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Schistosoma Mansoni-Related Hepatosplenic Morbidity in Adult Population on Kome Island, Sengerema District, Tanzania.

Kaatano, G. M., Min, D.-Y., Siza, J. E., Yong, T.-S., Chai, J.-Y., Ko, Y., Chang, S.-Y., Changalucha, J. M., Eom, K. S. and Rim, H.-J. (2015) Schistosoma Mansoni-Related Hepatosplenic Morbidity in Adult Population on Kome Island, Sengerema District, Tanzania. The Korean journal of parasitology, 53 (5). pp. 545-51. ISSN 1738-0006

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Abstract

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.

Item Type: Article
Keywords: Schistosoma mansoni, hepatosplenomegaly, adult, Kome Island (Tanzania)
Subjects: Neglected Tropical Disease (NTD)
Divisions: National Institute for Medical Research
Depositing User: Mr Joseph Madata
Date Deposited: 27 Jun 2016 06:02
Last Modified: 27 Jun 2016 06:02
URI: http://ihi.eprints.org/id/eprint/3451

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