TY - JOUR
T1 - Schistosoma mansoni-Related hepatosplenic morbidity in adult population on Kome Island, Sengerema district, Tanzania
AU - Kaatano, Godfrey M.
AU - Min, Duk Young
AU - Siza, Julius E.
AU - Yong, Tai Soon
AU - Chai, Jong Yil
AU - Ko, Yunsuk
AU - Chang, Su Young
AU - Changalucha, John M.
AU - Eom, Keeseon S.
AU - Rim, Han Jong
N1 - Publisher Copyright:
© 2015, Korean Society for Parasitology and Tropical Medicine.
PY - 2015/10
Y1 - 2015/10
N2 - Schistosomiasis is one of the important neglected tropical diseases (NTDs) in Tanzania, particularly in Lake Victoria zone. This baseline survey was a part of the main study of integrated control of schistosomiasis and soil-transmitted helminths (STHs) aimed at describing morbidity patterns due to intestinal schistosomiasis among adults living on Kome Island, Sengerema District, Tanzania. Total 388 adults from Kome Islands (about 50 people from each village) aged between 12 and 85 years, were examined by abdominal ultrasound according to the Niamey protocol. Liver image patterns (LIPs) A and B were considered normal, and C-F as distinct periportal fibrosis (PPF). The overall prevalence of PPF was 42.2%; much higher in males than in females (47.0% in male vs 34.4% in females, P=0.007). Abnormal increase of segmental branch wall thickness (SBWT) and dilated portal vein diameter (PVD) were also more common in males than in females. Hepatosplenomegaly was frequently encountered; 68.1% had left liver lobe hepatomegaly and 55.2% had splenomegaly. Schistosoma mansoni-related morbidity is quite high among adults in this community justifying the implementation of integrated control strategies through mass drug administration, improved water supply (pumped wells), and health education that had already started in the study area.
AB - Schistosomiasis is one of the important neglected tropical diseases (NTDs) in Tanzania, particularly in Lake Victoria zone. This baseline survey was a part of the main study of integrated control of schistosomiasis and soil-transmitted helminths (STHs) aimed at describing morbidity patterns due to intestinal schistosomiasis among adults living on Kome Island, Sengerema District, Tanzania. Total 388 adults from Kome Islands (about 50 people from each village) aged between 12 and 85 years, were examined by abdominal ultrasound according to the Niamey protocol. Liver image patterns (LIPs) A and B were considered normal, and C-F as distinct periportal fibrosis (PPF). The overall prevalence of PPF was 42.2%; much higher in males than in females (47.0% in male vs 34.4% in females, P=0.007). Abnormal increase of segmental branch wall thickness (SBWT) and dilated portal vein diameter (PVD) were also more common in males than in females. Hepatosplenomegaly was frequently encountered; 68.1% had left liver lobe hepatomegaly and 55.2% had splenomegaly. Schistosoma mansoni-related morbidity is quite high among adults in this community justifying the implementation of integrated control strategies through mass drug administration, improved water supply (pumped wells), and health education that had already started in the study area.
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U2 - 10.3347/kjp.2015.53.5.545
DO - 10.3347/kjp.2015.53.5.545
M3 - Article
C2 - 26537033
AN - SCOPUS:84945954732
SN - 0023-4001
VL - 53
SP - 545
EP - 551
JO - Korean Journal of Parasitology
JF - Korean Journal of Parasitology
IS - 5
ER -
