Epidemiology of Soil-Transmitted Helminth Infections among Primary School Children in the States of Chhattisgarh, Telangana, and Tripura, India, 2015–2016
Author:
Ganguly Sandipan1, Barkataki Sharad2, Sanga Prerna3, Boopathi K.4, Kanagasabai Kaliaperumal4, Devika Shanmugasundaram4, Karmakar Sumallya1, Chowdhury Punam1, Sarkar Rituparna1, Raj Dibyendu1, James Leo3, Dutta Shanta1, Campbell Suzy J.5, Murhekar Manoj4
Affiliation:
1. ICMR-National Institute of Cholera and Enteric Diseases, Kolkata, India; 2. Deworm the World Initiative, Evidence Action, New Delhi, India; 3. GFK Mode, Mumbai, India; 4. ICMR-National Institute of Epidemiology, Chennai, India; 5. Deworm the World Initiative, Evidence Action, Brisbane, Australia
Abstract
ABSTRACT.
Soil-transmitted helminth (STH) infections are highly prevalent in many developing countries, affecting the poorest and most deprived communities. We conducted school-based surveys among children studying in first to fifth standard in government schools in the Indian States of Chhattisgarh, Telangana, and Tripura to estimate the prevalence and intensity of STH infections during November 2015 and January 2016. We adopted a two-stage cluster sampling design, with a random selection of districts within each agro-climatic zone in the first stage. In the second stage, government primary schools were selected by probability proportional to size method from the selected districts. We collected information about demographic details, water, sanitation, and hygiene (WASH) characteristics and stool samples from the school children. Stool samples were tested using Kato-Katz method. Stool samples from 3,313 school children (Chhattisgarh: 1,442, Telangana: 1,443, and Tripura: 428) were examined. The overall prevalence of any STH infection was 80.2% (95% confidence interval [CI]: 73.3–85.7) in Chhattisgarh, 60.7% (95% CI: 53.8–67.2) in Telangana, and 59.8% (95% CI: 49.0–69.7) in Tripura. Ascaris lumbricoides was the most prevalent STH infection in all three states. Most of the STH infections were of light intensity. Our study findings indicate that STH infections were highly prevalent among the school children in Chhattisgarh, Telangana, and Tripura, indicating the need for strengthening STH control program in these states. The prevalence estimates from the survey would serve as a baseline for documenting the impact of the National Deworming Day programs in these states.
Publisher
American Society of Tropical Medicine and Hygiene
Subject
Virology,Infectious Diseases,Parasitology
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