EVALUATION OF SCHISTOSOMA MANSONI MORBIDITY ONE YEAR AFTER PRAZIQUANTEL TREATMENT IN RHINO CAMP AND OBONGI IN WEST NILE, UGANDA

An evaluation study on reversibility of Schistosoma mansoni induced periportal fibrosis (PF) morbidity following treatment with praziquantel, 40mg/kg body weight after one year, was carried out in Rhino Camp and Obongi all are West Nile districts in northern Uganda. To assess the reversibility of Schistosoma (S) mansoni induced PFs morbidity following treatment with praziquantel, 40mg/kg body weight after one year. The design was a Prospective cohorts study; and the setting was a busy canoe landing sites along Albert Nile in Schistosoma (S) mansoni hyperendemic areas of Rhino Camp and Obongi fishing village were selected for the study. Previously in 2005, 1562 people including fishermen and women, school pupils, teachers, and civil servants were studied in both fishing villages for S. mansoni using Kato/Katz stool smear method. Abdominal ultrasonography and sonomorphological abnormalities of periportal fibrosis were performed with Aloka portable ultrasound machine (Hellige, Freiburg, Germany) fitted with a convex probe of 3.5 mega Hertz was also performed in the field clinic on all patients who had S. mansoni eggs in their faeces. The sonomorphological abnormalities of periportal fibrosis were categorised and organomorphometry of liver and spleen was done. One thousand two hundred and seventy three 1273 (81.5%) patients in Rhino Camp and Obongi fishing villages were found to be excreting from 100 to ≥ 500 eggs per gram (epg) of faeces of S. mansoni eggs. Two hundred and eighty nine (18.5%) did not have eggs of S.mansoni in their faeces. All the 1273 patients secreting eggs of S.mansoni in their stool in Rhino Camp and Obongi fishing villages had abdominal ultrasonography and sonomorphological abnormalities of periportal fibrosis. Eight hundred and forty 840 (66%) although excreted S. mansoni eggs in their stool had Pf (0); Pf grade (I), n=259 (20.3%); Pf grade (II) n =147 (11.5%); and Pf grade (III) n=27 (2.1%) were observed

THE EFFECT OF SEASONAL RAINFALL AND OTHER ENVIRONMENTAL CHANGES, ON SNAIL DENSITY AND INFECTION RATES WITH SCHISTOSOMA MANSONI FIFTEEN YEARS AFTER THE LAST SNAILS’ STUDY IN KIGUNGU, ENTEBBE, UGANDA

Background: The last study on snail population density in relation to rainfall pattern in Kigungu canoe landing and recreational sites on Lake Victoria shore was earlier carried out about a fi fteen years ago. This study also reviewed the infl uence of other environmental factors on the snails’ infection rate.Objective: To reassess the density dynamic of Biomphalaria (B) choanomphala and Biomphalaria (B) pfeifferi, which act as the intermediate host for S. mansoni and Bulinus (B) globosus, and Bulinus (B) tropicus, which act as intermediate host for S. haematobium.Design: Retrospective study.Setting: Busy canoe landing sites along Lake Victoria in Kigungu fi shing village were selected for the snail sampling.Results: Nine thousand one hundred and ninety four B. choanomphala were collected over the study period. The numbers of B. choanomphala collected in each year was 4742 (51.6%) and 4452 (48.4%) in 2004 and 2005 respectively. Of the 4742 B.Choanomphala collected in 2004,82 (1.7%) shed human cercariae and 329 (6.7%) shed non-human cercariae. Whereas in 2005, out of 4452 B. choanomphala collected 302 (6.85<%) shednon-human cercariae and 82 (1.8%) shed human cercariae. Similarly, 4173 B. pfeifferi were also collected in the same period. Out of which 2224 (53.3%)) were collected in 2004 and 1949 (46.7%) in 2005. For B. pfeifferi, 42 (1.9%) out of 2224 snails collected in 2004 shed human cercariae and 246 (11.1(%) shed non-human cercariae. While in 2005, 33 outof 1949 snails (1.7%) shed human ccrcariae and 159 (8.2%) shed  non-human cercariae. Other snails of medical importance collected included 292 B. globosus and 3094 B. tropicus. None of the Bulinus spp. collected shed any human cercariae but 37 (2.1 %) and 30 (2.3%) B. tropicus shed non-human cercariae in 2004 and 2005 respectively. In 2004 and 2005, the area received, 1729mm and 1959mm of rainfall respectively. The meanrainfall during the year was 144.05 mm and 163.3 mm in 2004 and 2005 respectively. There was a negative correlation between rainfalls and snail density dynamic.Conclusion: We have found in this study that in spite of the bush clearing of the papyrus swamps which originally was the major habitats for B. choanomphala, B. pfeifferi and the Bulinus spp the intermediate host for schistosome at all canoe landing sites at Kigungu, these snails are still present. Moreover, that their population density dynamic and infection rate are inversely proportional to the rainfall pattern

Climate change/variability and schistosomiasis transmission in Ga district, Ghana

Most studies on climate change and schistosomiasis transmission have mainly been on the development of models to understand the nature of the relationship. Globally, no attempt has been made to understand the relationship from the point of view of community members through public perception studies. In addition, there is no study on the nexus between climate change and schistosomiasis transmission in Ghana, albeit the disease is endemic in some parts of the country. This article attempts to fill both knowledge gaps. It uses four climate variables, hospital reported schistosomiasis cases, and data from focus group discussions undertaken in Ga District. Results show an increasing trend in total annual rainfall, maximum and minimum temperatures, and a decline in the number of rainy days between 1970 and 2010, during which time there was an increase in reported schistosomiasis cases. A Pearson correlation analysis shows negative and positive significant associations, respectively, between temperature and total rainfall and schistosomiasis cases. However, maximum temperature granger causes reported schistosomiasis cases. Community members perceive that extreme warm temperatures in recent times encourage people to swim in rivers, which increases infection rates. Rainfall is associated with water-based activities including swimming, washing, and bathing. Some control and prevention interventions and treatment-seeking behaviours are discussed, and some recommendations provided

Ecological determinants of pathogen infection in howler monkeys

Infectious diseases caused by pathogens are now recognized as one of the most important threats to primate conservation. The fact that howler monkeys (Alouatta spp.) are widely distributed from Southern Mexico to Northern Argentina, inhabit a diverse array of habitats, and are considered pioneers, particularly adapted to exploit marginal habitats, provides an opportunity to explore general trends of parasitism and evaluate the dynamics of infectious diseases in this genus. We take a meta-analysis approach to examine the effect of ecological and environmental variables on parasitic infection using data from 7 howler monkey species at more than 35 sites throughout their distribution. We found that different factors including precipitation, latitude, altitude, and human proximity may infl uence parasite infection depending on the parasite type. We also found that parasites infecting howler monkeys followed a right-skewed distribution, suggesting that only a few individuals harbor infections. This result highlights the importance of collecting large sample sizes when developing these kinds of studies. We suggest that future studies should focus on obtaining fi ne-grained measurements of ecological and microclimate changes to provide better insights into the proximate factors that promote parasitism.Fil: Martinez Mota, Rodolfo. University of Illinois at Urbana-Champaign; Estados UnidosFil: Kowalewski, Miguel Martin. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Museo Argentino de Ciencias Naturales "Bernardino Rivadavia". Estación Biológica de Usos Múltiples (Sede Corrientes); ArgentinaFil: Gillespie, Thomas R.. Emory University; Estados Unido