Pattern and predictors of soil-transmitted helminth reinfection among aboriginal schoolchildren in rural Peninsular Malaysia

Al-Mekhlafi, M.H.; Surin, J.; Atiya, A.S.; Ariffin, W.A.; Mahdy, A.K.M.; Abdullah, H.C. (2008) Pattern and predictors of soil-transmitted helminth reinfection among aboriginal schoolchildren in rural Peninsular Malaysia. Acta Tropica, 107 (2). pp. 200-204. ISSN 0001-706X

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    Abstract

    Data on soil-transmitted helminth (STH) infections and reinfection among Orang Ash (aborigine) schoolchildren and their nutritional and socioeconomic status were analyzed to investigate the pattern and the possible predictors of STH reinfection. In this longitudinal study, 120 (60 males and 60 females) Orang Ash primary schoolchildren aged 7-12 years and living in remote areas in Pos Betau, Kuala Lipis, Pahang were screened for the presence of STH using modified cellophane thick smear and Harada Mori techniques. The overall prevalence of ascariasis, trichuriasis and hookworm infections were 65.8, 97.5 and 10.8, respectively. After complete deworming with a 3-day course of 400 mg/daily of albendazole tablets, children were re-examined at 3 and 6 months from baseline. The reinfection rate, by one or more of STH species, at 3 months after deworming was high (49.5) while 79.6 of the children were reinfected at 6 months after deworming. Logistic regression analyses showed that females, stunted children and those living in houses without toilets had significantly higher reinfection rates than others at 3 months (P < 0.05). At 6 months, maternal employment status emerged as another predictor where children of working mothers had significantly higher reinfection rates (P = 0.026). In conclusion, reinfection rate of STH is high and thus necessitates frequent and periodic deworming among children. Public health personnel need to re-look at the current control measures and identify innovative and integrated ways in order to reduce STH significantly in the rural communities. (C) 2008 Elsevier B.V. All rights reserved.

    Item Type: Article
    Creators:
    1. Al-Mekhlafi, M.H.
    2. Surin, J.(Department of Parasitology, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA)
    3. Atiya, A.S.
    4. Ariffin, W.A.
    5. Mahdy, A.K.M.
    6. Abdullah, H.C.
    Journal or Publication Title: Acta Tropica
    Additional Information: Al-Mekhlafi, M. Hesham Surin, Johari Atiya, A. S. Ariffin, W. A. Mahdy, A. K. Mohammed Abdullah, H. Che ---> Corresponding author. Tel.: +603 79674747; fax: +603 79764754.E-mail address: halmekhlafi@yahoo.com (J. Surin)
    Uncontrolled Keywords: Soil-transmitted helminth Reinfection Predictors Aboriginal children Malaysia
    Subjects: R Medicine
    Divisions: Faculty of Medicine
    Depositing User: jsurin johari surin
    Date Deposited: 20 Jun 2012 15:54
    Last Modified: 19 Apr 2013 18:06
    URI: http://eprints.um.edu.my/id/eprint/3365

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