Schistosomiasis control programs aim to reduce morbidity but are evaluated by infection prevalence and intensity reduction. We present baseline cross-sectional data from a nested cohort study comparing indicators of morbidity for measuring program impact. Eight hundred twenty-two schoolchildren 7-8 years of age from Nyanza Province, Kenya, contributed stool for diagnosis of Schistosoma mansoni and soil-transmitted helminths (STH) and blood smears for malaria, and were evaluated for anemia, quality of life, exercise tolerance, anthropometry, and ultrasound abnormalities. Schistosoma mansoni, STH, and malaria infection prevalence were 69%, 25%, and 8%, respectively. Only anemia and S. mansoni infection (adjusted odds ratio [aOR] = 1.70; confidence interval [CI] = 1.03-2.80), and hepatomegaly and heavy S. mansoni infection (aOR = 2.21; CI = 1.19-4.11) were associated. Though anemia and hepatomegaly appeared most useful at baseline, additional morbidity indicators may be sensitive longitudinal measures to evaluate schistosomiasis program health impact.

译文

:血吸虫病控制计划旨在降低发病率,但通过感染率和强度降低进行评估。我们提供了来自嵌套队列研究的基线横断面数据,比较了发病率指标来衡量计划的影响。来自肯尼亚Nyanza省的822名7-8岁的小学生为诊断曼氏血吸虫和土壤传播的蠕虫(STH)以及疟疾的血液涂片做出了贡献,并对他们的贫血,生活质量,运动进行了评估耐受性,人体测量学和超声异常。曼氏血吸虫,STH和疟疾感染率分别为69%,25%和8%。仅与贫血和曼氏沙门氏菌感染(校正比值比[aOR] = 1.70;置信区间[CI] = 1.03-2.80),以及肝肿大和严重的曼氏沙门氏菌感染(aOR = 2.21; CI = 1.19-4.11)相关。尽管贫血和肝肿大在基线时似乎最有用,但其他发病率指标可能是敏感的纵向测量指标,可用于评估血吸虫病对健康的影响。

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