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Schistosoma mansoni-Related Hepatosplenic Morbidity in Adult Population on Kome Island, Sengerema District, Tanzania

Authors
 Godfrey M. Kaatano  ;  Duk-Young Min  ;  Julius E. Siza  ;  Tai-Soon Yong  ;  Jong-Yil Chai  ;  Yunsuk Ko  ;  Su-Young Chang  ;  John M. Changalucha  ;  Keeseon S. Eom  ;  Han-Jong Rim 
Citation
 KOREAN JOURNAL OF PARASITOLOGY, Vol.53(5) : 545-551, 2015 
Journal Title
 KOREAN JOURNAL OF PARASITOLOGY 
ISSN
 0023-4001 
Issue Date
2015
MeSH
Abdomen/diagnostic imaging ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Animals ; Child ; Cross-Sectional Studies ; Female ; Humans ; Islands ; Lakes ; Liver Diseases, Parasitic/diagnosis ; Liver Diseases, Parasitic/epidemiology* ; Liver Diseases, Parasitic/pathology* ; Male ; Middle Aged ; Prevalence ; Schistosomiasis mansoni/diagnosis ; Schistosomiasis mansoni/epidemiology* ; Schistosomiasis mansoni/pathology* ; Sex Factors ; Splenic Diseases/diagnosis ; Splenic Diseases/epidemiology* ; Splenic Diseases/parasitology ; Splenic Diseases/pathology* ; Tanzania/epidemiology ; Ultrasonography ; Young Adult
Keywords
Kome Island (Tanzania) ; Schistosoma mansoni ; adult ; hepatosplenomegaly
Abstract
Schistosomiasis is one of the important neglected tropical diseases (NTDs) in Tanzania, particularly in Lake Victoria zone. This baseline survey was a part of the main study of integrated control of schistosomiasis and soil-transmitted helminths (STHs) aimed at describing morbidity patterns due to intestinal schistosomiasis among adults living on Kome Island, Sengerema District, Tanzania. Total 388 adults from Kome Islands (about 50 people from each village) aged between 12 and 85 years, were examined by abdominal ultrasound according to the Niamey protocol. Liver image patterns (LIPs) A and B were considered normal, and C-F as distinct periportal fibrosis (PPF). The overall prevalence of PPF was 42.2%; much higher in males than in females (47.0% in male vs 34.4% in females, P=0.007). Abnormal increase of segmental branch wall thickness (SBWT) and dilated portal vein diameter (PVD) were also more common in males than in females. Hepatosplenomegaly was frequently encountered; 68.1% had left liver lobe hepatomegaly and 55.2% had splenomegaly. Schistosoma mansoni-related morbidity is quite high among adults in this community justifying the implementation of integrated control strategies through mass drug administration, improved water supply (pumped wells), and health education that had already started in the study area.
Files in This Item:
T201505932.pdf Download
DOI
10.3347/kjp.2015.53.5.545
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Environmental Medical Biology (환경의생물학교실) > 1. Journal Papers
Yonsei Authors
Yong, Tai Soon(용태순) ORCID logo https://orcid.org/0000-0002-3445-0769
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/157189
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