Patterns and Risk Factors of Helminthiasis and Anemia in a Rural and a Peri-urban Community in Zanzibar, in the Context of Helminth Control Programs 英文参考文献.docVIP

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Patterns and Risk Factors of Helminthiasis and Anemia in a Rural and a Peri-urban Community in Zanzibar, in the Context of Helminth Control Programs 英文参考文献.doc

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Patterns and Risk Factors of Helminthiasis and Anemia in a Rural and a Peri-urban Community in Zanzibar, in the Context of Helminth Control Programs 英文参考文献

PatternsandRiskFactorsofHelminthiasisandAnemiain aRuralandaPeri-urbanCommunityinZanzibar,inthe ContextofHelminthControlPrograms StefanieKnopp1,KhalfanA.Mohammed2,J.RussellStothard3,I.SimbaKhamis2,DavidRollinson3, HanspeterMarti4,Ju¨rgUtzinger1* 1DepartmentofEpidemiologyandPublicHealth,SwissTropicalandPublicHealthInstitute,Basel,Switzerland,2HelminthControlLaboratoryUnguja,MinistryofHealth and Social Welfare, Zanzibar, Tanzania, 3Wolfson Wellcome Biomedical Laboratories, Department of Zoology, Natural History Museum, London, United Kingdom, 4DepartmentofMedicalandDiagnosticServices,SwissTropicalandPublicHealthInstitute,Basel,Switzerland Abstract Background: The control of helminth infections and prevention of anemia in developing countries are of considerable publichealthimportance.Thepurposeofthisstudywastodeterminepatternsandriskfactorsofhelminthinfectionsand anemiainaruralandaperi-urbancommunityofZanzibar,Tanzania,inthecontextofnationalhelminthcontrolprograms. Methodology/PrincipalFindings:Wecarriedoutacommunity-basedcross-sectionalstudyin454individualsbyexamining at least two stool samples with different methods for soil-transmitted helminths (Ascaris lumbricoides , hookworm, Strongyloidesstercoralis,andTrichuristrichiura)andoneurinesampleforSchistosomahaematobium.Finger-prickbloodwas takento estimate anemialevels andto detectantibody reactions against ascariasis, strongyloidiasis andschistosomiasis, usinganenzyme-linkedimmunosorbentassay(ELISA)approach.Parasitologicalmethodsdeterminedahelminthprevalence of73.7%intherural,and48.9%intheperi-urbansetting.Mosthelminthinfectionswereoflightintensitywithschool-aged childrenshowingthehighestintensities.Multiplehelminthspeciesinfectionswerepervasiveinruraldwellersregardlessof age.Morethanhalfoftheparticipantswereanemic,withaparticularlyhighprevalenceintheperi-urbansetting(64.7%). Riskfactorsforhelminthinfectionswereage,sex,consumptionofrawvegetablesorsalad,recenttravelhistory,andsocio- economicstatus. Conclusion/Signif