Schistosomiasis and soil-transmitted helminths among an adult population in a war affected area, Southern Kordofan state, Sudan

Abstract

Background: Schistosomiasis remains a major health problem at global and national levels, contributing to the vulnerability of the poor people in Sudan. Southern Kordofan is affected by Schistosomiasis but the disease prevalence was unknown.

Methods: 1826 adults were recruited in a community-based survey. Each recruited subject submitted at least 10 ml urine and one stool sample; they were also interviewed and filled in a questionnaire.

Results: 1826 adults were recruited in a community-based survey. Each recruited subject submitted at least 10 ml urine and one stool sample; they were also interviewed and filled in a questionnaire. The prevalence of S. haematobium was 6.9 % among the adult population. We estimated S. mansoni prevalence as 0.0 %. S. haematobium infection was focally distributed at the village level. The infection was associated with non preference of latrine use - if available, use of open water source for household affairs such as cleaning and also with the history of schistosomiasis treatment. The prevalence of soil transmitted helminths (STH) was also reported as high at 7.8 %, and two species were identified; Hymenolepis nana and Giardia lamblia.

Conclusion: Schistosomiasis is a significant health problem among the adult population in Southern Kordofan. The estimated prevalence will serve as a guide in developing a Schistosomiasis Control Program and applying treatment plans.

Figure 1

The study area showing the location of the South Kordofan (dotted rectangular) among other Sudanese states and other endemic bordering countries.