Short communication: Soil-transmitted helminthiasis in Uganda: epidemiology and cost of control


Narcis B. Kabatereine (corresponding author), Edridah M. Tukahebwa and Francis Kazibwe, Vector Control Division, Ministry of Health, Kampala, PO Box 1661, Uganda. Email:,
Jeremiah M. Twa-Twa, School Health Programme, Ministry of Health, Kampala, Uganda. E-mail:
John F. Z. Barenzi, Child Days, UNICEF/Ministry of Health, Kampala, Uganda. E-mail:
Sam Zaramba, Health Services C &C, Ministry of Health, Kampala, Uganda. E-mail:
J. Russell Stothard, Department of Zoology, Natural History Museum, Cromwell Road, London SW7 5BD, UK.
Alan Fenwick, Schistosomiasis Control Initiative, Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College, Norfolk Place, London W2 1PG, UK. E-mail:
Simon Brooker, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK. E-mail:


A countrywide description of the distribution of soil-transmitted helminths in Uganda is reported, based on data for 20 185 schoolchildren from 271 schools. The overall prevalence of Ascaris lumbricoides, Trichuris trichiura and hookworm was 6.3%, 5.0% and 43.5%, respectively. The prevalence of A. lumbricoides and T. trichiura was unevenly distributed in the country with prevalence greatest in south-western Uganda whereas hookworm was generally more homogeneously distributed. Based on preliminary cost analysis of an ongoing school-based control programme, the financial delivery cost per schoolchild treated with albendazole is estimated to be between US$ 0.04 and 0.08 in different districts.