayed the highest mean concentration (594 +/- 468 ng/L). No significant differences were observed in residue concentrations between seasons nor between habitats. Based on an ecotoxicological risk assessment, the observed concentrations of DDE and cypermethrin pose a high risk to aquatic life, while alachlor and DDT-op residues were below the threshold values. Furthermore, a human risk assessment indicated a low risk for the population that directly consumes water from the Tana basin, while acknowledging the potential of indirect exposure through the consumption of fish and locally grown crops