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Silva LMN, França WWM, Santos VHB, Souza RAF, Silva AM, Diniz EGM, Aguiar TWA, Rocha JVR, Souza MAA, Nascimento WRC, Lima Neto RG, Cruz Filho IJ, Ximenes ECPA, Araújo HDA, Aires AL, Albuquerque MCPA. Plumbagin: A Promising In Vivo Antiparasitic Candidate against Schistosoma mansoni and In Silico Pharmacokinetic Properties (ADMET). Biomedicines 2023; 11:2340. [PMID: 37760782 PMCID: PMC10525874 DOI: 10.3390/biomedicines11092340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 08/16/2023] [Accepted: 08/19/2023] [Indexed: 09/29/2023] Open
Abstract
Schistosomiasis, a potentially fatal chronic disease whose etiological agents are blood trematode worms of the genus Schistosoma spp., is one of the most prevalent and debilitating neglected diseases. The treatment of schistosomiasis depends exclusively on praziquantel (PZQ), a drug that has been used since the 1970s and that already has reports of reduced therapeutic efficacy, related with the development of Schistosoma-resistant or -tolerant strains. Therefore, the search for new therapeutic alternatives is an urgent need. Plumbagin (PLUM), a naphthoquinone isolated from the roots of plants of the genus Plumbago, has aroused interest in research due to its antiparasitic properties against protozoa and helminths. Here, we evaluated the in vivo schistosomicidal potential of PLUM against Schistosoma mansoni and the in silico pharmacokinetic parameters. ADMET parameters and oral bioavailability were evaluated using the PkCSM and SwissADME platforms, respectively. The study was carried out with five groups of infected mice and divided as follows: an untreated control group, a control group treated with PZQ, and three groups treated orally with 8, 16, or 32 mg/kg of PLUM. After treatment, the Kato-Katz technique was performed to evaluate a quantity of eggs in the feces (EPG). The animals were euthanized for worm recovery, intestine samples were collected to evaluate the oviposition pattern, the load of eggs was determined on the hepatic and intestinal tissues and for the histopathological and histomorphometric evaluation of tissue and hepatic granulomas. PLUM reduced EPG by 65.27, 70.52, and 82.49%, reduced the total worm load by 46.7, 55.25, and 72.4%, and the female worm load by 44.01, 52.76, and 71.16%, for doses of 8, 16, and 32 mg/kg, respectively. PLUM also significantly reduced the number of immature eggs and increased the number of dead eggs in the oogram. A reduction of 36.11, 46.46, and 64.14% in eggs in the hepatic tissue, and 57.22, 65.18, and 80.5% in the intestinal tissue were also observed at doses of 8, 16, and 32 mg/kg, respectively. At all doses, PLUM demonstrated an effect on the histopathological and histomorphometric parameters of the hepatic granuloma, with a reduction of 41.11, 48.47, and 70.55% in the numerical density of the granulomas and 49.56, 57.63, and 71.21% in the volume, respectively. PLUM presented itself as a promising in vivo antiparasitic candidate against S. mansoni, acting not only on parasitological parameters but also on hepatic granuloma. Furthermore, in silico, PLUM showed good predictive pharmacokinetic profiles by ADMET.
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Affiliation(s)
- Lucas M. N. Silva
- Programa de Pós-Graduação em Ciências Farmacêuticas, Departamento de Ciências Farmacêuticas, Universidade Federal de Pernambuco, Recife 50740-520, PE, Brazil; (L.M.N.S.); (V.H.B.S.); (R.A.F.S.); (E.C.P.A.X.); (M.C.P.A.A.)
| | - Wilza W. M. França
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
- Programa de Pós-Graduação em Medicina Tropical, Departamento de Medicina Tropical Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil;
| | - Victor H. B. Santos
- Programa de Pós-Graduação em Ciências Farmacêuticas, Departamento de Ciências Farmacêuticas, Universidade Federal de Pernambuco, Recife 50740-520, PE, Brazil; (L.M.N.S.); (V.H.B.S.); (R.A.F.S.); (E.C.P.A.X.); (M.C.P.A.A.)
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
| | - Renan A. F. Souza
- Programa de Pós-Graduação em Ciências Farmacêuticas, Departamento de Ciências Farmacêuticas, Universidade Federal de Pernambuco, Recife 50740-520, PE, Brazil; (L.M.N.S.); (V.H.B.S.); (R.A.F.S.); (E.C.P.A.X.); (M.C.P.A.A.)
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
| | - Adriana M. Silva
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
| | - Emily G. M. Diniz
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
- Programa de Pós-Graduação em Medicina Tropical, Departamento de Medicina Tropical Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil;
| | - Thierry W. A. Aguiar
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
- Departamento de Bioquímica, Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil
| | - João V. R. Rocha
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
- Programa de Pós-Graduação em Medicina Tropical, Departamento de Medicina Tropical Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil;
| | - Mary A. A. Souza
- Programa de Pós-Graduação em Morfotecnologia, Departamento de Histologia e Embriologia, Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil; (M.A.A.S.); (I.J.C.F.)
| | - Wheverton R. C. Nascimento
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
- Programa de Pós-Graduação em Morfotecnologia, Departamento de Histologia e Embriologia, Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil; (M.A.A.S.); (I.J.C.F.)
- Centro de Ciências Médicas—Área Acadêmica de Medicina Tropical, Universidade Federal de Pernambuco, Recife 50670-901, PE, Brazil
| | - Reginaldo G. Lima Neto
- Programa de Pós-Graduação em Medicina Tropical, Departamento de Medicina Tropical Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil;
- Centro de Ciências Médicas—Área Acadêmica de Medicina Tropical, Universidade Federal de Pernambuco, Recife 50670-901, PE, Brazil
| | - Iranildo J. Cruz Filho
- Programa de Pós-Graduação em Morfotecnologia, Departamento de Histologia e Embriologia, Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil; (M.A.A.S.); (I.J.C.F.)
- Departamento de Antibióticos, Universidade Federal de Pernambuco, Recife 50670-901, PE, Brazil
| | - Eulália C. P. A. Ximenes
- Programa de Pós-Graduação em Ciências Farmacêuticas, Departamento de Ciências Farmacêuticas, Universidade Federal de Pernambuco, Recife 50740-520, PE, Brazil; (L.M.N.S.); (V.H.B.S.); (R.A.F.S.); (E.C.P.A.X.); (M.C.P.A.A.)
- Departamento de Antibióticos, Universidade Federal de Pernambuco, Recife 50670-901, PE, Brazil
| | - Hallysson D. A. Araújo
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
- Departamento de Bioquímica, Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil
| | - André L. Aires
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
- Programa de Pós-Graduação em Medicina Tropical, Departamento de Medicina Tropical Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil;
- Programa de Pós-Graduação em Morfotecnologia, Departamento de Histologia e Embriologia, Universidade Federal de Pernambuco, Recife 50670-420, PE, Brazil; (M.A.A.S.); (I.J.C.F.)
- Centro de Ciências Médicas—Área Acadêmica de Medicina Tropical, Universidade Federal de Pernambuco, Recife 50670-901, PE, Brazil
| | - Mônica C. P. A. Albuquerque
- Programa de Pós-Graduação em Ciências Farmacêuticas, Departamento de Ciências Farmacêuticas, Universidade Federal de Pernambuco, Recife 50740-520, PE, Brazil; (L.M.N.S.); (V.H.B.S.); (R.A.F.S.); (E.C.P.A.X.); (M.C.P.A.A.)
- Instituto Keizo Asami, Universidade Federal de Pernambuco, Recife 50740-465, PE, Brazil; (W.W.M.F.); (A.M.S.); (E.G.M.D.); (T.W.A.A.); (J.V.R.R.); (W.R.C.N.); (H.D.A.A.)
- Centro de Ciências Médicas—Área Acadêmica de Medicina Tropical, Universidade Federal de Pernambuco, Recife 50670-901, PE, Brazil
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Torres-Vitolas CA, Trienekens SCM, Zaadnoordijk W, Gouvras AN. Behaviour change interventions for the control and elimination of schistosomiasis: A systematic review of evidence from low- and middle-income countries. PLoS Negl Trop Dis 2023; 17:e0011315. [PMID: 37163556 DOI: 10.1371/journal.pntd.0011315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 05/22/2023] [Accepted: 04/16/2023] [Indexed: 05/12/2023] Open
Abstract
BACKGROUND For the last two decades, schistosomiasis control efforts have focussed on preventive treatment. The disease, however, still affects over 200 million people worldwide. Behaviour change (BC) interventions can strengthen control by interrupting transmission through modifying exposure behaviour (water contact) or transmission practices (open urination/defaecation); or through fostering treatment seeking or acceptance. This review examines these interventions to assess their effectiveness in modifying risk practices and affecting epidemiological trends. METHODOLOGY/PRINCIPAL FINDINGS A systematic multi-database literature search (PROSPERO CRD42021252368) was conducted for peer-reviewed publications released at any time before June 2021 assessing BC interventions for schistosomiasis control in low- and middle-income countries. 2,593 unique abstracts were identified, 66 were assigned to full text review, and 32 met all inclusion criteria. A typology of intervention models was outlined according to their use of behaviour change techniques and overarching rationale: health education (HEIs), social-environmental (SEIs), physical-environmental (PEIs), and incentives-centred interventions (ICIs). Available evidence does not allow to identify which BC approach is most effective in controlling risk behaviour to prevent schistosomiasis transmission. HEIs' impacts were observed to be limited by structural considerations, like infrastructure underdevelopment, economic obligations, socio-cultural traditions, and the natural environment. SEIs may address those challenges through participatory planning and implementation activities, which enable social structures, like governance and norms, to support BC. Their effects, however, appear context-sensitive. The importance of infrastructure investments was highlighted by intervention models. To adequately support BC, however, they require users' inputs and complementary services. Whilst ICIs reported positive impacts on treatment uptake, there are cost-effectiveness and sustainability concerns. Evaluation studies yielded limited evidence of independent epidemiological impacts from BC, due to limited use of suitable indicators and comparators. There was indicative evidence, however, that BC projects could sustain gains through treatment campaigns. CONCLUSIONS/SIGNIFICANCE There is a need for integrated interventions combining information provision, community-based planning, and infrastructure investments to support BC for schistosomiasis control. Programmes should carefully assess local conditions before implementation and consider that long-term support is likely needed. Available evidence indicates that BC interventions may contribute towards schistosomiasis control when accompanied by treatment activities. Further methodologically robust evidence is needed to ascertain the direct epidemiological benefits of BC.
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Affiliation(s)
- Carlos A Torres-Vitolas
- Unlimit Health, London, United Kingdom
- School of Public Health, Imperial College London, London, United Kingdom
| | - Suzan C M Trienekens
- School of Biodiversity, One Health and Veterinary Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom
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Mwanga JR, Kinung'hi SM, Mosha J, Angelo T, Maganga J, Campbell CH. Village Response to Mass Drug Administration for Schistosomiasis in Mwanza Region, Northwestern Tanzania: Are We Missing Socioeconomic, Cultural, and Political Dimensions? Am J Trop Med Hyg 2021; 103:1969-1977. [PMID: 32901610 PMCID: PMC7646777 DOI: 10.4269/ajtmh.19-0843] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Praziquantel (PZQ)-based mass drug administration (MDA) is the main approach for controlling schistosomiasis in endemic areas. Interventions such as provision and use of clean and safe water, minimizing contacts with infested water, disposal of human waste in latrines, and snail control provide additional key interventions to break the transmission cycle and could complement and perhaps sustain the benefits of MDA. However, all interventions deployed need to be accepted by the targeted communities. A qualitative study was conducted to examine factors that might differentiate villages which did not show a substantial decrease in Schistosoma mansoni prevalence despite repeated, high treatment coverage referred to as “persistent hotspot (PHS) villages” from villages which showed a substantial decrease in prevalence referred to as “responding (RES) villages.” A convenient sample of adults was drawn from eight villages. Thirty-nine key informants were interviewed and 16 focus groups were held with a total of 123 participants. Data were analyzed manually using a thematic content approach. In both PHS and RES villages, schistosomiasis was not considered to be a priority health problem because of its chronic nature, lack of knowledge and awareness, and poverty among study communities. Persistent hotspot villages exhibited poor leadership style, lack of or insufficient social engagement, little or lack of genuine community participation, little motivation, and commitment to schistosomiasis control compared with RES villages where there were commitment and motivation to fight schistosomiasis. We support the view of scholars who advocate for the adoption of a biosocial approach for effective and sustainable PZQ-based MDA for schistosomiasis control.
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Affiliation(s)
- Joseph R Mwanga
- Department of Epidemiology, Biostatistics and Behavioral Sciences, School of Public Health, Catholic University of Health and Allied Sciences, Mwanza, Tanzania
| | - Safari M Kinung'hi
- National Institute of Medical Research (NIMR), Mwanza Center, Mwanza, Tanzania
| | - Justina Mosha
- National Institute of Medical Research (NIMR), Mwanza Center, Mwanza, Tanzania
| | - Teckla Angelo
- National Institute of Medical Research (NIMR), Mwanza Center, Mwanza, Tanzania
| | - Jane Maganga
- National Institute of Medical Research (NIMR), Mwanza Center, Mwanza, Tanzania
| | - Carl H Campbell
- Schistosomiasis Consortium for Operational Research and Evaluation (SCORE), Center for Tropical and Emerging Global Diseases (CTEGD), University of Georgia, Athens, Georgia
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Dong Y, Du CH, Zhang Y, Wang LF, Song J, Wu MS, Yang WC, Lv S, Zhou XN. Role of ecological approaches to eliminating schistosomiasis in Eryuan County evaluated by system modelling. Infect Dis Poverty 2018; 7:129. [PMID: 30593286 PMCID: PMC6309097 DOI: 10.1186/s40249-018-0511-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2018] [Accepted: 12/06/2018] [Indexed: 01/25/2023] Open
Abstract
BACKGROUND Schistosomiasis was severely prevalent in Yunnan Province, and it is difficult to achieve its elimination by convention approaches due to complexity of the nature. We explored the comprehensive model to eliminate schistosomiasis in Eryuan County, Yunnan Province, the People's Republic of China, through integration with the ecological protection programme in Erhai Lake, in order to promote an efficient elimination strategy. We expected that this model is able to be tailored to other local settings, which help achieve the goal of precisely eliminating the disease in Yunnan Province. METHODS Eryuan County of Yunnan Province was chosen as the study area, where the data on environmental protection activities in Erhai Lake and on the schistosomiasis control programme were collected through different departments of Erhai County government since 2015. System modelling was performed using system dynamics software to establish a simulation model in order to evaluate the effectiveness of intervention activities. RESULTS Ecological approaches to control schistosomiasis in Eryuan County consist of three major components: (i) implementing precise interventions to stop schistosomiasis transmission by means of controlling the source of infection, blocking the biological transmission chains and cutting off the route of disease transmission; (ii) employing ecological approaches to improve the co-effectiveness of environmental protection and schistosomiasis prevention in the study area; and (iii) strengthening the professional skills of personnel involving in the schistosomiasis control programme. Simulation results showed that this strategy could speed up the progress of schistosomiasis control programme moving from the control stage to the elimination stage. CONCLUSIONS Ecological approaches implemented in schistosomiasis endemic areas of the Eryuan region are able to improve the co-effectiveness of environmental protection and schistosomiasis control, providing a new avenue for eliminating schistosomiasis thanks to the application of precise interventions.
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Affiliation(s)
- Yi Dong
- Yunnan Institute of Endemic Diseases Control and Prevention, Dali, 671000, Yunnan, China
| | - Chun-Hong Du
- Yunnan Institute of Endemic Diseases Control and Prevention, Dali, 671000, Yunnan, China
| | - Yun Zhang
- Yunnan Institute of Endemic Diseases Control and Prevention, Dali, 671000, Yunnan, China
| | - Li-Fang Wang
- Yunnan Institute of Endemic Diseases Control and Prevention, Dali, 671000, Yunnan, China
| | - Jing Song
- Yunnan Institute of Endemic Diseases Control and Prevention, Dali, 671000, Yunnan, China
| | - Ming-Shou Wu
- Yunnan Institute of Endemic Diseases Control and Prevention, Dali, 671000, Yunnan, China
| | - Wen-Can Yang
- Eryuan Station of Schistosomiasis Control and Prevention, Eryuan, 671200, Yunnan, China
| | - Shan Lv
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, 200025, China.,Chinese Center for Tropical Diseases Research, Shanghai, 200025, China.,WHO Collaborating Centre for Tropical Diseases, Shanghai, 200025, China.,National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, 200025, China.,Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, 200025, China
| | - Xiao-Nong Zhou
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, 200025, China. .,Chinese Center for Tropical Diseases Research, Shanghai, 200025, China. .,WHO Collaborating Centre for Tropical Diseases, Shanghai, 200025, China. .,National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai, 200025, China. .,Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai, 200025, China.
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Diet and hygiene practices influence morbidity in schoolchildren living in Schistosomiasis endemic areas along Lake Victoria in Kenya and Tanzania-A cross-sectional study. PLoS Negl Trop Dis 2018; 12:e0006373. [PMID: 29590175 PMCID: PMC5891076 DOI: 10.1371/journal.pntd.0006373] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2017] [Revised: 04/09/2018] [Accepted: 03/07/2018] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Since 2011, cohorts of schoolchildren in regions bordering Lake Victoria in Kenya and Tanzania have been investigated for morbidity caused by Schistosoma mansoni infection. Despite being neighbouring countries with similar lifestyles and ecological environments, Tanzanian schoolchildren had lower S. mansoni prevalence and intensity and they were taller and heavier, fewer were wasted and anaemic, and more were physical fit compared to their Kenyan peers. The aim of the present study was to evaluate whether diet and school-related markers of socioeconomic status (SES) could explain differences in morbidity beyond the effect of infection levels. METHODS AND PRINCIPAL FINDINGS Parasitological and morbidity data from surveys in 2013-2014 were compared with information on diet and school-related markers of SES collected in 2015 using questionnaires. A total of 490 schoolchildren (163 Kenyans and 327 Tanzanians) aged 9-11 years provided data. A higher proportion of Tanzanian pupils (69.4%, 95% CI: 64.3-74.5) knew where to wash hands after toilet visits compared to Kenyan pupils (48.5%, 95% CI: 40.9-56.1; P<0.0005). Similar proportions of children in the two countries ate breakfast, lunch and dinner, but the content of the meals differed. At all three meals, a higher proportion (95% CI) of Tanzanian pupils consumed animal proteins (mostly fish proteins) compared to their Kenyan peers (35.0% (28.3-41.7) vs. 0%; P<0.0005 at breakfast; 69.0% (63.9-74.1) vs. 43.6% (35.8-51.4); P<0.0005 at lunch; and 67.2% (62.1-72.3) vs. 53.4% (45.8-61.0); P = 0.003 at dinner). Multivariable analyses investigating risk factors for important morbidity markers among individuals revealed that after controlling for schistosome and malaria infections, eating animal proteins (fish) and knowing where to wash hands after toilet visits were significant predictors for both haemoglobin levels and physical fitness (measured as VO2 max). CONCLUSIONS These results suggest that the differences in morbidity may be affected by factors other than S. mansoni infection alone. Diet and hygiene practice differences were associated with health status of schoolchildren along Lake Victoria in Kenya and Tanzania. TRIAL REGISTRATION Trials Registration numbers: ISRCT 16755535 (Kenya), ISRCT 95819193 (Tanzania).
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Mwanga JR, Kaatano GM, Siza JE, Chang SY, Ko Y, Kullaya CM, Nsabo J, Eom KS, Yong TS, Chai JY, Min DY, Rim HJ, Changalucha JM. Improved Perceptions and Practices Related to Schistosomiasis and Intestinal Worm Infections Following PHAST Intervention on Kome Island, North-Western Tanzania. THE KOREAN JOURNAL OF PARASITOLOGY 2015; 53:561-9. [PMID: 26537035 PMCID: PMC4635831 DOI: 10.3347/kjp.2015.53.5.561] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Revised: 09/30/2015] [Accepted: 09/30/2015] [Indexed: 11/23/2022]
Abstract
Schistosomiasis and intestinal worm infections are widespread diseases of public health importance in Tanzania. A study on perceptions and practices related to schistosomiasis and intestinal worm infections was undertaken among a community population of Kome Island in Sengerema District, north-western Tanzania, where intestinal schistosomiasis and intestinal worm infections are endemic. Schistosomiasis and intestinal worm-related perceptions and practices were assessed before and 3 years after implementation of a participatory hygiene and sanitation transformation (PHAST) intervention as a control measure. Data were obtained from baseline and post-intervention knowledge, attitudes, and practices (KAP) questionnaire surveys conducted twice in 2009 and 2012 among 82 individuals aged ≥15 years. We found significant increases in respondents’ knowledge of the cause, transmission, symptoms, health consequences, and prevention of schistosomiasis and intestinal worm infections after PHAST intervention. The increase in respondents’ knowledge on almost all aspects of the said infections was translated into actions to control schistosomiasis and intestinal worm infections. This has not been achieved by chance, but due to well-designed and locally-adapted PHAST intervention. We conclude that despite criticisms, PHAST approach is still useful in empowering communities to control water, sanitation, and hygiene related infectious diseases such as schistosomiasis and intestinal worm infections.
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Affiliation(s)
- Joseph R Mwanga
- National Institute for Medical Research, P.O. Box 1462, Mwanza, Tanzania
| | - Godfrey M Kaatano
- National Institute for Medical Research, P.O. Box 1462, Mwanza, Tanzania
| | - Julius E Siza
- National Institute for Medical Research, P.O. Box 1462, Mwanza, Tanzania
| | - Su Young Chang
- Good Neighbors International, Tanzania Western Chapter, P.O. Box 367, Mwanza, Tanzania
| | - Yunsuk Ko
- Good Neighbors International, Tanzania Western Chapter, P.O. Box 367, Mwanza, Tanzania
| | - Cyril M Kullaya
- Good Neighbors International, Tanzania Western Chapter, P.O. Box 367, Mwanza, Tanzania
| | - Jackson Nsabo
- Good Neighbors International, Tanzania Western Chapter, P.O. Box 367, Mwanza, Tanzania
| | - Keeseon S Eom
- Department of Parasitology, Medical Research Institute and Parasite Resource Bank, Chungbuk National University School of Medicine, Cheongju 28644, Korea
| | - Tai-Soon Yong
- Department of Environmental Medical Biology, Institute of Tropical Medicine and Arthropods of Medical Importance Resource Bank, Yonsei University College of Medicine, Seoul 03722, Korea
| | - Jong-Yil Chai
- Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul 03080, Korea
| | - Duk-Young Min
- Department of Immunology and Microbiology, Eulji University School of Medicine, Daejeon 34824, Korea
| | - Han-Jong Rim
- Department of Parasitology, College of Medicine, Korea University, Seoul 02841, Korea
| | - John M Changalucha
- National Institute for Medical Research, P.O. Box 1462, Mwanza, Tanzania
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Mwanga JR, Kaatano GM, Siza JE, Chang SY, Ko Y, Kullaya CM, Nsabo J, Eom KS, Yong TS, Chai JY, Min DY, Rim HJ, Changalucha JM. Improved Socio-Economic Status of a Community Population Following Schistosomiasis and Intestinal Worm Control Interventions on Kome Island, North-Western Tanzania. THE KOREAN JOURNAL OF PARASITOLOGY 2015; 53:553-9. [PMID: 26537034 PMCID: PMC4635828 DOI: 10.3347/kjp.2015.53.5.553] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Revised: 09/30/2015] [Accepted: 09/30/2015] [Indexed: 12/05/2022]
Abstract
Research on micro-level assessment of the changes of socio-economic status following health interventions is very scarce. The use of household asset data to determine wealth indices is a common procedure for estimating socio-economic position in resource poor settings. In such settings information about income is usually lacking, and the collection of individual consumption or expenditure data would require in-depth interviews, posing a considerable risk of bias. In this study, we determined the socio-economic status of 213 households in a community population in an island in the north-western Tanzania before and 3 year after implementation of a participatory hygiene and sanitation transformation (PHAST) intervention to control schistosomiasis and intestinal worm infections. We constructed a household 'wealth index' based housing construction features (e.g., type of roof, walls, and floor) and durable assets ownership (e.g., bicycle, radio, etc.). We employed principal components analysis and classified households into wealth quintiles. The study revealed that asset variables with positive factor scores were associated with higher socio-economic status, whereas asset variables with negative factor scores were associated with lower socio-economic status. Overall, households which were rated as the poorest and very poor were on the decrease, whereas those rated as poor, less poor, and the least poor were on the increase after PHAST intervention. This decrease/increase was significant. The median shifted from -0.4376677 to 0.5001073, and the mean from -0.2605787 (SD; 2.005688) to 0.2605787 (SD; 1.831199). The difference in socio-economic status of the people between the 2 phases was highly statistically significant (P<0.001). We argue that finding of this study should be treated with caution as there were other interventions to control schistosomiasis and intestinal worm infections which were running concurrently on Kome Island apart from PHAST intervention.
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Affiliation(s)
- Joseph R Mwanga
- National Institute for Medical Research, P.O. Box 1462, Mwanza, Tanzania
| | - Godfrey M Kaatano
- National Institute for Medical Research, P.O. Box 1462, Mwanza, Tanzania
| | - Julius E Siza
- National Institute for Medical Research, P.O. Box 1462, Mwanza, Tanzania
| | - Su Young Chang
- Good Neighbors International, Tanzania Western Chapter, P.O. Box 367, Mwanza, Tanzania
| | - Yunsuk Ko
- Good Neighbors International, Tanzania Western Chapter, P.O. Box 367, Mwanza, Tanzania
| | - Cyril M Kullaya
- Good Neighbors International, Tanzania Western Chapter, P.O. Box 367, Mwanza, Tanzania
| | - Jackson Nsabo
- Good Neighbors International, Tanzania Western Chapter, P.O. Box 367, Mwanza, Tanzania
| | - Keeseon S Eom
- Department of Parasitology, Medical Research Institute and Parasite Resource Bank, Chungbuk National University School of Medicine, Cheongju 28644, Korea
| | - Tai-Soon Yong
- Department of Environmental Medical Biology, Institute of Tropical Medicine and Arthropods of Medical Importance Resource Bank, Yonsei University College of Medicine, Seoul 03722, Korea
| | - Jong-Yil Chai
- Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul 03080, Korea
| | - Duk-Young Min
- Department of Immunology and Microbiology, Eulji University School of Medicine, Daejeon 35233, Korea
| | - Han-Jong Rim
- Department of Parasitology, College of Medicine, Korea University, Seoul 02841, Korea
| | - John M Changalucha
- National Institute for Medical Research, P.O. Box 1462, Mwanza, Tanzania
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Abstract
In May 2012, the World Health Assembly passed resolution WHA 65.21, calling upon member states to intensify schistosomiasis control and, wherever possible, to attempt transmission interruption and initiate interventions towards local elimination. It is now clear that CONTRAST--a multidisciplinary alliance to optimize schistosomiasis control and transmission surveillance in sub-Saharan Africa--was ahead of the game. Indeed, launched in October 2006, this 4-year project funded by the European Commission made important contributions for sustainable schistosomiasis control in the selected African countries through innovation, validation and application of new tools and locally adapted intervention strategies complementary to preventive chemotherapy. Moreover, CONTRAST articulated a research agenda for schistosomiasis elimination, framed by 10 key questions. Here, we provide a rationale for CONTRAST and discuss its overarching goal, the interrelated objectives, establishment and running of a research node network across Africa, partnership configuration and modus operandi of the project. A collection of 25 articles is presented that are grouped into five main themes: molecular, biological, spatial, social and cross-cutting issues pertaining to the epidemiology and control of schistosomiasis. We summarize key achievements made by CONTRAST, many of which are featured in this special issue of Acta Tropica. Together with an independent view put forth by an eminent schistosomiasis researcher, the current piece provides an umbrella for the 25-article collection, including current gaps and remaining research needs. Finally, post-CONTRAST initiatives are discussed and a speculative viewpoint is given on how schistosomiasis control/elimination will have evolved over the next several years.
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