Intestinal Parasite Prevalence in an Area of Ethiopia After Implementing the SAFE Strategy, Enhanced Outreach Services, and Health Extension Program
Intestinal Parasite Prevalence in an Area of Ethiopia after Implementing the SAFE Strategy, Enhanced Outreach Services, and Health Extension Program Jonathan D. King1,2,3*, Tekola Endeshaw4, Elisabeth Escher3,5, Genetu Alemtaye6, Sileabatt Melaku6, Woyneshet Gelaye6, Abebe Worku7, Mitku Adugna4, Berhanu Melak4, Tesfaye Teferi4, Mulat Zerihun4, Demelash Gesese4, Zerihun Tadesse4, Aryc W. Mosher1, Peter Odermatt2,3,Ju¨ rg Utzinger2,3, Hanspeter Marti3,5, Jeremiah Ngondi1,8, Donald R. Hopkins1, Paul M. Emerson1 1 The Carter Center, Atlanta, Georgia, United States of America, 2 Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland, 3 University of Basel, Basel, Switzerland, 4 The Carter Center, Addis Ababa, Ethiopia, 5 Department of Medical Services and Diagnostic, Swiss Tropical and Public Health Institute, Basel, Switzerland, 6 Amhara Regional Research Laboratory, Amhara National Regional State Health Bureau, Bahir Dar, Ethiopia, 7 South Gondar Zonal Health Department, Amhara National Regional State Health Bureau, Debre Tabor, Ethiopia, 8 Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, United Kingdom Abstract Background: The SAFE strategy aims to reduce transmission of Chlamydia trachomatis through antibiotics, improved hygiene, and sanitation. We integrated assessment of intestinal parasites into large-scale trachoma impact surveys to determine whether documented environmental improvements promoted by a trachoma program had collateral impact on intestinal parasites. Methodology: We surveyed 99 communities for both trachoma and intestinal parasites (soil-transmitted helminths, Schistosoma mansoni, and intestinal protozoa) in South Gondar, Ethiopia. One child aged 2–15 years per household was randomly selected to provide a stool sample of which about 1 g was fixed in sodium acetate-acetic acid-formalin, concentrated with ether, and examined under a microscope by experienced laboratory technicians.
[Show full text]