Soil-transmitted helminth and other intestinal parasitic infections among school children in indigenous people communities in Davao del Norte, Philippines
Soil-transmitted helminth and other intestinal parasitic infections among school children in indigenous people communities in Davao del Norte, Philippines
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DOI：
10.1016/j.actatropica.2011.02.010
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发表时间：
2011-09-01
期刊：
影响因子：
2.7
通讯作者：
Ciro, Raezelle Nadine T.
中科院分区：
文献类型：
--
作者：
Belizario, Vicente Y., Jr.;Totanes, Francis Isidore G.;Ciro, Raezelle Nadine T.
菲律宾人口的很大一部分是土著人民 (IP) 群体，约占 9%，即 810 万。有关这些群体健康状况的数据非常有限，包括土源性蠕虫 (STH) 感染状况。提供此类数据对于制定该群体的这些疾病的控制和预防政策非常重要。这项研究是在卡门、卡帕隆、圣伊西德罗和斯托等市的选定村庄/描笼涯进行的。托马斯位于菲律宾南棉兰老岛北达沃省。使用 Kato-Katz 进行寄生虫学评估，以定性和量化 STH 感染，而营养状况评估则基于血红蛋白测定和营养状况指标，即年龄别体重 (WFA)、饲料身高 (HFA) 和源自人体测量的年龄体重指数 (BMI)。共有 572 名小学生参与了调查，其中 264 名（46.2%）属于特定知识产权群体。结果显示，34.1%的学童至少有过一次STH感染，5.9%的学童有重度感染。 IP学龄儿童的累积患病率显着高于非IP儿童，分别为39.0%和29.9%（P=0.021）。学龄儿童 WFA 低于正常水平的总体患病率为 29.9%，而 HFA 和年龄 BMI 低于正常水平的患病率分别为 42.8% 和 14.9%。在接受检查的人中，8.3% 的血红蛋白水平低于正常水平。 IP学童和非IP学童的营养状况参数之间没有观察到显着差异。本研究报告的寄生虫学参数表明需要更多关注因蠕虫感染而发病风险较高的 IP 儿童。必须确保原住民社区获得优质卫生服务，包括定期进行大规模药物管理 (MDA) 和健康教育。建议进一步研究以确定导致 IP 群体中 STH 患病率较高的因素。 (C) 2011 Elsevier B.V. 保留所有权利。
A significant portion of the population in the Philippines consists of indigenous people (IP) groups, approximately 9% or 8.1 million. Data on the health status of these groups are very limited including the status of soil-transmitted helminth (STH) infections. Provision of such data will be of great importance in the formulation of policy on control and prevention of these diseases in this group. This study was conducted in selected villages/barangays in the municipalities of Carmen, Kapalong, San Isidro and Sto. Tomas in the Province of Davao del Norte in Southern Mindanao, Philippines. Parasitologic assessment was performed using Kato-Katz to qualify and quantify STH infections, while nutritional status assessment was based on hemoglobin determination and on nutritional status indicators, i.e., weight-for-age (WFA), height-forage (HFA), and body mass index (BMI) for age derived from anthropometric measurements. A total of 572 school children participated in the survey, 264(46.2%) of whom belonged to a specific IP group. Results showed that 34.1% of the school children had at least one STH infection while 5.9% had heavy intensity infections. Cumulative prevalence in IP school children was significantly higher than in non-IP children with rates at 39.0% and 29.9%, respectively (P=0.021). Overall prevalence of school children with below normal WFA was 29.9%, while prevalence of those with below normal HFA and BMI for age was 42.8% and 14.9%, respectively. Of those examined, 8.3% had below normal hemoglobin levels. There was no significant difference observed between the nutritional status parameters of IP and non-IP school children. The parasitologic parameters reported in this study signify the need to pay more attention to IP children who are at higher risk of morbidity due to helminth infections. Access of IP communities to quality health services, which include mass drug administration (MDA) and health education on a regular basis, must be ensured. Further studies to determine factors that contribute to the higher prevalence of STH among IP groups are recommended. (C) 2011 Elsevier B.V. All rights reserved.