Public Health Project Topics

An Epidemology Survey for Sctristosomiasis Among Pupils in Amagunze Community in Nkanu Local Government Area in Eenugu.

An Epidemology Survey for Sctristosomiasis Among Pupils in Amagunze Community in Nkanu Local Government Area in Eenugu.

An Epidemology Survey for Sctristosomiasis Among Pupils in Amagunze Community in Nkanu Local Government Area in Eenugu.

CHAPTER ONE

AIM AND OBJECTIVE

  • To evaluate the epidermiology of Schistosomiasis among pupil of Ishielu Amagunze in Nkanu local government.
  • to educate the pupils with respect to the disease on the mode of infection and identify ways of preventing and controlling the disease.

CHAPTER TWO

LITERATURE REVIEW

Schistosomiasis or Bilharzia is a group of drronic disease caused by schistose a small parasitic worm (Flukers) first recognized in Egypt 1851 by a German pathologist Bilharz. He first discovered the pathogen of urogentital Schistosomiasis in over 400 autopsies he carried out in Egypt. Thus, he called the disease it name Bilharziasis. It is a sever endemic disease of man caused by the following species of schistosomas haematobum, S mansion S Japonicum which multiply in fresh water snail as intermediate host.

Schistosnma haematobum has been a scourge of great agriculture avilzation of the middle east for millennia and it is still today a major cause of disease and death in the fertile river valleys. It is also endemic throughout most African, and through south west Asia as far as iran, posing a resk for visitors to any of the regions named (Lichtenberg and Lehman 1986). Being a significant health problem Schistosomiasis is widely spread in many  parts of the world  including China, Brazd, far East, South America, west made and Africa. It is widely known in almost 76 countries  the largest number occurred in Brazil, central Africa, Egypt, Sudan and Philppine. In most recent publication the WHO (1980) described schristosomiasis as a major tropical disease caused by water borne parameter afflicting some 200 million people.

The 100mms leves inside the veins of the  affected organ of the body and the name was derived from the cleft body (Shistosome) the male worm. Schistomiasis  is today the most important human disease caused by animal parasites. Although hookworm disease has gradually decreased as a  public health problem in many parts of the world and chloroquire and insecticide have suddenly sharply topped the balance against malaria, Schistosomiasis seems to be on the upgrade it is very wide spread and associated with poverty, poor housing and inadequate sanitary activities good water supply and insanitary uman behavior (Bayer 1984).

 

CHAPTER THREE

MATERIALS AND METHOD

The presence of schistosnma haematobium or urinary Schistosomiasis in man can often be inferred by clinical examination Nevertheless, the only certain way of diagnosing schistosnma haematobium is to look for its ova in the urine sample of infected persons or patients. Specimens foe laboratory diagnosis must be properly collected handled and examined.

PRECAUTIONS

Contact with the infected urine is a potential source of infection therefore, when examining urine samples, the following precautionary measures should be observed.

  1. The urine sample should be collected in a clean container, free form antiseptics care must be taken that it will not mix with stool
  2. The container should be properly labelled.
  3. The sample should be examined before the hatding period
  4. The  required amount of urine sample should be taken form the container with disposable applicable such as syringes and the container top immediately screwed up again.
  5. Protective clothing  (Laboratory crat) should be worm to prevent contaminating four clothes and carrying infection home
  6. Laboratory must be thoroughly cleansed with disinfectant.

CHAPTER FOUR

RESULTS

The purpose of this research work has been to obtain information of the prevalence of schistosoma haematobium among pupil of Ishielu primary school in Ishielu in Amangunze

Out of fifty (50) samples of urine examined (31) thirty one showed positive while nineteen (19 samples were negative. There is no doubt about this because schistosoma haematobium occur in high leveling population living under condition of frequent community is one of such area.

The information shows that children between the  average age of 6-12 years  have a prevalence of 9290. However rate in children increase rapidly form year to year and thus they are the most sensitive group in which to detect a drop of transmission as a result of control.

Table II Age specific prevalence of urinary Schistosomiasis from 50 urine sample analyzed.

CHAPTER FIVE

DISCUSSION

The prevalence of schristoma haematobium in Ishielu in Amagunze community among primary school children  between the agerange of 6 –12 years is high based on the result of this investigation as a stated by (Ozumba, 1983)

Out of 50 pupils samples, 31 pupils were infected with schistosnma haematobium. This is likely due to the great abundance of snail species Bulinus fruncatus (Akriso) found in river Atavu in Ishelu, Amagunze community. The prevalence was found more in males than the  female. This may be due to the fact that for males at 6-10 years their major bobby is swimming and at 9-10 they start other activities such as football etc female are prevalence in areas where they help their  mothers to carry out some domestic work in the river and like fetching water, washing etc.

Generally the prevalence of the urinary  Schistosomiasis is high in Ishielu in Amagunze with 62 % as compared to the finding of (uyaeme Obinwa 2003) who reported the infection rate of 27% in an examination of 289 pupils in Omogho town Ozumba, North thus high prevalence in Ishielu is manly due to  high  contact of infected persons with infected water, urination, defecation on the farmland and inside the water caused by lack of good toilet facilities. Defecation on the farmland equally contaminate this river whereby the rain water push or wash the faces into the water bodies.

CHAPTER SIX

CONCLUSION AND RECOMMENDATION

Since the concept of this study aims moistly at the confirmation of the senstosomasis prevalence in Ishielu in Amagunze community.  In conclusion the Epideniology of schistosoma  haematobium in Ishielu in Amagunze community indicates that river Atavu should not be harnessed as a recreational resort, unless the infected water is treated to confined the level of schistosoma haematobium in the community.

A good sewagel sanitary measures are therefore required to be adopted in the community so as to reduce the prevalence and intensity of infection to a level which no longer constitutes a  disease problem.

These could be achieved  if the following  are carried out.

  1. providing safe water supplies in villages to reduces as much  as possible contact with infected water.
  2. Proper sewage disposal to avoid infecting the water with shristosoma eggs
  3. providing safe recreational bathing sites especially for children
  4. avoiding the use of untreated faces as fertilizer.
  5. Treat with molluscdes like copper selphate Bayer 73 to cause bionomics.

REFERENCES

  • Anderson, J.R (1976) Muirs textbook of pathology, 10th edition smith, A.L (1981) principles of microbiology 9th edition C.Umasby company, London Pp 532- 537.
  • Baillaries (1989) midwifery dictionary
  • Bayer (1984) progress in the fight against Schistosomiasis
  • Betterton (1981) personnel communication in the south chad  irrigation sheme and abaurime near Benin city in Bendel State
  • Chesbrough Monica (1998) medical laboratory for tropical countries vol. II.
  • Microbiology Britain ElBs Publishers PP 236-239
  • Cowper S.G (1971) A synopsis of African Bilharziasis London, HK lewis Co Ltd. pp. 1-268
  • Dewes, B (1974) Advances in parasitology volume 12, Academic press London PP. 115-125
  • Hira P.R and Muller, R (1966) studies on the ecology of snails transmitting
  • urinary Schistosomiasis in western Nigeria.
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