Proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra, 2017)

Oral presentation

Urinary schistosomiasis outbreak in a community basic school, la Nkwantanang-Madina Municipality, Ghana-2016

Cite this: Pan African Medical Journal - Conference Proceedings. Oct 2017; 3(3): 94. doi:10.11604/pamj.cp.2017.3.94.217

Submitted: 10 Oct 17   Accepted: 10 Oct 17   Published: 27 Oct 17

Key words: Urinary schistosoma, neglected tropical disease, basic school

© George Asumah Adu et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/3/94/abstract

Corresponding author: George Asumah Adu, Ghana Field Epidemiology and Laboratory Training Program, Accra, Ghana (georgeaduasumah@yahoo.com)

This abstract is published as part of the proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (GHANA, )

Urinary schistosomiasis outbreak in a community basic school, la Nkwantanang-Madina Municipality, Ghana-2016

George Asumah Adu1,&, Boakye-Yiadom Adomako1, Eunice Etornam Ampem Danso1, Philip Gevao1, Anna Jammeh1, Geoffery Atelu1, Theophilus Aryee1, Donne Ameme1, Ernest Kenu1, Edwin Afari1, Fredrick Wurapa1

 

1Ghana Field Epidemiology and Laboratory Training Program, Accra, Ghana

 

 

&Corresponding author
George Asumah Adu, Ghana Field Epidemiology and Laboratory Training Program, Accra, Ghana

 

 

Abstract

Introduction: urinary schistosomiasis is a parasitic neglected tropical disease caused by blood flukes called Schistosoma haematobium and characterized by terminal hematuria. School-aged children get infested through habits such as swimming and fishing in infested water bodies. Schistosomiasis is endemic in Ghana. On September 28, 2016, La Madina Nkwantanang Municipality (LaMNM) reported clusters of suspected schistosomiasis in a basic school. We investigated to determine the extent and risk factors of the outbreak and implement control and preventive measures.

 

Methods: we screened all pupils with a questionnaire followed by testing urine of those with a history of hematuria. We conducted 14 case control study to determine the risk factors for schistosomiasis. A case of urinary schistosomiasis was any pupil from the affected school with Schistosoma ova identified in the urine. We interviewed case patients and their controls to obtain data on socio-demographic characteristics and their social play habits. We conducted an environmental assessment. Descriptive and inferential data analyses were done. Risk factors were assessed using adjusted odds ratio (AOR) and their corresponding 95% confidence intervals.

 

Results: of 753 students, 81 case-patients were identified (attack rate 10.8%). Sex specific attack rates were 17.0% (68/401) for males and 3.7% (13/ 352) for females. Median age of case-patients was 13 years (IQR 11-14 years). Compared to controls, case-patients were more likely to be males [AOR = 5.8 (CI = 3.04; 11.96)]. After controlling for possible confounders, swimming in Silver land pond [AOR = 9.0, 95%CI (2.18-33.55)] and swimming in Quotam pond [AOR = 3.2, 95%CI (1.10-9.41)] were independent risk factors for contracting schistosomiasis.

 

Conclusion: urinary schistosomiasis outbreak mainly affecting males occurred in LaMNM. Swimming in infested ponds was the major risk factor. Following our investigation, health education, mollusciciding and clearing of weeds in ponds, and preventive chemotherapy using Praziquantel were carried out.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra)

Country: GHANA

Dates: 18 Sep 17 - 21 Sep 17

Venue: Swiss Spirit and Suites Alisa Hotels

Organizers: Ghana Field Epidemiology and Laboratory Training Programme

Secretariat: gfeltp@gmail.com

Contact person: Dr. Ernest Kenu (ernest_kenu@yahoo.com)