Status of onchocerciasis in Teppi area, Southwestern Ethiopia, after four years of annual community-directed treatment with ivermectin

Background: Information on the impact of annual community-directed treatment with ivermectin (CDTI) on the prevalence and intensity of onchocerciasis as well as its transmission following years of repeated ivermectin distribution is vital to monitor the impact of the control efforts.Objective: To determine the status of the prevalence and intensity of onchocerciasis after four years of ivermectin distribution in Teppi area.Methods: Skin snips were obtained from 390 study participants and kept in physiological saline at room temperature for 24 hours. The emerged microfilariae were counted under 10x microscope objective. The skin snips were weighed and the microfilarial load was expressed as the arithmetic mean of two skin snips per mg of skin snip.Results: Out of the total 390 examined subjects, 87 (22.3%) were found to be positive for microfilaridermia. Significant differences in the prevalence and microfilarial load of the disease were not found among untreated and treated subjects (p > 0.05). Significant reductions of the prevalence (25.5%) and intensity of infection (0.08 – 8mf, mean 1.3) were found compared to prevalence (81%) and intensity of infection ( 0-855, mean 33 ± 5.6) reported before the initiation of the CDTI programme in the study area.Conclusion: The overall results of the study showed a high reduction both in the prevalence and intensity of infection compared to prevalence and intensity of the disease before the initiation of the CDTI programme in the study area. Nevertheless, continued assessment of the long-term impact of repeated annual CDTI programme on onchocerciasis and identification of factors that could affect the sustainability of the programme in various CDTI areas of Ethiopia, could contribute towards the effective control of the programme. [Ethiop. J. Health Dev. 2010;24(1):51-56

Status of Schistosoma mansoni prevalence and intensity of infection in geographically apart endemic localities of Ethiopia: A comparison

BACKGROUND: Schistosomiasis is one of the chronic and neglected tropical diseases affecting rural communities. Heavy infections contribute to anemia and can retard children's growth, physical activity and cognitive function. This study was conducted in order to determine the prevalence, intensity and variation of Schistosoma mansoni infection among human subjects in geographically apart localities. The prevalence and intensity of Schistosoma mansoni infection was assessed in three geographically apart endemic areas of Ethiopia from May to August 2010 through cross-sectional approach.METHODS: A total of 1073 individuals (528 males and 545 females) were found eligible for the study. Their age ranged from 5-60 years with mean age of 11 years in Wondo Genet, 22 years in Kemissie and 24 years in Sille-Elgo. Small plastic sheets were distributed to the study participants and sizable stool specimens were collected and examined using Kato-Katz method (41.7mg template).RESULT: The prevalence of Schistosoma mansoni infection among the study participants in Kemissie, Wondo Genet and Sille-Elgo was 89.6%, 59.9%, and 31.6%, respectively. The highest geometric mean of egg per gram of stool for Kemissie, Wondo Genet and Sille-Elgo was, 5208 and 346, 8472 and 252, 3960 and 91, respectively.CONCLUSION: It was observed that there was comparable variation in the prevalence and intensity of infection among the study localities. Moreover, it is indicated that S. mansoni is still an ongoing public health problem which requires integrated intervention activities in the country.KEYWORDS: Schistosoma mansoni; intensity of infection; geographic variation; Ethiopi

Comparative efficacy of albendazole and three brands of mebendazole in the treatment of ascariasis and trichuriasis

Objective: To evaluate the comparative efficacy of 400 mg albendazole (Smith Kline Beecham) as a single dose and three brands of mebendazole (Janssen, Unibios and East African Pharmaceuticals) at doses of 100 mg twice a day for three consecutive days in the treatment of single or mixed infections with Ascaris lumbricoides and or Trichuris trichiura in four treatment groups of school children. Design: Randomized trial. Setting: Wondo-Genet, southern Ethiopia. Subjects: School children, aged six to nineteen years. Results: The percentage cure rate and egg reduction rate obtained with albendazole and mebendazole from the three brands were not significantly different in the treatment of ascariasis. However, significant differences were found among the percentage cure rates and egg reduction rates of the four treatment groups in the treatment of trichuriasis. Comparatively, high cure rate (89.8%) and egg reduction rate (99.1%) were observed in vermox (Janssen) treated group followed by Unibios (India) treated group (53.3% and 96.53% cure and egg reduction rates, respectively), whereas low cure rate (17.1%) and egg reduction rate (69.8%) were seen in the albendazole treated group. Conclusion: The results of this study suggest that in areas of single or mixed infections with Trichuris trichiura and/or Ascaris lumbricoides are common public health problems and where laboratory facilities are not available to make parasite identification, mebendazole (particularly vermox, a product of Janssen laboratory) would be the drug of choice to treat trichuriasis and ascariasis. However, either mebendazole from the different brands or albendazole is effective in the treatment of ascariasis in areas where trichuriasis is not prevalent. East African Medical Journal Vol. 81 No. 3 March 2004: 134-13

Performance of CareStart™ Malaria Pf/Pv Combo test for the diagnosis of Plasmodium falciparum and Plasmodium vivax infections in the Afar Region, North East Ethiopia

Background: CareStart™ Malaria Pf/Pv Combo test has shown encouraging results for the diagnosis of P. falciparum and P. vivax infections in Ethiopia. Nevertheless, the performance of the test could be affected by different factors like gene polymorphisms, excess heat and humidity. Hence, evaluation of the performance of the test in different settings in Ethiopia is vital for the routine diagnosis of malaria.Objective: To evaluate the diagnostic performance of CareStartTM Malaria Pf/Pv Combo test for the diagnosis of P. falciparum and P. vivax infections in the Afar Region, Northeast Ethiopia.Methods: Finger prick blood samples were collected from a total of 1092 patients who had malaria symptoms and visited three different health facilities in the Afar Region. Giemsa-stained thin and thick blood smears were prepared and microscopically examined under 100 × magnifications for Plasmodium species identification and determination of parasitaemia. CareStart Malaria Pf/Pv Combo test was also performed as per the manufacturer's instructions. The sensitivity and the specificity of the test was determined using microscopy as gold standard.Results: The sensitivity and specificity of the test were 98.5% and 98.0% respectively, with a positive predictive value (PPV) of 91.7% and a negative predictive value (NPV) of 99.7% for the diagnosis of P. falciparum infection. The corresponding sensitivity and specificity for the diagnosis of P. vivax infection were 100% and 99.6% respectively, with PPV and NPV of 86.2% and 100%, respectively.Conclusion: The results of this study revealed high sensitivity and specificity of CareStartTM Malaria Pf/Pv Combo test for the diagnosis of both P. falciparum and P. vivax infections in the study area, though additional study may be needed in the most peripheral hottest areas of the region. [Ethiop. J. Health Dev. 2011;25(3):206-211

Transmission of Schistosoma mansoni in Tikur Wuha area, Southern Ethiopia

Background: Although the epidemiology of schistosomiasis is well established and the disease distribution has also been mapped in Ethiopia, discovery of new foci has continuously been reported.Objectives: The objective of this study was to assess the establishment of transmission of schistosomiasis mansoni in Tikur Wuha area, southern Ethiopia.Methods: A cross-sectional epidemiological study involving 375 school children in Tikur Wuha Elementary School was conducted in December 2007 and January 2008. Stool specimens were collected and microscopically examined using Kato-Katz method. Snail survey was also conducted using scoop in Tikur Wuha River and littoral zone of Lake Awassa on the side of Tikur Wuha Kebele (administrative unit). The snails collected were checked for trematode infection by shedding. Laboratory-bred mice were exposed to schistosome cercariae and definite identification of the schistosome was made using eggs and adult worm morphology.Results: The prevalence and intensity of schistosomiasis mansoni was 12% and 69 eggs per gram (epg) of stool, respectively. Biomphalaria sudanica collected in Tikur Wuha River shed schistosome cercariae. Adult S. mansoni worms were harvested from laboratory-bred mice after 6 weeks of laboratory maintenance.Conclusion: The prevalence and intensity of schistosomiasis mansoni among school children was low and the area represents low-risk community. The finding of S. mansoni infected young children, the collection of B. sudanica infected with schistosome cercariae, and the establishment of infection in lab-bred mice all confirmed the transmissionof schistosomiasis mansoni in Tikur Wuha area. Appropriate intervention measures need to be in place to reduce morbidity and transmission of intestinal schistosomiasis in the area

Origin of the reduced exchange bias in epitaxial FeNi(111)/CoO(111) bilayer

We have employed Soft and Hard X-ray Resonant Magnetic Scattering and Polarised Neutron Diffraction to study the magnetic interface and the bulk antiferromagnetic domain state of the archetypal epitaxial Ni$_{81}$Fe$_{19}$(111)/CoO(111) exchange biased bilayer. The combination of these scattering tools provides unprecedented detailed insights into the still incomplete understanding of some key manifestations of the exchange bias effect. We show that the several orders of magnitude difference between the expected and measured value of exchange bias field is caused by an almost anisotropic in-plane orientation of antiferromagnetic domains. Irreversible changes of their configuration lead to a training effect. This is directly seen as a change in the magnetic half order Bragg peaks after magnetization reversal. A 30 nm size of antiferromagnetic domains is extracted from the width the (1/2 1/2 1/2) antiferromagnetic magnetic peak measured both by neutron and x-ray scattering. A reduced blocking temperature as compared to the measured antiferromagnetic ordering temperature clearly corresponds to the blocking of antiferromagnetic domains. Moreover, an excellent correlation between the size of the antiferromagnetic domains, exchange bias field and frozen-in spin ratio is found, providing a comprehensive understanding of the origin of exchange bias in epitaxial systems.Comment: 8 pages, 5 figures, submitte

Schistosomiasis mansoni and soil-transmitted helminthiasis in Bushulo village, southern Ethiopia

Background: Schistosomiasis mansoni and soil-transmitted helminthiasis (STHs) are considerable medical and public health problems in Ethiopia. However, information is limited on the epidemiology of these infections in different localities even though it is needed to plan effective prevention and control measures. Objective: This study was designed to determine the prevalence of Schistosoma mansoni and soil-transmitted helminth infections in school children and residents in Bushulo village near Lake Awassa (Hawassa), southern Ethiopia. Methods: Cross-sectional epidemiological and parasitological studies were conducted on schistosomiasis mansoni and STHs in Bushulo village in May and June 2007. A total of 419 participants (353 school children and 66 other residents) were included in the study. The principal investigator interviewed the study subjects about demographic status using structured questionnaires. Moreover, experienced nurse took history and conducted physical examination to assess symptoms and signs related to chronic S. mansoni infection. A single stool sample was collected from each participant and processed using the Kato-Katz technique. Experienced laboratory technician read all slides at Bushulo Health Center. Results: The overall infection rates of schistosomiasis mansoni, trichuriasis, ascariasis and hookworm infection were 73.7%, 41.5%, 37.2% and 28.4%, respectively. Other parasitic infections observed were caused by Hymenolepis nana (1.7%), Taenia species (1.4%), and Enterobius vermicularis (1.4%). Children in the age range 10-14 years and those attending at St. Paul’s School had higher rates of T. trichiura and S. mansoni, respectively. Intensity of infection was higher for A. lumbricoides in the age range 5-9 years. The overall prevalence of any STHs was 67.3%. The rates of single, dual, triple and quadruple infections were 29.6%, 32%, 20.3% and 7.4%, respectively. Conclusion: The high prevalence and intensity of schistosomiasis mansoni and soil-transmitted helminthiasis makes periodic deworming programme urgent to reduce morbidity and transmission of helminthiasis in the area. Provisions of sanitary facilities and clean water supply as well as health education are also critically needed to sustain the impact of chemotherapy

Schistosoma mansoni Infection in Finchaa Sugar Estate: Public health Problem Assessment based on Clinical Records and Parasitological Surveys, Western Ethiopia

The survey of Schistosoma mansoni (S. mansoni) in Finchaa Sugar Estate, Western Ethiopia, was conducted to investigate the prevalence and health problems of schistosomiasis with some of the risk factors. The examination was undertaken based on the analysis of retrospective clinical data from the health center and a cross-sectional parasitological examinations using Kato-thick smear slides in April-June 2012/2013. Over the period 2008 to 2013 average prevalence among suspected patients at the health centre was 30.9%. Examination of double kato-thick smear slides from a random sample of 602 individuals from most schistosomiasis affected camp 7 revealed the prevalence of 37.5%. S. mansoni infection is become a year-round public health problem in Finchaa, Sugar Estate possibly due to permanent streams, water bodies and water contact behaviors and also reduced effectiveness of current control measures. Among the 7th camps, village A (camp 7) is the most schistosomiasis affected area (37.5%) followed by Kuyisa (25%). This is attributed to the presence of permanent stream (Fekerie stream) near camp 7. The present finding shows that the prevalence and intensity of schistosomiasis in the more affected camp 7 of Finchaa Sugar Estate was significantly higher among males than in females and its prevalence and intensity was found to be higher among study population within the age group of 11-20 years old. This study indicates that schistosomiasis is a major health problem in Finchaa Sugar Estate with moderate prevalence. The study results will provide an additional clinical and parasitological data on the current status of S. mansoni in Finchaa Sugar Estate and could serve as a guide in designing, developing and implementing intervention strategies to mitigate morbidity due to S. mansoni especially in highly risk groups under the Ethiopian health service system.Keywords: Egg per gram; Finchaa Sugar Estate; Kato-katz; Schistosomiasis; S. mansoni; Public healt

Intestinal parasitic infections among under-five children and maternal awareness about the infections in Shesha Kekele, Wondo Genet, Southern Ethiopia

Background: Few studies have reported the magnitude of intestinal parasitic infections among under-five children in tropical countries. Moreover, there is little information on maternal awareness about intestinal parasitosis.Objective: To determine the prevalence of intestinal parasitosis among under-five children, and assess maternal awareness about it in Shesha Kebkele, Wondo Genet, Southern Ethiopia.Methods: A cross-sectional study involving 288 under-five children was conducted and stool samples were collected and examined for intestinal parasites using Kato-Katz and formol-ether concentration methods. In addition, a total of 130 mothers of under-five children were interviewed regarding their awareness about intestinal parasitic infections.Results: Of the 288 children, 245 (85.1%) were found infected with one or more intestinal parasites. The prevalence of Trichuris trichiura, Schistosoma mansoni and Ascaris lumbricoides, hookworm, and Hymenolepis nana infections as determined by Kato-Katz were 74.7%, 37.2%, 25.7%, 5.9%, and 4.5%, respectively. On the other hand, theprevalence of Strongyloides stercoralis, Giardia lamblia, Entamoeba histolytica/dispar, and Entamoeba coli infections as determined by formol-ether concentration method were 0.69%, 13.2%, 0.35%, and 2.1%, respectively. Most mothers were reasonably aware of the mode of transmission of ascariasis, amoebiasis and giardiasis while they hadvery limited knowledge of bilharzia and hookworm transmission. Almost all of the respondents reported that infections with intestinal parasites could cause retardation of growth and death in children unless treated.Conclusion: Intestinal parasitic infections were prevalent in varying magnitude among under-five children in Wondo Genet area, Southern Ethiopia. Mothers in the study area had a fairly good knowledge of the impact of infections but limited knowledge of the mode of transmission of intestinal parasitic infections. Improvement of sanitation and healtheducation are required besides preventive chemotherapy to control worms (except for schistosomiasis in under-five which need treatment on an individual basis) and other intestinal parasitic infections in the area

Deposit of microbial strains in public service collections as part of the publication process to underpin good practice in science

Despite recommendations to release microbial resources to the community post-publication, the reality is far from satisfying. A workshop discussed the need for a coordinated and effective deposition policy for 'key' microbial strains and proposes a set of criteria to facilitate their deposition into public service collections. The majority of authors either contacted directly or during submission of manuscripts to several international, mainly European bacteriology journals agreed to this set of 'key strain' criteria and to the voluntarily deposition of resources into public resource centres.The authors thank additional members of the 2011 Braunschweig workshop: Jorg Overmann, Esperanza Garay-Auban, Peter Kampfer, Yohan Lecuona, James I Prosser, Ramon Rosello-Mora, Karl-Heinz Schleifer, and Kornelia Smalla. The workshop was an initiative of the European Consortium of Microbial Resource Centres (EMbaRC), supported by the European Commission's Seventh Framework Programme (FP7, 2007-2013), Research Infrastructures action, under the grant agreement No. FP7-228310. This communication received funding from the European Union's Seventh Framework Programme for Research, Technological Development and Demonstration under grant agreement no 312251. Additionally, thanks go to all those attending the February 2014 MIRRI Heads of Collections meeting who participated in the discussions, including some of those above plus Pedro Crous, Edward Moore, Oleg Stupar, Chantal Bizet, Dominique Clermont, Rosa Aznar, Paul Devos, and Anna Misiewicz