INTESTINAL HELMINTH INFECTION AND NUTRITIONAL STATUS OF SCHOOL CHILDREN IN ENUGU STATE, NIGERIA
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Abstract
The public health importance of intestinal helminths in endemic communities cannot be overemphasised. This study was done to investigate the effect of intestinal helminths infection on nutritional status of school children in Enugu State, Nigeria. Stool samples were collected from 2411 pupils of randomly selected primary schools and examined using direct smear and Kato Katz techniques to determine prevalence. Malnutrition among intestinal helminths infected pupils were assessed using standard anthropometric measurements. Data obtained was analysed using SPSS version 23. Of the 2411 pupils examined, 333(13.8%) were positive for various intestinal helminths parasites. Anthropometric measurements of height for age and gender revealed that 37.2% of infected pupils had heights below the normal heights. More infected males (44.9%) were below the normal heights, than the females (27.7%) (P = 0.000). Pupils aged 14years and above were the most under height than other age groups (P = 0.000). In the weight-for-age result, 51.9% infected pupils were underweight. More infected females (56.8%) than males (48.1%) were underweight (P = 0.000). All infected pupils aged 14 years were underweight (100%). Result also showed that 45.0% were malnourished, while 14.1% and 40.8% were severely malnourished and well-nourished respectively (P = 0.172). Infected male (47.9%) pupils were more (42.6%) malnourished than their female counterparts (P = 1.29). Result on body mass showed that 70.3% were severely stunted, while 18.3% had normal body mass index (BMI) (P = 0.466). The burden of Intestinal helminths infection is of public health importance mainly among children, negatively affecting their growth and development. Improved mass drug administration, proper sewage disposal, health education, improved environmental and personal hygiene are recommended for control and possible elimination.
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References
Centers for Disease Control and Prevention. (2018). Global health - Soil-transmitted helminths. https://www.cdc.gov/globalhealth/ntd/diseases/sth_burden.html. Retrieved on 23rd April, 2024
Elom, M. O., Alo, M. N., Ugah, U. I. and Ibiam, G. A. (2013). Intestinal helminths associated with geography in pregnancy in Afikpo North Ebonyi State. World Journal of Medicine and Medical Science, 1(5): 92–97.
Federal Government of Nigeria Official Gazette (2009). Report of the Census 2006 Final Results/Population by Local Government Area and Sex. www.gazettes.africa/archive/ng/2009.
Hailegebriel, T. (2018). Undernutrition, intestinal parasitic infection and associated risk factors among selected primary school children in Bahir Dar, Ethiopia. BMC Infectious Diseases, 18: 394.
Hall, A., Hewitt, G., Tuffrey, V. and de Silva, N. (2008). A review and meta-analysis of the impact of intestinal worms on child growth and nutrition. Maternal and Child Nutrition. 4(1)):118–236.
Mationg, M. L. S., Williams, G. M., Tallo, V. L., Olveda, R. M., Aung, E. and Alday, P. (2021). Soil-transmitted helminth infections and nutritional indices among Filipino school children. PLoS Neglected Tropical Diseases, 15(12): 1-20
Mbuh, J. V. and Nembu, N. E. (2013). Malnutrition and intestinal helminth infection in school children from Dibanda, Cameroom. Journal of Helminthology, 87(1): 46–51.
Mekonnen, Z., Hassen, D., Debalke, S., Tiruneh, A., Asres, Y., Chelkeba, L., Zemene, E. and Belachew, T. (2020). Soil-transmitted helminth infections and nutritional status of school children in government elementary schools in Jimma Town, Southwestern Ethiopia. SAGE Open Medicine, 8:1-10.
Merem, A., Endalkachew, N. and Abaineh, M. (2017). Prevalence of intestinal helminthic infections and malnutrition among schoolchildren of the Zegie Peninsula, Northwestern Ethiopia. Journal of Infection and Public Health, 10(1):84 – 92.
Mohammed, M. O. H. (2024). Prevalence of Intestinal Heminths Among Mogadishu Residents Attending Somali Sudanese Specialized Hospital, Mogadishu, Somalia. American Journal of Laboratory Medicine, 9(1): 8-13.
Nematian, J., Nematian, E., Gholamrezanezhad, A. and Asgari, A. A. (2004). Prevalence of intestinal parasitic infections and their relation with socio-economic factors and hygienic habits in Tehran primary school students. Acta Tropica, 92(3):179–186.
Nnolim, C., Adekeye, T. A. and Awobode, H. O. (2020). Intestinal helminth infection and malnutrition among public primary school children in Ibadan, Nigeria. Nigerian Journal of Parasitology, 41(1): 49 - 55.
Onyemelukwe, N. F., Maduakor, U. C., Uchenna, C. A.and Okongwu, U. (2021). Prevalence of Intestinal Parasites among the Malnourished Children in Enugu, Nigeria. Annual Research & Review in Biology, 36(7):38-46.
Papier, K., Williams, G. M., Luceres-Catubig, R., Ahmed, F., Olveda, R. M., McManus, D. P., Chy, D., Chau, T. N., Grey, D. J. and Ross, A. G. (2014). Childhood Malnutrition and parasitic Helminth interactions. Clinical Infectious Diseases, 59(2): 234-43.
Rzepecka, J., Siebeke, I., Coltherd, J. C., Kean, D. E. and Steiger, C. N. (2013). The helminthic product, ES-62, protects against airway inflammation by resetting the Th cell phenotype. International Journal for Parasitology, 43(3 -4):211 – 223.
Stoltzfus, R. J., Chway, H. M., Montresor, A., Tielsch, J. M., Jape, J. K., Albonico, M. and Savioli, L. (2004). Low dose daily iron supplementation improves iron status and appetite but not anemia, whereas quarterly anthelminthic treatment improves growth, appetite and anemia in Zanzibari preschool children. Journal of Nutrition. 134:348–356.
Tarekegn, D., Birhanie, M.and Lemma, W. (2022). Impact of intestinal helminth infections on malnutrition and haematological indices of school-age children in Gondar Town, Ethiopia. International Journal of Nutrition, 7(1):16-29.
UNICEF. (2019). State of the world’s children 2019: Children, food and nutrition. New York: United Nations Children’s Fund.
World Health Organization (2006). Preventive chemotherapy in human helminthiasis: coordinated use of anthelminthic drugs in control interventions. A Manual for Health Professionals and Programme Managers. Geneva: WHO Press.
World Health Organization (2020). Soil-transmitted helminth infections. World Health Organization. Retrieved from https://www.who.int/news-room/fact-sheets/detail/soil-transmitted-helminth-infections
World Health Organization. (2015). Helminth infections and their impact on global public health. Geneva: WHO Press.